{"text_format":"1","workbook":"xlsx","n_sheets":1,"sheets":["CHARGEMASTER"],"not_rendered":{"charts":0,"images":0,"macros":0,"external_links":0,"defined_names":0,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"CHARGEMASTER","index":0,"n_rows":12765,"n_cols":21,"rows_kept":4500,"cut":true,"hidden":false,"merged":[],"bounds":{"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0}}
["CDM Item Number","Revenue Code","Service ID","Service Mod1","Service Description","Gross Charge","Discounted Cash Price","Minimum Negotiated Charge","Maximum Negotiated Charge","Payer Negotiated Charge: AmeriGroup ","Payer Negotiated Charge: Blue Cross Blue Shield of OR Regence ","Payer Negotiated Charge: Blue Cross of WA Premera","Payer Negotiated Charge: Blue Shield of WA Regence ","Payer Negotiated Charge: Cigna","Payer Negotiated Charge: Community Health Plan of WA ","Payer Negotiated Charge: Humana","Payer Negotiated Charge: Kaiser Foundation Health Plan of WA","Payer Negotiated Charge: Kaiser Foundation Health Plan of Washington Option","Payer Negotiated Charge: LifeWise Health Plan of Washington","Payer Negotiated Charge: Tricare West UHC Military and Veterans ","Payer Negotiated Charge: United Healthcare"]
[100001,762,"G0379",null,"DIRECT ADMIT OBSERVATION",135,94.5]
[100002,771,90471,null,"IMMUN ADM",61,42.7,28.14,60.53,28.14,60.53,null,58.29,60.53,null,null,null,null,null,null,58.94]
[100003,771,90472,null,"IMMUN ADM EA ADD",61,42.7]
[100004,260,96376,null,"INJ IV PUSH SAME DRUG ADD ON",109,76.3,101.37,101.37,null,null,101.37]
[100005,260,9637659,null,"INJ IV PUSH SAME DRUG ADD",109,76.3]
[100006,260,96375,null,"INJECT T/P/D PUSH EA ADD SUB",236,165.2,219.48,219.48,null,null,219.48]
[100007,260,9637559,null,"INJECT T/P/D PUSH EA ADD",234,163.80000000000001]
[100008,260,96373,null,"INJECT T/P/D; INTRA-ART",109,76.3]
[100009,260,96374,null,"INJECT T/P/D; IV PUSH SINGLE/INIT DRUG",236,165.2]
[100010,260,9637459,null,"INJECT T/P/D; IV PUSH SINGLE/INIT W 59",234,163.80000000000001]
[100011,260,96372,null,"INJECT T/P/D; SC/IM",137.81,96.47,128.16,130.91999999999999,null,null,128.16,null,null,null,null,null,130.91999999999999]
[100012,331,96401,null,"INJECT CHEMO ADM SQ/IM",247,172.9]
[100013,331,96402,null,"INJECT HORMONAL ANTINEOPLASTIC",142,99.4]
[100014,260,96365,null,"IV INF T/P/D; INIT",437,305.89999999999998,235.11,235.11,null,null,235.11]
[100015,260,9636559,null,"IV INF T/P/D; INITIAL",437,305.89999999999998]
[100016,260,96367,null,"IV INF  T/P/D; ADD SEQ",199,139.30000000000001,185.07,189.05,null,null,185.07,null,null,null,null,null,189.05]
[100017,260,9636759,null,"IV INF T/P/D; ADD SEQ",202,141.4]
[100018,260,96368,null,"IV INF  T/P/D; CONCURRENT",149,104.3]
[100019,260,96366,null,"IV INF  T/P/D; EA ADD HR",149,104.3,73.239999999999995,141.55000000000001,73.239999999999995,null,null,null,null,null,null,null,141.55000000000001]
[100020,260,96361,null,"IV INF HYDRATE; EA ADD HR",142,99.4,99.35,134.9,null,null,132.06,134.9,null,null,99.35,null,134.9]
[100021,260,9636159,null,"IV INF HYDRATE; EA ADD HR",142,99.4]
[100022,260,96360,null,"IV INF HYDRATE; INIT 31MIN TO 90MIN",423,296.10000000000002,393.39,393.39,null,null,393.39]
[100023,260,9636059,null,"IV INF HYDRATE; INIT",423,296.10000000000002]
[100024,260,9636659,null,"IV INF T/P/D; EA ADD HR",436,305.2]
[100025,260,9636859,null,"IV INF T/P/D; CONCURRENT",436,305.2]
[100026,335,96415,null,"IV INFUSION CHEMO EA ADD'L HR",170,119]
[100027,335,96413,null,"IV INFUSION CHEMO ADM",703,492.1]
[100029,540,null,null,"MISC AMBULANCE",0,0]
[100030,762,null,null,"OBS PROC HIGH/CMPLX",760,532,89.17,89.17,89.17]
[100031,762,null,null,"OBS PROC MOD/INTERM",510,357,89.17,89.17,89.17]
[100032,762,null,null,"OBS PROC SIMPLE/LOW",241,168.7,89.17,89.17,89.17]
[100033,762,"G0378",null,"OBSERVATION 1ST HOUR",880,616,0,113.74,60.14,null,97.48,113.74,null,null,0,null,88.25]
[100034,762,"G0378",null,"OBSERVATION PER HR",75,52.5,0,113.74,60.14,null,97.48,113.74,null,null,0,null,88.25]
[100035,762,"G0378GY",null,"OBSERVATION UNBILLABLE HRS",0,0]
[100036,761,null,null,"OP PROC HIGH/CMPLX",760,532]
[100037,761,null,null,"OP PROC MOD/INTERM",510,357]
[100038,761,null,null,"OP PROC SIMPLE/LOW",241,168.7]
[100039,660,null,null,"RESPITE CARE - DAILY",500,350]
[100040,761,99211,null,"OP LOW LEVEL ROOM",177,123.9,86.99,86.99,86.99]
[100041,391,36430,null,"BLOOD ADMINISTRATION 1-2 HRS",342,239.4,563.98,563.98,null,null,null,563.98]
[100042,391,36430,null,"BLOOD ADMINISTRATION 3-4 HRS",503,352.1,563.98,563.98,null,null,null,563.98]
[100043,391,36430,null,"BLOOD ADMINISTRATION 5-6 HRS",639,447.3,563.98,563.98,null,null,null,563.98]
[100044,391,36430,null,"BLOOD ADMINISTRATION 7-8 HRS",779,545.29999999999995,563.98,563.98,null,null,null,563.98]
[100045,391,36430,null,"BLOOD ADMINISTRATION  >8 HRS",1014,709.8,563.98,563.98,null,null,null,563.98]
[100046,761,99201,null,"WOUND CARE BRIEF NEW PATIENT",127,88.9]
[100047,761,99202,null,"WOUND CARE LIMITED NEW PATIENT",157,109.9]
[100048,761,99203,null,"WOUND CARE INTERMEDIATE NEW PATIENT",203,142.1]
[100049,761,99204,null,"WOUND CARE EXTENDED NEW PATIENT",290,203]
[100050,761,99205,null,"WOUND CARE COMPLEX NEW PATIENT",381,266.7]
[100051,761,99211,null,"WOUND CARE BRIEF ESTABLISHED",177,123.9,86.99,86.99,86.99]
[100052,761,99212,null,"WOUND CARE LIMITED ESTABLISHED PATIENT",195,136.5,94.35,94.35,null,null,null,null,null,null,null,null,null,null,null,94.35]
[100053,761,99213,null,"WOUND CARE INTERMEDIATE ESTABLISHED",217,151.9]
[100054,761,99214,null,"WOUND CARE EXTENDED ESTABLISHED",296,207.2]
[100055,761,99215,null,"WOUND CARE COMPLEX ESTABLISHED",331,231.7]
[101003,300,81270,null,"JAK2 (V617F) MUTATION",212.7,148.88999999999999]
[1200001,964,null,null,"ANES PROCEDURE UNITS",159.19999999999999,111.44]
[1200002,370,null,null,"ANESTHESIA EACH ADD.15 MIN",170.01,119.01,382.78,3453.81,3453.81,728.24,486.51,607.14,null,null,null,null,null,null,382.78,425.23]
[1200003,370,null,null,"ANESTHESIA FIRST HR",664.7,465.29,382.78,3453.81,3453.81,728.24,486.51,607.14,null,null,null,null,null,null,382.78,425.23]
[1200004,964,null,null,"ANESTHESIA PER MINUTE",10.62,7.43]
[1200005,370,null,null,"BIER BLOCK",737.35,516.15,382.78,3453.81,3453.81,728.24,486.51,607.14,null,null,null,null,null,null,382.78,425.23]
[1200006,964,99155,null,"CONSCIOUS SEDATION <5 1ST 30",223.48,156.44]
[1200007,964,99156,null,"CONSCIOUS SEDATION >5 1ST 30",184.67,129.27000000000001]
[1200008,964,99157,null,"CONSCIOUS SEDATION EA ADDL 15",127.05,88.94]
[1200009,964,36400,null,"DIFFICULT IV START <3YRS",86,60.2]
[1200010,964,36410,null,"DIFFICULT IV START >3YRS",86,60.2]
[1200011,964,36620,null,"INTRA ARTERIAL LINE",539.24,377.47]
[1200012,964,31500,null,"INTUBATION",1030,721]
[1200013,370,null,null,"L1 ANESTHESIA 1ST HR",737.35,516.15,382.78,3453.81,3453.81,728.24,486.51,607.14,null,null,null,null,null,null,382.78,425.23]
[1200014,370,null,null,"L1 ANESTHESIA ADD 15MIN",185.88,130.12,382.78,3453.81,3453.81,728.24,486.51,607.14,null,null,null,null,null,null,382.78,425.23]
[1200015,370,null,null,"L2 ANESTHESIA 1ST HR",766.57,536.6,382.78,3453.81,3453.81,728.24,486.51,607.14,null,null,null,null,null,null,382.78,425.23]
[1200016,370,null,null,"L2 ANESTHESIA ADD 15MIN",192.94,135.06,382.78,3453.81,3453.81,728.24,486.51,607.14,null,null,null,null,null,null,382.78,425.23]
[1200017,370,null,null,"L3 ANESTHESIA 1ST HR",795.9,557.13,382.78,3453.81,3453.81,728.24,486.51,607.14,null,null,null,null,null,null,382.78,425.23]
[1200018,370,null,null,"L3 ANESTHESIA ADD 15MIN",199.33,139.53,382.78,3453.81,3453.81,728.24,486.51,607.14,null,null,null,null,null,null,382.78,425.23]
[1200019,964,31530,null,"LARYNGOSCOPY W/FB REMOVAL",1702.48,1191.74]
[1200020,370,null,null,"MISC ANES",0,0,382.78,3453.81,3453.81,728.24,486.51,607.14,null,null,null,null,null,null,382.78,425.23]
[1200021,964,43752,null,"NASO/ORO-GASTRIC TUBE PLACEMNT",369.34,258.54000000000002]
[1200023,964,62270,null,"SPINAL PUNCTURE LUMBAR DIAG",779.91,545.94000000000005]
[1200024,964,94002,null,"VENTILATOR MANAGEMENT 1SDAY",718.17,502.72]
[1200025,964,36600,null,"ARTERIAL DRAW",144.54,101.18]
[1200026,964,64425,null,"ILIOINGUINAL ILIOPHYPOGASTRIC NERVES",1312.2,918.54]
[1200027,964,6442559,null,"ILIOINGUINAL ILIOPHYPOGASTRIC NERVES W59",1312.2,918.54]
[1200028,964,94003,null,"VENTILATOR MANAGEMENT SUBSEQUENT",547.62,383.33]
[1200029,964,94660,null,"BILEVEL POSITIVE AIRWAY PRESSURE",444.15,310.91000000000003]
[1200030,964,99140,null,"EMERGENCY CONDITIONS",318.39999999999998,222.88]
[1200031,964,99100,null,"EXTREME AGE",159.19999999999999,111.44]
[1200032,964,92950,null,"CPR",1056.31,739.42]
[1200033,964,99201,null,"OP EVALUATION",120.17,84.12]
[120026,964,64425,null,"ILIOINGUINAL ILIOPHYPOGASTRIC NERVES",1312.2,918.54]
[200001,960,20553,null,"PF INJ TRIGGER POINTS SNG/MULT 3OR> MUSC",262.39999999999998,183.68]
[200002,987,99238,null,"MD DISCHARGE VISIT <30 MIN",229.32,160.52000000000001]
[200003,987,9923824,null,"MD DISCHARGE VISIT UNRELATED EVAL W24",229.32,160.52000000000001]
[200004,987,99222,null,"MD INITIAL VISIT MOD",523.74,366.62]
[200005,987,99223,null,"MD INITIAL VISIT HIGH",642.80999999999995,449.97]
[200006,987,9922325,null,"MD INITIAL VISIT HIGH W/ MOD 25",642.80999999999995,449.97]
[200007,987,9922324,null,"MD INITIAL VISIT HIGH W/ MOD 24",642.80999999999995,449.97]
[200008,987,9922357,null,"MD INITIAL VISIT HIGH W/ MOD 57",642.80999999999995,449.97]
[200009,987,992335778,null,"MD IP SUB COMP W 57 78",377.06,263.94]
[200010,987,9923625,null,"MD OBS OR INP SAME DAY HIGH W25",954,667.8]
[200011,987,9923357,null,"MD SUB IP VISIT COMP W/57",377.06,263.94]
[200012,987,99231,null,"MD SUBSEQUENT BRIEF",137.87,96.51]
[200013,987,99233,null,"MD SUBSEQUENT COMPLICATED",377.06,263.94]
[200014,987,99232,null,"MD SUBSEQUENT MOD",276.77999999999997,193.75]
[200015,987,9923257,null,"MD SUBSEQ MOD DECISION FOR SURG W 57",276.77999999999997,193.75]
[200016,987,9923324,null,"MD SUBSEQUENT COMP W 24",377.06,263.94]
[200017,987,9923357,null,"MD SUBSEQUENT COMP W/57",377.06,263.94]
[200018,987,9923224,null,"MD SUBSEQUENT MOD UNRELATED EVAL W24",276.77999999999997,193.75]
[200020,771,"G0009",null,"VACCINE ADM",33.08,23.16]
[200021,987,99221,null,"MD INITIAL VISIT - BRIEF",389.24,272.47000000000003]
[200022,987,93922,null,"PF LTD BILAT EXTREM ANKLE/BRACH INDICES",449.82,314.87]
[200023,987,99239,null,"MD DISCHARGE VISIT MORE THAN 30 MIN",281.19,196.83]
[200024,987,31500,null,"INTUBATION",1030,721]
[200025,987,92950,null,"CPR",870.98,609.69000000000005]
[200026,987,99291,null,"CRITICAL CARE",716.63,501.64]
[200027,987,9923825,null,"MD DISCHARGE W 25",229.32,160.52000000000001]
[200028,987,9923325,null,"MD SUBSEQUENT COMP W 25",377.06,263.94]
[200029,987,99292,null,"CRITICAL CARE  30",501,350.7]
[200030,987,3255158,null,"TUBE THORACOSTOMY W 58",1017.66,712.36]
[200031,987,9946025,null,"MD INITIAL HOSP PER DAY NEWBORN W 25",395.85,277.10000000000002]
[200032,987,99462,null,"MD SUBSEQUENT HOSP NORMAL NEWBORN",186.48,130.54]
[200033,987,99464,null,"MD ATTEND AT DELIVERY STABLIZE NEWBORN",418.95,293.27]
[200034,987,99236,null,"MD OBS OR INP SAME DAY HIGH",954,667.8]
[200035,987,9923255,null,"MD SUBSEQUENT MOD W 55",276.77999999999997,193.75]
[200036,987,9923925,null,"MD DISCHARGE VISIT MORE THAN 30 MIN W25",281.19,196.83]
[200037,987,10060,null,"PF I&D CYST SIMPLE",404,282.8]
[200038,987,10140,null,"PF I&D HEMATOMA",609,426.3]
[200039,987,36569,null,"PICC W/O PORT PUMP > 5 YRS",1338,936.6]
[200040,987,92960,null,"CARDIOVERSION EXTERNAL",632.30999999999995,442.62]
[200041,987,3255176,null,"TUBE THORACOSTOMY W 76",1017.66,712.36]
[200042,987,2060550,null,"ARTHROCENTESIS ASPIR W 50",282,197.4]
[200043,987,36590,null,"PF REMOVAL OF CVA DEVICE",1194.5899999999999,836.21]
[200044,987,36565,null,"INSERTION OF CVA DEVICE",3300,2310]
[200045,987,99497,null,"MD ADVANCE CARE PLANNING",205.8,144.06]
[200046,987,36563,null,"INSERTION OF CVA DEVICE WITH PUMP",4172,2920.4]
[200047,987,36558,null,"INSERTION OF CVA DEVICE W/O PORT OR PUMP",3457,2419.9]
[200048,987,9923225,null,"MD SUBSEQUENT MOD W 25",276.77999999999997,193.75]
[200049,987,51703,null,"COMPLEX CATH INSERT",611,427.7]
[200050,987,12001,null,"PF SIMP REP SUPERFIC WND <2.5CM",608,425.6]
[200051,987,20610,null,"ARTHROCENTESIS ASPIR/INJECT",339.15,237.41]
[200052,987,11102,null,"BIOPSY OF SKIN SINGLE LESION",318.14999999999998,222.71]
[200053,987,11101,null,"BIOPSY OF SKIN ADDL LESION",165.9,116.13]
[200054,987,11042,null,"DEBRIDEMENT SUBCUTANEOUS TISSUE",480.27,336.19]
[200055,987,3656953,null,"PICC W/O PORT PUMP > 5 YRS W 53",315,220.5]
[200056,987,32554,null,"THORACENTESIS W/O IMAGING",1062,743.4]
[200057,987,33210,null,"PF INSERT REPLACE PACEMAKER CATH",1133,793.1]
[200058,987,20600,null,"ASPIRATION SM JOINT OR BURSA",235,164.5]
[200059,987,43752,null,"PF NASO/ORO GASTRIC TUBE PLACEMENT",396,277.2]
[200060,985,93010,null,"EKG 12 LEAD INTER/REPORT",84.44,59.11]
[200061,987,32551,null,"TUBE THORACOSTOMY",1480,1036]
[200062,987,32555,null,"US THORACENTESIS W IMAGING",1376.67,963.67]
[2088632,300,83918,null,"ORGANIC ACIDS, URINE",476.39,333.47]
[2200004,983,99211,null,"CLINIC MINIMAL ESTAB 211",191.1,133.77000000000001]
[2200034,983,99381,null,"EXAM <1YR NEW PHYS/CLINIC",191.1,133.77000000000001]
[2200035,983,99382,null,"EXAM 1-4YRS NEW PHYS/CLINIC",201.6,141.12]
[2200036,983,99383,null,"EXAM 5-11YRS NEW PHYS/CLINIC",204.75,143.33000000000001]
[2200037,983,99384,null,"EXAM 12-17YRS NEW PHYS/CLINIC",227.85,159.5]
[2200038,983,99385,null,"EXAM 18-39YRS NEW PHYS/CLINIC",231,161.69999999999999]
[2200039,983,99386,null,"EXAM 40-64YRS NEW PHYS/CLINIC",241.5,169.05]
[2200040,983,99387,null,"EXAM 65YRS NEW PHYS/CLINIC",288.75,202.13]
[2200041,983,99391,null,"EXAM <1YR ESTAB PHYS/CLINIC",140.5,98.35]
[2200042,983,99392,null,"EXAM 1-4YRS ESTAB PHYS/CLINIC",150,105]
[2200043,983,99393,null,"EXAM 5-11YRS ESTAB PHYS/CLINIC",149.5,104.65]
[2200044,983,99394,null,"EXAM 12-17YRS ESTAB PHYS/CLINIC",164,114.8]
[2200045,983,99395,null,"EXAM 18-38YRS ESTAB PHYS/CLINIC",167.5,117.25]
[2200046,983,99396,null,"EXAM 40-64YRS ESTAB PHYS/CLINIC",178.5,124.95]
[2200047,983,99397,null,"EXAM >65YRS ESTAB PHYS/CLINIC",192.5,134.75]
[2200048,983,99211,null,"EST PT MINIMAL",61.95,43.37]
[2200049,983,99212,null,"EST PT MINOR",90.3,63.21]
[2200050,983,99213,null,"EST PT LOW COMP",136.6,95.62]
[2200051,983,99214,null,"EST PT MOD COMP",201.34,140.94]
[2200052,983,99215,null,"EST PT HIGH COMP",264.60000000000002,185.22]
[2200053,983,99201,null,"NEW PT MINOR",119.7,83.79]
[2200054,983,99202,null,"NEW PT LOW TO MOD",149.1,104.37]
[2200055,983,99203,null,"NEW PT MOD",201.99,141.38999999999999]
[2200056,983,99204,null,"NEW PT MOD TO HIGH",302.52,211.76]
[2200057,983,99205,null,"NEW PT HIGH COMP",386.5,270.55]
[2200058,983,93005,null,"EKG ROUTINE",147,102.9]
[2200059,983,93010,null,"EKG INTERP ONLY",48.3,33.81]
[2200060,983,94010,null,"SPIROMETRY",199.5,139.65]
[2200061,983,94060,null,"SPIROMETRY (alb)",275.10000000000002,192.57]
[2200062,983,93227,null,"HOLTER INERP",108.15,75.709999999999994]
[2200063,983,"G0438",null,"ANNUAL WELLNESS (INITIAL) 40-64 YRS",241.5,169.05]
[2200064,983,"G0438",null,"ANNUAL WELLNESS (INITIAL) >65 YRS",288.75,202.13]
[2200065,983,"G0439",null,"ANNUAL WELLNESS 40-64 YRS",157.5,110.25]
[2200066,983,"G0439",null,"ANNUAL WELLNESS >65 YRS",168,117.6]
[2200067,983,null,null,"VITAMIN B12 INJ",30.4,21.28]
[2200068,983,null,null,"KENALOG 40 mg",73.599999999999994,51.52]
[2200069,983,null,null,"SOLUMEDROL 125 mg",74.3,52.01]
[2200070,983,null,null,"DIPHENHYDRAMINE 50 mg",13.2,9.24]
[2200071,983,null,null,"EPINEPHRINE .1 mg",24.3,17.010000000000002]
[2200072,983,null,null,"ALBUTEROL",11.8,8.26]
[2200073,983,90471,null,"ADM IMMUN OVER 18",37.799999999999997,26.46]
[2200074,983,90460,null,"ADM IMMUN THROUGH 18 YRS",37.799999999999997,26.46]
[2200075,983,90461,null,"ADM SUB IMMUN THROUGH 18 YRS",37.799999999999997,26.46]
[2200076,983,90714,null,"ADM TD>7 YRS",130.19999999999999,91.14]
[2200077,983,20550,null,"INJ SINGLE TENDON/LIGAMENT",140,98]
[2200078,983,20600,null,"INJ JOINT, SMALL",273,191.1]
[2200079,983,20605,null,"ARTHROCENTESIS ASPIR INJECT W50",145,101.5]
[2200080,983,20610,null,"INJ JOINT, MAJOR, SHOULDER, HIP, KNEE",198,138.6]
[2200081,983,20610,null,"ARTHROCENTESIS ASPIR INJECT W50",355.95,249.17]
[2200082,983,20551,null,"ARTHROCENTESIS ASPIR INJECT W50",320.25,224.18]
[2200083,983,64421,null,"INTERLOCAL NERVE MULTI BLOCK",1340.85,938.6]
[2200084,983,96372,null,"SUBQ/IM INJECTION",45.15,31.61]
[2200085,983,20552,null,"TRIGGER POINT INJECTION",152,106.4]
[2200086,983,"1026M",null,"L&I STATE/WA FINAL REPORT",61,42.7]
[2200087,983,"1040M",null,"L&I ACCIDENT REPORT COMPLETION",61,42.7]
[2200088,983,"1063M",null,"L&I REVIEW OF IME",61,42.7]
[2200089,983,"1073M",null,"L&I PRESCRIPTION FORM",44,30.8]
[2200090,983,"1074M",null,"L&I VOCATIONAL FORM",44,30.8]
[2200091,983,"1038M",null,"L&I JOB DESCR OR ANALYSIS",44,30.8]
[2200092,983,"1028M",null,"L&I JOB OFFER OR ANALYSIS EA  ADDTL REVI",44,30.8]
[2200093,983,"1076M",null,"L&I SUBACUTE OPIOID",44,30.8]
[2200094,983,"1041M",null,"L&I REOPEN CLAIM APPLICATION",55,38.5]
[2200095,983,99441,null,"TELEPHONE EVAL 5-10 MINS",45,31.5]
[2200096,983,99442,null,"TELEPHONE EVAL 11-20 MINS",77,53.9]
[2200097,983,99443,null,"TELEPHONE EVAL 21-30 MINS",100,70]
[2200098,983,95115,null,"PRO SRVC FOR ALLERGEN IMMUNOTHERAPY-SING",38,26.6]
[2200099,983,95117,null,"PRO SRVC FOR ALLERGEN IMMUNOTHERAPY->2",53,37.1]
[2200100,983,90700,null,"tDAP under 7 years old",70,49]
[2200101,983,null,null,"PETER PAN PHYSICAL",65,45.5]
[2200102,983,86580,null,"PETER PAN TB TEST",10,7]
[2200103,983,98966,null,"NP TELEPHONE EVAL 5-10 MINS",45,31.5]
[2200104,983,98967,null,"NP TELEPHONE EVAL 11-20 MINS",77,53.9]
[2200105,983,98968,null,"NP TELEPHONE EVAL 21-30 MINS",100,70]
[2200106,983,87880,null,"STREPTOCOCCUS A",49,34.299999999999997]
[2200107,983,87804,null,"INFLUENZA  A/B",49,34.299999999999997]
[2200108,983,84703,null,"UR PREG (QUALITATIVE)",71,49.7]
[2200109,983,81003,null,"URINE DIP",22,15.4]
[2200110,983,82272,null,"OCCULT BLOOD",25,17.5]
[2200111,983,82962,null,"GLUCOSE FINGERSTICK",19,13.3]
[2200112,983,12001,null,"SIMPLE REP OF SUPERFICIAL WNDS <2.5CM",417,291.89999999999998]
[2200113,983,12002,null,"SIMPLE REP OF SUPERFICIAL WNDS 2.6-7.5CM",547,382.9]
[2200114,983,90715,null,"tDAP 7 years or older",87,60.9]
[2200115,983,null,null,"ALBUTEROL up to .25 mg",11.8,8.26]
[2200116,983,94640,null,"PRESSURIZED OR NON-PRESS INHAL TRTMT",60,42]
[2200117,983,36415,null,"COLLECTION OF VENOUS BLOOD BY VENIPUNCTU",22,15.4]
[2200118,983,99024,null,"POSTOPERATIVE FOLLOW-UP VISIT",0,0,0,0,0]
[2200119,983,93000,null,"EKG ROUTINE WITH AT LEAST 12 LEADS",80,56]
[2200120,983,29125,null,"SHORT ARM SPLINT",242,169.4]
[2200121,983,69209,null,"REMOVAL IMPACTED CERUMEN USING IRRIGATIO",56,39.200000000000003]
[2200122,983,69210,null,"REMOVAL IMPACTED CERUMEN REQ INSTRUMENTA",150,105]
[2200123,983,17110,null,"DESTRUCTION OF BENIGN LESION",250,175]
[2200124,983,11720,null,"DEBRIDEMENT OF NAIL(S) ANY METHOD",60,42]
[2200125,983,90460,null,"ADMIN IMMUNIZATION ADMIN THRU 18 YO",57,39.9]
[2200126,983,58301,null,"REMOVAL OF INTRAUTERINE DEVICE (IUD)",313,219.1]
[2200127,983,null,null,"PHYSICAL WITH PFT (PD PERSONAL)",160,112]
[2200128,983,null,null,"PHYSICAL WITH PFT (VOL PERSONAL)",125,87.5]
[2200129,983,86580,null,"CLINIC TB TEST",10,7]
[2200130,983,93000,null,"CLINIC EKG",50,35]
[2200131,983,11642,null,"EXCISION MALIGNANT LESION 1.1 TO 2.0 CM",638,446.6]
[2200132,983,11606,null,"EXC MAL LESION >4.0CM W 58",1200,840]
[2200133,983,11106,null,"INCISIONAL BIOPSY OF SKIN SINGLE LESION",391,273.7]
[2200134,983,11107,null,"INC BIOPSY OF SKIN SINGLE LESION+ADDTL",204,142.80000000000001]
[2200135,983,69209,null,"PF REMOVAL IMPACTED CERUMEN UNI",56,39.200000000000003]
[2200136,983,"Q0091",null,"OBTAINING SCREEN PAP SMEAR",48,33.6]
[2200137,983,87804,null,"RAPID INFLUENZA",49,34.299999999999997]
[2200138,983,87880,null,"RAPID STREP",49,34.299999999999997]
[2200139,983,11102,null,"TANGENIAL BIOPSY OF SKIN, SINGLE LESION",250,175]
[2200140,983,11104,null,"PUNCH BIOPSY OF SKIN, SINGLE LESION",310,217]
[2200141,983,11105,null,"ADDTL LESION TO PUNCH BIOPSY",160,112]
[2200142,983,90472,null,"IMMUNIZATION ADMIN, EA ADDTL",33,23.1]
[2200143,983,17000,null,"DESTRUCTION (EG,LASER SURG,ELECTROSURGER",165,115.5]
[2200144,983,17003,null,"DESTRUCT 2ND THRU 14 LEASIONS, EACH",26,18.2]
[2200145,983,11765,null,"WEDGE EXCIS OF SKIN OR NAIL FOLD",344,240.8]
[2200146,983,"G0402",null,"WELCOME TO MC INITIAL VISIT >65 YRS",241.5,169.05]
[2200147,983,"G0008",null,"IMMUN ADM FLU",37.799999999999997,26.46]
[2200148,983,81000,null,"URINALYSIS/DIP",22,15.4]
[2200292,983,99381,null,"EXAM <1YR NEW PHYS/CLINIC",191.1,133.77000000000001]
[2500016,272,null,null,"BNDG ACE WRAP 2  LF SELF CLOSURE NS",7.06,4.9400000000000004,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500017,272,null,null,"BNDG ACE WRAP 3  LF SELF CLOSURE NS",6.29,4.4000000000000004,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500018,272,null,null,"BNDG ACE WRAP 4  LF SELF CLOSURE NS",8.0500000000000007,5.64,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500019,272,null,null,"BNDG ACE WRAP 6  LF SELF CLOSURE NS",10.7,7.49,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500020,272,null,null,"DRESSING ALLEVYN-SACRUM SACRAL 7X7",59.43,41.6,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500021,274,"L4350",null,"ANKLE SPRAIN CARE KIT L STD",203.52,142.46,97.49,193.34,97.49,null,null,193.34,188.43]
[2500022,274,"L4350",null,"ANKLE SPRAIN CARE KIT R-STD",198.35,138.85,97.49,193.34,97.49,null,null,193.34,188.43]
[2500023,274,"L4350",null,"ANKLE SPRAIN KIT LEFT MED",198.35,138.85,97.49,193.34,97.49,null,null,193.34,188.43]
[2500024,274,"L4350",null,"ANKLE SPRAIN KIT RIGHT MED",198.35,138.85,97.49,193.34,97.49,null,null,193.34,188.43]
[2500025,271,null,null,"STOCKING ANTI-EMBOLISM THIGH-MED",81.040000000000006,56.73,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500026,272,null,null,"ANTI-REFLUX VALVE/SALEM SUMP",40.03,28.02,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500027,274,"L3650",null,"SHOULDER IMMOB.L-79-84017",36.06,25.24]
[2500028,274,"L3650",null,"SHOULDER IMMOBILIZER MED",36.06,25.24]
[2500029,274,"L3650",null,"SHOULDER IMMOBILIZER SMALL",37.26,26.08]
[2500030,274,"L3650",null,"SHOULDER IMMOBILIZER X LARGE",36.06,25.24]
[2500031,271,null,null,"SLING ARM L-79-99157",28.34,19.84,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500032,271,null,null,"ARM SLING MED",28.44,19.91,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500033,271,null,null,"ARM SLING SMALL",28.44,19.91,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500034,271,null,null,"SLING ARM X-S-79-99152",31.97,22.38,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500036,271,null,null,"BAIR HUGGER BLANKER-UPPER",74.42,52.09,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500037,270,null,null,"BAIR HUGGER BLANKET-PEDIATRIC LABEL",106.5,74.55,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500038,271,null,null,"BAIR HUGGER BLANKET-LOWER",49.56,34.69,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500039,270,null,null,"BAIR HUGGER BLANKET-UNDER BODY-LABEL",125.91,88.14,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500054,270,"L3999",null,"SPLINT BASEBALL FINGER  3 3/4  SM",13.13,9.19]
[2500056,270,null,null,"SPLINT BASEBALL FINGER 4 1/4   MED",13.01,9.11,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500065,270,null,null,"SPLINT BURNHAM THUMB RIGHT-9130-00",127.34,89.14,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500066,270,null,null,"SPLINT BURNHAM  LFT-LABEL 9131-00",112.57,78.8,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500067,272,null,null,"BURR 1MM FOR ALGERBRUSH",61.86,43.3,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500068,272,null,null,"BURR .50MM FOR ALGERBRUSH",61.86,43.3,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500069,272,null,null,"OTIS EAR WICK 1",13.6,9.52,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500075,272,null,null,"CATH FOLEY 12FR 5CC",26.49,18.54,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500076,272,null,null,"CATH FOLEY 14FR 5CC",26.35,18.45,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500077,272,null,null,"CATH FOLEY 18FR 5CC",57.31,40.119999999999997,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500078,272,null,null,"CATH FOLEY 20FR 5CC",25.62,17.93,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500079,272,null,null,"CATH FOLEY 26FR 30CC",30.38,21.27,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500080,272,null,null,"CATH FOLEY 30FR 30CC",30.38,21.27,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500081,272,null,null,"CATH FOLEY COUDE 14FR 5CC 2-WAY",66.680000000000007,46.68,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500082,272,null,null,"CATH FOLEY COUDE 16FR 5CC 2-WAY",64.41,45.09,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500083,272,null,null,"CATH FOLEY COUDE 20FR 30CC",70,49,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500084,272,null,null,"CATH PLUG PROTECTOR",5.51,3.86,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500088,272,null,null,"CATH OPERATIVE CHOLANGIOGRAM 4.5FR",326.5,228.55,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500090,272,null,null,"CATH COUDE 18FR 5CC 2-WAY",66.680000000000007,46.68,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500091,272,null,null,"CATH FOLEY 16FR 5CC 3-WAY",63.76,44.63,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500092,272,null,null,"CATH FOLEY 16FR 5CC",57.31,40.119999999999997,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500093,272,null,null,"CATH FOLEY 18FR 5CC 3-WAY",72.3,50.61,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500094,272,null,null,"CATH FOLEY 22FR 5CC",26.57,18.600000000000001,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500095,272,null,null,"CATH FOLEY 24FR  5CC 2-WAY",26.64,18.649999999999999,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500097,272,null,null,"CATH FOLEY 22FR 5CC",62.81,43.97,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500100,272,null,null,"CATH FOLEY 30FR 5CC 2-WAY",26.65,18.66,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500101,272,null,null,"CATH FOLEY PED 10FR 3CC",51.68,36.18,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500110,272,null,null,"CATH LEG STRAP",18.3,12.81,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500115,272,null,null,"CATH FOLEY PED 8FR",56.94,39.86,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500116,272,null,null,"CATH FOLEY 28FR 5CC",27.01,18.91,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500117,272,null,null,"CATH-SECURE - LABEL",13.79,9.65,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500118,272,null,null,"CATH THORACIC 32FR",39.4,27.58,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500119,272,null,null,"CAUTERY FINE TIP",66.81,46.77,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500122,270,null,null,"CERVICAL IMMOBILIZATION DEVICE HEAD BED",50.83,35.58,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500123,270,null,null,"CHEST DRAINAGE UNIT LF TUBING",229.97,160.97999999999999,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500124,274,"L3650",null,"SPLINT CLAVICLE SHOULDER  X-LG",40.47,28.33]
[2500125,274,"L3650",null,"SPLINT CLAVICLE SHOULDER  PED XSM",40.47,28.33]
[2500126,274,"L3650",null,"SPLINT CLAVICLE SHOULDER  LARGE",39.14,27.4]
[2500127,274,"L3650",null,"SPLINT CLAVICLE SHOULDER  MED",40.47,28.33]
[2500128,274,"L3650",null,"SPLINT CLAVICLE SHOULDER  SMALL",40.47,28.33]
[2500130,270,null,null,"SPLINT COLLES  INFANT LEFT X-SM",47.41,33.19,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500137,270,null,null,"SPLINT COLLES  INFANT RIGHT X-SM",45.76,32.03,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500138,270,null,null,"SPLINT COLLES  LG RIGHT",47.41,33.19,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500139,270,null,null,"SPLINT COLLES  LG LEFT",47.3,33.11,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500140,270,null,null,"SPLINT COLLES  MED/RIGHT",47.3,33.11,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500141,270,null,null,"SPLINT COLLES MED LEFT",45.98,32.19,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500142,270,null,null,"SPLINT COLLES SM RIGHT",47.3,33.11,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500143,270,null,null,"SPLINT COLLES SM LEFT",39.47,27.63,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500145,272,null,null,"COLOSTOMY BAG",13.35,9.35,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500154,272,null,null,"LEG BAG 500ML LATEX FREE",14.67,10.27,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500155,272,null,null,"DUO-THERM PAD DISP",81,56.7,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500156,272,null,null,"DURAHESIVE WAFER 4",34.07,23.85,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500157,270,null,null,"SPLINT ELBOW  XLG  LARGE",113.38,79.37,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500159,272,null,null,"ELECTRODE PEDI DEFIB",268.35000000000002,187.85,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500160,272,null,null,"ELECTRODE ADULT DEFIB",220.62,154.43,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500161,270,null,null,"SPLINT FINGER FROG LARGE",9.16,6.41,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500162,272,null,null,"ELECTROSURGICAL BLADE 32CML HOOK",192.1,134.47,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500163,272,null,null,"ELECTROSURGICAL ROCKER SWITCH PENCIL",75.75,53.03,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500164,272,null,null,"ENDO CLIP II",465.15,325.61,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500165,270,null,null,"SPLINT FINGER 1 1/2",7.83,5.48,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500166,270,null,null,"SPLINT FULL LEG MEDIUM",184.12,128.88,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500167,270,null,null,"SPLINT FOREARM RT MED",40.47,28.33,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500174,272,null,null,"CUFF COVER VENA FLOW SZ:LARGE",206.94,144.86000000000001,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500175,272,null,null,"CUFF COVER VENA FLOW SZ:XLARGE",328.77,230.14,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500176,272,null,null,"ELECTRODE EXTENDED BLADE 6.5",32.409999999999997,22.69,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500177,270,null,null,"COLLAR  STIFNECK ADULT",98.24,68.77,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500178,270,null,null,"COLLAR STIFNECK PED",98.24,68.77,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500179,270,null,null,"EZ-IO 45MM 15GA NEEDLE SET(BARIA)YELLOW",497,347.9,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500180,272,null,null,"EZ-IO 25MM 15GA NEEDLE SET ADULT BLUE",497,347.9,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500181,272,null,null,"EZ-IO 15MM 15GA NEEDLE SET PED PINK",497,347.9,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500186,274,"L0120",null,"COLLAR FOAM LARGE",40.69,28.48,37.840000000000003,37.840000000000003,null,null,37.840000000000003]
[2500187,274,"L0120",null,"COLLAR FOAM LOW CONTOUR SMALL",40.69,28.48,37.840000000000003,37.840000000000003,null,null,37.840000000000003]
[2500188,274,"L0120",null,"COLLAR FOAM MED",40.69,28.48,37.840000000000003,37.840000000000003,null,null,37.840000000000003]
[2500189,274,"L0120",null,"COLLAR FOAM SMALL",40.69,28.48,37.840000000000003,37.840000000000003,null,null,37.840000000000003]
[2500190,274,"L0120",null,"COLLAR FOAM X-LONG",36.72,25.7,37.840000000000003,37.840000000000003,null,null,37.840000000000003]
[2500191,272,null,null,"CATH FOLEY 14FR 5CC ALL SILICONE LF",28.78,20.149999999999999,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500195,270,null,null,"SPLINT FOREARM LARGE LEFT",41.79,29.25,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500196,270,null,null,"SPLINT FOREARM MED LEFT",41.57,29.1,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500197,270,null,null,"SPLINT FOREARM SMALL LEFT",41.79,29.25,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500198,270,null,null,"SPLINT FOREARM SMALL RIGHT",40.47,28.33,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500200,274,"L1930",null,"SPLINT FULL LEG LARGE",217.31,152.12]
[2500202,274,"L1930",null,"SPLINT FULL LEG SMALL",175.75,123.03]
[2500210,270,null,null,"GUARDUS OVERTUBE",781.67,547.16999999999996,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500211,270,null,null,"HEART START ADULT PLUS PAD",148.4,103.88,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500212,270,null,null,"HEART START PEDIATRIC PLUS PAD",217.53,152.27000000000001,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500217,272,null,null,"HOT BIOPSY FORCEPS DISP",154.69,108.28,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500218,270,null,null,"NEEDLE INJECTION CARR-LOCKE",336.7,235.69,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500219,272,null,null,"STAPLER INTERNAL 3.8MM",478.07,334.65,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500223,272,null,null,"JACKSON PRATT FLAT DRAIN",50.17,35.119999999999997,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500224,272,null,null,"JACKSON PRATT SUCTION-LABEL",41.45,29.02,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500227,272,null,null,"LAVACUATOR TUBE 18FR",76,53.2,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500228,272,null,null,"LAVACUATOR TUBE 22FR",74.75,52.33,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500229,272,null,null,"LAVAGE TUBE 36FR",59.31,41.52,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500233,274,"L4360",null,"WALKER BOOT MED",330.75,231.53,314.20999999999998,314.20999999999998,null,null,null,314.20999999999998]
[2500234,274,"L4360",null,"WALKER BOOT SM",330.75,231.53,314.20999999999998,314.20999999999998,null,null,null,314.20999999999998]
[2500235,274,"L4360",null,"WALKER BOOT LG",330.75,231.53,314.20999999999998,314.20999999999998,null,null,null,314.20999999999998]
[2500236,274,"L1830",null,"KNEE SPLINT UNIV.20",97.17,68.02,92.31,92.31,null,null,null,92.31,92.31]
[2500242,272,null,null,"MORGAN LENS",150.82,105.57,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500243,272,null,null,"MOSS GASTRO TUBE 18FR",1039.55,727.69,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500249,272,null,null,"NEEDLE BIOPSY 14G X 6",305.42,213.79,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500273,272,null,null,"NEEDLE HUBER SAFETY 20G X 1",35.840000000000003,25.09,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500274,272,null,null,"NEEDLE HUBER SAFETY 20G X 3/4",51.71,36.200000000000003,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500276,272,null,null,"NU GAUZE IODOFORM 1",29.55,20.69,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500277,272,null,null,"NU GAUZE IODOFORM 1/2",26.58,18.61,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500278,272,null,null,"NU GAUZE IODOFORM 1/4",27.12,18.98,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500279,272,null,null,"NU GAUZE IODOFORM 2",41.79,29.25,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500280,272,null,null,"NU GAUZE PLAIN 1",26.46,18.52,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500281,272,null,null,"NU GUAZE PLAIN 1/2",22.39,15.67,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500282,272,null,null,"NU GUAZE PLAIN 2",34.950000000000003,24.47,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500283,272,null,null,"NU-GUAZE PLAIN-1/4",24.15,16.91,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500286,271,null,null,"STOCKING ANTI-EMBOLISM THIGH-SM",74.75,52.33,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500287,271,null,null,"T.E.D ANTI-EMBOLISM KNEE LARGE",31.43,22,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500291,270,null,null,"SPLINT FINGER CURVED 4 X7/8 PADDED",7.5,5.25,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500292,270,null,null,"SPLINT FINGER PADDED 3 1/4",7.28,5.0999999999999996,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500293,270,null,null,"SPLINT FINGER PADDED 2 1/2",7.83,5.48,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500294,270,null,null,"SPLINT FINGER CURVED 3 7/8  PADDED",7.61,5.33,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500296,274,"L3999",null,"SPLINT FINGER PADDED 6",7.83,5.48]
[2500299,272,null,null,"CATH KIT INFANT 5FR",63.72,44.6,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500302,270,null,null,"PERITONEAL LAVAGE TRAY",300.98,210.69,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500304,274,"L0172",null,"COLLAR  CERVICAL SMALL",150.5,105.35,142.97999999999999,142.97999999999999,null,null,null,142.97999999999999]
[2500305,274,"L0172",null,"COLLAR  CERV L-79-83197",150.5,105.35,142.97999999999999,142.97999999999999,null,null,null,142.97999999999999]
[2500306,274,"L0172",null,"COLLAR CERV, PHILADELPHIA MED",150.5,105.35,142.97999999999999,142.97999999999999,null,null,null,142.97999999999999]
[2500308,272,null,null,"NEEDLE PNEUMOPERITONLUM INSUFFLATION 14G",81.92,57.34,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500310,272,null,null,"PNEUMOTHORAX SET 8FR 16CM CATH(ARROW)",351.37,245.96,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500311,272,null,null,"POLYPECTOMY SNARE",84.55,59.19,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500314,271,null,null,"POST-OP SHOE FEMALE SM",61.86,43.3,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500315,271,null,null,"POST-OP SHOE FEMALE LG",58.65,41.06,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500316,271,null,null,"POST-OP SHOE FEMALE MED",56.89,39.82,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500317,271,null,null,"POST-OP SHOE MENS LARGE",56.89,39.82,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500318,271,null,null,"POST-OP SHOE MEN SMALL",58.43,40.9,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500319,271,null,null,"POST-OP SHOE MEN MED",56.89,39.82,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500321,270,null,null,"RECTAL TUBE 32 FR",62.73,43.91,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500324,272,null,null,"STAPLER RELOADS TLC55",330.75,231.53,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500325,270,null,null,"RESCUE BLANKET",40.03,28.02,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500327,271,null,null,"RING INFLATABLE CUSHION (DONUT)14.5",13.65,9.56,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500328,272,null,null,"ROTH NET FOREIGN BODY",499.65,349.76,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500329,270,null,null,"ROTH NET FOOD BOLUS",442.22,309.55,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[250033,636,null,null,"IV SOL .5% DEXT.INJ 500 ML (DEHP-FREE)",20,14,3.14,59.13,59.13,null,3.14]
[2500334,272,null,null,"SALEM SUMP TUBE 10FR (LABEL)",13.79,9.65,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500335,272,null,null,"SALEM SUMP TUBE 12FR",13.35,9.35,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500336,272,null,null,"SALEM SUMP TUBE 14FR",15.88,11.12,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500337,272,null,null,"SALEM SUMP TUBE 16FR",13.67,9.57,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500338,272,null,null,"SALEM SUMP TUBE 18FR",13.67,9.57,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500342,272,null,null,"STAPLER SKIN 35W DISP",37.33,26.13,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500343,272,null,null,"SKIN STAPLER DISP",32.36,22.65,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500350,274,"L3908",null,"SPLNT WRIST U/ARM L79-87060",64.94,45.46]
[2500351,270,null,null,"SPLINT FOREARM PADDED LG RIGHT",40.47,28.33,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500352,272,null,null,"STAPLE EXTRACTOR",16.91,11.84,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500354,272,null,null,"STAPLER INTERNAL 3.85MM",626.95000000000005,438.87,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500355,272,null,null,"STAPLER LINEAR ARTICULATING",847.25,593.08000000000004,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500367,272,null,null,"STOCKINETTE STERILE 4",19,13.3,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500368,272,null,null,"STOCKINETTE STERILE 8",49.41,34.590000000000003,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500369,271,null,null,"STOCKING ANTI-EMBOLISM THIGH-LG",59.09,41.36,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500370,271,null,null,"T.E.D.ANTI-EMBOLISM KNEE MED",29.4,20.58,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500371,271,null,null,"STOCKING ANTI-EMBOLISM THIGH-XLG",41.9,29.33,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500375,271,null,null,"T.E.D.ANTI-EMBOLISM CALF  SMALL",48.73,34.11,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500376,272,null,null,"SUPPORTER ADULT LARGE",71,49.7,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500377,272,null,null,"SUPPORTER ADULT MED",56.94,39.86,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500378,272,null,null,"SUPPORTER ADULT SMALL",62.66,43.86,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500391,272,null,null,"SUTURE 3-0 VICRYL PS-2",42.23,29.56,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500396,272,null,null,"SUTURE 5-0 VICRYL NEEDLE S-2",40.130000000000003,28.09,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500399,272,null,null,"SUTURE 4-0 COATED VICRYL",35.700000000000003,24.99,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500404,272,null,null,"SUTURE 5-0 CHROMIC",46.27,32.39,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500405,272,null,null,"SUTURE VICRYL 4-0 FS-2 COATED",19.54,13.68,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500410,272,null,null,"SUTURE 3-0 ETHILON",14.75,10.33,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500412,272,null,null,"SUTURE 4-0 ETHILON",43.68,30.58,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500413,272,null,null,"SUTURE 5-0 ETHILON",17.329999999999998,12.13,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500414,272,null,null,"SUTURE 5-0 ETHILON",31.92,22.34,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500416,272,null,null,"SUTURE 6-0 ETHILON",32.549999999999997,22.79,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500428,272,null,null,"SUTURE 4-0 PROLENE",23,16.100000000000001,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500431,272,null,null,"SUTURE REMOVAL TRAY",9.6999999999999993,6.79,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500433,272,null,null,"SUTURE 0 SILK",16.11,11.28,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500434,272,null,null,"SUTURE 2-0 SILK",16,11.2,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500440,272,null,null,"SUTURE 3-0 BLACK BRAIDED",16.47,11.53,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500442,272,null,null,"SUTURE 4-0 SILK",22.47,15.73,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500470,272,null,null,"SUTURE 3-0 CHROMIC",22.18,15.53,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500472,272,null,null,"SUTURE 4-0 ETHILON",16.59,11.61,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500473,272,null,null,"SUTURE 5-0 VICRYL",35.06,24.54,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500477,272,null,null,"TAIL CLOSURE-DON'T LABEL",0,0,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500481,270,null,null,"THORA/PARACENTESIS TRAY",184.59,129.21,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500482,272,null,null,"CATH THORACIC 12 FR",37.909999999999997,26.54,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500488,274,"L1930",null,"SPLINT TIB/FIB MED",153.25,107.28]
[2500489,274,"L1930",null,"SPLINT TIB/FIB SMALL",152.59,106.81]
[2500490,274,"L1930",null,"SPLINT TIB/FIB  LG",141.9,99.33]
[2500498,270,null,null,"TRANSVENOUS PACING ELECTROD CATHETER 5FR",537.80999999999995,376.47,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500502,272,null,null,"TROCAR 5MM  DILATING TIP",300.87,210.61,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500507,272,null,null,"T-TUBE 14FR",0,0,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500509,272,null,null,"T-TUBE 18FR",50.65,35.46,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500511,274,"L3650",null,"SLING/SWATHE UNIVERSAL",83.24,58.27]
[2500512,274,"A4467",null,"RIB BELT-MEN UNIVERSAL",39.03,27.32]
[2500513,270,null,null,"URETH CATH TRAY 14FR -NO LABEL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500520,274,"A4467",null,"RIB BELT FEMALE UNIV.DELUXE",40.69,28.48]
[2500526,272,null,null,"DRESSING SALINE( WET) 8X4",11.1,7.77,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500527,274,"L3908",null,"SPLINT UNIVERSAL KNEE",50.6,35.42]
[2500528,274,"L3908",null,"WRIST SUPPORT L-79-87080",51.71,36.200000000000003]
[2500529,274,"L3908",null,"WRIST SUPPORT-UNIVERSAL-RIGHT",52.82,36.97]
[2500530,274,"L3908",null,"SPLINT WRIST/FOREARM RIGHT",62.74,43.92]
[2500650,300,null,null,"DIABETIC PANEL (BMP, LIPID, GLYCO)",0,0,67.38,77.53,67.38,null,77.53]
[2500700,270,null,null,"CATH FOLEY 20FR 5CC ALL SILICONE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500701,270,null,null,"CAST SANDAL BEACH BOY BOOT LARGE",49.73,34.81,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500702,270,null,null,"CAST SANDAL BEACH BOY BOOT MED",49.83,34.880000000000003,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500703,270,null,null,"CAST SANDAL BEACH BOY BOOT SMALL",51.27,35.89,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500707,270,null,null,"CATH KIT FEMALE",13.64,9.5500000000000007,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500708,270,null,null,"CATH FOLEY TRAY LF SILICONE 16FR",62.6,43.82,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500709,270,null,null,"LAVACUATOR TUBE 28FR",80.16,56.11,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500710,270,null,null,"T.E.D ANT-EMBOLISM KNEE X-LG",32.75,22.93,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500711,270,null,null,"STOMAHESIVE PASTE SZ: 2 OZ",45.98,32.19,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500712,270,null,null,"POUCH DRAINABLE SUR-FIT 4",10.8,7.56,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500713,272,null,null,"SUTURE 4-0 CHROMIC",23.86,16.7,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500714,258,null,null,"IV 0.9% SODIUM CHLORIDE ADD-VAN : 100ML",20,14]
[2500715,636,"J7060",null,"IV 5% DEXTROSE IN WATER IVPB : 250ML",20,14]
[2500716,636,"J7060",null,"IV 5% DEXTROSE IN WATER SOLN : 500ML",20,14]
[2500717,636,"J7070",null,"IV 5% DEXTROSE IN WATER SOLN : 1000ML",20,14]
[2500718,636,null,null,"IV 5% DEXTROSE (NON-DEPH) SOLN : 500ML",20,14,3.14,59.13,59.13,null,3.14]
[2500719,636,"J7060",null,"IV 5% DEXTROSE IN WATER IVPB : 100ML",20,14]
[2500720,258,null,null,"IV 5% DEXT/0.225% SOD CHL SOL: 1000ML",20,14]
[2500721,258,null,null,"IV 5% DEXT/0.45% SOD CHL SOLN: 1000ML",20,14]
[2500722,636,"J7070",null,"IV 5% DEXT/LACTATED RINGERS: 1000ML",20,14]
[2500723,258,null,null,"IV 10% DEXTROSE IN WATER SOLN : 500ML",20,14]
[2500724,636,"J7042",null,"IV 5% DEXT/0.9% SOD CHL SOLN: 1000ML",20,14]
[2500725,636,"J7120",null,"IV LACTATED RINGERS SOLN : 1000ML",20,14,0.04,41.08,20.71,39.9,40.119999999999997,41.08,null,null,null,null,null,null,0.04,32.83]
[2500726,636,"J7050",null,"IV 0.9% SODIUM CHLORIDE IVPB : 250ML",20,14,0,33.51,15.8,null,null,33.51,0,13.26]
[2500727,636,"J7040",null,"IV 0.9% SODIUM CHLORIDE SOLN : 500ML",20,14,16.96,32.78,16.96,null,31.99,32.78]
[2500728,258,null,null,"IV 0.9% SODIUM CHLORIDE IVPB : 100ML",20,14]
[2500729,270,null,null,"IV SOL STERILE WATER 1000ML",20,14,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500730,258,null,null,"IV 0.45% SODIUM CHLORIDE SOLN : 1000ML",20,14]
[2500731,636,"J3490",null,"IV 3% SODIUM CHLORIDE HYPERTONIC : 500ML",37.24,26.07,4.01,38.67,4.01,null,null,38.67]
[2500732,636,"J7050",null,"IV 0.9% SODIUM CHLORIDE ADD-VAN : 250ML",20,14,0,33.51,15.8,null,null,33.51,0,13.26]
