CDM Chg Desc Rev Code FY22 Charge Rate1601897 88104 AP Bill Non-Gyn Cytology 0099 86.00$ 1601905 88172 AP Bill FNA Immediate Read 0099 92.00$ 1602218 88177 AP Bill FNA Eval of FNA Add'l Pass 0099 70.00$ 1601780 88300 AP Bill Surgical Pathology Level I Complexity 0099 25.00$ 1601798 88302 AP Bill Surgical Pathology Level II Complexity 0099 43.00$ 1601806 88304 AP Bill Surgical Pathology Level III Complexity 0099 43.00$ 1601814 88305 AP Bill Surgical Pathology Level IV Complexity 0099 117.00$ 1601822 88307 AP Bill Surgical Pathology Level V Complexity 0099 244.00$ 1601830 88309 AP Bill Surgical Pathology Level VI Complexity 0099 350.00$ 1601848 88311 AP Bill Decalcification 0099 37.00$ 1601855 88312 AP Bill Special Stains Group I 0099 84.00$ 1601863 88313 AP Bill Special Stains Group II 0099 45.00$ 1601921 88329 AP Bill Non-Gyn Cytology Intraoperative Consult 0099 104.00$ 1601871 88331 AP Bill Frozen single specimen 0099 183.00$ 1602226 88341 AP Bill Surg IPX (Add'l Antibody) 0099 60.84$ 1602200 88342 AP Bill Surg IPX (First Antibody) 0099 98.00$ 1601616 93227 HOLTER INTERPRETATION CHARGE 0099 99.92$ 1601624 ECG INTERP 0099 37.04$ 1500263 LIMITED SANE EXAM 0099 608.27$ 1500255 PEDI SANE EXAM 0099 495.00$ 1602044 PULMONARY STRESS TEST, SIMPLE 0099 503.31$ 1500289 SANE FACILITY FEE 0099 1,037.17$ 1503012 TELEHEALTH CONSULT ED OR IP 30 MIN 0099 935.00$ 5001212 TELEPHONE ASSESSMENT 21-30 0099 87.34$ 23044 ROOM/BED: Hospice 0115 3,240.20$ 23309 ICU SEMI-PVT OVERFLOW ROOM CHARGE 0120 3,412.94$ 73049 MED/SURG TELEMETRY ROOM 0120 3,984.61$ 23044 PATIENT ROOM CHARGE 0120 3,412.94$ 23044 PATIENT ROOM CHARGE 0124 3,851.69$ 23044 PATIENT ROOM CHARGE 0128 4,733.48$ 33506 NURSERY LEVEL I ROOM CHARGE 0171 708.55$ 43505 NURSERY LEVEL II/BOARDER BABY 0172 1,303.06$ 13300 INTENSIVE CARE ROOM CHARGE 0200 5,177.26$ 63305 ROOM/BED: PCU 0200 4,436.52$ 2760145 acamprosate 333 mg Tab UD [GCMH] 0250 13.98$ 2740967 acarbose 50 mg Tab [GCMH] 0250 13.98$ 2700045 acetaminophen 120 mg Supp [GCMH] 0250 15.08$ 2700060 acetaminophen 325 mg Supp [GCMH] 0250 15.08$ 2742468 acetaminophen 325 mg/10.15 mL Oral Liq [GCMH] 0250 13.98$ 2700052 acetaminophen 650 mg Supp [GCMH] 0250 15.08$ 2706984 acetaminophen-codeine 300 mg-30 mg Tab [GCMH] 0250 15.08$ 2710127 acetaminophen-codeine 300 mg-30 mg/12.5 mL (120 mg-12 mg/5 mL) Oral Liq 12.5 mL [GCMH] 0250 100.10$ 2745552 acetaminophen-HYDROcodone 325 mg-10 mg Tab [GCMH] 0250 15.79$ 2745578 acetaminophen-HYDROcodone 325 mg-5 mg Tab [GCMH] 0250 12.45$ 2745560 acetaminophen-HYDROcodone 325 mg-7.5 mg Tab [GCMH] 0250 15.08$ 2748549 acetaminophen-HYDROcodone 325 mg-7.5 mg/15 mL Oral Sol 15 mL [GCMH] 0250 15.51$ 2704948 acetaminophen-oxyCODONE 325 mg-5 mg Tab [GCMH] 0250 15.08$ 2740520 acetaminophen-oxyCODONE 325 mg-7.5 mg Tab [GCMH] 0250 15.79$ 2701993 acetaZOLAMIDE 250 mg Tab [GCMH] 0250 15.08$ 2704096 acetylcholine ophthalmic 1% Pwdr for Recon [GCMH] 0250 643.64$ 2753378 acetylcysteine 20% Sol INH 4 ml [GCMH] 0250 118.76$ 2707545 acyclovir 200 mg Cap [GCMH] 0250 23.67$ 2714319 acyclovir 800 mg Tab [GCMH] 0250 60.21$ 2747053 acyclovir Top 5% Crm 5gm [GCMH] 0250 3,125.82$ 2746857 acyclovir Top 5% Oint 30gm [GCMH] 0250 1,353.00$ 2743904 albuterol 0.042% Inh Sol 3 mL [GCMH] 0250 15.05$ 2718633 albuterol CFC free 90 mcg/inh Inh Aer w/Adapt 17gm [GCMH] 0250 253.76$ 2745776 albuterol CFC free 90 mcg/inh Inh ANES Aer w/Adapt 6.7gm [GCMH] 0250 83.05$ 2747467 albuterol-ipratropium CFC free 100 mcg-20 mcg/inh Aer [GCMH] 0250 453.73$ 2739456 albuterol-ipratropium Inh Sol 3 mL [GCMH] 0250 23.17$ 2721926 alendronate 10 mg Tab [GCMH] 0250 13.98$ 2707552 allopurinol 100 mg Tab [GCMH] 0250 15.80$

2707560 allopurinol 300 mg Tab [GCMH] 0250 15.07$ 2746410 AlOH/diphenhyd/lidocaine/MgOH/simeth 3.15 g-0.2 g-1.6 g-3.15 g-0.315 g/237 mL Susp [GCMH] 0250 242.45$ 2707362 ALPRAZolam 0.25 mg Tab [GCMH] 0250 13.98$ 2749380 ALPRAZolam 1 mg Tab [GCMH] 0250 13.98$ 2712479 aluminum hydroxide-magnesium carbonate 160 mg-105 mg Tab [GCMH] 0250 14.34$ 2706166 amantadine 100 mg Cap [GCMH] 0250 44.72$ 2704021 aMILoride 5 mg Tab [GCMH] 0250 13.98$ 2750756 Amino Acids 15% (Novamine) intravenous solution Amino Acids 15% (Novamine) Sol [GCMH] 0250 132.00$ 2801306 Amino Acids 4.25% with 10% Dextrose (Clinimix Sulfite-Free) IV Sol 2000 mL [GCMH] 0250 374.00$ 2801298 Amino Acids 5% with 15% Dextrose (Clinimix Sulfite-Free) IV Sol 2000 mL [GCMH] 0250 411.40$ 2753478 Amino Acids 5% with 20% Dextrose Sol [GCMH] 0250 245.78$ 2739837 aminocaproic acid 500 mg Tab [GCMH] 0250 18.62$ 2707941 amiodarone 200 mg Tab [GCMH] 0250 44.81$ 2711257 amitriptyline 10 mg Tab [GCMH] 0250 15.07$ 2702355 amitriptyline 25 mg Tab [GCMH] 0250 13.97$ 2716587 amLODIPine 2.5 mg Tab [GCMH] 0250 23.67$ 2717221 amLODIPine 5 mg Tab [GCMH] 0250 17.20$ 2709293 Ammonia Aromatic Amp [GCMH] 0250 15.07$ 2760223 amoxicillin 125 mg/5 mL Oral Liq 100 ml [GCMH] 0250 14.30$ 2706844 amoxicillin 250 mg Cap [GCMH] 0250 15.79$ 2760578 amoxicillin 400 mg/5 mL Oral Liq 75 ml [GCMH] 0250 14.03$ 2753301 amoxicillin-clavulanate 250 mg-62.5 mg/5 mL Oral Liq 100 ml [GCMH] 0250 255.20$ 2709541 amoxicillin-clavulanate 250 mg-62.5 mg/5 mL Oral Liq 75 mL [GCMH] 0250 243.38$ 2746568 amoxicillin-clavulanate 400 mg-57 mg/5 mL Oral Liq 100 mL [GCMH] 0250 554.40$ 2708527 amoxicillin-clavulanate 500 mg-125 mg Tab [GCMH] 0250 49.95$ 2750921 amoxicillin-clavulanate 600 mg-42.9 mg/5 mL 75 ml Pow [GCMH] 0250 38.78$ 2722163 amoxicillin-clavulanate 875 mg-125 mg Tab [GCMH] 0250 48.59$ 2740611 amyl nitrite 0.3 mL Inh Sol [GCMH] 0250 13.98$ 2739985 amyl nitrite/Na nitrite/Na thiosulfate 0.3 mL-30 mg-25 g Inj kit [GCMH] 0250 2,476.93$ 2700383 antivenin (black widow spider) 6000 units Inj [GCMH] 0250 262.24$ 2707719 APAP/butalbital/caffeine 325 mg-50 mg-40 mg Tab [GCMH] 0250 15.80$ 2749869 apixaban 2.5 mg Tab UD[GCMH] 0250 41.87$ 2753590 ARIPiprazole (Initio) 675 mg/2.4 mL Sus [GCMH] 0250 7,051.12$ 2748507 ARIPiprazole 15 mg Tab [GCMH] 0250 168.01$ 2753556 ARIPiprazole 2 mg Tab [GCMH] 0250 52.88$ 2748663 ARIPiprazole 5 mg Tab [GCMH] 0250 38.87$ 2753434 ARIPiprazole 662 mg/2.4 mL Sus [GCMH] 0250 6,915.30$ 2753423 ARIPiprazole 882 mg/3.2 mL Sus [GCMH] 0250 4,564.74$ 2708568 ASA/butalbital/caffeine Cap [GCMH] 0250 15.07$ 2700490 ascorbic acid 500 mg Tab [GCMH] 0250 13.98$ 2739209 aspirin 300 mg Supp [GCMH] 0250 15.07$ 2700516 aspirin 325 mg Oral EC Tab [GCMH] 0250 13.98$ 2709863 aspirin 600 mg Supp [GCMH] 0250 15.08$ 2700672 aspirin 81 mg Chew Tab [GCMH] 0250 -$ 2721280 aspirin 81 mg Oral EC Tab [GCMH] 0250 13.98$ 2738326 aspirin-dipyridamole 25 mg-200 mg ERCap [GCMH] 0250 53.12$ 2704955 aspirin-oxyCODONE 325 mg-4.8 mg Tab [GCMH] 0250 14.36$ 2706315 atenolol 50 mg Tab [GCMH] 0250 15.80$ 2760467 atomoxetine 10 mg Cap [GCMH] 0250 40.43$ 2760401 atomoxetine 18 mg Cap [GCMH] 0250 40.43$ 2723179 atorvastatin 10 mg Tab [GCMH] 0250 38.91$ 2750919 atorvastatin 40 mg Tab UD [GCMH] 0250 13.98$ 2706703 atracurium 10 mg/mL IV Sol 5mL [GCMH] 0250 23.98$ 2741551 atropine Ophth 1% Sol 15mL [GCMH] 0250 259.38$ 2702090 atropine-diphenoxylate 0.025 mg-2.5 mg Tab [GCMH] 0250 15.07$ 2703643 atropine-diphenoxylate 0.025 mg-2.5 mg/5 mL Oral Liq 60 mL [GCMH] 0250 64.02$ 2723245 azelastine Nasal 137 mcg/inh Spry 30mL [GCMH] 0250 872.19$ 2723260 azithromycin 200 mg/5 mL Oral Liq 30mL [GCMH] 0250 319.44$ 2715969 azithromycin 250 mg Tab [GCMH] 0250 13.98$ 2740215 bacitracin 50,000 units Inj [GCMH] 0250 140.01$ 2708642 bacitracin Top 500 units/g Oint UD [GCMH] 0250 15.79$ 2741338 bacitracin topical 500 units/gm Oin 28 gm [GCMH] 0250 33.26$ 2760478 bacitracin topical 500 units/gm Oint 14 gm [GCMH] 0250 14.01$

2701522 bacitracin/HC/neomycin/polymyxin B Top Oint [GCMH] 0250 765.60$ 2712081 bacitracin/neomycin/polymyxin B Ophth Oint [GCMH] 0250 344.46$ 2747541 bacitracin/neomycin/polymyxin B Top Oint 30gm [GCMH] 0250 27.39$ 2704443 bacitracin/neomycin/polymyxin B Top Oint UD [GCMH] 0250 16.57$ 2747251 bacitracin-polymyxin B Top Oint UD [GCMH] 0250 15.07$ 2770034 bacitracin-polymyxin B topical Oint 15 gm [GCMH] 0250 16.67$ 2703627 baclofen 10 mg Tab [GCMH] 0250 15.07$ 2746899 beclomethasone 40 mcg/inh Inh Aer w/Adapt [GCMH] 0250 704.20$ 2740405 Beer 12 oz Can [GCMH] 0250 15.38$ 2700649 belladonna-opium 16.2 mg-30 mg Supp [GCMH] 0250 197.75$ 2721256 benazepril 10 mg Tab [GCMH] 0250 13.97$ 2760634 benoxinate-fluorescein ophthalmic 0.4%-0.25% Sol 5 ml [GCMH] 0250 67.71$ 2738524 benzocaine (Hurricaine) Top 20% muc membr spray 57 g [GCMH] 0250 323.65$ 2749745 benzocaine topical 20% Hurricaine Spr UD [GCMH] 0250 76.76$ 2701191 benzocaine-menthol topical 15 mg-3.6 mg Loz [GCMH] 0250 15.08$ 2706349 benzonatate 100 mg Cap [GCMH] 0250 15.80$ 2701431 benztropine 1 mg Tab [GCMH] 0250 15.80$ 2753389 benzylpenicilloyl-polylysine - Sol [GCMH] 0250 779.48$ 2741353 beractant 25 mg/mL intratracheal Sol 8ml [GCMH] 0250 1,503.04$ 2753467 beractant 25 mg/mL intratracheal Sus 4 ml [GCMH] 0250 5,185.22$ 2746980 betamethasone Top dipropionate, augmented 0.05% Oint 45gm [GCMH] 0250 1,005.84$ 2746949 betamethasone Top valerate 0.1% Oint 45 gm [GCMH] 0250 274.23$ 2708063 betamethasone-clotrimazole Top 0.05%-1% Crm 15 gm [GCMH] 0250 307.56$ 2721371 betaxolol Ophth 0.25% Susp 10mL [GCMH] 0250 1,756.37$ 2707024 bethanechol 10 mg Tab [GCMH] 0250 15.07$ 2707032 bethanechol 25 mg Tab [GCMH] 0250 15.80$ 2700839 bisacodyl 10 mg Supp [GCMH] 0250 15.80$ 2700847 bisacodyl 5 mg Oral EC Tab [GCMH] 0250 15.07$ 2741122 brimonidine Ophth 0.15% Sol 5ml [GCMH] 0250 703.95$ 2704898 bromocriptine 2.5 mg Tab [GCMH] 0250 21.52$ 2747350 brompheniramine/dextromethorphan/PSE 1 mg-5 mg-15 mg/5 mL Oral Elixir 118 mL [GCMH] 0250 15.58$ 2738805 budesonide 0.5 mg/2 mL Inh Susp [GCMH] 0250 58.10$ 2745735 budesonide 3 mg EC Cap [GCMH] 0250 152.79$ 2751034 budesonide 9 mg XR Tab [GCMH] 0250 337.11$ 2745271 budesonide 90 mcg/inh Inh Pwdr [GCMH] 0250 911.17$ 2744506 budesonide Nasal 0.032 mg/inh Spry [GCMH] 0250 1,162.63$ 2700938 bumetanide 1 mg Tab [GCMH] 0250 15.08$ 2722841 bupivacaine 0.25% PF Inj Sol 10 mL [GCMH] 0250 64.46$ 2714798 bupivacaine 0.5% PF Inj Sol 10 mL [GCMH] 0250 49.50$ 2710846 bupivacaine 0.5% PF Inj Sol 30 mL [GCMH] 0250 49.17$ 2749240 bupivacaine liposome 1.3% (13.3 mg/mL) 20 ML Sus [GCMH] 0250 1,579.82$ 2746840 bupivacaine-EPINEPHrine 0.25%-1:200,000 PF Inj Sol 10 mL [GCMH] 0250 38.83$ 2714475 bupivacaine-EPINEPHrine 0.25%-1:200,000 PF Inj Sol 30 mL [GCMH] 0250 118.14$ 2709251 bupivacaine-EPINEPHrine 0.5%-1:200,000 PF Inj Sol 30 mL [GCMH] 0250 74.58$ 2753345 buprenorphine 2 mg Tab [GCMH] 0250 13.98$ 2753356 buprenorphine 8 mg Tab [GCMH] 0250 13.98$ 2723971 buPROPion 100 mg ER (Twice Daily) Tab [GCMH] 0250 35.59$ 2744316 buPROPion 100 mg Tab [GCMH] 0250 13.98$ 2738243 buPROPion 150 mg ER (Twice Daily) Tab [GCMH] 0250 28.41$ 2753323 buPROPion 150 mg/24 hours XL (Once Daily) Tab [GCMH] 0250 13.98$ 2753312 buPROPion 300 mg/24 hours XL (Once Daily) Tab [GCMH] 0250 13.98$ 2719664 buPROPion 75 mg Tab [GCMH] 0250 15.08$ 2716108 busPIRone 10 mg Tab [GCMH] 0250 14.91$ 2716157 butorphanol 10 mg/mL Nasal Spry [GCMH] 0250 630.91$ 2749190 cadexomer iodine topical gel 10g (0.35 oz) [GCMH] 0250 516.45$ 2745057 caffeine 200 mg Tab [GCMH] 0250 -$ 2744134 caffeine citrate 20 mg/mL 3 ml Oral Liq [GCMH] 0250 835.33$ 2741924 caffeine-sodium benzoate 125 mg-125 mg/mL Inj Sol 2 mL [GCMH] 0250 116.82$ 2700987 calamine Top 8% Lotion [GCMH] 0250 15.58$ 2746881 calcipotriene Top 0.005% Crm [GCMH] 0250 1,661.22$ 2722007 calcitonin 200 intl units/inh Nasal Spry [GCMH] 0250 924.95$ 2708451 calcitriol 0.25 mcg Oral Cap [GCMH] 0250 15.08$ 2716405 calcium acetate 667 mg Cap [GCMH] 0250 15.08$