[2500735,270,null,null,"IV SOL 0.9%SOD CHL INJ 1000ML",20,14,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500738,271,null,null,"ABD BINDER 10 -LG 36-42 VELCRO CLOSURE",80.040000000000006,56.03,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500739,271,null,null,"ABD BINDER 10 -SM-24 -30 VELCRO CLOSURE",80.040000000000006,56.03,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500740,271,null,null,"ABD BINDER 10 -MED-30 -36 VELCRO CLOSURE",80.040000000000006,56.03,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500741,271,null,null,"ABD BINDER 10 -X L-42 -50 VELCRO CLOSURE",80.040000000000006,56.03,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500742,271,null,null,"ABD BINDER 10 -XX L-50 -54 VELCRO CL",80.040000000000006,56.03,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500743,272,null,null,"FIOS ENTRY SYSTEM Z-TH K11 11MMX100MM",339.5,237.65,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500744,272,null,null,"FIRST ENTRY KIOS THREAD 5MMX100MM STER",291,203.7,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500745,272,null,null,"FIOS ENTRY SYS K11 5MMX150MM STER 2 THRE",147,102.9,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500746,272,null,null,"FIOS ADVANCED FIXATION 11X150",216.3,151.41,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500747,272,null,null,"ENDO CLIP APPLIER 5MM LIGAMAX 5",569.51,398.66,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500748,272,null,null,"CATH FOLEY 14 FR RED ROBINSON",26.35,18.45,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500749,272,null,null,"CATH KIT CENTRAL VENOUS PRESSURE INJ.",893.47,625.42999999999995,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500750,272,null,null,"SUTURE VICRYL 3-0 UNDYED",15.6,10.92,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500751,272,null,null,"CATH FOLEY 16 FR 5CC ALL SILICONE",77.73,54.41,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500752,272,null,null,"RETRIVAL DEVICE TWISTER PLUS ROTATABLE",368,257.60000000000002,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500753,272,null,null,"CATH FOLEY 10FR 5CC ALL SILICONE LF",28.78,20.149999999999999,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500754,272,null,null,"CATH FOLEY 16FR COUDE SILICONE LF",97.9,68.53,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500755,272,null,null,"CATH FOLEY 14FR COUDE SILICONE LF",97.9,68.53,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500756,272,null,null,"CATH FOLEY 12FR COUDE SILICONE LF",59,41.3,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500757,270,null,null,"CHEST DRAINAGE EXPRESS DRY SEAL",266.26,186.38,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500758,272,null,null,"NEEDLE(IO)18G X 1 1/2 JAMSHIDI",164.39,115.07,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500759,270,null,null,"BIOPSY FORCEP DISP",74,51.8,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500760,270,null,null,"BIOPSY FORCEP PED",432.18,302.52999999999997,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500761,270,null,null,"ENDOPOUCH RETRIEVER",247.35,173.15,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500762,270,null,null,"INSUFFLATION TUBING SET CONMED",54.02,37.81,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500763,272,null,null,"DRESSING KIT W/BIOPATCH",74.55,52.19,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500764,270,null,null,"AIR/WATER & BIOPSY VLV KIT(LABEL)",56.28,39.4,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500765,270,null,null,"STATLOCK STABILIZATION DEVICE",60.2,42.14,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500766,271,null,null,"BAIR HUGGER SURGICAL WARMING BLNK",80.16,56.11,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500767,270,null,null,"PACK OB/GYN",84.45,59.12,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500768,271,null,null,"SPOT ENDOSCOPIC MARKER",72.7,50.89,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[2500769,270,null,null,"TRAY FOLEY 8FR PEDI LF",124.22,86.95,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500770,270,null,null,"COMBAT TOURNIQUET",266.26,186.38,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500771,272,null,null,"TOPICAL SKIN ADHESIVE COVIDIEN",101.81,71.27,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500772,272,null,null,"SUTURE MONOSOF 4-0 TIE",8.91,6.24,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500773,272,null,null,"SUTURE POLYSORB 4-0 FS-2",19.98,13.99,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500774,272,null,null,"DRESSING ALGICELL CALCIUM 4X4",31.55,22.09,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500775,272,null,null,"SUTURE SURGIPRO 4-0 FS2",15.33,10.73,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500776,272,null,null,"TROCAR BLDLES OPT 5X100",159.86000000000001,111.9,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500777,272,null,null,"TROCAR BLDLES OPT 11X100 VERSAPORT",173.09,121.16,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500778,272,null,null,"TROCAR BLDLES OPT 11X150 VERSAPORT",173.09,121.16,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500779,272,null,null,"SUTURE MONOSOF 4-0 P-13 NEEDLE",19.29,13.5,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500780,272,null,null,"ENDOCLIP 111 APPLIER 5MM",648.9,454.23,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500781,272,null,null,"SKIN STAPLER ULC 35 WIDE",46.26,32.380000000000003,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500782,272,null,null,"SUTURE 5-0 MONOSOF/DERMALON P-13",18.899999999999999,13.23,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500783,272,null,null,"SUTURE 5-0 MONOSOF/DERMALON C-13",9.91,6.94,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500784,272,null,null,"SUTURE 6-0 MONOSOF, P10",20.21,14.15,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500785,272,null,null,"STAPLE REMOVER PREMIUM",18.829999999999998,13.18,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500786,272,null,null,"SUTURE POLYSORB 3-0 SHV-20",10.65,7.46,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500787,272,null,null,"SUTURE MONOSOF 3-0 FS-1",9.15,6.41,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500788,272,null,null,"SUTURE CAPROPYN 5-0 - P-11",27.81,19.47,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500789,272,null,null,"SUTURE SURGIGUT CHROMIC 3-0 - V-20",12.83,8.98,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500790,270,null,null,"PELVIC BELT SAM PELVIC SLING II STANDARD",315.32,220.72,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500791,270,null,null,"PELVIC BELT SAM PELVIC SLING II X-LG",315.32,220.72,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500792,270,null,null,"SPEEDSPLINT FEMORAL TRACTION SPLINT",454.23,317.95999999999998,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500793,272,null,null,"CATH FOLEY 18FR 2-WAY 5CC BALL. SILICONE",28.72,20.100000000000001,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500794,272,null,null,"CATH FOLEY 18FR 2-WAY COUDE TIP (TEFLON)",37.61,26.33,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500795,270,null,null,"TEMPORARY PACING ELECTRODE 5FR 115CM",425.25,297.68,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500796,272,null,null,"TROCAR OPT.BLADELESS 5X150",155.4,108.78,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500797,272,null,null,"CATHETER-EXTERNAL FEMALE PUREWICK(LBL)",47.58,33.31,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500798,272,null,null,"CATHETER 2-WAY ROUND TIP 8FR 3CC BALLOON",28.67,20.07,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500799,272,null,null,"ENDOCUFF VISION LRG GREEN I.D LBL",190.89,133.62,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500800,272,null,null,"ADHESIVE SKIN OCTYL LIQUIBAND",108.15,75.709999999999994,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500801,272,null,null,"DISP. POLYPECTOMY SNARE",84.55,59.19,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500802,272,null,null,"DISP.SNARE SPIRAL",119.05,83.34,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500803,272,null,null,"ENDOJAW  2.8MM 230CM DISP",44.72,31.3,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500804,270,null,null,"NEEDLE MASTER",218,152.6,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500805,270,null,null,"AWS VAVES KIT 4/PK",63.63,44.54,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500806,270,null,null,"ENDOJAW  02.8MM/1550MM DISP",46.96,32.869999999999997,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500807,270,null,null,"COLLAR EXTRICATION STIFNECK PED",52.26,36.58,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500808,272,null,null,"CATH FOLEY 22 FR 2-WAY SILICONE 5ML",28.72,20.100000000000001,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500809,272,null,null,"CATH FOLEY 18 FR 2-WAY COUDE TIP 5CC SIL",84.71,59.3,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500810,270,null,null,"SNAREMASTER PLUS 15MM",121.2,84.84,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500811,272,null,null,"SKIN BARRIER CERAPLUS FLAT SKIN",34.07,23.85,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500812,272,null,null,"DRAINAGE POUCH 2-PIECE IMAGE",34.07,23.85,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500813,270,null,null,"SWIRLNET STANDARD,ESPHAGEAL",364,254.8,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500814,270,null,null,"SWIRLNET STANDARD,COLONIC",242.5,169.75,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500815,270,null,null,"LAPAROSCOPIC SMOKE EVACUATOR (LAP VAC)",364,254.8,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[2500816,272,null,null,"DRAINAGE POUCH 2-PIECE IMAGE 2 1/4 x12",12.81,8.9700000000000006,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500817,272,null,null,"CENTRAL VENOUS CATH KIT 7FR 6IN",397.66,278.36,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2500818,272,null,null,"STOMA MEASURING DEVICE",32.590000000000003,22.81,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[2800001,300,null,null,"=>BLOOD BANK ORDER<=",0,0,67.38,77.53,67.38,null,77.53]
[2800002,300,null,null,"=>CANCEL ORDER<=",0,0,67.38,77.53,67.38,null,77.53]
[2800003,300,null,null,"=>PATHOLOGY ORDER<=",0,0,67.38,77.53,67.38,null,77.53]
[2800004,300,null,null,"CBC WITH DIFF",0,0,67.38,77.53,67.38,null,77.53]
[2800005,300,null,null,"URINALYSIS",0,0,67.38,77.53,67.38,null,77.53]
[2800006,300,null,null,"PT/PTT",0,0,67.38,77.53,67.38,null,77.53]
[2800007,300,null,null,"H&H",0,0,67.38,77.53,67.38,null,77.53]
[2800008,300,null,null,"NON-COVERED VENIPUNCTURE",0,0,67.38,77.53,67.38,null,77.53]
[28000084,300,84702,null,"BETA HCG QUANTITATIVE",41,28.7,52.55,53.97,null,null,52.83,53.97,null,null,null,null,null,null,null,52.55]
[2800009,300,null,null,"BB TYPE & SCREEN",0,0,67.38,77.53,67.38,null,77.53]
[2800010,300,null,null,"BB ABO/RH",0,0,67.38,77.53,67.38,null,77.53]
[2800011,300,82272,null,"OCCULT BLOOD 2 SPECIMEN",38.85,27.2,19.09,36.130000000000003,19.09,null,36.130000000000003]
[2800012,300,82272,null,"OCCULT BLOOD 3 SPECIMEN",38.85,27.2,19.09,36.130000000000003,19.09,null,36.130000000000003]
[2800013,300,null,null,"GTT 1 HOUR",0,0,67.38,77.53,67.38,null,77.53]
[2800014,300,null,null,"GLUCOSE TOLERANCE 2 HOUR",0,0,67.38,77.53,67.38,null,77.53]
[2800015,300,null,null,"GLUCOSE TOLERANCE 3 HOUR",0,0,67.38,77.53,67.38,null,77.53]
[2800016,300,null,null,"GLUCOSE TOLERANCE 4 HR",0,0,67.38,77.53,67.38,null,77.53]
[2800017,300,null,null,"GLUCOSE TOLERANCE 5 HOUR",0,0,67.38,77.53,67.38,null,77.53]
[2800020,300,83497,null,"5 HIAA, 24 HOUR URINE",116.9,81.83]
[2800021,300,83519,null,"ACETYLCHOLINE RECEPTOR BINDING",208.43,145.9]
[2800022,300,82024,null,"ACTH",213.57,149.5]
[2800023,300,80074,null,"ACUTE HEPATITIS PANEL",168.59,118.01,82.87,175.99,82.87,null,null,175.99]
[2800024,300,87799,null,"ADENOVIRUS REAL TIME QPCR,SERUM",766.5,536.54999999999995,314.04000000000002,314.04000000000002,null,null,314.04000000000002]
[2800025,300,87116,null,"AFB CULTURE",68,47.6]
[2800026,300,87206,null,"AFB STAIN",61,42.7]
[2800027,300,87015,null,"CONCENTRATION FOR INF. AGENT",36,25.2]
[2800028,300,87118,null,"AFB DEFINITIVE ID",45.26,31.68]
[2800029,300,82105,null,"AFP, TUMOR MARKER",67.73,47.41]
[2800030,300,82040,null,"ALBUMIN",51.45,36.020000000000003,25.29,48.88,25.29,null,null,48.88]
[2800031,300,82042,null,"ALBUMIN URINE",31,21.7]
[2800032,300,80320,null,"ALCOHOL (ETOH)",152.25,106.58,140.83000000000001,144.63999999999999,null,null,141.59,null,null,null,null,null,144.63999999999999,null,null,140.83000000000001]
[2800033,300,82085,null,"ALDOLASE",86.1,60.27]
[2800034,300,82088,null,"ALDOSTERONE SERUM",35,24.5,33.25,33.25,null,null,null,33.25]
[2800035,300,84080,null,"ALKALINE PHOS ISOENZYMES",39,27.3,19.47,19.47,null,null,null,null,null,null,null,null,null,null,19.47]
[2800036,300,84075,null,"ALKALINE PHOSPHATASE",52.71,36.9,20.47,50.07,null,null,null,50.07,null,null,null,null,null,null,20.47,48.76]
[2800037,300,86003,null,"*ALLERGEN IGE EA",32.03,22.42,14.27,30.32,14.27,null,null,30.32]
[2800038,300,82103,null,"ALPHA-1-ANTITRYPSIN",143.01,100.11]
[2800039,301,84460,null,"ALT",52.71,36.9,50.07,50.07,null,null,null,50.07]
[2800040,300,80335,null,"*AMITRIPTYLINE",59.33,41.53]
[2800041,300,82140,null,"AMMONIA",108.6,76.02,56.05,108.33,56.05,null,null,108.33]
[2800042,300,null,null,"AMPHETAMINE CONFIRMATION (GC/MS)",0,0,67.38,77.53,67.38,null,77.53]
[2800043,300,82150,null,"AMYLASE",89.78,62.85,44.13,85.29,44.13,null,null,85.29]
[2800044,300,86038,null,"ANA",84.53,59.17,41.55,80.3,41.55,null,78.61,80.3]
[2800045,300,null,null,"ANCA SCREEN",0,0,67.38,77.53,67.38,null,77.53]
[2800046,300,82164,null,"ANGIOTENSIN CONVERTING ENZYME",151.1,105.77]
[2800047,300,83520,null,"ANTI CHIMERIC ANTIBODY",366.35,256.45]
[2800048,300,86255,null,"ANTI ENDOMYSIAL IGA",448.04,313.63]
[2800049,300,83516,null,"ANTI GLIADIN IGA",103,72.099999999999994,49.16,181.46,null,null,null,181.46,null,null,null,null,null,null,null,49.16]
[2800050,300,83516,null,"ANTI GLOM BASE MEM",26.25,18.38,49.16,181.46,null,null,null,181.46,null,null,null,null,null,null,null,49.16]
[2800051,300,86376,null,"ANTI LKM",170.21,119.15,161.69999999999999,161.69999999999999,null,null,null,161.69999999999999]
[2800052,300,83516,null,"ANTI MITOCHONDRIAL AB",67.73,47.41,49.16,181.46,null,null,null,181.46,null,null,null,null,null,null,null,49.16]
[2800053,300,86255,null,"ANTI NEURONAL AB",253,177.1]
[2800054,300,83516,null,"ANTI SMOOTH MUSCLE AB",339.78,237.85,49.16,181.46,null,null,null,181.46,null,null,null,null,null,null,null,49.16]
[2800055,300,85300,null,"ANTI THROMBIN 3 ACTIVITY",129.15,90.41]
[2800056,300,86850,null,"ANTIBODY SCREEN RBC EA MEDIA",92.61,64.83]
[2800057,300,86611,null,"ANTIBODY BARTONELLA",86.84,60.79]
[2800058,300,86757,null,"ANTIBODY RICKETTSIA IGM",107.73,75.41]
[2800059,300,86787,null,"VARICELLA ZOSTER ANTIBODY",25,17.5]
[2800060,300,86200,null,"ANTI-CCP",115.19,80.63,107.13,109.43,null,null,107.13,109.43]
[2800061,300,86902,null,"ANTIGEN SCREEN/UNIT",116.34,81.44]
[2800062,300,86922,null,"ANTIGLOBULIN CROSS MATCH",192.99,135.09]
[2800063,300,86885,null,"ANTIBODY SCREEN",202.65,141.86000000000001,99.61,192.52,99.61,null,null,192.52]
[2800064,300,null,null,"ARSENIC URINE RANDOM",0,0,67.38,77.53,67.38,null,77.53]
[2800065,300,82175,null,"ARSENIC, INORGANIC",219.98,153.99,80.3,80.3,null,null,null,80.3]
[2800066,300,36600,null,"ARTERIAL DRAW",175,122.5,162.75,166.25,null,null,162.75,null,166.25]
[2800067,300,83698,null,"LP-PLA2 (PLAC)",158.66,111.06]
[2800068,300,80329,null,"ACETAMINOPHEN",119.28,83.5,105.56,110.33,null,null,105.56,null,null,null,null,null,null,null,null,110.33]
[2800069,301,84681,null,"C-PEPTIDE",78.23,54.76]
[2800070,300,84402,null,"TESTOSTERONE FREE (ADULT MALE)",88.52,61.96,84.09,84.09,null,null,null,84.09]
[2800071,301,84425,null,"VITAMIN B-1 WHOLE BLOOD",151.1,105.77,143.55000000000001,143.55000000000001,null,null,null,143.55000000000001]
[2800072,301,82652,null,"VITAMIN D 125 HYDROXY",231.53,162.07]
[2800073,300,84630,null,"ZINC, PLASMA",133.13999999999999,93.2,123.82,126.48,null,null,123.82,126.48]
[2800074,300,84450,null,"AST",52.71,36.9,50.07,50.07,null,null,null,50.07]
[2800075,300,85025,null,"AUTOMATED CBC W/5 PART DIFF",60.17,42.12,29.57,57.16,29.57,37.44,54.85,57.16,57.16,null,45.13,57.16,57.16,null,29.88,44.02]
[2800076,300,85027,null,"HEMOGRAM & PLATELET AUTOMATED",40,28,24.62,57.16,24.62,null,55.96,53.97,null,null,null,null,57.16]
[2800077,300,86355,null,"B CELLS TOTAL COUNT",139,97.3]
[2800078,300,87184,null,"BACTERIAL SENSITIVITY (KB)",59.12,41.38]
[2800079,300,80048,null,"BASIC METABOLIC PANEL",48.52,33.96,22.5,48.52,25.51,46.09,46.8,46.6,46.09,22.5,48.52,null,46.09,null,24.23,43.84]
[2800080,300,80346,null,"BENZODIAZEPINES CONFIRMATION",64.260000000000005,44.98]
[2800081,300,82232,null,"BETA 2 MICROGLOBULIN",121.59,85.11]
[2800082,300,84702,null,"BETA HCG QUANTITATIVE",56.81,39.770000000000003,52.55,53.97,null,null,52.83,53.97,null,null,null,null,null,null,null,52.55]
[2800083,300,87185,null,"BETA LACTAMASE",38.85,27.2]
[2800084,300,82247,null,"BILIRUBIN CORD BLOOD",48.62,34.03]
[2800085,300,82248,null,"BILIRUBIN DIRECT",42.21,29.55,39.26,40.1,null,null,39.26,40.1]
[2800086,300,82247,null,"BILIRUBIN TOTAL",48.62,34.03]
[2800087,300,87799,null,"BK VIRUS QUANT PCR, BLOOD",337.68,236.38,314.04000000000002,314.04000000000002,null,null,314.04000000000002]
[2800088,300,85002,null,"BLEEDING TIME",69.510000000000005,48.66]
[2800089,391,36430,null,"BLOOD ADMINISTRATION >8HRS",919,643.29999999999995,563.98,563.98,null,null,null,563.98]
[2800090,391,36430,null,"BLOOD ADMINISTRATION 1-2 HRS",310,217,563.98,563.98,null,null,null,563.98]
[2800091,391,36430,null,"BLOOD ADMINISTRATION 3-4 HRS",456,319.2,563.98,563.98,null,null,null,563.98]
[2800092,391,36430,null,"BLOOD ADMINISTRATION 5-6 HRS",579,405.3,563.98,563.98,null,null,null,563.98]
[2800093,391,36430,null,"BLOOD ADMINISTRATION 7-8 HRS",706,494.2,563.98,563.98,null,null,null,563.98]
[2800094,300,86999,null,"BLOOD BANK CONSULTATION",103.64,72.55]
[2800095,300,36415,null,"VENIPUNCTURE",30,21,13.91,31.35,14.74,25.55,27.4,28.5,31.35,13.91,30,null,28.5,null,14.98,20]
[2800096,300,82805,null,"BLOOD GASES ARTERIAL",151.1,105.77,140.52000000000001,143.55000000000001,null,null,140.52000000000001,null,143.55000000000001]
[2800097,300,86905,null,"BLOOD TYPE RBC (NOT ABO RH)",92.61,64.83]
[2800098,300,86906,null,"RH PHENOTYPE",92.61,64.83,87.98,87.98,null,null,null,87.98]
[2800099,300,86900,null,"ABO TYPE",92.61,64.83,45.52,81.290000000000006,45.52,null,null,81.290000000000006]
[2800100,300,86900,null,"BLOOD TYPING CORD BLOOD",92.61,64.83,45.52,81.290000000000006,45.52,null,null,81.290000000000006]
[2800101,300,83880,null,"BNP",200.87,140.61000000000001,98.43,190.83,98.73,null,186.81,190.83,190.83,null,null,null,190.83,null,100.3,98.43]
[2800102,300,86615,null,"PERTUSSIS ANTIBODY IGG",136.61000000000001,95.63]
[2800103,300,84520,null,"BUN",52.71,36.9,25.91,50.07,25.91,null,null,50.07]
[2800104,300,87493,null,"C DIF TOXIN PCR",184.17,128.91999999999999]
[2800105,300,87230,null,"C DIFFICILE TOXIN",76.650000000000006,53.66]
[2800106,300,86332,null,"C1Q BINDING",148.16,103.71]
[2800107,300,86304,null,"CA 125",140.69999999999999,98.49,69.150000000000006,130.85,69.150000000000006,null,130.85]
[2800108,300,86300,null,"CA 15-3",133.13999999999999,93.2]
[2800109,300,86301,null,"CA 19-9",129.15,90.41]
[2800110,300,86300,null,"CA27.29",218.82,153.16999999999999]
[28001108,300,82525,null,"COPPER, UR, RANDOM",86.5,60.55,99.02,101.15,null,null,99.02,101.15]
[2800111,300,82310,null,"CALCIUM",48.62,34.03,23.9,46.19,23.9,null,null,46.19]
[2800112,300,82330,null,"CALCIUM IONIZED",57.86,40.5,54.97,54.97,null,null,null,54.97]
[28001124,300,81270,null,"JAK2 (V617F) MUTATION",234.47,164.13]
[28001126,300,82105,null,"AFP, TETRA PROFILE",67.73,47.41]
[2800113,300,82340,null,"CALCIUM URINE QUANT",35.909999999999997,25.14,34.11,34.11,null,null,null,34.11]
[2800114,300,"U0002",null,"MC-SARS-CoVID19, NAA",75,52.5,36.869999999999997,69.38,36.869999999999997,null,null,null,null,null,null,null,null,null,null,69.38]
[2800115,300,80156,null,"CARBAMAZEPINE",80.540000000000006,56.38,74.900000000000006,74.900000000000006,null,null,74.900000000000006]
[2800116,300,82374,null,"CARBON DIOXIDE",34.76,24.33]
[28001169,302,86780,null,"TOXOPLASMA GONDII ANTIBODIES",23.1,16.170000000000002,11.41,22.03,11.41,null,null,22.03,null,null,null,null,null,null,11.59,21.47]
[2800117,300,82375,null,"BILL ONLY CARBOXYHGB",102.48,71.739999999999995]
[2800118,300,null,null,"CARDIAC PANEL",0,0,67.38,77.53,67.38,null,77.53]
[2800119,300,null,null,"CARDIAC TRIMARKER",0,0,67.38,77.53,67.38,null,77.53]
[2800120,300,86147,null,"CARDIOLIPIN ANTIBODY IGA",161.69999999999999,113.19]
[2800121,300,82384,null,"CATECHOLAMINES  24 HR URINE",151.1,105.77,140.52000000000001,143.55000000000001,null,null,140.52000000000001,143.55000000000001]
[2800122,300,null,null,"CBC COMPREHENSIVE",0,0,67.38,77.53,67.38,null,77.53]
[2800123,300,null,null,"CBC COMPREHENSIVE TSH",0,0,67.38,77.53,67.38,null,77.53]
[2800124,300,86361,null,"CD4",177.77,124.44]
[2800125,300,86360,null,"CD4 AND CD8 ABSOLUTE",229.74,160.82]
[2800126,300,82378,null,"CEA",130.19999999999999,91.14]
[2800127,300,89050,null,"CELL COUNT (FLUID)",79.28,55.5]
[2800128,300,89051,null,"CELL COUNT AND DIFF (FLUID)",95,66.5]
[2800129,300,82390,null,"CERULOPLASMIN",86.84,60.79,82.5,82.5,null,null,null,82.5]
[2800130,301,82397,null,"*Infliximab Concentration",260,182]
[2800131,301,84999,null,"CHEMISTRY UNLISTED",61,42.7]
[2800132,300,87490,null,"CHLAMYDIA DNA",44,30.8]
[2800133,300,87491,null,"CHLAMYDIA AMP PROBE",119.28,83.5,58.63,113.32,58.63,null,null,113.32,113.32,null,null,null,null,null,59.56,110.33]
[2800134,300,82435,null,"CHLORIDE",34.76,24.33]
[2800135,301,82438,null,"CSF CHLORIDE",83.37,58.36]
[2800136,300,82465,null,"CHOLESTEROL",49.88,34.92,46.39,46.39,null,null,46.39]
[2800137,300,82482,null,"CHOLINESTERASE RBC",84.5,59.15]
[2800138,300,82480,null,"CHOLINESTERASE SERUM",93.14,65.2]
[2800139,300,86316,null,"CHROMOGRANIN A",212.42,148.69,104.41,104.41,104.41]
[2800140,301,82507,null,"CITRATE",106.47,74.53]
[2800141,300,82553,null,"CKMB",116.34,81.44,57.19,116.34,57.19,null,108.2,110.52,110.53,null,116.34,null,110.52,null,null,107.61]
[2800142,300,82552,null,"CK ISOENZYMES",74,51.8]
[2800143,300,86644,null,"CMV ANTIBODY IGG",46.31,32.42]
[2800144,300,86645,null,"CMV ANTIBODY IGM",46.31,32.42]
[2800145,300,86635,null,"COCCIDIDES ANTIBODY IGM",63,44.1]
[2800146,302,86157,null,"COLD AGGUTININ",33.6,23.52]
[2800147,301,82523,null,"COLLAGEN CROSS LINKS URINE",156.35,109.45]
[2800148,300,84443,null,"COMB PROFILE TSH",75,52.5,40.119999999999997,107.24,55.48,40.119999999999997,99.45,106.93,107.24,null,56.44,null,null,null,55.86,76.790000000000006]
[2800149,300,86160,null,"COMPLEMENT EACH COMPONENT",70,49]
[2800150,300,86162,null,"COMPLEMENT TOTAL (CH50)",176.51,123.56]
[2800151,300,null,null,"COMPREHENSIVE + LIPID",0,0,67.38,77.53,67.38,null,77.53]
[2800152,300,80053,null,"COMPREHENSIVE METABOLIC PANEL",57.86,40.5,28.44,54.97,28.44,38.76,52.78,54.97,54.97,null,38.57,54.97,54.97,null,28.74,44.17]
[2800153,300,null,null,"COMPREHENSIVE LIPID TSH",0,0,67.38,77.53,67.38,null,77.53]
[2800154,300,82525,null,"COPPER",106.47,74.53,99.02,101.15,null,null,99.02,101.15]
[2800155,300,null,null,"CORD BLOOD",0,0,67.38,77.53,67.38,null,77.53]
[2800156,300,82533,null,"CORTISOL, AM",115.19,80.63,106.55,109.43,null,null,null,109.43,null,null,null,null,null,null,null,106.55]
[2800157,300,82530,null,"CORTISOL FREE, 24 HOUR URINE",96.18,67.33,91.37,91.37,null,null,null,91.37]
[2800158,302,86638,null,"COXIELLA BURNETTI ANTIBODY",213.2,149.24]
[2800159,300,82565,null,"CREATININE",52.71,36.9,25.91,50.07,25.91,null,null,50.07]
[2800160,300,82575,null,"CREATININE CLEARANCE",84.53,59.17]
[2800161,300,82550,null,"CK",92.09,64.459999999999994,45.26,92.09,45.26,null,85.64,87.49,87.49,null,92.09,null,87.49,null,null,78.510000000000005]
[2800162,300,82570,null,"URINE CREATININE",47.57,33.299999999999997,20.46,45.19,20.46,21.82,44.24,43.68,45.19,null,null,null,null,null,23.75,35.72]
[2800163,300,86920,null,"CROSS MATCH PER UNIT #1",202.65,141.86000000000001,99.61,192.52,99.61,null,null,192.52]
[2800164,300,86140,null,"CRP  (LC)",84.53,59.17,41.55,80.3,41.55,null,78.61,80.3,null,null,null,null,null,null,42.21,78.19]
[2800165,300,82595,null,"CRYOGLOBULIN, QUALITATIVE",41.16,28.81]
[2800166,300,87899,null,"CRYPTOCOCCUS AG",181.86,127.3]
[2800167,302,86641,null,"CRYPTOCOCCUS ANTIBODY",195.72,137]
[2800168,300,89060,null,"CRYSTAL ID FLUIDS",74.13,51.89]
[2800169,302,87328,null,"CRYPTOSPORIDIUM ANTIGEN",147.11000000000001,102.98]
[2800170,300,84155,null,"CSF PROTEIN",110.04,77.03]
[2800171,300,87076,null,"CULT ANAEROBIC ID EA",64.260000000000005,44.98]
[2800172,300,87086,null,"CULTURE URINE",57.86,40.5,28.44,54.97,28.44,null,53.81,54.97,null,null,null,null,null,null,null,30.45]
[2800173,300,87102,null,"*CULTURE FUNGAL OTHER SOURCE CHG",66,46.2]
[2800174,300,87075,null,"CULTURE ANAEROBIC",43.47,30.43,21.37,21.37,21.37]
[2800175,300,null,null,"CULTURE FECES",0,0,67.38,77.53,67.38,null,77.53]
[2800176,300,87103,null,"CULTURE FUNGAL BLOOD",72,50.4]
[2800177,300,null,null,"CULTURE FUNGAL SKIN HAIR NAIL",0,0,67.38,77.53,67.38,null,77.53]
[2800178,300,87077,null,"CULTURE-ADDL IDENTIFICATION",84.53,59.17,41.42,80.3,41.55,80.3,78.61,80.3,null,null,null,null,null,null,null,41.42]
[2800179,300,87040,null,"CULTURE BLOOD SET 1",122.75,85.93,52.29,116.61,52.29,116.61,114.16,116.61,116.61,null,null,null,116.61,null,null,113.54]
[2800180,300,87070,null,"CULTURE EAR",88.52,61.96,27.29,84.09,41,84.09,82.32,78.599999999999994,84.09,null,null,null,null,null,44.2,27.29]
[2800181,300,87070,null,"CULTURE EYE",88.52,61.96,27.29,84.09,41,84.09,82.32,78.599999999999994,84.09,null,null,null,null,null,44.2,27.29]
[2800182,300,87070,null,"CULTURE NASAL",88.52,61.96,27.29,84.09,41,84.09,82.32,78.599999999999994,84.09,null,null,null,null,null,44.2,27.29]
[2800183,300,87070,null,"CULTURE FLUID",88.52,61.96,27.29,84.09,41,84.09,82.32,78.599999999999994,84.09,null,null,null,null,null,44.2,27.29]
[2800184,300,87081,null,"CULTURE-SCREEN GC",34,23.8,21.37,41.3,21.37,null,null,41.3,null,null,null,null,null,null,null,40.21]
[2800185,300,87081,null,"CULTURE SCREEN STREP",43.47,30.43,21.37,41.3,21.37,null,null,41.3,null,null,null,null,null,null,null,40.21]
[2800186,300,87070,null,"CULTURE SPUTUM",88.52,61.96,27.29,84.09,41,84.09,82.32,78.599999999999994,84.09,null,null,null,null,null,44.2,27.29]
[2800187,300,87070,null,"CULTURE THROAT",88.52,61.96,27.29,84.09,41,84.09,82.32,78.599999999999994,84.09,null,null,null,null,null,44.2,27.29]
[2800188,300,87086,null,"CULTURE-URINE QUANTITATIVE",57.86,40.5,28.44,54.97,28.44,null,53.81,54.97,null,null,null,null,null,null,null,30.45]
[2800189,300,87070,null,"CULTURE-GENITAL",69,48.3,27.29,84.09,41,84.09,82.32,78.599999999999994,84.09,null,null,null,null,null,44.2,27.29]
[2800190,300,87070,null,"CULTURE WOUND",88.52,61.96,27.29,84.09,41,84.09,82.32,78.599999999999994,84.09,null,null,null,null,null,44.2,27.29]
[2800191,300,80158,null,"CYCLOSPORINE A LC-MS/MS",64.260000000000005,44.98]
[2800192,300,85379,null,"D DIMER QUANT",114.03,79.819999999999993,56.05,108.33,56.05,null,106.05,108.33,108.33,null,null,null,null,null,56.94,105.48]
[2800193,300,80160,null,"DESIPRAMINE",123.9,86.73]
[2800194,300,83516,null,"DESMOGLEIN 1",119.28,83.5,49.16,181.46,null,null,null,181.46,null,null,null,null,null,null,null,49.16]
[2800195,300,83516,null,"DESMOGLEIN 3",119.28,83.5,49.16,181.46,null,null,null,181.46,null,null,null,null,null,null,null,49.16]
[2800196,301,82626,null,"DHEA, UNCONJUGATED",102.48,71.739999999999995]
[2800197,300,85004,null,"DIFFERENTIAL(WBC) AUTO",35.909999999999997,25.14]
[2800198,300,85007,null,"DIFFERENTIAL(WBC) MANUAL",19,13.3,9.34,18.05,9.34,null,null,18.05]
[2800199,300,80162,null,"DIGOXIN",114.03,79.819999999999993,56.05,108.33,56.05,null,null,108.33]
[2800200,300,80185,null,"PHENYTOIN",114.03,79.819999999999993]
[2800201,300,80186,null,"DILANTIN FREE",76,53.2]
[2800202,300,86880,null,"DIRECT COOMBS",202.65,141.86000000000001,192.52,192.52,null,null,null,192.52]
[2800203,300,86880,null,"DIRECT COOMBS CORD BLOOD",202.65,141.86000000000001,192.52,192.52,null,null,null,192.52]
[2800204,300,86225,null,"DNA AB DOUBLE STRAND",155.55000000000001,108.89]
[2800205,300,80353,null,"DRUG CONFIRMATION EA",103,72.099999999999994]
[2800206,300,80301,null,"DRUG SINGLE CLASS",120.44,84.31]
[2800207,300,87337,null,"E.HISTOLYTICA AG",145.85,102.1]
[2800208,300,87799,null,"EBV BY PCR QUANTITATIVE (WHOLE BLOOD)",402.36,281.64999999999998,314.04000000000002,314.04000000000002,null,null,314.04000000000002]
[2800209,302,86663,null,"EBV EARLY ANTIBODY",56.81,39.770000000000003,53.97,53.97,null,null,null,53.97]
[2800210,302,86664,null,"EBV NUCLEAR ANTIBODY",56.81,39.770000000000003,53.97,53.97,null,null,null,53.97]
[2800211,300,86665,null,"EBV VCA IGG",51.45,36.020000000000003,48.88,48.88,null,null,null,48.88]
[2800212,300,80051,null,"ELECTROLYTE PANEL",60.17,42.12,29.57,29.57,29.57]
[2800213,300,84166,null,"URINE PROTEIN ELECTROPHORESIS 24 HR",76.97,53.88]
[2800214,300,82668,null,"ERYTHROPOETIN LEVEL",115.82,81.069999999999993]
[2800215,300,82670,null,"ESTRADIOL",126.84,88.79,62.35,168.22,62.35,null,null,120.5,null,null,null,null,null,null,null,168.22]
[2800216,301,null,null,"ESTROGEN FRACTIONATED",0,0,79.98,79.98,null,null,79.98]
[2800217,300,86235,null,"EX NUC AG EA ANTIBODY",150,105]
[2800218,300,85379,null,"FDP D-DIMER QUANTITATIVE",114.03,79.819999999999993,56.05,108.33,56.05,null,106.05,108.33,108.33,null,null,null,null,null,56.94,105.48]
[2800219,300,82705,null,"FECAL FAT QUALITATIVE",65.42,45.79,62.15,62.15,null,null,null,62.15]
[2800220,300,82710,null,"FECAL FAT QUANTITATIVE",195.72,137]
[2800221,300,87210,null,"FECAL LEUKOCYTES",56.81,39.770000000000003,27.92,53.97,27.92,null,52.83,53.97,null,null,null,null,null,null,null,52.55]
[2800222,300,87210,null,"FERN TEST",56.81,39.770000000000003,27.92,53.97,27.92,null,52.83,53.97,null,null,null,null,null,null,null,52.55]
[2800223,300,82728,null,"FERRITIN",88.52,61.96,43.37,84.09,43.51,null,82.32,84.09,null,null,null,null,null,null,null,43.37]
[2800224,300,85384,null,"FIBRINOGEN",63.11,44.18]
[2800225,305,85385,null,"FIBRINOGEN ANTIGEN",144.80000000000001,101.36]
[2800226,311,88185,null,"FLOW CYTOMETRY ADDL MARKER",81.06,56.74]
[2800227,311,88184,null,"FLOW CYTOMETRYFIRST MARKER",254.73,178.31]
[2800228,311,88189,null,"FLOW CYTOMETRYINTERPRET",383.7,268.58999999999997]
[2800229,300,86255,null,"*FLUORESCENT AB EA",253,177.1]
[2800230,300,82746,null,"FOLATE",34.76,24.33,17.03,33.020000000000003,17.09,null,32.33,33.020000000000003,null,null,null,null,null,null,null,17.03]
[2800231,300,null,null,"FOLATE RBC",0,0,67.38,77.53,67.38,null,77.53]
[2800232,300,84481,null,"FREE T3",97.23,68.06,47.8,92.37,47.8,null,null,92.37]
[2800233,300,84439,null,"FREE T4",59,41.3,36.36,75.319999999999993,38.97,36.36,68.87,75.319999999999993,null,null,null,null,null,null,39.590000000000003,61.84]
[2800234,390,"P9059",null,"FROZEN PLASMA",347.34,243.14]
[2800235,300,83001,null,"FSH",96.18,67.33,47.28,91.37,47.28,null,89.45,91.37]
[2800236,302,86671,null,"FUNGAL ANTIBODY",125,87.5]
[2800237,300,null,null,"G6PD, QUANTITATIVE",0,0,67.38,77.53,67.38,null,77.53]
[2800238,300,80171,null,"GABAPENTIN (NEURONTIN)",218.82,153.16999999999999]
[2800239,300,86341,null,"GAD ANTIBODY",119.28,83.5,113.32,113.32,null,null,null,null,113.32]
[2800240,300,82977,null,"GAMMA GT",50,35,51,51,null,null,null,null,null,null,null,null,null,null,null,51]
[2800241,300,82784,null,"GAMMAGLOBULIN IGA",67.73,47.41]
[2800242,300,82941,null,"GASTRIN",148.16,103.71]
[2800243,300,87591,null,"GC AMP PROBE",158.66,111.06,77.98,150.72999999999999,77.98,null,null,150.72999999999999,150.72999999999999,null,null,null,null,null,79.23,146.76]
[2800244,300,87590,null,"GCDNA",30,21]
[2800245,300,80170,null,"GENTAMICIN PEAK",101,70.7]
[2800246,300,80202,null,"VANCOMYCIN TROUGH",151.1,105.77,74.27,143.54,74.27,null,null,null,null,null,null,null,143.54]
[2800247,300,80170,null,"GENTAMICIN PEAK",76.97,53.88]
[2800248,300,80170,null,"GENTAMICIN,TROUGH",76.97,53.88]
[2800249,300,82977,null,"GGT",55.13,38.590000000000003,51,51,null,null,null,null,null,null,null,null,null,null,null,51]
[2800250,300,86674,null,"GIARDIA ANTIBODY IGA",90.4,63.28]
[2800251,300,87329,null,"GIARDIA ANTIGEN",111.09,77.760000000000005,54.6,54.6,54.6]
[2800252,300,82962,null,"GLUCOSE FINGERSTICK",34.76,24.33]
[2800253,300,82947,null,"GLUCOSE",47.57,33.299999999999997,44.24,45.19,null,null,44.24,45.19]
[2800254,300,82950,null,"GLUCOSE 1 HR 50GM DEXTROSE",49.88,34.92,47.39,47.39,null,null,null,47.39]
[2800255,300,82950,null,"GLUCOSE 2HR PP",49.88,34.92,47.39,47.39,null,null,null,47.39]
[2800256,300,82951,null,"GLUCOSE TOLERANCE 1ST 3 SPEC",143.01,100.11,70.290000000000006,70.290000000000006,70.290000000000006]
[2800257,300,82952,null,"GLUCOSE TOLERANCE ADDL SPEC",38.85,27.2,19.09,19.09,19.09]
[2800258,301,82945,null,"CSF GLUCOSE",38.85,27.2]
[2800259,300,82985,null,"FRUCTOSAMINE",160.44,112.31]
[2800260,300,83036,null,"GLYCOHEMOGLOBIN",53.14,37.200000000000003,24.38,51.66,28.3,24.38,49.42,51.66,50.48,null,null,null,null,null,26.54,40.94]
[2800261,300,80202,null,"VANCO RANDOM",151.1,105.77,74.27,143.54,74.27,null,null,null,null,null,null,null,143.54]
[2800262,300,87205,null,"GRAM STAIN",43.47,30.43,16.72,40.43,16.72,null,40.43,38.299999999999997]
[2800263,300,83003,null,"GROWTH HORMONE",139.44,97.61]
[2800264,300,86677,null,"HELICOBACTER PYLORI AB",123.9,86.73]
[2800265,300,83010,null,"HAPTOGLOBIN",174.83,122.38]
[2800266,300,87902,null,"HCV GENOTYPE",1110.8,777.56]
[2800267,300,83718,null,"HDL",43.47,30.43]
[2800268,300,85014,null,"HEMATOCRIT",38.85,27.2,36.909999999999997,36.909999999999997,null,null,null,36.909999999999997]
[2800269,300,85018,null,"HEMOGLOBIN",38.85,27.2]
[2800270,300,null,null,"H & H",0,0,67.38,77.53,67.38,null,77.53]
[2800271,300,null,null,"HEMOGLOBIN FRACTIONATION PROFILE",0,0,67.38,77.53,67.38,null,77.53]
[2800272,300,87522,null,"HEP C QUANTIFICATION",160,112,317.95,317.95,null,null,null,317.95]
[2800273,300,86022,null,"HEP ASSOC THROMBOCYTOPENIA",351.33,245.93]
[2800274,300,80076,null,"HEPATIC FUNCTION PANEL",78.23,54.76,19.23,74.319999999999993,19.23,null,72.75,74.319999999999993]
[2800275,302,86708,null,"HEPATITIS A AB TOTAL",41.16,28.81,38.07,39.1,null,null,38.28,39.1,null,null,null,null,null,null,null,38.07]
[2800276,300,86705,null,"HEPATITIS B CORE AB IGM",65.42,45.79]
[2800277,300,86704,null,"HEPATITIS B CORE AB TOTAL",48.62,34.03,44.97,46.19,null,null,45.22,46.19,null,null,null,null,null,null,null,44.97]
[2800278,300,87517,null,"HEPATITIS B QUANTIFICATION",30,21]
[2800279,300,87340,null,"HEPATITIS B SURFACE AG",40,28,37.200000000000003,45.85,null,null,37.200000000000003,38,null,null,null,null,null,null,null,45.85]
[2800280,300,86317,null,"HEPATITIS B SURFACE ANTIBODY",59.12,41.38,56.16,56.16,null,null,null,56.16]
[2800281,300,86803,null,"HEPATITIS C ANTIBODY",101.33,70.930000000000007,14.27,96.26,null,14.27,94.24,96.26,96.26,null,null,null,null,null,50.6,93.73]
[2800282,300,87389,null,"LABCORP HIV SCREEN-SEND OUT",113.93,79.75,172.05,176.7,null,null,172.98,176.7,null,null,null,null,null,null,null,172.05]
[2800283,300,87901,null,"HIV GENOTYPE",2079.11,1455.38]
[2800284,300,87536,null,"HIV-1 RNA QUANTITATIVE",544.11,380.88]
[2800285,300,81374,null,"HLA B27",153.41,107.39,145.74,145.74,null,null,null,145.74]
[2800286,300,83090,null,"HOMOCYSTINE CARDIAC RISK",143.01,100.11,135.86000000000001,135.86000000000001,null,null,null,135.86000000000001]
[2800287,300,87338,null,"HELICOBACTER PYLORI ANTIGEN STOOL",209.58,146.71,96.12,199.1,null,null,null,186.23,199.1,null,null,null,null,null,96.12,193.86]
[2800288,300,86141,null,"HSCRP",66.569999999999993,46.6,63.24,63.24,null,null,null,63.24]
[2800289,300,87274,null,"HSV 1 AG IMMUNOFLOURESCENCE",32,22.4]
[2800290,300,86695,null,"*HSV 1 ANTIBODY",51.45,36.020000000000003,47.59,48.88,null,null,null,48.88,null,null,null,null,null,null,null,47.59]
[2800291,300,86696,null,"HSV 2 ANTIBODY IGG",52.71,36.9,47.6,48.88,null,null,null,48.88,null,null,null,null,null,null,null,47.6]
[2800292,300,86696,null,"*HSV 2 AB",50.2,35.14,47.6,48.88,null,null,null,48.88,null,null,null,null,null,null,null,47.6]
[2800293,300,83491,null,"HYDROXYCORTICOSTEROIDS 17",262.89999999999998,184.03]
[2800294,300,86334,null,"IEP",118,82.6]
[2800295,300,80335,null,"IMIPRAMINE LEVEL",119.7,83.79]
[2800296,300,86920,null,"IMMEDIATE SPIN CROSS MATCH",175,122.5,99.61,192.52,99.61,null,null,192.52]
[2800297,300,86335,null,"IMMUNFIX E-PHORSIS/URINE",140,98]
[2800298,301,83520,null,"INTERLEUKIN 6 (MAFD)",240.24,168.17]
[2800299,301,83516,null,"TISSUE TRANSGLUTAMINASE AB, IGA",119.28,83.5,113.32,113.32,null,null,null,113.32]
[2800300,300,88347,null,"IMMUNOFLUORESCENT STUDY",770,539]
[2800301,300,86921,null,"INCUBATION CROSS MATCH",80,56]
[2800302,300,87210,null,"INDIA INK STAIN",56.81,39.770000000000003,27.92,53.97,27.92,null,52.83,53.97,null,null,null,null,null,null,null,52.55]
[2800303,300,null,null,"BORDETELLA PERTUSSIS/PARAPERTUSSIS, PCR",0,0,67.38,77.53,67.38,null,77.53]
[2800304,300,87804,null,"INFLUENZA A AND B ANTIGEN",0,0,22.61,43.7,22.61,null,null,43.7,43.7,null,null,null,null,null,null,42.55]
[2800305,300,87804,null,"INFLUENZA A ANTIGEN",46,32.200000000000003,22.61,43.7,22.61,null,null,43.7,43.7,null,null,null,null,null,null,42.55]
[2800306,300,87804,null,"INFLUENZA B ANTIGEN",46,32.200000000000003,22.61,43.7,22.61,null,null,43.7,43.7,null,null,null,null,null,null,42.55]
[2800307,300,87798,null,"INFLUENZA RT-PCR H1N1",387.24,271.07]
[2800308,300,86337,null,"INSULIN ANTIBODIES",157.4,110.18,149.53,149.53,null,null,null,null,149.53]
[2800309,300,83525,null,"INSULIN TOTAL",94.92,66.44,87.8,90.17,null,null,null,90.17,null,null,null,null,null,null,null,87.8]
[2800310,300,83540,null,"IRON",47.57,33.299999999999997,23.31,45.19,23.38,null,32.590000000000003,45.19,null,null,null,null,null,null,null,23.31]
[2800311,300,83550,null,"IRON BINDING CAPACITY",39,27.3,19.11,37.049999999999997,19.16,null,36.270000000000003,37.049999999999997,null,null,null,null,null,null,null,19.11]
[2800312,300,80177,null,"KEPPRA",218.82,153.16999999999999,207.88,207.88,null,null,null,207.88]
[2800313,300,87220,null,"KOH PREP",67.73,47.41,62.65,64.34,null,null,null,64.34,64.34,null,null,null,null,null,null,62.65]
[2800314,300,83605,null,"LACTIC ACID",91.35,63.95,27.04,52.27,27.04,52.27,51.17,52.27,52.27,null,null,null,52.27,null,27.47,50.89]
[2800315,301,83631,null,"LACTOFERRIN FECAL",198.03,138.62,188.13,188.13,null,null,null,188.13]
[2800316,300,80175,null,"LAMOTRIGINE (LAMICTAL)",218.82,153.16999999999999,203.5,203.5,null,null,203.5]
[2800317,300,83615,null,"LDH",47.57,33.299999999999997,45.19,45.19,null,null,null,45.19]
[2800318,300,83615,null,"LDH",35,24.5,45.19,45.19,null,null,null,45.19]
[2800319,300,83721,null,"LDL DIRECT",94.92,66.44,0,88.28,0,null,88.28,0]
[2800320,300,83655,null,"LEAD, PEDIATRIC",74.13,51.89,36.43,68.94,36.43,null,68.94,51.84]
[2800321,300,83789,null,"LEFLUNOMIDE",815.54,570.88,243.39,243.39,null,null,null,243.39]
[2800322,300,86713,null,"LEGIONELLA ANTIBODY",106.47,74.53]
[2800323,390,"P9016",null,"LEUKO REDUCED RBC PACKED CELLS",1027.95,719.57,976.55,976.55,null,null,null,976.55]
[2800324,300,83002,null,"LH",57.86,40.5,53.81,54.97,null,null,53.81,54.97]
[2800325,300,83690,null,"LIPASE",101.33,70.930000000000007,49.81,96.26,49.81,null,94.24,96.26,null,null,null,null,null,null,null,93.73]
[2800326,300,80061,null,"LIPID PANEL",98.49,68.94,0,93.57,48.41,58.18,91.6,93.57,93.57,null,0,null,null,null,48.82,71.819999999999993]
[2800327,301,83701,null,"SMALL DENSE LDL",106.6,74.62]
[2800328,300,80178,null,"LITHIUM",53.76,37.630000000000003,51.07,51.07,null,null,null,51.07]
[2800329,300,86618,null,"LYME SCREEN",89.78,62.85,85.29,85.29,null,null,null,85.29]
[2800330,301,83907,null,"LYSE CELLS FOR NUCLEIC EXT",46,32.200000000000003]
[2800331,300,83735,null,"MAGNESIUM",52.71,36.9,25.91,50.07,25.91,null,49.02,50.07,50.07,null,null,null,null,null,26.32,31.56]
[2800332,300,87207,null,"SMEAR STAIN FOR INCLUSION OR PARASITE",150,105]
[2800333,301,83789,null,"LACOSAMIDE",559.23,391.46,54.86,54.86,null,null,null,54.86]
[2800334,301,80369,null,"MEPROBAMATE URINE",71.819999999999993,50.27]
[2800335,300,83825,null,"MERCURY",84.53,59.17,69.349999999999994,69.349999999999994,null,null,null,69.349999999999994]
[2800336,300,83835,null,"METANEPHRINES FRACT, URINE 24 HR",111.09,77.760000000000005,103.31,220.75,null,null,103.31,220.75]
[2800337,300,82491,null,"METHOCARBAMOL (ROBAXIN)",188.6,132.02000000000001]
[2800338,300,80299,null,"MEXILETINE",218.82,153.16999999999999]
[2800339,300,82043,null,"MICROALBUMIN",47,32.9,21.56,44.65,23.1,21.56,43.71,44.65,44.65,null,null,null,null,null,23.47,35.299999999999997]
[2800340,300,82043,null,"MICROALBUMIN URINE",59,41.3,21.56,44.65,23.1,21.56,43.71,44.65,44.65,null,null,null,null,null,23.47,35.299999999999997]
[2800341,300,86376,null,"MICROSOMAL AB EA",126,88.2,161.69999999999999,161.69999999999999,null,null,null,161.69999999999999]
[2800342,300,null,null,"LAB TEST TO GHCH",0,0,67.38,77.53,67.38,null,77.53]
[2800343,300,83921,null,"MMA(METHYLMALONIC ACID) SERUM",72.98,51.09,69.33,69.33,null,null,null,69.33]
[2800344,300,83912,null,"MOLECULAR DIAGNOSTICS INTERP",127.9,89.53]
[2800345,300,83903,null,"MOLECULAR DX; MUTATION SCAN",60,42]
[2800346,310,null,null,"MOLECULAR PROBES 11-50",46,32.200000000000003]
[2800347,301,83891,null,"MOLECULE ISOLATE NUCLEIC",200,140]
[2800348,301,83900,null,"MOLECULE NUCLEIC AMPLI 2 SEQ",82,57.4]
[2800349,301,83901,null,"MOLECULE NUCLEIC AMPLI ADDON",42,29.4]
[2800350,300,86308,null,"MONO TEST",72.98,51.09,35.869999999999997,69.33,35.869999999999997,69.33,null,69.33]
[2800351,300,87081,null,"CULTURE SCREEN MRSA",43.47,30.43,21.37,41.3,21.37,null,null,41.3,null,null,null,null,null,null,null,40.21]
[2800352,300,87556,null,"MTB PCR RESPIRATORY",583.49,408.44]
[2800353,302,86735,null,"MUMPS ANTIBODY",10,7,9.3000000000000007,37.43,null,null,9.3000000000000007,37.43]
[2800354,300,80180,null,"MYCOPHENOLIC ACID",208.43,145.9,193.84,193.84,null,null,193.84]
[2800355,300,86738,null,"MYCOPLASMA ANTIBODY",117.5,82.25]
[2800356,300,83516,null,"MYELIN-ASSOC GLYCOPROTEIN AB",80,56,49.16,181.46,null,null,null,181.46,null,null,null,null,null,null,null,49.16]
[2800357,300,83874,null,"MYOGLOBIN",144.9,101.43]
[2800358,300,83874,null,"MYOGLOBIN URINE",159.81,111.87]
[2800359,300,83883,null,"*NEPHELOMETRY EA ANALYTE",153.51,107.46]
[2800360,300,86316,null,"NEURON SPECIFIC ENOLASE",192.7,134.88999999999999,104.41,104.41,104.41]
[2800361,300,null,null,"NEWBORN SCREENING (PKU)",0,0,67.38,77.53,67.38,null,77.53]
[2800362,300,"S3620",null,"*NEWBORN SCREENING PANEL",127.16,89.01]
[2800363,300,36416,null,"PKU (Second Specimen)",30,21]
[2800364,300,84437,null,"NEWBORN SCREENING THYROID",31,21.7]
[2800365,300,87798,null,"NOROVIRUS 1 AMPLIFIED PROBE",230,161]
[2800366,300,80335,null,"NORTRIPTYLINE",97.7,68.39]
[2800367,300,86235,null,"NUCLEAR ANTIGEN ANTIBODY",134.13,93.89]
[2800368,300,83896,null,"NUCLEIC ACID PROBE",28,19.600000000000001]
[2800369,300,83898,null,"NUCLEIC ACID AMPLIFICATION",300,210]
[2800370,300,83894,null,"NUCLEIC ACID GEL SEQUENCING",25,17.5]
[2800371,301,83909,null,"NUCLEIC ACID\\HIGH RESOLUTE",300,210]
[2800372,300,83891,null,"NUCLEIC ACID ISOLATION",200,140]
[2800373,300,83904,null,"NUCLEIC ACID MUTATION SEQ'ING",112,78.400000000000006]
[2800374,300,82272,null,"OCCULT BLOOD 1 SPECIMEN",38.85,27.2,19.09,36.130000000000003,19.09,null,36.130000000000003]
[2800375,300,83951,null,"ONCOPROTEIN PIVKA 11",354.8,248.36]
[2800376,301,80361,null,"OPIATES 1 OR MORE",104,72.8]
[2800377,301,83930,null,"OSMOLALITY SERUM",52.71,36.9]
[2800378,301,83935,null,"OSMOLALITY URINE",53.76,37.630000000000003]
[2800379,300,87177,null,"OVA & PARASITE CONC",44,30.8,21.62,41.8,21.62,41.8]
[2800380,300,87209,null,"OVA & PARASITE STAIN",69,48.3,33.92,65.55,33.92,65.55]
[2800381,301,83945,null,"OXALATE URINE 24 HOUR",121.59,85.11]
[2800382,300,80183,null,"OXCARBAZEPINE METABOLITE",198.03,138.62,188.13,188.13,null,null,null,188.13]
[2800383,300,83986,null,"PH FLUID",34.76,24.33,26.41,26.41,null,null,null,26.41]
[2800384,390,"P9021",null,"PACKED RED CELLS PER UNIT",366,256.2]
[2800385,300,83970,null,"PARATHYROID HORMONE",86.84,60.79,42.69,82.5,42.69,null,80.760000000000005,82.5]
[2800386,300,86747,null,"PARVOVIRUS ANTIBODY IGG OR IGM",71.819999999999993,50.27]
[2800387,300,80184,null,"*PHENOBARBITAL",67.31,47.12]
[2800388,940,99195,null,"PHLEBOTOMY THERAPEUTIC",177.77,124.44,168.88,168.88,null,null,null,168.88]
[2800389,300,84100,null,"PHOSPHORUS",51.45,36.020000000000003,25.29,48.88,25.29,null,47.85,48.88]
[2800390,300,null,null,"PKU (First Specimen)",0,0,67.38,77.53,67.38,null,77.53]
[2800391,300,86022,null,"PLATELET ANTIBODY PROFILE",351.33,245.93]
[2800392,300,85049,null,"PLATELET COUNT AUTOMATED",23.21,16.25]
[2800393,390,"P9035",null,"PLATELET PHERESIS PRODUCT",2211.09,1547.76]
[2800394,300,87281,null,"PNEUMOCYSTIS FA STAIN",111.09,77.760000000000005]
[2800395,300,null,null,"PORPHOBILINOGEN, RANDOM",0,0,67.38,77.53,67.38,null,77.53]
[2800396,300,84132,null,"POTASSIUM",51.45,36.020000000000003]
[2800397,300,84134,null,"PREALBUMIN",115.19,80.63]
[2800398,300,81025,null,"PREGNANCY TEST URINE",60.17,42.12,27.9,57.16,29.57,null,55.96,57.16,null,27.9,null,null,57.16]
[2800399,300,84703,null,"PREGNANCY TEST-SERUM QUAL",60.17,42.12,27.9,57.16,29.57,null,55.96,57.16,57.16,27.9,null,null,null,null,null,55.66]
[2800400,300,86970,null,"PRETREATMENT RBC",150,105]
[2800401,300,86971,null,"PRETREATMENT RBC PANEL",202.65,141.86000000000001]
[2800402,300,80188,null,"PRIMIDONE",113.9,79.73]
[2800403,300,80192,null,"PROCAINAMIDE",114.03,79.819999999999993]
[2800404,301,84144,null,"PROGESTERONE",129.15,90.41,120.11,122.69,null,null,120.11,122.69]
[2800405,300,84146,null,"PROLACTIN",92.09,64.459999999999994]
[2800406,300,84066,null,"PROSTATIC ACID PHOSPHATASE",121.59,85.11]
[2800407,300,85303,null,"PROTEIN C ACTIVITY",117.5,82.25]
[2800408,300,84165,null,"PROTEIN ELECTROPHORESIS",78.23,54.76,74.319999999999993,74.319999999999993,null,null,null,74.319999999999993]
[2800409,300,85306,null,"PROTEIN S FREE",147.11000000000001,102.98]
[2800410,300,85305,null,"PROTEIN S TOTAL",140.19999999999999,98.14]
[2800411,300,84155,null,"PROTEIN TOTAL",110.04,77.03]
[2800412,300,84157,null,"FLUID PROTEIN",64.260000000000005,44.98]
[2800413,300,85610,null,"PROTHROMBIN TIME (PT)",59.12,41.38,29.05,59.12,29.05,null,54.98,56.16,56.16,null,59.12,null,56.16]
[2800414,300,84153,null,"PSA",138.38999999999999,96.87,68.02,131.47,68.02,97.48,128.69999999999999,131.47,null,null,111.59,null,null,null,69.099999999999994]
[2800415,300,84154,null,"PSA FREE",90,63,85.5,85.5,null,null,null,85.5]
[2800416,300,"G0103",null,"PSA SCREENING",138.38999999999999,96.87,63.48,131.47,null,63.48,128.69999999999999,131.47,131.47,null,null,null,null,null,69.099999999999994,107.94]
[2800417,300,85730,null,"PTT",71.819999999999993,50.27,35.299999999999997,71.819999999999993,35.299999999999997,null,66.790000000000006,68.23,68.23,null,71.819999999999993,null,68.23]
[2800418,300,86480,null,"QUANTIFERON GOLD-TB",125,87.5,135.4,135.4,null,null,null,135.4]
[2800419,300,83825,null,"MERCURY",73,51.1,69.349999999999994,69.349999999999994,null,null,null,69.349999999999994]
[2800420,300,85613,null,"R VIPER VENOM",163.80000000000001,114.66]
[2800421,300,87880,null,"RAPID STREP TEST A",47.57,33.299999999999997,23.38,149.69,23.38,null,44.24,45.19,45.19,null,null,null,null,null,null,149.69]
[2800422,300,86870,null,"CHG RBC ANTIBODY PANEL",150,105,142.5,142.5,null,null,null,142.5]
[2800423,300,80069,null,"RENAL FUNCTION PANEL",70.67,49.47,34.74,67.14,34.74,null,65.72,67.14]
[2800424,300,84244,null,"RENIN ACTIVITY",40,28,40.380000000000003,40.380000000000003,null,null,null,40.380000000000003]
[2800425,300,87807,null,"RESP SYNCYTIAL VIRUS SCR",146.16,102.31,71.84,138.85,71.84,null,135.93,138.85,null,null,null,null,null,null,null,135.19999999999999]
[2800426,300,85044,null,"RETICULOCYTE COUNT MANUAL",37.5,26.25]
[2800427,300,85046,null,"RETICULOCYTE COUNT AUTOMATED",35.5,24.85]
[2800428,300,86901,null,"RH",92.61,64.83,45.52,79.77,45.52,null,null,79.77]
[2800429,300,86901,null,"RH CORD BLOOD",92.61,64.83,45.52,79.77,45.52,null,null,79.77]
[2800430,300,86431,null,"RHEUMATOID FACTOR",71.819999999999993,50.27,35.299999999999997,68.23,35.299999999999997,null,66.790000000000006,68.23]
[2800431,300,87425,null,"ROTAVIRUS AG",86.1,60.27]
[2800432,300,86592,null,"RPR",30.45,21.32]
[2800433,300,86762,null,"RUBELLA ANTIBODY",30,21,27.9,40.1,null,null,27.9,40.1]
[2800434,300,86765,null,"RUBEOLA ANTIBODY IGG",15,10.5,13.95,59.05,null,null,13.95,59.05]
[2800435,300,80329,null,"SALICYLATE",107.73,75.41,105.56,110.33,null,null,105.56,null,null,null,null,null,null,null,null,110.33]
[2800436,300,80196,null,"SALICYLATE",72,50.4]
[2800437,300,87210,null,"SALINE WET MOUNT",56.81,39.770000000000003,27.92,53.97,27.92,null,52.83,53.97,null,null,null,null,null,null,null,52.55]
[2800438,300,85651,null,"SED RATE",41.16,28.81,20.239999999999998,39.1,20.239999999999998,null,38.28,39.1,39.1,null,null,null,null,null,20.55]
[2800439,300,82009,null,"SERUM KETONES",38.85,27.2]
[2800440,300,83520,null,"SGPG ANTIBODY IGM",366.35,256.45]
[2800441,390,"P9019",null,"PLATELET SINGLE DONOR",259.35000000000002,181.55]
[2800442,300,80195,null,"SIROLIMUS",218.82,153.16999999999999]
[2800443,300,87206,null,"BORDETELLA PERTUSSIS SCREEN",61,42.7]
[2800444,300,84295,null,"SODIUM (NA+)",43.47,30.43]
[2800445,301,84302,null,"SODIUM, STOOL",75.599999999999994,52.92]
[2800446,300,89300,null,"SPERM COUNT POST VAS",51.45,36.020000000000003]
[2800447,300,86235,null,"SSA ANTIBODY",202.02,141.41]
[2800448,300,86060,null,"ASO TITER",94.92,66.44]
[2800449,300,86682,null,"STRONGYLOIDES AB IGG",198.03,138.62]
[2800450,300,87186,null,"SUSCEPTIBILITY MIC EA",185.22,129.65,91.04,175.96,91.04,175.96,172.25,175.96,null,null,null,null,null,null,null,104.19]
[2800451,300,87181,null,"SUSCEPTIBILITY E-TEST",167.27,117.09]
[2800452,300,86359,null,"T CELLS TOTAL COUNT",186.48,130.54]
[2800453,300,84479,null,"T3 UPTAKE",32,22.4]
[2800454,300,84479,null,"T3 UPTAKE",48.62,34.03]
[2800455,300,84480,null,"T3 TOTAL",107.73,75.41,52.95,76.760000000000005,52.95,null,null,76.760000000000005]
[2800456,300,84436,null,"T4",29,20.3,13.77,13.77,null,null,null,13.77]
[2800457,300,84436,null,"T4",43.47,30.43,13.77,13.77,null,null,null,13.77]
[2800458,300,84439,null,"T4 FREE",79.28,55.5,36.36,75.319999999999993,38.97,36.36,68.87,75.319999999999993,null,null,null,null,null,null,39.590000000000003,61.84]
[2800459,300,80197,null,"TACROLIMUS (FK506)",181.86,127.3,89.39,169.13,89.39,null,169.13]
[2800460,305,86580,null,"TB SKIN TEST WITH READING",101.33,70.930000000000007]
[2800461,300,86360,null,"TCELLS ABS CD4 CD8",229.74,160.82]
[2800462,300,84403,null,"TESTOSTERONE, TOTAL (MALE)",88.52,61.96,81.88,84.09,null,null,null,84.09,null,null,null,null,null,null,null,81.88]
[2800463,300,80198,null,"THEOPHYLLINE",58,40.6]
[2800464,300,80198,null,"THEOPHYLLINE",86.84,60.79]
[2800465,300,85670,null,"THROMBIN TIME",71.400000000000006,49.98]
[2800466,300,null,null,"THYROGLOBULIN AND ANTIBODY",0,0,67.38,77.53,67.38,null,77.53]
[2800467,300,86800,null,"THYROGLOBULIN AUTO AB",80.540000000000006,56.38,76.510000000000005,76.510000000000005,null,null,null,76.510000000000005]
[2800468,300,86376,null,"THYROID PEROXIDASE AUTO AB",170.21,119.15,161.69999999999999,161.69999999999999,null,null,null,161.69999999999999]
[2800469,300,80103,null,"TISSUE PREP FOR DRUG ANALYSIS",67.73,47.41]
[2800470,300,84466,null,"TRANSFERRIN",97.23,68.06]
[2800471,300,"P9604",null,"TRAVEL ALLOWANCE",28.1,19.670000000000002]
[2800472,302,86780,null,"TREPONEMA PALLIDUM ANTIBODY",23.21,16.25,11.41,22.03,11.41,null,null,22.03,null,null,null,null,null,null,11.59,21.47]
[2800473,301,84478,null,"TRIGLYCERIDE",30.66,21.46]
[2800474,300,84484,null,"TROPONIN I",117.5,82.25,57.75,117.5,57.75,null,109.28,111.63,111.63,null,117.5,null,111.62,null,58.67,104.04]
[2800475,300,84443,null,"TSH",112.88,79.02,40.119999999999997,107.24,55.48,40.119999999999997,99.45,106.93,107.24,null,56.44,null,null,null,55.86,76.790000000000006]
[2800476,300,null,null,"TYPE AND RH",0,0,67.38,77.53,67.38,null,77.53]
[2800477,300,null,null,"TYPE AND SCREEN",0,0,67.38,77.53,67.38,null,77.53]
[2800478,300,84540,null,"UREA URINE, 24 HOUR",34.76,24.33]
[2800479,300,84550,null,"URIC ACID",51.45,36.020000000000003,25.29,48.88,25.29,null,47.85,48.88,null,null,null,null,null,null,null,47.59]
[2800480,300,84560,null,"URIC ACID, URINE 24 HOUR",35.909999999999997,25.14]
[2800481,300,81001,null,"URINALYSIS-COMPLETE",51.45,36.020000000000003,17.350000000000001,48.88,17.350000000000001,36.24,47.85,39.94,48.88,23.86,null,null,48.88,null,25.69,33.909999999999997]
[2800482,300,81003,null,"URINALYSIS-DIPSTICK ONLY",43.47,30.43,0,40.43,21.37,null,40.43,0]
[2800483,300,81015,null,"URINALYSIS-MICROSCOPIC ONLY",37.07,25.95,18.22,35.22,18.22,null,34.479999999999997,35.22]
[2800484,300,82436,null,"URINE CHLORIDE",34.76,24.33]
[2800485,300,84133,null,"URINE POTASSIUM",34.76,24.33]