2745677 calcium citrate 950 mg (200 mg elemental calcium Tab) [GCMH] 0250 15.07$ 2717064 calcium-vitamin D 600 mg-400 intl units oral tablet [GCMH] 0250 15.80$ 2738748 candesartan 8 mg Tab [GCMH] 0250 17.20$ 2740462 candida albicans extract ID Sol 1 mL [GCMH] 0250 753.48$ 2714913 capsaicin Top 0.025% Crm 60 g [GCMH] 0250 27.72$ 2701068 captopril 12.5 mg Tab [GCMH] 0250 15.80$ 2701076 captopril 25 mg Tab [GCMH] 0250 15.08$ 2709442 carBAMazepine 100 mg Chew Tab [GCMH] 0250 15.07$ 2706299 carBAMazepine 200 mg Tab [GCMH] 0250 15.80$ 2740371 carbamide peroxide Otic 6.5% Sol [GCMH] 0250 226.22$ 2705838 carbidopa-levodopa 10 mg-100 mg Tab [GCMH] 0250 15.08$ 2705820 carbidopa-levodopa 25 mg-100 mg Tab [GCMH] 0250 15.80$ 2722312 carbidopa-levodopa 25 mg-250 mg Tab [GCMH] 0250 15.07$ 2715035 carbidopa-levodopa 50 mg-200 mg ER Tab [GCMH] 0250 32.29$ 2712701 carboprost 250 mcg/mL Inj Sol 1ml [GCMH] 0250 1,546.69$ 2706018 carisoprodol 350 mg Tab [GCMH] 0250 15.08$ 2722981 carteolol Ophth 1% Sol [GCMH] 0250 180.29$ 2743870 carvedilol 25 mg Tab [GCMH] 0250 17.80$ 2749950 carvedilol 3.125 mg Tab UD [GCMH] 0250 13.98$ 2723005 carvedilol 6.25 mg Tab [GCMH] 0250 16.46$ 2701142 cefaclor 125 mg/5 mL Oral Liq 150mL [GCMH] 0250 900.90$ 2701167 cefaclor 250 mg Cap [GCMH] 0250 38.73$ 2701159 cefaclor 250 mg/5 mL Oral Liq 150mL [GCMH] 0250 1,800.15$ 2711133 cefixime 400 mg Cap UD [GCMH] 0250 167.02$ 2717981 cefpodoxime 200 mg Tab [GCMH] 0250 60.23$ 2718195 cefprozil 125 mg/5 mL Oral Liq [GCMH] 0250 169.95$ 2715043 cefprozil 250 mg Tab [GCMH] 0250 40.90$ 2710275 cefuroxime 250 mg Tab [GCMH] 0250 38.73$ 2737864 celecoxib 100 mg Cap [GCMH] 0250 21.53$ 2708485 cephalexin 250 mg Cap [GCMH] 0250 15.80$ 2703353 cephalexin 250mg/5mL 100 ml Oral Liq [GCMH] 0250 213.40$ 2708493 cephalexin 500 mg Cap [GCMH] 0250 17.20$ 2722916 cetirizine 10 mg Tab [GCMH] 0250 22.53$ 2700102 charcoal 25 g Oral Susp in Water 120 mL [GCMH] 0250 75.24$ 2712974 charcoal-sorbitol 25 g Oral Susp 120 mL [GCMH] 0250 126.72$ 2701241 chlordiazePOXIDE 25 mg Cap [GCMH] 0250 14.36$ 2701233 chlordiazePOXIDE 5 mg Cap [GCMH] 0250 15.79$ 2712016 chlordiazePOXIDE-clidinium 5 mg-2.5 mg Cap [GCMH] 0250 15.80$ 2710804 chlorhexidine Top 0.12% Liq 473 mL [GCMH] 0250 130.08$ 1477079 chlorhexidine Top 4% Soap [GCMH] 0250 95.04$ 2760278 chloroquine 250 mg Tab [GCMH] 0250 14.22$ 2745347 chlorpheniramine/DM/phenylephrine 1 mg-3 mg-3.5 mg/mL oral Liq 30 mL [GCMH] 0250 90.72$ 2738185 chlorthalidone 25 mg Tab [GCMH] 0250 15.07$ 2745834 cholecalciferol 1000 intl units oral tablet [GCMH] 0250 12.45$ 2750040 cholecalciferol 5000 intl units Cap [GCMH] 0250 13.98$ 2719136 cholestyramine 4 g/5.5 g Pow UD [GCMH] 0250 13.98$ 2738482 cilostazol 100 mg Tab [GCMH] 0250 15.08$ 2713360 ciprofloxacin 250 mg Tab [GCMH] 0250 53.81$ 2710077 ciprofloxacin 500 mg Tab [GCMH] 0250 57.37$ 2746345 ciprofloxacin Ophth 0.3% Oint [GCMH] 0250 1,142.91$ 2724029 ciprofloxacin Ophth 0.3% Sol [GCMH] 0250 346.89$ 2740868 ciprofloxacin-dexamethasone 0.3%-0.1% Otic Susp 7.5ml [GCMH] 0250 169.21$ 2750905 cisatracurium 2 mg/mL IV 10 ml Sol [GCMH] 0250 10.78$ 2720654 citric acid-sodium citrate 334 mg-500 mg/5 mL Oral Sol 30 mL [GCMH] 0250 15.18$ 2710267 clindamycin 150 mg Cap [GCMH] 0250 15.80$ 2713741 clindamycin 150 mg/mL IV Sol 4ml [GCMH] 0250 170.06$ 2744167 clindamycin 300 mg/50 mL-D5W Premix IV Sol [GCMH] 0250 405.35$ 2740488 clindamycin 900 mg/50 mL-D5W Premix IV Sol [GCMH] 0250 159.45$ 2701373 clonazePAM 0.5 mg Tab [GCMH] 0250 15.08$ 2701134 cloNIDine 0.1 mg Tab [GCMH] 0250 14.36$ 2706901 cloNIDine 0.1 mg/24 hr Transderm ER Film [GCMH] 0250 440.30$ 2708386 cloNIDine 0.2 mg/24 hr Transderm ER Film [GCMH] 0250 462.84$ 2743920 cloNIDine 0.3 mg/24 hr Transderm ER Film [GCMH] 0250 869.56$

2723831 clopidogrel 75 mg Tab [GCMH] 0250 42.81$ 2706745 clorazepate 3.75 mg Tab [GCMH] 0250 15.79$ 2716264 clotrimazole Top 1% Crm [GCMH] 0250 241.37$ 2760590 cocaine nasal 40 mg/ml 4 ml Sol [GCMH] 0250 678.44$ 2701415 codeine sulfate 30 mg Tab [GCMH] 0250 15.07$ 2748945 codeine-guaiFENesin 10 mg-100 mg/5 mL Oral Syrup 5 mL [GCMH] 0250 13.97$ 2719227 codeine-promethazine 10 mg-6.25 mg/5 mL Oral Syrup 5 mL [GCMH] 0250 15.02$ 2701456 colchicine 0.6 mg Tab [GCMH] 0250 15.08$ 2738789 colestipol 1 g Tab [GCMH] 0250 14.34$ 2745537 collagenase Top 250 units/g Oint [GCMH] 0250 1,758.24$ 2708477 conjugated estrogens 0.3 mg Tab [GCMH] 0250 31.77$ 2746170 CULTURELLE [GCMH] 0250 13.98$ 2742393 cyanocobalamin 1000 mcg Tab [GCMH] 0250 14.34$ 2711893 cyclobenzaprine 10 mg Tab [GCMH] 0250 15.80$ 2707958 cyclopentolate Ophth 1% Sol [GCMH] 0250 119.35$ 2770045 cyclopentolate-phenylephrine ophthalmic 0.2%-1% Sol [GCMH] 0250 190.15$ 2746428 dabigatran 150 mg Cap UD [GCMH] 0250 24.72$ 2746451 dabigatran 75 mg Cap UD [GCMH] 0250 27.50$ 2740702 dantrolene 25 mg Cap [GCMH] 0250 13.70$ 2739233 demeclocycline 150 mg Tab [GCMH] 0250 37.25$ 2740694 desonide Top 0.05% Crm 15 gm [GCMH] 0250 605.06$ 2739944 dexamethasone Ophth 0.1% Sol 5 ml [GCMH] 0250 149.00$ 2703791 dexamethasone/neomycin/polymyxin B Ophth Oint [GCMH] 0250 44.93$ 2708873 dexamethasone/neomycin/polymyxin B Ophth Susp [GCMH] 0250 258.17$ 2739530 dexamethasone-tobramycin Ophth 0.1%-0.3% Susp 2.5mL [GCMH] 0250 193.63$ 2760701 dexmedetomidine 4 mcg/mL/NS 50 ml IVPB Premix [GCMH] 0250 137.50$ 2741361 dextromethorphan-guaiFENesin 10 mg-100 mg/5 mL Oral Liq 10 mL [GCMH] 0250 14.41$ 2800613 Dextrose 10% in Water IV Sol 1000 mL [GCMH] 0250 11.00$ 2800621 Dextrose 10% in Water IV Sol 250 mL [GCMH] 0250 19.25$ 2745636 Dextrose 25%/ Water INFANT 10 ml [GCMH] 0250 62.04$ 2800175 Dextrose 5% with 0.45% NaCl IV Sol 1000 mL [GCMH] 0250 11.00$ 2750767 Dextrose 50% in Water IV Sol [GCMH] 0250 55.00$ 2701944 Dextrose 50% Syringe 50 ml [GCMH] 0250 249.15$ 2750790 Dextrose 70% in Water IV Sol [GCMH] 0250 44.00$ 2707099 diazepam 2 mg Tab [GCMH] 0250 15.08$ 2707107 diazepam 5 mg Tab [GCMH] 0250 15.08$ 2742062 diclofenac Ophth 0.1% Sol 5mL [GCMH] 0250 571.62$ 2721496 dicloxacillin 250 mg Cap [GCMH] 0250 13.98$ 2700771 dicyclomine 10 mg Cap [GCMH] 0250 15.79$ 2703494 digoxin 125 mcg (0.125 mg) Tab [GCMH] 0250 15.80$ 2703460 digoxin 250 mcg (0.25 mg) Tab [GCMH] 0250 15.08$ 2703486 digoxin 50 mcg/mL (0.05 mg/mL) Oral Elix [GCMH] 0250 675.84$ 2716595 diltiazem 120 mg/24 hours ERCap [GCMH] 0250 14.91$ 2716116 diltiazem 180 mg/24 hours ERCap [GCMH] 0250 26.03$ 2760023 dilTIAZem 5 mg/mL 10 ml Sol [GCMH] 0250 14.30$ 2701126 diltiazem 60 mg Tab [GCMH] 0250 14.34$ 2700714 diphenhydrAMINE 12.5 mg/5 mL Oral Liq 5mL [GCMH] 0250 15.84$ 2742138 diphenhydrAMINE-zinc acetate Top 1%-0.1% Crm [GCMH] 0250 32.34$ 2705010 dipyridamole 25 mg Tab [GCMH] 0250 13.98$ 2742252 disulfiram 250 mg Tab [GCMH] 0250 15.08$ 2719003 divalproex sodium 125 mg Oral EC Sprinkles Cap [GCMH] 0250 15.08$ 2749364 divalproex sodium 250 mg (ER/CR) Tab [GCMH] 0250 14.36$ 2713584 divalproex sodium 250 mg Oral (DR/EC) Tab [GCMH] 0250 15.08$ 2722445 divalproex sodium 500 mg (ER/CR) Tab [GCMH] 0250 33.28$ 2706133 docusate calcium 240 mg Cap [GCMH] 0250 -$ 2702132 docusate sodium 100 mg Cap [GCMH] 0250 15.08$ 2742476 docusate sodium 150 mg/15 mL Oral Liq 10mL [GCMH] 0250 15.07$ 2702140 docusate-senna 50 mg-8.6 mg Tab [GCMH] 0250 -$ 2723203 donepezil 5 mg Tab [GCMH] 0250 38.94$ 2721975 dorzolamide Ophth 2% Sol 10 mL [GCMH] 0250 340.78$ 2715175 doxazosin 2 mg Tab [GCMH] 0250 15.07$ 2705853 doxepin 10 mg Cap [GCMH] 0250 15.07$ 2705861 doxepin 25 mg Cap [GCMH] 0250 15.07$

2702256 doxycycline hyclate 100 mg Cap [GCMH] 0250 23.67$ 2745933 dronedarone 400 mg Tab UD [GCMH] 0250 62.01$ 2746139 DULoxetine 20 mg DR Cap [GCMH] 0250 61.31$ 2748515 DULoxetine 30 mg DR Cap [GCMH] 0250 49.75$ 2746964 econazole Top 1% Crm [GCMH] 0250 281.82$ 2706323 edrophonium 10 mg/mL Inj Sol 15ml [GCMH] 0250 336.44$ 2801488 Electrolyte Solution (Plasma-Lyte/Normosol-R/Isolyte S) intravenous solution [GCMH] 0250 33.00$ 2724219 emollients, Top Lotion 300mL [GCMH] 0250 16.50$ 2741106 emollients, Top Oint [GCMH] 0250 59.93$ 2749026 emtricitabine-tenofovir 200 mg-300 mg Tab [GCMH] 0250 331.45$ 2710168 enalapril 1.25 mg/mL IV Sol 2ml [GCMH] 0250 61.25$ 2708220 enalapril 10 mg Tab [GCMH] 0250 17.20$ 2709285 enalapril 5 mg Tab [GCMH] 0250 15.07$ 2740025 enoxaparin 120 mg/0.8 mL SC Sol [GCMH] 0250 389.72$ 2739936 entacapone 200 mg Tab [GCMH] 0250 43.56$ 2801413 ePHEDrine 50 mg/5 mL-NS IV Sol [GCMH] 0250 35.20$ 2700011 ePHEDrine 50 mg/mL Inj 1 ml Sol [GCMH] 0250 16.59$ 2714814 EPINEPHrine-lidocaine 1:200,000-1% PF Inj Sol 10 mL [GCMH] 0250 38.83$ 2708717 EPINEPHrine-lidocaine 1:200,000-1% PF Inj Sol 30 mL [GCMH] 0250 105.60$ 2719631 EPINEPHrine-lidocaine 1:200,000-2% PF Inj Sol 20 mL [GCMH] 0250 152.90$ 2745669 ergocalciferol 50,000 intl units Cap [GCMH] 0250 15.08$ 2702462 erythromycin 250 mg Oral EC Tab [GCMH] 0250 32.57$ 2702314 erythromycin ethylsuccinate 200 mg/5 mL oral sus 100 ml [GCMH] 0250 1,342.00$ 2702454 erythromycin Ophth 0.5% Oint 3.5gm [GCMH] 0250 157.47$ 2741494 escitalopram 10 mg Tab [GCMH] 0250 25.83$ 2712453 esmolol 10 mg/mL Sol 10 mL [GCMH] 0250 868.01$ 2715340 estradiol 1 mg Tab [GCMH] 0250 15.08$ 2741700 ethacrynic acid 25 mg Tab [GCMH] 0250 138.25$ 2722262 ethambutol 400 mg Tab [GCMH] 0250 25.84$ 2745958 ethanol 98% Inj Sol 5 mL [GCMH] 0250 593.12$ 2747244 ethyl chloride Top 100% Spry [GCMH] 0250 234.53$ 2719045 etodolac 400 mg Tab [GCMH] 0250 -$ 2745305 etomidate 2 mg/mL IV Sol 20mL [GCMH] 0250 133.54$ 2747277 EUCERIN, Top Crm [GCMH] 0250 34.64$ 2744084 ezetimibe 10 mg Tab [GCMH] 0250 25.84$ 2721249 famotidine 10 mg/mL IV Sol 2ml [GCMH] 0250 90.35$ 2801447 Fat Emul, 20% IV 250 mL [GCMH] 0250 126.50$ 2740116 fenofibrate 160 mg Tab [GCMH] 0250 27.97$ 2739399 fenofibrate 67 mg Cap [GCMH] 0250 15.08$ 2753178 fentaNYL 10 mcg/mL-0.9% Sol 250 ml [GCMH] 0250 222.75$ 2715068 fentaNYL 25 mcg/hr Transderm ER Film [GCMH] 0250 241.59$ 2746261 ferrous gluconate 324 mg Tab [GCMH] 0250 15.07$ 2742047 ferrous sulfate 300 mg/5 mL Oral Liq [GCMH] 0250 15.02$ 2711471 ferrous sulfate 324 mg Tab UD [GCMH] 0250 14.36$ 2738672 fexofenadine-pseudoePHEDrine 60 mg-120 mg ER Tab [GCMH] 0250 10.77$ 2749323 fidaxomicin 200 mg Tab [GCMH] 0250 924.04$ 2717585 finasteride 5 mg Tab [GCMH] 0250 33.14$ 2708089 flecainide 100 mg Tab [GCMH] 0250 15.08$ 2739118 fluconazole 10 mg/mL Oral Liq [GCMH] 0250 197.89$ 2711745 fluconazole 100 mg Tab [GCMH] 0250 123.94$ 2739357 fludrocortisone 0.1 mg Tab [GCMH] 0250 15.08$ 2715019 flumazenil 0.1 mg/mL IV Sol 5 mL [GCMH] 0250 531.58$ 2724037 fluocinolone Top 0.025% Crm 60gm [GCMH] 0250 640.86$ 2760123 fluocinolone topical 0.025% Crm 15gm [GCMH] 0250 229.19$ 2703577 fluocinonide Top 0.05% Crm 15gm [GCMH] 0250 761.64$ 2750723 fluorescein-proparacaine ophthalmic 0.25%-0.5% Sol [GCMH] 0250 31.77$ 2719300 fluorometholone Ophth 0.1% Susp 5 mL [GCMH] 0250 999.19$ 2718062 FLUoxetine 10 mg Cap [GCMH] 0250 21.53$ 2710242 FLUoxetine 20 mg Cap [GCMH] 0250 27.95$ 2749992 fluPHENAZine 10 mg Tab UD [GCMH] 0250 13.98$ 2719599 fluPHENAZine 2.5 mg Tab [GCMH] 0250 15.08$ 2721553 fluPHENAZine 2.5 mg/mL Inj Sol 10 mL [GCMH] 0250 717.75$ 2701688 flurazepam 15 mg Cap [GCMH] 0250 13.98$