[2800486,300,84156,null,"URINE PROTEIN",78.23,54.76,38.46,74.319999999999993,38.46,null,72.75,74.319999999999993]
[2800487,300,84300,null,"URINE SODIUM",34.76,24.33]
[2800488,300,80164,null,"VALPROIC ACID",107.73,75.41,52.95,52.95,52.95]
[2800489,300,80202,null,"VANCOMYCIN PK",151.1,105.77,74.27,143.54,74.27,null,null,null,null,null,null,null,143.54]
[2800490,300,80202,null,"VANCOMYCIN",100,70,74.27,143.54,74.27,null,null,null,null,null,null,null,143.54]
[2800491,300,82800,null,"VENOUS PH",42.21,29.55]
[2800492,300,87252,null,"VIRAL CULTURE INNOC & OBS",86,60.2,81.7,81.7,null,81.7]
[2800493,300,82607,null,"VITAMIN B12",52.71,36.9,0,50.07,25.91,null,49.02,50.07,null,null,0,null,null,null,26.32,25.83]
[2800494,301,84207,null,"VITAMIN B-6",131.99,92.39,125.39,125.39,null,null,null,125.39]
[2800495,300,82306,null,"VITAMIN D 25-HYDROXY",231.53,162.07,0,219.95,113.8,null,215.32,219.95,null,null,0,null,null,null,115.61,133.59]
[2800496,300,84446,null,"VITAMIN E, Alpha and Gamma",127.89,89.52]
[2800497,300,null,null,"VMA URINE 24 HR",0,0,67.38,77.53,67.38,null,77.53]
[2800498,300,85048,null,"WBC COUNT AUTO",24.36,17.05]
[2800499,300,86788,null,"WEST NILE VIRUS AB, IGM",99,69.3]
[2800500,300,86789,null,"WEST NILE VIRUS AB IGG",99,69.3]
[2800501,300,87798,null,"WEST NILE VIRUS PCR",708.2,495.74]
[2800502,300,null,null,"2 HR GLUCOSE TOLERANCE",0,0,67.38,77.53,67.38,null,77.53]
[2800503,300,null,null,"3 HR GLUCOSE TOLERANCE",0,0,67.38,77.53,67.38,null,77.53]
[2800504,300,null,null,"4 HR GLUCOSE TOLERANCE",0,0,67.38,77.53,67.38,null,77.53]
[2800505,300,null,null,"GLUCOSE FASTING",0,0,67.38,77.53,67.38,null,77.53]
[2800506,300,null,null,"GLUCOSE 0.5 HR",0,0,67.38,77.53,67.38,null,77.53]
[2800507,300,82951,null,"GLUCOSE 1 HR",106,74.2,70.290000000000006,70.290000000000006,70.290000000000006]
[2800508,300,null,null,"GLUCOSE 1 HR",0,0,67.38,77.53,67.38,null,77.53]
[2800509,300,82952,null,"GLUCOSE 1.5 HR",0,0,19.09,19.09,19.09]
[2800510,300,82951,null,"GLUCOSE 2 HR",0,0,70.290000000000006,70.290000000000006,70.290000000000006]
[2800511,300,82952,null,"GLUCOSE 2HR",0,0,19.09,19.09,19.09]
[2800512,300,82952,null,"GLUCOSE 3 HR",0,0,19.09,19.09,19.09]
[2800513,300,82952,null,"GLUCOSE 4 HR",0,0,19.09,19.09,19.09]
[2800514,300,80101,null,"AMPHETAMINE",23,16.100000000000001]
[2800515,300,80101,null,"BARBITURATE",23,16.100000000000001]
[2800516,300,80101,null,"BENZODIAZEPINE",23,16.100000000000001]
[2800517,300,80101,null,"COCAINE",23,16.100000000000001]
[2800518,300,80101,null,"METHAMPHETAMINE",23,16.100000000000001]
[2800519,300,80101,null,"METHADONE",23,16.100000000000001]
[2800520,300,80101,null,"OPIATES",23,16.100000000000001]
[2800521,300,80101,null,"PHENCYCLIDINE",23,16.100000000000001]
[2800522,300,80101,null,"PROPOXYPHENE",23,16.100000000000001]
[2800523,300,80101,null,"TRICYCLIC ANTIDEPRESSANTS",23,16.100000000000001]
[2800524,300,80101,null,"CANNABINOIDS",23,16.100000000000001]
[2800525,300,null,null,"PROTEIN / CREATININE RATIO, URINE",0,0,67.38,77.53,67.38,null,77.53]
[2800526,300,85007,null,"DIFFERENTIAL(WBC) MANUAL",38.85,27.2,9.34,18.05,9.34,null,null,18.05]
[2800527,300,85008,null,"BLOOD SMEAR EXAM NO DIFF",30.66,21.46,15.07,29.13,15.07,29.13,25.51,29.13]
[2800528,300,null,null,"CBC WITH DIFFERENTIAL",0,0,67.38,77.53,67.38,null,77.53]
[2800531,300,87040,null,"CULTURE BLOOD SET 2",122.75,85.93,52.29,116.61,52.29,116.61,114.16,116.61,116.61,null,null,null,116.61,null,null,113.54]
[2800532,300,null,null,"ISOENZYMES PANEL",0,0,67.38,77.53,67.38,null,77.53]
[2800533,300,null,null,"BARTONELLA  ANTIBODY PROFILE",0,0,67.38,77.53,67.38,null,77.53]
[2800534,300,null,null,"ANTI THYROID ANTIBODIES",0,0,67.38,77.53,67.38,null,77.53]
[2800535,300,null,null,"OVA AND PARASITE",0,0,67.38,77.53,67.38,null,77.53]
[2800536,300,null,null,"MMR IMMUNITY TITER",0,0,67.38,77.53,67.38,null,77.53]
[2800537,300,null,null,"GLIADIN DEAMIDATED PEPTIDE AB IGG & IGA",0,0,67.38,77.53,67.38,null,77.53]
[2800539,300,null,null,"KAPPA LAMBDA FREE LIGHT CHAINS",0,0,67.38,77.53,67.38,null,77.53]
[2800540,300,87798,null,"NOROVIRUS 2 AMPLIFIED PROBE",230,161]
[2800541,300,null,null,"NOROVIRUS 1 & 2 PCR",0,0,67.38,77.53,67.38,null,77.53]
[2800542,300,null,null,"PARVOVIRUS AB IGG & IGM",0,0,67.38,77.53,67.38,null,77.53]
[2800543,300,null,null,"PRIMIDONE",0,0,67.38,77.53,67.38,null,77.53]
[2800544,300,84153,null,"PSA TOTAL REF, REFLEX TO FREE",0,0,68.02,131.47,68.02,97.48,128.69999999999999,131.47,null,null,111.59,null,null,null,69.099999999999994]
[2800545,300,84153,null,"PSA TOTAL REF LAB",138.38999999999999,96.87,68.02,131.47,68.02,97.48,128.69999999999999,131.47,null,null,111.59,null,null,null,69.099999999999994]
[2800547,300,null,null,"RICKETTSIA ANITBODY IGG & IGM",0,0,67.38,77.53,67.38,null,77.53]
[2800548,300,null,null,"GIARDIA ANTIBODIES IGG IGA IGM",0,0,67.38,77.53,67.38,null,77.53]
[2800549,300,null,null,"GC AND CHLAMYDIA AMP PROBE",0,0,67.38,77.53,67.38,null,77.53]
[2800550,300,null,null,"MCUC",0,0,67.38,77.53,67.38,null,77.53]
[2800551,300,80306,null,"URINE TOX",303.87,212.71,118.45,288.68,118.45,null,282.60000000000002,288.68,288.68,null,null,null,288.68,null,null,281.08]
[2800553,300,null,null,"IMMUNOELECTROPHORESIS SERUM",0,0,67.38,77.53,67.38,null,77.53]
[2800554,300,null,null,"IMMUNOELECTROPHORESIS URINE",0,0,67.38,77.53,67.38,null,77.53]
[2800555,300,null,null,"IMPRAMINE & METABOLITE",0,0,67.38,77.53,67.38,null,77.53]
[2800556,300,null,null,"IRON & TIBC",0,0,67.38,77.53,67.38,null,77.53]
[2800557,300,null,null,"AFB CULTURE AND SMEAR",0,0,67.38,77.53,67.38,null,77.53]
[2800558,300,80335,null,"AMITRIPTYLINE AND METABOLITE",0,0]
[2800559,300,84080,null,"ALKALINE PHOSPHATASE, BONE SPECIFIC",88.52,61.96,19.47,19.47,null,null,null,null,null,null,null,null,null,null,19.47]
[2800561,300,null,null,"CHOLINESTERASE RBC AND PLASMA",0,0,67.38,77.53,67.38,null,77.53]
[2800562,300,null,null,"ANTI CARDIOLIPIN ANTIBODIES",0,0,67.38,77.53,67.38,null,77.53]
[2800563,300,null,null,"ANTI CARDIOLIPIN IGG AND IGM",0,0,67.38,77.53,67.38,null,77.53]
[2800564,300,86635,null,"COCCIDIOIDES AB, SERUM ID",94.5,66.150000000000006]
[2800565,300,null,null,"DILANTIN FREE AND TOTAL",0,0,67.38,77.53,67.38,null,77.53]
[2800566,300,null,null,"PEMPHIGUS PANEL",770,539,67.38,77.53,67.38,null,77.53]
[2800567,300,null,null,"EBV VCA IGG AND IGM",0,0,67.38,77.53,67.38,null,77.53]
[2800568,300,null,null,"IMMUNOPHENOTYPING MISC",0,0,67.38,77.53,67.38,null,77.53]
[2800569,300,86757,null,"ANTIBODY RICKETTSIA IGG",107.73,75.41]
[2800570,300,86611,null,"ANTIBODY BARTONELLA IGG",82.7,57.89]
[2800571,300,86635,null,"COCCIDIDES ANTIBODY IGG",69.510000000000005,48.66]
[2800572,300,86674,null,"GIARDIA ANTIBODY IGG",90.4,63.28]
[2800573,300,86674,null,"GIARDIA ANTIBODY IGM",90.4,63.28]
[2800574,300,82175,null,"ARSENIC",84.53,59.17,80.3,80.3,null,null,null,80.3]
[2800575,300,null,null,"HEAVY METALS 24 HR URINE QUANT",0,0,67.38,77.53,67.38,null,77.53]
[2800576,300,83516,null,"ANTI GLIADIN IGG",97.65,68.36,49.16,181.46,null,null,null,181.46,null,null,null,null,null,null,null,49.16]
[2800577,300,87497,null,"CMV PCR QUANTITATIVE",731.64,512.15]
[2800581,300,null,null,"COMPLEMENT C3 AND C4",0,0,67.38,77.53,67.38,null,77.53]
[2800582,300,86160,null,"COMPLEMENT C3",94.92,66.44]
[2800583,300,86160,null,"COMPLEMENT C4",94.92,66.44]
[2800584,300,87341,null,"HEPATITIS B SURFACE AG CONFIRM",84.53,59.17]
[2800585,300,83655,null,"LEAD URINE QUANT",74.13,51.89,36.43,68.94,36.43,null,68.94,51.84]
[2800586,300,87902,null,"HEPATITIS C GENOTYPE REFLEX",1007.5,705.25]
[2800587,300,82784,null,"GAMMAGLOBULIN IGG",67.73,47.41]
[2800588,300,82784,null,"GAMMAGLOBULIN IGM",67.73,47.41]
[2800591,300,84075,null,"REF LAB ALK PHOSPHATASE",41,28.7,20.47,50.07,null,null,null,50.07,null,null,null,null,null,null,20.47,48.76]
[2800592,300,82550,null,"CREATINE KINASE",68,47.6,45.26,92.09,45.26,null,85.64,87.49,87.49,null,92.09,null,87.49,null,null,78.510000000000005]
[2800593,300,86147,null,"CARDIOLIPIN ANTIBODY IGG",161.69999999999999,113.19]
[2800594,300,86147,null,"CARDIOLIPIN ANTIBODY IGM",161.69999999999999,113.19]
[2800595,300,80185,null,"DILANTIN TOTAL",84,58.8]
[2800596,300,86665,null,"EBV VCA IGM",51.45,36.020000000000003,48.88,48.88,null,null,null,48.88]
[2800597,300,87799,null,"EBV PCR QUANTITATIVE",587,410.9,314.04000000000002,314.04000000000002,null,null,314.04000000000002]
[2800598,300,null,null,"IMMUNOGLOBULIN PROFILE",0,0,67.38,77.53,67.38,null,77.53]
[2800600,300,null,null,"RSV SCREEN",0,0,67.38,77.53,67.38,null,77.53]
[2800601,300,null,null,"SJOGRENS AUTOANTIBODIES",0,0,67.38,77.53,67.38,null,77.53]
[2800602,300,null,null,"SMEAR BLOOD PARASITE",0,0,67.38,77.53,67.38,null,77.53]
[2800603,300,86235,null,"SSB ANTIBODY",202.02,141.41]
[2800604,300,84478,null,"VAP TRIGLYCERIDE",20,14]
[2800605,300,null,null,"VAP CHOLESTEROL TEST",0,0,67.38,77.53,67.38,null,77.53]
[2800606,300,87254,null,"VIRAL CULTURE SHELL VIAL",94.82,66.37,90.08,90.08,null,90.08]
[2800607,300,null,null,"WEST NILE VIRUS PANEL",0,0,67.38,77.53,67.38,null,77.53]
[2800608,300,86920,null,"CROSS MATCH PER UNIT #8",202.65,141.86000000000001,99.61,192.52,99.61,null,null,192.52]
[2800609,300,86920,null,"CROSS MATCH PER UNIT #7",202.65,141.86000000000001,99.61,192.52,99.61,null,null,192.52]
[2800610,300,86920,null,"CROSS MATCH PER UNIT #6",202.65,141.86000000000001,99.61,192.52,99.61,null,null,192.52]
[2800611,300,86920,null,"CROSS MATCH PER UNIT #5",202.65,141.86000000000001,99.61,192.52,99.61,null,null,192.52]
[2800612,300,86920,null,"CROSS MATCH PER UNIT #4",202.65,141.86000000000001,99.61,192.52,99.61,null,null,192.52]
[2800613,300,86920,null,"CROSS MATCH PER UNIT #3",202.65,141.86000000000001,99.61,192.52,99.61,null,null,192.52]
[2800614,300,86920,null,"CROSS MATCH PER UNIT #2",202.65,141.86000000000001,99.61,192.52,99.61,null,null,192.52]
[2800615,300,85027,null,"HEMOGRAM AUTOMATED",60.17,42.12,24.62,57.16,24.62,null,55.96,53.97,null,null,null,null,57.16]
[2800616,300,null,null,"CELIAC PANEL EXTENDED",0,0,67.38,77.53,67.38,null,77.53]
[2800617,300,null,null,"MRO FEE",23.21,16.25,67.38,77.53,67.38,null,77.53]
[2800618,300,80101,null,"OXYCODONE",31,21.7]
[2800619,300,null,null,"PATERNITY COLLECTION",34.76,24.33,67.38,77.53,67.38,null,77.53]
[2800620,300,null,null,"URINE DRUG COLLECTION NON DOT",34.76,24.33,67.38,77.53,67.38,null,77.53]
[2800621,300,null,null,"URINE DRUG COLLECTION DOT",40.53,28.37,67.38,77.53,67.38,null,77.53]
[2800622,300,null,null,"NON NIDA TEST FEE",45.26,31.68,67.38,77.53,67.38,null,77.53]
[2800623,300,null,null,"NIDA TEST FEE",38.85,27.2,67.38,77.53,67.38,null,77.53]
[2800624,300,null,null,"PAIN MANAGEMENT 2",0,0,67.38,77.53,67.38,null,77.53]
[2800625,300,87205,null,"GRAM STAIN CHARGE",43.47,30.43,16.72,40.43,16.72,null,40.43,38.299999999999997]
[2800626,300,82150,null,"AMYLASE REF LAB",60,42,44.13,85.29,44.13,null,null,85.29]
[2800627,300,null,null,"AMYLASE ISOENYZMES",0,0,67.38,77.53,67.38,null,77.53]
[2800628,300,80201,null,"TOPIRAMATE",182.91,128.04,173.76,173.76,null,null,null,173.76]
[2800629,300,83704,null,"LIPOPROFILE",194.46,136.12]
[2800630,301,80339,null,"CLOBAZAM",286.02,200.21]
[2800631,300,83021,null,"HEMOGLOBIN S, QUANTITATIVE",239.9,167.93,130.01,130.01,130.01]
[2800632,300,83918,null,"ORGANIC ACIDS, URINE",476.39,333.47]
[2800633,300,82139,null,"AMINO ACIDS, QUANTITATIVE",241.5,169.05]
[2800634,300,80157,null,"CARBAMAZEPINE FREE",102.48,71.739999999999995]
[2800635,300,87280,null,"RSV BY IF",30,21]
[2800636,300,null,null,"CARBAMAZEPINE, FREE AND TOTAL",0,0,67.38,77.53,67.38,null,77.53]
[2800637,300,84378,null,"GLYCOMARK",335.69,234.98]
[2800638,300,null,null,"HEPATITIS PANEL, CHRONIC",0,0,67.38,77.53,67.38,null,77.53]
[2800639,300,84105,null,"PHOSPHORUS, URINE 24 HOUR",35.909999999999997,25.14]
[2800640,300,86160,null,"C1 ESTERASE INHIBITOR",103.64,72.55]
[2800641,300,84300,null,"URINE SODIUM, 24 HOUR",34.76,24.33]
[2800642,300,84156,null,"URINE PROTEIN, 24 HOUR",78.23,54.76,38.46,74.319999999999993,38.46,null,72.75,74.319999999999993]
[2800643,300,82570,null,"URINE CREATININE, 24 HOUR",47.57,33.299999999999997,20.46,45.19,20.46,21.82,44.24,43.68,45.19,null,null,null,null,null,23.75,35.72]
[2800644,300,84133,null,"URINE POTASSIUM, 24 HOUR",34.76,24.33]
[2800645,300,82436,null,"URINE CHLORIDE, 24 HOUR",34.76,24.33]
[2800646,300,84590,null,"VITAMIN A",99.54,69.680000000000007,94.56,94.56,null,null,null,94.56]
[2800647,300,82627,null,"DHEA-SO4",156.35,109.45,148.53,148.53,null,null,null,148.53]
[2800648,300,82677,null,"ESTRIOL, UNCONJUGATED",64.260000000000005,44.98]
[2800649,300,82679,null,"ESTRONE",76.97,53.88,73.12,73.12,null,null,null,73.12]
[2800650,300,88304,null,"SURGICAL PATH, GROSS & MICRO LEVEL III",102.48,71.739999999999995,50.37,50.37,50.37]
[2800651,300,88305,null,"SURGICAL PATH, GROSS & MICRO LEVEL IV",75,52.5,36.86,69.38,36.86,null,null,null,null,null,null,null,null,null,37.450000000000003,69.38]
[2800652,300,null,null,"MICROSPORIDIA STAIN BY TRICHROME",0,0,67.38,77.53,67.38,null,77.53]
[2800653,300,87206,null,"FLUORESCENT OR ACID FAST STAIN",70.67,49.47]
[2800654,300,null,null,"FLUORESCENT PARASITE SMEAR",0,0,67.38,77.53,67.38,null,77.53]
[2800655,300,81350,null,"UDP GLUCURONOSYL TRANS 1A1 GENOTYPING",1247.4000000000001,873.18]
[2800656,300,80323,null,"COTININE SCREEN WITH CONFIRMATION",34.76,24.33]
[2800657,300,null,null,"KAPPA LAMBDA FREE LIGHT CHAINS",0,0,67.38,77.53,67.38,null,77.53]
[2800658,300,84157,null,"FLUID AMYLASE",89.78,62.85]
[2800659,300,83615,null,"LDH, FLUID",47.57,33.299999999999997,45.19,45.19,null,null,null,45.19]
[2800660,300,84445,null,"THYROID STIMULATING IMMUNOGLOBULINS",288.33,201.83]
[2800661,300,null,null,"CELIAC PANEL BASIC",0,0,67.38,77.53,67.38,null,77.53]
[2800662,300,83516,null,"TISSUE TRANSGLUTAMINASE AB IGG",119.28,83.5,49.16,181.46,null,null,null,181.46,null,null,null,null,null,null,null,49.16]
[2800663,300,85730,null,"REF LAB PTT",56,39.200000000000003,35.299999999999997,71.819999999999993,35.299999999999997,null,66.790000000000006,68.23,68.23,null,71.819999999999993,null,68.23]
[2800664,300,85610,null,"REF LAB PT",46,32.200000000000003,29.05,59.12,29.05,null,54.98,56.16,56.16,null,59.12,null,56.16]
[2800665,300,85732,null,"LUPUS ANTICOAGULANT SCREEN",583.54,408.48]
[2800666,300,80348,null,"BUPRENORPHINE CONFIRMATION GCMS",80.3,56.21,32.33,32.33,null,null,32.33]
[2800667,300,83498,null,"17 HYDROXYPROGESTERONE",80.540000000000006,56.38,76.510000000000005,76.510000000000005,null,null,null,76.510000000000005]
[2800668,300,null,null,"REF LAB THYROID PROFILE",0,0,67.38,77.53,67.38,null,77.53]
[2800669,300,81220,null,"CYSTIC FIBROSIS CARRIER SCREEN",600,420]
[2800670,300,null,null,"ADDITIONAL CHARGES CFC 1",0,0,67.38,77.53,67.38,null,77.53]
[2800671,300,null,null,"ADDITIONAL CHARGES CFC 2",0,0,67.38,77.53,67.38,null,77.53]
[2800672,300,null,null,"REFERENCE LAB TEST",0,0,67.38,77.53,67.38,null,77.53]
[2800673,300,null,null,"REF TEST TO UW",0,0,67.38,77.53,67.38,null,77.53]
[2800674,300,null,null,"REF TEST TO NMS",0,0,67.38,77.53,67.38,null,77.53]
[2800675,300,87496,null,"CMV PCR QUALITATIVE",469.98,328.99]
[2800676,300,null,null,"H PYLORI AB IGG AND IGA",0,0,67.38,77.53,67.38,null,77.53]
[2800677,300,null,null,"HERPES SIMPLEX I AND II ANTIBODY IGG",0,0,67.38,77.53,67.38,null,77.53]
[2800678,300,83925,null,"CONFIRM OPIATE 6 DRUGS",76.5,53.55]
[2800679,300,80102,null,"OPIATE CONFIRMATION BY GCMS",76.5,53.55]
[2800680,300,null,null,"VARICELLA ZOSTER AB IGG AND IGM",0,0,67.38,77.53,67.38,null,77.53]
[2800681,300,80203,null,"ZONISAMIDE",218.82,153.16999999999999]
[2800682,300,null,null,"HEPATITIS A, B, C",0,0,67.38,77.53,67.38,null,77.53]
[2800683,300,86256,null,"*FLUORESCENT ANTIBODY TITER",67.73,47.41]
[2800684,300,null,null,"INFLAMMATORY BOWEL DISEASE PANEL",0,0,67.38,77.53,67.38,null,77.53]
[2800685,300,82274,null,"FECAL IMMUNOCHEMICAL TEST",94.92,66.44,90.17,90.17,null,null,null,90.17]
[2800686,300,80345,null,"BARBITURATES CONFIRMATION BY GCMS",88.52,61.96]
[2800687,300,80353,null,"COCAINE CONFIRMATION BY GCMS",88.52,61.96]
[2800688,300,86756,null,"RSV ANTIBODY",67.73,47.41]
[2800689,300,null,null,"RSV ANTIBODY IGG AND IGM",0,0,67.38,77.53,67.38,null,77.53]
[2800690,300,86255,null,"ANTI MYOCARDIAL ANTIBODY IGG",339.78,237.85]
[2800691,300,83516,null,"PROTEINASE 3 ANTIBODY",119.28,83.5,49.16,181.46,null,null,null,181.46,null,null,null,null,null,null,null,49.16]
[2800692,300,83516,null,"MYELOPEROXIDASE AB",119.28,83.5,49.16,181.46,null,null,null,181.46,null,null,null,null,null,null,null,49.16]
[2800693,300,null,null,"ANCA WITH ANA",0,0,67.38,77.53,67.38,null,77.53]
[2800694,300,null,null,"ANCA PANEL NO ANA",0,0,67.38,77.53,67.38,null,77.53]
[2800695,300,86615,null,"BORDETELLA PERTUSSIS ANTIBODIES, IGA",123.9,86.73]
[2800696,300,86615,null,"PERTUSSIS ANTIBODY IGM",136.61000000000001,95.63]
[2800697,300,null,null,"BORDETELLA PERTUSSIS AB, IGA, IGG, IGM",0,0,67.38,77.53,67.38,null,77.53]
[2800698,300,86622,null,"BRUCELLA ANTIBODY IGM",188.06,131.63999999999999]
[2800699,300,86622,null,"BRUCELLA ANTIBODY IGG",170.6,119.42]
[2800700,300,null,null,"BRUCELLA ANTIBODIES IGG AND IGM",0,0,67.38,77.53,67.38,null,77.53]
[2800701,300,82310,null,"CALCIUM URINE RANDOM",44.1,30.87,23.9,46.19,23.9,null,null,46.19]
[2800702,300,82533,null,"CORTISOL, PM",109.7,76.790000000000006,106.55,109.43,null,null,null,109.43,null,null,null,null,null,null,null,106.55]
[2800703,300,null,null,"CORTISOL PAIRED SPECIMENS",0,0,67.38,77.53,67.38,null,77.53]
[2800704,300,83789,null,"CORTISONE FREE, URINE",438,306.60000000000002,243.39,243.39,null,null,null,243.39]
[2800705,300,null,null,"CORTISOL CORTISONE FREE",0,0,67.38,77.53,67.38,null,77.53]
[2800706,300,80361,null,"OPIATE CONFIRMATION BY MS",120.44,84.31]
[2800707,300,null,null,"OPIATE COMPLIANCE PANEL 7",0,0,67.38,77.53,67.38,null,77.53]
[2800708,300,82308,null,"CALCITONIN",138.38999999999999,96.87]
[2800709,300,83735,null,"FECAL MAGNESIUM",52.71,36.9,25.91,50.07,25.91,null,49.02,50.07,50.07,null,null,null,null,null,26.32,31.56]
[2800710,300,84999,null,"POTASSIUM, STOOL",73,51.1]
[2800711,300,84999,null,"FECAL OSMOLALITY",76.7,53.69]
[2800712,300,87350,null,"HEPATITIS BE AG",53.6,37.520000000000003]
[2800713,300,87522,null,"HEP C PCR, HIGHLY SENSITIVE RFX GENOTYPE",509.36,356.55,317.95,317.95,null,null,null,317.95]
[2800714,300,87522,null,"HEPATITIS C RNA BY BDNA",418.95,293.27,317.95,317.95,null,null,null,317.95]
[2800715,300,87522,null,"HEPTIMAX",509.36,356.55,317.95,317.95,null,null,null,317.95]
[2800716,300,80102,null,"ALTERNATE OPIATE CONFIRMATION",88.52,61.96]
[2800717,300,80358,null,"METHADONE CONFIRMATION BY GCMS",88.52,61.96]
[2800718,301,82656,null,"PANCREATIC ELASTASE, FECAL",696.89,487.82,341.48,662.05,null,null,null,662.05,null,null,null,null,null,null,null,341.48]
[2800719,300,86336,null,"INHIBIN A",53.76,37.630000000000003]
[2800720,300,80360,null,"METHYLPHENIDATE, URINE",329.28,230.5]
[2800721,300,null,null,"REF TEST TO QUEST",0,0,67.38,77.53,67.38,null,77.53]
[2800722,300,null,null,"FECAL ELECTROLYTES AND OSM",0,0,67.38,77.53,67.38,null,77.53]
[2800723,300,null,null,"ALLERGEN FOOD PANEL IGG4",0,0,67.38,77.53,67.38,null,77.53]
[2800724,300,null,null,"*ADDL CHARGE ALLERGEN (86003X5)",0,0,67.38,77.53,67.38,null,77.53]
[2800725,300,null,null,"SPEP REFLEX TO IFE, FREE LIGHT CHAINS",0,0,67.38,77.53,67.38,null,77.53]
[2800726,300,86694,null,"HSV I AND II IGM AND IGG",340.6,238.42,315.06,323.57,null,null,null,323.57,null,null,null,null,null,null,null,315.06]
[2800727,300,null,null,"IMMUNOFIXATION SERUM",0,0,67.38,77.53,67.38,null,77.53]
[2800728,300,null,null,"IMMUNOFIXATION BLOOD URINE",0,0,67.38,77.53,67.38,null,77.53]
[2800729,300,null,null,"IMMUNOFIXATION URINE RANDOM",0,0,67.38,77.53,67.38,null,77.53]
[2800730,300,84305,null,"INSULIN LIKE GROWTH FACTOR 1",133.13999999999999,93.2]
[2800731,300,null,null,"IMMUNOPHENOTYPE SCREEN",0,0,67.38,77.53,67.38,null,77.53]
[2800732,300,null,null,"*ADDL CHG IMMUNOPHENOTYPE",0,0,67.38,77.53,67.38,null,77.53]
[2800733,300,null,null,"ADDL CHG PED FOOD 21",0,0,67.38,77.53,67.38,null,77.53]
[2800734,300,null,null,"ALLERGEN PED FOOD PANEL 21",0,0,67.38,77.53,67.38,null,77.53]
[2800735,300,null,null,"ALLERGEN NW 17",0,0,67.38,77.53,67.38,null,77.53]
[2800736,300,null,null,"PRENATAL RISK QUAD SCREEN",0,0,67.38,77.53,67.38,null,77.53]
[2800737,300,null,null,"COXIELLA BURNETII AB IGG I AND II",0,0,67.38,77.53,67.38,null,77.53]
[2800739,300,84376,null,"STOOL REDUCING SUBSTANCES",65,45.5,61.75,61.75,null,null,null,61.75]
[2800740,300,83986,null,"PH STOOL",27.8,19.46,26.41,26.41,null,null,null,26.41]
[2800741,300,86800,null,"THYROGLOBULIN TO USC",331.3,231.91,76.510000000000005,76.510000000000005,null,null,null,76.510000000000005]
[2800742,300,null,null,"ANTI NEURONAL ANTIBODIES",0,0,67.38,77.53,67.38,null,77.53]
[2800743,300,86694,null,"HSV IGM",32.6,22.82,315.06,323.57,null,null,null,323.57,null,null,null,null,null,null,null,315.06]
[2800744,300,83915,null,"5 NUCLEOTIDASE",108.2,75.739999999999995]
[2800745,300,86790,null,"HEPATITIS E IGM",241,168.7]
[2800746,300,86790,null,"HTLV ANTIBODIES 1/2",241,168.7]
[2800747,300,null,null,"CULTURE FUNGUS OTHER SOURCE",0,0,67.38,77.53,67.38,null,77.53]
[2800748,300,86001,null,"ALLERGEN IGG EA",22,15.4]
[2800749,300,null,null,"ADDL CHG FOOD PANEL 1",0,0,67.38,77.53,67.38,null,77.53]
[2800750,300,86063,null,"STREPTOZYME",84.53,59.17]
[2800751,300,null,null,"KIDNEY STONE RISK PANEL",0,0,67.38,77.53,67.38,null,77.53]
[2800752,300,84182,null,"RECOVERIN AUTOANTIBODY",925.58,647.91]
[2800753,300,80299,null,"METHOTREXATE",198.5,138.94999999999999]
[2800754,300,88307,null,"SURGICAL PATH, GROSS & MICRO LEVEL V",264.5,185.15]
[2800755,300,86003,null,"ALLERGEN YEAST IGE",32.03,22.42,14.27,30.32,14.27,null,null,30.32]
[2800756,300,86003,null,"ALLERGEN CANDIDA IGE",27.8,19.46,14.27,30.32,14.27,null,null,30.32]
[2800757,300,86001,null,"ALLERGEN EGG IGG",27.8,19.46]
[2800758,300,86001,null,"ALLERGEN CASEIN IGG",27.8,19.46]
[2800759,300,86001,null,"ALLERGEN COWS MILK IGG",27.8,19.46]
[2800760,300,86001,null,"ALLERGEN GLUTEN IGG",27.8,19.46]
[2800761,300,84140,null,"PREGNENOLONE",190.37,133.26]
[2800762,300,83883,null,"RETINOL BINDING PROTEIN",109.2,76.44]
[2800763,300,85520,null,"LOW MOLECULAR WEIGHT HEPARIN",206.3,144.41]
[2800764,300,86255,null,"STRIATED MUSCLE AB IGG",339.78,237.85]
[2800765,300,83519,null,"ACETYLCHOLINE RECEPTOR BLOCKING AB",208.43,145.9]
[2800766,300,84702,null,"BILL ONLY BETA HCG",56.81,39.770000000000003,52.55,53.97,null,null,52.83,53.97,null,null,null,null,null,null,null,52.55]
[2800767,300,81256,null,"HEMOCHROMATOSIS HEREDITARY",245.39,171.77]
[2800768,300,87252,null,"VIRAL CULTURE",0,0,81.7,81.7,null,81.7]
[2800769,300,80170,null,"BILL ONLY GENTAMICIN PK",76.97,53.88]
[2800770,300,80170,null,"BILL ONLY GENTAMICIN TR",76.97,53.88]
[2800771,300,82140,null,"BILL ONLY AMMONIA",114.03,79.819999999999993,56.05,108.33,56.05,null,null,108.33]
[2800772,300,86682,null,"ECHINOCOCCUS AB IGG",179.6,125.72]
[2800773,300,86753,null,"ENTAMOEBA AB IGG",91.9,64.33]
[2800774,301,80346,null,"CLONAZEPAM (METABOLITE), URINE",286.02,200.21]
[2800775,300,87255,null,"HERPES SIMPLEX CULTURE",65.63,45.94]
[2800776,300,null,null,"SJOGRENS AUTOANTIBODIES",0,0,67.38,77.53,67.38,null,77.53]
[2800777,300,82530,null,"CORTISOL FREE SERUM",422.63,295.83999999999997,91.37,91.37,null,null,null,91.37]
[2800778,300,null,null,"IMMUNOFIXATION URINE 24 HR",0,0,67.38,77.53,67.38,null,77.53]
[2800779,300,82530,null,"CORTISOL SALIVA",129.68,90.78,91.37,91.37,null,null,null,91.37]
[2800780,300,null,null,"URINE DRUG COLLECTION OBSERVED",42,29.4,67.38,77.53,67.38,null,77.53]
[2800781,300,82009,null,"BILL ONLY KETONES",38.85,27.2]
[2800782,300,82247,null,"FLUID BILIRUBIN",48.62,34.03]
[2800783,300,82042,null,"FLUID ALBUMIN",51.45,36.020000000000003]
[2800784,300,82945,null,"FLUID GLUCOSE",38.85,27.2]
[2800785,300,84478,null,"FLUID TRIGLYCERIDE",30.66,21.46]
[2800786,300,81241,null,"FACTOR V LEIDEN MUTATION",269.75,188.83]
[2800787,300,86635,null,"COCCIDIOIDES AB (IMMUNODIFFUSION)",63,44.1]
[2800788,300,82610,null,"CYSTATIN C",188.06,131.63999999999999]
[2800789,300,86780,null,"FLUORESCENT TREPONEMAL AB",93.14,65.2]
[2800790,300,85025,null,"REF LAB CBC",52,36.4,29.57,57.16,29.57,37.44,54.85,57.16,57.16,null,45.13,57.16,57.16,null,29.88,44.02]
[2800791,300,86900,null,"CHG ABO TYPE",75,52.5,45.52,81.290000000000006,45.52,null,null,81.290000000000006]
[2800792,300,86901,null,"CHG RH TYPE",71,49.7,45.52,79.77,45.52,null,null,79.77]
[2800793,300,86850,null,"REF LAB ANTIBODY SCREEN",80,56]
[2800794,300,null,null,"OB PANEL WITH CBC",0,0,67.38,77.53,67.38,null,77.53]
[2800795,300,null,null,"OB PANEL NO CBC",0,0,67.38,77.53,67.38,null,77.53]
[2800796,300,87046,null,"*CULTURE STOOL ADDL PATHOGEN, EA PLATE",26.25,18.38,12.86,24.41,12.9,null,24.41,null,null,null,null,null,null,null,null,12.86]
[2800797,300,87427,null,"*SHIGA LIKE TOXIN",26.25,18.38,12.86,24.41,12.9,null,24.41,null,null,null,null,null,null,null,null,12.86]
[2800798,300,null,null,"CULTURE STOOL WITH YERSINIA",0,0,67.38,77.53,67.38,null,77.53]
[2800799,300,87045,null,"*CULTURE STOOL  SALMONELLA SHIGELLA",60,42,29.4,55.8,29.49,null,55.8,null,null,null,null,null,null,null,null,29.4]
[2800800,300,88342,null,"IMMUNOHISTOCHEMISTRY EA AB",254.73,178.31]
[2800801,300,null,null,"IMMUNOGLOBULINS, A, G, M",0,0,67.38,77.53,67.38,null,77.53]
[2800802,300,81240,null,"PROTHROMBIN 20210 MUTATION",245.39,171.77]
[2800803,300,85307,null,"PROTEIN C RESISTANCE",103.64,72.55]
[2800804,300,85301,null,"ANTITHROMBIN III AG",104.79,73.349999999999994]
[2800805,300,85240,null,"FACTOR VIII ACTIVITY",169.05,118.34]
[2800806,300,null,null,"HYPERCOAGULATION CONSULT EXT PNL",0,0,67.38,77.53,67.38,null,77.53]
[2800807,300,86612,null,"ANTIBODY BLASTOMYCES BY CF",66.5,46.55]
[2800808,300,86635,null,"COCCIDIOIDES AB BY CF",56.7,39.69]
[2800809,300,86698,null,"ANTIBODY HISTOPLASMA BY CF",42,29.4]
[2800810,300,86606,null,"*ANTIBODY ASPERGILLUS",93.93,65.75]
[2800811,300,null,null,"FUNGAL ANTIBODIES QUANTITATIVE",85.05,59.54,67.38,77.53,67.38,null,77.53]
[2800812,301,83945,null,"OXALATE URINE RANDOM",110.3,77.209999999999994]
[2800813,300,82672,null,"ESTROGEN, TOTAL",154.35,108.05]
[2800814,300,80101,null,"REF SINGLE CLASS DRUG",23,16.100000000000001]
[2800815,300,80100,null,"QUAL DRUG CHROMATOGRAPHIC, EA",35,24.5]
[2800816,300,null,null,"MECONIUM 12 DRUG SCR PLUS ALCOHOL",0,0,67.38,77.53,67.38,null,77.53]
[2800817,300,null,null,"ADDL CHG MECONIUM 12 DRUG SCR PLUS",0,0,67.38,77.53,67.38,null,77.53]
[2800818,300,null,null,"MYOSITIS ASSESSOR JO1 AUTOANTIBODIES",0,0,67.38,77.53,67.38,null,77.53]
[2800819,300,83516,null,"IA MULTI STEP NON INF AGENT QUAL OR SEMI",50,35,49.16,181.46,null,null,null,181.46,null,null,null,null,null,null,null,49.16]
[2800820,300,85220,null,"FACTOR V",197.4,138.18]
[2800821,300,82670,null,"ESTRADIOL, MALES, CHILD, POST MENOPAUSAL",181.86,127.3,62.35,168.22,62.35,null,null,120.5,null,null,null,null,null,null,null,168.22]
[2800822,300,null,null,"REFLEX CHG ANA",0,0,67.38,77.53,67.38,null,77.53]
[2800823,300,81291,null,"MTHFR C677T AND A1298C",342.09,239.46]
[2800824,300,83835,null,"METANEPHRINES, PLASMA FREE",353.64,247.55,103.31,220.75,null,null,103.31,220.75]
[2800825,300,82533,null,"CORTISOL, RANDOM",115.19,80.63,106.55,109.43,null,null,null,109.43,null,null,null,null,null,null,null,106.55]
[2800826,300,null,null,"CARDIOLIPIN ANTIBODY (IGG, IGM)",0,0,67.38,77.53,67.38,null,77.53]
[2800827,300,null,null,"CARDIOLIPIN ANTIBODY, IGA, IGG AND IGM",0,0,67.38,77.53,67.38,null,77.53]
[2800828,300,85306,null,"PROTEIN S ACTIVITY",100.8,70.56]
[2800829,300,85302,null,"PROTEIN C ANTIGEN",142.80000000000001,99.96]
[2800830,300,86146,null,"BETA-2 GLYCOPROTEIN 1, IGG",171,119.7]
[2800831,300,86146,null,"BETA-2 GLYCOPROTEIN 1, IGM",171,119.7]
[2800832,300,null,null,"BETA-2 GLYCOPROTEIN 1  (IGG IGM)",0,0,67.38,77.53,67.38,null,77.53]
[2800833,300,80061,null,"REF LAB LIPID",77,53.9,0,93.57,48.41,58.18,91.6,93.57,93.57,null,0,null,null,null,48.82,71.819999999999993]
[2800834,300,null,null,"NMR LIPOPROFILE TEST",0,0,67.38,77.53,67.38,null,77.53]
[2800835,300,86038,null,"ANA BY IFA",56.81,39.770000000000003,41.55,80.3,41.55,null,78.61,80.3]
[2800836,300,83586,null,"17-KETOSTEROIDS, 24 HR URINE",125.5,87.85]
[2800837,300,null,null,"CMV ANTIBODY, IGG AND IGM",0,0,67.38,77.53,67.38,null,77.53]
[2800838,300,null,null,"CK ISOENZYMES",0,0,67.38,77.53,67.38,null,77.53]
[2800839,300,84403,null,"TESTOSTERONE, TOTAL FEMALE AND CHILD",88.52,61.96,81.88,84.09,null,null,null,84.09,null,null,null,null,null,null,null,81.88]
[2800840,300,null,null,"TESTOSTERONE FREE AND TOTAL BY MS",0,0,67.38,77.53,67.38,null,77.53]
[2800841,300,84432,null,"REFLEX CHG THYROGLOBULIN",83.37,58.36,79.2,79.2,null,null,null,79.2]
[2800842,300,83695,null,"LIPOPROTEIN A",64.099999999999994,44.87]
[2800843,300,86682,null,"TOXOCARA AB IGG",179.6,125.72]
[2800844,300,84166,null,"URINE PROTEIN ELECTROPHORESIS RANDOM",76.97,53.88]
[2800845,300,88112,null,"CYTOPATH CELL ENHANCE AND INTERP",74.13,51.89]
[2800846,300,87493,null,"BILL ONLY CDIF GHCH",88.52,61.96]
[2800847,300,81210,null,"*BRAF, GENE ANALYSIS",231.53,162.07]
[2800848,300,88381,null,"MICRODISSECTION, MANUAL",164.96,115.47]
[2800849,300,83018,null,"COBALT, BLOOD",111.3,77.91]
[2800850,300,82495,null,"CHROMIUM, WHOLE BLOOD",163.30000000000001,114.31]
[2800851,300,83519,null,"ACETYLCHOLINE RECEPT MODULATING AB",208.43,145.9]
[2800852,300,null,null,"MYASTHENIA GRAVIS ANTIBODY PROFILE",0,0,67.38,77.53,67.38,null,77.53]
[2800853,300,83516,null,"VOLTAGE GATED CALCIUM CHANNEL AB",1030.5999999999999,721.42,49.16,181.46,null,null,null,181.46,null,null,null,null,null,null,null,49.16]
[2800854,300,84702,null,"HCG TUMOR MARKER",56.81,39.770000000000003,52.55,53.97,null,null,52.83,53.97,null,null,null,null,null,null,null,52.55]
[2800855,300,88312,null,"PATH SPECIAL STN, INTERP AND REPORT",109.41,76.59]
[2800856,300,86765,null,"RUBEOLA ANTIBODY, IGM",78.23,54.76,13.95,59.05,null,null,13.95,59.05]
[2800857,300,82533,null,"DEXAMETHASONE SUPPRESSSION (RANDOM)",115.19,80.63,106.55,109.43,null,null,null,109.43,null,null,null,null,null,null,null,106.55]
[2800858,300,87480,null,"CANDIDA, DIRECT PROBE",45.26,31.68]
[2800859,300,87510,null,"GVAG, DIRECT PROBE",45.26,31.68]
[2800860,300,87661,null,"*TRICHOMONAS, AMPLIFIED PROBE",45.26,31.68,22.25,43,22.25,null,null,43,null,null,null,null,null,null,22.6]
[2800861,300,87205,null,"SMEAR, PRIMARY SOURCE",34,23.8,16.72,40.43,16.72,null,40.43,38.299999999999997]
[2800862,300,87070,null,"CULTURE GENITAL",69,48.3,27.29,84.09,41,84.09,82.32,78.599999999999994,84.09,null,null,null,null,null,44.2,27.29]
[2800863,300,null,null,"CULTURE GENITAL (REFLEX)",0,0,67.38,77.53,67.38,null,77.53]
[2800864,300,83520,null,"NEUROMYELITIS OPTICA, IgG AUTOANTIBODIES",1279.74,895.82]
[2800865,300,86880,null,"CHG DAT",202.65,141.86000000000001,192.52,192.52,null,null,null,192.52]
[2800866,300,86834,null,"HLA I AB, SEMI QUANT PANEL",600,420]
[2800867,300,86835,null,"HLA II AB, SEMI QUANT PANEL",600,420]
[2800868,300,null,null,"DONOR SPECIFIC AB TO BLOODWORKS NW",0,0,67.38,77.53,67.38,null,77.53]
[2800869,300,84156,null,"CHG REF UP",78.23,54.76,38.46,74.319999999999993,38.46,null,72.75,74.319999999999993]
[2800870,300,null,null,"FREE LIGHT CHAINS QUALITATIVE 24 H URINE",0,0,67.38,77.53,67.38,null,77.53]
[2800871,300,80323,null,"NICOTINE AND METABOLITES QUANT, URINE",191.63,134.13999999999999]
[2800872,300,88360,null,"MORPHOMETRIC ANALYSIS, TUMOR",112.35,78.650000000000006]
[2800873,300,83925,null,"PAIN MANAGEMENT OPIATES",32,22.4]
[2800874,300,88361,null,"MORPHOMETRIC ANALYSIS, TUMOR COMP ASST",254.73,178.31]
[2800875,300,82784,null,"IMMUNOGLOBULIN D",118.65,83.06]
[2800876,300,82785,null,"IMMUNOGLOBULIN E",34.229999999999997,23.96]
[2800877,300,83605,null,"LACTIC ACID",55.02,38.51,27.04,52.27,27.04,52.27,51.17,52.27,52.27,null,null,null,52.27,null,27.47,50.89]
[2800878,301,83605,null,"CSF LACTATE",55.02,38.51]
[2800879,300,87798,null,"PERTUSSIS AMP PROB",130,91]
[2800880,300,87798,null,"PARAPERTUSSIS AMP PROB",130,91]
[2800881,300,82172,null,"APOLIPOPROTEIN A-1",155.19,108.63]
[2800882,300,82172,null,"APOLIPOPROTEIN B",122.12,85.48]
[2800883,300,null,null,"C DIFFICILE TOXIN",0,0,67.38,77.53,67.38,null,77.53]
[2800884,300,87449,null,"INF AGENT EIA MULTISTEP QUAL",46,32.200000000000003,22.61,43.7,22.61,null,42.78,43.7]
[2800885,300,87324,null,"INF AG EIA QUAL CDIF",46,32.200000000000003,22.61,43.7,22.61,null,42.78,43.7]
[2800886,300,82180,null,"VITAMIN C",136,95.2]
[2800887,300,82270,null,"OCCULT BLD CANCER SCR 3 SPECIMEN",38.85,27.2]
[2800888,300,80373,null,"TRAMADOL (GCMS)",52.19,36.53]
[2800889,300,84182,null,"HEAT SHOCK PROTEIN 700 IGG",704,492.8]
[2800890,300,88367,null,"MORPHOMETRIC ANAL, IN SITU HYBRID EA.",298.10000000000002,208.67]
[2800891,300,85045,null,"RETICULOCTYE AUTOMATED",48.62,34.03,23.9,46.19,23.9,null,null,null,null,null,null,null,46.19]
[2800892,300,null,null,"CBC AND RETIC COUNT",0,0,67.38,77.53,67.38,null,77.53]
[2800893,300,88108,null,"CYTOPATH, CONC,SMEAR,INTERPRETATION",86.21,60.35]
[2800894,300,81002,null,"PFH UA WITHOUT MICRO",43.47,30.43]
[2800895,300,82272,null,"PFH HEMOCCULT (1-3) NON SCREENING",38.85,27.2,19.09,36.130000000000003,19.09,null,36.130000000000003]
[2800896,300,36415,null,"PFH VENIPUNCTURE",38,26.6,13.91,31.35,14.74,25.55,27.4,28.5,31.35,13.91,30,null,28.5,null,14.98,20]
[2800897,300,84703,null,"PFH URINE PREGNANCY TEST",60.17,42.12,27.9,57.16,29.57,null,55.96,57.16,57.16,27.9,null,null,null,null,null,55.66]
[2800898,300,87880,null,"PFH RAPID STREP TEST",47.57,33.299999999999997,23.38,149.69,23.38,null,44.24,45.19,45.19,null,null,null,null,null,null,149.69]
[2800899,300,85013,null,"PFH HEMATOCRIT",38.85,27.2]
[2800900,300,82962,null,"PFH GLUCOSE FINGERSTICK",34.76,24.33]
[2800901,300,82570,null,"REF LAB CREATININE OTHER",47.52,33.26,20.46,45.19,20.46,21.82,44.24,43.68,45.19,null,null,null,null,null,23.75,35.72]
[2800902,300,84110,null,"REF LAB PORPHOBILINOGEN QNT",56.12,39.28]
[2800903,300,82270,null,"PFH HEMOCCULT (3) SCREENING",38.85,27.2]
[2800904,300,81000,null,"PFH UA WITH MICROSCOPIC",49,34.299999999999997,0,0,null,null,null,null,null,null,null,null,null,null,null,0]
[2800905,300,82787,null,"IMMUNOGLOBULIN SUBCLASSES EA",28.5,19.95]
[2800906,300,null,null,"IMMUNOGLOBULIN G SUBCLASSES",0,0,67.38,77.53,67.38,null,77.53]
[2800907,300,83993,null,"CALPROTECTIN, FECAL",727.55,509.29,691.17,691.17,null,null,null,691.17]
[2800908,300,80354,null,"FENTANYL/NORFENANYL LCMSMS",49.88,34.92]
[2800909,300,88313,null,"SPECIAL STAIN GROUP II",97.76,68.430000000000007]
[2800910,300,88311,null,"DECALCIFICATION PROCEDURE",56.18,39.33]
[2800911,300,87081,null,"STREP GROUP B, NAA, REFLEX",125.06,87.54,21.37,41.3,21.37,null,null,41.3,null,null,null,null,null,null,null,40.21]
[2800912,300,86215,null,"STREPTOCOCCAL DNASE B AB",33.9,23.73]
[2800913,300,80356,null,"*CHG HEROIN METABOLITE",10,7]
[2800914,300,80365,null,"*CHG OXYCODONE",155.35,108.75]
[2800915,300,80361,null,"*CHG OPIATE 1 OR MORE",114.7,80.290000000000006]
[2800916,300,88341,null,"IMMUNOHISTOCHEM EA ADD AB STAIN",66.569999999999993,46.6]
[2800917,300,83992,null,"PHENCYCLIDINE (GCMS)",35.81,25.07]
[2800918,300,82088,null,"ALDOSTERONE URINE 24 HR",193.7,135.59,33.25,33.25,null,null,null,33.25]
[2800919,300,80348,null,"BUPRENORPHINE SCREEN",34.76,24.33,32.33,32.33,null,null,32.33]
[2800920,300,83036,null,"GLYCOHEMOGLOBIN",80.5,56.35,24.38,51.66,28.3,24.38,49.42,51.66,50.48,null,null,null,null,null,26.54,40.94]
[2800921,300,88271,null,"MOLECULAR CYTOGEN, EA DNA PROBE",37.380000000000003,26.17]
[2800922,300,88275,null,"MOLECULAR CYTOGEN INTERPHASE 100-300",70.14,49.1]
[2800923,300,88283,null,"CHROM ANAL,ADD'L BANDING",49.67,34.770000000000003]
[2800924,300,88365,null,"IN SITU HYBRID. PER SPEC.,INIT PROBE",172.1,120.47]
[2800925,300,87106,null,"CULTURE FUNGI DEF ID EA ORGANISM",84.53,59.17]
[2800926,300,null,null,"CATECHOLAMINES URINE RANDOM",0,0,67.38,77.53,67.38,null,77.53]
[2800927,300,86431,null,"RHEUMATOID FACTOR, FLUID",65.099999999999994,45.57,35.299999999999997,68.23,35.299999999999997,null,66.790000000000006,68.23]
[2800928,300,88173,null,"FINE NEEDLE BIOPSY, INTER & REPORT",109.94,76.959999999999994]
[2800929,300,88302,null,"SURGICAL PATH, GROSS & MICRO LEVEL II",33.18,23.23]
[2800930,300,88309,null,"SURGICAL PATH, GROSS & MICRO LEVEL VI",300.2,210.14]
[2800931,300,80367,null,"PROPOXYPHENE/NORPOXYPHENE (GCMS)",53.97,37.78]
[2800932,390,"P9012",null,"CRYOPRECIPITATE EA UNIT",217,151.9]
[2800933,390,null,null,"CRYOPRECIPITATE POOLED",0,0]
[2800934,300,87088,null,"PRESUMPTIVE ID EA ISOLATE URINE",84.53,59.17,41.42,80.3,41.55,null,78.61,80.3,null,null,null,null,null,null,null,41.42]
[2800935,300,null,null,"HYPERCOAGULATION CONSULT BASIC PNL",0,0,67.38,77.53,67.38,null,77.53]
[2800936,300,87633,null,"RESPIRATORY VIRAL PANEL PCR",274.16000000000003,191.91]
[2800937,300,87799,null,"BK VIRUS QUANT PCR, URINE",337.68,236.38,314.04000000000002,314.04000000000002,null,null,314.04000000000002]
[2800938,300,null,null,"ADDL CHG ANA",0,0,67.38,77.53,67.38,null,77.53]
[2800939,300,81003,null,"URINE pH",43.47,30.43,0,40.43,21.37,null,40.43,0]
[2800940,300,84482,null,"T3 REVERSE",48.93,34.25,46.48,46.48,null,null,null,46.48]
[2800941,300,83525,null,"INSULIN 2",94.92,66.44,87.8,90.17,null,null,null,90.17,null,null,null,null,null,null,null,87.8]
[2800942,300,82010,null,"BETA HYDROXYBUTYRIC ACID",38.85,27.2]
[2800943,300,87522,null,"HCV PCR RFLX GENOTYPE",509.36,356.55,317.95,317.95,null,null,null,317.95]
[2800944,300,80307,null,"DRUG SCREEN, WHOLE BLOOD (10 CLASS)",370.32,259.22000000000003,63.33,63.33,63.33]
[2800945,300,null,null,"HEAVY METALS, WHOLE BLOOD",0,0,67.38,77.53,67.38,null,77.53]
[2800946,300,84145,null,"PROCALCITONIN",245.49,171.84]
[2800947,300,null,null,"NUT ALLERGEN PROFILE 7",0,0,67.38,77.53,67.38,null,77.53]
[2800948,300,87449,null,"LEGIONELLA PNEUMOPHILA AG,UR",53.24,37.270000000000003,22.61,43.7,22.61,null,42.78,43.7]
[2800949,300,87081,null,"CULTURE LEGIONELA RFLX",43.47,30.43,21.37,41.3,21.37,null,null,41.3,null,null,null,null,null,null,null,40.21]
[2800950,300,83735,null,"MAGNESIUM,RBC",65.31,45.72,25.91,50.07,25.91,null,49.02,50.07,50.07,null,null,null,null,null,26.32,31.56]
[2800951,300,80327,null,"5 A DIHYDROTESTOSTERONE",106.16,74.31]
[2800952,300,86709,null,"HEPATITIS A IGM",21.21,14.85,19.73,19.73,null,null,19.73]
[2800953,300,84585,null,"VMA",123.5,86.45]
[2800954,300,null,null,"VMA URINE RANDOM",0,0,67.38,77.53,67.38,null,77.53]
[2800955,300,null,null,"M. PNEUMONIAE AB, IGG AND IGM",0,0,67.38,77.53,67.38,null,77.53]
[2800956,300,80323,null,"NICOTINE AND METABOLITES, BLOOD",191.63,134.13999999999999]
[2800957,300,82247,null,"REF TBIL",44.1,30.87]
[2800958,300,84460,null,"REF ALT",47.8,33.46]
[2800959,300,null,null,"HEPATITIS C FIBROSURE",0,0,67.38,77.53,67.38,null,77.53]
[2800960,300,83013,null,"H. PYLORI BREATHTEST (ADULT)",209.58,146.71]
[2800961,302,86664,null,"EBV NA AB,IGG",56.81,39.770000000000003,53.97,53.97,null,null,null,53.97]
[2800962,300,null,null,"*ADDL CHG ALLERGEN (86003X15)",0,0,67.38,77.53,67.38,null,77.53]
[2800963,300,null,null,"ADULT COMP FOOD PANEL",0,0,67.38,77.53,67.38,null,77.53]
[2800964,301,83520,null,"IGF BINDING PROTEIN 3",240.24,168.17]
[2800965,300,88262,null,"CHROMOSOME ANALYSIS, 15-20 CELL, 2 KARYO",208.64,146.05000000000001]
[2800966,300,88280,null,"CHROMOSOME ANALYSIS, ADD'L KAROTYPE",40.53,28.37]
[2800967,300,88230,null,"TISSUE CULT, NON NEOPLASTIC, LYMPHOCYTE",185.22,129.65]
[2800968,300,88291,null,"CYTOGENETIC, INTERPRET AND REPORT",103.11,72.180000000000007]
[2800969,300,null,null,"CYTOGENETICS, PERIPHERAL BLOOD",0,0,67.38,77.53,67.38,null,77.53]
[2800970,300,null,null,"ALKALINE PHOSPHATASE ISOENZYMES",0,0,67.38,77.53,67.38,null,77.53]
[2800971,300,null,null,"REPORTABLE ORGANISM",0,0,67.38,77.53,67.38,null,77.53]
[2800972,300,84165,null,"SPEP, REFLEX TO IMMUNOFIXATION",70.900000000000006,49.63,74.319999999999993,74.319999999999993,null,null,null,74.319999999999993]
[2800973,300,88367,null,"MORPHOMETRIC ANAL,MANUAL INT PROBE STAIN",275.31,192.72]
[2800974,300,85246,null,"VON WILLEBRAND FACTOR AG",30.5,21.35]
[2800975,300,85245,null,"VON WILLEBRAND FACTOR ACTIVITY",101.9,71.33]
[2800976,300,null,null,"VON WILLEBRAND PANEL",0,0,67.38,77.53,67.38,null,77.53]
[2800977,301,82523,null,"C TELOPEPTIDE BETA CROSS LINKED",177.14,124]
[2800978,300,86160,null,"COMPLEMENT C1Q",81.06,56.74]
[2800979,300,86161,null,"C-1 ESTERASE INHIBITOR FUNCTIONAL",81.06,56.74]
[2800980,300,null,null,"ASPERGILLUS AB QUANTITATIVE",0,0,67.38,77.53,67.38,null,77.53]
[2800981,300,null,null,"ASPERGILLUS BATTERY",0,0,67.38,77.53,67.38,null,77.53]
[2800982,300,87305,null,"ASPERGILLUS AG,SERUM EIA",214.2,149.94]
[2800983,300,82043,null,"24 HOUR URINE MICROALBUMIN",54.5,38.15,21.56,44.65,23.1,21.56,43.71,44.65,44.65,null,null,null,null,null,23.47,35.299999999999997]
[2800984,300,86720,null,"LEPTOSPIRA  ANTIBODY, IGM",116.66,81.66]
[2800985,302,86658,null,"ENTEROVIRUS ANTIBODY",49.5,34.65]
[2800986,302,null,null,"COXSACKIE B VIRUS ANTIBODIES",0,0,15.45,15.45,null,null,15.45]
[2800987,300,null,null,"COXSACKIE A AB PANEL",0,0,67.38,77.53,67.38,null,77.53]
[2800988,300,86664,null,"EBV EXTENDED PANEL",0,0]
[2800989,300,36416,null,"CAPILLARY BLOOD COLLECTION",30,21]
[2800990,310,88374,null,"MORPH ANALYSIS, EA MULTIPLEX STAIN",283.82,198.67]
[2800991,300,null,null,"PEDIATRIC ALLERGY PROFILE 11",0,0,67.38,77.53,67.38,null,77.53]
[2800992,300,87641,null,"MRSA PCR, NASAL SCREEN",114.66,80.260000000000005,56.36,56.36,56.36]
[2800993,300,86341,null,"ISLET CELL AB,IGG",55.55,38.89,113.32,113.32,null,null,null,null,113.32]
[2800994,300,84270,null,"SEX HORMONE BINDING GLOBULIN",102.9,72.03,95.18,97.76,null,null,null,97.76,null,null,null,null,null,null,null,95.18]
[2800995,300,null,null,"TESTOSTERONE, TOTAL  AND BIOAVAILABLE",0,0,67.38,77.53,67.38,null,77.53]
[2800996,300,82157,null,"ANDROSTENEDIONE",53.66,37.56]
[2800997,301,82664,null,"HDL2B",147.4,103.18]
[2800998,301,83789,null,"TPMT ACTIVITY",57.75,40.43,54.86,54.86,null,null,null,54.86]
[2800999,300,87505,null,"GI BACTERIAL PCR PANEL",606.9,424.83]
[2801000,300,80307,null,"DRUGS OF ABUSE 701 (WITH ETG) REFLEX",303.87,212.71,63.33,63.33,63.33]
[2801001,300,83880,null,"PROBRAIN NATRIURETIC PEPTIDE",200.87,140.61000000000001,98.43,190.83,98.73,null,186.81,190.83,190.83,null,null,null,190.83,null,100.3,98.43]
[2801002,300,null,null,"H PYLORI AB, IGA, IGM, IGG",0,0,67.38,77.53,67.38,null,77.53]
[2801003,300,87140,null,"CULTURE,TYPING IMMUNOFLUORESCENT",35.909999999999997,25.14]
[2801004,300,80159,null,"CLOZAPINE",87.57,61.3]
[2801005,300,87169,null,"ID PARASITE, WORM",50.93,35.65]
[2801006,300,85732,null,"ADDL CHG LUPUS ANTICOAG BPTTMX",30.03,21.02]
[2801007,300,82495,null,"CHROMIUM, SERUM",180.08,126.06]
[2801008,300,80168,null,"ETHOSUXIMIDE",57.86,40.5]
[2801009,300,85732,null,"ADDL CHG LUPUS ANTICOAG BHPNT",165.17,115.62]
[2801010,300,86803,null,"HEPATITIS C SCREEN",101.33,70.930000000000007,14.27,96.26,null,14.27,94.24,96.26,96.26,null,null,null,null,null,50.6,93.73]
[2801011,300,87101,null,"*CULTURE FUNGUS SKIN HAIR NAILS CHG",72,50.4]
[2801012,300,85810,null,"VISCOSITY SERUM",26.99,18.89]
[2801013,300,87081,null,"CULTURE GROUP B STREP SCREEN",43.47,30.43,21.37,41.3,21.37,null,null,41.3,null,null,null,null,null,null,null,40.21]
[2801014,300,87798,null,"JC VIRUS PCR",576.03,403.22]
[2801015,300,81270,null,"JAK2 (V617F) MUTATION",234.47,164.13]
[2801016,300,83735,null,"MAGNESIUM,  URINE 24 HR",52.71,36.9,25.91,50.07,25.91,null,49.02,50.07,50.07,null,null,null,null,null,26.32,31.56]
[2801017,300,83986,null,"REF LAB PH URINE",34.729999999999997,24.31,26.41,26.41,null,null,null,26.41]
[2801018,300,84133,null,"REF LAB K URI",34.729999999999997,24.31]
[2801019,300,84300,null,"REF LAB NA UR",34.729999999999997,24.31]
[2801020,300,82436,null,"REF LAB CL UR",34.729999999999997,24.31]
[2801021,300,81408,null,"*CHG MARFAN SYNDROME SEQUENCING",4123.3500000000004,2886.35]
[2801022,300,88344,null,"IMMUNOHISTOCHEM MULTIPLEX AB EA",145.53,101.87]
[2801023,300,86609,null,"IA FOR INF AGENT AB QUANT",30.87,21.61]
[2801024,300,null,null,"STREP PNEUMONIAE, IGG SEROTYPE (14)",0,0,67.38,77.53,67.38,null,77.53]
[2801025,300,86787,null,"VARICELLA  AB, IGM",107.73,75.41]
[2801026,300,null,null,"GC, CHLAMYDIA, TRICHOMONAS APTIMA",0,0,67.38,77.53,67.38,null,77.53]
[2801027,300,81206,null,"*BCR/ABL1 TRANSLOCATION MAJOR BREAKPOINT",250,175]
[2801028,300,81207,null,"*BCR/ABL1 TRANSLOCATION MINOR BREAKPOINT",250,175]
[2801029,300,81206,null,"BCR ABL1 TRANSCRIPT DETECTION CML,ALL",345,241.5]
[2801030,300,82375,null,"CARBOXYHEMOGLOBIN",102.48,71.739999999999995]
[2801031,300,84591,null,"VITAMIN B7, BIOTIN",228.8,160.16]
[2801032,300,86707,null,"HEPATITIS BE ANTIBODY",102.48,71.739999999999995]
[2801033,300,86003,null,"LATEX IGE",32.03,22.42,14.27,30.32,14.27,null,null,30.32]
[2801034,300,87107,null,"*DEFINITIVE ID MOLD",46.83,32.78]
[2801035,300,83018,null,"IODINE 24 HOUR URINE",105,73.5]
[2801036,301,83519,null,"IGF BINDING PROTEIN 1",90.68,63.48]
[2801037,300,80377,null,"SULFONYLUREA ANALYSIS",167.9,117.53]
[2801038,300,83519,null,"*IA QUANT AB AG RIA",189,132.30000000000001]
[2801039,300,83520,null,"*IA QUANT NOS",240.24,168.17]
[2801040,300,null,null,"PARANEOPLASTIC AUTOANTIBODY (REFLEX)",0,0,67.38,77.53,67.38,null,77.53]
[2801041,300,84203,null,"*ADDL CHG PROTOPHYRIN SCREEN",39.06,27.34]
[2801042,300,86765,null,"RUBELLA ANTIBODY, IGM",78.23,54.76,13.95,59.05,null,null,13.95,59.05]
[2801043,300,86735,null,"MUMPS ANTIBODY, IGM",78.23,54.76]
[2801044,300,85041,null,"*BLOOD COUNT AUTO RBC",24.36,17.05]
[2801045,300,82955,null,"*G6PD QUANTITATIVE",88.2,61.74]
[2801046,300,83021,null,"*HEMOGLOBIN CHROMATOGRAPH",264.5,185.15,130.01,130.01,130.01]
[2801047,300,85660,null,"*SICKLING RBC REDUCTION",41.69,29.18,20.49,20.49,20.49]
[2801048,300,86706,null,"*BsAB",59.12,41.38,54.69,56.16,null,null,54.98,56.16,null,null,null,null,null,null,null,54.69]
[2801049,300,null,null,"ALLERGEN FOOD, SHELLFISH",0,0,67.38,77.53,67.38,null,77.53]
[2801050,301,86340,null,"INTRINSIC FACTOR BLOCKING ANTIBODIES",251.9,176.33]
[2801051,300,83516,null,"ANTI PARIETAL CELL ANTIBODY",448.04,313.63,49.16,181.46,null,null,null,181.46,null,null,null,null,null,null,null,49.16]
[2801052,300,88175,null,"*CYTOPATH, CVX SCR AUTO WITH MANUAL RVW",53.76,37.630000000000003]
[2801053,300,84630,null,"ZINC, WHOLE BLOOD",35,24.5,123.82,126.48,null,null,123.82,126.48]
[2801054,300,83880,null,"B-TYPE NATRIURETIC PEPTIDE (BNP)",182.2,127.54,98.43,190.83,98.73,null,186.81,190.83,190.83,null,null,null,190.83,null,100.3,98.43]
[2801055,301,80299,null,"*Infliximab Ab",260,182]
[2801056,300,null,null,"INFLIXIMAB CONCENTRATION AND ANTIBODY",0,0,67.38,77.53,67.38,null,77.53]
[2801057,300,83655,null,"LEAD, ADULT",35,24.5,36.43,68.94,36.43,null,68.94,51.84]
[2801058,300,87521,null,"HEP C RNA, QUALITATIVE, NAA",497.7,348.39]
[2801059,300,86003,null,"ASPERGILLUS FUMIGATUS IGE",32.03,22.42,14.27,30.32,14.27,null,null,30.32]
[2801060,300,84402,null,"*FREE TESTOSTERONE",88.52,61.96,84.09,84.09,null,null,null,84.09]
[2801061,300,86677,null,"*HELICOBACTER PYLORI AB",130.1,91.07]
[2801062,300,null,null,"H PYLORI AB, IGA, IGM, IGG",0,0,67.38,77.53,67.38,null,77.53]
[2801063,300,86606,null,"ASPERGILLUS FUMIGATUS IGG",98.63,69.040000000000006]
[2801064,300,86003,null,"ASPERGILLUS NIGER IGE",32.03,22.42,14.27,30.32,14.27,null,null,30.32]
[2801065,300,86606,null,"ASPERGILLUS NIGER PRECIPITATING AB IGG",98.63,69.040000000000006]
[2801066,300,80169,null,"EVEROLIMUS",181.86,127.3,89.39,89.39,89.39]
[2801067,300,80365,null,"OXYCODONE/OXYMORPHONE CONFIRMATION",163.12,114.18]
[2801068,300,86803,null,"HEPATITIS C AB, REFLEX TO HCV QUANT",45,31.5,14.27,96.26,null,14.27,94.24,96.26,96.26,null,null,null,null,null,50.6,93.73]
[2801069,300,85230,null,"*FACTOR VII",169.05,118.34]
[2801070,300,85598,null,"*PHOSPHOLIPID NEUTRALIZATION HEXAG",201.6,141.12]
[2801071,300,null,null,"ANTIPHOSPHOLIPID SYNDROME PROFILE",0,0,67.38,77.53,67.38,null,77.53]
[2801072,300,85014,null,"*HCT",38.85,27.2,36.909999999999997,36.909999999999997,null,null,null,36.909999999999997]
[2801073,300,82747,null,"*FOLATE RBC",225.12,157.58000000000001]
[2801074,300,null,null,"*ADDL CHARGE ALLERGEN (9X86003)",0,0,67.38,77.53,67.38,null,77.53]
[2801075,300,null,null,"ALLERGEN 23",0,0,67.38,77.53,67.38,null,77.53]
[2801076,300,86008,null,"ALLERGEN CASEIN",32.03,22.42]
[2801077,300,86003,null,"ALLERGEN CARMINE RED DYE",32.03,22.42,14.27,30.32,14.27,null,null,30.32]
[2801078,300,86003,null,"ALLERGEN KIWI FRUIT",32.03,22.42,14.27,30.32,14.27,null,null,30.32]
[2801079,300,86003,null,"ALLERGEN MANGO",32.03,22.42,14.27,30.32,14.27,null,null,30.32]
[2801080,300,null,null,"ALLERGEN FOOD 29",0,0,67.38,77.53,67.38,null,77.53]
[2801081,300,80173,null,"HALOPERIODOL, SERUM OR PLASMA",52.5,36.75]
[2801082,300,86003,null,"ALLERGEN PEANUT IGE, WITH COMPONENT REFL",32.03,22.42,14.27,30.32,14.27,null,null,30.32]
[2801083,300,82239,null,"BILE ACIDS",226.8,158.76]
[2801084,300,83789,null,"IODINE, SERUM OR PLASMA",256.2,179.34,243.39,243.39,null,null,null,243.39]
[2801085,300,86628,null,"*ANTIBODY CANDIDA",22.58,15.81]
[2801086,300,null,null,"CANDIDA  ANTIBODIES, IgA, IgG, IgM",0,0,67.38,77.53,67.38,null,77.53]
[2801087,300,86723,null,"LISTERIA  ANTIBODY",184.8,129.36000000000001]
[2801088,300,87101,null,"YEAST ONLY, CULTURE",75.599999999999994,52.92]
[2801089,301,84143,null,"17-HYDROXYPREGNENOLONE",103.95,72.77]
[2801090,300,82397,null,"PTH RELATED PEPTIDE",86.84,60.79]
[2801091,300,80359,null,"*METHYLENEDIOXYAMPHETAMINES",63.76,44.63]
[2801092,300,80324,null,"*AMPHETAMINE CONF CHG",95.51,66.86]
[2801093,300,82140,null,"AMMONIA",114.03,79.819999999999993,56.05,108.33,56.05,null,null,108.33]
[2801094,300,82533,null,"*CORTISOL",115.19,80.63,106.55,109.43,null,null,null,109.43,null,null,null,null,null,null,null,106.55]
[2801095,300,null,null,"SALIVARY CORTISOL (3 SPECIMENS), MS",0,0,67.38,77.53,67.38,null,77.53]
[2801096,300,82306,null,"25-HYDROXY VITAMIN D FRACTIONATED",231.53,162.07,0,219.95,113.8,null,215.32,219.95,null,null,0,null,null,null,115.61,133.59]
[2801097,300,80307,null,"FENTANYL/NORFENANYL , UR SC&CONF",26.25,18.38,63.33,63.33,63.33]
[2801098,300,87205,null,"EOSINOPHILS, URINE",26.25,18.38,16.72,40.43,16.72,null,40.43,38.299999999999997]
[2801099,300,84206,null,"PROINSULIN",36.86,25.8,35.020000000000003,35.020000000000003,null,null,null,null,35.020000000000003]
[2801101,300,80307,null,"DRUGS OF ABUSE, SERUM W/ REFLEX",303.87,212.71,63.33,63.33,63.33]
[2801102,300,87385,null,"HISTOPLASMA GALACTOMANNAN AG UR",160.5,112.35]
[2801103,300,84597,null,"VITAMIN K1",31.5,22.05]
[2801104,300,80324,null,"REFLEX CHG SERUM DOA",58.17,40.72]
[2801105,300,null,null,"TESTOSTERONE FREE AND TOTAL",0,0,67.38,77.53,67.38,null,77.53]