2722536 fluticasone CFC free 110 mcg/inh Inh Aer w/adapter [GCMH] 0250 1,721.15$ 2740256 fluticasone CFC free 44 mcg/inh Inh Aer w/adapter [GCMH] 0250 1,092.31$ 2722320 fluticasone Nasal 0.05 mg/inh Spry [GCMH] 0250 39.25$ 2745594 fluticasone-salmeterol 250 mcg-50 mcg Inh Pwdr [GCMH] 0250 1,545.95$ 2745602 fluticasone-salmeterol 500 mcg-50 mcg Inh Pwdr [GCMH] 0250 2,033.21$ 2723344 fluvastatin 20 mg Cap [GCMH] 0250 41.51$ 2702645 folic acid 1 mg Tab [GCMH] 0250 15.80$ 2744845 folic acid 5 mg/mL Inj Sol [GCMH] 0250 15.80$ 2740850 fondaparinux 2.5 mg/0.5 mL SC Sol [GCMH] 0250 107.75$ 2753123 fosfomycin 3 g Oral Pow [GCMH] 0250 341.10$ 2702702 furosemide 20 mg Tab [GCMH] 0250 15.80$ 2724169 gabapentin 100 mg Cap [GCMH] 0250 15.08$ 2401178 GCMH GADAVIST 10ML SINGLE 0250 1.65$ 2401189 GCMH GADAVIST 15ML SINGLE 0250 1.65$ 2401167 GCMH GADAVIST 7.5ML SINGLE 0250 1.65$ 2721520 Gelatin sponge (compressed) [GCMH] 0250 490.41$ 2744100 Gelatin Sponge (Powder) [GCMH] 0250 2,642.38$ 2744258 Gelfoam 12-7mm [GCMH] 0250 75.81$ 2713311 gemfibrozil 600 mg Tab [GCMH] 0250 17.20$ 2721066 gentamicin Ophth 0.3% Oint [GCMH] 0250 167.32$ 2702751 gentamicin Ophth 0.3% Sol 5mL [GCMH] 0250 242.55$ 2740876 glimepiride 2 mg Tab [GCMH] 0250 15.08$ 2750032 glipiZIDE 2.5 mg ER Tab[GCMH] 0250 13.98$ 2718591 glipiZIDE 5 mg ER Tab [GCMH] 0250 13.98$ 2723443 glucose 4 g Chew Tab [GCMH] 0250 15.07$ 2714277 glyBURIDE 5 mg Tab [GCMH] 0250 15.08$ 2717676 glyBURIDE micronized 3 mg Tab [GCMH] 0250 15.08$ 2702819 glycerin adult Supp [GCMH] 0250 15.07$ 2713485 glycerin pediatric Supp [GCMH] 0250 13.98$ 2710879 glycerin-witch hazel Top 10%-50% Pad [GCMH] - gly50P[GCMH] - Inpatient - All - Active 0250 37.36$ 2705655 glycopyrrolate 0.2 mg/mL Inj Sol 2mL [GCMH] 0250 15.05$ 2715563 glycopyrrolate 0.2 mg/mL Inj Sol 5mL [GCMH] 0250 240.08$ 2704468 gramicidin/neomycin/polymyxin B 0.025 mg-1.75 mg-10,000 units/mL Ophth Sol 10ml [GCMH] 0250 444.07$ 2750674 guaiFENesin 200 mg Tab [GCMH] 0250 13.98$ 2705663 guaiFENesin 200 mg/10mL Oral Liq 10ml [GCMH] 0250 15.07$ 2714293 guaiFENesin 600 mg ER Tab [GCMH] 0250 15.79$ 2702876 haloperidol 1 mg Tab [GCMH] 0250 12.45$ 2749968 haloperidol 2 mg/mL 15 ml Con[GCMH] 0250 39.44$ 2702884 haloperidol 5 mg Tab [GCMH] 0250 15.08$ 2741304 homatropine Ophth 5% Sol 5ml [GCMH] 0250 120.73$ 2760112 hyaluronate sodium Syr 10 mg/ml 0.85 ml SVOSC [GCMH] 0250 569.99$ 2709244 hydrALAZINE 10 mg Tab [GCMH] 0250 15.08$ 2702967 hydrALAZINE 25 mg Tab [GCMH] 0250 15.79$ 2713477 hydrochlorothiazide 25 mg Tab [GCMH] 0250 15.80$ 2722965 hydrochlorothiazide-triamterene 25 mg-37.5 mg Tab [GCMH] 0250 15.08$ 2723922 HYDROcodone-ibuprofen 7.5 mg-200 mg Tab [GCMH] 0250 15.08$ 2740264 hydrocortisone 1%/pramoxine 1% Top Rectal Foam w/app 10 gm [GCMH] 0250 846.12$ 2720779 hydrocortisone 10 mg Tab [GCMH] 0250 13.98$ 2741866 hydrocortisone 10% Rectal Foam w/app 15gm [GCMH] 0250 1,697.36$ 2742542 hydrocortisone 100 mg/60 mL Rectal Susp [GCMH] 0250 52.80$ 2738771 hydrocortisone 2.5% Rectal Crm w/Appl [GCMH] 0250 250.14$ 2712362 hydrocortisone 25 mg Rectal Supp [GCMH] 0250 28.14$ 2702991 hydrocortisone Top 1% Crm 30gm [GCMH] 0250 31.72$ 2721546 hydrocortisone Top 2.5% Crm 30gm [GCMH] 0250 13.53$ 2701555 hydrocortisone/neomycin/polymyxin B Ophth Susp 7.5 mL [GCMH] 0250 527.01$ 2709087 hydrocortisone/neomycin/polymyxin B otic 1%-0.35%-10000 units/mL Sol 10ml [GCMH] 0250 333.41$ 2740595 hydrocortisone/neomycin/polymyxin B Otic Susp 10 mL [GCMH] 0250 320.43$ 2701530 hydrocortisone/neomycin/polymyxin B Top Crm [GCMH] 0250 454.99$ 2753189 HYDROmorphone 1 mg/mL-NaCl 0.9% Sol [GCMH] 0250 61.60$ 2709830 hydroxychloroquine 200 mg Tab [GCMH] 0250 15.80$ 2715217 hydrOXYzine hydrochloride 10 mg Tab [GCMH] 0250 38.31$ 2722718 hydrOXYzine pamoate 25 mg Cap [GCMH] 0250 15.07$ 2700342 hyoscyamine 0.125 mg Dis Tab [GCMH] 0250 13.98$

2749760 hyoscyamine 0.125mg/5mL UD [GCMH] 0250 13.97$ 2742443 ibuprofen 100 mg/5 mL Oral Susp 5 mL [GCMH] 0250 14.36$ 2700144 ibuprofen 200 mg Tab [GCMH] 0250 13.98$ 2704195 ibuprofen 600 mg Tab [GCMH] 0250 13.98$ 2709848 ibuprofen 800 mg Tab [GCMH] 0250 15.80$ 2741759 imipramine 10 mg Tab [GCMH] 0250 9.32$ 2744522 imipramine 25 mg Tab [GCMH] 0250 15.08$ 2740793 imipramine 50 mg Tab [GCMH] 0250 13.98$ 2703155 Indigo Carmine 8mg/ml Inj Sol 5ml [GCMH] 0250 73.92$ 2746378 indinavir 400 mg Cap [GCMH] 0250 21.82$ 2703171 indomethacin 25 mg Cap [GCMH] 0250 15.08$ 2753034 inFLIXimab abda 100 mg IV Inj Pow [GCMH] 0250 2,615.57$ 2750880 iopamidol 61% Sol 150 ml [GCMH] 0250 8,555.25$ 2750879 iopamidol 61% Sol 500 ml [GCMH] 0250 91,267.00$ 2718039 ipratropium 0.02% Inh Sol 2.5 mL [GCMH] 0250 31.41$ 2708048 ipratropium CFC free 17 mcg/inh Inh Aer [GCMH] 0250 2,238.05$ 2722338 ipratropium Nasal 21 mcg/inh (0.03%) Spry 30 mL [GCMH] 0250 378.18$ 2738540 irbesartan 75 mg Tab [GCMH] 0250 15.64$ 2703239 isoniazid 300 mg Tab [GCMH] 0250 15.08$ 2703288 isosorbide dinitrate 20 mg Tab [GCMH] 0250 15.80$ 2721264 isosorbide dinitrate 40 mg ER Tab [GCMH] 0250 15.08$ 2753456 isosorbide dinitrate 5 mg Tab UD [GCMH] 0250 13.98$ 2715225 isosorbide mononitrate 20 mg Tab [GCMH] 0250 15.08$ 2738888 isosorbide mononitrate 30 mg ER Tab [GCMH] 0250 15.80$ 2739787 ivermectin 3 mg Tab [GCMH] 0250 38.49$ 2753256 IVIG Gammagard 10% Sol 2.5g/25ml [GCMH] 0250 19,828.88$ 2745875 Juven PKT [GCMH] 0250 18.44$ 2760323 ketamine 100 mg/mL Inj Sol 10 ml [GCMH] 0250 45.10$ 2703411 ketamine 100 mg/mL Inj Sol 5 mL [GCMH] 0250 195.42$ 2746741 ketoconazole 200 mg Tab [GCMH] 0250 22.01$ 2715266 ketoconazole Top 2% Crm 15 gm [GCMH] 0250 241.07$ 2715100 ketorolac 10 mg Tab [GCMH] 0250 23.67$ 2718625 ketorolac Ophth 0.5% Sol 3mL [GCMH] 0250 1,311.22$ 2704666 labetalol 100 mg Tab [GCMH] 0250 15.79$ 2739928 labetalol 5 mg/mL IV Sol 20mL [GCMH] 0250 40.26$ 2722486 labetalol 5 mg/mL IV Sol 40mL [GCMH] 0250 25.52$ 2748960 lacosamide 100 mg Tab UD [GCMH] 0250 88.82$ 2748952 lacosamide 200 mg Tab [GCMH] 0250 81.39$ 2750789 lactulose 10 g/15 mL Syr 473 ml [GCMH] 0250 20.81$ 2741635 lamoTRIgine 100 mg Tab [GCMH] 0250 57.86$ 2744092 lamoTRIgine 25 mg Tab [GCMH] 0250 46.00$ 2707693 lanolin Top Oint 28 gm [GCMH] 0250 15.51$ 2744589 lansoprazole 15 mg Dis Tab [GCMH] 0250 78.23$ 2738052 latanoprost Ophth 0.005% Sol [GCMH] 0250 37.21$ 2738292 leflunomide 20 mg Tab [GCMH] 0250 41.24$ 2750912 LET Gel Solution 3 ml [GCMH] 0250 568.70$ 2748861 levETIRAcetam 100 mg/mL Oral Sol 5 mL [GCMH] 0250 428.12$ 2749331 levETIRAcetam 1000 mg oral tablet [GCMH] 0250 39.28$ 2738516 levETIRAcetam 250 mg Tab [GCMH] 0250 21.53$ 2750920 levoFLOXacin 250 mg Tab UD [GCMH] 0250 13.98$ 2722890 levofloxacin 500 mg Tab [GCMH] 0250 94.82$ 2742567 levonorgestrel 1.5 mg Tab [GCMH] 0250 256.62$ 2746642 levothyroxine 100 mcg (0.1 mg) IM/IV REC [GCMH] 0250 509.31$ 2703544 levothyroxine 100 mcg (0.1 mg) Tab [GCMH] 0250 15.80$ 2738722 levothyroxine 112 mcg (0.112 mg) Tab [GCMH] 0250 15.07$ 2703536 levothyroxine 25 mcg (0.025 mg) Tab [GCMH] 0250 15.79$ 2711372 levothyroxine 50 mcg (0.05 mg) Tab [GCMH] 0250 15.80$ 2723492 levothyroxine 88 mcg (0.088 mg) Tab [GCMH] 0250 15.08$ 2717304 lidocaine 0.5% PF Inj Sol 50 mL [GCMH] 0250 141.35$ 2707404 lidocaine Top 2% 30mL [GCMH] 0250 180.51$ 2724177 lidocaine Top 2% Gel 5mL Jelly [GCMH] 0250 86.02$ 2711513 lidocaine Top 2% Sol Oral 100 mL [GCMH] 0250 83.60$ 2745354 lidocaine Top 4% Crm [GCMH] 0250 69.14$

2712172 lidocaine Top 4% Sol 50 ml [GCMH] 0250 85.80$ 2740066 lidocaine Top 5% Patch [GCMH] 0250 82.76$ 2740934 lidocaine topical 2% Gel 10 mL (Uro-Jet) [GCMH] 0250 97.57$ 2750910 lidocaine topical 2% Gel 6 ml [GCMH] 0250 85.40$ 2800308 lidocaine topical 4% Sol 4 ML [GCMH] 0250 217.67$ 2750685 lidocaine-epinephrine 1:100000-1% 50 ml Sol [GCMH] 0250 13.75$ 2718534 lidocaine-prilocaine Top 2.5%-2.5% 5 g Crm [GCMH] 0250 66.64$ 2720738 lindane Top 1% Lotion 60mL [GCMH] 0250 788.70$ 2708311 lindane Top 1% Shampoo 60 mL [GCMH] 0250 866.58$ 2739639 linezolid 600 mg Tab [GCMH] 0250 22.48$ 2743615 liothyronine 5 mcg Tab [GCMH] 0250 15.08$ 2720514 lisinopril 20 mg Tab [GCMH] 0250 15.79$ 2715977 lisinopril 5 mg Tab [GCMH] 0250 14.36$ 2716769 lithium 300 mg Tab [GCMH] 0250 15.07$ 2719037 loratadine-pseudoePHEDrine 5 mg-120 mg ER Tab [GCMH] 0250 17.20$ 2749521 LORazepam 2 mg Tab [GCMH] 0250 13.98$ 2721215 losartan 25 mg Tab [GCMH] 0250 24.78$ 2708519 lovastatin 20 mg Tab [GCMH] 0250 14.96$ 2701332 magnesium citrate 8.85% Oral Liq 296 mL [GCMH[ 0250 13.02$ 2704039 magnesium hydroxide 8% Oral Susp 30 mL [GCMH] 0250 15.84$ 2743631 magnesium oxide 250 mg Tab [GCMH] 0250 15.08$ 2720126 magnesium oxide 400 mg Tab [GCMH] 0250 14.36$ 2705424 medroxyPROGESTERone 10 mg Tab [GCMH] 0250 15.07$ 2710606 medroxyPROGESTERone 2.5 mg Tab [GCMH] 0250 13.70$ 2703858 megestrol 20 mg Tab [GCMH] 0250 15.80$ 2750978 melatonin 5 mg Tab [GCMH] 0250 13.97$ 2741536 memantine 10 mg Tab [GCMH] 0250 45.42$ 2712297 meperidine 50 mg Tab [GCMH] 0250 15.07$ 2722106 mesalamine 250 mg ERCap [GCMH] 0250 14.70$ 2740645 mesalamine 4 g/60 mL Rectal Enema [GCMH] 0250 156.42$ 2745727 mesalamine 500 mg ERCap [GCMH] 0250 34.30$ 2723286 mesalamine DR Cap 400 mg [GCMH] 0250 15.80$ 2740249 metFORMIN 500 mg ER Tab [GCMH] 0250 62.58$ 2722510 metFORMIN 850 mg Tab [GCMH] 0250 15.08$ 2740124 methadone 10 mg Tab [GCMH] 0250 15.80$ 2712156 methadone 5 mg Tab [GCMH] 0250 15.08$ 2743953 methimazole 5 mg Tab [GCMH] 0250 15.07$ 2705648 methocarbamol 500 mg Tab [GCMH] 0250 15.08$ 2749299 methohexital 10mg/mL Sol 10 mL [GCMH] 0250 232.54$ 2712719 methohexital 500 mg IV Pwdr Inj [GCMH] 0250 511.95$ 2753578 Methotrexate 125 mg/5 ml Syr [GCMH] 0250 907.50$ 2743938 methylene blue 10 mg/mL Inj 1 ml Sol [GCMH] 0250 64.08$ 2703999 methylene blue 10 mg/mL Inj Sol 10mL [GCMH] 0250 845.13$ 2703973 methylergonovine 0.2 mg Tab [GCMH] 0250 111.68$ 2705622 methylphenidate 5 mg Tab [GCMH] 0250 15.07$ 2705564 metoclopramide 10 mg Tab [GCMH] 0250 15.07$ 2716173 metoclopramide 5 mg/5 mL Oral Syrup [GCMH] 0250 80.52$ 2709798 metolazone 5 mg Tab [GCMH] 0250 15.08$ 2703650 metoprolol 1 mg/mL Inj Sol 5 mL [GCMH] 0250 17.88$ 2744530 metoprolol succ 25 mg ER Tab [GCMH] 0250 15.80$ 2723310 metoprolol succ 50 mg ER Tab [GCMH] 0250 15.80$ 2745362 metoprolol tartrate 25 mg Tab [GCMH] 0250 15.07$ 2703668 metoprolol tartrate 50 mg Tab [GCMH] 0250 15.80$ 2718724 metroNIDAZOLE 0.75% 45 gm [GCMH] 0250 342.05$ 2702538 metroNIDAZOLE 250 mg Tab [GCMH] 0250 15.80$ 2702553 metroNIDAZOLE 500 mg/100 mL IV Sol [GCMH] 0250 72.60$ 2750892 metroNIDAZOLE topical 0.75% Vaginal Gel 70 gm [GCMH] 0250 12,950.63$ 2714723 miconazole 100 mg Vag Supp [GCMH] 0250 30.88$ 2704120 miconazole 2% Vag Crm w/Appl 45 gm [GCMH] 0250 38.61$ 2740579 miconazole Top 2% Crm 15 gm [GCMH] 0250 139.92$ 2744936 midazolam 2 mg/mL Oral Syrup 5 mL [GCMH] 0250 106.65$ 2738599 midodrine 2.5 mg Tab [GCMH] 0250 15.07$ 2741486 mineral oil 100% Oral Liq 10 mL [GCMH] 0250 78.54$

2702587 mineral oil 100% Rectal Enema 133 mL [GCMH] 0250 14.63$ 2740603 minocycline 50 mg Tab [GCMH] 0250 14.34$ 2723955 minoxidil 2.5 mg Tab [GCMH] 0250 15.07$ 2723765 mirtazapine 15 mg Dis Tab [GCMH] 0250 28.68$ 2715233 misoprostol 100 mcg Tab [GCMH] 0250 15.79$ 2744829 misoprostol 200 mcg Tab [GCMH] 0250 15.79$ 2738003 mometasone Nasal 50 mcg/inh Spry 17 gm [GCMH] 0250 3,466.42$ 2720365 mometasone topical 0.1% Cremometasone Top 0.1% Crm 15 gm [GCMH] 0250 170.28$ 2737799 montelukast 10 mg Tab [GCMH] 0250 35.50$ 2749059 morphine 10 mg/5 mL Oral Sol 5 ml [GCMH] 0250 15.84$ 2745438 morphine 15 mg Tab [GCMH] 0250 13.98$ 2713014 morphine 30 mg ER Tab [GCMH] 0250 22.89$ 2718369 morphine 60 mg ER Tab [GCMH] 0250 42.85$ 2753012 morphine 8 mg/mL PF Sol [GCMH] 0250 13.98$ 2743961 moxifloxacin 0.5% Ophth Sol 3mL [GCMH] 0250 509.85$ 2703726 Multiple Vitamins IV Sol 10 mL [GCMH] 0250 75.35$ 2711026 Multiple Vitamins Oral Liq 15 mL [GCMH] 0250 13.98$ 2746972 mupirocin Top 2% Oint 22gm [GCMH] 0250 337.35$ 2748689 nafcillin 2 g Pow [GCMH] 0250 46.65$ 2753089 naltrexone 50 mg Tab UD [GCMH] 0250 14.23$ 2744548 naphazoline-pheniramine Ophth 0.025%-0.3% Sol 15 mL [GCMH] 0250 40.92$ 2704310 naproxen 250 mg Tab [GCMH] 0250 15.80$ 2740009 nateglinide 60 mg Tab [GCMH] 0250 20.33$ 2704435 neomycin 500 mg Tab [GCMH] 0250 13.04$ 2704484 neomycin/polymyxin B/pramoxine Top Crm 15 g [GCMH] 0250 13.98$ 2722791 neomycin-polymyxin B sulfate Top IRR Sol 1 mL [GCMH] 0250 224.33$ 2739605 nevirapine 200 mg Tab [GCMH] 0250 85.36$ 2739126 niacin 500 mg ERCap [GCMH] 0250 15.07$ 2746626 niCARdipine 2.5 mg/mL Inj Sol 10 mL [GCMH] 0250 383.90$ 2750823 niCARdipine 40 mg/200 mL-NaCl 0.83% Sol [GCMH] 0250 798.60$ 2714988 nicotine 21 mg/24 hr Transderm ER Film [GCMH] 0250 58.43$ 2714970 nicotine 7 mg/24 hr Transderm ER Film [GCMH] 0250 54.13$ 2705309 NIFEdipine 10 mg Cap [GCMH] 0250 13.71$ 2718021 NIFEdipine 30 mg ER Tab [GCMH] 0250 15.80$ 2709137 niMODipine 30 mg Cap [GCMH] 0250 131.40$ 2703734 nitrofurantoin macrocrystals 50 mg Cap [GCMH] 0250 15.08$ 2739506 nitrofurantoin macrocrystals-monohydrate 100 mg Cap [GCMH] 0250 24.77$ 2723211 nitroglycerin 0.1 mg/hr Transderm ER Film [GCMH] 0250 15.08$ 2708253 nitroglycerin 0.2 mg/hr Transderm ER Film [GCMH] 0250 23.66$ 2715779 nitroglycerin 0.3 mg/hr Transderm ER Film [GCMH] 0250 15.08$ 2740751 nitroglycerin 0.4 mg SubL Spry 4.9gm [GCMH] 0250 1,691.87$ 2704575 nitroglycerin 0.4 mg sublingual Tab [GCMH] 0250 451.00$ 2708238 nitroglycerin 0.4 mg/hr Transderm ER Film [GCMH] 0250 25.84$ 2706729 nitroglycerin 0.6 mg/hr Transderm ER Film [GCMH] 0250 13.98$ 2741429 nitroglycerin 2% Top Oint [GCMH] 0250 13.98$ 2704542 nitroglycerin 2.5 mg ERCap [GCMH] 0250 14.36$ 2704526 nitroprusside 25 mg/mL IV Sol 2mL [GCMH] 0250 2,033.28$ 2712552 Non Formulary Med [GCMH] 0250 -$ 2741254 norEPINEPHrine 1 mg/mL IV Sol 4 mL [GCMH] 0250 70.66$ 2704856 nortriptyline 25 mg Cap [GCMH] 0250 15.08$ 2753201 nystatin 100000 units/mL 5 ml Sus UD [GCMH] 0250 13.97$ 2720456 nystatin 500,000 units Tab [GCMH] 0250 11.28$ 2746956 nystatin Top 100,000 units/g Crm [GCMH] 0250 163.35$ 2716546 nystatin Top 100,000 units/g Oint [GCMH] 0250 68.31$ 2719284 nystatin Top 100,000 units/g Pwdr [GCMH] 0250 54.78$ 2720753 nystatin-triamcinolone Top Crm 30 g [GCMH] 0250 29.70$ 2719920 nystatin-triamcinolone Top Oint [GCMH] 0250 34.16$ 2718922 ocular lubricant Oint 3.5gm [GCMH] 0250 95.17$ 2703254 ocular lubricant Sol 15 mL [GCMH] 0250 232.82$ 2722858 ofloxacin Ophth 0.3% Sol [GCMH] 0250 253.88$ 2477511 ofloxacin Otic 0.3% Sol [GCMH] 0250 252.34$ 2760012 OLANZapine 10 mg Dis Tab [GCMH] 0250 13.98$ 2749935 OLANZapine 15 mg Dis Tab (GCMH) 0250 41.35$

2760412 OLANZapine 20 mg Dis Tab [GCMH] 0250 12.93$ 2741395 OLANZapine 5 mg Dis Tab [GCMH] 0250 81.14$ 2741387 olopatadine Ophth 0.1% Sol 5ml [GCMH] 0250 1,643.73$ 2745008 ondansetron 4 mg Dis Tab [GCMH] 0250 13.98$ 2746360 ondansetron 4 mg/5 mL Oral Sol 5 mL [GCMH] 0250 71.83$ 2701662 Ophth irrigation, extraocular Sol 120mL [GCMH] 0250 179.52$ 2800522 Ophth irrigation, intraocular Balanced Salt Sol 15mL [GCMH] 0250 68.31$ 2750913 ophthalmic irrigation, ED USE extraocular 30 ml Opth Sol [GCMH] 0250 80.19$ 2748911 oseltamivir 6 mg/mL REC Oral Sol 60 mL [GCMH] 0250 13.98$ 2738136 oseltamivir 75 mg Cap [GCMH] 0250 45.20$ 2705788 oxazepam 10 mg Cap [GCMH] 0250 13.97$ 2738847 oxcarbazepine 300 mg Tab [GCMH] 0250 24.77$ 2702116 oxybutynin 5 mg Tab [GCMH] 0250 15.80$ 2737856 oxyCODONE 10 mg CR Tab [GCMH] 0250 22.53$ 2745248 oxyCODONE 30 mg IR Tab [GCMH] 0250 15.07$ 2740538 oxyCODONE 5 mg IR Tab [GCMH] 0250 13.98$ 2700177 oxymetazoline Nasal 0.05% Spry [GCMH] 0250 14.03$ 2750313 paliperidone 3 mg ER [GCMH] 0250 115.91$ 2721819 pancrelipase 12,000 units-38,000 units-60,000 units [GCMH] 0250 17.55$ 2704906 pancuronium 2 mg/mL IV Sol 2 mL [GCMH] 0250 -$ 2738581 pantoprazole 40 mg Oral EC Tab [GCMH] 0250 40.90$ 2717023 PARoxetine 20 mg Tab [GCMH] 0250 36.06$ 2741460 penicillin G benzathine 1,200,000 units/2 mL IM Susp [GCMH] 0250 890.08$ 2707206 Penicillin V Potassium 250 mg Tab [GCMH] 0250 15.08$ 2742195 pentamidine 300 mg Inh Pwdr for Recon [GCMH] 0250 864.50$ 2706752 pentoxifylline 400 mg ER Tab [GCMH] 0250 13.98$ 2753134 Permethrin Lotion 59 ml [GCMH] 0250 26.52$ 2745784 permethrin Top 5% Crm [GCMH] 0250 890.34$ 2710366 petrolatum Top 100% Oint [GCMH] 0250 13.97$ 2722874 PHENobarbital 20 mg/5 mL Oral Elix 5mL [GCMH] 0250 15.07$ 2705069 PHENobarbital 30 mg Tab [GCMH] 0250 15.07$ 2707768 phenol Top 1.4% Spry 177mL [GCMH] 0250 23.36$ 2710036 phenylephrine Nasal 0.5% Spry 15 mL [GCMH] 0250 39.60$ 2748788 phenylephrine Ophth 2.5% Sol 15 mL [GCMH] 0250 656.21$ 2702058 phenytoin 100 mg ERCap [GCMH] 0250 15.80$ 2746550 phenytoin 100 mg/4 mL Oral Susp [GCMH] 0250 15.05$ 2740728 phenytoin 50 mg Chew Tab [GCMH] 0250 15.79$ 2744977 phytonadione 1 mg/0.5 mL Inj Sol [GCMH] 0250 149.69$ 2715738 phytonadione 5 mg Tab [GCMH] 0250 194.36$ 2741296 pilocarpine Ophth 1% Sol 15ml [GCMH] 0250 596.48$ 2709699 pilocarpine Ophth 2% Sol 15ml [GCMH] 0250 671.22$ 2709764 pilocarpine Ophth 4% Sol 15ml [GCMH] 0250 714.95$ 2743821 pimecrolimus Top 1% Crm 30 gm [GCMH] 0250 1,342.11$ 2739894 polyethylene glycol 3350 Oral Pwdr for Recon [GCMH] 0250 15.79$ 2745206 polyethylene glycol 3350 with electrolytes Oral Pwdr for Sol 4000 mL [GCMH] 0250 17.60$ 2740785 polymyxin B-trimethoprim Ophth Sol 10 mL [GCMH] 0250 39.93$ 2717072 Ponaris nasal emollient 30ml [GCMH] 0250 20.22$ 2741346 potassium acetate 2 mEq/mL IV Sol 20 mL [GCMH] 0250 15.84$ 2714335 potassium chloride 20 mEq ER Tab [GCMH] 0250 13.98$ 2739761 potassium citrate 10 mEq ER Tab [GCMH] 0250 15.08$ 2753234 potassium iodide 65 mg/mL Oral Sol 30 ml [GCMH] 0250 1,519.32$ 2750578 potassium phosphate 3 mmol/mL 15mL [GCMH] 0250 78.71$ 2709996 potassium phosphate 3 mmol/mL IV Sol 5 mL [GCMH] 0250 123.53$ 2801355 potassium phosphate 30 mmol/500 mL-NaCl 0.9% IVPB Sol [GCMH] 0250 324.50$ 2721439 potassium phosphate-sodium phosphate 250 mg-45 mg-298 mg Tab [GCMH] 0250 15.07$ 2700789 povidone iodine Top 10% Oint 30 gm [GCMH] 0250 25.08$ 2742559 pramipexole 0.25 mg Tab [GCMH] 0250 34.39$ 2745966 prasugrel 10 mg Tab UD [GCMH] 0250 49.49$ 2715241 pravastatin 20 mg Tab [GCMH] 0250 30.76$ 2704054 prazosin 1 mg Cap [GCMH] 0250 15.80$ 2748630 prazosin 5 mg Cap [GCMH] 0250 20.02$ 2715209 prednisoLONE Ophth acetate 1% Susp [GCMH] 0250 229.90$ 2705176 predniSONE 5 mg Tab [GCMH] 0250 15.08$

2750271 pregabalin 50 mg Cap UD [GCMH] 0250 101.56$ 2750263 pregabalin 75 mg Cap UD [GCMH] 0250 13.98$ 2706091 Prenatal Multivitamins with Folic Acid 1 mg Tab [GCMH] 0250 15.79$ 2724235 primidone 50 mg Tab [GCMH] 0250 15.08$ 2700748 probenecid 500 mg Tab [GCMH] 0250 15.80$ 2701472 prochlorperazine 25 mg Supp [GCMH] 0250 95.32$ 2701480 prochlorperazine 5 mg Tab [GCMH] 0250 13.98$ 2748978 progesterone 100 mg Cap [GCMH] 0250 13.97$ 2748986 progesterone 200 mg Cap [GCMH] 0250 23.49$ 2705366 promethazine 25 mg Tab [GCMH] 0250 15.06$ 2715423 promethazine 5mL UD [GCMH] 0250 15.07$ 2716066 propafenone 150 mg Tab [GCMH] 0250 15.80$ 2753445 proparacaine ophthalmic 0.5% Sol [GCMH] 0250 141.57$ 2760723 propofol SF 10 mg/ml 100 ml [GCMH] 0250 62.70$ 2703122 propranolol 20 mg Tab [GCMH] 0250 15.08$ 2721504 propylthiouracil 50 mg Tab [GCMH] 0250 13.98$ 2760134 protriptyline 10 mg Tab [GCMH] 0250 20.80$ 2744241 pseudoephedrine 15 mg/5 mL 118 ml Oral Liq [GCMH] 0250 12.98$ 2705432 pseudoephedrine 30 mg Tab [GCMH] 0250 15.08$ 2703932 psyllium 3.4 g/12 g Pow [GCMH] 0250 15.08$ 2705572 pyridostigmine 5 mg/mL Inj Sol 2 mL [GCMH] 0250 -$ 2703924 pyridostigmine 60 mg Tab [GCMH] 0250 15.07$ 2705465 pyridoxine 100 mg Tab [GCMH] 0250 15.07$ 2739225 QUEtiapine 100 mg Tab [GCMH] 0250 63.54$ 2748879 QUEtiapine 200 mg Tab [GCMH] 0250 15.80$ 2746725 racepinephrine 2.25% Sol UD [GCMH] 0250 15.08$ 2753490 ramucirumab 100 mg/10mL Sol [GCMH] 0250 3,983.10$ 2760678 remdesivir Pow 5 mg/ml 20 ml [GCMH] 0250 1,716.00$ 2745768 remifentanil 2 mg IV Inj [GCMH] 0250 4,762.44$ 2760256 reteplase 10 units Kit 0250 13,739.79$ 2741544 rifampin 150 mg Cap [GCMH] 0250 13.98$ 2717619 rimantadine 100 mg Tab [GCMH] 0250 17.17$ 2746014 risperiDONE 0.25 mg Tab UD [GCMH] 0250 31.54$ 2721991 risperiDONE 1 mg Tab [GCMH] 0250 59.05$ 2749141 risperiDONE 3 mg Tab [GCMH] 0250 13.98$ 2748416 rivaroxaban 10 mg Tab UD [GCMH] 0250 79.92$ 2740801 rivastigmine 1.5 mg Cap [GCMH] 0250 34.19$ 2738128 rizatriptan 10 mg Tab [GCMH] 0250 146.66$ 2760378 rocuronium 10 mg/mL IV Sol 10 ml [GCMH] 0250 17.05$ 2721033 rocuronium 10 mg/mL IV Sol 5 mL [GCMH] 0250 222.20$ 2753267 rOPINIRole 0.5 mg Tab [GCMH] 0250 13.98$ 2753278 rOPINIRole 2 mg Tab [GCMH] 0250 13.98$ 2745800 rosuvastatin 10 mg Tab [GCMH] 0250 35.50$ 2745818 rosuvastatin 40 mg Tab [GCMH] 0250 29.35$ 2749539 sacubitril-valsartan 24 mg-26 mg Tab [GCMH] 0250 27.10$ 2749596 saliva substitutes - Gel [GCMH] 0250 14.32$ 2742344 salmeterol 50 mcg Inh Pwdr [GCMH] 0250 861.12$ 2706737 scopolamine 1.5 mg Transderm ER Film [GCMH] 0250 116.89$ 2703270 scopolamine Ophth 0.25% Sol [GCMH] 0250 101.70$ 2716579 sertraline 50 mg Tab [GCMH] 0250 30.12$ 2739555 sevelamer 800 mg Tab [GCMH] 0250 17.20$ 2753589 sildenafil 20 mg Tab [GCMH] 0250 13.98$ 2744969 silver nitrate Top 0.5% Sol 960 mL [GCMH] 0250 242.88$ 2721793 silver nitrate Top Stick [GCMH] 0250 45.64$ 2705812 silver sulfADIAZINE Top 1% Crm 400gm [GCMH] 0250 523.60$ 2705804 silver sulfADIAZINE Top 1% Crm 50gm [GCMH] 0250 101.20$ 2760645 simethicone 125 mg Chew Tab [GCMH] 0250 14.03$ 2712115 simethicone 20 mg/0.3 mL Oral Liq 30 mL [GCMH] 0250 14.19$ 2704252 simethicone 80 mg Chew Tab [GCMH] 0250 15.80$ 2723518 simvastatin 20 mg Tab [GCMH] 0250 49.58$ 2722148 simvastatin 5 mg Tab [GCMH] 0250 -$ 2744993 sitaGLIPtin 100 mg oral tablet [GCMH] 0250 85.06$ 2760389 sodium acetate 2 mEq/mL IV Sol 20 ml [GCMH] 0250 14.74$