[2801106,300,86735,null,"MUMPS ANTIBODY, IgG",38.229999999999997,26.76]
[2801107,300,87624,null,"*HIGH RISK HPV, AMPLIFIED",53.76,37.630000000000003]
[2801109,300,80375,null,"6-MP, AZATHIOPRINE, Serum",210,147]
[2801110,300,86003,null,"ALLERGEN POPPY SEED",20.03,14.02,14.27,30.32,14.27,null,null,30.32]
[2801111,300,86003,null,"ALLERGEN SUGAR CANE",55.03,38.520000000000003,14.27,30.32,14.27,null,null,30.32]
[2801112,300,86003,null,"ALLERGEN SESAME SEED IgE",20.03,14.02,14.27,30.32,14.27,null,null,30.32]
[2801113,300,86003,null,"ALLERGEN CLAM, IgE",20.03,14.02,14.27,30.32,14.27,null,null,30.32]
[2801114,300,86003,null,"ALLERGEN CRAB, IgE",20.03,14.02,14.27,30.32,14.27,null,null,30.32]
[2801115,300,86003,null,"ALLERGEN SHRIMP, IgE",20.03,14.02,14.27,30.32,14.27,null,null,30.32]
[2801116,300,86003,null,"ALLERGEN EGG YOKE, IgE",20.03,14.02,14.27,30.32,14.27,null,null,30.32]
[2801117,300,86003,null,"ALLERGEN EGG WHITE",20.03,14.02,14.27,30.32,14.27,null,null,30.32]
[2801118,300,86003,null,"ALLERGEN MILK",20.03,14.02,14.27,30.32,14.27,null,null,30.32]
[2801119,300,86003,null,"ALLERGEN GLUTEN, IgE",50.03,35.020000000000003,14.27,30.32,14.27,null,null,30.32]
[2801120,300,86003,null,"ALLERGEN WHEAT, IgE",20.03,14.02,14.27,30.32,14.27,null,null,30.32]
[2801121,300,82379,null,"CARNITINE,TOTAL AND FREE",60,42]
[2801122,300,86003,null,"ALLERGEN , Meat Profile",95,66.5,14.27,30.32,14.27,null,null,30.32]
[2801123,300,null,null,"BILL ONLY CARDIAC PANEL",325.93,228.15,67.38,77.53,67.38,null,77.53]
[2801124,300,81219,null,"Calreticulin MUTATION Analysis",387.47,271.23]
[2801125,300,87389,null,"HIV SCREEN 1/2 AG/AB, WAIVED W/ REFLEX",186,130.19999999999999,172.05,176.7,null,null,172.98,176.7,null,null,null,null,null,null,null,172.05]
[2801126,300,84403,null,"*TESTOSTERONE TOTAL",88.52,61.96,81.88,84.09,null,null,null,84.09,null,null,null,null,null,null,null,81.88]
[2801127,300,88271,null,"EGFR Oncology FISH",0,0]
[2801128,300,84153,null,"PSA, US",6.5,4.55,68.02,131.47,68.02,97.48,128.69999999999999,131.47,null,null,111.59,null,null,null,69.099999999999994]
[2801129,300,83516,null,"GLUTEN SENSITIVITY ANTIBODIES CASCADE",298.60000000000002,209.02,49.16,181.46,null,null,null,181.46,null,null,null,null,null,null,null,49.16]
[2801130,300,86003,null,"ALLERGEN PNL, NUT, IgE WITH REFLEX",285,199.5,14.27,30.32,14.27,null,null,30.32]
[2801131,300,86003,null,"ALLERGEN PINE NUT, PIGNOLES",15,10.5,14.27,30.32,14.27,null,null,30.32]
[2801132,300,null,null,"NASH FIBROSURE",0,0,67.38,77.53,67.38,null,77.53]
[2801133,300,80307,null,"DRUGS OF ABUSE, MECONIUM W/ CONFIRM",255.36,178.75,63.33,63.33,63.33]
[2801134,300,88300,null,"SURGICAL PATH, GROSS LEVEL I",15.81,11.07]
[2801135,300,80307,null,"EtG/EtS, SCR+CONF, URINE",15,10.5,63.33,63.33,63.33]
[2801136,300,86235,null,"ANTIEXTRACTABLE NUCLEAR AG",305.25,213.68]
[2801137,300,81401,null,"APOE ALZHEIMER RISK",650,455]
[2801138,300,86235,null,"ANTISCLERODERMA 70 AB",105,73.5]
[2801139,300,86317,null,"TETANUS/DIPHTHERIA AB PROF",85,59.5,56.16,56.16,null,null,null,56.16]
[2801140,300,87497,null,"CMV PCR QUANT, UR",731.64,512.15]
[2801141,300,84484,null,"TROPONIN I hs",117.5,82.25,57.75,117.5,57.75,null,109.28,111.63,111.63,null,117.5,null,111.62,null,58.67,104.04]
[2801142,300,82397,null,"ANTI-MULLERIAN HORMONE",86.84,60.79]
[2801143,300,87254,null,"CMV CULTURE RAPID, REFLEX",33,23.1,90.08,90.08,null,90.08]
[2801144,300,85670,null,"THROMBIN MIXING STUDY",278.63,195.04]
[2801145,300,null,null,"ANTIPHOSPHOLIPID SYNDROME, COMP",612.39,428.67,67.38,77.53,67.38,null,77.53]
[2801146,300,86341,null,"ZnT8 ANTIBODY",270,189,113.32,113.32,null,null,null,null,113.32]
[2801147,300,87635,null,"SARS COV 2 NAA  LC",75,52.5,23.79,62.5,25.22,50,62.5,60.76,51.31,23.79,37.97,47.71,44.54,null,26.87,47.44]
[2801148,300,87807,null,"RESP SYNCYTIAL VIRUS Ag (Rapid)",146.16,102.31,71.84,138.85,71.84,null,135.93,138.85,null,null,null,null,null,null,null,135.19999999999999]
[2801149,300,80342,null,"OLANZAPINE",25,17.5]
[2801150,300,87253,null,"CULTURE-VIRAL ID",135.75,95.03]
[2801152,300,81596,null,"HEPATITIS C VIRUS FIBROSURE",157.5,110.25]
[2801153,300,null,null,"ALDOSTERONE:RENIN RATIO",0,0,67.38,77.53,67.38,null,77.53]
[2801154,300,82365,null,"CALCULI, WITH PHOTO",60.81,42.57]
[2801155,300,80299,null,"AMIODARONE",85,59.5]
[2801156,300,86769,null,"COVID 19 Ab IGG (LC)",100,70,42.13,49.15,49.15,null,null,null,42.13]
[2801157,300,86769,null,"SARS-CoV-2 Ab IgM (LC)",75,52.5,42.13,49.15,49.15,null,null,null,42.13]
[2801158,300,null,null,"HYPERSENSITIVITY PNEUMONITIS PROFILE",650.25,455.18,67.38,77.53,67.38,null,77.53]
[2801159,300,86769,null,"SARS-CoV-2 IgG",45.23,31.66,42.13,49.15,49.15,null,null,null,42.13]
[2801160,300,82784,null,"IFE, SPEP, QUANT FLC, + RATIO",104.18,72.930000000000007]
[2801161,300,"87635QW",null,"SARS COVID 19 RAPID",51.31,35.92]
[2801162,300,80299,null,"FLECAINIDE",114.03,79.819999999999993]
[2801163,300,86003,null,"ALLERGEN , Stinging Insects",103.3,72.31,14.27,30.32,14.27,null,null,30.32]
[2801164,300,83520,null,"TRYPTASE",35,24.5]
[2801165,300,86617,null,"LYME DIS, LINE BLOT",89.78,62.85]
[2801166,300,86003,null,"ALLERGEN PNL, FOOD WITH REFLEX",436.5,305.55,14.27,30.32,14.27,null,null,30.32]
[2801167,300,87081,null,"AEROMONAS/PLESIOMONAS CULTURE",62.62,43.83,21.37,41.3,21.37,null,null,41.3,null,null,null,null,null,null,null,40.21]
[2801168,300,86255,null,"ANTI SKIN ANTIBODY",158,110.6]
[2801169,300,87046,null,"STOOL CULTURE VIBRO ONLY",25,17.5,12.86,24.41,12.9,null,24.41,null,null,null,null,null,null,null,null,12.86]
[2801170,300,86769,null,"SARS-CoV-2 IgM",45.23,31.66,42.13,49.15,49.15,null,null,null,42.13]
[2801171,300,87633,null,"BIOFIRE RESPIRATORY PANEL 2.1",1050,735]
[2801172,300,87635,null,"BIOFIRE SARS-CoV-2  NAA w Reflex",0,0,23.79,62.5,25.22,50,62.5,60.76,51.31,23.79,37.97,47.71,44.54,null,26.87,47.44]
[2801173,300,87631,null,"BioFire Bundle Upper Resp w Reflex",600,420,332.5,558,null,null,558,332.5,null,null,null,null,null,null,null,555]
[2801174,300,null,null,"BioFire Other",0,0,67.38,77.53,67.38,null,77.53]
[2801175,300,87635,null,"SARS-CoV-2 (Charge- do not order)",350,245,23.79,62.5,25.22,50,62.5,60.76,51.31,23.79,37.97,47.71,44.54,null,26.87,47.44]
[2801176,300,87631,null,"Drive Through BioFire Bundle",350,245,332.5,558,null,null,558,332.5,null,null,null,null,null,null,null,555]
[2801180,310,null,null,"SURGICAL PROCEDURE",0,0]
[2801181,310,null,null,"CELLSWAB VAGINITIS PANEL",0,0]
[2801182,310,null,null,"CELLSWAB VAGINITIS PNL AND GCCT",0,0]
[2801183,310,null,null,"GCTT (ONLY) OFF CELLSWAB",0,0]
[2801184,310,null,null,"GYN THINPREP IMAGER PAP TEST",0,0]
[2801185,310,null,null,"THINPREP PAP+HPV RFLX  IF ASCUS (21-29)",0,0]
[2801186,310,null,null,"THINPREP PAP+HPV HIGH RISK (30 AND UP)",0,0]
[2801187,310,null,null,"THINPREP PAP+GCCT",0,0]
[2801188,310,null,null,"THINPREP PAP+HPV REFLEX+GCCT",0,0]
[2801189,310,null,null,"THINPREP PAP+HPV REFLEX+GCCT+TRICH",0,0]
[2801190,310,null,null,"THINPREP PAP+HPV REFLEX+TRICH+HSV",0,0]
[2801191,310,null,null,"THINPREP PAP HPV/HPV GENO REFLEX",0,0]
[2801192,310,null,null,"THINPREP PAP HPV HR+GCCT",0,0]
[2801193,310,null,null,"THINPREP PAP HPV HR+GCCT+TRICH",0,0]
[2801194,310,null,null,"THINPREP PAP HPV HR+HPV GENO REFLEX",0,0]
[2801195,310,null,null,"TP PAP HPV HR+HPV GENO RFLX GCCT+TR+HSV",0,0]
[2801196,300,82131,null,"PHENYLALANINE",200,140]
[2801197,300,86008,null,"OVOMUCOID ALLERGEN",32.03,22.42]
[2801198,300,86008,null,"ALLERGEN OVALBUMIN",32.03,22.42]
[2801199,300,null,null,"MLIK ALLERGEN PROFILE",0,0,67.38,77.53,67.38,null,77.53]
[2801200,302,86592,null,"VDRL-CSF",23.21,16.25]
[2801205,300,83520,null,"GM1 ANTIBODIES, IGG",235.9,165.13]
[2801206,300,83520,null,"GM1 ANTIBODIES, IGM",235.9,165.13]
[2801208,300,82384,null,"CATECHOLAMINES FRACTIONATED PLASMA",32.96,23.07,140.52000000000001,143.55000000000001,null,null,140.52000000000001,143.55000000000001]
[2801210,300,null,null,"LUPUS ACTIVITY PROFILE",0,0,67.38,77.53,67.38,null,77.53]
[2801215,300,86140,null,"CRP",84.53,59.17,41.55,80.3,41.55,null,78.61,80.3,null,null,null,null,null,null,42.21,78.19]
[3000001,320,null,null,"=>CANCEL ORDER<=",0,0,380.91,382.29,382.29,null,380.91]
[3000005,320,70210,null,"CR SINUSES 1 VIEW WATERS",379,265.3]
[3000006,320,74018,null,"CR ABDOMEN 1 VIEW",316,221.2,155.32,300.2,155.32,null,293.88,300.2]
[3000007,320,74019,null,"CR ABDOMEN 2 VIEWS",436,305.2,213.64,214.3,214.3,null,null,null,null,null,null,null,null,null,null,213.64]
[3000008,320,74022,null,"CR ABDOMEN 3 VIEWS",571,399.7,279.79000000000002,542.45000000000005,280.66000000000003,null,531.03,null,542.45000000000005,null,null,null,null,null,null,279.79000000000002]
[3000009,320,73050,null,"CR AC JOINTS W W/OUT WTS",360,252]
[3000010,320,76499,null,"MG MAMMO ADDITIONAL VIEWS",74,51.8]
[3000011,320,73600,null,"CR ANKLE RT 2 VIEWS",303,212.1]
[3000012,320,73610,null,"CR ANKLE RT 3 VIEWS",366,256.2,179.89,347.7,179.89,null,null,347.7,347.7]
[3000013,320,74270,null,"CR RF BARIUM ENEMA SINGLE",743,520.1]
[3000014,320,74280,null,"CR RF BARIUM ENEMA DOUBLE",1156,809.2]
[3000015,320,77072,null,"CR BONE AGE",322,225.4]
[3000016,320,19281,null,"MG BREAST LOCALIZATION",1084,758.8]
[3000017,320,72040,null,"CR SPINE CERVICAL 3 VIEWS",439,307.3,215.77,417.05,215.77,null,null,417.05,null,null,null,null,null,null,219.21]
[3000018,320,72050,null,"CR SPINE CERVICAL 5 VIEWS",585,409.5,287.54000000000002,555.75,287.54000000000002,null,544.04999999999995,555.75]
[3000019,320,72052,null,"CR SPINE CERVICAL 7 VIEWS",651,455.7]
[3000020,320,71045,null,"CR CHEST 1 VIEW",315,220.5,154.83000000000001,315,154.83000000000001,null,292.95,274.31,299.25,null,315,null,299.25,null,157.29,222.87]
[3000021,320,71046,null,"CR CHEST 2 VIEWS",439,307.3,201.37,439,215.77,201.37,408.27,417.05,417.05,null,439,null,null,null,219.21,386.98]
[3000022,320,71047,null,"CR CHEST 3 VIEWS",482,337.4]
[3000023,320,71048,null,"CR CHEST 4 VIEWS",540,378]
[3000024,320,71023,null,"CR RF CHEST FLUORO",407,284.89999999999998]
[3000025,320,71034,null,"CR RF CHEST FLUORO 4 VIEWS",595,416.5]
[3000026,320,73000,null,"CR CLAVICLE RT 2 VIEWS",339,237.3]
[3000027,403,77067,null,"MG COMPUTER AIDED DETECT SCREEN",57,39.9,149.91999999999999,289.75,149.91999999999999,null,283.64999999999998,289.75,289.75,null,null,null,null,null,152.30000000000001,211.19]
[3000028,401,77051,null,"MG COMPUTER AIDED DETECTION",67,46.9]
[3000029,320,74430,null,"CR RF CYSTOGRAPHY",709,496.3]
[3000030,320,77080,null,"DX SCAN",885,619.5]
[3000031,320,73070,null,"CR ELBOW RT 2 VIEWS",312,218.4,153.35,296.39999999999998,153.35,null,290.16000000000003,296.39999999999998]
[3000032,320,73080,null,"CR ELBOW RT 3 VIEWS",352,246.4,173.01,334.4,173.01,null,null,334.4]
[3000033,320,74220,null,"CR RF ESOPHAGUS",631,441.7]
[3000034,320,74210,null,"CR RF ESOPHAGUS FB",408,285.60000000000002]
[3000035,320,74230,null,"CR RF ESOPHAGUS SWALLOWING FUNCTION",639,447.3]
[3000036,320,70150,null,"CR FACIAL BONES COMPLETE 4 VIEW",540,378,513,513,null,null,null,513]
[3000037,320,70140,null,"CR FACIAL BONES LIMITED",310,217]
[3000038,320,73552,null,"CR FEMUR RT 2 VIEWS",360,252,176.95,176.95,176.95]
[3000039,320,73140,null,"CR FINGERS RT 3 VIEWS",231,161.69999999999999,113.54,219.45,113.54,219.45,null,219.45,null,null,null,null,null,null,null,213.68]
[3000040,320,77002,null,"CR RF FLUORO GUIDE FOR NEEDLE PLACE",808,565.6]
[3000041,320,73620,null,"CR FOOT RT 2 VIEWS",303,212.1,281.79000000000002,281.79000000000002,null,null,281.79000000000002]
[3000042,320,73630,null,"CR FOOT RT 3 VIEWS",364,254.8,178.92,345.8,178.92,null,338.52,345.8]
[3000043,320,73090,null,"CR FOREARM RT 2 VIEWS",327,228.9,160.72999999999999,310.64999999999998,160.72999999999999,null,null,310.64999999999998]
[3000044,320,73120,null,"CR HAND RT 2 VIEWS",297,207.9,137.72,282.14999999999998,null,null,null,282.14999999999998,null,137.72]
[3000045,320,73130,null,"CR HAND RT 3 VIEWS",349,244.3,171.54,331.55,171.54,null,324.57,331.55,null,null,null,null,null,null,null,322.83]
[3000046,320,73501,null,"CR HIP RT 1 VIEW",259,181.3]
[3000047,320,73502,null,"CR HIP RT 2 VIEWS",432,302.39999999999998,212.34,410.4,212.34,null,401.76,410.4]
[3000048,320,73523,null,"CR HIPS BILATERAL",528,369.6,259.52,259.52,259.52]
[3000050,320,73060,null,"CR HUMERUS RT 2 VIEWS",353,247.1]
[3000051,320,74300,null,"CR I O C",607,424.9]
[3000052,320,74301,null,"CR I O C ADDITIONAL SET",272,190.4]
[3000053,320,76000,null,"CR RF INDEPENDENT FLUORO 1/2 HR",623,436.1]
[3000054,320,74400,null,"CR IVP",977,683.9]
[3000057,320,73560,null,"CR KNEE RT 2 VIEWS",300,210,147.46,147.46,147.46]
[3000058,320,"73562RT",null,"CR KNEE RT 3 VIEWS",408,285.60000000000002]
[3000059,320,"73564RT",null,"CR KNEE RT 4 VIEWS",511,357.7]
[3000060,320,74425,null,"CR RF LOOPOGRAM",775,542.5]
[3000061,320,72114,null,"CR SPINE LUMBAR 7 VIEWS",719,503.3]
[3000062,320,"73592RT",null,"CR INFANT RT LOWER EXTREMITY",273,191.1]
[3000063,320,72100,null,"CR SPINE LUMBAR 3 VIEWS",550,385,270.33999999999997,522.5,270.33999999999997,null,null,522.5,null,null,null,null,null,null,null,389.13]
[3000064,320,72110,null,"CR SPINE LUMBAR 5 VIEWS",651,455.7,318.99,618.45000000000005,319.98,null,605.42999999999995,618.45000000000005,null,null,null,null,null,null,null,318.99]
[3000065,401,77066,null,"MG MAMMOGRAM BILATERAL W CAD",426,298.2,209.39,404.7,209.39,null,null,404.7,null,null,null,null,null,null,null,394.05]
[3000066,403,77067,null,"MG MAMMOGRAM SCREENING W CAD",305,213.5,149.91999999999999,289.75,149.91999999999999,null,283.64999999999998,289.75,289.75,null,null,null,null,null,152.30000000000001,211.19]
[3000067,401,77065,null,"MG MAMMOGRAM UNILATERAL W CAD",273,191.1,134.19,259.35000000000002,134.19,null,253.89,259.35000000000002]
[3000068,320,70110,null,"CR MANDIBLE COMPLETE 4 VIEW",568,397.6]
[3000069,320,70100,null,"CR MANDIBLE LIMITED",366,256.2]
[3000070,320,null,null,"CR ADD VIEW",0,0,380.91,382.29,382.29,null,380.91]
[3000071,320,70160,null,"CR NASAL BONES 3 VIEW",336,235.2]
[3000072,320,70360,null,"CR NECK SOFT TISSUE 2 VIEWS",339,237.3]
[3000073,320,73650,null,"CR HEEL RT OC CALCIS 2 VIEWS",312,218.4,0,0,0]
[3000074,320,70200,null,"CR ORBITS COMPLETE 6 VIEW",439,307.3,215.77,215.77,215.77]
[3000075,320,70030,null,"CR ORBITS FOR FB",395,276.5]
[3000076,320,77075,null,"CR OSSEOUS SURVEY COMPLETE",899,629.29999999999995,441.88,441.88,441.88]
[3000077,320,77076,null,"CR OSSEOUS SURVEY CHILD",717,501.9]
[3000078,320,77074,null,"CR OSSEOUS SURVEY LIMITED",550,385]
[3000079,320,72170,null,"CR PELVIS 1 VIEW",336,235.2]
[3000080,320,72190,null,"CR PELVIS 3 VIEWS",416,291.2,204.47,204.47,204.47]
[3000081,921,93975,null,"US DOPPLER RENAL ARTERIAL",989,692.3]
[3000082,320,74420,null,"CR RF RETRO UROGRAM",595,416.5]
[3000083,320,74420,null,"CR RF RETROGRADE UROGRAM",595,416.5]
[3000084,320,71111,null,"CR CHEST AND RIBS BILATERAL",577,403.9]
[3000085,320,71101,null,"CR CHEST AND RT RIBS UNILATERAL",480,336,235.93,456,235.93,null,446.4,456,null,null,null,456,null,null,239.69,444]
[3000086,320,72202,null,"CR SPINE SACRO-ILIAC JOINTS 3 VIEWS",416,291.2]
[3000087,320,72220,null,"CR SPINE SACRUM AND COCCYX",408,285.60000000000002,379.44,379.44,null,null,379.44]
[3000088,320,73010,null,"CR SCAPULA RT 2 VIEWS",373,261.10000000000002,346.89,346.89,null,null,346.89]
[3000089,320,72082,null,"CR SPINE SCOLIOSIS SURVEY 2 VIEWS",452,316.39999999999998,429.4,429.4,null,null,null,429.4]
[3000090,320,73020,null,"CR SHOULDER RT 1 VIEW",286,200.2]
[3000091,320,73030,null,"CR SHOULDER RT 2 OR 3 VIEWS",416,291.2,204.47,395.2,204.47,null,386.88,395.2,null,null,null,null,null,null,null,384.8]
[3000092,320,76080,null,"CR RF SINOGRAM",571,399.7]
[3000093,320,70220,null,"CR SINUSES 4 VIEW",519,363.3]
[3000094,320,70260,null,"CR SKULL COMPLETE 5 VIEWS",509,356.3,483.55,483.55,null,null,null,483.55]
[3000095,320,70250,null,"CR SKULL LIMITED",331,231.7]
[3000096,320,74250,null,"CR RF SMALL BOWEL",662,463.4]
[3000097,320,76098,null,"MG MAMMO SPECIMEN BREAST",425,297.5]
[3000098,320,72020,null,"CR SPINE 1 VIEW",281,196.7]
[3000099,320,72084,null,"CR SPINE 6 VIEWS ENTIRE",709,496.3]
[3000100,320,71130,null,"CR SC STERNO CLAVICULAR JOINTS",312,218.4]
[3000101,320,71120,null,"CR STERNUM 2 VIEWS",373,261.10000000000002]
[3000102,320,72072,null,"CR SPINE THORACIC  3 VIEWS",535,374.5,262.95999999999998,508.25,262.95999999999998,null,497.55,508.25]
[3000103,320,72080,null,"CR SPINE THORACO-LUMBAR 2 VIEWS",425,297.5]
[3000104,320,"73590RT",null,"CR TIB/FIB RT 2 VIEWS",379,265.3]
[3000105,320,73660,null,"CR TOES RT 3 VIEWS",246,172.2,233.7,233.7,null,null,null,233.7]
[3000106,320,76010,null,"CR TRUNK FOR FB CHILD",297,207.9]
[3000107,320,74305,null,"CR RF T TUBE CHOLANGIOGRAM",451,315.7]
[3000108,320,74450,null,"CR RF UCG",881,616.70000000000005]
[3000109,320,74241,null,"CR RF UGI",840,588]
[3000110,320,74249,null,"CR RF UGI AND SMALL BOWEL",1291,903.7]
[3000111,320,73092,null,"CR INFANT RT UPPER EXTREMITY",310,217]
[3000112,320,76942,null,"US THORACENTESIS/PARACENTESIS",772,540.4]
[3000113,320,74455,null,"CR RF VCUG",657,459.9]
[3000114,320,75820,null,"CR VENOGRAM RT UNILATERAL",1042,729.4]
[3000115,320,77086,null,"DX VFA",379,265.3]
[3000116,320,74455,null,"CR RF VOIDING CYSTOGRAM",657,459.9]
[3000117,320,73100,null,"CR WRIST RT 2 VIEWS",283,198.1]
[3000118,320,73110,null,"CR WRIST RT 3 VIEWS",328,229.6,161.22,311.60000000000002,161.22,null,null,311.60000000000002]
[3000120,320,73600,null,"CR ANKLE LT 2 VIEWS",303,212.1]
[3000121,320,73610,null,"CR ANKLE LT 3 VIEWS",366,256.2,179.89,347.7,179.89,null,null,347.7,347.7]
[3000122,320,73000,null,"CR CLAVICLE LT 2 VIEWS",339,237.3]
[3000123,320,73070,null,"CR ELBOW LT 2 VIEWS",312,218.4,153.35,296.39999999999998,153.35,null,290.16000000000003,296.39999999999998]
[3000124,320,73080,null,"CR ELBOW LT 3 VIEWS",352,246.4,173.01,334.4,173.01,null,null,334.4]
[3000125,320,73552,null,"CR FEMUR LT 2 VIEWS",360,252,176.95,176.95,176.95]
[3000126,320,73140,null,"CR FINGERS LT 3 VIEWS",231,161.69999999999999,113.54,219.45,113.54,219.45,null,219.45,null,null,null,null,null,null,null,213.68]
[3000127,320,73620,null,"CR FOOT LT 2 VIEWS",303,212.1,281.79000000000002,281.79000000000002,null,null,281.79000000000002]
[3000128,320,73630,null,"CR FOOT LT 3 VIEWS",364,254.8,178.92,345.8,178.92,null,338.52,345.8]
[3000129,320,73090,null,"CR FOREARM LT 2 VIEWS",327,228.9,160.72999999999999,310.64999999999998,160.72999999999999,null,null,310.64999999999998]
[3000130,320,73120,null,"CR HAND LT 2 VIEWS",297,207.9,137.72,282.14999999999998,null,null,null,282.14999999999998,null,137.72]
[3000131,320,73130,null,"CR HAND LT 3 VIEWS",349,244.3,171.54,331.55,171.54,null,324.57,331.55,null,null,null,null,null,null,null,322.83]
[3000132,320,73501,null,"CR HIP LT 1 VIEW",259,181.3]
[3000133,320,73502,null,"CR HIP LT 2 VIEWS",432,302.39999999999998,212.34,410.4,212.34,null,401.76,410.4]
[3000135,320,73060,null,"CR HUMERUS LT 2 VIEWS",353,247.1]
[3000137,320,73560,null,"CR KNEE LT 2 VIEWS",300,210,147.46,147.46,147.46]
[3000138,320,"73562LT",null,"CR KNEE LT 3 VIEWS",408,285.60000000000002]
[3000139,320,"73564LT",null,"CR KNEE LT 4 VIEWS",511,357.7]
[3000140,320,"73592LT",null,"CR INFANT LT LOWER EXTREMITY",273,191.1]
[3000141,320,73650,null,"CR HEEL LT OS CALCIS 2 VIEWS",312,218.4,0,0,0]
[3000142,320,71101,null,"CR CHEST AND LT RIB UNILATERAL",480,336,235.93,456,235.93,null,446.4,456,null,null,null,456,null,null,239.69,444]
[3000143,320,73010,null,"CR SCAPULA LT 2 VIEWS",373,261.10000000000002,346.89,346.89,null,null,346.89]
[3000144,320,73020,null,"CR SHOULDER LT 1 VIEW",286,200.2]
[3000145,320,73030,null,"CR SHOULDER LT 2 OR 3 VIEWS",416,291.2,204.47,395.2,204.47,null,386.88,395.2,null,null,null,null,null,null,null,384.8]
[3000146,320,"73590LT",null,"CR TIB/FIB LT 2 VIEWS",379,265.3]
[3000147,320,73660,null,"CR TOES LT 3 VIEWS",246,172.2,233.7,233.7,null,null,null,233.7]
[3000148,320,73092,null,"CR INFANT LT UPPER EXT MIN 2 VIEWS",310,217]
[3000149,320,75820,null,"CR VENOGRAM LT UNILATERAL",1042,729.4]
[3000150,320,73100,null,"CR WRIST LT 2 VIEWS",283,198.1]
[3000151,320,73110,null,"CR WRIST LT 3 VIEWS",328,229.6,161.22,311.60000000000002,161.22,null,null,311.60000000000002]
[3000152,320,null,null,"CR MISC CHARGE",0,0,380.91,382.29,382.29,null,380.91]
[3000153,361,32555,null,"US THORACENTESIS W IMAGING",1964,1374.8]
[3000154,361,49083,null,"US PERITONEOCENTESIS W IMAGING",1971,1379.7]
[3000155,403,7706752,null,"MG MAMMOGRAM SCREENING UNILATERAL W CAD",248,173.6]
[3000156,320,49465,null,"CR RF OSTOMY TUBE PLACEMENT",1272,890.4]
[3100001,972,7021026,null,"PF SINUSES WATERS 1V",37,25.9]
[3100002,972,7417526,null,"PF CTA ABDOMEN ANGIO",479,335.3]
[3100003,972,7670026,null,"PF US ABDOMEN COMPLETE",198,138.6]
[3100004,972,7670526,null,"PF US ABDOMEN LIMITED",141,98.7]
[3100005,972,7401826,null,"PF CR ABDOMEN 1 VIEW",55,38.5]
[3100006,972,7401926,null,"PF CR ABDOMEN 2 VIEWS",64,44.8]
[3100007,972,7402226,null,"PF CR ABDOMEN 3 VIEWS",67,46.9]
[3100008,972,9392226,null,"PF US A B I",75,52.5]
[3100009,972,7305026,null,"PF CR AC JOINTS W W/OUT WTS",50,35]
[3100010,972,7649926,null,"PF MG MAMMO ADDITIONAL VIEWS",37,25.9]
[3100011,972,7360026,null,"PF CR ANKLE 2 VIEWS",38,26.6]
[3100012,972,7361026,null,"PF CR ANKLE 3 VIEWS",44,30.8]
[3100013,972,9392526,null,"PF US DOPPLER ARTERIAL COMP",109,76.3]
[3100014,972,9392626,null,"PF US DOPPLER ARTERIAL LIM",72,50.4]
[3100015,972,7427026,null,"PF CR RF BARIUM ENEMA SINGLE",165,115.5]
[3100016,972,7428026,null,"PF CR RF BARIUM ENEMA DOUBLE",196,137.19999999999999]
[3100017,972,7707226,null,"PF CR BONE AGE",44,30.8]
[3100018,972,19281,null,"PF MG BREAST LOCALIZATION",284,198.8]
[3100019,972,7664126,null,"PF BREAST US",138,96.6]
[3100020,972,9388026,null,"PF US DOPPLER CAROTID COMP",122,85.4]
[3100021,972,9388226,null,"PF US DOPPLER CAROTID LIM",88,61.6]
[3100022,972,7204026,null,"PF CR SPINE CERVICAL 3 VIEWS",54,37.799999999999997]
[3100023,972,7205026,null,"PF CR SPINE CERVICAL 5 VIEWS",74,51.8]
[3100024,972,7205226,null,"PF CR SPINE CERVICAL 7 VIEWS",86,60.2]
[3100025,972,7104526,null,"PF CR CHEST 1 VIEW",46,32.200000000000003]
[3100026,972,7104626,null,"PF CR CHEST 2 VIEWS",54,37.799999999999997]
[3100027,972,7104726,null,"PF CR CHEST 3 VIEWS",69,48.3]
[3100028,972,7104826,null,"PF CR CHEST 4 VIEWS",80,56]
[3100029,972,7127526,null,"PF CTA CHEST ANGIO",435,304.5]
[3100030,972,7102326,null,"PF CR RF CHEST FLUORO",98,68.599999999999994]
[3100031,972,7103426,null,"PF CR RF CHEST FLUORO 4 VIEWS",99,69.3]
[3100032,972,7300026,null,"PF CR CLAVICLE 2 VIEWS",41,28.7]
[3100033,972,9332526,null,"PF US COLORFLOW VELOCITY MAPPING",38,26.6]
[3100034,972,7706726,null,"PF COMPUTER AIDED DETECT SCR MAMM",15,10.5]
[3100035,972,7705126,null,"PF COMPUTER AIDED DETECTION",16,11.2]
[3100036,972,7417826,null,"PF CT ABD PELVIS W AND W/O",506,354.2]
[3100037,972,7417726,null,"PF CT ABD PELVIS W/CONTRAST",438,306.60000000000002]
[3100038,972,7417626,null,"PF CT ABD PELVIS W/O CONTRAST",429,300.3]
[3100039,972,7417026,null,"PF CT ABDOMEN DUAL PHASE",312,218.4]
[3100040,972,7417026,null,"PF CT ABDOMEN W AND W/O",312,218.4]
[3100041,972,7416026,null,"PF CT ABDOMEN W/CONTRAST",320,224]
[3100042,972,7415026,null,"PF CT ABDOMEN W/O CONTRAST",333,233.1]
[3100043,972,7370626,null,"PF CTA EXTREMITY LOWER ANGIO",415,290.5]
[3100044,972,null,null,"PF CT ANGIO PELVIS",0,0]
[3100045,972,7707326,null,"PF CT BONE LENGTH",57,39.9]
[3100046,972,7212726,null,"PF CT SPINE CERVICAL W AND W/O",358,250.6]
[3100047,972,7212626,null,"PF CT SPINE CERVICAL W/CONTRAST",335,234.5]
[3100048,972,7212526,null,"PF CT SPINE CERVICAL W/O CONTRAST",316,221.2]
[3100049,972,7127026,null,"PF CT CHEST W AND W/O",354,247.8]
[3100050,972,7126026,null,"PF CT CHEST W/CONTRAST",319,223.3]
[3100051,972,7125026,null,"PF CT CHEST W/O CONTRAST",305,213.5]
[3100052,972,7127526,null,"PF CTA CHEST PE PULMONARY EMBOLISM STUDY",319,223.3]
[3100053,972,7598926,null,"PF CT DRAINING ABSCESS W/GUIDANCE",407,284.89999999999998]
[3100054,972,7701226,null,"PF CT GUIDANCE FOR NEEDLE BX/CYST",342,239.4]
[3100055,972,7047026,null,"PF CT HEAD W AND W/O",349,244.3]
[3100056,972,7046026,null,"PF CT HEAD W/CONTRAST",309,216.3]
[3100057,972,7045026,null,"PF CT HEAD W/O CONTRAST",234,163.80000000000001]
[3100058,972,7638026,null,"PF CT LIMITED/LOCALIZED AREA",230,161]
[3100059,972,7370226,null,"PF CT EXTREMITY LOWER W AND W/O",310,217]
[3100060,972,7370126,null,"PF CT EXTREMITY LOWER W/CONTRAST",272,190.4]
[3100061,972,7370026,null,"PF CT EXTREMITY LOWER W/O CONTRAST",272,190.4]
[3100062,972,null,null,"PF CT SPINE LUMBAR W AND W/O",0,0]
[3100063,972,7213226,null,"PF CT SPINE LUMBAR W/CONTRAST",326,228.2]
[3100064,972,7213126,null,"PF CT SPINE LUMBAR W/O CONTRAST",314,219.8]
[3100070,972,7048126,null,"PF CT ORBIT-SELLA ETC W/CONTRAST",375,262.5]
[3100075,972,7219226,null,"PF CT PELVIS W/O CONTRAST",263,184.1]
[3100081,972,7212826,null,"PF CT SPINE THORACIC W/O CONTRAST",315,220.5]
[3100086,972,9397126,null,"PF US DOPPLER VENOUS EXTREMITY LIM",111,77.7]
[3100091,972,7422026,null,"PF CR RF ESOPHAGUS",109,76.3]
[3100097,972,7355226,null,"PF CR FEMUR 2 VIEWS",42,29.4]
[3100099,972,7700226,null,"PF CR RF FLUORO GUIDE FOR NEEDLE PLACE",166,116.2]
[3100109,972,7306026,null,"PF CR HUMERUS 2 VIEWS",45,31.5]
[3100114,972,7430126,null,"PF CR I O C ADDITIONAL SET",78,54.6]
[3100119,972,7356426,null,"PF CR KNEE 4 VIEWS",56,39.200000000000003]
[3100120,972,7211426,null,"PF CR SPINE LUMBAR 7 VIEWS",90,63]
[3100125,972,7706626,null,"PF MG MAMMOGRAM BILATERAL W CAD",175,122.5]
[3100130,972,null,null,"PF MISC PRO FEE RAD/DX",0,0]
[3100136,972,7155526,null,"PF MRA ANGIO CHEST W OR W/O",545,381.5]
[3100140,972,7372526,null,"PF MRA ANGIO LOWER EXT W OR W/O",404,282.8]
[3100148,972,7055126,null,"PF MRI BRAIN W/O",475,332.5]
[3100153,972,7155126,null,"PF MRI CHEST W",504,352.8]
[3100158,972,7372326,null,"PF MRI JOINT LOWER EXT W+W/O",316,221.2]
[3100164,972,7215826,null,"PF MRI SPINE LUMBAR W+W/O",447,312.89999999999998]
[3100169,972,7054026,null,"PF MRI ORBIT/FACE/NECK W/O",462,323.39999999999998]
[3100175,972,7214626,null,"PF MRI SPINE THORACIC W/O",420,294]
[3100179,972,7321826,null,"PF MRI EXTREMITY UPPER W/O",287,200.9]
[3100187,974,7831526,null,"PF NM BONE/JOINT 3 PHASE",252,176.4]
[3100188,974,7830026,null,"PF NM BONE/JOINT IMAGE LIMIT",203,142.1]
[3100193,974,7826426,null,"PF NM GASTRIC EMPTYING",157,109.9]
[3100198,974,7821526,null,"PF NM LIVER/SPLEEN IMAGING",138,96.6]
[3100207,974,7801326,null,"PF NM THYROID IMAGE",101,70.7]
[3100212,972,7681626,null,"PF US OB FOLLOW UP",162,113.4]
[3100218,972,7707526,null,"PF CR OSSEOUS SURVEY COMPLETE",111,77.7]
[3100224,972,7219026,null,"PF CR PELVIS 3 VIEWS",65,45.5]
[3100229,972,7677026,null,"PF US RETROPERITONEAL COMP",177,123.9]
[3100235,972,7222026,null,"PF CR SPINE SACRUM AND COCCYX",53,37.1]
[3100240,972,7303026,null,"PF CR SHOULDER 2 OR 3 VIEWS",50,35]
[3100245,972,7025026,null,"PF CR SKULL LIMITED",54,37.799999999999997]
[3100251,972,7112026,null,"PF CR STERNUM 2 VIEWS",50,35]
[3100256,972,7359026,null,"PF CR TIB/FIB 2 VIEWS",42,29.4]
[3100257,972,7366026,null,"PF CR TOES 3 VIEWS",33,23.1]
[3100263,972,7309226,null,"PF CR INFANT UPPER EXTREMITY",39,27.3]
[3100269,972,7582026,null,"PF CR VENOGRAM UNILATERAL",263,184.1]
[3100275,972,null,null,"PF CR RF INJECTION FOR MYELOGRAPHY",0,0]
[3100280,972,7688126,null,"PF US EXTREM NONVASULAR COMPLETE",123,86.1]
[3100300,972,7660426,null,"PF US SOFT TISSUE CHEST",196,137.19999999999999]
[3100305,972,7664226,null,"PF US BREAST LIM",168,117.6]
[3400004,731,93225,null,"HOLTER MONITOR",263.55,184.49,129.54,250.37,129.54,null,null,250.37]
[3400007,731,93270,null,"EVENT MONITOR",206.85,144.80000000000001]
[3500002,985,93010,null,"PF EKG 12 LEAD INTER/REPORT",55.65,38.96]
[3500007,985,"0298T",null,"ZIO XT PHYS",67,46.9,0,32.93,32.93,null,null,0]
[3600007,610,74183,null,"MRI ABDOMEN W+W/O",5062.8,3543.96]
[3600012,610,70546,null,"MRA ANGIO HEAD W+W/O",4824.6000000000004,3377.22]
[3600013,610,73725,null,"MRA ANGIO RT LOWER EXT W OR W/O",2619.5,1833.65]
[3600018,610,72159,null,"MRA ANGIO SPINE W OR W/O",3033.4,2123.38]
[3600028,610,71552,null,"MRI CHEST W+W/O",4963.7,3474.59]
[3600030,610,73721,null,"MRI JOINT RT LOWER EXT  W/O",2987.6,2091.3200000000002,2838.22,2838.22,null,null,null,2838.22]
[3600035,610,72149,null,"MRI SPINE LUMBAR W",3860.6,2702.42]
[3600041,610,70542,null,"MRI ORBIT/FACE/NECK W",3502.3,2451.61]
[3600046,610,72197,null,"MRI PELVIS W+W/O",4824.6000000000004,3377.22]
[3600051,610,73219,null,"MRI EXTREMITY RT UPPER W",2756.9,1929.83]
[3600063,610,73721,null,"MRI JOINT LT LOWER EXT W/O",2987.6,2091.3200000000002,2838.22,2838.22,null,null,null,2838.22]
[3600068,610,73719,null,"MRI EXTREMITY LT LOWER W",2680.8,1876.56]
[3800004,350,74178,null,"CT ABD PELVIS W AND W/O",7654.2,5357.94,3762.21,3762.21,3762.21]
[3800011,350,72127,null,"CT SPINE CERVICAL W AND W/O",2896,2027.2]
[3800016,350,71250,null,"CT CHEST W/O CONTRAST",2896,2027.2,1423.45,2751.2,1423.45,null,null,2751.2,2751.2,null,1766.56,2751.2]
[3800018,350,75989,null,"CT DRAINING ABSCESS W/GUIDANCE",2390,1673]
[3800023,350,62284,null,"CT INJECTION FOR MYELOGRAPHY",1036.7,725.69]
[3800028,350,72133,null,"CT SPINE LUMBAR W AND W/O",2750.6,1925.42,1373.5,1373.5,null,null,null,null,null,null,null,null,null,null,1373.5]
[3800034,350,76376,null,"CT MPR 3D RECONSTRUCTION",1231.4000000000001,861.98]
[3800040,350,72193,null,"CT PELVIS W/CONTRAST",3039.1,2127.37,2826.36,2826.36,null,null,2826.36]
[3800045,350,70492,null,"CT SOFT TISSUE NECK W AND W/O",2321.9,1625.33]
[3800051,350,73202,null,"CT EXTREMITY RT UPPER W AND W/O",2316.6999999999998,1621.69]
[3800059,350,70486,null,"CT SINUS LIMITED",569,398.3,1071.47,2070.91,1071.47,null,null,2070.91,null,null,null,null,null,null,null,2016.41]
[3800075,350,73200,null,"CT EXTREMITY LT UPPER W/O CONTRAST",2027.1,1418.97,996.37,996.37,996.37]
[3800081,350,72191,null,"CTA PELVIS ANGIO",3039.1,2127.37]
[3800086,350,null,null,"CR RF INJECTION FOR MYELOGRAPHY",0,0,3791.56,4308.21,3791.56,null,4308.21]
[4000004,250,null,null,"MED AMERGE 2.5 PO",55,38.5,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[4000007,402,76819,null,"US BIOPHYSICAL PROFILE",700,490]
[4000010,921,93882,null,"US DOPPLER CAROTID LIM",1052,736.4]
[4000015,480,93308,null,"US ECHOCARDIOGRAM LIMITED",1075,752.5]
[400002,370,null,null,"ANESTHESIA ER ADD 15 MIN",192.17,134.52000000000001,382.78,3453.81,3453.81,728.24,486.51,607.14,null,null,null,null,null,null,382.78,425.23]
[4000025,402,76802,null,"US OB ADD GEST<14 WKS",578,404.6]
[400003,450,33210,null,"TEMP PACEMAKER INSERTION  EXT",8103.38,5672.37]
[4000034,402,76536,null,"US THYROID",886,620.20000000000005,435.49,841.7,435.49,null,823.98,841.7]
[400004,450,36415,null,"VENIPUNCTURE",30,21,14.74,28.5,14.74,null,null,28.5,null,null,null,null,null,null,null,27.75]
[4000061,402,76882,null,"US SOFT TISSUE AXILLA GROIN",288,201.6,267.83999999999997,267.83999999999997,null,null,267.83999999999997]
[400009,450,51703,null,"COMPLEX CATH INSERT",611,427.7,300.32,300.32,300.32]
[400014,450,96361,null,"IV INF HYDRATE; EA ADD HR",152.26,106.58,0,152.26,74.84,null,141.6,144.65,0,null,152.26,null,144.65,null,null,140.84]
[400019,450,96368,null,"IV INF  T/P/D; CONCURRENT",159.76,111.83,78.52,151.77000000000001,78.52,null,null,151.77000000000001,null,null,null,null,null,null,null,147.78]
[400025,450,99143,null,"CONSCIOUS SEDATION <5 1ST 30",251.81,176.27]
[400030,450,99150,null,"CONSCIOUS SEDATION ADD 15 MIN",85.11,59.58]
[400035,450,99285,null,"ER VISIT COMPLEX",1596.42,1117.49,784.68,1596.42,784.68,null,1484.67,1516.6,1516.61,null,1596.42,1516.6,1516.6,null,797.16,1114.8399999999999]
[400041,450,9636859,null,"IV INF T/P/D; CONCURRENT",159.76,111.83]
[400042,450,9637459,null,"INJECT T/P/D;IV PUSH W 59",251.81,176.27]
[400049,771,90471,null,"IMMUN ADM FLU",63.72,44.6,28.14,60.53,28.14,60.53,null,58.29,60.53,null,null,null,null,null,null,58.94]
[400054,981,11420,null,"EXC BENIGN LESION < 0.5 CM",327,228.9]
[400059,450,59414,null,"DELIVERY OF PLACENTA",2315.25,1620.68]
[400065,999,null,null,"MISC RN'S ASSAULT EXAM",0,0]
[400070,771,99292,null,"CRITICAL CARE ADDTL 30 MIN",874,611.79999999999995]
[4200011,343,"A9502",null,"MED MYOVIEW PER DOSE",554,387.8]
[4200019,341,78306,null,"NM BONE/JOINT WHOLE BODY",3148.5,2203.9499999999998,1547.56,2991.08,1547.56,null,null,2991.08]
[4200023,341,78227,null,"NM HEPOTABILIARY DUCTAL",2677.4,1874.18,2543.5300000000002,2543.5300000000002,null,null,null,2543.5300000000002]
[4200030,341,78452,null,"NM MYOCARD PERFUS MULTI",5658.7,3961.09,5375.77,5375.77,null,null,null,5375.77]
[4200037,343,"A9503",null,"MED TC-99M MEDRONATE UP TO 30MCI",789,552.29999999999995,387.81,749.55,387.81,null,null,749.55]
[4500001,943,93798,null,"CARDIAC REHAB PHASE II MONITORED",230,161,218.5,223.39,null,null,null,218.5,null,null,null,null,null,null,null,223.39]
[4500002,943,93798,null,"CARDIAC REHAB PHASE II MONITORED INITIAL",460,322,218.5,223.39,null,null,null,218.5,null,null,null,null,null,null,null,223.39]
[5000003,410,36600,null,"ARTERIAL DRAW",205.8,144.06]
[5000009,410,94667,null,"CHEST WALL MANIPULATION",202.65,141.86000000000001]
[5000013,410,94660,null,"BILEVEL POSITIVE AIRWAY PRESSURE",444.15,310.91000000000003]
[5000018,410,9464076,null,"AEROSOL REPEAT",202.65,141.86000000000001]
[5000023,309,89220,null,"SPUTUM OBTAINING SPECIMEN",222.6,155.82]
[5000028,410,9464076,null,"HAND HELD NEBULIZER REPEAT 2ND MED",147,102.9]
[5000034,999,null,null,"RT CONSULT",0,0]
[5000042,999,null,null,"INCENTIVE SPIROMETRY",0,0]
[5000047,999,null,null,"TRACH CARE",0,0]
[5000050,460,94618,null,"6 MINUTE WALK TEST",168,117.6]
[500011,981,92960,null,"CARDIOVERSION ELECTIVE,EXT",842,589.4]
[500016,981,26720,null,"CL TRMT PHAL FX W/O MAN",946,662.2]
[500017,981,25565,null,"CL TRMT RAD AND ULNA FX W/MAN",3024,2116.8000000000002]
[500022,981,28660,null,"CLOSE TRMT DISLOCATE W/O ANES",554,387.8]
[500028,981,23605,null,"CLOSE TRMT PROX HUMERAL W/MANI",2941,2058.6999999999998]
[500033,981,26742,null,"CLOSED TRMT FINGER W/MAN",2146,1502.2]
[500038,981,3090176,null,"CONTROL NOSEBLEED W 76",456,319.2]
[500045,981,13101,null,"CPX REPAIR TRUNK 2.6 TO 7.5CM",1374,961.8]
[500051,981,26770,null,"DISLOCATE-FINGER JOINT W/O AN",1261,882.7]
[500056,981,13122,null,"EA ADDL 5 CM OR<+PRIME PROCD",885,619.5]
[500062,981,9928425,null,"ER MD HIGH SEV W 25",945,661.5]
[500067,981,9928125,null,"ER MD LIMITED W 25",247,172.9]
[500073,981,9928357,null,"ER MD MODERATE W/DECISION FOR SURG W57",751,525.70000000000005]
[500078,981,59025,null,"PF FETAL NON STRESS TEST",150,105]
[500080,981,43753,null,"PF GASTRIC INTUBATION",555,388.5]
[500085,981,10180,null,"PF I&D COMPLEX PERIOP WND INFECTION",1074,751.8]
[500090,981,12041,null,"PF INTER REP WNDNHFEG < 2.5 CM",906,634.20000000000005]
[500096,981,12034,null,"PF INTER LAYER CLOSE WND SATE 7.6-12.5CM",1103,772.1]
[500101,981,12044,null,"PF INTER REPAIR WND NHFEG 7.6-12.5 CM",1275,892.5]
[500106,981,12054,null,"PF INTER REP WND FEENLM  7.6-12.5 CM",1728.88,1210.22]
[500112,981,12031,null,"PF INTER LAYER CLOSE WND SATE =< 2.5CM",759,531.29999999999995]
[500119,987,99234,null,"MD OBS SAME DAY LOW COMPLEX",726,508.2]
[500123,987,99220,null,"MD OBSERVATION CARE",761,532.70000000000005,0,0,null,null,null,null,null,null,0]
[500129,999,null,null,"MISC RN  S ASSAULT EXAM",0,0]
[500134,981,45300,null,"PF PROCTOSIGMOIDOSCOPY RIGID DX",319,223.3]
[500140,981,41805,null,"PF REMOVE EMBEDDED FB SOFT TISSUE",680,476]
[500145,981,29720,null,"PF REPAIR OF SPICA CAST OR JACKET",124,86.8]
[500150,981,1201351,null,"PF SIMP REP SUPERFIC WND 2.6-5.0 CM W51",902,631.4]
[500151,981,1201354,null,"PF SIMP REP SUPERFIC WND 2.6-5CM W 54",902,631.4]
[500160,981,12004,null,"PF SIMP REP SUPERFIC WND 7.6-12.5 CM",983,688.1]
[500163,981,12014,null,"PF SIMP REP SUPERFIC WND 5.1-7.5 CM",1029,720.3]
[500168,981,62270,null,"PF SPINAL PUNCTURE DIAGNOSTIC",376,263.2]
[500173,981,29540,null,"PF STRAPPING-ANKLE AND/OR FOOT",168,117.6]
[500179,981,59409,null,"PF VAG DELIVERY",3833,2683.1]
[500185,981,20610,null,"ARHTROCENTESIS ASPIRATION",371,259.7]
[500190,981,27252,null,"CLOSE TRMT HIP DISLOC W/ANES",3808,2665.6]
[500194,981,10120,null,"PF INCISION/REMOVAL FB SUBQ SIMPLE",544,380.8]
[500202,987,9922025,null,"MD OBSERVATION CARE W 25",761,532.70000000000005]
[500208,981,94016,null,"PF SPIROMET MD REVIEW/INTERP/ OUT PT",100,70]
[500213,981,32551,null,"TUBE THORACOSTOMY",1356,949.2]
[500218,981,31500,null,"INTUBATION",1030,721]
[500219,981,43752,null,"NASO/ORO GASTRIC TUBE PLACEMNT",396,277.2]
[500224,987,9921727,null,"MD OBS DISCHARGE W 27",311,217.7]
[500229,981,29515,null,"APPLICATION SHORT LEG SPLINT",236,165.2]
[500235,981,"11730T5",null,"AVULSION OF NAIL PLATE SINGLE W T5",298,208.6]
[500241,981,36558,null,"IMPLANT VENOUS ACCESS DEVICE",3457,2419.9]
[500247,987,99224,null,"SUBSEQUENT OBSERVATION CARE",150,105]
[500252,981,26775,null,"CLOSED TREAT OF DISLOCAT/ANES",1892,1324.4]
[500257,981,42720,null,"RETROPHARYNGEAL OR PARAPHARYNGEAL",1626,1138.2]
[500263,981,3090659,null,"CONTROL NASAL HEMORRHAGE SUB W/59",1305,913.5]
[500268,981,21315,null,"CLOSED TREATMENT NASAL BONE FX",1312,918.4]
[500274,981,97597,null,"DEBRIDEMENT",238,166.6]
[500276,981,11730,null,"AVULSION OF NAIL PLATE SINGLE",298,208.6]
[500285,981,26755,null,"CLOSED TRMT FX W/MANIPULATION",1261,882.7]
[500286,981,10121,null,"PF INCISION/REMOVAL FB COMPLICATED",914,639.79999999999995]
[500291,981,"1040M",null,"L&I ACCIDENT REPORT",70,49]
[500296,981,29085,null,"APPLICATION CAST HAND / LOWER FOREARM",424,296.8]
[5003012,981,11443,null,"EXCISION BENIGN LESION 2.1-3.0 CM",754.32,528.02]
[500306,981,10061,null,"PF I&D ABSCESS COMPL OR MULT",764,534.79999999999995]
[500314,981,36561,null,"INSERT CVA DEVICE 5 YR & >",4995,3496.5]
[500318,981,43761,null,"PF REPOSITION GASTRIC FEEDING TUBE",733,513.1]
[500323,981,11772,null,"EXC PILONIDAL CYST COMPLICATED",3440,2408]
[500329,981,46083,null,"INCISION OF THROMBOSES HEMORRHOID EXTERN",771,539.70000000000005]
[500334,981,32552,null,"REMOVAL INDWEL TUNNELED PLUERAL CATH",1246,872.2]
[500339,981,3090550,null,"CONTROL NASAL HEMORRHAGE W 50",1155,808.5]
[500345,981,29740,null,"WEDGING OF CAST",401,280.7]
[500350,982,10120,null,"INCISION AND REMOVAL FB PROFEE OP",544,380.8]
[500355,985,96372,null,"INJECT T/P/D SC/IM",137.81,96.47]
[500357,982,"64450RT",null,"PF INJ PERIPHERAL NERVE OR BRANCH RT",638,446.6]
[500362,981,2970058,null,"REMOVAL BIVALVING GAUNTLET BOOT W 58",244,170.8]
[500368,981,27372,null,"REMOVAL FB DEEP THIGH KNEE",3028,2119.6]
[5200002,420,null,null,"MISC PT CHARGE",0,0]
[6000005,250,null,"GY","ACETAMINOPHEN TAB : 500MG",0,0]
[6000010,636,"J2997",null,"Alteplase 100 mg Vial",30198.400000000001,21138.880000000001]
[6000016,636,"P9047",null,"Albumin 25% 100ml SDV",423.9,296.73]
[6000022,250,null,"GY","ALPRAZolam 0.5mg tablet",7.5,5.25]
[6000027,636,"J0282",null,"Amiodarone 150mg/3ml SDV",20.5,14.35]
[6000032,250,null,"GY","amLODIPine 5mg tablet",11.8,8.26]
[6000038,250,null,"GY","Amoxicillin/Clavulanate 875-125mg Tablet",11.8,8.26]
[6000043,250,null,"GY","Antipyrine/Benzocaine 15ml Otic BTL",0,0]
[6000045,250,null,"GY","Polyvinal Alcohol/Povidone 15ml Opht BTL",0,0]
[6000050,250,null,"GY","Atenolol 25mg tablet",7.5,5.25]
[6000058,250,null,"GY","Diphenoxylate/Atropine 2.5-0.025mg tab",7.5,5.25]
[6000062,636,"J0456",null,"Azithromycin 500mg SDV",41.3,28.91,39.24,39.24,null,null,null,null,39.24]
[6000067,250,null,"GY","BENAZEPRIL TAB : 20MG",0,0]
[6000073,250,null,"GY","BENZTROPINE TAB : 1MG",0,0]
[6000078,250,null,"GY","Budesonide 0.5mg/2ml nebule",42.7,29.89]
[6000083,250,null,"GY","Calcitriol 0.25mcg capsule",7.5,5.25]
[6000089,250,null,"GY","CAPTOPRIL TAB : 25MG",0,0]
[6000091,250,null,null,"CARBAMIDE PEROXIDE 6.5% OTIC DROPS",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000100,636,"J0696",null,"CEFTRIAXONE INJ ADD-VAN VIAL : 2GM",0,0,0,31.64,13.96,23.7,null,23.7,31.64,3.02,null,null,null,null,0]
[6000106,250,null,"GY","guaiFENesin/Codeine 100-10mg/5ml UDC",0,0]
[6000111,250,null,"GY","Ciprofloxacin 500mg tablet",11.8,8.26]
[6000112,250,null,"GY","CITALOPRAM 20MG TAB",0,0]
[6000117,250,null,"GY","clonazePAM 0.5mg tablet",7.5,5.25]
[6000122,250,null,"GY","CLOTRIM/BETAMETH 0.05%/1% CREAM 45 GM",0,0]
[6000128,636,"J0282",null,"CORDARONE 150MG INJECTION",0,0]
[6000132,250,null,"GY","Cyclobenzaprine 10mg tablet",11.8,8.26]
[6000139,636,"J0881","EC","DARBEPOETIN 25MCG INJECTION",0,0]
[6000145,636,"J1094",null,"Dexamethasone 10mg/ml SDV",22.2,15.54,0,2.0699999999999998,0,null,2.0699999999999998]
[6000150,250,null,null,"DEXTROSE 50%-WATER",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000156,250,null,"GY","Digoxin 0.125mg tablet",9,6.3]
[6000161,250,null,"GY","DilTIAZem ER 120mg capsule",11.8,8.26]
[6000166,250,null,"GY","DIPHENHYDRAMINE 2% TOPICAL CRM : 30GM",0,0]
[6000171,250,null,"GY","DIVALPROEX TAB : 500MG",0,0]
[6000178,250,null,"GY","Doxycycline 100mg tablet",0,0]
[6000179,250,null,"GY","DULOXETINE 30MG CAP",0,0]
[6000184,250,null,"GY","EFFERDENT ORIGINAL CLEANER",0,0]
[6000189,636,"J1650",null,"Enoxaparin 100mg/ml syringe",0,0,10.23,10.98,null,null,10.98,null,null,null,null,null,10.23]
[6000195,250,null,null,"ePHEDrine sulfate 50mg/ml Vial",101.8,71.260000000000005,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000200,250,null,"GY","ERGOCALCIFEROL 50,000IU CAP",0,0]
[6000205,250,null,"GY","EZETIMIBE 10MG TAB",0,0]
[6000212,636,"S0030",null,"metroNIDAZOLE 500mg/100ml Premix",38.5,26.95,15.77,30.5,15.77,null,29.85,30.5]
[6000217,250,null,null,"Flumazenil 0.5mg/5ml MDV",47.3,33.11,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000223,636,null,null,"Influenza Vaccine 0.5ml syringe",0,0,3.14,59.13,59.13,null,3.14]
[6000228,250,null,"GY","FUROSEMIDE TAB : 80MG",0,0]
[6000233,250,null,"GY","Gemfibrozil 600mg tablet",7.5,5.25]
[6000239,636,"J3486",null,"Ziprasidone 20mg/ml SDV",150.19999999999999,105.14]
[6000244,636,"J1610",null,"Glucagon 1mg/ml Kit",371.2,259.83999999999997]
[6000247,250,null,"GY","GUAIF/DEXTR 600/30MG TAB",0,0]
[6000251,250,null,"GY","GuaiFENesin/Dextromethorphan 10ml UDC",8.5,5.95]
[6000256,636,"J1642",null,"HEP LOCK FLUSH",0,0,0.14000000000000001,0.14000000000000001,0.14000000000000001]
[6000262,250,null,null,"HOMATROPINE 5% OPTH DROPS 5ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000267,250,null,"GY","HYDROCORT 1% CREAM 0.5OZ",0,0]
[6000272,250,null,"GY","HYDROXYCHLOROQUINE 200MG TAB",0,0]
[6000278,250,null,"GY","Ibuprofen 400mg tablet",11.8,8.26]
[6000283,636,"J1815","GY","INSULIN ASPART 70/30MIX 100UN/ML INJ",0,0]
[6000286,636,"J1327",null,"INTEGRILIN 2MG/ML VIAL",0,0]
[6000295,250,null,null,"ISOPROTERENOL INJ 1MG/5ML AMP : 1MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000300,250,null,"GY","Ketorolac 10mg tablet",15.6,10.92]
[6000306,250,null,"GY","LACTULOSE 20 GM SOL UD",0,0]
[6000311,636,"J1815","GY","LANTUS INSULIN VIAL",0,0]
[6000316,636,"J1956",null,"LevoFLOXacin-D5W 250mg/50ml Premix",45.9,32.130000000000003,22.14,135.25,null,null,135.25,null,22.14]
[6000317,636,"J1956",null,"LevoFLOXacin 500mg/100ml PMX",46.6,32.619999999999997,22.14,135.25,null,null,135.25,null,22.14]
[6000322,250,null,"GY","Levothyroxine 100mcg tablet",0,0]
[6000328,250,null,null,"Lidocaine 2% 50ml MDV",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000335,250,null,null,"LIDOCAINE W/ EPI 1% 20ML INJECTION",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000340,250,null,"GY","Lisinopril 20mg tablet",11.8,8.26]
[6000346,636,"J2060",null,"LORazepam 2mg/ml Vial",22.7,15.89,10.48,28.85,11.14,null,21.07,28.85,null,10.48,null,null,null,null,null,21]
[6000351,250,null,null,"LUBRICANT OPTH DROPS",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000357,636,"J3475",null,"Magnesium sulfate 1,000mg/100ml PMX",61.3,42.91,14.2,26.6,14.2,null,null,26.6]
[6000362,250,null,"GY","Meclizine 25mg tablet",7.5,5.25]
[6000369,250,null,"GY","metFORMIN 500mg tablet",11.8,8.26]
[6000374,636,"J2930",null,"MethylPREDNISolone 1,000mg SDV",261.10000000000002,182.77,73.55,73.55,null,null,null,73.55]
[6000379,636,"J2765",null,"Metoclopramide 10mg/2ml Vial",25.7,17.989999999999998,13.99,24.47,13.99,null,23.99,24.47,null,null,null,null,null,null,null,23.87]
[6000384,250,null,null,"Metoprolol 5mg/5ml Vial",20.399999999999999,14.28,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000385,250,null,"GY","Metoprolol ER 25mg tablet",11.8,8.26]
[6000390,250,null,"GY","Mirtazapine 15mg oral dissolving tablet",11.8,8.26]
[6000396,636,"J2270",null,"Morphine 2mg/ml syringe",23.8,16.66,18.21,35.6,18.21,null,34.04,35.590000000000003,33.630000000000003,null,null,null,null,null,null,35.6]
[6000401,250,null,null,"Mupirocin 2% ointment 22 gram",56.3,39.409999999999997,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000410,250,null,"GY","NEBIVOLOL 5MG TAB",0,0]
[6000413,250,null,"GY","NEOMYCIN POLYMIXIN B OPTHALMIC",0,0]
[6000418,636,"J1442",null,"Filgrastim 480mcg/0.8ml syringe",0,0]
[6000423,250,null,"GY","NIFEDIPINE 10MG CAP",0,0]
[6000429,636,"J3490",null,"NITROGLYCERIN SDV 5MG/ML",0,0,4.01,38.67,4.01,null,null,38.67]
[6000434,250,null,null,"<<DELETED>NORFLEX 30MG AMP 2ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000440,636,"J1815","GY","Aspart 70/30 mix 100units/ml pen",157.19999999999999,110.04]
[6000443,250,null,"GY","Nystatin oint. 100,000 units/gram 15gram",42.5,29.75]
[6000451,636,"J2405",null,"Ondansetron 4mg/2ml SDV",0,0,2.06,3.99,2.06,null,3.91,3.99,3.99,null,null,null,null,null,null,3.89]
[6000452,250,null,"GY","OSELTAMIVIR 75MG CAP",0,0]
[6000457,250,null,"GY","OXYMETAZOLINE 0.05% NASAL SPRAY",0,0]
[6000463,250,null,"GY","Penicillin V potassium 500mg tablet",11.8,8.26]
[6000468,250,null,null,"<<DELETED>>PHENYLEPHRINE 10MG/ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000473,636,"J2543",null,"PIPERACILLIN/TAZOBA 2.25GRAM INJECTION",0,0,14.12,14.12,null,null,null,14.12]
[6000479,636,"J3480",null,"Potassium Chloride 20Meq/10ml SDV",15.6,10.92,5.45,42.47,5.45,null,null,42.47]
[6000484,250,null,null,"POVIDINE/IODINE 10% SOLUTION 80Z",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000490,250,null,"GY","predniSONE 20mg tablet",11.8,8.26]
[6000496,636,"J0885","EC","Epoetin 10,000units/ml  SDV",273.8,191.66]
[6000501,250,null,null,"Promethazine supp 25mg",55.6,38.92,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000507,250,null,null,"PROMETHEGAN SUPPOSITORY 25MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000512,636,"J2704",null,"Propofol 200mg/20ml Vial",38.299999999999997,26.81,0.36,1.56,0.52,1.56,1.18,1.34,null,null,null,null,null,null,0.36,0.98]
[6000517,250,null,"GY","Q-TUSSIN DM LIQ",0,0]
[6000523,250,null,"GY","RAMIPRIL 2.5MG CAP",0,0]
[6000524,250,null,"GY","RAMIPRIL 5MG CAP",0,0]
[6000530,250,null,"GY","RISPERIDONE 0.25MG TAB",0,0]
[6000535,250,null,"GY","ROSUVASTATIN 10MG TAB",0,0]
[6000540,250,null,"GY","Sertraline 50mg tablet",11.8,8.26]
[6000546,250,null,"GY","Simethicone 80 mg tablet",0,0]
[6000551,250,null,null,"SOLIFENACIN 5MG TAB **NF**",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000556,636,"J2930",null,"SOLUMEDROL 500MG/ML",0,0,73.55,73.55,null,null,null,73.55]
[6000564,250,null,"GY","Sulfamethoxazole/Trimethoprim 800-160mg",11.8,8.26]
[6000568,250,null,"GY","Oseltamivir 75mg capsule",32.6,22.82]
[6000574,636,"J3105",null,"Terbutaline 1mg/ml SDV",25.5,17.850000000000001]
[6000579,250,null,"GY","THERA-M PLUS TAB UD",0,0]
[6000584,250,null,"GY","Topiramate 100mg tablet",7.5,5.25]
[6000585,250,null,"GY","TOPIRAMATE 25MG TAB",0,0]
[6000590,250,null,null,"TRIAMCINOLONE 0.1% CRE  15 GRAM(ARISTOCO",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000599,250,null,"GY","VALSARTAN 80MG TAB",0,0]
[6000602,250,null,null,"Vasopressin 20units/ml Vial",682.6,477.82,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000607,250,null,"GY","VERAPAMIL 180MG TAB",0,0]
[6000613,636,"J3411",null,"VIT B1 100MG/ML INJECTION",0,0]
[6000618,250,null,null,"A&D OINTMENT 5 GRAM",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000623,250,null,null,"XOPENEX VIAL 0.63/3ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000629,250,null,"GY","ZINCATE 220 MG CAP",0,0]
[6000634,636,"J2543",null,"ZOSYN PWD VL 3.375GM",0,0,14.12,14.12,null,null,null,14.12]
[6000638,250,null,null,"HEMORRHOIDAL PREPARATION SUPPOSITORY",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000647,636,"J3490",null,"CLINDAMYCIN/NS IVPB : 150MG/25ML",0,0,4.01,38.67,4.01,null,null,38.67]
[6000652,636,"J0696",null,"CEFTRIAXONE 2GM/NS 100ML: 2GM IVPB",0,0,0,31.64,13.96,23.7,null,23.7,31.64,3.02,null,null,null,null,0]
[6000653,259,null,null,"Ampicillin/Sulbact 1,500mg/100ml NS Bag",0,0]
[6000658,259,null,null,"Piperacillin/Tazobactam 2.25grams/100ml",0,0]
[6000664,636,"J3480",null,"IV KCL 40MEQ/NS 1L HIDDEN - USE PREMIX",0,0,5.45,42.47,5.45,null,null,42.47]
[6000670,250,null,null,"NARCAN/NS IVPB : 0.4MG/250ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000675,636,"J3490",null,"Diltiazem 125mg/100ml NS bag",0,0,4.01,38.67,4.01,null,null,38.67]
[6000682,636,"J2150",null,"MANNITOL/H20 1GM/500ML IVPB",0,0]
[6000689,250,null,null,"IV SOL 0.9% SOD CHLE INJ 100ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000696,636,"Q9967",null,"Isovue-370 76% 125ml BTL",0,0,0,3.31,1.53,3.31,1.63,2.82,0,null,0,null,3.31,null,0.02,2.85]
[6000702,636,"J1790",null,"DROPERIDOL 5MG/2ML (2.5MG/ML)",0,0]
[6000707,636,"J1450",null,"Fluconazole 100mg/50ml bag",0,0]
[6000712,250,null,"GY","HYDROCODONE/ACETAMINOPHEN 5-500MG TAB",0,0]
[6000718,636,"Q9967",null,"Iopamidol 76% 150ml BTL",111.4,77.98,0,3.31,1.53,3.31,1.63,2.82,0,null,0,null,3.31,null,0.02,2.85]
[6000720,636,"J1815","GY","Glargine 100units/ml 3ml pen",193.1,135.16999999999999]
[6000725,250,null,"GY","Cholestyramine powder 4,000gram can",0,0]
[6000730,250,null,"GY","DIPHENHYDRAMINE CAP : 50 MG",0,0]
[6000735,250,null,"GY","Folic acid 1mg tablet",7.5,5.25]
[6000741,250,null,null,"Nitroglycerin 0.6mg/hr patch",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000746,250,null,"GY","XIFAXAN 200MG TAB",0,0]
[6000753,250,null,null,"NF-METFORMIN HCL ORAL TABLET 1000MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000760,250,null,null,"NF-KLOR-CON POWDER 20MEQ",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000765,636,"J2794",null,"RISPERDAL CONSTA 50MG/2ML SYRINGE",0,0]