2716736 sodium acetate 2 mEq/mL IV Sol 50 mL [GCMH] 0250 58.85$ 2746931 sodium bicarbonate 4.2% IV Sol 10 mL Pedi Syr [GCMH] 0250 87.89$ 2741478 sodium bicarbonate 650 mg Tab [GCMH] 0250 15.08$ 2741510 sodium bicarbonate 8.4% IV Sol 10 mL [GCMH] 0250 73.04$ 2705945 sodium bicarbonate 8.4% Sol syr 50 mL [GCMH] 0250 182.60$ 2718666 sodium bicarbonate 8.4% Sol vial 50 mL [GCMH] 0250 182.60$ 2702579 sodium biphosphate-sodium phosphate 3.5 g-9.5 g Rectal Enema 66 mL PEDI [GCMH] 0250 14.52$ 2702561 sodium biphosphate-sodium phosphate 7 g-19 g Rectal Enema 133 mL ADULT [GCMH] 0250 14.63$ 2746352 Sodium Chloride 0.9% 1000 ml with KCl 10 mEq/L [GCMH] 0250 59.84$ 2742211 sodium chloride 0.9% flush 10mL syringe [GCMH] 0250 15.73$ 2740777 sodium chloride 0.9% Inj Sol 10 mL vial [GCMH] 0250 1.31$ 2743755 sodium chloride 0.9% Inj Sol 20 mL [GCMH] 0250 15.84$ 2744704 sodium chloride 0.9% Inj Sol 3 mL [GCMH] 0250 13.99$ 2746063 Sodium Chloride 0.9% intravenous solution 250 mL non-DEHP [GCMH] 0250 19.25$ 2749463 sodium chloride 0.9% Irr Sol 250 mL Btl [GCMH] 0250 11.00$ 2800688 sodium chloride 0.9% Irr Sol 3000 mL [GCMH] 0250 33.00$ 2800472 Sodium Chloride 0.9% IV Sol 50 mL [GCMH] 0250 15.95$ 2739365 sodium chloride 1 g Tab [GCMH] 0250 15.07$ 2760623 sodium chloride 14.6% 2.5 meq/ml 40 ml Sol [GCMH] 0250 13.99$ 2704757 sodium chloride Nasal 0.65% Spry 44 ml [GCMH] 0250 22.75$ 2744670 sodium hyaluronate 14 mg/mL Intraocular Liq 0.85 mL [GCMH] 0250 1,098.51$ 2749349 sodium hypochlorite Top 0.125% Sol [GCMH] 0250 67.64$ 2749356 sodium hypochlorite Top 0.25% Sol [GCMH] 0250 67.64$ 2749794 sodium nitrite 3% Sol 10mL [GCMH] 0250 493.68$ 2741247 sodium phosphate 3 mmol/mL Inj Sol 15 mL [GCMH] 0250 131.51$ 2708204 sodium polystyrene sulfonate 15 g/60 mL Sus [GCMH] 0250 149.16$ 2723062 sodium sulfacetamide Ophth 10% Sol 15 mL [GCMH] 0250 459.53$ 2760201 sodium tetradecyl sulfate 3% 60 mg/2 ml Sol [GCMH] 0250 132.75$ 2717296 sotalol 80 mg Tab [GCMH] 0250 25.38$ 2713196 spironolactone 100 mg Tab [GCMH] 0250 18.04$ 2708980 spironolactone 25 mg Tab [GCMH] 0250 15.80$ 2738995 sterile talc intrapleural Aer powder [GCMH] 0250 1,098.90$ 2714111 sterile water 20 mL [GCMH] 0250 23.98$ 2701084 sucralfate 1 g Tab [GCMH] 0250 15.80$ 2717965 sucralfate 1 g/10 mL Oral Susp [GCMH] 0250 90.09$ 2719169 SUFentanil 50 mcg/mL 1 ml IV Sol [GCMH] 0250 199.46$ 2760390 sugammadex 100 mg/mL Sol 5 ml [GCMH] 0250 751.19$ 2715530 sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL Oral Susp 20 mL [GCMH] 0250 32.34$ 2705770 sulfamethoxazole-trimethoprim 800 mg-160 mg Tab [GCMH] 0250 15.80$ 2700631 sulfaSALAzine 500 mg Oral EC Tab [GCMH] 0250 15.08$ 2742237 telmisartan 80 mg Tab [GCMH] 0250 17.20$ 2705598 temazepam 15 mg Cap [GCMH] 0250 15.07$ 2710457 terazosin 1 mg Cap [GCMH] 0250 15.08$ 2723351 terazosin 5 mg Cap [GCMH] 0250 16.57$ 2740314 terbinafine Top 1% Crm 30gm [GCMH] 0250 115.83$ 2700870 terbutaline 2.5 mg Tab [GCMH] 0250 32.91$ 2706372 tetracaine Ophth 0.5% Sol 2mL [GCMH] 0250 87.32$ 2706125 tetracycline 250 mg Cap [GCMH] 0250 13.98$ 2709525 theophylline 80 mg/15 mL Oral Sol 15 mL [GCMH] 0250 42.24$ 2706422 Therapeutic Multiple Vitamins with Minerals Tab [GCMH] 0250 15.79$ 2740132 thiamine 100 mg Tab [GCMH] 0250 13.70$ 2703874 thioridazine 25 mg Tab [GCMH] 0250 14.34$ 2743607 thiothixene 2 mg Cap [GCMH] 0250 13.98$ 2744407 thrombin topical bovine 20,000 intl units REC [GCMH] 0250 1,108.01$ 2743979 thrombin topical bovine 5000 intl units REC [GCMH] 0250 679.72$ 2706505 thyroid desiccated 60 mg Tab [GCMH] 0250 15.08$ 2749091 ticagrelor 90 mg Tab UD [GCMH] 0250 35.24$ 2714756 ticlopidine 250 mg Tab [GCMH] 0250 20.48$ 2706562 timolol Ophth 0.25% Sol 5mL [GCMH] 0250 138.88$ 2706570 timolol Ophth 0.5% Sol 5mL [GCMH] 0250 151.14$ 2742302 tiotropium 18 mcg Inh Cap [GCMH] 0250 86.64$ 2753167 tirofiban 250 mcg/mL 15 ml Sol [GCMH] 0250 830.94$ 2709855 tobramycin Ophth 0.3% Oint 3.5 g [GCMH] 0250 841.23$

2706596 tobramycin Ophth 0.3% Sol 5 mL [GCMH] 0250 600.16$ 2723690 tolterodine 2 mg Tab [GCMH] 0250 19.57$ 2749166 topiramate 100 mg Tab [GCMH] 0250 14.34$ 2741502 topiramate 25 mg Tab [GCMH] 0250 18.04$ 2722015 torsemide 20 mg Tab [GCMH] 0250 15.08$ 2750586 trace elements concentrate 10.0 mcg-1 mg-0.5 mg-5 mg/mL 1 ml Sol [GCMH] 0250 30.51$ 2710556 trace elements with selenium 4 mcg-0.4 mcg-0.1 mg-20 mcg-1mg/mL IV Sol 10 mL [GCMH] 0250 76.23$ 2721181 traMADol 50 mg Tab [GCMH] 0250 13.70$ 2711679 traZODone 150 mg Tab [GCMH] 0250 15.79$ 2701894 traZODone 50 mg Tab [GCMH] 0250 15.80$ 2745479 triamcinolone Top 0.025% Crm 15gm [GCMH] 0250 14.03$ 2746832 triamcinolone Top 0.025% Crm 80gm [GCMH] 0250 80.96$ 2718351 triamcinolone Top 0.1% Crm 15gm [GCMH] 0250 14.03$ 2747061 triamcinolone Top 0.1% Crm 30gm [GCMH] 0250 57.09$ 2746824 triamcinolone Top 0.1% Crm 80gm [GCMH] 0250 108.24$ 2746816 triamcinolone Top 0.1% Oint 15 gm [GCMH] 0250 39.93$ 2744894 triamcinolone Top 0.1% Oint 80gm [GCMH] 0250 48.40$ 2741882 triamcinolone Top 0.1% Paste [GCMH] 0250 535.81$ 2746667 trifluoperazine 10 mg Tab [GCMH] 0250 15.07$ 2740546 trifluridine Ophth 1% Sol 7.5 mL [GCMH] 0250 946.03$ 2709426 tropicamide Ophth 1% Sol 3mL [GCMH] 0250 310.83$ 2709566 tuberculin purified protein derivative 5 TU/0.1 mL ID Sol [GCMH] 0250 50.25$ 2716785 urea Top 20% Crm 90gm [GCMH] 0250 90.09$ 2701837 valproic acid 250 mg Cap [GCMH] 0250 15.08$ 2738037 valsartan 80 mg Tab UD [GCMH] 0250 18.04$ 2751112 vancomycin 125 mg Cap UD [GCMH] 0250 34.33$ 2749307 vancomycin 125 mg/2.5 mL REC 150mL oral [GCMH] 0250 34.65$ 2707156 vancomycin 250 mg Cap [GCMH] 0250 258.13$ 2705127 vasopressin 20 units/mL Inj Sol 1 mL [GCMH] 0250 1,014.17$ 2712867 vecuronium 10 mg IV Inj Pwdr [GCMH] 0250 21.07$ 2750907 vecuronium 20 mg IV Inj Pwdr [GCMH] 0250 34.22$ 2740504 venlafaxine 150 mg ERCap [GCMH] 0250 54.54$ 2760289 venlafaxine 37.5 mg ER Cap [GCMH] 0250 14.22$ 2718435 venlafaxine 37.5 mg Tab [GCMH] 0250 15.80$ 2741528 venlafaxine 75 mg ERCap [GCMH] 0250 83.31$ 2746279 verapamil 120 mg ERCap [GCMH] 0250 23.05$ 2720183 verapamil 180 mg ER Tab [GCMH] 0250 15.08$ 2750890 verapamil 2.5 mg/mL IV 2 mL Sol [GCMH] 0250 90.18$ 2744381 verapamil 2.5 mg/mL IV 4 ml Sol [GCMH] 0250 65.91$ 2701019 verapamil 80 mg Tab [GCMH] 0250 15.07$ 2721009 warfarin 1 mg Tab [GCMH] 0250 15.08$ 2701563 warfarin 2 mg Tab [GCMH] 0250 15.79$ 2701571 warfarin 2.5 mg Tab [GCMH] 0250 15.07$ 2701589 warfarin 5 mg Tab [GCMH] 0250 15.79$ 2746147 wheat dextrin 100% oral Pwdr [GCMH] 0250 14.36$ 2738144 zaleplon 10 mg Cap [GCMH] 0250 19.57$ 2746386 zidovudine 100 mg Cap [GCMH] 0250 15.21$ 2742385 zinc sulfate 220 mg Cap [GCMH] 0250 15.07$ 2707503 zinc sulfate 5 mg/mL IV Sol 5 mL [GCMH] 0250 254.60$ 2741205 ziprasidone 20 mg Cap [GCMH] 0250 234.21$ 2717460 zolpidem 5 mg Tab [GCMH] 0250 26.03$ 2740090 zonisamide 100 mg Cap [GCMH] 0250 18.61$ 2743623 sterile water 1000mL [GCMH] 0253 11.00$ 1430875 GCMH-Cont-Omni-240/1485663 0255 230.75$ 2306439 GCMH-Cont-Omni-300-50/3590635 0255 11.69$ 2601235 GCMH-ISO-KINEVAC 0255 456.15$ 1427806 GCMH-ISOVUE 300 50ML HOLD/STO 0255 131.23$ 2750883 iodixanol 320 mg/mL Sol 150 ml [GCMH] 0255 96,586.05$ 2750882 iohexol 180 mg/mL Sol 10 ml [GCMH] 0255 1,931.38$ 2750881 iohexol 180 mg/mL Sol 20 ml [GCMH] 0255 3,862.76$ 2305340 iopamidol 61% Sol 100 ml [GCMH] 0255 40.70$ 2750856 iopamidol 61% Sol 100 ml [GCMH] 0255 40.70$ 2750867 iopamidol 61% Sol 200 ml [GCMH] 0255 72.60$

2750878 iopamidol 61% Sol 75 ml [GCMH] 0255 33.00$ 1469295 ISOVUE CATH LAB 300/50ML 0255 17.61$ 2760245 trace elements with selenium 10 mcg-1 mg-0.5 mg-60 mcg-5 mg/mL Sol [GCMH] 0255 43.27$ 2741601 D5/0.45 NaCl/KCl 20 mEq/L IV Sol [GCMH] 0258 11.00$ 2800217 D5NS 1000 /2B1064X 0258 15.00$ 2750967 D5W 1000 ml non-DEHP [GCMH] 0258 11.00$ 2800134 D5W 1000/2B0064 0258 15.02$ 2801082 D5W 250 ml non-DEHP [GCMH] 0258 24.75$ 2800209 Dextrose 5% in Lactated Ringers Injection Sol [GCMH] 0258 11.00$ 2800159 Dextrose 5% in Water IV Sol 100 mL [GCMH] 0258 15.40$ 2800118 Dextrose 5% in Water IV Sol 250 mL [GCMH] 0258 22.00$ 2800126 Dextrose 5% in Water IV Sol 500 mL [GCMH] 0258 11.00$ 2800191 Dextrose 5% with 0.2% NaCl Sol 1000ml [GCMH] 0258 11.00$ 2800449 EXTENTION SETS W/ 2 Y-SITES 0258 14.36$ 2800241 GLYCINE 3000 / 2B7317 0258 54.53$ 2801116 H20 IRRIG 3000ML BAG/2B7117 0258 37.46$ 2800266 Lactated Ringers Intravenous solution 1000mL [GCMH] 0258 15.00$ 2800548 Lactated Ringers intravenous solution 500mL [GCMH] 0258 22.00$ 2800399 NS 1/2 / 2B1314X 0258 14.36$ 2802001 NS 100 ml Mini Bag Plus [GCMH] 0258 14.30$ 2760212 NS 50 ml Mini Bag Plus [GCMH] 0258 7.15$ 2800340 sodium chloride 0.9% IRR Sol 1000 ml Btl [GCMH] 0258 143.00$ 2800415 Sodium Chloride 0.9% IV Sol 100 mL [GCMH] 0258 14.30$ 2800381 Sodium Chloride 0.9% IV Sol 1000 mL [GCMH] 0258 15.00$ 2800357 Sodium Chloride 0.9% IV Sol 250 mL [GCMH] 0258 19.25$ 2800373 Sodium Chloride 0.9% IV Sol 500 ml [GCMH] 0258 16.50$ 2753334 Sodium Chloride non-DEHP 0.9% 500 ml Sol 0258 16.50$ 2747046 sterile water 10 mL [GCMH] 0258 15.18$ 2800670 STERILE WATER(BAG) 2B7114X 0258 14.91$ 2800431 STERILE WATER(BTL)/2F7114 0258 15.77$ 1500164 96360 INITIAL HYDRATION 31 MIN TO 1 HOUR 0260 802.13$ 3301363 96366 ER - IV INFUSION EACH ADDITIONAL HOUR Charge 0260 284.19$ 1500438 96368 IV tx, concurrent infusion FCT Charge 0260 304.56$ 3800117 96372 IM injection 0260 329.07$ 4017638 96372 INJ;SUBCUTANEOUS/IM Charge 0260 329.07$ 4017646 96374 INITIAL IV PUSH 0260 873.62$ 4017679 96375 IV PUSH, EA ADDL NEW DRUG Charge 0260 283.55$ 4022109 96376 IV PUSH SAME DRUG EA Charge 0260 186.85$ 4017653 Additional Hour Therapy Infusion 0260 284.19$ 1101195 INF CONCURRENT IV TX (CHEMO) 0260 304.56$ 1101252 INF HORMONAL ANTI-NEOPLA (CHEMO) 0260 404.79$ 3300712 INFUSION INITIAL HOUR 0260 802.13$ 3300423 INFUSION INITITAL 1 HOUR 0260 802.13$ 1500172 INFUSIONS EACH ADDITIONAL HOUR TO 8 0260 176.41$ 3300415 INFUSIONS EACH ADDITIONAL HOUR TO 8 0260 176.41$ 3300407 INJECTION IM SQ (MS) 0260 329.07$ 3300431 INTRAVENOUS INJECTIONS 0260 873.62$ 3301348 IV HYDRATION EA ADDL 60MIN 0260 176.41$ 3301124 IV PUSH EA ADD/SEQ NEW SUB/DRUG 0260 283.55$ 3301157 IV PUSH EA ADD/SEQ NEW SUB/DRUG 0260 283.55$ 3301405 IV PUSH INITIAL DRUG 0260 873.62$ 1101187 IV THERAPY/ADD SEQ INFUSION <TO 1HR 0260 304.56$ 3301264 IV THERAPY/ADD SEQ INFUSION <TO 1HR 0260 304.56$ 3301272 IV THERAPY/EACH ADD SAME SUBSTANCE 0260 186.85$ 3301298 IV THERAPY/EACH ADD SAME SUBSTANCE 0260 186.85$ 1501378 MOD SEDATION 5 YR >1 30 MIN 0260 276.56$ 1502889 MOD SEDATION ADDLT 15 MIN 0260 263.09$ 4024989 MODERATE SEDATION > 5 YEARS 0260 276.56$ 1503056 MODERATE SEDATION > 5YRS 0260 276.56$ 3301181 OSC CONCURRENT INFUSION 0260 304.56$ 1200039 PACU Injection IV 0260 873.62$ 3301140 THERAPY IV INFUSION ADD HOURS 0260 284.19$ 3301017 THERAPY IV INFUSION FIRST HOUR 0260 927.91$

3301108 THERAPY IV INFUSION FIRST HOUR 0260 927.91$ 4017661 THERAPY IV INFUSION FIRST HOUR 0260 927.91$ 1441393 1-PIECE POUCH ESTEEM 0270 12.90$ 1439025 ABDOMINAL BINDER LG 0270 77.44$ 1439017 ABDOMINAL BINDER XXL 0270 70.40$ 1400019 ACE BANDAGE 2IN. 0270 12.60$ 1400027 ACE BANDAGE 3IN. 0270 15.19$ 1400035 ACE BANDAGE 4IN. 0270 13.41$ 1400043 ACE BANDAGE 6IN. 0270 16.19$ 1441070 ALGO PK. 0270 55.91$ 4022976 ANGIODYN. PRESSURE STATION W/M-RA 0270 30.48$ 1481823 AQUACEL 12'' 0270 164.02$ 1475409 AQUACEL 12CM 0270 174.32$ 1468818 AQUACEL AG .39X18/420128 0270 52.31$ 1468412 AQUACEL AG .75X18/403771 0270 52.31$ 1468420 AQUACEL AG 4X5/420677 0270 43.69$ 1475383 AQUACEL DRESSIN 3.5''X10'' 412011 0270 156.43$ 1468453 AQUACEL FOAM 4X4/C420633 0270 10.63$ 1468446 AQUACEL FOAM 4X4/C420680 0270 10.52$ 1468461 AQUACEL FOAM 6X8/C420637 0270 27.72$ 1468487 AQUACEL FOAM 9.2X9.2/BFMLGSCRL 0270 19.28$ 1436005 AQUAMANTYS 6.0 BIPOLAR SEALER 0270 1,400.83$ 1414945 ARM SLING LARGE 0270 15.49$ 1414937 ARM SLING MEDIUM 0270 15.49$ 1414952 ARM SLING SMALL 0270 14.08$ 1400217 ARTERIAL LINE KIT 0270 155.55$ 1400233 ASEPTO SYRINGE 0270 5.18$ 1406586 BAG DECANTER II 0270 32.55$ 1400308 BASIC PACK 0270 28.23$ 1400324 Benzoin Ampules MC1544 0270 4.72$ 1400357 BILI MASK 0270 32.62$ 3301538 BIOPATCH CHG 0270 55.09$ 1455435 BLOOD SET NON-VENTED 180 MICRON 0270 33.12$ 4023008 BOS SCI. EXPO 6FR FL4 FEM LEFT 4X 0270 48.25$ 4022992 BOS SCI. EXPO 6FR IM INTERNAL 0270 48.25$ 4024444 BOS SCI. EXPO 5F PIG 110CM 0270 40.63$ 4024048 BOS SCI. EXPO 6F AR1 0270 40.63$ 4024436 BOS SCI. EXPO 6F FR4 0270 40.63$ 4024394 BOS SCI. EXPO 6F PIG 110CM 0270 40.63$ 1400514 BREAST PUMP/UNIV. 0270 221.27$ 1455476 BURETROL SOL. SET 0270 96.31$ 1415454 BUTTERFLY NEEDLE 23GA 0270 4.70$ 4003406 C1725 Armada 14 PTA balloon 4.0 x 200 x 150 0270 261.58$ 1407840 CAR SEAT - INFANT 0270 72.93$ 4023099 CARD. SHEATH KIT 7FR 13CM 0270 356.57$ 4023032 CARD. SUTURE 2-0 VICRYL PLUS 0270 7.01$ 4023057 CARD. SUTURE VICRYL 4/0 27'''' UNDYED 0270 14.67$ 4022117 CARD. DERMABOND VIALS 0270 52.28$ 4003448 CATH 5FR PIG 0270 40.63$ 4011292 CATH EXPO 6FR FL 3.5 0270 44.69$ 4003471 CATH EXPO 6FR FR3 5 0270 40.63$ 3605961 CATHETER 12FR 5CC 0270 15.74$ 1414879 CATHETER 14FR 5CC 0270 33.86$ 1414861 CATHETER 16FR 5CC 0270 33.86$ 1414846 CATHETER 18FR 30CC 0270 40.37$ 1414903 CATHETER 18FR 5CC 0270 33.86$ 1415009 CATHETER 20FR 30CC 0270 38.79$ 1414853 CATHETER 20FR 5CC 0270 33.74$ 1414820 CATHETER 22FR 30CC 0270 35.26$ 1414887 CATHETER 22FR 5CC 0270 33.74$ 1414838 CATHETER 24FR 30CC 0270 38.79$ 1414895 CATHETER 24FR 5CC 0270 33.86$ 1400696 CATHETER COUDE 16FR. 0270 137.67$

1414978 CATHETER COUDE 18FR 0270 81.36$ 1414960 CATHETER COUDE 20FR. 0270 70.52$ 1400704 CATHETER KIT FEMALE 0270 16.41$ 1400712 CATHETER MALE EXTERNAL 35MM 0270 8.67$ 1414788 CATHETER RED RUBBER 10FR 0270 4.13$ 1414770 CATHETER RED RUBBER 12FR 0270 4.54$ 1414762 CATHETER RED RUBBER 14FR 0270 4.72$ 1414754 CATHETER RED RUBBER 16FR 0270 4.72$ 1414747 CATHETER RED RUBBER 18FR 0270 4.13$ 1414721 CATHETER RED RUBBER 22FR 0270 4.13$ 1404623 CATHETER UMBILICAL VESSEL 5FR. 0270 114.69$ 3001377 CO2/O2 NASAL SAMPLING SET 0270 93.72$ 1411628 COBAN PEEL PK. 0270 26.03$ 1412485 COFLEX 2IN.TAN-LF 0270 3.61$ 1410035 COLD PACK-PERI PAD 0270 2.56$ 1400951 CORD CLAMP 0270 6.91$ 1485523 COVADERM 2X2IN 0270 2.40$ 1402890 DIAPERS NEWBORN-PAMPERS 0270 13.33$ 1402908 DIAPERS PREMIE-PAMPERS 0270 17.45$ 1401207 DISP SKIN STAPLER 0270 331.28$ 1442722 DRAINBAG 4000ML 0270 28.45$ 1401249 DRAINBAG/ADD-A-FOLEY 0270 150.24$ 1401280 DRESSING 8X6 0270 9.47$ 1401298 DRESSING ADAPTIC 3X3 0270 2.27$ 1401306 DRESSING ADAPTIC 3X8 0270 3.18$ 1441153 DRESSING DUODERM EXTRA THIN SPOTS 0270 4.30$ 1441146 DRESSING DUODERM HEEL 6X7/187903 0270 38.72$ 1441161 DRESSING DUODERM OVAL 4X6/187902 0270 23.67$ 1441138 DRESSING DUODERM SQUARE 3X3 0270 12.90$ 1441120 DRESSING DUODERM SQUARE 4X4/187955 0270 12.90$ 1459619 DRESSING PRISMA 4.34 0270 61.00$ 1459627 DRESSING PROMOGRAN 0270 52.62$ 1461870 DRILL 2.5MM 0270 1,418.62$ 1415017 EAR/ULCER SYRINGE 2OZ. 0270 4.02$ 1477334 ENDOTRACH TUBE 8.0 0270 6.38$ 1401348 ENEMA BUCKET 0270 10.42$ 1459361 EPUMP SET W/FLUSH BAG 0270 36.42$ 1440585 EPUMP SPIKE SETS (BAGS) 0270 45.35$ 1402957 EZ PEN (HANDSWITCH PENCIL) 0270 12.39$ 1440478 FECAL MANAGEMENT KIT/FLEXI-SEAL 0270 1,051.86$ 3103736 GAIT BELTS 54'' 0270 40.91$ 1401603 GAUZE 4X4 10'S 0270 3.09$ 1406677 GAUZE 4X4 2'S 0270 11.77$ 1407055 GAUZE FINE MESH 4X25 0270 23.39$ 1401496 GAUZE KERLIX 0270 13.10$ 1428606 GAUZE KERLIX LRG.RL.BULKEE II 0270 7.48$ 1404540 GAUZE RAYTEC 10'S 0270 4.24$ 1404730 GAUZE VASELINE 3X36 0270 11.44$ 1477312 GAUZE XEROFORM 1X8 0270 2.55$ 3602328 GCMH-CTH-CK-DWSN MUELR-G09706 0270 338.40$ 1420462 GCMH-DRAINBAG-URESIL-GRAVITY-T 0270 141.97$ 1412279 GCMH-DRAPE-ANGIO/29458 0270 70.99$ 1411131 GCMH-EVAC-CONT-BTL-1000/1A8504 0270 140.45$ 140624 GCMH-GOWN-STERILE/9541 0270 13.99$ 1459445 GCMH-IV-EXTENS-Onelink/7N8300 0270 13.38$ 3604717 GCMH-IV-INTERLNK-INJ/2N3399 0270 24.61$ 1415117 GCMH-IV-QK-CATH 18G/BF382544 0270 7.30$ 1404177 GCMH-TEGADERM/OPSITE DRESSING 0270 7.03$ 1442755 GCMH-Towel-OR-Xrdetect/706GX 0270 146.66$ 1455427 GEMINI 3 PORT SET 0270 26.88$ 1455518 GEMINI INF.SET W/YELLOW STRIPE 0270 33.36$ 1455484 GEMINI LOW SORBING SET 0270 62.57$ 1455450 GEMINI SET 20 DROP/2 PORT(BACKCHECK) 0270 24.04$

1401694 GROUNDING PAD 0270 11.13$ 1467851 HEEL PROTECTOR PREVALON 0270 299.26$ 1477089 HOT PKS. 0270 1.65$ 1466994 HOT/COLD THERAPY UNIT HIP/LUMBAR 0270 581.05$ 1468404 HOT/COLD THERAPY UNIT KNEE/SHOULDER 0270 581.05$ 1414598 HOTLINE FLUID WARMING SET 0270 131.02$ 1401900 ICE BAG - LARGE 0270 9.69$ 1401918 ICE BAG - SMALL 0270 4.13$ 1401967 INTRAN PLUS PRESSURE CATH. 0270 220.69$ 1401991 INVALID RING 0270 8.78$ 4025342 IOBAN 0270 26.87$ 1402007 IRRIGATION SET 0270 8.45$ 3000221 JACKSON REESE - AMBU 0270 124.15$ 1402098 JAMSHIDI NEEDLE 0270 145.40$ 1402064 JP FLAT DRAIN 10X20 0270 47.92$ 1410036 JP FLAT DRAIN 7X20 0270 21.51$ 1402049 JP RESERVOIR 0270 39.95$ 1477067 KAWASUMI HUBER NEEDLE 0270 6.16$ 1427541 KIWI OMNICUP 0270 169.96$ 1402247 LAP SPONGE 0270 10.85$ 1415041 LEG BAG-LARGE 0270 23.32$ 1415058 LEG BAG-MEDIUM 0270 22.37$ 1402379 LIMB HOLDER ADULT 0270 19.75$ 1411883 MASIMO SENSOR ADULT 0270 149.71$ 1431238 MASIMO SENSOR NEONATAL 0270 150.48$ 1455468 MAXGUARD 20 DROP SET(SECONDARY) 0270 7.17$ 1402528 MAYO STAND COVER 0270 7.25$ 4025557 MERIT ACCESS NEEDLE 18G 7CM 0270 9.00$ 1431550 MICRO VOLUME EXTENSION SET 0270 6.39$ 1414648 MINI VOLUME SET 0270 26.42$ 1402619 MONITOR ELECTRODES-A 0270 25.55$ 1443142 MULTI-LUMEN CVC KIT 0270 739.46$ 1459395 NASAL CANNULA/4707F HOLD-GS!! 0270 11.88$ 10000746 NEEDLE 18G 0270 1.24$ 676008406 NEEDLE 20G 1 X1.5'' 0270 1.54$ 4005286 NEEDLE ARTERIAL 21G X 11IN 0270 19.82$ 1412295 NOSEBLEED TRAY 0270 75.37$ 1407048 NU-GAUZE 1/2IN.IODOFORM 0270 17.49$ 1402734 NU-GAUZE 1/2IN.PLAIN 0270 18.03$ 1402742 NU-GAUZE 1/4IN.IODOFORM 0270 17.49$ 1402775 NU-GAUZE 1/4IN.PLAIN 0270 17.23$ 1408616 NU-GAUZE 1IN.IODOFORM 0270 22.19$ 1402767 NU-GAUZE 1IN.PLAIN 0270 19.51$ 1415074 NU-GAUZE 2IN.IODOFORM 0270 28.15$ 1408609 NU-GAUZE 2IN.PLAIN 0270 10.67$ 1402783 NURSING PAD 0270 13.72$ 3000262 O2 CONNECTING TUBING 0270 8.10$ 3000270 O2 SUB CHARGE 0270 48.20$ 1410331 ONE LINK J-LOOP CONNECTOR 0270 35.40$ 1402809 OPSITE FLEXIGRID DRESSING 0270 19.94$ 1488278 OPTIFOAM DRESSING 4X4 0270 9.19$ 6850033 ORTHO GLASS 2IN. 0270 146.26$ 1453687 ORTHO GLASS 5'' 0270 32.56$ 1431568 OXISENSOR ADULT PROBE 0270 75.71$ 1409655 OXISENSOR INFANT PROBE 0270 87.07$ 3002034 OXYGEN HOOD SETUP 0270 525.93$ 1439058 PACING ELECTRODE PADS ADULT 0270 154.88$ 1300534 PADS GEL TENDERCARE 0270 5.78$ 1455443 PCA Y-CONNECTION SET 0270 57.32$ 1471374 PEAK PLASMA BLADE 3.0S 0270 1,387.53$ 1402924 PEANUT SPONGES 0270 7.38$ 1402999 PERI BOTTLE 0270 13.57$ 1403104 PLEUR EVAC SINGLE 0270 313.89$

1411578 PNEUMOTHORAX KIT 0270 378.65$ 1488945 PROBE 3.5MM HOOK ATHROSCOPIC SERFAS 0270 439.31$ 1408525 RADIAL ARTERY CATH. 0270 86.04$ 4012845 ROOM TEMP CO-SET INJECTATE SYSTEM 0270 57.55$ 1415306 SAFETY VEST-X LARGE 0270 71.43$ 1415140 SALEM SUMP 16FR. 0270 57.90$ 1415157 SALEM SUMP 18FR. 0270 57.90$ 1403336 SANITARY NAPKINS 0270 4.32$ 1434540 SCD- FOOT CUFF LRG 0270 148.13$ 1434539 SCD FOOT CUFF-REGULAR 0270 148.13$ 1439009 SCD PAD KNEE HIGH LARGE 0270 234.48$ 1438993 SCD PAD KNEE HIGH MEDIUM 0270 139.83$ 1438753 SCD-LEG PAD MEDIUM 0270 268.05$ 1438688 SCD-LEG PAD SMALL 0270 257.82$ 2800332 SECONDARY IRRIG SET/6541-01 0270 15.16$ 1403385 SIGMOIDOSCOPE-DISP. 0270 20.47$ 4025649 SJM PEAK PLASMA BLADE 3.0S 0270 1,387.53$ 1403468 SKIN STAPLE REMOVER 0270 7.12$ 1469386 SPEAKING VALVE - AQUA VALVE 0270 323.96$ 1403542 SPINAL ANESTHESIA TRAY 0270 126.03$ 1405588 SPIRAL ELECTRODE 0270 31.68$ 1431105 STATLOCK IV STABILIZATION KIT 0270 44.18$ 1406206 STERI STRIPS 1/4 X4/MR1546-CLEAR 0270 9.47$ 1403740 STOCKINETTE 4IN. 0270 4.09$ 1402155 STOPCOCK 3WAY 0270 7.12$ 1401017 SUCTION CATH. DELEE 10FR. 0270 6.09$ 1415165 SUCTION CATH.& GLOVE 10FR. 0270 7.76$ 1415173 SUCTION CATH.& GLOVE 14FR. 0270 4.85$ 1415181 SUCTION CATH.& GLOVE 18FR. 0270 7.94$ 14771135 SUCTION TUBING-OR 0270 4.52$ 4025169 SURE FIT ELECTRODES 0270 13.02$ 1441369 SUR-FIT DRAINABLE POUCH 2 1/4'''' 0270 10.77$ 1432202 SUR-FIT DRAINABLE POUCH 2 3/4'''' 0270 8.60$ 1441351 SUR-FIT UROSTOMY POUCH 1 3/4'''' 0270 12.90$ 1441427 SUR-FIT WAFER 2 1/4'''' CONVEX 0270 32.27$ 1441450 SUR-FIT WAFER 2 1/4'''' MOLDABLE 0270 12.90$ 1433929 SUR-FIT WAFER MOLDABLE 2 3/4 0270 12.90$ 1410047 SURGICAL PREP TRAY-BLUE 0270 9.77$ 1406172 SURGICEL 2X3 0270 268.35$ 1403930 SURGIPAD 5X9 0270 0.91$ 1458348 Suture 4-0 Vicryl RB-1 27in J214H 0270 9.98$ 1434448 SUTURE 830H 0270 12.90$ 4025359 SUTURE -ETHIBOND CT-2 0270 8.27$ 1458066 SWABKIT 10ML 0270 0.96$ 1420496 SYRINGE TOOMEY 0270 2.18$ 1415363 TED HOSE CALF LARGE 0270 27.78$ 1415371 TED HOSE CALF MEDIUM/CTN. 0270 27.78$ 1415389 TED HOSE CALF SMALL 0270 26.41$ 1415355 TED HOSE CALF XLRG. 0270 26.41$ 1415322 TED HOSE THIGH HIGH-LRG. 0270 48.36$ 1415330 TED HOSE THIGH HIGH-MED. 0270 48.36$ 1415348 TED HOSE THIGH HIGH-SM. 0270 48.36$ 1415314 TED HOSE THIGH HIGH-XLRG. 0270 66.81$ 1432020 TEGADERM-CHG 0270 55.91$ 1404201 TELFA PADS 0270 1.05$ 1410048 TENDERFOOT HEEL STICK 0270 129.75$ 1404292 THORACENTESIS TRAY 0270 138.89$ 1431501 THORACENTESIS/PARACENTESIS TRAY 0270 197.96$ 1415397 THORACIC CATHETER 24FR. 0270 35.21$ 1404300 THORACIC CATHETER 28FR. 0270 17.34$ 1405000 TRACH CARE TRAY 0270 9.63$ 1477131 TRACH TUBE/8CFN 0270 165.01$ 1466556 TRANSDUCER COVER FLEX 610-575 0270 50.55$

1404508 TRANSDUCER DISPOSABLE PX260 0270 325.00$ 1404573 TUBE & CORD HOLDER 0270 7.30$ 1402932 UA COLLECTOR PEDI 0270 8.78$ 1415249 UROMETER 16FR. 0270 116.49$ 1402791 VAG DELIVERY PACK 0270 64.05$ 3001484 Vapotherm Initial 0270 454.32$ 3001492 Vapotherm Subsequent 0270 113.58$ 1411479 WOUND CLOSURE TRAY (LACERATION TRAY) 0270 29.74$ 1421510 WOUND VAC DAILY 0270 296.49$ 1477323 XEROFORM GAUZE 5X9 0270 4.20$ 1404599 X-SPAN #6 0270 69.25$ 1404839 YANKAUER-BULBOUS 0270 4.30$ 4026597 Z-MED QUICK CLOT RADIAL 0270 138.40$ 3000395 SPIROMETER 0271 78.16$ 4025878 TERUMO GLIDECATH ANGLED TAPER 5FR CATHETER *CG508 0271 835.73$ 1420298 0160-20 Kimberly Clark PEG Kit Direct 20fr 0272 341.36$ 1444157 054 X 6'''' GUIDE WIRE 0272 82.14$ 6680193 ¼” Iodoform Packing Strip #7831 0272 16.12$ 6680194 ½” Iodoform Packing Strip #7832 0272 16.71$ 6680192 ½” Iodoform Plain Packing #7632 0272 14.64$ 1435323 1/4 SQ JACOBS ADAPTER *215-00-012 0272 1,402.50$ 1422682 10' INSUFF TUBING W/LUER LOCK 0272 71.62$ 1412667 10/10 SUMP CANN NO HOLES 32CM 0272 511.95$ 6680173 10mm Endopouch Retriever #POUCH 0272 240.79$ 6680002 10mm Ligaclip 0272 861.92$ 6680107 14fr Suction Cath-n-Glove 0272 2.40$ 6680196 16fr Red Rubber Catheter 0272 12.67$ 6680028 18” Double Tourniquets (Bier Blocks) 0272 180.17$ 6680025 18” Sterile Tourniquets 0272 78.35$ 1493512 180MM HALF RING *DNE-180-5 0272 2,252.25$ 6680170 18g x 3 ½” Tuohy Epidural Needles #332166 0272 25.63$ 6680152 18g x 6” Spinal Needles #408360 0272 29.60$ 1447085 2.0 OR SURGIBIT DRILL 0272 305.05$ 6680140 2.0mm Biopsy Punch #33-31 0272 9.30$ 1492901 2.0MM X 152MM K-WIRE (6IN) *KW 20SS 0272 100.32$ 1435334 2.7 DRILL SLEEVE PROTECTOR *320-27-006 0272 577.50$ 1492912 2.7MM MEASURING DRILL SLEEVE *110017661 0272 448.80$ 1492889 2.7MM X 160MM CALIBRATED DRILL BIT *214227070 0272 349.87$ 1431386 2.8 DRILL BIT 0272 260.10$ 6680065 2” Ace Bandage 0272 9.55$ 6680209 2” Scotchcast Casting Tape #82002 0272 12.36$ 6680005 20g I.V. Catheter 0272 7.39$ 6680036 20g x 10cm, 100mm Venom Cannula 0272 157.92$ 6680262 20mm x 12mm Loop Electrode 0272 49.96$ 6680004 22g I.V. Catheter 0272 7.39$ 6680151 22g x 5” Spinal Needles #405148 0272 12.96$ 6680026 24” Sterile Tourniquets 0272 90.59$ 6680147 27g x 1 ½” Needles #301629 0272 0.21$ 1468313 29MM ENDOSCOPIC CURVED STAPLER 0272 1,560.13$ 6680225 2x2’s Gauze 0272 0.07$ 1452192 2XL Flyte Toga 408-840-100 0272 478.30$ 1435012 3 X 110 APEX S/D HALF PIN 25 THR DRILL BIT *5038-2-110 0272 273.37$ 1492890 3.2MM CALIBRATED DRILL BIT *110017537 0272 643.50$ 1492923 3.2MM MEASURING DRILL SLEEVE *110017561 0272 815.10$ 1492667 3.3MM X 40MM SINGLE USE DRILL BIT 0272 858.00$ 6680092 3.5mm Un-cuffed Trach Tube #86224 0272 4.74$ 6680184 3” Conform Stretch Bandage #2232 0272 2.78$ 6680067 3” Stockinette 0272 54.54$ 6680220 30g x 1” Needles #3603010 0272 0.83$ 1455294 3204 -VISCERA RETAINER FISH 0272 144.85$ 6680027 34” Sterile Tourniquets 0272 100.83$ 6680049 36fr Nasopharyngeal Airway #123036 0272 15.09$ 1401033 3MM BALL ELECTRODE 0272 88.42$