[6000774,250,null,null,"NF-OXCARBAZEPINE ORAL TABLET 300MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000782,250,null,null,"NF-SLOW-MAG TABLET ER",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000788,250,null,null,"NF-GLIPIZIDE ER ORAL TAB ER 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000795,250,null,null,"NF-VITAMIN D3 LIQUID-FILLED CAPSULE 2000",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000800,250,null,null,"NF-ISOSORBIDE DINITRATE ORAL TABLET 30MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000801,250,null,null,"NF-LISINOPRIL/HCTZ ORAL TABLET 20MG-12.5",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000811,250,null,null,"NF-VITAMIN D3 LIQUID FILLED CAPSULE 1000",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000813,250,null,null,"NF-POTASSIUM CHLORIDE LIQUID 20MEQ/15ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000819,250,null,null,"NF-FENTANYL TRANSDERMAL PATCH 100MCG/HRS",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000824,250,null,null,"NF-MULTI-DELYN LIQUID",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000831,250,null,null,"NF-POTASSIUM CHLORIDE ORAL TAB ER 20MEQ",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000837,250,null,null,"NF-GLIMEPIRIDE ORAL TABLET 1MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000842,250,null,null,"NF-ANUCORT-HC RECTAL SUPP 25MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000850,250,null,null,"NF-TRAZODONE HCL ORAL TABLET 150MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000857,250,null,null,"NF-CLOZAPINE ORAL TABLET 25MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000862,250,null,null,"NF-TRAVATAN Z OPHTH SOLN 0.004%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000868,250,null,null,"NF-DILTIAZEM HYDROCHLORIDE ORAL TABLET 3",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000874,250,null,null,"NF-B12-METHYL ORAL CAPSULE 1000MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000875,250,null,null,"NF-VITAMIN B12 ORAL TABLET 500MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000880,250,null,null,"NF-LEXAPRO ORAL  TABLET 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000886,250,null,null,"NF-TIMOLOL MALEATE OPHTH GFS 0.25%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000896,250,null,null,"NF-GLIMEPIRIDE 1MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000903,250,null,null,"NF-OMEPRAZOLE 20MG ORAL TABLET, DELAYED",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000908,250,null,null,"NF-COMBIVENT INHALATION AEROSOL POWDER",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000915,250,null,null,"NF-FLOVENT HFA INH ORAL/NEB 0.22MG/1ACT",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000924,250,null,null,"NF-POTASSIUM CHLORIDE IV SOLN 2MEQ/1ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000930,250,null,null,"NF-CARVEDILOL 12.5MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000935,250,null,null,"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000940,250,null,null,"NF-BISOPROLOL FUMARATE ORAL TABLET 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000943,250,null,null,"NF-FUROSEMIDE      TAB  20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000952,250,null,null,"NF-TOPIRAMATE 100MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000953,250,null,null,"NF-SIMVASTATIN 10MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000958,250,null,null,"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.2%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000965,250,null,null,"NF-REGULOID 3.4GM/DOSE ORAL POWDER FOR S",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000971,250,null,null,"NF-BUSPIRONE HCL 10MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000976,250,null,null,"NF-BUSPIRONE HCL TAB 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000981,250,null,null,"NF-TYLENOL TABLET 325MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000990,250,null,null,"NF-DILTIAZEM CD 24 HR CAP 240MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6000995,250,null,null,"NF-RAMIPRIL 10MG ORAL CAPSULE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001001,250,null,null,"NF-TEKTURNA ORAL TABLET 150MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001008,250,null,null,"NF-LEVOTHYROXINE ORAL TABLET 0.05MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001013,250,null,null,"NF-CRESTOR 10MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001019,250,null,null,"NF-VITAMIN D3 2000IU ORAL CAPSULE, LIQUI",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001025,250,null,null,"NF-METOPROLOL SUCCINATE XL 100MG ORAL TA",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001030,250,null,null,"NF-TYLTABS CHILDREN'S ELIX 160MG/5ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001032,250,null,null,"NF-VYTORIN 10MG-40MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001040,250,null,null,"NF-AMARYL 1MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001053,250,null,null,"NF-SPIRONOLACTONE ORAL TAB 50MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001058,250,null,null,"NF-PRAZOSIN HCL 2MG ORAL CAPSULE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001063,250,null,null,"NF-PROPRANOLOL HCL 20MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001069,250,null,null,"NF-LISINOPRIL 40MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001077,250,null,null,"NF-SYMBICORT INH AER LIQ 80MCG-4.5MCG/1",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001083,250,null,null,"NF-ZYRTEC 10MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001089,250,null,null,"NF-DULCOLAX TABLET 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001095,250,null,null,"NF-PREDNISOLONE ACETATE OPHTH SUSP 1%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001101,250,null,null,"NF-VITAMIN D 1000IU ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001107,250,null,null,"NF-NULYTELY PWD FOR SOLN",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001114,250,null,null,"NF-SUPREP BOWEL PREP KIT ORAL SOLUTION",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001115,250,null,null,"NF-PRAVASTATIN ORAL TABLET 40MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001123,250,null,null,"NF-HALOPERIDOL DECANOATE IM SUSP 100MG/1",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001127,250,null,null,"NF-LOSARTAN POTASSIUM ORAL TABLET 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001132,250,null,null,"NF-NIASPAN 500MG ORAL TABLET, EXTENDED R",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001137,250,null,null,"NF-MIRAPEX 0.5MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001143,250,null,null,"NF-TAMOXIFEN CITRATE 20MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001148,250,null,null,"NF-DIVALPROEX SODIUM ORAL TAB DR 250MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001155,250,null,null,"NF-VITAMIN D ORAL TABLET 1000IU",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001157,250,null,null,"NF-LUMIGAN OPHTH SOLN 0.01%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001166,250,null,null,"NF-POTASSIUM CHLORIDE 20MEQ ORAL TABLET,",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001174,250,null,null,"NF-DIALYVITE 800/ULTRA D ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001179,250,null,null,"NF-ZINC GLUCONATE TAB 50MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001186,250,null,null,"NF-MS CONTIN 30MG ORAL TABLET, EXTENDED",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001187,250,null,null,"NF-RANITIDINE HCL 300MG ORAL CAPSULE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001192,250,null,null,"NF-CALCIUM 600 600MG ORAL CAPSULE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001198,250,null,null,"NF-OFLOXACIN OPHTH SOLN 0.3%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001202,250,null,null,"NF-DILTIAZEM CD 24 HR CAP 120MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001210,250,null,null,"NF-FERROUS SULFATE 324MG ORAL TABLET, EN",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001219,250,null,null,"NF-COMBIVENT INHALER",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001224,250,null,null,"NF-SOTALOL HCL 160MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001231,636,"J0744",null,"CIPROFLOXACIN 200MG/20ML INJ",0,0,9.64,9.64,9.64]
[6001237,250,null,null,"NF-FLUZONE IM SUSPENSION 45MCG/0.5ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001243,250,null,null,"NF-SODIUM BICARBONATE ORAL TABLET 650MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001250,250,null,null,"NF-CALCITRIOL 0.25MCG ORAL CAPSULE, LIQU",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001251,250,null,null,"NF-NIFEDIPINE 60MG ORAL TABLET, EXTENDED",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001262,250,null,null,"NF-DEXAMETHASONE 4MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001263,250,null,null,"NF-HEPATITIS A VACCINE IM SUSP 1,440EL U",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001268,250,null,null,"NF-CLONAZEPAM 1MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001274,250,null,null,"NF-CRESTOR ORAL TABLET 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001279,250,null,null,"NF-PHENOBARBITAL 60MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001285,250,null,null,"NF-ZENPEP CAP DR",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001292,250,null,null,"NF-CRESTOR 40MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001298,250,null,null,"NF-MORPHINE SULFATE ORAL TABLET 30MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001306,636,"J7325",null,"Hylan polymers 16mg/2ml syringe",0,0]
[6001312,250,null,null,"NF-IMDUR 60MG ORAL TABLET, EXTENDED RELE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001319,250,null,null,"NF-PRIMIDONE 50MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001326,250,null,null,"NF-PEG 3350 POWDER FOR SOLUTION 17GM/1DO",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001331,250,null,null,"NF-MUCINEX 1200MG ORAL TABLET, EXTENDED",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001337,250,null,null,"NF-DETROL LA 4MG ORAL CAPSULE, EXTENDED",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001341,250,null,null,"NF-CARISOPRODOL 350MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001344,250,null,null,"NF-CITALOPRAM HBR ORAL TAB 40MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001350,250,null,null,"NF-SOTALOL HCL 160MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001355,250,null,null,"NF-GUAIFENESIN 600MG ORAL TABLET, EXTEND",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001360,250,null,null,"NF-VITAMIN C 100MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001366,250,null,null,"NF-GLIMEPIRIDE 2MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001371,250,null,null,"NF-CRESTOR 40MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001377,250,null,null,"NF-L-THYROXINE SODIUM 0.1MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001384,250,null,null,"NF-BUSPIRONE HCL TAB 15MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001389,250,null,null,"NF-LAMOTRIGINE ORAL TABLET 200MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001396,250,null,null,"NF-FLORINEF ACETATE TAB 0.1MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001401,250,null,null,"NF-ALLEGRA 60MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001406,250,null,null,"NF-GLIPIZIDE 10MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001407,250,null,null,"NF-LOSARTAN POTASSIUM 100MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001412,250,null,null,"NF-REQUIP 1MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001419,250,null,null,"NF-LIDOCAINE AND PRILOCAINE KIT",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001425,250,null,null,"NF-ESCITALOPRAM 10MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001430,250,null,null,"NF-BUSPIRONE HCL TAB 15MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001436,250,null,null,"NF-WELLBUTRIN SR 150MG ORAL TABLET, EXTE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001441,250,null,null,"NF-COMBIVENT 0.09MG/ACTUATION-0.0 INHALA",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001446,250,null,null,"NF-PRAVASTATIN SODIUM 80MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001452,259,null,null,"Aspart insulin 100units/100ml NS bag",0,0]
[6001460,250,null,null,"NF-MULTIVITAMIN WITH IRON CAP 50MG-150MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001466,250,null,null,"NF-REQUIP ORAL TABLET 2MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001471,250,null,null,"NF-RISPERDAL 1MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001476,250,null,null,"NF-DOCUSATE SODIUM 100MG ORAL CAPSULE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001477,250,null,null,"NF-PATANOL 0.1% OPHTHALMIC SOLUTION",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001482,250,null,null,"NF-METFORMIN HYDROCHLORIDE 1000MG ORAL T",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001487,250,null,null,"NF-PRAVACHOL TAB 80MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001493,250,null,null,"NF-ZYPREXA 15MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001503,250,null,null,"NF-TRAVATAN 0.004% OPHTHALMIC SOLUTION",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001506,250,null,null,"NF-VALACYCLOVIR HCL ORAL TABLET 1GM",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001511,250,null,null,"NF-HYDROCHLOROTHIAZIDE 25MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001517,250,null,null,"NF-DORZOLAMIDE HCL-TIMOLOL 22.3MG-6.8MG/",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001524,250,null,null,"NF-COLCHICINE/PROBENECID TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001532,250,null,null,"NF-AMITRIPTYLINE 50MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001537,250,null,null,"NF-TRAZODONE HYDROCHLORIDE 150MG ORAL TA",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001541,250,null,null,"NF-COSOPT OCUMETER PLUS 2%-0.5% OPHTHALM",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001550,250,null,null,"NF-VOLTAREN GEL 1% TOPICAL APPLICATION G",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001551,250,null,null,"NF-ACYCLOVIR 400MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001556,250,null,null,"NF-LIPITOR 80MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001561,250,null,null,"NF-NITROGLYCERIN 0.4MG SUBLINGUAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001568,250,null,null,"NF-LEVOTHYROXINE ORAL TABLET 0.2MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001573,250,null,null,"NF-DULCOLAX BOWEL PREP KIT",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001579,250,null,null,"NF-CRESTOR 5MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001584,250,null,null,"NF-COMBIGAN 0.2%-0.5% OPHTHALMIC SOLUTIO",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001592,250,null,null,"NF-TOVIAZ 8MG ORAL TABLET, EXTENDED RELE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001598,250,null,null,"NF-NIASPAN EXTENDED-RELEASE TABLET 1000M",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001607,250,null,null,"NF-LISINOPRIL-HYDROCHLOROTHIAZIDE 12.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001612,250,null,null,"NF-TIMOLOL MALEATE OPHTH GEL DROP 0.25%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001618,250,null,null,"NF-MAGNESIUM CHELATED 100MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001624,250,null,null,"NF-VITAMIN D 5000IU ORAL CAPSULE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001625,250,null,null,"NF-MS CONTIN 15MG ORAL TABLET, EXTENDED",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001632,250,null,null,"NF-ORAJEL MOUTH SORE MEDICINE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001636,250,null,"GY","CANDESARTAN TAB : 16MG",0,0]
[6001642,250,null,null,"NF-TAMOXIFEN CITRATE 20MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001647,250,null,null,"NF-ZOFRAN INJECTION   2MG/ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001653,250,null,null,"NF-ONDANSETRON HCL INJ  SOLN 2MG/1ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001660,250,null,null,"NF-INDAPAMIDE ORAL TABLET 2.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001665,250,null,"GY","ACIDOPHILUS PROBIOTIC : 1 CAP",0,0]
[6001673,250,null,"GY","Dexamethasone 4mg tablet",18.600000000000001,13.02]
[6001677,250,null,"GY","Escitalopram 20mg tablet",7.5,5.25]
[6001682,250,null,"GY","HYDROXYUREA 500MG TAB",0,0]
[6001688,250,null,"GY","MELATONIN 3MG TAB",0,0]
[6001693,250,null,"GY","NAPROXEN 375MG TAB",0,0]
[6001694,250,null,null,"NF-BACLOFEN 20MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001699,250,null,"GY","OXYBUTYNIN ER TAB : 15MG",0,0]
[6001704,250,null,"GY","ROPINIROLE TAB : 1 MG",0,0]
[6001714,250,null,null,"NF-ACCUPRIL ORAL TABLET 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001716,250,null,"GY","VITAMIN D-2 CAP : 50000 UNIT",0,0]
[6001723,636,"J0290",null,"AMPICILLIN 2GM/NS 100ML: 2GM IVPB",0,0]
[6001729,636,"J2250",null,"Midazolam 5mg/5ml SDV",17,11.9,7.77,7.98,null,null,null,7.98,null,null,null,null,null,null,null,7.77]
[6001734,250,null,"GY","LORAZEPAM 2MG/ML ORAL LIQ 30ML BTL",0,0]
[6001740,636,"J0696",null,"cefTRIAXone 500mg SDV",15.9,11.13,0,31.64,13.96,23.7,null,23.7,31.64,3.02,null,null,null,null,0]
[6001745,250,null,null,"IV DOPAMINE DRIP 800MG/D5W 250ML : 800MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001751,250,null,null,"Mannitol 25% 12.5grams/50ml SDV",23.9,16.73,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001757,636,"J1250",null,"DOBUTamine 500mg/250ml PMX",72.099999999999994,50.47]
[6001762,250,null,null,"NF-ATACAND HCT ORAL TABLET 32MG-12.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001763,250,null,null,"NF-CLINDAMYCIN HYDROCHLORIDE CAPSULE 150",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001769,250,null,null,"NF-TAMSULOSIN HYDROCHLORIDE CAPSULE 0.4M",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001774,636,"J3250",null,"TRIMETHOBENZAMIDE 200MG/2ML VIAL : 200MG",0,0]
[6001780,259,null,null,"Vancomycin 1,250mg/250ml NS bag",0,0]
[6001785,636,"J1580",null,"Gentamicin 120mg/100ml NS bag",0,0]
[6001793,250,null,null,"NF-INDAPAMIDE TAB : 2.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001797,253,null,"GY","THP Promethazine/Dextromethorphan 30ml",11.8,8.26]
[6001803,253,null,"GY","THP Promethazine/Codeine 30ml PAK",9.1999999999999993,6.44]
[6001809,250,null,"GY","DP AMOX/CLAV 500MG TAB #2 DOSEPAK",0,0]
[6001814,250,null,"GY","DP DIPHENHYDRAMINE 50MG CAP #3 DOSEPAK",0,0]
[6001819,253,null,"GY","THP Ibuprofen 400mg tablet #4 PAK",11.8,8.26]
[6001825,250,null,null,"NF-ALLOPURINOL 300MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001827,250,null,null,"NF-METOPROLOL 100MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001832,250,null,null,"DP GENTAMICIN EYE DROPS 5ML DOSEPAK",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001837,250,null,"GY","traMADol 50mg tablet",11.8,8.26]
[6001842,250,null,null,"NF-LEVOTHYROXINE 0.075MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001848,250,null,null,"NF-ZOLPIDEM TART 5MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001853,250,null,null,"NF-PRESERVISION LUTEIN 226MG-0.8MG-5MG-2",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001858,250,null,null,"NF-MULTI VITAMINS ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001864,250,null,null,"NF-LANTUS 100U/1ML SUBCUTANEOUS SOLUTION",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001868,250,null,null,"NF-POLYETHYLENE GLYCOL 3350 17GM/1DOSE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001877,636,"J3490",null,"CLINDAMYCIN/NS IVPB : 900MG/100ML",0,0,4.01,38.67,4.01,null,null,38.67]
[6001882,250,null,null,"NF-METHADONE HCL 40MG ORAL TABLET FOR SU",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001887,636,"J3480",null,"NORMAL SALINE 1000/30 MEQ POTASSIUM CLH",0,0,5.45,42.47,5.45,null,null,42.47]
[6001893,636,"J0153",null,"ADENOSINE INJ 12MG/4ML VIAL : 12MG",0,0,35.9,35.9,null,null,35.9]
[6001898,250,null,null,"NF-DIOVAN 160MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001903,250,null,null,"NF-ATENOLOL 100MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001908,250,null,null,"NF-RISPERDAL CONSTA IM PWD FOR SUSP ER 5",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001910,250,null,null,"NF-CILOSTAZOL 100MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001916,250,null,null,"NF-PRENATAL 19 ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001922,250,null,null,"NF-ASACOL HD DELAYED RELEASE TABLET 800M",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001929,250,null,null,"NF-NOVOLIN N 100U/1ML SUBCUTANEOUS SUSPE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001937,250,null,null,"NF-DILAUDID 8MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001945,250,null,null,"NF-ALPHA LIPOIC ACID 200MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001957,250,null,null,"NF-SODIUM CHLORIDE INTRAVENOUS SOLUTION",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001965,250,null,null,"NF-SENSIPAR 60MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001970,250,null,null,"NF-CELEBREX 100MG ORAL CAPSULE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001977,250,null,null,"NF-OMEGA-3 FISH OIL 1200MG ORAL CAPSULE,",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001984,250,null,null,"NF-LAMICTAL ORAL TABLET 200MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001990,250,null,null,"NF-CELEBREX 200MG ORAL CAPSULE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001991,250,null,null,"NF-CELEXA 20MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6001997,250,null,null,"NF-TORSEMIDE ORAL TABLET 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002007,250,null,null,"NF-LISINOPRIL AND HYDROCHLOROTHIAZIDE 12",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002015,250,null,null,"NF-DOXAZOSIN 4MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002021,250,null,null,"NF-TACROLIMUS 1MG ORAL CAPSULE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002028,250,null,null,"NF-LEVOTHYROXINE ORAL TABLET 0.112MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002034,250,null,null,"NF-HYDROCHLOROTHIAZIDE 25MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002039,250,null,null,"NF-NIFEDIPINE 30MG ORAL TABLET, EXTENDED",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002046,250,null,null,"NF-DOXAZOSIN MESYLATE ORAL TABLET 2MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002051,250,null,null,"NF-ALPRAZOLAM 0.25MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002054,250,null,null,"NF-PRAZOSIN HCL 1MG ORAL CAPSULE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002064,250,null,null,"NF-SPIRONOLACTONE TAB 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002069,250,null,null,"NF-LODINE 500MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002070,250,null,null,"NF-CENTRUM 60MG-0.03MG-162MG-10 ORAL TAB",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002075,250,null,null,"NF-DILAUDID 4MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002081,250,null,null,"NF-LOVAZA 1GM ORAL CAPSULE, LIQUID FILLE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002087,250,null,null,"NF-MEGESTROL ACETATE 20MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002094,250,null,null,"NF-CRESTOR 20MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002099,250,null,"GY","Warfarin 1mg tablet",11.8,8.26]
[6002108,250,null,null,"NF-TYLENOL 8 HOUR 650MG ORAL TABLET, EXT",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002114,250,null,null,"NF-MAGNESIUM CHELATED TABLET 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002121,250,null,"GY","Dexamethasone 1mg tablet",0,0]
[6002126,250,null,null,"ERTAPENEM INJ ADD-VAN VIAL : 1 GRAM",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002135,250,null,"GY","Zinc sulfate 200mg capsule",0,0]
[6002140,250,null,"GY","Topiramate 25mg tablet",11.8,8.26]
[6002141,250,null,null,"Polyvinyl Alcohol/Povidone 0.4ml OPH UD",11.8,8.26,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002147,250,null,"GY","Torsemide 20mg tablet",11.8,8.26]
[6002153,636,"J1750",null,"Iron Dextran 100mg/2ml SDV",97.2,68.040000000000006]
[6002160,250,null,null,"NF-DORZOLAMIDE HYDROCHLORIDE 2% OPHTHALM",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002165,250,null,"GY","MetOLazone 2.5mg tablet",12.6,8.82]
[6002170,250,null,null,"NF-CEFTAZIDIME INJ PWD FOR SOLN 1GM",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002177,250,null,null,"NF-VESICARE 10MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002182,250,null,"GY","Venlafaxine ER 37.5mg capsule",11.8,8.26]
[6002185,250,null,"GY","Magnesium/Aluminum/Simethicone 30ml UDC",42.8,29.96]
[6002194,250,null,"GY","Donepezil 5mg tablet",11.8,8.26]
[6002199,250,null,"GY","Acyclovir 400mg tablet",11.8,8.26]
[6002205,250,null,"GY","NF-VITAMIN B6 250MG ORAL TABLET",0,0]
[6002210,250,null,"GY","Emtricitabine/Tenofovir 200-300mg tablet",306.3,214.41]
[6002216,250,null,"GY","Pyridoxine 100mg tablet",7.5,5.25]
[6002217,250,null,null,"Lactulose 10gram/15ml UDC",7.5,5.25,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002225,250,null,null,"NF-NAMENDA 5MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002228,250,null,null,"NF-ALBUTEROL SULFATE HFA 0.09MG/ACTUATIO",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002234,250,null,"GY","hydrOXYzine HCl 10mg tablet",0,0]
[6002239,250,null,null,"NF-ALENDRONATE SOD 70MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002245,250,null,"GY","Pseudoephedrine 30mg tablet",11.8,8.26]
[6002250,250,null,null,"NF-LACTATED RINGER''S SOLUTION IV SOLN",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002255,250,null,null,"NF-CLONIDINE 0.1MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002261,250,null,null,"NF-INVEGA EXTENDED RELEASE TABLET 1.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002266,250,null,null,"Docusate sodium 100mg/10ml UDC",7.5,5.25,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002273,250,null,null,"NF-FLONASE NASAL SPRAY 0.05MG/1ACT",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002278,250,null,null,"NF-SUSTIVA 600MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002283,636,"J0133",null,"Acyclovir 500mg/10ml SDV",0,0]
[6002284,636,"J1953",null,"LevETIRAcetam 500mg/5ml SDV",32.9,23.03,0.31,0.31,null,null,null,null,null,0.31]
[6002289,259,null,null,"LevETIRAcetam 250mg/100ml NS bag",0,0]
[6002294,250,null,"GY","Neomycin 500mg tablet",16.399999999999999,11.48]
[6002299,636,"J2720",null,"Protamine 50mg/ml SDV",50.1,35.07]
[6002311,250,null,null,"NF-BUMETANIDE ORAL TABLET 0.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002318,250,null,null,"NF-STRIBILD ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002323,250,null,null,"Triamcinolone 0.025% 15gram CRM",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002328,250,null,"GY","Glucose 4gram tablet",34.700000000000003,24.29]
[6002334,250,null,null,"NF-ZENPEP 136000U-25000U-85000 ORAL CAPS",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002340,250,null,null,"IRON SUCROSE IVPB 300 MG/NS 250 ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002346,250,null,null,"Calcium Chloride 1,000mg/10ml JET",63.3,44.31,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002348,250,null,"GY","Hydrocortisone 2.5% Cream 28g",35.799999999999997,25.06]
[6002358,250,null,"GY","Azithromycin 200mg/5ml 15ml BTL",0,0]
[6002359,636,"J7050",null,"Sodium Chloride 0.9% 100ml bag",28.7,20.09,0,33.51,15.8,null,null,33.51,0,13.26]
[6002364,259,null,null,"Octreotide 1,000mcg/250ml NS bag",0,0]
[6002369,250,null,null,"NF-METOPROLOL SUCCINATE 100MG ORAL TABLE",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002375,250,null,null,"INFLIXIMAB IVPB 400MG/NS 250 ML : 400 MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002380,636,"J7060",null,"Dextrose 5% 500ml bag",0,0]
[6002388,250,null,null,"NF-XARELTO 20MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002393,250,null,"GY","Quinapril 10mg tablet",0,0]
[6002398,636,"J0690",null,"ceFAZolin 1,000mg SDV",25.6,17.920000000000002,12.21,12.21,null,null,null,12.21]
[6002404,636,"J3010",null,"FentaNYL citrate 100mcg/2ml SDV",17.8,12.46,8.77,88.9,8.8000000000000007,null,null,16.96,null,null,null,null,null,null,88.9,8.77]
[6002410,250,null,null,"NF-CETIRIZINE 10MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002415,259,null,null,"Phytonadione 10mg/100ml NS bag",0,0]
[6002421,259,null,null,"Regular insulin 100units/100ml NS bag",0,0]
[6002426,636,"J3480",null,"Sodium Chloride 0.9% KCl 40meq 1,000ml",32.700000000000003,22.89,5.45,42.47,5.45,null,null,42.47]
[6002430,250,null,null,"PrednisoLONE 1% opth. susp. 5ml BTL",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002433,250,null,null,"Dextrose 5% 100ml bag",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002438,250,null,null,"Sodium Chloride 3% 500ml bag *WARNING*",44.9,31.43,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002444,636,"J7060",null,"Dextrose 5% (non-PVC) 500ml bag",26.3,18.41]
[6002449,250,null,null,"A&D ointment 5gram UD Packet",7.5,5.25,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002456,250,null,null,"PRESCRIPTION PAD",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002462,250,null,null,"Mineral Oil-Petrolatum Ophth Oint 3.5gm",66.599999999999994,46.62,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002467,253,null,"GY","THP Neo/Poly/Dex opth 5ml PAK",130,91]
[6002474,636,"J2543",null,"ZOSYN 3.375 GM/50ML IVPB PREMIX",0,0,14.12,14.12,null,null,null,14.12]
[6002480,250,null,"GY","Oxymetazoline 0.05% 30ml BTL",20.2,14.14]
[6002486,250,null,null,"NF-NADOLOL 20MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002492,250,null,null,"NF-OXYCONTIN EXT-RELEASE TABLET 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002499,250,null,null,"NF-OMEPRAZOLE 20MG ORAL CAPSULE, DELAYED",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002500,259,null,null,"Calcium Gluconate 2,000mg/250ml D5w",0,0]
[6002505,250,null,"GY","FLUoxetine 10mg capsule",11.8,8.26]
[6002513,250,null,null,"NF-METHYLPHENIDATE HCL CD 20MG ORAL CAPS",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002518,250,null,null,"NF-HCTZ/LISINOPRIL 12.5MG-20MG ORAL TABL",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002526,250,null,null,"PHARMACY CONSULT - ZOSYN DOSING",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002531,636,"J2690",null,"Procainamide 1,000mg/2ml SDV",0,0]
[6002539,250,null,null,"NF-TIZANIDINE HCL TAB 4MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002544,250,null,"GY","Sodium chloride 1,000mg tablet",11.8,8.26]
[6002556,250,null,"GY","Nicotine 7mg/day patch",0,0]
[6002562,250,null,null,"NF-VANCOMYCIN HCL IV POWDER FOR SOLN 1GM",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002566,250,null,null,"NF-ZETIA 10MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002579,250,null,null,"NF-CUBICIN IV PWD FOR SOLN 500MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002585,250,null,null,"NF-PRAVASTATIN SODIUM ORAL TABLET 80MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002586,250,null,null,"NF-DILAUDID TABLET 8MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002592,250,null,null,"NF-ESTERIFIED ESTROGENS AND METHYLTESTOS",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002597,250,null,null,"NF-PRANDIN 2MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002604,636,90716,null,"Varicella vaccine (Varivax) 0.5ml SDV",231.8,162.26]
[6002616,250,null,null,"Lidocaine 2% Jelly 10ml Uro-Jet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002618,250,null,null,"Janumet 1000mg/50mg tablet-NON formulary",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002624,250,null,"GY","Dexlansoprazole 60mg capsule-NON formula",0,0]
[6002629,250,null,null,"Galantamine 12mg tablet NON-formulary",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002636,250,null,null,"NF-FIORICET TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002641,250,null,null,"Nicotine gum 4mg chew - NON formulary",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002648,250,null,null,"NF-VOLTAREN 0.1% OPHTHALMIC SOLUTION",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002654,250,null,null,"NF-DULERA 5MCG/ACTUATION-100MC INHALATIO",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002670,250,null,null,"NF-HYDROXYCHLOROQUINE SULFATE TAB 200MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002672,250,null,null,"NF-NORVIR 100MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002677,250,null,null,"NF-NITROSTAT 0.4MG SUBLINGUAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002683,250,null,null,"NF-ELIQUIS ORAL TABLET 2.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002689,250,null,null,"Doxycycline 100mg capsule",20.9,14.63,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002695,250,null,null,"NF-ALPRAZOLAM 1MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002700,250,null,null,"NF-MORPHINE SULFATE ORAL SOLUTION 20MG/1",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002706,259,null,null,"Ampicillin/Sulbactam 1500mg/3.2ml  IM",0,0]
[6002712,250,null,null,"NF-PRILOSEC 40MG ORAL CAPSULE, DELAYED R",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002718,259,null,null,"Ampicillin 500mg/2ml Sterile water IM",0,0]
[6002723,259,null,null,"Clindamycin 300mg/2ml IM",22.5,15.75]
[6002728,250,null,null,"NF-NUVIGIL 250MG ORAL TABLET",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002734,250,null,null,"NF-BENZTROPINE MESYLATE ORAL TABLET 2MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002740,250,null,null,"NF-Nitroglycerin Cap ER 2.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002745,250,null,null,"NF-Brimonidine Tartrate Ophth Soln 0.15%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002749,259,null,null,"ceFAZolin 1,000mg/50ml NS",0,0]
[6002753,636,"J3490",null,"Labetalol 5mg/ml 40ml MDV",38.1,26.67,4.01,38.67,4.01,null,null,38.67]
[6002759,250,null,null,"Activated Charcoal-sorbitol 25gram/120ml",111.9,78.33,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002764,250,null,null,"NF-KETOROLAC TROMETHAMINE OPHTH SOLN 0.4",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002769,259,null,null,"Ampicillin in 10mls NS Pediatric",0,0]
[6002776,250,null,null,"Dextrose 5% Saline 0.45% 500ml",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002782,250,null,null,"PED ceFAZolin 0-2,000mg/50ml NS bag",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002792,250,null,null,"NF-Travatan Solution Ophthalmic 0.004%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002796,250,null,null,"NF-ISOSORBIDE DINITRATE TAB 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002801,250,null,null,"NF-Calcium 600-D Oral Tab 600MG-400IU-5M",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002807,250,null,null,"NF-Vitamin D Oral Capsule 50000IU",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002816,250,null,null,"NF-Simbrinza Ophthalmic Suspension 0.2%-",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002821,250,null,null,"NF-Tradjenta Oral Tablet 5MG",19,13.3,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002822,250,null,null,"NF-Hydroxyurea Capsule 500MG",1,0.7,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002828,250,null,null,"NF-Losartan-Hctz Oral Tablet 100MG-25MG",10,7,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002840,250,null,null,"NF-Suboxone SL Tab 8MG-2MG",10,7,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002844,250,null,null,"NF-Crestor Tablet 10MG",8,5.6,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002855,250,null,null,"NF-Theophylline 12HR Oral Cap ER 300MG",2,1.4,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002861,250,null,null,"NF-Fish Oil Concentrate Capsule",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002866,636,"J2426",null,"Paliperidone palmitate ER 156mg/1ml",2646.9,1852.83]
[6002871,250,null,null,"NF-Glucosamine & Chondroitin 500MG-400MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002877,250,null,null,"NF-Tambocor Oral Tablet 50MG",4,2.8,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002884,250,null,null,"Etomidate 20mg/10ml SDV",45.1,31.57,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002891,250,null,null,"NF-Crestor Tablet 20MG",8,5.6,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002896,250,null,null,"NF-FLOVENT HFA INH ORAL/NEB 0.11MG/1ACT",28.92,20.239999999999998,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002902,636,"J7120",null,"Lactated ringers KCl 10meq 1,000ml bag",0,0,0.04,41.08,20.71,39.9,40.119999999999997,41.08,null,null,null,null,null,null,0.04,32.83]
[6002903,636,"J7120",null,"Lactated ringers KCl 20meq 1,000ml bag",0,0,0.04,41.08,20.71,39.9,40.119999999999997,41.08,null,null,null,null,null,null,0.04,32.83]
[6002913,250,null,null,"NF-TIMOLOL MALEATE OPHTH SOLN 0.25%",4.5,3.15,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002919,259,null,null,"cefTRIAXone 250mg/0.7ml IM",0,0]
[6002932,250,null,null,"NF-Pyridostigmine Bromide Oral Tablet 60",1,0.7,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002948,250,null,"GY","CL Albuterol 2.5mg/3ml nebule",7.5,5.25]
[6002952,636,"S0020",null,"CL Bupivacaine PF 0.5% 10ml SDV",25.6,17.920000000000002,1.26,2.39,1.26,null,2.39]
[6002957,983,90746,null,"CL Hepatitis-B (adult) 20mcg/ml SDV",0,0]
[6002962,636,"J2001",null,"CL Lidocaine 1% 20ml Vial",31.6,22.12,1.04,6.44,3.88,6.44,5.95,5.76,null,3,null,null,null,null,1.04,5.26]
[6002968,250,null,null,"CL Mineral oil bulk bottle",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002977,250,null,null,"CL Silver Nitrate Applicator stick",11.8,8.26,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002983,250,null,null,"CL Tetracaine 0.5% opth 2ml BTL",28.7,20.09,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002985,250,null,"GY","CL Neomycin/Bacitracin/PolyB pkt",11.8,8.26]
[6002994,250,null,null,"HYDROcodone/Acetamin 7.5/325mg 15ml UDC",40.1,28.07,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6002995,636,null,null,"CL Estradiol Cypionate 25mg/5ml MDV",197.6,138.32,3.14,59.13,59.13,null,3.14]
[6003001,636,90734,null,"CL Meningococcal Vaccine 0.5ml SDV",201.2,140.84]
[6003007,250,null,null,"NF-Xopenex HFA Inh/Neb Aer Pwd 0.045MG/1",7,4.9000000000000004,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003012,259,null,null,"Ertapenem 500mg/100ml NS bag",0,0]
[6003017,250,null,null,"NF-Multivitamin Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003026,636,90732,null,"Pneumococcal 23 0.5ml PFS",359.8,251.86]
[6003030,636,90686,null,"Influenza Vaccine 0.5ml syringe",84,58.8,70.290000000000006,132.99,70.290000000000006,null,132.99]
[6003038,636,90734,null,"Meningococcal Vaccine 0.5ml SDV",354.8,248.36]
[6003045,250,null,null,"NF-Armour Thyroid Tablet 90MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003052,250,null,null,"NF-Reglan Tablet 10MG",2,1.4,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003059,250,null,null,"NF-Metoclopramide Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003065,250,null,null,"Fat emulsion 20% 100ml Premix",106.2,74.34,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003070,250,null,null,"NF-Vitamin B1 Tablet 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003071,250,null,null,"NF-Crestor Tablet 10MG",8,5.6,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003078,250,null,null,"NF-Gleevec Oral Tablet 400MG",607,424.9,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003084,250,null,null,"NF-Wellbutrin XL 24 Hr Tab ER 150MG",14,9.8000000000000007,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003091,636,"J1885",null,"CL Ketorolac 60mg/2ml SDV",57.2,40.04,0.1,15.65,5.22,11.26,8.6199999999999992,15.65,11.26,null,null,null,null,null,0.1,10.92]
[6003096,250,null,null,"NF-Pravastatin Sodium Oral Tablet 20MG",4,2.8,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003102,250,null,null,"NF-Ranitidine Oral Tablet 150MG",2,1.4,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003108,250,null,null,"NF-SIMVASTATIN ORAL TABLET 40MG",7.38,5.17,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003113,250,null,null,"NF-Acidophilus w/Pectin Capsule",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003120,250,null,null,"Dextrose 5% Saline 0.225% KCl 10 1,000ml",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003125,250,null,null,"Sacchromyces Boulardii 250mg capsule",7.9,5.53,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003131,250,null,null,"NF-Pilocarpine Ophth Solution 1%",9,6.3,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003136,250,null,null,"NF-CeleBREX Capsule 200MG",8,5.6,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003141,250,null,null,"NF-Clobetasol Propionate Cream 0.05%",12,8.4,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003142,250,null,null,"NF-Flax Seed Oil Natural Capsule 1000MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003148,250,null,null,"NF-Diltiazem CD 24 Hr Cap 240MG",4,2.8,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003154,250,null,null,"NF-Lidocaine HCl Topical Lotion 3%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003163,250,null,null,"NF-Finasteride Oral Tablet 1MG",4,2.8,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003167,250,null,null,"NF-Propranolol HCl Solution 20MG/5ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003173,250,null,null,"NF-SALINE NASAL SPRAY 0.65%",7.0000000000000007E-2,0.05,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003178,250,null,null,"NF-Melatonin Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003183,250,null,"GY","rOPINIRole 1mg tablet",11.8,8.26]
[6003189,636,"J0743",null,"Imipenem/Cilastatin 250mg/100ml NS",0,0]
[6003194,250,null,null,"NF-Xalatan Ophth Solution 0.005%",68,47.6,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003198,250,null,null,"NF-LOVASTATIN ORAL TABLET 40MG",6.4,4.4800000000000004,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003213,250,null,null,"NF-Zinc Sulfate Oral Tablet 220MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003219,250,null,null,"NF-Omeprazole Delayed Release Tablet 20M",5,3.5,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003222,250,null,null,"NF-Triamterene/HCTZ Capsule 37.5-25MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003231,250,null,null,"NF-DRONABINOL LIQ CAP 2.5MG",8.84,6.19,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003237,250,null,null,"NF-Levothyroxine Oral Tablet 150MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003244,250,null,"GY","QUEtiapine 50mg tablet",11.8,8.26]
[6003250,250,null,null,"NF-Toviaz Oral Extended Release Tablet 4",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003255,250,null,null,"NF-Fish Oil Capsule 1000MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003262,250,null,null,"NF-Daliresp Oral Tablet 500MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003270,250,null,null,"NF-Fish Oil Capsule 1000MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003277,250,null,null,"NF-Isosorbide Dinitrate Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003283,250,null,null,"NF-Entacapone Oral Tablet 200MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003288,250,null,null,"NF-Estradiol Tablet 0.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003295,250,null,null,"NF-Losartan K and HCTZ Tablet 100MG-25MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003296,250,null,null,"NF-Amitriptyline HCl Oral Tablet 50MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003302,250,null,null,"NF-SYMBICORT INH AER LIQ 160MCG-4.5MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003312,253,null,"GY","THP Oxymetazoline 0.05% 30ml BTL",20.2,14.14]
[6003317,250,null,null,"NF-Pravastatin Oral Tablet 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003323,250,null,null,"NF-Nadolol Tablet 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003328,250,null,null,"NF-Minoxidil Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003336,253,null,"GY","THP Gentamicin 0.3% opth sol 5ml BTL",39.6,27.72]
[6003342,250,null,null,"NF-Pravastatin Sodium Oral Tablet 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003345,250,null,null,"NF-Torsemide Oral Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003358,250,null,null,"NF-OLANZapine Oral Tablet 15MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003363,250,null,null,"NF-Trileptal Tablet 300MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003368,250,null,null,"NF-BRIMONIDINE TARTRATE OPHTH SOLN 0.1%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003374,250,null,null,"NF-Eliquis Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003382,250,null,null,"NF-Isosorbide Dinitrate Tablet 30MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003383,250,null,null,"NF-DIVALPROEX SODIUM ORAL TAB DR 500MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003393,250,null,null,"NF-ADVAIR HFA 230/21 INH AER 230MCG-21MC",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003396,636,"J0171",null,"CL EPINEPHrine 0.15mg/ml autopen",0,0]
[6003406,250,null,null,"NF-XYNTHA IV PWD FOR SOLN 1IU",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003413,250,null,null,"Fluorescein 1mg ocular strip",11.8,8.26,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003418,250,null,null,"NF-Vitamin D3 Oral Tablet 2000IU",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003424,250,null,null,"NF-buPROPion HCl XL 24 HR Tab ER 150MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003429,250,null,null,"NF-BUPROPION HCL TAB 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003435,250,null,null,"NF-Ranitidine Oral Tablet 300MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003440,250,null,null,"NF-amLODIPine Besylate Oral Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003448,250,null,null,"NF-Omeprazole Oral Tab DR 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003454,250,null,null,"NF-Eliquis Oral Tablet 2.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003460,250,null,null,"NF-GLEEVEC ORAL TABLET 400MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003461,250,null,null,"NF-Pradaxa Oral Capsule 75MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003468,636,"J7325",null,"Hylan polymers 16mg/2ml syringe",407,284.89999999999998]
[6003473,250,null,null,"NF-Dilaudid Oral Tablet 2MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003478,250,null,null,"Lidocaine / Prilocaine 2.5%-2.5% 5g tube",66.099999999999994,46.27,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003485,250,null,null,"NF-Eliquis Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003491,250,null,null,"NF-Levothyroxine Sodium Oral Tablet 175M",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003497,250,null,null,"NF-Vitamin D Oral Liq Cap 400IU",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003502,250,null,null,"NF-Brovana Inhalation Solution 15MCG/2ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003513,250,null,null,"NF-Pradaxa Oral Capsule 150MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003519,250,null,null,"NF-Omeprazole Delayed Release Tablet 20M",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003524,250,null,null,"NF-PRADAXA ORAL CAPSULE 150MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003526,250,null,null,"NF-ISOSORBIDE DINITRATE ORAL TABLET 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003537,250,null,"GY","Nitrofurantoin 50mg capsule",11.8,8.26]
[6003538,250,null,"GY","Levothyroxine 50mcg tablet",11.8,8.26]
[6003545,250,null,null,"NF-Lisinopril Tablet 2.5mg",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003552,250,null,null,"NF-Eliquis Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003559,250,null,null,"NF-MONTELUKAST SODIUM ORAL TABLET 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003565,250,null,null,"NF-Lisinopril Oral Tablet 2.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003570,250,null,null,"NF-Albuterol Inhaler 0.09MG/Inh",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003574,250,null,null,"NF-Estradiol Tablet 2MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003584,250,null,null,"NF-Multiple Vitamins & Minerals Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003590,636,"A9579",null,"Gadoteridol 279.3mg/ml 10ml SDV",115.1,80.569999999999993,0.25,9.3699999999999992,null,null,9.3699999999999992,null,null,null,null,null,null,null,0.25]
[6003595,250,null,null,"NF-Isosorbide Dinitrate Tablet 30MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003601,250,null,null,"NF-Symbicort Inh Aer Liq 80MCG-4.5MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003607,250,null,null,"NF-Glucostix",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003612,250,null,null,"NF-Diltiazem Hydrochloride Cap ER 240MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003618,250,null,null,"NF-Temazepam Capsule 15MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003619,250,null,null,"NF-Calcium Tablet 600MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003625,250,null,null,"NF-Nadolol Tablet 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003631,250,null,null,"NF-Multivitamin Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003636,250,null,null,"NF-Metamucil MultiHealth Fiber 3.3GM/1Do",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003641,250,null,null,"NF-Cefprozil Oral Tablet 500MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003654,250,null,null,"NF-Zetia Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003661,250,null,null,"NF-Dexamethasone Tablet 1MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003668,250,null,null,"NF-Vitamin D Oral Capsule 50000IU",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003674,250,null,null,"NF-GLIPIZIDE ER ORAL TAB ER 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003679,636,"J0897",null,"Denosumab 60mg/ml syringe",4220.8,2954.56]
[6003686,250,null,null,"NF-Remeron Tablet 15MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003694,250,null,null,"NF-Eliquis Oral Tablet 2.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003700,250,null,null,"NF-Lotrisone Topical Cream 1%-0.05%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003701,250,null,null,"NF-Uloric Oral Tablet 40MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003708,250,null,null,"NF-prednisoLONE Acetate Ophth Suspension",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003714,250,null,null,"NF-QUEtiapine Fumarate Oral Tablet 400MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003726,250,null,null,"NF-Vitamin A Capsule 8000iu",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003737,250,null,null,"BLANK ENTRY",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003755,250,null,null,"NF-Centrum Silver Oral Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003760,250,null,null,"NF-Simvastatin Oral Tablet 40MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003765,250,null,null,"NF-Astelin Ready-Spray Nasal",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003772,250,null,null,"NF-Ferrous Sulfate Tablet 325MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003776,250,null,null,"NF-Mirtazapine Tablet 15MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003786,250,null,null,"NF-HYDROcodone-Acetaminophen Tab 5-325MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003796,250,null,null,"Morphine 10mg/0.5ml oral syringe",33.200000000000003,23.24,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003801,250,null,null,"NF-Lispro-PFC SQ Susp 100U/1ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003802,250,null,null,"NF-Asmanex Twist Inh/Neb Powder 220MCG/A",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003809,250,null,null,"NF-ICaps Original Oral Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003815,253,null,"GY","THP OxyCODONE/Acetaminophen 5/325 PAK",17,11.9]