6680187 4 x 4 10’s Gauze Sponges 0272 3.15$ 6680190 4 x 4 10’s X-Ray Sponges 0272 4.48$ 6680155 4” Coban 0272 12.34$ 6680185 4” Conform Stretch Bandage #2236 0272 3.38$ 6680128 4” Elastic Bandage #79-98717 0272 17.08$ 6680228 4” Ortho Glass #OG-4L1 0272 247.87$ 6680210 4” Scotchcast Casting Tape #82004 0272 18.34$ 6680068 4” Stockinette 0272 69.82$ 1485767 4-HOLE MALE POST 0272 390.18$ 6680186 4x4’s Gauze Sponges #3033 0272 0.57$ 1435078 5.0 PROLENE HEMO SEAL RB 36, 17MM 1/2C TAPER NEEDLE *HS8556 0272 35.67$ 6680053 50ml Isovue 0272 19.26$ 1453281 5555-4600 Triathlon Precision Tibial Sizer Kit 0272 470.83$ 4015582 5F MICRO PUNCTURE SET-0.018X40CM NITINOL GW 0272 105.89$ 1485756 5HOLE MALE POST 0272 405.20$ 6680156 5mm Laparoscopic Kittner 0272 80.12$ 6680116 5mm x 32cm L-Hook w/Suction 60-5272-132 0272 92.35$ 6680189 5x9 Abdominal Pad #7196 0272 0.74$ 1403534 6'''' STERILE SOF-ROLL CAST PADDING 0272 33.19$ 6680251 6.0mm Biopsy Punch #96-1150 0272 9.35$ 6680064 6” Ace Bandage 0272 43.96$ 6680130 6” Elastic Bandage #79-98718 0272 23.57$ 6680041 7.0mm Gliderite Trach Tube 0272 14.65$ 6680059 7” Headrest 0272 43.48$ 1433630 700347 DRILL BIT 2.5x125mm (GOLD) 0272 378.32$ 1444710 702449 CANN 2.7 Twist Drill w/ AO F 0272 1,735.39$ 1453471 8305H SUTURE 6-0 PROLENE 24'' BV1 0272 64.92$ 1453463 8424H SUTURE 0 PROLENE 30'' CT1 0272 13.83$ 6680195 8fr Red Rubber Catheter 0272 5.05$ 6680034 90-S Serfas Energy Cruise Probe 0272 761.88$ 6680141 A.C.T. 18gx11cm Biopsy System 0272 175.80$ 4027289 ABBOTT ARMADA 35 4MM X 80MM X 135CM CATHETER *B2040-080 0272 511.50$ 4024512 ABBT ARMADA BALLOON 14 4.0 X 40 MM X150 CM *A-2040-040 0272 617.10$ 4023339 Abbt. ASAHI FIELDER XT 300 0272 82.42$ 4023420 ABBT. HI-TORQ BMW 300CM 0272 82.42$ 4023412 Abbt. HI-TORQ WHISPER 3X 190 STR 0272 82.42$ 1435932 Absorbatack 5mm ABSTACK30 0272 3,436.30$ 1492390 ACETABULAR LINER CONSTRAINED 36MM 0272 9,015.60$ 4005195 ADAPTER GW ESSENTIALS Y TYPE K 0272 143.50$ 1430966 Adhesive Dermabond ProPen DPP6 0272 131.23$ 6680081 Adult Ambu Bag #5372 0272 91.67$ 6680178 Adult Stylet 14fr 0272 6.93$ 1417963 ADVANCED PERCUTANEOUS TRACH INTRO TRAY 0272 1,789.85$ 1429224 AIRWAY GUEDEL 80 HOLD/STOCK!! 0272 5.35$ 1429216 AIRWAY GUEDEL 90 HOLD STOCK!! 0272 5.89$ 14771117 Airway, Endotracheal Nasal Rae Cuffed 6.5 0272 50.80$ 14771317 Airway, Endotracheal Oral Rae Cuffed 4.5 0272 50.80$ 1477172 Airway, Endotracheal Tube 7.0 0272 50.80$ 14771719 Airway,Guedel 60mm 0272 50.80$ 14771819 Airway,Guedel 70mm 0272 50.80$ 1434588 ALEXIS WOUND RETRACTION SYSTEM XL 0272 428.25$ 3603941 ALLIANCE II INFLATION SYSTEM 0272 221.42$ 1430917 Ambu Adult Manual Resuscitator 0272 105.41$ 1493412 ANGIO DRAPE *29459 0272 15.25$ 4023024 Angiodyn. MICRO ACCESS GUIDEWIRE .018X 45CM 0272 91.42$ 4023164 Angiodyn. NAMIC ANGIOGRAPH MANIFOLD MED PRESSURE 0272 17.28$ 4023123 Angiodyn. TRANSDUCER 1& 3 WAY 24'''' 0272 41.91$ 4026190 ANGIODYNAMICS SFOT VU SOS OMNI SELECTIVE 5FR 80CM 0272 49.50$ 4026956 ANGIODYNAMICS SOFT VU COBRA 2 5FR X 90CM *10719705 0272 49.50$ 4026901 ANGIODYNAMICS SOFT VU SIDEWINDER 1 5FR X 100CM CATHETER *107 0272 49.50$ 4026967 ANGIOGRAPHIC CATHETER PIG W/ MARKERS 5FR X 65CM *532-598C 0272 224.40$ 4026889 ANGIOGRAPHIC CATHETER RIM BRAIDED 5F X 65CM X .035IN *117333 0272 181.50$ 4025389 ANGIOJET ULTRA POWER PULSE KIT *104834-0020 0272 112.20$

1427236 ANTIMICROBIAL EXPANSION KIT 0272 267.16$ 1475391 AQUACEL 14'' 0272 174.32$ 1484101 AQUACEL 14'' 0272 131.89$ 1484089 AQUACEL 9X10 0272 69.42$ 4027156 ARMADA 14 0.014 OTW BALLOON 1.5 X 120 X 150CM *A2015-120 0272 792.00$ 4027089 ARMADA 14 0.014 OTW BALLOON 2.5 X 60 X 150CM *A2025-060 0272 561.00$ 4025845 ARMADA 14 0.014 OTW BALLOON 3.0 X 200 X 150CM *A2030-200 0272 871.20$ 4024523 ARMADA 14 0.014 OTW BALLOON 4.0 X 80 X 150CM *A2040-080 0272 617.10$ 4024901 ARMADA 2X20X150CM CATH 0272 871.20$ 4026578 ARMADA 35 PTA CATHETER 5.0MM X 80MM X 135CM *B2050-080 0272 313.50$ 4026567 ARMADA PTA CATHETER 2.0MM X 120MM X 150CM *A2020-120 0272 792.00$ 1435289 ARTHREX 11MM FLIP CUTTER 11 *AR-1204AF-110 0272 1,072.50$ 1434723 ARTHREX ANGLED REAMER SMALL *AR-9675-S 0272 818.40$ 1435545 ARTHREX BIOCOMPOSITE MENISCAL ROOT REPAIR KIT *AR-4550BC 0272 5,610.00$ 1434656 ARTHREX CAGE SCREW SIZER *AR-9401-08S 0272 363.00$ 1434790 ARTHREX DRILL BIT 2.0MM CALIBRATED *AR-8943-16 0272 313.50$ 1434778 ARTHREX DRILL BIT 2.5MM *AR-4160-25 0272 260.70$ 1434789 ARTHREX DRILL BIT 2.5MM CALIBRATED *AR-8943-13 0272 280.50$ 1434990 ARTHREX DRILL BIT 3.0 *AR-9628-S 0272 630.30$ 1434245 ARTHREX DRILL CANNULATED 7.5MM *AR-1218-75 0272 643.50$ 1435145 ARTHREX DRILL SPADE TIP 3.9MM *AR-2326D 0272 346.50$ 1491290 ARTHREX SUTURE CUP 36 NEUTRAL *AR-9502F-36CPC 0272 5,890.50$ 1467513 ARTHROSCOPIC SHAVER 2.5MM 0375-628-000 0272 1,268.48$ 1411057 ARTHROSCOPY TUBING/6410 0272 184.99$ 1491089 ASCERTA UTEREAL STENT 6X26CM 0272 483.12$ 3608401 ASEPT PERITONEAL DRAIN SYSTEM CATH/INSERTION *M7008 0272 1,600.50$ 1477198 Athletic Supporter,Adult,Lg 0272 50.80$ 1492323 ATHROSCOPIC BONE SHAVER 4X125MM 0272 825.00$ 1489056 AUGMENTED DRILL W STOP 0272 3,230.70$ 1489045 AUGMENTED REAMER GUIDE W BUSHING 0272 5,445.00$ 1484190 AUTO SUTURE 0272 553.32$ 1481401 AUTOGAURD NEEDLE 18X1.16'' 0272 7.29$ 6680212 Auxiliary Water Tube 0272 235.59$ 4025167 AZUR COIL 10X19CM 0272 3,788.40$ 4025178 AZUR COIL 6X9CM 0272 3,788.40$ 4025156 AZUR COIL 8X24CM 0272 3,788.40$ 1477136 Bag,Colostomy,Disp 0272 50.80$ 1477165 Bair Hugger,Multi Access 0272 43.92$ 1409812 BAIR HUGGER-UPPER BODY/522 HOLD ANES. 0272 141.97$ 1477267 BALL ELECTRODE 24FR 27050NK 0272 458.27$ 4024889 BALLOON CATHETER 7X80X138 0272 344.85$ 1493289 BALLOON IVAS 136 15MM *1021-315-000 0272 4,620.00$ 14771131 Balloon,C-R-E Esophageal Expansion,10-11-12 5835 0272 50.80$ 14771231 Balloon,C-R-E Esophageal Expansion,12-13.5-15 5836 0272 50.80$ 14771331 Balloon,C-R-E Esophageal Expansion,15-16.5-18 5837 0272 50.80$ 14771431 Balloon,C-R-E Esophageal Expansion,18-19-20 5838 0272 50.80$ 14771930 Balloon,C-R-E Esophageal Expansion,6-8 5833 0272 50.80$ 14771031 Balloon,C-R-E Esophageal Expansion,8-10 5834 0272 50.80$ 14771218 Balloon,Dilation,Maxforce 10 Mm 0272 50.80$ 4003737 BAND TR LNF RDS 29CM ZBLN AIR 0272 200.11$ 4011177 BAND TR LNG RDS 24CM 2BLN AIR 0272 237.47$ 14771812 Bandage,Esmark (LF) 0272 50.80$ 1477545 BARD EAGLE INFLATION DEVICE 325110 0272 207.42$ 1434323 BARD POLYURETHANE CATHETER 5FR *0700515 0272 495.00$ 4025778 BARD SNARE LOOP *SPK30 0272 1,155.00$ 1468370 BASIC SETUP MODULE 0272 388.03$ 1480589 BAYONET WIRE 2.0 0272 600.26$ 1434612 BELMONT 3 SPIKE DISPOSABLE SET *903-00006P 0272 468.86$ 1434623 BELMONT 3.6 LITER RESERVOIR *903-00018P 0272 406.43$ 1419282 BERKLEY PUMP TUBING/23116 0272 266.72$ 1408228 BETADINE PREP 4OZ 0272 17.20$ 3400546 BIER Blocks-OSC 0272 589.05$ 1472489 BILE DUCT EXPLORATION SET 0272 4,418.87$

3608223 BILIARY DRAINAGE CATHETER 40CM *G09829 0272 316.93$ 14771822 Binder,Abdominal 36''''-64'''' 0272 50.80$ 1438480 Biomet Drill Pins 1/8 32-486265 0272 371.55$ 1435593 Biomet Knee Positioner 740026 0272 1,466.61$ 1438654 Biomet Security Blade 200068 0272 817.38$ 1471457 BIO-PREP BONE PREP KIT (PREP-IM KIT) 0272 2,642.78$ 6680019 Biopsy Forceps 3.2mm 0272 47.33$ 1409838 BIOPSY INSTRUMENT-DISP. 0272 757.17$ 1488523 BIOPSY SUCTION VALVE 0272 64.90$ 1489934 BIOPSY SYSTEM ADJUSTABLE 14G 0272 199.65$ 6680213 Biopsy Valve (Reposable) 0272 10.36$ 1413467 Bit 2.5mmx110mm Drill 310.25 0272 448.79$ 1447275 Bit 2.7 Three Fluted Drill 315.28 0272 712.78$ 1424555 Bit 2.8mmx165mm Drill 310.288 0272 554.40$ 1433648 Bit 3.2mmx204 Drill 702742 0272 412.45$ 1455781 Bit Drill 1.5mm 310.507 0272 923.96$ 1411099 Bite Blocks 000429 0272 9.28$ 14771329 Blade 1'''' Coated 139100 0272 46.18$ 1429687 Blade 1.27mm Saw 6125-127-090 0272 308.99$ 1467539 Blade 3.5mm Agg Plus 0375-534-000 0272 227.94$ 1444082 Blade 4.0mm Agg Plus 375-544-000 0272 260.78$ 1444108 Blade 4.0mm Barrel Bur 375-941-012 0272 276.23$ 1444090 Blade 4.0mm Tomcat 375-545-000 0272 273.21$ 1449347 Blade 5.0mm Agg Plus 375-554-000 0272 266.55$ 1444074 Blade 5.0mm Resector 375-552-000 0272 259.89$ 1467463 BLADE SMALL OSCILLATING KM3-103 0272 41.91$ 14771228 Blood Set Non-Vented 180 Micron 10015414 0272 50.80$ 1492634 BLUNTED TROCAR POINT 5.0MM X 200MM 0272 374.88$ 6680255 BM Biopsy Needle , J Type 11g x 6” 0272 1,109.56$ 14771727 Bmini Cold Therapy P7145A 0272 50.80$ 1480545 BOLT FIXATION WIRE 0272 750.33$ 1487090 BONE BLADE 7X12.5MM 0272 343.44$ 1487101 BONE BLADE NARROW 7X13MM 0272 667.81$ 1400498 Bone Cement, Simplex P Radiopaque (Stryker) 0272 385.84$ 1489001 BONE HARVESTER 0272 6,534.00$ 6680082 Bone Marrow Biopsy Tray 0272 106.98$ 1481134 BONE MIXING SYSTEM 0272 1,269.79$ 1486978 BONE PIN 3.2X140MM 0272 1,111.23$ 1480712 BONE PREPARATION BIOPREP 0272 380.39$ 14771924 Bone Staples 0272 50.80$ 4026100 BOS SCI SYNERGY (MR) 2.25 mm x 20 mm 0272 6,602.88$ 4026118 BOS SCI SYNERGY (MR) 2.25 mm x 24 mm 0272 6,002.63$ 4026134 BOS SCI SYNERGY (MR) 2.25 mm x 32 mm 0272 6,002.63$ 4025995 BOS SCI SYNERGY (MR) 2.50 mm x 16 mm 0272 6,602.88$ 4026019 BOS SCI SYNERGY (MR) 2.50 mm x 24 mm 0272 6,002.63$ 4024899 Bos Sci. EXPO 5F PIG 145CM 0272 40.63$ 4024014 Bos Sci. EXPO 6F FR5 0272 40.63$ 4024469 Bos Sci. EXPO 6F LCB 0272 44.69$ 4024428 Bos Sci. EXPO 6F PIG 125CM 0272 44.69$ 4027323 BOSTON ROTATABLE SNARE 13MM *M00561820 0272 59.20$ 1434434 BOSTON SCIENTIFIC FLEXIVA LASER FIVER 550 *M0068403930 0272 1,317.36$ 1400928 BOTTLE TO BOTTLE TUBING 0272 10.63$ 1410000 Bovi Tip Ez Clean Long 0014 0272 189.29$ 6680052 Bovie Pencils 0272 50.37$ 1423581 Bovie Tip EZ Clean 0012 0272 21.53$ 14771214 Bridge,Loop Ostomy 0272 50.80$ 14771318 Brush,Cytology,Disp 0272 50.80$ 1477146 Brush,Microbiology 0272 50.80$ 6680010 BSS Sterile Irrigating Solution 15ml #0065-1795-15 0272 10.91$ 1489290 BTB TIGHT ROPE 0272 1,542.75$ 1488534 BUFFALO FILTER PLUME PEN 0272 148.50$ 6680226 Bulkee Gauze Bandage 0272 7.79$ 1449461 Bur 4.0mmx9.5mm Oval Steel 16-S0903 0272 90.19$