[6003825,250,null,null,"NF-Dicyclomine HCl Tablet 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003827,250,null,null,"NF-Fish Oil Concentrate Capsule 1000MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003834,250,null,null,"NF-Selegiline HCl Capsule 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003840,250,null,null,"NF-Pravastatin Oral Tablet 40MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003846,250,null,null,"NF-tiZANidine HCl Tablet 4mg",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003853,250,null,null,"NF-Lumigan Ophth Solution 0.01%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003858,250,null,null,"NF-Sinemet CR Tablet 50MG-200MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003865,250,null,null,"NF-Alendronate Sod Oral Tablet 70MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003873,250,null,null,"NF-Invokana Oral Tablet 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003878,250,null,null,"NF-Chromimin Tablet 1MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003879,250,null,null,"NF-Centrum Silver Oral Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003884,250,null,null,"NF-Fexofenadine Hydrochloride Oral Tab 6",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003890,250,null,null,"NF-Timolol Maleate Ophth Solution 0.5%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003896,250,null,null,"NF-SODIUM BICARBONATE POWDER",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003901,250,null,null,"NF-Multi-Vitamin w/Minerals Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003907,250,null,null,"NF-Vitamin B Complex Capsule",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003915,250,null,null,"NF-Tudorza Pressair Inh Aer Pwd 400MCG/1",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003921,250,null,null,"NF-Sodium Bicarbonate Tablet 325MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003929,250,null,null,"NF-OXcarbazepine Oral Tablet 600MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003934,250,null,null,"NF-Myrbetriq Oral Tablet 25MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003940,250,null,null,"NF-Niacin Tablet 500MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003946,250,null,null,"NF-Chlorthalidone Tablet 50MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003953,250,null,null,"NF-Artificial Tears Ophth Solution",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003957,250,null,null,"NF-VITAMIN D3 POWDER",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003961,250,null,null,"BLANK ENTRY",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003967,250,null,null,"NF-TELMISARTAN ORAL TABLET 80MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003978,250,null,null,"NF-hydrALAZINE HCl Oral Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003983,250,null,null,"NF-Terbutaline Sulfate Oral Tablet 2.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003991,250,null,null,"NF-Artificial Tears Ophth Solution",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6003996,250,null,null,"NF-Artificial Tears Ophth Solution 1.4%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004003,250,null,null,"NF-HumaLOG SubQ Suspension 100U/1ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004009,250,null,null,"Lidocaine 1% with Epi 1:100,000 50ml MDV",23.5,16.45,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004016,250,null,null,"NF-Zonisamide Oral Capsule 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004030,250,null,null,"BLANK ENTRY",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004035,250,null,null,"NF-Lisinopril Tablet 20mg",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004040,250,null,null,"NF-raNITIdine Oral Tablet 300MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004041,250,null,null,"NF-Multi Vitamins Oral Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004048,250,null,null,"NF-Fish Oil Capsule 1000MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004056,250,null,null,"NF-Minoxidil Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004062,250,null,null,"NF-DULoxetine HCl Cap DR 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004073,250,null,null,"NF-Letrozole Oral Tablet 2.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004079,250,null,null,"NF-Xarelto Oral Tablet 15MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004084,250,null,"GY","CL Acetaminophen 160mg/5ml 10ml UDC",7.5,5.25]
[6004090,250,null,null,"NF-Selenium Tablet 200mcg",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004096,250,null,null,"NF-Sotalol HCl  Oral Tablet 80MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004101,250,null,null,"NF-Aldactone Oral Tablet 50MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004113,250,null,null,"NF-Senokot Oral Tablet 8.6MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004121,250,null,null,"NF-Cetirizine Oral Tab 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004128,250,null,null,"NF-Tamsulosin Hydrochloride Capsule 0.4M",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004129,250,null,null,"NF-Diclofenac Sodium Tablet 75MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004135,250,null,null,"NF-Vitamin D Oral Capsule 50000IU",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004140,250,null,null,"CL Menthol/Zinc oxide oint. 2.5 oz jar",25.3,17.71,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004146,250,null,null,"NF-Haloperidol Tablet 1MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004156,636,"J0282",null,"Amiodarone 450mg/9ml SDV",27.9,19.53]
[6004160,250,null,null,"NF-RisperDAL Tablet 4MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004166,250,null,null,"NF-TRAZODONE HCL ORAL TABLET 150MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004171,250,null,null,"NF-Chlorthalidone Tablet 25MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004177,250,null,null,"NF-TRAVATAN Z OPHTH SOLN 0.004%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004183,250,null,null,"NF-Timolol Maleate Ophth Solution 0.5%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004188,636,"Q9968",null,"Methylene blue 0.5% 5mg/ml 10 ml SDV",719.8,503.86]
[6004194,250,null,null,"NF-Striverdi Respimat Inh Spray 2.5MCG/1",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004199,250,null,null,"NF-Lidocaine Topical Extended Release Pa",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004201,250,null,null,"NF-Lotrisone Topical Cream 1%-0.05%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004206,636,"J3360",null,"Diazepam 5mg/ml 10ml vial",248,173.6]
[6004212,250,null,null,"NF-Estradiol Tablet 1MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004218,250,null,null,"NF-Dipyridamole Oral Tablet 50MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004225,250,null,null,"NF-ARNUITY ELLIPTA INH PWD 100MCG/1ACT",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004232,250,null,null,"NF-TraZODone HCl Oral Tablet 50MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004236,250,null,null,"NF-Acidophilus Oral Capsule",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004244,250,null,null,"NF-LUBRIFRESH P.M. OPHTHALMIC OINT 15%-8",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004253,250,null,null,"NF-Alendronate Sodium Oral Tablet 70MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004258,250,null,null,"NF-Fludrocortisone Acetate Tablet 0.1MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004264,250,null,null,"NF-Cyclobenzaprine Oral Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004270,250,null,null,"Fluorescein 0.6mg ocular strip",7.5,5.25,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004275,250,null,null,"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004276,250,null,null,"NF-Multivitamin Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004282,250,null,null,"NF-Isosorbide Dinitrate Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004288,250,null,null,"NF-Isosorbide Dinitrate Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004294,250,null,null,"NF-Wheat Germ Oil",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004301,250,null,null,"NF-Verapamil HCl Tablet 80MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004306,250,null,null,"NF-Ezetimibe Oral Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004315,250,null,null,"NF-Co-Q-10 Oral Liquid Capsule 200MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004320,250,null,null,"NF-Potassium Chloride Oral Cap ER 10MEQ",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004328,250,null,null,"NF-Relistor SubQ Soln 12MG/0.6ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004335,636,"J2001",null,"CL Lidocaine 1% 30ml MDV",0,0,1.04,6.44,3.88,6.44,5.95,5.76,null,3,null,null,null,null,1.04,5.26]
[6004340,250,null,null,"NF-Creon Oral Delayed Release Capsule",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004348,250,null,null,"NF-Ocuvite Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004353,250,null,null,"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004354,250,null,null,"NF-Propranolol HCl Tablet 40MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004360,250,null,null,"NF-Multi Vitamins Oral Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004367,250,null,null,"NF-Armour Thyroid Tablet 60MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004377,250,null,null,"NF-Levothyroxine Sodium Oral Tablet 137M",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004380,250,null,null,"NF-Vitamin D Oral Capsule 50000IU",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004388,250,null,null,"NF-Brilinta Oral Tablet 90MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004397,250,null,null,"NF-Carbidopa/Levodopa Tablet 25MG-100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004402,250,null,null,"NF-Xarelto Oral Tablet 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004409,250,null,null,"NF-Multivitamin Oral Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004414,250,null,null,"NF-Vitamin D3 Oral Liq Cap 2000 IU",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004421,636,"J2001",null,"Lidocaine 1% 10ml Ampule",27.4,19.18,1.04,6.44,3.88,6.44,5.95,5.76,null,3,null,null,null,null,1.04,5.26]
[6004428,250,null,null,"NF-Vitamin B Complex Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004433,250,null,null,"NF-Promethazine HCl Tablet 25MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004434,250,null,null,"NF-Vitamin B Complex Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004439,250,null,null,"NF-Xtandi Oral Liquid Filled Capsule 40M",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004444,250,null,null,"CL Lido 1% with Epi 1:100,000 30ml MDV",26.3,18.41,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004452,250,null,null,"NF-carBAMazepine",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004457,250,null,null,"NF-Valsartan/HCTZ Oral Tablet 160MG-12.5",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004464,250,null,null,"NF-Digoxin Tablet 0.125MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004471,250,null,null,"NF-Digoxin Tablet 0.125MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004479,250,null,null,"NF-Vitamin B12 Injection 1000mcg/ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004485,250,null,null,"NF-chlordiazePOXIDE HCl Capsule 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004490,250,null,null,"NF-Folic Acid Tablet 0.4MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004496,250,null,null,"NF-Ascorbic Acid Oral Tablet 500MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004502,250,null,null,"NF-Loperamide Oral Tablet 2MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004507,636,"J1442",null,"Filgrastam 300mcg/0.5ml syringe",646.6,452.62]
[6004512,250,null,null,"NF-Brilinta Oral Tablet 90MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004517,636,"J1450",null,"Fluconazole 200mg/100ml PMX",40.6,28.42]
[6004523,250,null,null,"NF-TraZODone HCl Oral Tablet 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004529,250,null,null,"NF-Bisoprolol Fumarate Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004534,636,"J3480",null,"Potassium Chloride 40Meq/20ml SDV",18.899999999999999,13.23,5.45,42.47,5.45,null,null,42.47]
[6004540,250,null,null,"NF-Revlimid Oral Capsule 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004548,250,null,"GY","Cyanocobalamin 500mcg tablet",0,0]
[6004551,250,null,null,"NF-buPROPion HCl Oral Tab ER 12HR 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004561,250,null,null,"NF-metOLazone Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004566,250,null,null,"NF-ACETYLCYSTEINE IV SOLN 200MG/1ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004572,250,null,null,"NF-fentaNYL Transdermal Patch ER 12MCG/H",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004579,250,null,null,"Sufentanyl citrate 50mcg/ml 5ml SDV",47.3,33.11,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004584,250,null,null,"NF-Prazosin Oral Capsule 2MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004590,250,null,null,"NF-PRAZOSIN HCL CAP 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004591,636,"J0744",null,"Ciprofloxacin 200mg/100ml PMX",31.6,22.12,9.64,9.64,9.64]
[6004597,250,null,null,"NF-Nortriptyline Hydrochloride Cap 50MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004605,250,null,null,"NF-Gleevec Oral Tablet 400MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004610,250,null,null,"NF-Niacinamide Tablet 500MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004619,250,null,null,"NF-Reyataz 200MG Capsule",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004626,250,null,null,"NF-GENVOYA TAB 150MG-150MG-200MG-10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004631,250,null,null,"NF-Corgard Oral Tablet 80MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004637,250,null,null,"NF-Tradjenta Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004642,636,"J2270",null,"Morphine 5mg/ml syringe",23.8,16.66,18.21,35.6,18.21,null,34.04,35.590000000000003,33.630000000000003,null,null,null,null,null,null,35.6]
[6004651,250,null,null,"NF-Incruse Ellipta Inh Pwd 62.5MCG/1ACT",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004658,250,null,null,"NF-Detrol LA Oral Capsule ER 4MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004663,250,null,null,"NF-Novaplus Tacrolimus Oral Capsule 1MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004669,250,null,null,"NF-Cinnamon Oral Capsule 500MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004670,250,null,null,"NF-Metamucil Free Oral Powd for Susp",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004675,250,null,null,"NF-Ipratropium/Albuterol Sulf 0.5MG-3MG/",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004681,250,null,null,"NF-Travatan Z Ophthalmic Solution 0.004%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004688,250,null,null,"NF-Suboxone Sublingual Film 8MG-2MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004692,250,null,null,"NF-Lithium Carbonate Capsule 300MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004699,250,null,null,"NF-Daliresp Oral Tablet 500MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004705,250,null,null,"NF-TraZODone HCl Oral Tablet 150MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004711,250,null,null,"NF-Dorzolamide Hydrochloride Ophth Soln",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004718,250,null,null,"NF-Advil PM Oral Tablet 38MG-200MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004723,250,null,null,"NF-Lumigan Ophth Solution 0.01%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004726,250,null,null,"NF-B100 Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004736,250,null,null,"NF-Latanoprost Ophth Solution 0.005%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004743,250,null,null,"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004744,250,null,null,"NF-Alclometasone Dip Top Oint 0.05%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004751,250,null,null,"NF-Acetaminophen/Codeine Tablet 300MG-60",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004758,250,null,null,"NF-TraZODone HCl Oral Tablet 50MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004764,250,null,null,"NF-Mycophenolic Acid Oral Tab EC 360MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004769,250,null,null,"NF-FERROUS SULFAT TAB  325MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004773,250,null,null,"NF-Ferrous Sulfate Tablet 324MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004782,250,null,null,"NF-Suboxone Sublingual Film 8MG-2MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004788,250,null,null,"NF-Ferrous Glucon Tab  325MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004796,250,null,null,"NF-SINEMET 25-250 ORAL TABLET 25MG-250MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004801,250,null,null,"NF-Jardiance Oral Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004808,250,null,null,"NF-Latuda Oral Tablet 80MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004814,250,null,null,"NF-Nature's Blend Alpha Lipoic Acid 100M",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004822,250,null,null,"NF-Vitamin B2 Tablet 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004823,250,null,null,"NF-Vitamin B-12 Oral Solution 1000MCG/ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004828,250,null,null,"NF-Entresto Oral Tablet 97MG-103MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004833,250,null,null,"NF-Timolol Maleate Ophth Solution 0.25%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004839,250,null,null,"NF-Diovan HCT Oral Tablet 320MG-25MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004844,250,null,null,"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004853,636,"J3489",null,"Zoledronic acid 4mg/5ml SDV",132.6,92.82]
[6004858,250,null,null,"NF-Fenofibrate Oral Tablet 145MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004866,250,null,null,"NF-Senna-S Oral Tablet 50MG-8.6MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004870,250,null,null,"NF-Vitamin B12 Tablet 500mcg",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004875,250,null,null,"NF-Calcium Oral Tablet 500MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004881,250,null,null,"NF-Ranexa Extended-Release Tablet 500MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004886,250,null,null,"NF-clonazePAM Disintegrating Tab 0.125MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004891,636,"J3490",null,"Diltiazem 100mg/80ml NS bag",0,0,4.01,38.67,4.01,null,null,38.67]
[6004892,250,null,null,"NF-Singulair Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004899,250,null,null,"NF-MIDODRINE HCL ORAL TABLET 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004903,250,null,null,"NF-Namenda Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004909,250,null,null,"NF-Vitamin B2 Tablet 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004914,250,null,null,"NF-VESIcare Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004920,636,90686,null,"CL Influenza Vaccine 0.5ml syringe",83.2,58.24,70.290000000000006,132.99,70.290000000000006,null,132.99]
[6004926,250,null,null,"NF-BYDUREON Pen SubQ PwdforSusp ER 2MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004932,250,null,null,"NF-cloNIDine TD Patch ER 0.1MG/24HR",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004938,250,null,null,"NF-Ventolin HFA Inhaler 0.09MG/Inh",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004942,250,null,null,"NF-Vitamin B-12 Oral Tablet 100MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004950,636,"J0690",null,"ceFAZolin 1,000mg/D5W 50ml PMX",65.599999999999994,45.92,12.21,12.21,null,null,null,12.21]
[6004956,636,"J3410",null,"hydrOXYzine Hcl 50mg SDV",58.2,40.74]
[6004961,250,null,null,"NF-Isosorbide Dinitrate Oral Tablet 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004962,250,null,null,"NF-Fluconazole Oral Tablet 150MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004967,250,null,null,"NF-Amitiza Liquid Capsule 24MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004972,250,null,null,"NF-Tresiba Subcutaneous Solution 200U/1M",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004978,250,null,null,"NF-Suboxone Sublingual Film 2MG-0.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004984,250,null,null,"NF-Suboxone Sublingual Film 2MG-0.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004990,250,null,null,"NF-Suboxone Sublingual Film 8MG-2MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6004995,250,null,null,"NF-Buprenorphine/Naloxone AvPak 8MG-2MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005000,250,null,null,"NF-Memantine HCl Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005006,250,null,null,"NF-Methadone HCl Concentrate 10MG/ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005011,250,null,null,"NF-Doxepin Oral Capsule 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005016,250,null,null,"NF-Creon Oral Delayed Release Capsule",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005023,250,null,null,"NF-Folic Acid Tablet 0.4MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005028,250,null,null,"NF-oxyCODONE Hydrochloride Oral Tablet 1",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005029,250,null,null,"NF-Dorzolamide Hydrochloride/Timolol Sol",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005034,250,null,null,"NF-Travatan Z Ophthalmic Solution 0.004%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005039,250,null,null,"NF-Latanoprost Ophth Solution 0.005%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005045,250,null,null,"NF-Venlafaxine HCl Oral Tablet 50MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005050,250,null,null,"NF-Fenofibric Acid Oral Capsule DR 135MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005056,250,null,null,"NF-HYDROcodone-Acetaminophen Tab 5-325MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005064,250,null,null,"NF-CeleXA Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005067,250,null,null,"NF-Lidoderm Patch 5%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005073,636,"J2001",null,"CL Lidocaine 1% 5ml SDV",21.6,15.12,1.04,6.44,3.88,6.44,5.95,5.76,null,3,null,null,null,null,1.04,5.26]
[6005079,636,"J0280",null,"Aminophylline 500mg/20ml SDV",64.8,45.36]
[6005084,250,null,null,"NF-Zetia Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005090,250,null,null,"NF-Crestor Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005095,250,null,null,"NF-Sodium Bicarbonate Tablet 650MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005098,250,null,null,"NF-Sensipar Oral Tablet 30MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005102,250,null,null,"NF-Travatan Z Ophthalmic Solution 0.004%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005107,250,null,null,"NF-Doxepin Oral Capsule 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005113,250,null,null,"NF-Myfortic Enteric-Coated Tablet 180MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005118,250,null,"GY","risperiDONE 0.25mg tablet",11.8,8.26]
[6005123,250,null,null,"NF-MONTELUKAST SODIUM AVPAK TABLET 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005129,636,"J2185",null,"Meropenem 1,000 mg/50 ml NS PMX",186.7,130.69]
[6005134,636,"J2248",null,"Micafungin 100 mg SDV",647.29999999999995,453.11]
[6005139,250,null,null,"NF-Timolol Maleate Ophth Solution 0.25%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005146,250,null,null,"NF-DORZOLAMIDE HCL OPHTH SOLN 2%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005151,250,null,null,"NF-Jardiance Oral Tablet 25MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005157,250,null,null,"NF-Tri-Sprintec 28 Oral Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005162,250,null,null,"NF-Combivent Respimat Inhalation Spray",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005163,250,null,null,"NF-Myfortic Enteric-Coated Tablet 180MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005168,250,null,null,"NF-Temazepam Capsule 15MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005174,250,null,null,"NF-Daliresp Oral Tablet 500MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005180,250,null,null,"NF-Folbee Plus Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005185,250,null,null,"NF-Carbidopa/Levodopa Tablet 10MG-100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005190,250,null,null,"NF-Xalatan Ophthalmic Solution 0.005%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005196,636,null,null,"Iron Sucrose 200mg/100ml NS bag",0,0,3.14,59.13,59.13,null,3.14]
[6005201,250,null,"GY","Dicyclomine 20mg capsule",11.8,8.26]
[6005207,250,null,null,"NF-Ambien Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005212,250,null,null,"NF-levoFLOXacin Oral Tablet 750MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005215,250,null,null,"NF-Levothyroxine Oral Tablet 125MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005224,250,null,null,"NF-Promethazine HCl Oral Tablet 12.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005229,250,null,null,"NF-Dorzolamide Hydrochloride/Timolol Sol",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005230,250,null,null,"NF-Restasis Ophthalmic Emulsion 0.05%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005235,250,null,null,"NF-Vitamin D Oral Tablet 1000IU",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005240,250,null,null,"NF-Colchicine Oral Tablet 0.6MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005246,250,null,null,"NF-Asmanex HFA Inh Aer Powder 100MCG/1AC",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005254,250,null,null,"NF-Carbidopa/Levodopa Tablet 25MG-100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005257,250,null,null,"NF-Oxybutynin Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005263,250,null,null,"NF-Buprenorphine/Naloxone SL Tab 2MG-0.5",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005268,250,null,null,"NF-METHOCARBAMOL  TAB  750MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005274,250,null,null,"NF-Cardura Tablet 8MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005279,250,null,null,"NF-tiZANidine HCl Tablet 2MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005284,250,null,null,"NF-TIZANIDINE HCL AVPAK TABLET 4MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005290,250,null,null,"NF-Theophylline Oral 24Hour Tablet ER 60",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005295,250,null,null,"NF-Theophylline Oral 12 Hr Tab ER 300MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005301,250,null,null,"NF-Oxybutynin Chloride Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005302,250,null,null,"NF-Dexamethasone Oral Tablet 0.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005307,250,null,null,"NF-Paxil Oral Tablet 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005313,250,null,null,"NF-Lisinopril-HCTZ  Oral Tablet 20MG-12.",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005318,250,null,null,"Sodium Bicarbonate 8.4% 50meq/50ml SDV",179.4,125.58,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005323,250,null,null,"NF-Nadolol Tablet 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005328,250,null,null,"NF-Fludrocortisone Acetate Tablet 0.1MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005335,250,null,null,"NF-Timolol Maleate Ophth Solution 0.25%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005341,250,null,null,"NF-Aerosol Therapy Nebulizer Device",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005346,250,null,null,"NF-SINEMET 25-100 ORAL TABLET 25MG-100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005351,636,null,null,"Tranexamic Acid 1,000 mg/10ml SDV",175.8,123.06,3.14,59.13,59.13,null,3.14]
[6005357,250,null,null,"NF-HydrOXYzine HCl Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005362,250,null,null,"NF-Tacrolimus Oral Capsule 1MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005367,250,null,null,"NF-fentaNYL Transdermal Patch ER 12MCG/H",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005369,250,null,null,"NF-Lotrisone Topical Cream 1%-0.05%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005374,259,null,null,"Tranexamic Acid 2,000 mg/100ml NS Bag",0,0]
[6005380,250,null,null,"NF-Avodart Capsule, Liquid-Filled 0.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005385,250,null,null,"NF-Fludrocortisone Acetate Tablet 0.1MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005390,250,null,null,"NF-Victoza Subcutaneous Solution 6MG/1ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005396,250,null,"GY","Bacitracin Ointment 14 gram tube",22,15.4]
[6005401,250,null,null,"NF-Nortriptyline Oral Capsule 25MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005407,250,null,null,"NF-Brimonidine Tartrate Ophth Soln 0.15%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005410,250,null,null,"NF-Creon Oral Delayed Release Capsule",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005418,250,null,null,"NF-Dorzolamide Hydrochloride/Timolol Sol",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005424,250,null,null,"NF-Lancets",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005429,250,null,null,"NF-Multivitamin Oral Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005434,250,null,null,"NF-Atorvastatin Calcium Oral Tab 40MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005435,250,null,null,"NF-SANTYL OINT 250U/1GM",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005440,250,null,null,"NF-PreserVision Areds 2 Oral Liq Cap",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005449,250,null,null,"NF-Meloxicam Oral Tablet 7.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005452,250,null,null,"NF-Multi Vitamins Oral Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005457,250,null,null,"NF-Vitamin D3 Oral Capsule 50000IU",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005463,250,null,null,"NF-BIOTIN ORAL TABLET 1000MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005468,250,null,null,"NF-Verelan Extended Release Capsule 180M",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005473,250,null,null,"NF-Lactulose Solution 10GM/15ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005479,250,null,"GY","Triamterene/HCTZ 37.5-25 mg tablet",12.7,8.89]
[6005484,250,null,null,"NF-fluvoxaMINE Maleate Tablet 50MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005490,250,null,null,"NF-Acyclovir Oral Capsule 200MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005496,250,null,null,"NF-Xtandi Oral Liquid Filled Capsule 40M",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005501,250,null,null,"NF-Loratadine Tab 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005502,250,null,null,"NF-Zolpidem Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005507,250,null,null,"NF-Flecainide Acetate Tablet 50MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005513,250,null,null,"NF-Vitamin B Complex Oral Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005518,250,null,null,"NF-Victoza Subcutaneous Solution 6MG/1ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005525,259,null,null,"ceFAZolin 2,000mg/100ml NS bag",0,0]
[6005530,250,null,null,"NF-DOCUSATE SODIUM AVPAK LIQ CAP 250MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005535,250,null,null,"NF-Invega Oral Extended Release Tablet 6",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005540,250,null,null,"NF-metOLazone Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005546,250,null,null,"NF-Bystolic Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005551,250,null,null,"NF-Ambien Oral Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005557,250,null,null,"NF-Suboxone Sublingual Film 2MG-0.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005562,250,null,null,"NF-Cefdinir Oral Capsule 300MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005566,250,null,null,"NF-Glycopyrrolate Oral Tablet 1MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005569,250,null,null,"NF-Rena-Vite Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005574,250,null,null,"Dextrose 50% 50ml SDV",39.6,27.72,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005579,250,null,null,"NF-azaTHIOprine Oral Tablet 50MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005585,250,null,null,"NF-Latanoprost Ophth Solution 0.005%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005590,250,null,null,"NF-Austedo Oral Tablet 6MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005596,250,null,null,"NF-Premarin Oral Tablet 0.3MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005599,250,null,null,"NF-MULTIPLE VITAMIN     TAB",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005607,250,null,null,"NF-Carbidopa/Levodopa Tablet 25MG-100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005613,250,null,null,"NF-LamISIL Tablet 250MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005618,250,null,null,"NF-Austedo Oral Tablet 6MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005624,250,null,null,"NF-metOLazone Oral Tablet 2.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005629,250,null,null,"NF-Mirtazapine Disintegrating Tablet 30M",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005634,250,null,null,"NF-FERROUS SULFATE ORAL TABLET 325MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005635,250,null,null,"NF-HYOSCYAMINE SULFATE TAB ER 0.375MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005640,250,null,null,"NF-ATROVENT HFA INH ORAL/NEB SOLN 17MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005646,250,null,null,"NF-Sinemet 25-100 Oral Tablet 25MG-100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005652,250,null,null,"NF-Carbidopa and Levodopa Tab 25MG-100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005657,250,null,null,"NF-Solifenacin Succinate Oral Tablet 10M",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005663,250,null,null,"NF-Finasteride Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005668,250,null,null,"NF-Zytiga Oral Tablet 500MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005673,250,null,null,"NF-Augmented BetamethasoneDipropionate O",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005679,250,null,null,"NF-Methenamine Hippurate 1GM Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005685,250,null,null,"NF-OLANZAPINE AVPAK TABLET 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005692,250,null,null,"NF-Finasteride Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005697,250,null,null,"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005702,250,null,null,"NF-Lactulose Solution 10GM/15ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005703,250,null,null,"NF-RibaTab Oral Tablet 600MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005708,250,null,null,"NF-CREON CAP DR",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005713,253,null,"GY","THP MetroNIDAZOLE 250mg #6 Dosepack",30,21]
[6005721,250,null,null,"NF-Januvia Oral Tablet 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005725,250,null,null,"NF-IRON CHELATED TABLET 30MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005731,250,null,null,"NF-rifAXIMin Powder",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005736,250,null,null,"NF-Atrovent HFA Soln Inh Oral/Neb",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005741,250,null,null,"NF-Orphenadrine Oral Tab ER 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005747,250,null,null,"NF-prednisoLONE Acetate Ophth Suspension",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005752,250,null,null,"NF-Pioglitazone HCl Oral Tablet 45MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005756,250,null,null,"NF-Testosterone Cypionate IM Oil 200MG/1",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005764,250,null,null,"NF-Januvia Oral Tablet 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005769,250,null,null,"NF-MELOXICAM DIS TAB 7.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005770,250,null,null,"NF-CHOLECALCIFEROL TAB 1000IU",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005775,250,null,null,"NF-Pradaxa Oral Capsule 150MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005780,250,null,null,"NF-Abilify Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005786,250,null,null,"NF-Suboxone Sublingual Film 8MG-2MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005791,250,null,null,"NF-Austedo Oral Tablet 9MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005795,250,null,null,"NF-Buprenorphine-Naloxone SL Film 2MG-0.",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005803,250,null,null,"NF-Vitamin B12 Tablet 500mcg",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005808,250,null,null,"NF-Linezolid Oral Tablet 600MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005814,250,null,null,"NF-raNITIdine Oral Tablet 150MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005819,250,null,null,"NF-CLOBETASOL PROP TOPICAL OINTMENT 0.05",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005824,250,null,null,"NF-Lomotil Oral Tablet 0.025MG-2.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005830,250,null,null,"NF-Carbidopa/Levodopa Tablet 50MG-200MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005835,250,null,null,"NF-Doxepin Oral Capsule 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005836,250,null,null,"NF-Letrozole Oral Tablet 2.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005842,250,null,null,"NF-CHANTIX ORAL TABLET 1MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005847,250,null,null,"NF-Creon Oral Delayed Release Capsule",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005853,250,null,null,"NF-Fludrocortisone Acetate AvPak Tab 0.1",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005858,250,null,null,"NF-raNITIdine Oral Tablet 150MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005863,250,null,null,"NF-Calcium 600 Capsule 600MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005869,250,null,null,"NF-Keflex Oral Capsule 500MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005877,250,null,null,"NF-Vitamin B Complex Oral Tablet",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005881,250,null,null,"NF-QUEtiapine Fumarate Oral Tablet 25MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005886,250,null,null,"NF-Lyrica Oral Capsule 150MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005891,250,null,null,"NF-Brimonidine Tartrate Ophth Soln 0.2%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005897,250,null,null,"NF-Levothyroxine Oral Tablet 112MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005902,250,null,null,"NF-Latanoprost Ophth Solution 0.005%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005903,250,null,null,"NF-Nitrostat Tablet 0.4MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005908,250,null,null,"NF-Ketorolac Tromethamine Ophth Soln 0.4",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005918,250,null,null,"NF-Crestor Oral Tablet 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005920,250,null,null,"NF-Memantine HCl Oral Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005925,250,null,null,"NF-Chantix Starting Month Box",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005930,250,null,null,"NF-azaTHIOprine Oral Tablet 50MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005936,250,null,null,"NF-Verapamil HCl Oral Tablet ER 120MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005941,250,null,null,"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005947,250,null,null,"NF-Megestrol Acetate Suspension 40MG/ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005951,250,null,null,"NF-Stiolto Respimat Inh 2.5-2.5MCG/1Act",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005958,250,null,null,"NF-tiZANidine HCl Tablet 2MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005964,250,null,null,"NF-Cartia XT Oral 24 Hr Cap ER 240MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005969,250,null,null,"NF-Imitrex Tablet 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005970,250,null,null,"NF-Esomeprazole Magnesium Oral Cap DR 40",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005975,636,"J3480",null,"Potassium phosphate 45 mmol SDV",126.8,88.76,5.45,42.47,5.45,null,null,42.47]
[6005980,250,null,null,"NF-Xalatan Ophthalmic Solution 0.005%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005986,250,null,"GY","Amiodarone 100mg tablet",11.8,8.26]
[6005992,250,null,null,"NF-DROSPIRENONE-ETHINYL ESTRADIOL 3-0.03",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6005997,250,null,null,"NF-Refresh Optive Ophthalmic Soln 0.5%-0",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006003,259,null,null,"Norepinephrine 8mg/250ml D5W bag",0,0]
[6006008,250,null,null,"NF-Buprenorphine/Naloxone SL Tab 2MG-0.5",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006014,250,null,null,"NF-Buprenorphine-Naloxone SL Film 12MG-3",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006019,250,null,null,"NF-ARIPiprazole Oral Tablet 30MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006024,636,"J1956",null,"Dexmedetomidine 400mcg/100 ml PMX",390.4,273.27999999999997,22.14,135.25,null,null,135.25,null,22.14]
[6006031,636,"J7606",null,"Formoterol fumarate 20 mcg/2ml Nebule",48.9,34.229999999999997]
[6006036,983,"J1100",null,"CL Dexamethasone 10mg/ml SDV",0,0]
[6006042,983,null,"GY","CL Ibuprofen 100mg/5ml UDC",0,0]
[6006043,983,null,"GY","CL Ipratropium/Albuterol 3ml nebule",0,0]
[6006049,250,null,null,"NF-Hydroxychloroquine Oral Tablet 200MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006055,250,null,null,"NF-Mycophenolate Mofetil Oral Tablet 500",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006060,983,"J0780",null,"CL Prochlorperazine 10mg/2ml SDV",0,0]
[6006065,250,null,null,"NF-Advair HFA 230/21 Inh Aer 230MCG-21MC",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006074,250,null,null,"NF-Calcitriol Liq Cap 0.25MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006077,250,null,null,"NF-Leader Melatonin Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006083,250,null,null,"NF-Leader Cal Mag Zinc Plus Vitamin D3",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006088,250,null,null,"NF-Venlafaxine Hydrochloride Tablet 150M",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006093,250,null,null,"NF-WELLBUTRIN XL ORAL 24 HR TABLET ER 30",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006099,983,"J7620","GY","CL Albuterol 2.5mg/3ml nebule",0,0]
[6006104,983,null,"GY","CL DiphenhydrAMINE 25mg/10ml UDC",0,0]
[6006109,983,"J1885",null,"CL Ketorolac 30mg/ml SDV",0,0]
[6006111,983,null,"GY","CL Nitroglycerin 0.4mg tablet",0,0]
[6006116,983,null,null,"CL Sodium Chloride 0.9% 1,000ml Irrig",0,0,262.07,262.07,null,null,262.07]
[6006122,250,null,null,"NF-OZOBAX ORAL SOLN 5MG/5ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006127,250,null,null,"NF-GABAPENTIN CAP 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006132,250,null,null,"NF-Melatonin Oral Tablet 5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006138,250,null,null,"NF-Montelukast Sodium Oral Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006143,250,null,null,"NF-Colchicine Oral Tablet 0.6MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006148,250,null,null,"NF-Naltrexone HCl Oral Tablet 50MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006155,250,null,null,"NF-Saline Spray",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006160,250,null,null,"NF-Timolol Maleate Ophth Solution 0.25%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006166,250,null,null,"NF-Timolol Maleate Ophth Solution 0.5%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006171,259,null,null,"Golimumab 100 mg/100 ml NS bag",0,0]
[6006176,250,null,null,"NF-Cefdinir Oral Capsule 300MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006177,250,null,null,"NF-Cefdinir Oral Capsule 300MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006182,983,null,null,"CL Silver Nitrate Applicator stick",0,0,262.07,262.07,null,null,262.07]
[6006189,250,null,null,"NF-Advair Diskus 250/50 Disk",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006194,250,null,null,"NF-CLEOCIN HCL CAP 300MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006199,250,null,null,"NF-Montelukast Sodium Oral Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006205,250,null,null,"NF-Zonisamide Oral Capsule 100MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006210,983,90680,null,"ST Rotavirus Vaccine 2 ml Suspension",0,0]
[6006215,983,90649,null,"ST Human Papillomavirus 9 Vacc 0.5ml SDV",0,0]
[6006221,250,null,null,"Naltrexone 50mg tablet",28.8,20.16,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006224,250,null,null,"Sodium Chloride 7% 4ml Nebule",11.8,8.26,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006233,250,null,null,"NF-Dorzolamide Hydrochloride Ophth Soln",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006238,250,null,null,"NF-Zolpidem Oral Tablet 10MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006243,250,null,null,"NF-Premarin Oral Tablet 0.625MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006244,250,null,null,"NF-VERAPAMIL HCL CAP ER 240MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006249,636,"J3370",null,"Vancomycin 1,250mg/250ml PMX",127.2,89.04,26.93,59.3,26.93,null,null,null,null,null,null,null,59.3]
[6006255,250,null,null,"NF-Anoro Ellipta Inhalation Powder",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006260,983,90662,null,"CL Influenza Vaccine (high)0.7ml syringe",0,0]
[6006265,636,"C9113",null,"Pantoprazole 40mg SDV-C",0,0,20.78,45.05,20.78,null,38.07,39.619999999999997,null,null,null,null,null,null,null,45.05]
[6006272,250,null,null,"NF-prednisoLONE Acetate Ophth Suspension",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006277,250,null,null,"NF-Tacrolimus Oral Capsule 1MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006282,983,90716,null,"ST Varicella virus vaccine 0.5 ml SDV",0,0]
[6006288,250,null,null,"NF-Symbicort Inh Aer Liq 160MCG-4.5MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006293,250,null,null,"NF-Diphenox/Atropine Oral Tab 2.5MG-0.25",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006299,250,null,null,"NF-CARBAMAZEPINE ORAL TAB ER 400MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006304,250,null,null,"NF-clonazePAM Disintegrating Tab 0.25MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006310,250,null,null,"NF-OLANZapine Disintegrating Tab 20MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006311,636,"J1815","GY","Insulin Regular 100 units/100 ml PMX",215.2,150.63999999999999]
[6006316,250,null,null,"NF-Robaxin Tablet 500mg",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006321,250,null,null,"NF-MIRTAZAPINE ORAL TABLET 7.5MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006327,250,null,null,"NF-Simbrinza Ophthalmic Suspension 0.2%-",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006332,250,null,null,"NF-Simbrinza Ophthalmic Suspension 0.2%-",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006338,250,null,null,"NF-Levothyroxine Oral Tablet 112MCG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006345,250,null,null,"NF-Gemfibrozil Oral Tablet 600MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006349,250,null,null,"NF-RISPERDAL CONSTA IM PWD FOR SUSP ER 3",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006355,250,null,null,"NF-Vitamin D Capsule 50,000IU",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006360,250,null,null,"NF-Latanoprost Ophth Solution 0.005%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006366,250,null,null,"NF-Travatan Z Ophthalmic Solution 0.004%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006371,250,null,null,"NF-Brilinta Oral Tablet 90MG",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006376,250,null,null,"NF-ROBITUSSIN COUGH+CHEST CONGESTION DM",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006378,636,"J2550",null,"Promethazine 12.5mg/ml Vial-C",0,0,16.37,31.64,16.37,null,30.97,31.64]
[6006383,250,null,null,"NF-AZELASTINE HCL NASAL SPRAY 137MCG/1AC",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6006388,250,null,null,"NF-Travatan Z Ophthalmic Solution 0.004%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6200011,250,null,null,"DEX/0.45%S.C.INJ 2.5%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6200025,250,null,null,"DEXT(ADD)INJ.100ML 5%",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6200034,250,null,null,"NORMOSOL-R INJ 1000ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[6200040,250,null,null,"STERILE WATER FOR INJEC 1000ML",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]
[7000003,771,90472,null,"ADMIN SUBSEQ VACINE CLINIC",0,0]
[7000010,510,99211,null,"CLINIC MINIMAL ESTAB",59,41.3,43.35,62.41,43.35,null,null,null,null,null,null,null,null,null,null,62.41]
[7000035,730,9300576,null,"ELECTROCARDIOGRAM REPEAT CLINI",0,0]
[7000103,636,90732,null,"PNEUMOCOCCAL / CLINIC",176,123.2]
[7000108,969,99309,null,"SUB NURSE FACILITY CARE 25 MIN",161,112.7]
[7000113,636,90703,null,"TETANUS TOX IM / CLINIC",0,0]
[7000120,510,null,null,"MD NEW MINOR",114,79.8,0,0,null,null,0]
[7000125,510,null,null,"PAP COLLECTION PHYS/CLINIC",30,21,0,0,null,null,0]
[7000130,510,null,null,"MD MOD TO HIGH ESTABLISHED",252,176.4,0,0,null,null,0]
[7000137,510,null,null,"EXAM 12-17 YRS NEW PHYS/CLINIC",135,94.5,0,0,null,null,0]
[7000142,510,null,null,"EXAM 1-4YRS ESTAB PHYS/CLINIC",82,57.4,0,0,null,null,0]
[7200001,981,20610,null,"ARHTROCENTESIS ASPIRATION",124,86.8]
[7200010,988,99252,null,"MD CONSULT IP BRIEF",333,233.1]
[7200020,988,9925257,null,"MD IP CONSULT-BRIEF W57",333,233.1]
[7400005,983,99205,null,"CLINIC NEW HIGH",362.25,253.58]
[7400010,636,90702,null,"DT < 7YRS / CLINIC",0,0]
[7400012,730,93005,null,"ELECTROCARDIOGRAM ROUTINE",147,102.9,0,141.65,71.62,null,138.66,141.65,141.63999999999999,null,0,null,141.63999999999999,null,74.45,124.95]
[7400032,510,null,null,"LEVEL 2 PROCEDURE PHYS/CLINIC",260.39999999999998,182.28,0,0,null,null,0]
[7400037,983,99384,null,"EXAM 12-17YRS NEW PHYS/CLINIIC",227.85,159.5]
[7400038,510,99385,null,"EXAM 18-39YRS NEW PHYS/CLINIC",231,161.69999999999999]
[7400043,983,99393,null,"EXAM 5-11YRS ESTAB PHYS/CLINIC",126,88.2]
[7400050,983,99213,null,"MD LOW TO MOD ESTABLISHED",114.45,80.12]
[7400056,983,11423,null,"EX BENIGN LESION 2.1-3.0CM",531.29999999999995,371.91]
[7400063,983,11312,null,"EXCISION SKIN LESION 1.1-2.0",330.75,231.53]
[7400068,983,11603,null,"EXCISION MALIGNANT LESION 2.1-3.0 CM",657.3,460.11]
[7400073,983,11602,null,"EXCISION MALIGNANT LESION 1.1-2.0 CM",561.75,393.23]
[7400078,983,16020,null,"BURN DEBRIDEMENT SMALL",372.75,260.93]
[7400084,510,99205,null,"FACILITY NEW HIGH CLINIC",132.30000000000001,92.61]
[7400089,510,99215,null,"FACILITY MOD TO HIGH ESTABLISHED CLINIC",110.25,77.180000000000007]
[7400094,983,40808,null,"BIOPSY VESTIBULE OF MOUTH",273,191.1]
[7400100,983,10140,null,"I & D HEMATOMA",456.75,319.73]
[7400104,983,"G0180",null,"PHYSICIAN CERTIFICATION",116.55,81.59]
[7400107,983,11606,null,"EXCIS MALIG LESION OVER 4.0 CM",840,588]
[7400112,983,97605,null,"NEGATIVE PRESSURE WOUND THERAPY",273,191.1]
[7400117,969,"G8883",null,"BIOPSY RESULTS COMMUNICATED AND DOCUMENT",0,0]
[7400123,983,29580,null,"APPLICATION UNNA BOOT",232.05,162.44]
[7400128,983,12020,null,"TREATMENT OF SUPERFICIAL WOUND",525,367.5]
[7400134,983,11102,null,"TANGENTIAL BIOPSY OF SKIN SINGLE LESION",446.25,312.38]
[7400139,983,11107,null,"INCISIONAL BIOPSY OF SKIN ADDL LESION",327.60000000000002,229.32]
[7400145,983,21552,null,"EXC TUMOR SOFT TISSUE NECK >3CM",1160,812]
[7400151,983,12031,null,"PF INTER REPAIR WNDS SATE=<2.5 CM",437,305.89999999999998]
[7500002,510,null,null,"ANKLE/BRACHIAL INDICES",0,0,0,0,null,null,0]
[7600001,771,90472,null,"ADMIN SUBSEQ VACINE CLINIC",37.799999999999997,26.46]
[7600007,983,99201,null,"CLINIC NEW MINOR 201",119.7,83.79]
[76000112,983,11402,null,"EXCISION BENIGN LESION 1.1-2.0 RT",438.9,307.23]
[7600012,730,93005,null,"EKG ROUTINE",147,102.9,0,141.65,71.62,null,138.66,141.65,141.63999999999999,null,0,null,141.63999999999999,null,74.45,124.95]
[7600017,510,96372,null,"SUBQ/IM INJECTION CLINIC",45.15,31.61,22.2,22.2,22.2]
[7600033,510,null,null,"LEVEL 3 PROCEDURE PHYS/CLINIC",393.75,275.63,0,0,null,null,0]
[7600039,983,99386,null,"EXAM 40-64YRS NEW PHYS/CLINIC",241.5,169.05]
[7600044,983,99394,null,"EXAM 12-17YRS ESTAB PHYS/CLINIC",136.5,95.55]
[7600051,983,99212,null,"CLINIC MINOR EST 212",90.3,63.21]
[7600063,761,99204,null,"WOUND CARE EXTENDED NEW PATIENT",290,203]
[7600068,761,99214,null,"WOUND CARE EXTENDED ESTABLISHED",296,207.2]
[7600075,969,"G0179",null,"PHYSICIAN RECERTIFICATION",90.3,63.21]
[7600077,983,69210,null,"REMOVAL IMPACTED CERUMEN BILAT",120,84]
[7600086,983,2061050,null,"ARTHROCENTESIS ASPIR INJECT W 50",355.95,249.17]
[7600092,983,11426,null,"EXCISION OF LIPOMA",850.5,595.35]
[7600097,983,11644,null,"EXCISION LESION 3.1-4.0 CM",722.4,505.68]
[7600098,983,11423,null,"EX BENIGN LESION 2.1-3.0CM",531.29999999999995,371.91]
[7600103,510,82962,null,"GLUCOSE FINGERSTICK",27.3,19.11]
[7600108,983,11606,null,"EXCIS MALIG LESION OVER 4.0 CM",840,588]
[7600116,983,19000,null,"PUNCT ASPIRATION CYST BREAST",316.05,221.24]
[7600120,983,11720,null,"DEBRIDEMENT OF NAIL ANY METHOD",61.95,43.37]
[7600125,983,11310,null,"SHAVING SINGLE LESION 0.5 CM OR LESS",210,147]
[7600131,983,11440,null,"EXCIS LESION < 0.5 CM",265.64999999999998,185.96]
[7600136,983,11401,null,"EXCISION BENIGN LESION 0.6 TO 1.0",315,220.5]
[7600142,983,11603,null,"EXCISION MALIGNANT LESION 2.1-3.0 CM",657.3,460.11]
[7600147,983,11301,null,"SHAVING LESION 0.6 TO 1.0 CM",273,191.1]
[7600152,510,42300,null,"DRAINAGE OF ABSCESS PAROTID SIMPLE",628.95000000000005,440.27]
[7600157,510,99211,25,"FACILITY MINIMAL ESTAB CLINIC",88.2,61.74]
[7600164,983,12001,null,"SIMPLE REPAIR UP TO 2.5 CM",514.5,360.15]
[7600169,983,10120,null,"INCISION/REMOVAL FOREIGN BODY",409.5,286.64999999999998]
[7600170,983,11740,null,"EVAC SUBUNGUAL HEMATOMA",102.9,72.03]
[7600175,983,11641,null,"EXCISION FACE LIP 0.6 TO 1.0 CM",616.35,431.45]
[7600181,983,11306,null,"SHAVING LESION 0.6 CM TO 1.0 CM",273,191.1]
[7600186,983,11444,null,"EXCISION LESION 3.1 TO 4.0 CM",723.45,506.42]
[7600192,983,45300,null,"PROCTOSIGMOIDOSCOPY",413.7,289.58999999999997]
[7600198,460,94761,null,"NON INVASIVE EAR/PULSE OX MULT DETERM",91.35,63.95]
[7600203,771,90461,null,"ADM IMMUNIZATION EA ADDITIONAL - 18 YRS",37.799999999999997,26.46]
[7600209,983,99364,null,"ANTICOAGULANT MANAGEMENT EA SUB 90 DAYS",149.1,104.37]
[7600214,969,"G8752",null,"MOST RECENT SYSTOLIC BP <140MM HG",0,0]
[7600219,969,"3046F",null,"DIABETES HEMOGLOBIN A1C POOR CONTROL >9.",0,0]
[7600225,969,"3045F",null,"DIABETES HEMOGLOBIN A1C POOR CONT 7.0-9.",0,0]
[7600230,969,"3023F",null,"COPD SPIROMETRY EVALUATION",0,0]
[7600233,969,"3014F",null,"BREAST CANCER SCREENING",0,0]
[7600237,969,"G8950",null,"CLINICIAN DID NOT PRESCRIBE ACE",0,0]
[7600242,983,99497,null,"ADVANCE CARE PLANNING",133.35,93.35]
[7600248,983,12002,null,"SIMPLE REPAIR 2.6 CM TO 7.5 CM",621.6,435.12]
[7600253,983,20551,null,"INJECT SINGLE TENDON ORIGIN/INSERTION",320.25,224.18]
[7600258,983,64405,null,"INJECT GREATER OCCIPITAL NERVE",369.6,258.72000000000003]
[7600264,983,11103,null,"TANGENTIAL BIOPSY OF SKIN ADDL LESION",244.65,171.26]
[7600272,771,90471,null,"IMMUN ADM PNEUMONIA CLINIC",37.799999999999997,26.46,28.14,60.53,28.14,60.53,null,58.29,60.53,null,null,null,null,null,null,58.94]
[7600276,983,null,null,"PETER PAN PHYSICAL",65,45.5,262.07,262.07,null,null,262.07]
[7600281,730,null,null,"FIRE DIST1 EKG INT",50,35,138.66,139.4,139.4,null,138.66]
[7600295,983,99443,null,"TELEPHONE EVAL (21-30 MINS)",110,77]
[80000105,270,null,null,"ER EMERGENCY SCISSORS NEON PNK",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000111,270,null,null,"BROSELOW INTUBATION MODULE GREEN",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000116,270,null,null,"BROSELOW INTUBATION MODULE YELLOW",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000117,270,null,null,"BROSELOW IV DELIVERY MODULE BLUE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000127,270,null,null,"BROSELOW OXYGEN DELIVERY MODULE YELLOW",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000129,270,null,null,"CANON COLOR KP-108  INK/PAPER PK",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000136,270,null,null,"MEDICINE CARD RED",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000141,270,null,null,"FM ADVANCE MED DIRECTIVE BOOKLET",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000147,270,null,null,"INSUFFLATION TUBING SET CONMED",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000152,270,null,null,"FM ENVELOPE LETTERHEAD NON-WINDOW",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000157,270,null,null,"FM EMERGENCY RM CHART AUDIT CHECKLIST",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000164,270,null,null,"FM PHYSICIANS ORDERS 3-PART 5-HOLE TOP",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000171,270,null,null,"FM CONSENT-UPPER GI ENDO/GASTROINT.",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000177,270,null,null,"FM ANESTH. RECORD PRINT BOTH SIDES",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000182,270,null,null,"FM PRELIMINARY XRAY REPORT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000187,270,null,null,"FM MEDICATION RECORD",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000188,270,null,null,"FM  NARCOTIC COUNT SHEET",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000193,270,null,null,"FM (RT) CARDIOPULMONARY SA 02 REPORT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000199,270,null,null,"FM ER NURSES NOTES 2-PART",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000206,270,null,null,"FM (MR) PATIENT DATA WORKSHEET",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000212,270,null,null,"FM CHARGE MASTER STICKER SHEET PRINT BOT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000218,270,null,null,"DRAGERSORB CLIC, 3L",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000223,270,null,null,"SET BURETTE 150ML LF ANES",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000228,270,null,null,"CLAVE BAG ACCESS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000234,270,null,null,"SET SECONDARY 34  NON-DEHP",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000239,270,null,null,"SET BLOOD SECONDARY",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000245,270,null,null,"FM LAPAROSCOPIC GALLBLADDER PAMPHLET",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000248,270,null,null,"WRISTBANDS, WHITE SCANBAND",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000256,270,null,null,"HK GLASS CLEANER WINDEX",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000257,270,null,null,"HK TOILET BOWL CLEANER CREW",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000262,270,null,null,"B.P. CUFF LRG ADULT LONG",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000267,270,null,null,"MONITOR PAPER VITAL SIGNS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000273,270,null,null,"SPINAL NEEDLE PENCAN 22G X 3 1/2",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000278,270,null,null,"SIMILAC PRO-ADVANCE 2OZ BTL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000287,270,null,null,"HK HEAVY DUTY PRE-SPRAY",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000290,270,null,null,"HK FREEDOM NO-RINSE STRIPPER JOHNSON WAX",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000295,270,null,null,"PAD SUPER POLISHING 20  WHITE 3M",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000301,270,null,null,"RT ENDOTRACHEAL TUBE HOLDER (THOMAS TUBE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000306,270,null,null,"SHARPS CONTAINER 14 QT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000312,270,null,null,"ENDOPOUCH RETRIEVER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000317,270,null,null,"COVERALLS, BLUE XX-LG-DISP OPEN CUFF/",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000322,270,null,null,"MASK FILTRON SURGICAL HIGH PERFORMANCE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000328,270,null,null,"UNIVERSAL SPLIT SHEET PACK",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000329,270,null,null,"SYRINGE PLASTIPAK (TOMEY) 2 OZ CATH TIP",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000334,270,null,null,"COUNT & DISP SYSTEM (SHARPS)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000340,270,null,null,"PREVAIL PREOP PREP GEL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000345,270,null,null,"SYRINGE TUBERCULIN 1CC SAFETY TYCO/KENDA",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000351,270,null,null,"PACK CUSTOM MINOR BASIC",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000356,270,null,null,"TUBING MEDI-VAC CLEAR NON-CONDUCTIVE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000363,270,null,null,"PACK BASIC",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000368,270,null,null,"DRAPE GENERAL ENDO",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000373,270,null,null,"PANTIES MESH",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000380,270,null,null,"BEDPAN DISP GRAPHITE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000385,270,null,null,"STERILE NON ADHERANT PADS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000390,270,null,null,"URINE METER W/BAG BARD",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000391,270,null,null,"TAPE TRANSPORE 1  WHITE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000396,270,null,null,"THERMOMETER RECTAL DIGITAL RED",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000404,270,null,null,"MATERNITY PAD OB",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000407,270,null,null,"CARAFE MCKESSON COLD 28 OZ MAUVE(10EA)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000412,270,null,null,"ATTENDS INSERT PAD",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000418,270,null,null,"KERLIX ROLL 4.5 X 4.1/10",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000423,270,null,null,"BABY POWDER 1 1/2 OZ",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000428,270,null,null,"EMESIS BASIN DUSTY ROSE 10  DISP",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000434,270,null,null,"LUER LOK ACCESS DEVICE BD",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000437,270,null,null,"IV CATH NEX 22G X 1.00 BLUE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000445,270,null,null,"ACCU-CHEK CONTROL SOL.INFORM 11",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000451,270,null,null,"MASK FACE EARLOOP CHILD DISNEY LATEX FRE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000456,270,null,null,"BEDPAN FRACTURE DISP",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000457,270,null,null,"BLOOD PRESSURE CUFF LF WA",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000462,270,null,null,"UNDERWEAR ADULT PULL-UP LG McKESSON",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000467,270,null,null,"HK PURELL (FOAM) INSTANT HAND SANITIZER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000473,270,null,null,"SHARPS CONTAINER HORIZONAL ENTRY CLEAR",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000478,270,null,null,"GLOVE SURGICAL LATEX STERILE SZ: 7",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000485,270,null,null,"GLOVE EXAM PF LATEX NS SZ:MED",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000490,270,null,null,"LOTION HAND CREAM SG BARRIER 16 OZ",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000495,270,null,null,"ISO GOWN THUMB HOOK BLUE, UNIV.",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000500,270,null,null,"DRAPE NON-FENESTRATED 18X26",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000505,270,null,null,"SAGE WASHCLOTH PERINEAL CARE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000510,270,null,null,"SANI CLOTH SZ: X-LARGE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000516,270,null,null,"DENTURE CUP W/LID",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000522,270,null,null,"GRADUATE TRIANG MEASURE(10EA)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000523,270,null,null,"SPECIMEN COMMODE COLLECTOR",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000528,270,null,null,"STERIS PRINTER PAPER(STERIS STERILIZER)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000533,270,null,null,"NEEDLE HYPO 18G X 1",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000540,270,null,null,"NEEDLE FILTER 18G X 1 1/2",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000545,270,null,null,"NEEDLE 27G X 5/8 SAFETY GLIDE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000551,270,null,null,"BRUSH SCRUB E-Z W/O DETERGNT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000558,270,null,null,"SYRINGE 20CC LUER LOK TIP",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000562,270,null,null,"KIMGUARD WRAP 40 X 40",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000568,270,null,null,"CURAD ADHESIVE BNDGE 1  x 3",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000573,270,null,null,"PROTECTIV PLUS 22G X 1",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000578,270,null,null,"PROTECTIV PLUS 14G X 1 1/4",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000584,270,null,null,"MASK FACE VITAL SIGNS XLG SZ:6",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000589,270,null,null,"PAD ELECTRODE SKIN PREP EKG",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000591,270,null,null,"PROBE COVERS DATATHERM FOR 501301",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000596,270,null,null,"STERI STRIP SKIN CLOSURE 1/2 X 4",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000601,270,null,null,"BNDGE CONFORMING 1",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000607,270,null,null,"LUMBAR PUNCTURE TRAY ADLT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000613,270,null,null,"CAST PADDING 3   DELTA ROLL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000618,270,null,null,"BNDGE CONFORMING 6",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000625,270,null,null,"HK BAG BIOHAZARD RED 14X19 SANITARY",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000631,270,null,null,"HK CAN LINER 33X39 CLEAR 1.5 MIL 33 GAL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000635,270,null,null,"HK MULTI-FOLD PAPER TOWELS 9 3/4 X 8 1/4",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000643,270,null,null,"BATTERY RECHARGEABLE 3.5V WELCH ALLYN",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000648,270,null,null,"MASK PED NON-REBREATH WITH SAFETY VENT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000654,270,null,null,"SUCTION CATHETER 14FR AIRLIFE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000659,270,null,null,"TUBING CONNECTING  MAXI-GRIP",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000660,270,null,null,"EASY CAP END TIDAL CO2 DETECTOR",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000665,270,null,null,"VIASYS FILTER PFT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000670,270,null,null,"TRACH TUBE 7.5MM",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000676,270,null,null,"TRACH ENDO TUBE MAGIL SZ: 3.5MM UNCUFFED",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000682,270,null,null,"TUBING 25FT OXYGEN STAR LUMEN CRUSH R",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000687,270,null,null,"INFALYTE ORAL ELECTROLYTE SO. 6 OZ BTL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000698,270,null,null,"PEN BIC BLACK FINE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000703,270,null,null,"PEN PAPER MATE CLIC MED RED",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000709,270,null,null,"COPY PAPER BLUE 8 1/2 X 11",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000714,270,null,null,"OFFICE COPY PAPER PINK 8 1/2 X 11",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000716,270,null,null,"OFFICE TONER CARTRIDGE (LEX.501H)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000726,270,null,null,"OFFICE CARTRIDGE BLACK (HP DESKJET)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000731,270,null,null,"BATTERY 3 VOLT MEDICAL BATTERY",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000736,270,null,null,"OFFICE COPY PAPER ROMAN CANDL RED 24#",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000737,270,null,null,"HIGHLIGHTER PINK",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000742,270,null,null,"HIGHLIGHTER YELLOW",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000749,270,null,null,"HIGHLIGHTER YELLOW BRITE LINER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000754,270,null,null,"OFFICE DRY ERASE MARKER RED",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000758,270,null,null,"OFFICE LABEL SELF ADHES D RED",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000766,270,null,null,"OFFICE INDEX 8-TAB 11X8 1/2 READY",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000771,270,null,null,"ENVELOPES BUSINESS NON-WINDOW",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000777,270,null,null,"LEGAL PAD 8 1/2 X 11 3/4 YELLOW",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000782,270,null,null,"OFFICE CARTRIDGE (BROTHER INTELLIFAX)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000787,270,null,null,"POCKET PORTFOLIO-DOUBLE DARK BLUE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000794,270,null,null,"OFFICE LABELS, LASER WHITE 1 X 2 5/8",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000798,270,null,null,"OFFICE CARTRIDGE ( HP LASER JET-49A)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000804,270,null,null,"OFFICE CARTRIDGE (HP LASERJET)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000805,270,null,null,"OFFICE LOOSE LEAF RINGS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000810,270,null,null,"SUSTAINABLE EARTH 8OZ WHITEBOARD CLEANER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000816,270,null,null,"OFFICE FASTNER SELF ADHES 2",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000821,270,null,null,"OFFICE HANGING FILE FOLDER LETTER 1/5 CU",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000826,270,null,null,"OFFICE RUBBER BANDS 7  X 0.12",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000832,270,null,null,"PACKING TAPE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000838,270,null,null,"LEMMARK TONER HIGH YIELD",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000844,270,null,null,"OFFICE TONER CARTRIDGE FOR L170 LASER FA",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000849,270,null,null,"OFFICE DATA BINDER BLUE 12  x 8 1/2",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000854,270,null,null,"AVERY LABEL CLEAR  1X2 5/8",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000860,270,null,null,"OFFICE FILE FOLDER END TAB 1/3 CUT TOP P",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000865,270,null,null,"OFFICE TONER CARTRIDGE XEROX PHASER 4600",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000870,270,null,null,"BABY BOOTIES WHITE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000871,270,null,null,"LABEL IV SET 48 HRS ONLY",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000905,270,null,null,"EZ-IO NEEDLE  STABILIZER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000912,270,null,null,"OFFICE FILE FOLDER 1/3 CUT ASSORTED",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000917,270,null,null,"RAD PAPER THERMAL PRINT MEDIA",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000922,270,null,null,"FM WHH WORK COMPLETED",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000928,270,null,null,"PILOT G2 PEN RETRACTABLE GREEN",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000933,270,null,null,"OFFICE CARTRIDGE (HP DESKJET)NO.15 BLACK",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000938,270,null,null,"LABEL CHART LAVENDER DR.BUBEN",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000941,270,null,null,"LABEL CHART LT BLUE DR.",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000950,270,null,null,"OFFICE DRUM (BROTHER INTELLIFAX)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000956,270,null,null,"MASK LARYNGEAL SZ 2 LF (CUFF PILOT VALVE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000961,270,null,null,"ACCU-CHEK PERFORMA METER BLOOD GLUCOSE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000966,270,null,null,"OFFICE EASEL PADS- FLIP CHARTS POST IT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000967,270,null,null,"EYE SHIELD",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000972,270,null,null,"CARTRIDGE HP951,CYAN,MAGENTA,YELL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000980,270,null,null,"HK AIR FRESH GEL CITRUS SCENT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000984,270,null,null,"MASK FACE EARLOOP CHILD DISNEY LATEX FRE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000989,270,null,null,"TRACH TUBE 6.0mm",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80000995,270,null,null,"OFFICE DVD+R 4.7GB VERBATIM",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001000,270,null,null,"DIAPER HUGGIES LITTLE SNUGGLERS NB",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001005,270,null,null,"CATH MALE EXTERNAL SMALL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001011,636,"J7030",null,"IRRIGATION 0.9% SOD CHL 500ML",0,0,19.14,39.31,19.14,null,39.31,38.299999999999997,36.29,null,null,null,36.19,null,null,35.32]
[80001017,270,null,null,"LABEL CUSTOM 24-HOUR OBSERVATION PINK",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001022,270,null,null,"OFFICE COPY PAPER LASER 8 1/2 X 14 WHITE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001029,270,null,null,"MASK LARYNGEAL SZ 2.5 ULTRA  SILICO",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001034,270,null,null,"MASK N95 PARTICULATE RESPIRATOR REG/1860",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001035,270,null,null,"CARTRIDGE DRUM  FAX ( BROTHER)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001040,270,null,null,"MASK SHIELD GUARDALL FULL,NO MASK,CLEAR",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001045,270,null,null,"BROSELOW BP CUFF-CHILD-YELLOW-WHITE-BLUE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001051,270,null,null,"OFFICE CHAIN COUNTER PENS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001057,270,null,null,"CL  SYSTEM Y-TYPE BLOOD  SET",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001062,270,null,null,"LEXMARK RETURN IMAGING UNIT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001067,270,null,null,"SENS-CARE PERINEAL SOL 8 OZ",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001072,270,null,null,"GLOVE EXAM FLEXAL NITRILE PF MED",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001078,270,null,null,"TRULINK ECG LEADWIRE SET,5-LEAD PINCH",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001083,270,null,null,"TRULINK LNCS SP02 CABLE, MASIMO SET",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001089,270,null,null,"TRULINK NYLON REUSABLE ADULT BP CUFF",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001094,270,null,null,"CO2/O2 NASAL CANNULA PEDI",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001097,270,null,null,"URETHRAL CATH TRAY14FR LF",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001101,270,null,null,"PEDIATRIC URINE COLLECTOR",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001106,270,null,null,"PFHC CO-FLEX BANDAGE 4 X5",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001111,270,null,null,"BROSELOW OXYGEN DELIVERY MODULE ORANGE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001117,270,null,null,"EXTENSION SET STAND.BORE TUBING",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001122,270,null,null,"LEXMARK 70C1HMO MAGENTA HIGH YIELD",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001128,270,null,null,"PUMP COMPANION HAND(FOR#SC3075 OVERLAY)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001133,270,null,null,"BATTERY NON-DURALOCK 12V",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001138,270,null,null,"MASK TRACHEOSTOMY ADULT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001145,270,null,null,"LAMP HALOGEN 2.5 VOLTS WELCH ALLYN",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001150,270,null,null,"TRACH TUBE  HI-LO 10.0MM CUFFED",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001156,270,null,null,"TAPE ZONAS POROUS   1 X10YD",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001161,270,null,null,"ELECTRODES  RESTING EKG  TAB",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001166,270,null,null,"TRU RED MEDIUM PEN BLACK",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001167,270,null,null,"HK CAN LINER 33X39 WHITE .90  MIL 33 GAL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001177,270,null,null,"INSTRUMENT BRUSH STAINLESS STEEL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001178,270,null,null,"DIAPER ADULT BARIATRIC XXXL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001184,270,null,null,"CANON ORIGINAL TONER CARTRIDGE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001189,270,null,null,"I-GEL SUPRAGLOTTIC AIRWAY SZ:2.5",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001195,270,null,null,"TAPE MICROFOAM 4 X 5 1/2",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001200,270,null,null,"CONNECTOR CF 22MM ID BOTH ENDS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001205,270,null,null,"MASK NIV AF 541 SMALL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001211,270,null,null,"HP 62/62XLG BLACK/COLOR CARTRIDGE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001218,270,null,null,"BKLT OFF THE BEAT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001222,270,null,null,"COMPACT TELEMETRY POUCHES",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001228,270,null,null,"ER-VAGINAL LARG SPEC BUILT-IN LIGHT BLUE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001233,270,null,null,"HK CAN LINER 24X23 INF WASTE RED 1.3MM",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001234,270,null,null,"TONER CARTRIDGE LEX PRINT.SAVE.REP H/Y",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001239,270,null,null,"HOT PACK INSTANT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001244,270,null,null,"GOWN SURG.BLUE STER.2XLG",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001251,270,null,null,"GLOVE PROTEXIS POLYSOPRENE 8",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001256,270,null,null,"GLUCOSE CONTROL SOLUTION LEVEL 3",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001262,270,null,null,"HAND AND BODY MOISTURIZER  2 0Z",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001267,270,null,null,"LEXMARK BLK HY TONER CART (KRISY)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001272,270,null,null,"SURAFCE DISINFECTANT CLEANER 16OZ",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001278,270,null,null,"FEEDING TUBE KANGAROO 6.5",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001283,270,null,null,"KERLIX GAUZE SPONGE TRAY MED,STER,6X6.75",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001288,270,null,null,"HP 414X HIGH YIELD MAGENTA TONER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001292,270,null,null,"OFFICE LEXMARK BLACK",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001300,270,null,null,"MINOR PROCEDURE DRAPE 77X121 SQ",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001301,270,null,null,"ELECTRODE RESTING TAB",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001306,270,null,null,"GLUCOSE CONTOUR METER EZ",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[80001311,270,null,null,"HK HAND SANITIZER 12 OZ INSTANT PURELL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[800022,975,43220,null,"ESOPHAGO W/BALLOON DILATION",1408.33,985.83]
[800039,710,null,null,"PER 15 MIN RECOVERY",235.61,164.93,219.12,220.28,220.28,null,219.12]
[8000989,270,null,null,"GLOVE EXAM PF LATEX NS SZ:X-SM",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[8000992,270,null,null,"BETTER STAY KIT 069 STANDARD",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[800874,300,88361,null,"MORPHOMETRIC ANALYSIS, TUMOR COMP ASST",220,154]
[90000005,270,null,null,"LAB SAMPLE CUP 1.0 (5M/CS)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[9000001,990,null,null,"GUEST TRAY",0,0]
[90000014,270,null,null,"LAB SRC-HIGH",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[9000002,990,null,null,"CELEBRATION TRAY",0,0]
[90000024,270,null,null,"LAB  THERMAL PAPER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000030,270,null,null,"LAB  TOTAL CAL VER SET",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000032,272,null,null,"CYTOLOGY BRUSH 240 CM",1736.22,1215.3499999999999,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000037,270,null,null,"LAB AC.T TM 5DIFF RINSE 1L",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000042,270,null,null,"LAB ETHYL ALCOHOL 100 MG/DL CALIBRATOR",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000047,270,null,null,"LAB BUN REAGENT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000051,270,null,null,"LAB CO2 REAGENT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000057,270,null,null,"LAB GLUCOSE REAGENT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000063,270,null,null,"LAB LIPASE REAGENT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000068,270,null,null,"LAB HIGH SERUM STANDARD ISE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000072,270,null,null,"LAB MID STANDARD ISE 4X2L",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000077,270,null,null,"LAB TOTAL BILIRUBIN REAGENT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000082,270,null,null,"LAB WASH SOLUTION 4X2L",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000087,270,null,null,"LAB ELECTRODE K+",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000088,270,null,null,"LAB ELECTRODE NA+",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000092,270,null,null,"LAB PHENYTOIN CALIBRATORS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[9000010,990,null,null,"1200 K CAL MECHANICAL SOFT",0,0]
[90000102,270,null,null,"RR7.5 CM ANT/POSTERIOR(LABEL)",257,179.9,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000107,270,null,null,"RAD LIQUID POLIBAR BRACCO",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000111,270,null,null,"REDI-CAT 2  BARIUM BERRY BRACCO",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000117,270,null,null,"FORM PRESCRIPTION PAPER-HING",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000121,270,null,null,"MEDIVATOR RAPICIDE DISENFECTANT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000127,270,null,null,"LAUNDRY DEO SOLVE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000131,270,null,null,"LAUND.FABRIC SOFTNR PLUS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000137,270,null,null,"OFFICE POSTAGE METER INK (RED)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000142,270,null,null,"OFFICE REDI TAG YELLOW",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000147,270,null,null,"HK DUSTING TOOL OVERHEAD REPLACEMENT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000151,270,null,null,"BANDAIDS KIDS BUGS/TAZ DEVIL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000152,270,null,null,"BANDAIDS KIDS CIRCUS PRINT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000157,270,null,null,"LAB DIFF-SAFE 101 BLOOD DISPENSER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000162,270,null,null,"LAB INFANT HEEL WARMER W/TAPE 4X4 LF 105",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000168,270,null,null,"LAB TRANSFER PIPET DRAW 3.2ML",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000173,270,null,null,"LAB GRAM SAFRANIN",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000179,270,null,null,"LAB MEDIA, AGAR BILE ESCULIN SLNTS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000183,270,null,null,"LAB MEDIA, VAG AGAR",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000189,270,null,null,"LAB ANTIBIOTIC DISK, CC2",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000193,270,null,null,"LAB ANTIBIOTIC DISK, OX 1MCG",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000198,270,null,null,"LAB TAXO P DISCS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000202,270,null,null,"LAB ANTIBIOTIC DISK, IMP TEST",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000204,270,null,null,"LAB ANTIBIOTIC DISK, CTT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000212,270,null,null,"LAB SPECIMEN CONTAINER 90ML",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000213,270,null,null,"LAB CRYSTAL ID ENT/NF ID KT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000218,270,null,null,"LAB GASPACK EZ STD",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000223,270,null,null,"LAB STAPHSLIDE LTX",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000228,270,null,null,"LAB SLIDE PLAIN 25X75X1",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000233,270,null,null,"LAB KIM WIPES SZ: 5X8.5",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000240,270,null,null,"LAB VACUTAINER LAVENDER 2ML",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000244,270,null,null,"LAB NEEDLE BLOOD COLLECTION 21G X 1 1/4",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[9000025,990,null,null,"2 GM SODIUM",0,0]
[90000254,270,null,null,"LAB IMMERION OIL HIGH VIS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000259,270,null,null,"LAB COVER GLASS SQ. 22MMX22MM THICKNESS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000264,270,null,null,"LAB VACUTAINER RED 10ML",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000269,270,null,null,"LAB URINALYSIS QC 2X3X15ML",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000273,270,null,null,"LAB PARAFILM 2X250",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000278,270,null,null,"LAB UNISTIK 2 EXTRA BLOOD SAMPLING DEVIC",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[9000028,990,null,null,"2 GM SODIUM",0,0]
[90000285,270,null,null,"SIGMOIDSCOPE SURG. SUCTION INSTRUMENT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[9000029,990,null,null,"2200 K CAL",0,0]
[90000294,270,null,null,"DRESSING TUBULAR SURGILAST  SZ: 10",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[900003,975,27880,null,"AMPUTATION LEG THRU TIB/FIB",4818,3372.6]
[90000303,270,null,null,"STERIS DESCALER LIQUID NON-FOAMING",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000309,270,null,null,"COTTON BALLS NON STER SZ: MED",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000314,270,null,null,"SYRINGE ORAL MEDICATION 6ML",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000319,270,null,null,"STERIS VERIFY INTEGRATOR STEAM SHORT BOX",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000324,270,null,null,"STETH DOUBLE STICK DISCS ANES",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000329,270,null,null,"ESOPHAGEAL STETH W/TEMP SENSOR 18FR ANES",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000333,270,null,null,"ELECTRODE PED SOFT-E",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000334,270,null,null,"ELECTRODE NEONATAL SOFT-E",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000339,270,null,null,"STOCKINETTE 2X25 YDS DELTA NET",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000344,270,null,null,"TRACH SINGLE CUFF SZ:6.0",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[9000035,990,null,null,"GLUTEN FREE MECHANICAL SOFT",0,0]
[90000354,270,null,null,"ADAPTOR ET SWIVEL DUSL AXIS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000360,270,null,null,"LAUNDRY GOWN  IV BLUE/CACTUS UNISEX",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000365,270,null,null,"PJ PANT PURPLE/KOALA SZ: 3-4",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[9000037,990,null,null,"GLUTEN FREE THICKENED LIQUID",0,0]
[90000375,270,null,null,"LAUNDRY SPREAD BLANKET FEDERAL BLUE 74X9",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000377,270,null,null,"LAUNDRY SPREAD BLANKET TEAL 74X96",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000386,270,null,null,"OFFICE DRUM, TYPE 9/OKI B4300 LAB",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000390,270,null,null,"OFFICE CARTRIDGE (OKIDATA B4600 IN LAB)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000395,270,null,null,"OFFICE CARTRIDGE BLACK LEXMARK 701HK",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000396,270,null,null,"OFFICE CARTRIDGE COLOR FOR HP DESK",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000401,270,null,null,"OFFICE TONER CARTRIDGE HP",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000407,270,null,null,"OFFICE CARTRIDGE FOR HP OFFICE JET PRO 8",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000411,270,null,null,"OFFICE DYMO TAPE W/B  PLASTIC 1/2x13(PK)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000415,270,null,null,"OFFICE CARTRIDGE BLACK BROTHER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000422,270,null,null,"OFFICE TAPE BLACK ON YELLOW 3/4",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000427,270,null,null,"OFFICE BINDER DATA EARTH RED 14 7/8 X 11",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000431,270,null,null,"OFFICE COPY PAPER LASER 8 1/2 X 11 24LB",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000437,270,null,null,"OFFICE POST-IT 3X3 NEON COLOR",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000441,270,null,null,"OFFICE CARTRIDGE YELLOW FOR HP LASERJET",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000512,270,null,null,"STAPLER RELOADS BLUE 35MM(LBL)",540.79999999999995,378.56,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000517,270,null,null,"BALLOON DILATOR PYLORIC 15MM 45FR",446.63,312.64,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000524,272,null,null,"SUTURE BONE WAX",55.46,38.82,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000525,272,null,null,"CATH GROSHONG 8FR CV SINGLE LUMEN",1085.49,759.84,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000530,271,null,null,"BNDGE ESMARK 6",99.45,69.62,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[90000536,278,"C1781",null,"HERNIA PATCH SMALL",956.87,669.81]
[90000542,272,null,null,"NEEDLE BIOPSY QUICK CORE 16GAX15CM",241.67,169.17,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000547,272,null,null,"NEEDLE BIOPSY QUIK CORE 20GA15CM",297.57,208.3,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000553,272,null,null,"CARTRIDGE RELOAD FOR  CUTTER TLC75(LBL)",380.46,266.32,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000559,272,null,null,"STAPLER CVD INTRA ILS 33MM-LABEL",837.37,586.16,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000564,272,null,null,"SURGICEL ABSORBABLE HEMOSTAT",477,333.9,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000570,272,null,null,"SUTURE 6.0 MONOFILAMENT PS3",49.29,34.5,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000577,272,null,null,"SUTURE 3-0 PLAIN",30.77,21.54,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000583,272,null,null,"SUTURE 6-0 PROLENE",56.67,39.67,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000588,272,null,null,"SUTURE 2-0 SILK(LBL)",19.079999999999998,13.36,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000593,272,null,null,"SUTURE 0 PROLENE HERNIA",104.08,72.86,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000594,272,null,null,"SUTURE 0 SILK(LBL)",14.45,10.119999999999999,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000605,272,null,null,"GRASPING DEVICE TALON",585.76,410.03,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000612,272,null,null,"T-TUBE 14FR-LABEL",58.65,41.06,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000618,258,null,null,"IV DOPAMINE DRIP 800MG/D5W 250ML : 800MG",68.22,47.75]
[90000623,270,null,null,"SET IRRIGATION CYCTOSCOPY",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000631,270,null,null,"LAUNDRY UNDERPAD LIFTER 34X36 VINYL KNIT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[900007,975,"28810T6",null,"AMPUTATION METATAR W TOE W T6",2202,1541.4]
[90000718,270,null,null,"MIC -G GASTRO TUBE 22 FR-LABEL",219.84,153.88999999999999,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000723,270,null,null,"ELECTRODE PATIENT RETURN ADULT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000803,270,null,null,"OFFICE FILE CABINET POCKETS RED",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000808,270,null,null,"TRACH TUBE 7.0MM PARKER FLEX",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000814,270,null,null,"ARMBAND LASER W/LABELS REGISTRATION",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000820,270,null,null,"RECEIPTS W/PERF LASER BUSINESS OFFICE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000821,270,null,null,"ORTHOGLASS SPLINT 3X15",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000826,270,null,null,"BACK RAFT HAND PUMP",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000831,270,null,null,"NEEDLE INSUFFLATION PNEUMAPERITONLUM",98.9,69.23,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000836,272,null,null,"SUTURE MONOCRYL 4-0",48.63,34.04,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000844,270,null,null,"CRYOTHERAPY CANISTER 236ML",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000850,270,null,null,"CLASSIFICATION FOLDER 6 TAB LIGHT BLUE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000855,270,null,null,"GLIDE  LARYNGOSCOPE #4 GVL 4",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000860,270,null,null,"OFFICE IMAGING KIT LEXMARK C5410N",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000866,270,null,null,"LAB SOFIA INFLUENZA A/B KIT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000872,270,null,null,"RECEIPT BOOK 3-PART 150/BOOK",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000881,270,null,null,"AVERY REMOVABLE LABELS ASS. COLORS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000886,272,null,null,"SORBAFIX FASTNERS 15/BX",1101.4000000000001,770.98,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000891,272,null,null,"MESH 3DMAX MED LEFT",627.32000000000005,439.12,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000892,278,null,null,"RESOLUTION CLIP",673.74,471.62,612.39,612.39,null,null,612.39]
[90000897,270,null,null,"LAB MCFARLAND STANDARD 0.5M",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000901,278,"C1713",null,"SCREW HEADLESS 2.5MM X 12MM",1263.51,884.46]
[90000907,270,null,null,"HK VECTRA FLOOR FINISH HIGH PERFORM(WAX)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000912,270,null,null,"OVER UNDER SEALER  5 GAL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000919,270,null,null,"CAVILON NO STING BARRIER FILM",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000924,270,null,null,"GOWN IV/TELE BLU/CACTUS UNISEX I SZ",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000929,270,null,null,"TAPE INSTRUMENT MARKING WHITE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000935,270,null,null,"NEEDLE WHITACRE 22GA X 31/2 SPINAL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000940,272,null,null,"SUTURE PDS 11 96  LONG",46.31,32.42,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000945,270,null,null,"PEANUT SPONGE 3/8  W/LIP IN FOAM HOLDER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000951,272,null,null,"GROSHONG SINGLE-LUMEN 8FR CATHETER-LABEL",1047.1500000000001,733.01,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000954,270,null,null,"SUTURE 5-0 ETHILON BLK MONO PS-2",379.7,265.79000000000002,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000958,270,null,null,"FM PRESCRIPTION PAPER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000963,270,null,null,"PREG.TEST SP HCG URINE SERUM RAPID PFC",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000968,270,null,null,"FILE FOLDER SECURE  STAPLE(KIM C.)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000974,270,null,null,"BIOPSY PUNCH 4MM DISP",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000979,270,null,null,"LAUNDRY BEDSPREAD BLUE 76 X 110  HORIZON",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90000984,272,"C1726",null,"ESOPH/PYLOR/ BILARY DIL.CA -12-13.5-15MM",1156.52,809.56]
[90000990,272,null,null,"STAPLER CVD INTRA ILS 25MM-LABEL",878.22,614.75,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90000995,270,null,null,"LAB COAGULASE PLASMA",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001001,270,null,null,"LAB AU480 SAMPLE POT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001006,270,null,null,"LAB AU480 WASH STATION TUBE CONNECTOR",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001011,270,null,null,"LAB ACCESS DISP ASPIRATE PROBE BRUSHES",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001017,270,null,null,"LAB CITRANOX-GALLON",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001022,270,null,null,"LAB ACCESS TSH3 CALIBRATORS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001023,270,null,null,"LAB ACCESS PSA CALIBRATORS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001033,270,null,null,"CRYOTHERAPY CANISTER 236ML",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001034,270,null,null,"GLOVE PROTEXIS NEOPRENE SZ: 7 PF",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001040,272,null,null,"DRAIN DAVOL CATTELL 10FR-LABEL",67.91,47.54,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90001045,270,null,null,"OFFICE CLASSIFICATION FOLDERS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001050,270,null,null,"MACINTOSH BLADES SZ:3 DISPOSABLE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001056,270,null,null,"MACINTOSH BLADES SZ:1 DISPOSABLE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001061,270,null,null,"BIOPSY PUNCH 3MM 33-32",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001067,270,null,null,"WATER TRAP(DATASCOPE 2 GAS MODULE SE)",170.97,119.68,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001074,270,null,null,"SCOPETTES, 16   SWAB APPLICATOR",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001078,270,null,null,"CURETTE EAR PURPLE PEDIATRIC",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001084,270,null,null,"OFFICE HANGING FILE FOLDER PENDAFLEX",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001089,270,null,null,"LAB DXH CLEANER, 1X10 L",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001094,270,null,null,"LAB THERMAL PRINTER PAPER 50MM",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001095,270,null,null,"LAB TSA SLANT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[900011,975,4660051,null,"ANOSCOPY DIAG W 51",362,253.4]
[90001106,270,null,null,"LAB REAGENT LIPOCLEAR 0.5ML SAMPLE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001111,270,null,null,"PAPER PYXIS DIRECT THERMAL PHARMACY",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001116,270,null,null,"LAB DISPOSABLE LOOP 1U1",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001122,270,null,null,"LAB BICARBONATE CALIBRATOR(LEV1-2)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001127,270,null,null,"TEGADERM DRESSING 5X7",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001133,270,null,null,"STERILIZATION POUCH 5 1/2 X 10 SELF-SEAL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001138,270,null,null,"LAB LIQUID URINE CONTROL LEVEL 1& 2",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001143,270,null,null,"METZENBAUM SCISSOR LABEL",302.2,211.54,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001147,270,null,null,"TRACH TUBE PED 3.0MM UNCUFFED",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001155,270,null,null,"LAB RECORDER FREEZER CHART PAPER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001160,270,null,null,"LAUND.DETERG.W/SURFACTANT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001161,270,null,null,"ADULT VENTIALATOR CIRCUIT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001166,272,null,null,"SUTURE  3-0 18 IN BLK NYLON MONOFILAMENT",17.760000000000002,12.43,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90001172,270,null,null,"BIOPSY PUNCH 2MM 33-31",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001177,270,null,null,"LAB VACUTAINER CITRATE 1.8ML .109M",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001182,272,null,null,"SUTURE 4-0 COATED VICRYL",52.37,36.659999999999997,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90001188,270,null,null,"CONNECTOR U/ADAPT STRAIGHT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001193,270,null,null,"LAUNDRY BEDSPREAD DIAMOND  PLUM 75 X104",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001199,270,null,null,"LAB ACCESS FOLATE REAGENT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001202,270,null,null,"LAB ACCESS FT3 REAGENT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001207,270,null,null,"MEDI-DOSE LABEL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001213,270,null,null,"MINI MEDI-CUP PLUS GREEN BLISTERS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001218,270,null,null,"LAUND.ORANGE MIST-32 OZ",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001220,270,null,null,"LAB BLOOD COLL. SET 25GA W/O ADPTR",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001225,270,null,null,"TAPE SURG MICROFOAM 1",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001230,270,null,null,"SUCTION CATHETER AIRLIFE SINGLE 10FR CON",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001236,270,null,null,"AFF 24 X 24 X 12",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001241,270,null,null,"AAF 20 X 20 X2   (12EA/CS)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001246,272,null,null,"T-TUBE DEAVER 8FR. CROSSBAR(LABEL)",72.319999999999993,50.62,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90001252,270,null,null,"SYRINGE 1ML LUER LOK STERILE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001257,270,null,null,"LAB URINE CSF ALBUMIN CALIBRATOR",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001261,270,null,null,"SPECULA VAG KLEENSPEC PREM W/SHEATH LG",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001269,270,null,null,"LAUND. SCORE DETERGENT SUPERCHARGED 50#",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001274,270,null,null,"LAUNDRY  EMULSIFIER ERP",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001280,270,null,null,"DIETARY RIGHT NOW DELIMER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001285,270,null,null,"SWAB, QUICKVUE IN-LINE STREP ATEST(75EA)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[9000129,510,99212,null,"FACILITY MINOR ESTAB DIETICIAN",37,25.9,42.86,53.18,45.93,null,null,42.86,null,null,null,null,null,null,null,53.18]
[90001290,270,null,null,"RELOAD TAN 30MM VASC/MED -LABEL",708.78,496.15,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001299,278,null,null,"HERNIA PERFIX PLUG LG",601.55999999999995,421.09,612.39,612.39,null,null,612.39]
[90001301,270,null,null,"LAB COMFORT SAMPLER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001306,270,null,null,"RIBBON ZEBRA THERMA 4.33 PURCH",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001310,270,null,null,"AAF 20  X 24  X2 (12/CS)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001316,270,null,null,"MASIMO CABLE LNCS-14 PIN",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001320,270,null,null,"MASIMO SENSOR -ADHESIVE INFANT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001325,272,null,null,"SUTURE SOFSILK 2-0- C-15 LABEL",8.6300000000000008,6.04,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90001330,270,null,null,"DUST COVER 16X30 SELF-SEAL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001336,270,null,null,"GOWN ROYAL BLUE/KIDS SZ 9-12",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001341,270,null,null,"PRESCRIPTION PAD WHH",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001347,272,null,null,"SUTURE SURGIPRO 11 6-0- CV-11 LABEL",43.08,30.16,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90001351,272,null,null,"STAPLER 25MM LABEL",1152.1099999999999,806.48,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90001352,272,null,null,"SUTURE POLYSORB 3-0 VIOLET",10.97,7.68,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90001357,270,null,null,"LAB VITEK AST-GP67 CARD (20/BX)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001362,272,null,null,"SUTURE TICRON 0 HGS-23",60.87,42.61,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90001367,270,null,null,"LAB VITEK NH CARD (20/BX)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001372,270,null,null,"OFFICE BIC XTRA-COMFORT PEN,MED,GREEN",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001378,270,null,null,"HAMILTON OXYGEN CELL SENSOR HM-12",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001382,270,null,null,"LAB CALABRATION  STRIP",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001387,272,null,null,"SURGIMESH  XB",2168.7800000000002,1518.15,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90001392,270,null,null,"LAB THERMOMETER IN LIQUID-FREEZER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001397,272,null,null,"SURGI- BRA 2XLG (LABEL)",72.540000000000006,50.78,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90001401,270,null,null,"RAD SPEE-D-ANGLE MAMO SKIN MARKER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001403,270,null,null,"SATCO BULB FLUOR FLUORESCENT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001412,270,null,null,"MASIMO LNCS DCIP PEDIATRIC SENSOR",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001413,270,null,null,"MASIMO LNCS TF-I FOREHEAD TRANSDUCER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001418,272,null,null,"DISP COMBINATION CLEANING BRUSH",283.5,198.45,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90001423,270,null,null,"DRAGER X-PLORE 8000 STANDARD HOSE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001429,270,null,null,"NEBULIZER LARGE VOLUME",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001434,270,null,null,"RAPID SUPPLIES.COM(PAPER PERFORATE 3 1/2",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001442,270,null,null,"STAPLER 45MM ARTICUL CUTT ER-LABEL",800,560,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001446,278,null,null,"HERNIA REPAIR  PLUG XLG",658.48,460.94,612.39,612.39,null,null,612.39]
[90001451,270,null,null,"VIRAL/BACTERIAL  PATIENT USE FILTER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001457,270,null,null,"DEFIBRILLATING ELECTRODE PEDIATRIC",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001462,270,null,null,"PRESCRIPTION FILE  FOLDERS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001468,270,null,null,"VEOFLO HIGH FLOW NASAL CANNULA 6MM(LARG)",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001473,272,null,null,"TROCAR CATH 10FR X 9",260,182,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90001478,270,null,null,"GLOVE SURG PROTEXIS PI BLUE SZ:7.5",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001483,272,null,null,"THORACIC CATH  TROCAR 10FR-9 -LABEL",86.11,60.28,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90001485,270,null,null,"BRIDGE 3.5  LOOP OSTOMY STERILE 20/BX",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[9000149,990,null,null,"PUREED",0,0]
[90001495,270,null,null,"SPECIMEN COLLECTION SWAB FLOCKED PLASTIC",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[900015,975,44950,null,"APPENDECTOMY",3621,2534.6999999999998]
[90001504,270,null,null,"SCOPETTES,16  NON-STERILE SWAB",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001509,270,null,null,"MACINTOSH BLADES SZ:3 DISPOSABLE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001514,270,null,null,"MILLER BLADES SZ: 4  DISPOSABLE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[9000152,990,null,null,"DIABETIC (CARBOHYDRATE MANAGED)",0,0]
[90001524,272,null,null,"ENDO STITCH DEVICE-LABEL",1842.5,1289.75,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90001529,270,null,null,"MAMMO WIPE REFRESH DEODORANT WIPES IND P",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001534,270,null,null,"SYRINGE 60 ML BLISTER PACK LUER LOCK TIP",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001539,272,null,null,"SUTURE 3-0 VICRYL RAPIDE CT-1 LABEL",25.03,17.52,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[9000154,990,null,null,"ADA CHOPPED 1000",0,0]
[90001544,270,null,null,"LAB BLOOD COLL SET 23GAX3/4IN",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001551,270,null,null,"LAB BLOOD COLLECTION SET 23GAX3/4IN",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001555,270,null,null,"RAZOR DERMABLADE AMRAZ",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[9000156,990,null,null,"ADA PUREED 1000",0,0]
[90001566,270,null,null,"LAB ACCESS 2  SAMPLE CUPS 1/2 ML",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001570,270,null,null,"BEESWAX LIP BALM",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001575,270,null,null,"LAB SWAB,QUICKVUE IN-LINE STREP TEST(75",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001580,272,null,null,"SOFT CONVEX SKIN BARRIER LABEL",48.75,34.130000000000003,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[90001585,272,null,null,"TUBE BAKER JEJUNOSTOMY 16FR",7.17,5.0199999999999996,0,200.53,48.55,146.96,75.12,109.46,null,null,0,null,null,null,50.9,200.53]
[9000159,990,null,null,"ADA CHOPPED 1200",0,0]
[90001596,270,null,null,"HANDLE, ALUM TELESCOPIC 39-72",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[9000160,990,null,null,"ADA MECHANICAL SOFT 1200",0,0]
[90001600,271,null,null,"CASTING TAPE 4  DELTA(LABEL)",32.31,22.62,27.02,38.880000000000003,34.74,null,38.880000000000003,27.02]
[90001605,270,null,null,"STOCKINETTE TUBLAR 4IN.X 25 YD COTTON",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[9000161,990,null,null,"ADA PUREED 1200",0,0]
[90001615,270,null,null,"PHARMEX 1-810 LOOK ALIKE SOUND LABEL",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001619,272,"C1726",null,"EZDILATE BALLON DILATOR 13.5-14.5",763.1,534.16999999999996]
[90001626,278,null,null,"PG PRO MIDLINE CATH 22G, 8CM BASIC TRAY",400,280,612.39,612.39,null,null,612.39]
[90001630,270,null,null,"MIC -G GASTRO TUBE 26 FR-LABEL",248.66,174.06,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001635,270,null,null,"LIP BALM SAFETEC INDIVIDUAL PACKET",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001640,270,null,null,"LAB ACCESS 25-OH VIT D FOR ACCESS CALS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[90001645,270,null,null,"LEX CS/CX 317 YELLOW",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[9000167,990,null,null,"ADA SOFT 1400",0,0]
[9000172,990,null,null,"ADA SOFT 1500",0,0]
[9000173,990,null,null,"ADA 1600",0,0]
[9000179,990,null,null,"ADA CHOPPED 1800",0,0]
[9000183,990,null,null,"ADA 2000",0,0]
[9000188,990,null,null,"ADA 2200",0,0]
[9000195,990,null,null,"ADA MECHANICAL SOFT 2400",0,0]
[900020,975,29505,null,"APPLI LONG LEG SPLINT",399,279.3]
[9000204,990,null,null,"DIABETIC CHOPPED",0,0]
[9000211,990,null,null,"FLUID RESTRICTED PUREED",0,0]
[9000216,990,null,null,"GALL BLADDER PUREED",0,0]
[9000221,990,null,null,"HEART HEALTHY",0,0]
[9000226,990,null,null,"LACTOSE FREE CHOPPED",0,0]
[9000230,990,null,null,"LOW CHOLESTEROL CHOPPED",0,0]
[9000237,990,null,null,"LOW FAT MECHANICAL SOFT",0,0]
[9000241,990,null,null,"LOW POTASSIUM PUREED",0,0]
[9000242,990,null,null,"LOW POTASSIUM CHOPPED",0,0]
[900025,975,20605,null,"ARTHROCENTESIS ASPIRATION",282,197.4]
[9000252,990,null,null,"STRICT LOW RESIDUE",0,0]
[9000258,990,null,null,"1200 K CAL HEART HEALTHY",0,0]
[9000262,990,null,null,"RENAL HEART HEALTHY",0,0]
[900031,975,19101,null,"BIOPSY OF BREAST-INCISIONAL",1476,1033.2]
[900037,975,5710051,null,"BIOPSY VAGINAL MUCOSA-SIMPLE",522,365.4]
[900042,975,29065,null,"CAST APPLICATION LONG ARM",440,308]
[900045,975,43762,null,"CHANGE OF GASTROSTOMY TUBE",681.56,477.09]
[900054,975,47563,null,"PF LAP CHOLE W/CHOLANGIOGRAPHY",4791,3353.7]
[900059,975,4756279,null,"PF LAP CHOLECYSTECTOMY W 79",4666,3266.2]
[900066,975,54161,null,"CIRCUMCISION-SURG EXCEPT NB",1333,933.1]
[900071,975,24576,null,"CL TX HUMERAL CONDYLAR FX",1474,1031.8]
[900072,975,26605,null,"CL TX METACARPAL FX EA BONE",1639,1147.3]
[900077,975,23650,null,"CL TX SHOULDER DISLO NO ANESTH",1450,1015]
[900082,975,26725,null,"CLOSE TRMT FX PHALANG W/MAN",1639,1147.3]
[9000867,270,null,null,"LAUNDRY GOWN IV/TELE WIGWAM",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[900093,975,4414380,null,"COLECTOMY W/COLOSTOMY W 80",2072,1450.4]
[900098,975,4414058,null,"COLECTOMY PARTIAL W 58",6998,4898.6000000000004]
[900104,975,45378,null,"COLONOSCOPY",1666,1166.2]
[900109,975,4538051,null,"COLONOSCOPY W/BIOPSY W 51",2000,1400]
[900115,975,45385,null,"COLONOSCOPY/POLYPECTOMY",2238,1566.6]
[900120,975,44320,null,"COLOSTOMY/SKIN CECOSTOMY",5260,3682]
[900127,975,1104251,null,"DEBRIDE SKIN & SUBCUT TISSUE MULT W 51",388,271.60000000000002]
[900132,975,11043,null,"DEBRIDEMENT SKIN TISSUE MUSCLE",958,670.6]
[900137,975,11000,null,"DEBRIDEMENT TO 10% BODY SURFAC",228,159.6]
[900142,975,1711051,null,"DESTRUCT BENIGN LESION W 51",288,201.6]
[900143,975,"26770F1",null,"DISLOCAT FINGER-W/MAN WO/ANES W F1",1261,882.7]
[900148,975,43236,null,"EGD W/DIRECTED SUBMUCOSAL INJ",1682,1177.4000000000001]
[900154,975,4323959,null,"ENDOSCOPY W/BIOPSY W 59",1572,1100.4000000000001]
[900159,975,4412080,null,"ENTERECTOMY W/ANASTO ASSIST W 80",2000,1400]
[900168,975,11423,null,"EX BENIGN LESION 2.1 - 3.0 CM",708,495.6]
[900171,975,4480051,null,"EX MECKEL DIVERTICULU MULT W 51",4783,3348.1]
[900176,975,"1140658RT",null,"PF EXC BEN LES OVER 4 CM W 58 RT",1019,713.3]
[900182,975,1140151,null,"EXC BENIGN LESION 0.6 TO 1.0CM W/MOD 51",456,319.2]
[900187,975,"1140151RT",null,"EXC BENIGN LESION W/ MOD 51 RT",456,319.2]
[900192,975,11442,null,"EXC LESION FACE 1.1 TO 2.0 CM",623,436.1]
[900198,975,1160658,null,"EXC MAL LESION >4.0CM W 58",1429,1000.3]
[900201,975,1162151,null,"EXC MAL LESION 0.6-1.0CM MULT W 51",714,499.8]
[900205,975,6477451,null,"PF EXC OF NEUROMA MULT W 51",2205,1543.5]
[900206,975,54840,null,"EXC OF SPERMATOCELE W/WO SEMEN",1933,1353.1]
[900207,975,"19125RT",null,"PF EXC BREAST LES ID MARKER OPEN SNGL RT",2747,1922.9]
[900208,975,1142251,null,"EXC BENIGN LESION 1.1 - 2.0 CM MULT W 51",481,336.7]
[900209,975,5550051,null,"EXC HYDROCELE S CORD W 51",2281,1596.7]
[900210,975,15946,null,"EXC ISCHIAL PRESSURE ULCER",5679,3975.3]
[900211,975,1160451,null,"EXC MAL LES 3.1-4.0CM MULT W 51",1048,733.6]
[900212,975,11626,null,"EXC MAL LESION >4.0 CM",1429,1000.3]
[900213,975,"11752F3",null,"EXC,NAIL W/AMP TUFT W F3",744.66,521.26]
[900214,975,25111,null,"EXC. GANGLION WRIST PRIMARY",2292,1604.4]
[900215,975,11646,null,"EXC MAL LESION OVER 4.0CM",1429,1000.3]
[900216,975,19112,null,"EXC OF LAC DUCT FISTULA",2818,1972.6]
[900217,975,"19126LT",null,"EXC BREAST EACH ADDL LT",1241,868.7]
[900218,975,1142179,null,"EXCIS BEN LESION 0.6 TO 1.0CM W 79",382,267.39999999999998]
[900219,975,11424,null,"EXCIS BEN LESION-3.1 TO 4.0CM",808,565.6]
[900220,975,11421,null,"EXCIS BENIGN LESION 0.6 TO 1",382,267.39999999999998]
[900221,975,11401,null,"EXCIS BENIGN LESION 0.6 TO 1.0",458,320.60000000000002]
[900222,975,1140251,null,"EXCIS BENIGN LESION 1.1-2.0 CM W51",554,387.8]
[900223,975,11440,null,"EXCIS LESION < 0.5 CM",354,247.8]
[900224,975,11606,null,"EXCIS MALIG LESION-OVER 4.0 CM",1429,1000.3]
[900225,975,11750,null,"EXCIS NAIL & MATRIX-PERMANENT",620,434]
[900226,975,24120,null,"EXCIS OF BONE/OLECRANON CYST",3529,2470.3000000000002]
[900227,975,1140651,null,"EXCIS BENIGN LESION OVER 4.0CM MULT W 51",1346,942.2]
[900228,975,11750,null,"EXCISION NAIL",620,434]
[900229,975,11441,null,"EXCISION BENIGN 0.6-1.0 CM",611,427.7]
[900230,975,11422,null,"EXCISION BENIGN LESION 1.1-2.0",481,336.7]
[900231,975,11404,null,"EXCISION BENIGN LESION 3.1-4.0",845,591.5]
[900232,975,19120,null,"EXCISION BREAST LESION",2370,1659]
[900233,975,1912058,null,"PF EXCISION BREAST LESION W 58",2370,1659]
[900234,975,19125,null,"PF EXC BREAST LES ID MARKER OPEN SNGL",2747,1922.9]
[900235,975,"1912050RT",null,"EXCISION BREAST LESION 50 RT",2370,1659]
[900236,975,69110,null,"EXCISION EXTERNAL EAR-SIMPLE",2666,1866.2]
[900237,975,11641,null,"EXCISION FACE LIP 0.6 TO 1.0 CM",776,543.20000000000005]
[900238,975,11404,null,"EXCISION LESION 3.1 TO 4.0 CM",765,535.5]
[900239,975,11444,null,"EXCISION LESION 3.1 TO 4.0 CM",963,674.1]
[900240,975,26160,null,"EXCISION LESION HAND/FINGER",2031,1421.7]
[900241,975,11622,null,"EXCISION  MALIGNANT LESION-1.1 TO 2.0 CM",744,520.79999999999995]
[900242,975,11644,null,"EXCISION LESION-3.1 TO 4.0CM",1303,912.1]
[900243,975,11604,null,"EXCISION MAL LESION 3.1-4.0CM",1048,733.6]
[900244,975,11643,null,"EXCISION MAL LESION-2.1 TO 3.0",1116,781.2]
[900245,975,11600,null,"EXCISION MALIGNANT LESION 0.5 CM OR LESS",571,399.7]
[900246,975,11441,null,"PF EXCISION BENIGN LESION 0.6-1.0 CM",466,326.2]
[900247,975,11426,null,"EXCISION OVER 4.0 CM",1132,792.4]
[900248,975,11771,null,"EXCISION PILONIDAL CYST EXT",2432,1702.4]
[900249,975,11042,null,"EXCISION SKIN/SUBCUT/TISSUE",390,273]
[900250,975,11446,null,"EXCISION DIAMETER OVER 4.0CM",1303,912.1]
[900251,975,24105,null,"EXCISION OLECRANON BURSA",2222,1555.4]
[900252,975,"19125LT",null,"PF EXC BREAST LES ID MARKER OPEN SNGL LT",2747,1922.9]
[900253,975,11620,null,"EXCIS-MAL LESION 0.5 OR LESS",653,457.1]
[900254,975,4400551,null,"PF EXP LAP ENTEROLYSIS W 51",5923,4146.1000000000004]
[900255,975,4900051,null,"PF EXPL LAPAROTOMY W 51",4625,3237.5]
[900256,975,49000,null,"EXPLOR LAP W/WO BIOPSY",4625,3237.5]
[900257,975,20103,null,"EXPLOR PENE WOUND,EXTREMITY",3627,2538.9]
[900258,975,26418,null,"EXTENSOR TENDON REPAIR",3473,2431.1]
[900259,975,27305,null,"FASCIOTOMY ILIOTIBIAL OPEN",3633,2543.1]
[900260,975,27025,null,"FASCIOTOMY HIP OR THIGH",7310,5117]
[900261,975,26040,null,"FASCIOTOMY PALMER; PERCUT",2222,1555.4]
[900262,975,49557,null,"PF REP RECUR FEM HERNIA INCAR OR STRANG",4323,3026.1]
[900263,975,26350,null,"PF EXTENSOR TENDON REPAIR",5264,3684.8]
[900264,975,28190,null,"PF FOREIGN BODY FOOT REMOVED",1051,735.7]
[900265,975,69210,null,"PF IMPACTED CERUMEN REQ INSTRUMENT UNI",195,136.5]
[900266,975,43632,null,"GASTRECTOMY W/GASTROJEJUNOSTOM",10400,7280]
[900267,975,43830,null,"GASTROSTOMY TEMPORARY",4585,3209.5]
[900268,975,46255,null,"HEMORR EXT AND INT SIMPLE",2304,1612.8]
[900269,975,46250,null,"PF HEMORRHOIDECTOMY EXTERN-COMP 2OR>",2216,1551.2]
[900270,975,4694651,null,"PF HEMORRHOIDS MULT PROC W 51",928,649.6]
[900271,975,4958751,null,"PF REP HERNIA INCARC/STRANGULATED W51",3014,2109.8000000000002]
[900272,975,49501,null,"PF REP INGUINAL HERNIA<5YRS INCAR/STRAN",3703,2592.1]
[900273,975,49587,null,"PF HERNIA INCARCERATED/STRANGULAT",3014,2109.8000000000002]
[900274,975,45020,null,"I & D DEEP RETRORECTAL ABSCESS",1929,1350.3]
[900275,975,10140,null,"PF I&D HEMATOMA SEROMA FLUID COLLECT",609,426.3]
[900276,975,5470078,null,"PF I&D OF EPIDID TESTIS SCROTAL W 78",1000,700]
[900277,975,45005,null,"I & D OF SUBMUC ABCESS RECTUM",1168,817.6]
[900278,975,46050,null,"PF I&D PERIANAL ABSCESS",668,467.6]
[900279,975,42700,null,"I AND D ABSCESS PERITONSILLAR",855,598.5]
[900280,975,10080,null,"I AND D PILONIDIAL CYST SIMPLE",683,478.1]
[900281,975,23930,null,"PF I&D UPPER ARM ELBOW",1908,1335.6]
[900282,975,27603,null,"PF I&D LEG/ANKLE ABSCESS HEMA",2342,1639.4]
[900283,975,56420,null,"I&D BARTHOLINS GLAND ABCESS",711,497.7]
[900284,975,1018078,null,"PF I&D COMPLEX PEROP WND INFECTION W78",1074,751.8]
[900285,975,27301,null,"PF I&D DEEP ABSCESS THIGH OR KNEE",2542,1779.4]
[900286,975,1006077,null,"PF I&D CYST SIMPLE W 77",404,282.8]
[900287,975,1014078,null,"I&D HEMATOMA W 78",609,426.3]
[900288,975,46045,null,"PF I&D ISCHIORECT/PERIRECT ABSCESS",2216,1551.2]
[900289,975,46060,null,"I&D OF INTRAMURAL ABSCESS",4138,2896.6]
[900290,975,46040,null,"I&D OF ISCHIORECTAL ABSCESS",1586,1110.2]
[900291,975,10081,null,"I&D OF PILONIDAL CYST COMP",1113,779.1]
[900292,975,1018051,null,"PF I&D COMPLEX PEROP WND INFECTION W51",1074,751.8]
[900293,975,3655879,null,"IMPLANT VEN ACC DEV W 79",3457,2419.9]
[900294,975,36558,null,"PF INSERT TUNNELED CV CATH WO PORT>5 YRS",3457,2419.9]
[900295,975,4956879,null,"PF IMPLANT MESH FOR REPAIR OR CLOSUR W79",1634,1143.8]
[900296,975,49568,null,"IMPLANTED MESH OR OTHER PROSTH",1634,1143.8]
[900297,975,365585853,null,"IMPLT VEN ACC DEVIC W 58 53",3457,2419.9]
[900298,975,3655858,null,"IMPLT VEN ACC DEVICE W58",3457,2419.9]
[900299,975,4955351,null,"PF REP INCARCERATE/STRAN FEM W 51",3495,2446.5]
[900300,975,49553,null,"PF REP INCARCERATED/STRAN FEM HERNIA",3495,2446.5]
[900301,975,49572,null,"PF EPIGAST HERNIA INCAR OR STRANG",3344,2340.8000000000002]
[900302,975,49507,null,"PF REP INGUINAL HERNIA >5YRS INCAR/STRAN",3915,2740.5]
[900304,975,10060,null,"PF I&D CYST SIMPLE",404,282.8]
[900305,975,1142651,null,"INCISION >4.0CM MULT W 51",1132,792.4]
[900306,975,1006054,null,"PF I&D CYST SIMPLE W 54",404,282.8]
[900307,975,10120,null,"PF INCISION/REMOVAL FB SUBQ SIMPLE",544,380.8]
[900308,975,49505,null,"PF REP INGUINAL HERNIA RT>5YRS REDUCI",2938,2056.6]
[900309,975,49500,null,"PF REP INGUINAL HERNIA <5 YRS",3203,2242.1]
[900310,975,4950053,null,"PF REP INGUINAL HERNIA<5YRS DISCON W53",3203,2242.1]
[900311,975,49505,null,"PF REP INGUINAL HERNIA RT>5YRS REDUCIBL",2938,2056.6]
[900312,975,4950579,null,"PF  REP INGUINAL HERNIA>5YRS W 79",2938,2056.6]
[900313,975,4950551,null,"PF REP INGUINAL HERNIA 5 YRS> MULT W 51",2938,2056.6]
[900314,975,49520,null,"PF REP INGUINAL HERNIA RECURRENT ANY",3397,2377.9]
[900315,975,4950550,null,"PF REP INGUINAL HERNIA BILAT W 50",2938,2056.6]
[900316,975,"49505RT",null,"PF REP INGUINAL HERNIA RT>5YRS REDUCIBL",2938,2056.6]
[900317,975,36561,null,"INSERT CVA DEVICE 5YR & >",4995,3496.5]
[900318,975,36556,null,"INSERT NON TUNNELED CVC > 5YRS",1169,818.3]
[900319,975,12051,null,"PF INTER REPAIR FACE 2.5 OR LESS",1078,754.6]
[900320,975,36013,null,"INTRO CATH RT HEART/PUL ARTERY",1619,1133.3]
[900321,975,36010,null,"PF INTRO CATH SUP OR INF VENA CAVA",1489,1042.3]
[900322,975,31500,null,"PF INTUBATION EMERG PROC",1030,721]
[900323,975,47564,null,"PF LAP CHOLE W/EXPLOR COMMON DUCT",6324,4426.8]
[900324,975,58670,null,"PF LAP TUBAL W/FUL OVIDUCTS",2233,1563.1]
[900325,975,5867051,null,"PF LAP TUBAL LIG W/FUL OVIDUCT MULT W 51",2233,1563.1]
[900326,975,5867076,null,"PF LAP TUBAL W/FUL OVIDUCTS W 76",2233,1563.1]
[900327,975,58660,null,"PF LAP SURGICAL LYSIS ADHESIONS",4444,3110.8]
[900328,975,49320,null,"PF LAP ABDOMEN W/WO SPECIMEN",2777,1943.9]
[900329,975,4418078,null,"PF LAP SURG ENTEROLYSIS W 78",5076,3553.2]
[900330,975,44970,null,"PF LAP SURGICAL APPENDECTOMY",4114,2879.8]
[900331,975,44180,null,"PF LAPROSCOPY SURG ENTEROLYSIS",5076,3553.2]
[900332,975,54060,null,"LESION PENIS SURGICAL EXCIS",902,631.4]
[900333,975,4460478,null,"PF LG INTESTINE PERF ULCER W 78",5460,3822]
[900334,975,5860051,null,"PF LIG AND TRANSEC FALLOPIAN TUBES W51",2472,1730.4]
[900335,975,37609,null,"PF LIG OR BIOPSY TEMPORAL ARTERY",1764,1234.8]
[900336,975,46945,null,"PF LIG INTERNAL HEMORRHOID SINGLE",731,511.7]
[900337,975,4700051,null,"PF LIVER BIOPSY NEEDLE PREQ MULT W 51",1185,829.5]
[900338,975,4700151,null,"PF LIVER BIOPSY W/MAJOR PROCEDURE W51",588,411.6]
[900339,975,19302,null,"PF MASTECTOMY W AXILLARY LYMPHADEN",4615,3230.5]
[900340,975,19307,null,"PF MASECTOMY MOD-RAD",6655,4658.5]
[900341,975,19307,null,"PF MASECTOMY MODRAD LT",6655,4658.5]
[900342,975,19307,null,"PF MASECTOMY MOD-RAD",6655,4658.5]
[900343,975,19307,null,"PF MASTECTOMY MOD-RAD",6655,4658.5]
[900344,975,19300,null,"PF MASTECTOMY FOR GYNECOMASTIA",3507,2454.9]
[900345,975,1930380,null,"PF MASTECTOMY ASSISTANT SURGEON W80",2366,1656.2]
[900346,975,19301,null,"PF MASTECTOMY PARTIAL",2717,1901.9]
[900347,975,19303,null,"PF MASTECTOMY SIMPLE COMPLETE",4734,3313.8]
[900348,975,19020,null,"PF MASTOTOMY W/ESP OR DRAIN DEEP",1691,1183.7]
[900349,975,43752,null,"PF NASO/ORO GASTRIC TUBE PLACEMNT",396,277.2]
[900350,975,19100,null,"PF NEEDLE BIOPSY OF BREAST",734,513.79999999999995]
[900351,975,47001,null,"PF NEEDLE BX LIVER W/OTH PROCED",588,411.6]
[900352,975,4925551,null,"PF OMENTECTOMY EPIPLOECT MULT PROC W51",4246,2972.2]
[900353,975,54520,null,"PF ORCHIECTOMY SIMPLE",2620,1834]
[900354,975,28300,null,"PF OSTEOTOMY CALCANEOUS",4249,2974.3]
[900355,975,5892551,null,"PF OVARIAN CYSTECTOMY MULT PROC W 51",4222,2955.4]
[900356,975,27641,null,"PF PARTIAL EXCISION FIBULA",4968,3477.6]
[900357,975,19102,null,"PERCUTANEOUS BIOPSY OF BREAST",912.03,638.41999999999996]
[900358,975,64450,null,"PF INJ PERIPHERAL NERVE OR BRANCH",638,446.6]
[900359,975,36571,null,"PERIPHERALLY INSERT CVA >5YR",3761,2632.7]
[900360,975,49082,null,"PERITONEOCENTESIS W/O IMAGING",948,663.6]
[900361,975,4908276,null,"PERITONEOCENTESIS W/O IMAGING W 76",670,469]
[900362,975,36569,null,"PICC W/O PORT-PUMP >5YRS",1338,936.6]
[900363,975,15050,null,"PF PINCH GRAFT UP TO 2 CM DIAMETER",2238,1566.6]
[900364,975,4324651,null,"PLACE TUBE GASTROS W 51",1888,1321.6]
[900365,975,43246,null,"PLACEMENT TUBE GASTROSTOMY",1888,1321.6]
[900366,975,45110,null,"PF PROCTECTOMY ABDOMINO W COLOSTO",11533,8073.1]
[900367,975,45540,null,"PF PROCTOPEXY FOR PROLAPSE ABD",5668,3967.6]
[900368,975,10160,null,"PF PUNC ASPIR OF ABCESS HEMA BULLA CYST",421,294.7]
[900369,975,1016078,null,"PF PUNC ASPIR OF ABS HEMA BULLA CYST W78",421,294.7]
[900370,975,19000,null,"PF PUNCT ASPIRATION CYST BREAST",420,294]
[900371,975,10160,null,"PF PUNC ASPIR OF ABCESS HEMA BULLA CYST",421,294.7]
[900372,975,27886,null,"PF REAMPUTATION",5091,3563.7]
[900373,975,44050,null,"PF REDUCTION OF VOLVULUS",5499,3849.3]
[900374,975,24342,null,"PF REINSERTION OF RUPTURED TENDON",5822,4075.4]
[900375,975,36590,null,"PF REMOVAL OF CVA DEVICE",1555,1088.5]
[900376,975,3659051,null,"PF REMOVAL CVA DEVICE MULT PROC W 51",1555,1088.5]
[900377,975,69200,null,"PF REMOVAL FB AUDITORY CANAL EXTR",463,324.10000000000002]
[900378,975,27372,null,"PF REMOVAL FB DEEPTHIGH KNEE",3028,2119.6]
[900379,975,65205,null,"PF REMOVAL FB EXTERNAL EYE",273,191.1]
[900380,975,24201,null,"PF REMOVAL FB UPPER ARM OR ELBOW",1908,1335.6]
[900381,975,42809,null,"PF REMOVAL FOREIGN BODY-PHARYNX",728,509.6]
[900382,975,29705,null,"PF REMOVAL FULL ARM OR LEG CAST",193,135.1]
[900383,975,11200,null,"PF REMOVAL OF SKIN TAGS UP TO 15",293,205.1]
[900384,975,36589,null,"PF REMOVAL TUNNELED CV CATH",915,640.5]
[900385,975,20525,null,"PF REMOVE FB IN MUSCLE DEEP/COMP",1982,1387.4]
[900386,975,32150,null,"PF REMOVE INTRAPLEUR FOREIGN BODY",5888,4121.6000000000004]
[900387,975,64585,null,"PF REMOVE PERI NEUROST ELECTRODES",1911,1337.7]
[900388,975,1120051,null,"PF REMOVE SKIN TAG UP TO 15 LESION W 51",293,205.1]
[900389,975,43250,null,"REMOVE TUMOR FORCEP OR CAUTERY",2184,1528.8]
[900390,975,13152,null,"PF REPAIR COMPLEX LIPS 2.6-7.5",3555,2488.5]
[900391,975,4957079,null,"PF REP EPIGASTRIC HERNIA REDUC W 79",2611,1827.7]
[900392,975,49570,null,"PF REP EPIGASTRIC HERNIA REDUCIBLE",2611,1827.7]
[900393,975,4957051,null,"PF REP EPIGASTRIC HERNIA REDUC MULTW51",2611,1827.7]
[900394,975,25260,null,"REPAIR F ARM WRIST TENDON MUSC",4137,2895.9]
[900395,975,49550,null,"PF REP INIT FEM HERNIA GROIN INCIS REDUC",3427,2398.9]
[900396,975,49495,null,"PF REPAIR HERNIA INGUINAL <6MOS",3560,2492]
[900397,975,49561,null,"PF REPAIR INIT INCIS/VENT HERNIA STRANG",5303,3712.1]
[900398,975,4956151,null,"PF REP INIT INCIS/VENT HERNIA STRAN W51",5303,3712.1]
[900399,975,4956180,null,"PF REP INIT INCIS/VENT HERNIA STRAN W80",1696,1187.2]
[900400,975,49525,null,"PF REPAIR INGUINAL HERNIA SLIDING",3703,2592.1]
[900401,975,39501,null,"PF REPAIR LACERATION DAPHRAGM",8205,5743.5]
[900402,975,49566,null,"PF REP RECUR INCIS/VENT HERNIA INC/STRAN",5710,3997]
[900403,975,49585,null,"PF REPAIR UMB HERNIA >5 REDUCIBLE",3057,2139.9]
[900404,975,13150,null,"PF REPAIR COMPLEX 1.0CM OR LESS",831.92,582.34]
[900405,975,49565,null,"PF REP RECURRENT INCIS/VENT HERNIA RED",4254,2977.8]
[900406,975,43761,null,"PF REPOSITION GASTRIC FEED TUBE",733,513.1]
[900407,975,38780,null,"PF RETRO TRANSAB LYMPHADENECTOMY",13675,9572.5]
[900408,975,43860,null,"PF REVIGASTROJEJUNAL ANASTOMOSIS",8933,6253.1]
[900409,975,44340,null,"PF REVISION COLOSTOMY SIMPLE",2552,1786.4]
[900410,975,44312,null,"PF REVISION OF ILEOSTOMY",2552,1786.4]
[900411,975,1938050,null,"PF REVISION OF RECONSTRUCT BREAST BILAT",6136,4295.2]
[900412,975,59510,null,"PF ROUTINE OB CARE CESAREAN DEL",8500,5950]
[900413,975,49582,null,"PF RPR UMB HERNIA <5YRS STRANGUL",3221,2254.6999999999998]
[900414,975,44960,null,"PF RUPTURED APPY",4698,3288.6]
[900415,975,5870051,null,"PF SALPINGECTOMY MULT W 51",3883,2718.1]
[900416,975,29515,null,"SHORT LEG SPLINT",236,165.2]
[900417,975,2951576,null,"PF SHORT LEG SPLINT REPEAT PROC W 76",236,165.2]
[900418,975,4533351,null,"PF SIGMOID W/REMOVE OF TUMOR MULT W51",1188,831.6]
[900419,975,45330,null,"PF SIGMOIDOSCOPY FLEXIBLE DX",707,494.9]
[900420,975,12011,null,"SIMPLE REPAIR 2.5CM OR LESS",727,508.9]
[900421,975,12002,null,"SIMPLE REPAIR 2.6CM TO 7.5 CM",766,536.20000000000005]
[900422,975,12004,null,"SIMPLE REPAIR 7.6 TO 12.5",983,688.1]
[900424,975,11044,null,"SKIN SUBCUTANEOUS TISSUE/BONE",1566,1096.2]
[900425,975,54001,null,"PF SLIT OR PREPUCE DORS LAT E/NB",771,539.70000000000005]
[900426,975,49590,null,"PF REPAIR SPIGELIAN HERNIA",3427,2398.9]
[900427,975,62272,null,"PF SPINAL PUNCTURE THERAPEUTIC",977,683.9]
[900428,975,15100,null,"PF SPLIT GRAFT 100SQ CM OR LESS",5666,3966.2]
[900429,975,4414580,null,"SUBTOTAL COLECTOMY W/ILEOC ASSIST W80",3050,2135]
[900431,975,44145,null,"SUBTOTAL COLOCTOMY W/ILEOCOLST",8376,5863.2]
[900432,975,46280,null,"PF SURG TRMT ANAL FISTULA COMPLEX",2795,1956.5]
[900433,975,46270,null,"PF SURG TRMT ANAL FISTULA SUBCUT",2307,1614.9]
[900434,975,44604,null,"PF SUTURE LARGE INT FOR PERF ULCE",5460,3822]
[900435,975,4460251,null,"PF SUTURE SM INTESTINE W 51",5980,4186]
[900436,975,4990058,null,"PF SUTURE 2NDRY ABD WALL W 58",3948,2763.6]
[900437,975,44139,null,"PF TAKE-DOWN OF SPLENIC FLEXURE",847,592.9]
[900438,975,32554,null,"PF THORACENTESIS",1062,743.4]
[900439,982,32554,null,"THORACENTESIS NEEDLE OR CATH W/O IMAGING",834,583.79999999999995]
[900440,975,44150,null,"TOTAL ABD COLECTOMY",10577,7403.9]
[900441,975,31603,null,"PF TRACHEOSTOMY EMERGENCY PROC",2333,1633.1]
[900442,975,24605,null,"PF TRMT CLOSED ELBOW W/ANESTHESIA",2850,1995]
[900443,975,59820,null,"PF TRTMENT OF MISS ABORT SURGICAL",2065,1445.5]
[900444,975,32551,null,"PF TUBE THORACOSTOMY",1357,949.9]
[900445,975,4958551,null,"PF UMBIL HERNIA REPAIR OVER 5YRS W 51",3057,2139.9]
[900446,975,43247,null,"UPPER GASTRO ENDO W/FB REMOVAL",1555,1088.5]
[900447,975,5090051,null,"PF URETERORRHAPHY SUT OF URETER MULT W51",7840,5488]
[900448,975,59610,null,"PF ROUT OB CARE VAG DEL AFT PREV C SECT",7950,5565]
[900449,975,5525051,null,"PF VASECTOMY W/POST-OP SEMEN EXAM W51",1777,1243.9000000000001]
[900450,975,5525079,null,"PF VASECTOMY W/SEMEN EXAM W 79",1777,1243.9000000000001]
[900451,975,55250,null,"PF VASECTOMY W/POST-OP SEMEN EXAM",1777,1243.9000000000001]
[900452,975,4956079,null,"PF REP VENTRAL HERNIA/INCIS W 79",4488,3141.6]
[900453,975,49560,null,"PF REP VENTRAL HERNIA/INCISIONAL HERNIA",4488,3141.6]
[900454,975,58920,null,"PF WEDGE RESECT/BISECT OF OVARY UNI/BIL",4974,3481.8]
[900455,975,1104358,null,"DEBRIDEMENT SKIN TISSUE MUSCLE W 58",958,670.6]
[900456,975,45388,null,"COLONOSCOPY W/ABLATION",2767,1936.9]
[900457,975,"11602RT51",null,"EXC MALIGNANT LESION 1.1-2.0 CM RT 51",727,508.9]
[900458,975,"11402RT",null,"FB EXC BENIGN LESION 1.1-2.0 CM RT",554,387.8]
[900459,975,3655653,null,"INSERT NON TUNNELED CVC > 5YRS W53",1169,818.3]
[900460,975,36425,null,"PF VENOUS CUTDOWN AGE 1 OR OVER",232,162.4]
[900461,975,45331,null,"PF SIGMOID FLEX W BIOPSY 1>",992,694.4]
[900462,975,4965451,null,"PF LAP SURG REPAIR HERNIA W 51",5286,3700.2]
[900463,975,"G0121",null,"SCREENING COLONOSCOPY",1666,1166.2]
[900464,975,58301,null,"PF REMOVAL OF IUD",420,294]
[900465,975,1160351,null,"EXC MALIGNANT LESION 2.1-3.0 CM W 51",875,612.5]
[900466,975,32552,null,"PF REMOVAL INDWEL TUNNELED PLEURAL CATH",1255,878.5]
[900467,975,"15260RT58",null,"FULL THICKNESS GRAFT RT58",3755,2628.5]
[900468,975,45384,null,"ENDO REMOVAL OF TUMOR/POLYPS",2077,1453.9]
[900469,975,16020,null,"BURN DEBRID W/O ANES SMALL",374,261.8]
[900470,975,46947,null,"HEMORRHOIDOPEXY",1866,1306.2]
[900471,975,"19125LT58",null,"EXC BREAST LESION LT W/58",2747,1922.9]
[900472,975,49650,null,"LAP SURG REPAIR INGUINAL HERNIA",3513,2459.1]
[900473,975,1140225,null,"EXC BEN LES 1.1-2.0CM W 25",554,387.8]
[900474,975,36556,null,"INSERT NON TUNNELED CVC > 5YRS",1169,818.3]
[900475,975,3760950,null,"LIG OR BIOPSY TEMPORAL ARTERY W 50",1764,1234.8]
[900476,975,10121,null,"INCISION AND REMOVAL OF FB COMPLICATED",914,639.79999999999995]
[900477,975,55100,null,"DRAINAGE OF SCROTAL WALL ABSCESS",939,657.3]
[900478,975,45379,null,"COLONOSCOPY W/FB REMOVAL",2000,1400]
[900479,975,49651,null,"LAP SURG REPAIR RECURRENT INGUINAL HERNI",3794,2655.8]
[900500,975,49402,null,"REMOVAL OF PERITONEAL FB",5378,3764.6]
[900501,975,11623,null,"EXC MAL LESION 2.1 TO 3.0 CM",962,673.4]
[900502,975,45990,null,"ANORECTAL EXAM, SURGICAL, REQUIRING ANES",666,466.2]
[900503,975,56405,null,"I&D OF PERINEAL ABSCESS",654,457.8]
[900504,975,43245,null,"UGI ENDO W/DILATION",1988,1391.6]
[900505,975,13151,null,"REPAIR COMPLEX  1.1 CM TO 2.5 CM",2000,1400]
[900506,975,43633,null,"EXCISION WITH ROUX-EN RECONSTRUCTION",10671,7469.7]
[900507,975,4363380,null,"EXCISION W/ ROUX-EN RECONSTR ASSIST W80",4000,2800]
[900508,975,4925559,null,"OMENTECTOMY EPIPLOECT  W 59",4246,2972.2]
[900509,975,4965050,null,"LAP SURG REPAIR INGUINAL HERNIA W 50",3513,2459.1]
[900510,975,13121,null,"CPX REP SCALP/ARM/LEG 2.6-7.5",1458,1020.6]
[900511,975,13122,null,"EA ADDL 5 CM OR <+PRIME PROCD",885,619.5]
[900512,975,22901,null,"EXC TUMOR ABD WALL 5 CM OR GREATER",3775,2642.5]
[900513,975,12034,null,"INTER REPAIR  7.6 TO 12.5 CM",1103,772.1]
[900514,975,16025,null,"BURN 5% TO 10% TOTAL BODY SURFACE AREA",644,450.8]
[900515,975,20610,null,"ARTHROCENTESIS ASPIRATION",371,259.7]
[900516,975,46020,null,"PLACEMENT OF SETON",933,653.1]
[900517,975,4602059,null,"PLACEMENT OF SETON W 59",933,653.1]
[900518,975,"49651RT",null,"LAP REPAIR RECURRENT INGUINAL HERNIA RT",3794,2655.8]
[900519,975,"49650LT",null,"LAP SURG REPAIR INGUINAL HERNIA LT",3513,2459.1]
[900520,975,11976,null,"REMOVAL IMPLANTABLE CONTRACEPTIVE CAP",413,289.10000000000002]
[900521,975,46606,null,"ENDO W BIOPSY SINGLE OR MULT",1240,868]
[900522,975,4660659,null,"ENDO W BIOPSY SINGLE OR MULT W MOD 59",1240,868]
[900523,975,4537874,null,"COLONOSCOPY W 74",1666,1166.2]
[900524,975,40812,null,"EXCISION DESTRUCTION WITH SIMPLE REPAIR",1075,752.5]
[900525,975,4538433,null,"ENDO REMOVAL OF TUMOR/POLYPS W 33",2077,1453.9]
[900526,975,4538533,null,"COLONOSCOPY W/POLY W/ MOD 33",2238,1566.6]
[900527,975,49652,null,"LAP SURG  VENT UMBIL SPIG OR EPIG HERNIA",4681,3276.7]
[900528,975,"G0121PT",null,"SCREENING COLONOSCOPY W PT",1666,1166.2]
[900529,975,4432080,null,"COLOSTOMY/SKIN CECOSTOMY W 80",2000,1400]
[900530,975,2060559,null,"ARTHROCENTESIS ASPIRATION W 59",282,197.4]
[900531,975,"45384PT",null,"ENDO REMOVAL OF TUMOR/POLYPS W PT",2077,1453.9]
[900532,975,1160359,null,"EXC MALIGNANT LESION 2.1-3.0 CM W59",875,612.5]
[900533,975,1160259,null,"EXC MALIGNANT LESION 1.1-2.0 CM W59",727,508.9]
[900534,975,11602,null,"EXC MALIGNANT LESION 1.1-2.0 CM",727,508.9]
[900535,975,1110159,null,"BIOPSY OF SKIN MULT W 59",165.9,116.13]
[900536,975,4460422,null,"PF LG INTESTINE PERF ULCER W 22",5460,3822]
[900537,975,4538033,null,"COLONOSCOPY W 33",2000,1400]
[900538,975,"G0105",null,"SCR COLONOSCOPY ON PT AT HIGH RISK",1666,1166.2]
[900539,975,"G010553",null,"SCR COLONOSCOPY ON PT AT HIGH RISK W53",1666,1166.2]
[900540,975,1164451,null,"EXCISION LESION-3.1 TO 4.0CM W 51",1303,912.1]
[900541,975,15220,null,"FULL THICKNESS GRAFT 20 SQ CM OR LESS",3282,2297.4]
[900542,975,"G0102",null,"PROSTATE DIGITAL RECTAL EXAM",194,135.80000000000001]
[900543,975,4402059,null,"ENTEROTOMY SMALL INTESTINE W59",6422,4495.3999999999996]
[900544,975,44020,null,"ENTEROTOMY SMALL INTESTINE",6422,4495.3999999999996]
[900545,975,4402080,null,"ENTEROTOMY SMALL INTESTINE W80",6422,4495.3999999999996]
[900546,975,38760,null,"INGUINOFEMORAL LYMPHADENECTOMY",6161,4312.7]
[900547,975,43220,null,"ESOPHAGO W/ BALLOON DILATION",2219,1553.3]
[900548,975,15830,null,"EXCISION EXCESSIVE SKIN AND SUBCUT TISSU",10786,7550.2]
[900549,975,28192,null,"REMOVAL OF FB FOOT DEEP",1840,1288]
[900550,975,67840,null,"EXCISION OF LESION OF EYELID",955,668.5]
[900551,975,"45380PT",null,"COLONSCOPY W/BIOPSY SINGLE OR MULT WPT",2000,1400]
[900552,975,23075,null,"EXC TUMOR SOFT TISSUE SHOULDER <3 CM",1797,1257.9000000000001]
[900553,969,"G9612",null,"PHOTODOCUMENTATION FOR COMPLETE EXAM",0,0]
[900554,969,"0528F",null,"RECOMMENDED F/U AT LEAST 10 YEARS",0,0]
[900555,969,"0529F3P",null,"ENDOSCOPY POLYP SURVEILLANCE",0,0]
[900556,969,"G9612",null,"PHOTODOC OF 1 OR MORE CECAL LANDMARKS",0,0]
[900557,975,13132,null,"REPAIR WOUND 2.6 CM TO 7.5 CM",1977,1383.9]
[900558,975,13133,null,"REPAIR WOUND EA ADDITIONAL 5CM OR LESS",1111,777.7]
[900559,975,"45385PT",null,"COLONOSCOPY/POLYPECTOMY W PT",2238,1566.6]
[900560,975,56605,null,"BIOPSY OF VULVA OR PERINEUM 1 LESION",457,319.89999999999998]
[900561,975,46221,null,"PF HEMORRHOIDECTOMY INTER BY RUBBER BAND",1198,838.6]
[900562,975,27614,null,"PF BIOPSY DEEP SUBFASCIAL OR INTERMUSC",3715,2600.5]
[900563,975,4622150,null,"HEMORRHOIDECTOMY INTER BY RUBBER BANDW50",1198,838.6]
[900564,975,46275,null,"TX ANAL FISTULA INTERSPLINCTERIC",2371,1659.7]
[900565,975,21501,null,"I & D ABSCESS OR HEMATOMA OF NECK THORAX",2355,1648.5]
[900566,975,4965950,null,"UNLISTED LAPAROSCOPY W 50",3087,2160.9]
[900567,975,29580,null,"APPLICATION UNNA BOOT",305,213.5]
[900568,975,1160651,null,"EXC MAL LESION >4.0CM W 51",1429,1000.3]
[900569,975,49321,null,"LAPAROSCOPY SURG W BIOPSY",3111,2177.6999999999998]
[900570,975,4932180,null,"LAPAROSCOPY SURG W BIOPSY W 80",959,671.3]
[900571,975,25605,null,"CLOSE TRMT OF DIS RAD FX W/MAN",2914,2039.8]
[900572,975,27781,null,"CLOSED TRMT OF TIBULA FX W/MAN",2200,1540]
[900573,975,27825,null,"CLOSED TRMT OF TIBIA W TRACTION OR MAN",3564,2494.8000000000002]
[900574,975,46230,null,"EXC OF MULT EXTERN PAPILLAE OR TAG ANUS",1394,975.8]
[900575,975,12032,null,"INTER LAYER CLOSE WND SATE 2.6-7.5 CM",948,663.6]
[900576,975,22903,null,"EXC TUMOR SOFT TISSUE ABD WALL OVER 3CM",2340,1638]
[900577,975,1144159,null,"PF EXCISION BENIGN LESION 0.6-1.0 CM W59",466,326.2]
[900578,975,11311,null,"PF SHAVING LESION 0.6 TO 1.0 CM",333,233.1]
[900579,975,1131159,null,"PF SHAVING LESION 0.6 TO 1.0 CM W 59",333,233.1]
[900580,975,4323574,null,"PF ENDO UGI DISCONTINUED AFTER ANES W 74",1355,948.5]
[900581,975,25071,null,"EXC TUMOR FOREARM/WRIST 3CM OR GREATER",2470,1729]
[900582,975,4538576,null,"COLONOSCOPY/POLYPECTOMY W 76",2238,1566.6]
[900583,975,43249,null,"EGD W/BALLOON DILA OF ESOPHOG",1920,1344]
[900584,975,46320,null,"EXC OF THROMBOSED HEMORRHOID EXT",833,583.1]
[900585,975,15002,null,"SURG PREP OF SITE BY EXCISION OF WOUNDS",2603,1822.1]
[900586,975,11470,null,"EXC OF SKIN SUBCUTANEOUS TISSUE",1755,1228.5]
[900587,975,1147059,null,"EXC OF SKIN SUBCUTANEOUS TISSUE W59",1755,1228.5]
[900588,975,20005,null,"INCISION DRAINAGE SOFT TISSUE ABSCESS",1451.1,1015.77]
[900589,975,46614,null,"ENDOSCOPY WITH CONTROL OF BLEEDING",2111,1477.7]
[900590,975,4661478,null,"ENDOSCOPY WITH CONTROL OF BLEEDING W 78",2111,1477.7]
[900591,975,49653,null,"LAP REPAIR HERNIA INCARERATED STRANGULAT",5777,4043.9]
[900592,975,21931,null,"EXC TUMOR SOFT TISSUE 3CM OR GREATER",2433,1703.1]
[900593,975,21552,null,"EXC TUMOR SOFT TISSUE NECK/THORAX 3CM >",2195,1536.5]
[900594,975,46220,null,"EXC OF SINGLE PAPILLA OR TAG ANUS",954,667.8]
[900595,975,12013,null,"SIMPLE REPAIR 2.6CM-5.0 CM OF FACE EARS",902,631.4]
[900596,975,21554,null,"EXC TUMOR SOFT TISSUE 5 CM OR GREATER",4595,3216.5]
[900597,975,4538574,null,"COLONOSCOPY/POLYPECTOMY W 74",2238,1566.6]
[900598,975,1162359,null,"EXC MAL LESION 2.1 TO 3.0 CM W 59",962,673.4]
[900599,975,49654,null,"PF LAP SURG REPAIR HERNIA",5286,3700.2]
[900600,975,12042,null,"INTER REP WND NHFEG 2.6-7.5 CM",1078,754.6]
[900601,975,4497059,null,"PF LAP SURGICAL APPENDECTOMY W 59",4114,2879.8]
[900602,975,"24073LT",null,"EXC TUMOR SOFT TISSUE 5 CM OR GREATER LT",4302,3011.4]
[900603,975,"1203559LT",null,"REP WND SATE 12.6-20.0 CM W 59 LT",1495,1046.5]
[900604,975,17000,null,"DESTRUCTION LESION",223,156.1]
[900605,975,1700059,null,"DESTRUCTION LESION W 59",223,156.1]
[900606,975,27043,null,"EXC TUMOR SOFT TISSUE PELVIS OR HIP 3CM>",2671,1869.7]
[900607,975,38525,null,"PF EX OPEN DEEP ANXILLARY NODE",2877,2013.9]
[900608,975,20520,null,"REMOVAL FB MUSCLE OR TENDON SIMPLE",799,559.29999999999995]
[900609,975,36563,null,"INSERTION OF CVA DEVICE WITH PUMP",4172,2920.4]
[900610,975,24071,null,"PF EXC TUMOR SOFT TISSUE ARM 3CM >",2297,1607.9]
[900611,975,44392,null,"COLON W REMOVAL TUMOR/POLYP BIOPSYFORCEP",1777,1243.9000000000001]
[900612,975,67715,null,"CANTHOTOMY",1161,812.7]
[900613,975,28039,null,"EXC TUMOR SOFT TISSUE FOOT OR TOE 1.5CM>",2285,1599.5]
[900614,975,27618,null,"EXC TUMOR SOFT TISSUE LEG OR ANKLE",2305,1613.5]
[900615,975,27047,null,"EXC TUMOR SOFT TISSUE PELVIS/HIP AREA",2600,1820]
[900616,975,"19101RT80",null,"BIOPSY BREAST-RT/INCISIONAL W 80",800,560]
[900617,975,21012,null,"EXC TUMOR SOFT TISSUE OF FACE 2CM >",1945,1361.5]
[900618,975,4965173,null,"LAP SURG REPAIR W 73",1400,980]
[900619,975,24075,null,"EXC TUMOR SOFT TISSUE UPPER ARM ELBOW",2277,1593.9]
[900620,975,27327,null,"EXC TUMOR SOFT TISSUE THIGH OR KNEE",2278,1594.6]
[900621,975,45333,"PT","PF SIGMOID W/REMOVE OF TUMOR POLYP",1188,831.6]
[900622,975,45382,null,"COLONOSCOPY FLEX W/REMOVAL FB",2440,1708]
[900623,975,"45384PT53",null,"ENDO REMOVAL OF TUMOR/POLYPS W PT 53",2077,1453.9]
[900624,975,69000,null,"DRAINAGE EXTERNAL EAR ABSCESS",764,534.79999999999995]
[900625,975,69005,null,"DRAINAGE EXTERNAL EAR COMPLICATED",1111,777.7]
[900626,975,21933,null,"EXC TUMOR SOFT TISSUE BACK 5CM>",4722,3305.4]
[900627,975,1142359,null,"EX BENIGN LESION 2.1 - 3.0 CM W59",708,495.6]
[900628,975,21555,null,"EXC TUMOR SOFT TISSUE NECK < 3CM",2182,1527.4]
[900629,975,4324674,null,"PLACEMENT TUBE GASTROSTOMY W74",1888,1321.6]
[900630,975,4622152,null,"HEMORRHOIDECTOMY INTER BY RUBBER BANDW52",1198,838.6]
[900631,975,3851059,null,"BIOPSY DEEP CERVICAL NODE W 59",2737,1915.9]
[900632,975,2193151,null,"EXC TUMOR SOFT TISSUE 3CM OR GREATER W51",2190,1533]
[900633,975,2193059,null,"EXC TUMOR SOFT TISSUE LESS THAN 3 CM W59",2190,1533]
[900634,975,23076,null,"EXC TUMOR SOFT TISSUE SHOULDER >5CM",3888,2721.6]
[900635,975,21932,null,"EXC TUMOR SOFT TISSUE BACK OR FLANK >5CM",3888,2721.6]
[900636,975,2192551,null,"BIOPSY SOFT TISSUE BACK DEEP W 51",2748,1923.6]
[900637,975,21011,null,"EXC TUMOR SOFT TISSUE FACE OR SCALP",2222,1555.4]
[900638,975,"49655LT",null,"LAP REPAIR HERNIA INCARCERATED",5751,4025.7]
[900639,975,43270,null,"PF UPPER GI ENO W/ABLATION",2416,1691.2]
[900640,975,"14020LT",null,"ADJACENT TISSUE TRANSFER SCALP ARM LEG",2777,1943.9]
[900641,975,13101,null,"REPAIR COMPLEX TRUNK 2.6-7.5 CM",1374,961.8]
[900642,975,13102,null,"REPAIR COMPLEX TRUNK EACH 5CM OR LESS",1250,875]
[900643,975,45100,null,"BIOPSY OF ANORECTAL WALL",1705,1193.5]
[900644,975,11102,null,"TANGENTIAL BIOPSY OF SKIN SINGLE LESION",747,522.9]
[900645,975,11103,null,"TANGENTIAL BIOPSY OF SKIN ADDL LESION",410,287]
[900646,975,11104,null,"PUNCH BIOPSY OF SKIN SINGLE LESION",932,652.4]
[900647,975,11105,null,"PUNCH BIOPSY OF SKIN ADDL LESION",467,326.89999999999998]
[900648,975,11106,null,"INCISIONAL BIOPSY OF SKIN SINGLE LESION",1122,785.4]
[900649,975,11107,null,"INCISIONAL BIOPSY OF SKIN ADDL LESION",549,384.3]
[900650,975,19081,null,"BIOPSY BREAST WITH PLACEMENT OF DEVICE",3031,2121.6999999999998]
[900651,975,19082,null,"BIOPSY BREAST W DEVICE EACH ADDL LESION",2266,1586.2]
[900652,975,47605,null,"CHOLE W/CHOLANGIO",5570,3899]
[900653,975,19304,null,"MASTECTOMY SUBCUTANEOUS",5695,3986.5]
[900654,975,5741059,null,"PELVIC EXAM UNDER ANESTHIA W 59",550,385]
[900655,975,"2507559LT",null,"EXCISION OF TUMOR FOREARM OR WRIST 59LT",2250,1575]
[900656,975,27337,null,"EXC TUMOR SOFT TISSUE THIGH OR KNEE 3CM",2562,1793.4]
[900657,975,23071,null,"EXC TUMOR SOFT TISSUE SHOULDER 3 CM",2055,1438.5]
[900658,975,23073,null,"EXC TUMOR SOFT TISSUE SHOULDER 5 CM>",4220,2954]
[900659,975,4756353,null,"PF LAP CHOLE W/CHOLANG W 53",443.1,310.17]
[900660,975,2290359,null,"EXC TUMOR SOFT TISSUE ABD WALL <3CM W 59",2340,1638]
[900661,975,4323974,null,"ENDOSCOPY W/BIOPSY W 74",1572,1100.4000000000001]
[900662,975,12001,null,"PF SIMP REP SUPERFIC WND <2.5CM",608,425.6]
[900663,975,12015,null,"PF SIMP REP SUPERFIC WND 7.6-12.5 CM",1257,879.9]
[900664,975,2101159,null,"EXC TUMOR SOFT TISSUE FACE OR SCALP W59",2222,1555.4]
[900665,975,27040,null,"BIOPSY SOFT TISSUE PELVIS/ HIP AREA",1431,1001.7]
[900666,975,11462,null,"EXC SKIN TISSUE FOR HIDRADENTITIS",1531,1071.7]
[900667,975,1146259,null,"EXC SKIN TISSUE FOR HIDRADENTITIS W59",1531,1071.7]
[900668,975,11450,null,"EXC SKIN TISS AXILLARY FOR HIDRADENTITIS",1633,1143.0999999999999]
[900669,975,1145059,null,"EXC SKIN TISS AXILLARY  HIDRADENTITIS 59",1633,1143.0999999999999]
[900670,975,44204,null,"LAP SURG COLECTOMY PARTIAL W ANASTOMOSIS",8260,5782]
[900671,975,43763,null,"REPL OF GASTRO TUBE, REV OF GASTRO TUBE",1689,1182.3]
[900672,975,43763,null,"EXCISION OF LESION OF SPEMATIC CORD",3132,2192.4]
[919191,300,82306,null,"..TESTING PAML ALDOSTERONE",231.53,162.07,0,219.95,113.8,null,215.32,219.95,null,null,0,null,null,null,115.61,133.59]
[919192,300,82306,null,"..TESTING PAML ANAEROBIC GS",231.53,162.07,0,219.95,113.8,null,215.32,219.95,null,null,0,null,null,null,115.61,133.59]
[919193,300,82085,null,"..TESTING ALDOSTERONE",94.92,66.44]
[919194,300,82085,null,"..TESTING ANAEROBIC W GS",94.92,66.44]
[919195,975,44186,null,"LAPAROSCOPY, SURGIC46AL, JEJUNOSTOMY",4633,3243.1]
[919196,975,49010,null,"EXPLORATION, RETROPERITONEAL AREA W OR W",7993,5595.1]
[999001,270,null,null,"MISC ITEM MED SURG 001",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[9990028,270,null,null,"MISC ITEM LAB 028",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999004,270,null,null,"MISC ITEM",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999008,270,null,null,"MISC ITEM SURGERY",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999010,270,null,null,"MISC ITEM NURSING ADMINISTRATION",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999012,270,null,null,"MISC ITEM ANESTHESIA",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999025,270,null,null,"MISC ITEM CENTRAL SUPPLY",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999028,270,null,null,"MISC ITEM LAB 028",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999030,270,null,null,"MISC ITEM RADIOLOGY 030",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999031,320,null,null,"MISC RADIOLOGY CHARGE",0,0,380.91,382.29,382.29,null,380.91]
[999032,972,null,null,"MISC RAD READ CHARGE",0,0]
[999033,921,null,null,"MISC ULTRASOUND CHARGE 921",0,0]
[999034,270,null,null,"MISC ITEM EKG",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999035,278,null,null,"MISC MED/SURG",0,0,612.39,612.39,null,null,612.39]
[999036,360,null,null,"MISC OR",0,0,982.94,1033.95,1033.95,null,982.94]
[999037,370,null,null,"MISC ANES",0,0,382.78,3453.81,3453.81,728.24,486.51,607.14,null,null,null,null,null,null,382.78,425.23]
[999038,270,null,null,"MISC ITEM CT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999039,402,null,null,"MISC US",0,0,908.2,964.41,951.75,null,964.41,908.2]
[999040,270,null,null,"US A",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999041,636,null,null,"MISC DRUG",0,0,3.14,59.13,59.13,null,3.14]
[999045,270,null,null,"MISC ITEM CARDIAC REHAB",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999050,270,null,null,"MISC ITEM RT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999060,270,null,null,"MISC ITEM PHARM",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999074,270,null,null,"MISC ITEM OATFIELD CLINIC",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999076,270,null,null,"MISC ITEM HING/HILL CLINIC",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999077,278,null,null,"MISC ITEM CENTRAL SUPPLY",0,0,612.39,612.39,null,null,612.39]
[999078,361,null,null,"MISC OR MINOR",0,0]
[999090,270,null,null,"MISC ITEM DIETARY 090",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999100,270,null,null,"MISC ITEM LAUNDRY",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999115,270,null,null,"MISC ITEM PURCHASING",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999120,270,null,null,"MISC ITEM PLANT",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999125,270,null,null,"MISC ITEM HK 125",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999130,270,null,null,"MISC ITEM IT 130",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999135,270,null,null,"MISC ITEM FISCAL 135",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999140,270,null,null,"MISC ITEM PATIENT ACCOUNTS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999145,270,null,null,"MISC ITEM ADMITTING",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999150,270,null,null,"MISC ITEM ADMINISTRATION",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999155,270,null,null,"MISC ITEM HUMAN RESOURCE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999160,270,null,null,"MISC ITEM MEDICAL RECORDS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999165,270,null,null,"MISC ITEM QUALITY ASSURANCE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999170,270,null,null,"MISC ITEM UTILIZATION REVIEW",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999175,270,null,null,"MISC ITEM COMPLIANCE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999180,270,null,null,"MISC ITEM CLINICAL INFORMATICS",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999185,270,null,null,"MISC ITEM COMMUNITY HEALTH",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999200,270,null,null,"MISC ITEM ALDER HOUSE",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999210,270,null,null,"MISC ITEM PACIFIC HEALTH CENTER",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[999211,972,7670026,null,"PF US ABDOMEN COMPLETE",129,90.3]
[999220,270,null,null,"WILLAPA FAMILY CLINIC",0,0,33.56,162.87,162.87,60.45,67.819999999999993,70.010000000000005,null,null,null,null,null,null,33.56,37.950000000000003]
[99999999,250,null,null,"NORMAL SALINE 1000/30 MEQ POTASSIUM CLH",0,0,0.05,26.61,16.46,16.45,26.61,23.58,13.72,null,9.56,11.21,16.72,22.13,0.05,19.87]