1437763 Bur Pear Shaped Steel 16-S1201 0272 96.81$ 6680075 Buretrol Solution Set 0272 22.45$ 1488467 BURR ROUND 4.0MM 12-FLUTE 0272 671.55$ 4003380 C1769 BWG 0.35 x 145 CL [GCMH] 0272 200.11$ 4003414 C1769 TPTAGW 0.014 x 300 cm [GCMH] 0272 203.17$ 1492345 CABLE READY GRIP SYSTEN W CRIMP 0272 1,023.33$ 1445477 Canister Berkeley Avac 003984-901 0272 86.24$ 1443274 Cannula 10mm Vacurette Curved 21553 0272 31.22$ 14771730 Cannula 14mm Vacurette Curved 21593A 0272 50.80$ 1488078 CANNULA GEMINI RETAINING SR8 SELF 0272 667.81$ 1491523 CANNULA LEFT MID 0272 108.90$ 1487334 CANNULA TWIST 7X7 0272 95.39$ 1477135 Cannula,Twist-In, Arthex 0272 50.80$ 1470335 CANNULATED DRILL 3.0 0272 977.72$ 1434601 CANNULATED DRILL 5.6MM AO FITTING *702611 0272 1,914.00$ 14771531 Capnography Gas Tube 010433 0272 50.80$ 1455740 CAPNOGRAPHY O2 TUBE 0272 107.73$ 1482634 CAPTIFLEX 13MM 0272 63.72$ 1466515 CARBON ROD 200MM 5048-5-200 0272 648.95$ 4026101 CAREFUSION PLEURX DRAINAGE KIT *50-7510 0272 194.70$ 1488101 C-ARM COVER COVERTOR 0272 57.24$ 1486290 C-ARM DRAPE KIT 0272 76.32$ 1476985 C-ARM DRAPE VMC60-5427 0272 42.24$ 6680174 C-arm Easy Covers 0272 7.77$ 1435940 Cartridge Falcon Osc Tip Saw 6625-127-105 0272 1,788.04$ 1477103 Cast Padding 3'''' 0272 50.80$ 1477113 Cast Padding 6'''' 0272 50.80$ 14771611 Cast Shoe; Medium 0272 50.80$ 14771221 Cast,Dynacast Extra 2x4'''' 0272 50.80$ 4025201 CAT8 INDOGO SYSTEM 0272 10,774.50$ 1405547 Cath 5frx70cm Flex Tip 139005 0272 105.41$ 1477534 CATH BALLOON NEPHROMZX M0062101170 0272 1,083.42$ 4003927 CATH EXPO 6FR AL1 0272 44.69$ 4003919 CATH EXPO 6FR AR1 0272 40.63$ 4011318 CATH EXPO 6FR FL4 5 0272 40.63$ 4003802 CATH EXPO 6FR FR3 5 0272 44.69$ 4012944 CATH EXPO 6FR IM CRV 0272 44.69$ 4011342 CATH EXPO 6FR WR CURVE 0272 44.69$ 4003836 CATH EXPOS 6FR MPA1 0272 40.63$ 4011284 CATH EXPOS 6FR MPA2 0272 40.63$ 4013611 CATH LAB PACK 845 GERALD CHAMPION REG 0272 446.84$ 4003935 CATH WIRE VASC 185CM .014IN FLPY TIP 0272 393.28$ 14771426 Catheter 24fr 30cc 3way Convilair 570624 0272 46.18$ 14771226 Catheter 24fr 30cc Foley O167L22 0272 50.80$ 1417948 CATHETER 3WAY 24FR 30CC 0272 130.34$ 1434620 Catheter 4fr Open Tip Ureteral 134104 0272 83.92$ 1477129 Catheter Adapter 0272 50.80$ 4025323 CATHETER INPACT 5X120MM 0272 4,620.00$ 4011482 Catheter Pigtail 5fr 110cm 0272 9.50$ 1421916 Catheter Thermal Balloon Abl. TC003 0272 2,311.36$ 14771614 Catheter,Jelco 14ga 0272 50.80$ 14771814 Catheter,Jelco Stripe 22ga 0272 50.80$ 1477115 Catheter,Radial Artery Set 20ga. 0272 50.80$ 14771519 Catheter,Subclavin 2 Lumen 0272 50.80$ 1477125 Catheter,Subclavin 3 Lumen 0272 50.80$ 1477196 Catheter,Ureteral,12FR 0272 50.80$ 6680120 Cautery Pencils #AA00 0272 39.01$ 1453844 CDS Drape CDS-3072-DD 0272 283.59$ 1493267 CEMENT AUTOPLEX VERTAPLEX *0605-687-000 0272 2,194.50$ 1480701 CEMENT MIXING SYSTEM 0272 356.06$ 1487489 CHECK FLO ADAPTER 0272 95.39$ 4025856 CHECK FLO PERFORMER INTRODUCER SHEATH 16FR 70CM *G09582 0272 306.90$ 1487012 CHECKPOINT 3.5MM HEX 0272 393.86$

1486967 CHECKPOINT KIT 0272 414.04$ 1487456 CHEST TUBE 0272 191.66$ 4026738 CHLORAPREP 0272 1.42$ 2501393 CHLORAPREP W/TINT 0272 31.83$ 6680072 Chloraprep w/Tint 10.5ml 0272 19.20$ 2501427 CHLORAPREP W/TINT 3ML 0272 4.47$ 1466481 CLAMP 4 HOLE PIN 4941-2-020 0272 2,414.51$ 4025712 CLASSIC SPLITTABLE SHEATH 8FR 13CM *CLS-1008 0272 113.55$ 1431212 Clearlink System 2N8378 0272 25.82$ 1461102 CLOSURE SYSTEM 0272 643.71$ 1410638 COATED NEEDLE W/EXT 1'''' 0272 52.31$ 4025412 COATED PTA BALLOON CATHETER 10.0MM X 40MM X 80CM *IAV1000400 0272 5,395.50$ 3103652 COBAN-2 LAYER COMPRESSION 0272 88.24$ 1477235 CONE TIP CATH 8FR 138008 0272 32.19$ 1493878 CONICAL EXTRACTION ROD 0.8 *1806-0350 0272 914.27$ 1419290 Conmed GEN Endocap Procedure Charge 0272 1,430.44$ 1425891 Conmed GYN Endocap Procedure Charge 0272 1,430.44$ 1403088 CONNECTOR 6 IN 1 STRAIGHT 0272 17.20$ 1436286 Connector M Opus Smartstitch OM-8007 0272 389.16$ 6680076 Continue Flo Solution Set Tubing 0272 13.61$ 6680201 Contrast 25gx4mm Injection Therapy Needle 0272 120.52$ 2201176 CONTRAST DUAL SYRINGE KIT 0272 103.93$ 1423920 Contrast Dye .Hypaque 0272 322.66$ 1485623 CONVEX REAMER 18MM 0272 734.59$ 3608412 COOK FIXED CORE WIRE GUIDE *G00902 0272 49.50$ 4006987 COPILOT BLEEDBACK CONTROL VALVE 0272 120.79$ 4022364 CORD.EMERALD .035X 260 0272 29.35$ 4025227 Core Wire Guide .025x180cm 0272 76.20$ 1472620 COUNTERSINK 0272 1,650.73$ 1470327 COUNTERSINK 3.0 0272 977.75$ 1481945 COUNTERSINK LG 0272 1,962.40$ 1434927 COUNTOUR CURVED RELOAD (GREEN) 0272 391.09$ 14771230 Cover Light Handle 31140257 0272 50.80$ 1456417 Cover Sentenial Node Probe VPC0699 0272 58.84$ 14771820 Cover,Table, Double Level 0272 50.80$ 4026089 CRAGG-MCNAMARA INFUSION CATHETER 135CM X 50CM X .038 0272 442.20$ 6680129 CRE Pro Wireguided 10-12 0272 841.10$ 6680133 CRE Pro Wireguided 12-15 0272 841.10$ 6680138 CRE Pro Wireguided 15-18 0272 841.10$ 6680144 CRE Pro Wireguided 18-20 0272 841.10$ 1468396 C-SECTION MODULE 0272 578.93$ 4026090 CSI VIPERWIRE W/FLEX TIP .014 X 335CM *VPR-GW-FLEX14 0272 495.00$ 1410315 CUDA 5.5/C9255 0272 360.77$ 1434189 CURVED TIP INTELLIGENT RELOAD RED 45MM *SIGSDL45CTVT 0272 2,966.30$ 1434001 CURVED TIP RELOAD GRAY 30MM VASCULAR 8MM SHORT *SIGSDS30CTV 0272 2,772.00$ 1433990 CURVED TIP RELOAD WHITE 30MM/VASCULAR/THIN *SIGSDS30CTVT 0272 2,813.05$ 4025378 CUSTOM INFLATION KIT 0272 642.68$ 1437748 Cutter 35mm Std Endoscopic Linear TSB35 0272 927.78$ 14771527 Cutter 45mm Endoscopic Linear ETS45 0272 50.80$ 1422237 Cutter 75mm linear TLC75 0272 739.18$ 1490578 CUTTER RESECTOR 5X125MM 0272 816.75$ 1435345 C-WIRE SPADE 0.045 INCHES 1.14MM *00505024300 0272 17.56$ 1424720 CYSTO MODULE 0272 376.32$ 4010807 DECANTER 21.6CM RGD TBG CLMP DLP 0272 384.58$ 6680269 Defendo Valve and Connector Kit 0272 33.15$ 1426170 DELTA FLO SUCTION HANDLE 0272 117.04$ 1412824 DERMABOND ADV VIALS 0272 104.37$ 3604204 DERMABOND SKIN ADHESIVE VIALS 0272 103.93$ 1483678 DERMAGRAFT CARRIERS 0272 56.95$ 4027690 DES STENT 2.25X15MM 0272 4,386.54$ 4025967 DESTINATION 6FR 90CM CROSS CUT MULTI PURPOSE SHEATH 0272 365.97$ 1435163 Device 2.3mmd Spdr Nt Rtrvl 00230A 0272 273.21$ 1436823 Device 24fX2.4cm Button Replacement 000286 0272 489.79$

1431097 Device Specimen TranSpec 8390 0272 101.97$ 1488478 DIALYSIS CATH 57CM 0272 127.05$ 1490012 DIP NINTOL LOOP FREE NEEDLE 0272 5.21$ 1488445 DISP FACEMASK FOR POSITIONING 0272 272.25$ 1488512 DISP KIT TRANSTIBIAL ACL 0272 108.90$ 1493501 DISPOSABLE KIT FOR 2.6 FIBERTAK/DR SUTURE ANCHOR *AR-3650DS 0272 643.50$ 4025690 DISPOSABLE TEMP EXTENSION CABLE *FL-601-97 0272 53.03$ 1487590 DOUBL;E ENDED K-WIRE .062X6 0272 133.56$ 14771330 Drain 1/4''x12'' Penrose 0912010 0272 50.80$ 14771827 Drain 7mm Flat Full Flut Blake 2211 0272 50.80$ 1477123 Drain,Penrose,1'''' 0272 48.31$ 1468784 DRAINAGE CATHETERS, MALECOTS 4 WING,40FR 0272 46.60$ 14771725 Drape Extremity / 29414CE 0272 50.80$ 1401264 DRAPE W/POUCH (UNDER BUTTOCKS) 0272 10.02$ 14771625 Drape, Hand/29419 0272 50.80$ 1477132 Drape, Incise 91cm x 46cm 0272 50.80$ 1477157 Drape, Laparotomy 0272 50.80$ 1477133 Drape, Split Sheet 0272 50.80$ 1477143 Drape,Hip with Pouches 0272 50.80$ 1477153 Drape,Under Buttocks Drape w/Fluid Control Pouch 0272 44.08$ 1477179 Drape,Vertical Isolation 0272 50.80$ 6680183 Dressing 3 x 4 Telfa 1050 0272 0.62$ 1421437 Dressing 5x9 Petro Xeroform 8884433605 0272 15.85$ 6680260 Dressing Large Tegaderm TD-26C 0272 5.15$ 6680258 Dressing Small Tegaderm TD-24C 0272 1.73$ 14771711 Dressing, Steri-strips 1'''' 0272 46.18$ 1468016 DRILL 2.4 310-24-001 0272 634.90$ 1492734 DRILL 2.75MM 0.66 CANNULATION 0272 1,155.00$ 1468024 DRILL 3.0 310-30-001 0272 634.90$ 1413491 Drill 3.5mmx110mm QC Bit 310.35 0272 431.99$ 1429182 Drill 4,2x340mm AO 1806-4260S 0272 836.88$ 1444181 Drill 4.2 X 300mm Gamma 1320-3042S 0272 866.76$ 1428861 DRILL AO 4.2 X 130MM 0272 980.12$ 1445980 DRILL AO, STERILE 0272 866.76$ 1489767 DRILL BIT 2.0MM 0272 98.01$ 1491467 DRILL BIT 2.5MM 0272 943.72$ 1493778 DRILL BIT 2.5MM *AR-8943-30 0272 280.50$ 1483756 DRILL BIT 2.7MM 0272 734.59$ 1483767 DRILL BIT 2.7MM 0272 734.59$ 1483178 DRILL BIT 2.7X125MM 0272 603.32$ 1484434 DRILL BIT 3.0MM 0272 411.37$ 1493989 DRILL BIT 3.0MM *AR-9628S 0272 267.30$ 1493189 DRILL BIT 3.2MM X 145MM *310.31S 0272 392.04$ 1493723 DRILL BIT 3.5MM *AR-4160-35 0272 260.70$ 1482601 DRILL BIT 3.5X125MM 0272 545.86$ 1488490 DRILL BIT 3.8XMM 0272 323.40$ 1480434 DRILL BIT 4.0MM 0272 808.05$ 1481078 DRILL BIT 4.0MM 0272 808.05$ 1487589 DRILL BIT 4X40MM 0272 934.93$ 1435456 DRILL BIT 5 LONG 2.5MM *KI-86-8425 0272 89.10$ 1434678 DRILL BIT 5 LONG 2.7MM *KI-86-8427 0272 280.50$ 1479701 DRILL BIT 7.0MM 0272 1,962.40$ 1480945 DRILL BIT CANN 3.0/4.0 0272 808.05$ 1489356 DRILL BIT MINI 2.4MM 0272 252.45$ 1489012 DRILL BIT PERIPHERAL SCREW 2.7MM 0272 1,179.75$ 1480967 DRILL BIT PILOT 2.4MM 0272 577.17$ 1484867 DRILL CANN 4.9MM 0272 2,042.73$ 1492723 DRILL NON CANNULATED 4MM 0272 379.50$ 1481434 DRILL PILOT CANN LG 5.5MM 0272 1,962.40$ 1481456 DRILL PROX CANN 7.0MM 0272 1,962.40$ 1458827 DRILL, 2.0MM X 102MM AO-SHAFT 0272 517.24$ 1449248 DRILL, 2.6MM X 122MM AS-SHAFT 0272 233.89$ 1480456 DRIVER SHAFT 0272 808.05$

1487167 DRIVER T25 0272 324.37$ 6680136 Dry Gauze (Fine Mesh) #8884-680000 0272 4.46$ 6680011 Dry Skin Prep Trays 0272 9.11$ 1489190 DUALWAVE OUTFLOW TUBE SET 0272 14.52$ 1484078 EAKIN SEAL RINGS 0272 2.40$ 3608089 EC PERCRYO CRYOPROBE 1.7 MM *8031504 0272 17,711.68$ 3608066 EC PERCRYO CRYOPROBE 2.4 MM *8340046 0272 17,711.68$ 14771632 ECT - Bite Block 9391-0001 0272 50.80$ 14771432 ECT - Electrode Gel 9800-0001 0272 50.80$ 14771532 ECT - Electrode Paste 9800-0002 0272 50.80$ 14771932 ECT - Patient Stimulus Cable 9438-0073 0272 50.80$ 14771832 ECT - Wire Set 9010-0011-03 0272 50.80$ 14771732 ECT - Wire Set 9010-0011-13 0272 50.80$ 4025123 EKOS MACH 4 INFUSION CATH 5FR 0272 9,546.90$ 14771530 Electrode 10mmx10mm Loop E1559 0272 50.80$ 14771630 Electrode 15mmx12mm Loop E1560 0272 50.80$ 14771929 Electrode 5mm Ball E1564 0272 46.18$ 1407485 ELECTRODE LOOP 20 X 15MM 0272 492.60$ 1300545 ELECTRODE PATCH 0272 163.87$ 66400400 ELECTRODE TRANSLUCENT 0272 4.20$ 3001021 ELECTRODES EKG 0272 2.04$ 14771419 Electrodes,Infant ECG 0272 50.80$ 4025356 EMERGE MONORAIL DILATION CATH 4.0 X 20MM *H7493918920400 0272 610.50$ 1458082 ENDO CLIP 5MM/EL5ML 0272 560.34$ 1470467 ENDO CURVED STAPLER/ECS25 0272 1,304.70$ 1429372 ENDO DISSECTOR BLUNT/BCD10 0272 120.47$ 1424142 ENDO GIA UNIVERSAL STAPLER 12MM 0272 1,419.67$ 1409341 ENDO LINEAR CUTTER RELOAD/TR35W 0272 1,479.91$ 1487612 ENDO SEAL 0272 541.87$ 1449180 ENDOMATERIAL SUCTION CURETTE W/SYRINGE 0272 64.16$ 14771912 Endoscopic Blunt Dissector 5mm 0272 50.80$ 6680267 Endoscopy Packs END543980H 0272 48.65$ 14771227 Endosuture 2-0 Ethibond SW112 0272 50.80$ 1401330 ENDOTRACHAEL TUBE 7.0 HOLD 0272 136.17$ 1493389 ENDOTRACHEAL TUBE CUFFED ALL SIZES *86450 0272 4.46$ 1401355 EPIDURAL TRAY 0272 228.01$ 14771012 ER Boot,Large 0272 50.80$ 1477187 Esmark,6'''' 0272 50.80$ 1434290 ETHICON 2-0 SILK FS *685G 0272 3.33$ 1431030 EXIDINE 4% -4OZ. 0272 17.79$ 1477197 Extension Set 22'''' 0272 50.80$ 14771712 Eye Protector / Patient 0272 50.80$ 6680162 Eye Protectors #28310 0272 23.36$ 6680006 Eye Shields (Clear) 0272 3.22$ 1404953 Eye Tray 0272 60.23$ 1437615 EZ BOVIE TIP/0014M 0272 47.33$ 1452895 EZ LITE HANDLES 0272 12.10$ 1489067 FALCON OSCILLATING TIP SAW 0272 816.75$ 4025467 FAST CATH 10F 3.33MM INTRODUCER *406180 0272 94.38$ 1434178 FEEDING TUBY 8FR *155722 0272 13.20$ 1480723 FEMORAL CANAL PRESSURIZER 0272 72.26$ 1478078 FEMORAL CANAL PRESSURIZER W/O HUB 0272 67.97$ 1481112 FEMORAL PREP KIT SZ 7 0272 577.17$ 4011417 FEMOSTOP 0272 478.32$ 14771023 Fiber,Holmium Laser,200 Series 0272 50.80$ 1493245 FIBERLOOP 2-0 W/CURVED NEEDLE *AR-7232-05 0272 165.00$ 1490556 FIBERSNARE #2 0272 76.23$ 1493467 FIBERTAK DR BLACK/WHITE TAPE #2 *AR-3651T 0272 1,485.00$ 1493478 FIBERTAK DR WHITE LABRAL TAPE #2 *AR-3651 0272 1,485.00$ 1487567 FIBERTAPE #2 0272 324.37$ 1487934 FIBERWIRE #2 0272 667.81$ 1493490 FIBERWIRE #5 *AR-7211 0272 132.00$ 1487034 FIBERWIRE 100WX2.6CM 0272 2,804.78$

1487067 FIBERWIRE XSPEEDA 0272 4,811.91$ 1445642 Filter D&C Suction 54298 0272 53.80$ 3608389 FLEXOR CHECK FLO INTRODUCER *G10383 0272 174.90$ 1490789 FLIP CUTTER 10.0MM 0272 1,179.75$ 1490567 FLIP CUTTER 7.5MM 0272 1,179.75$ 1490756 FLIP CUTTER 8.0MNM 0272 1,179.75$ 1492412 FLIP CUTTER II 7.0MM 0272 1,072.50$ 1491490 FLIP[CUTTER II 10.5MM 0272 1,179.75$ 1435201 FLIPCUTTER III DRILL *AR-1204FF 0272 1,369.50$ 4024689 FLOSEAL HEMOSTAT MATRIX 0272 724.33$ 1470491 FLOSEAL MATRIX 5ML 0272 1,147.32$ 1409051 FLO-VAC 10EA/CA HOLD/SURGERY 0272 678.56$ 1410737 FLUID POUCH-LRG./D1016 0272 144.12$ 1420256 FLUID TUNNELER & SHEATHS 0272 252.32$ 1489790 FOLEY CATH 5CC LATEX FREE 0272 11.29$ 1482656 FOOT PLATE DOUBLE HOLE 180MM 0272 4,952.18$ 1466978 FORCEP 2.8MMX2300MM ENDOJAW FB-220U 0272 33.52$ 14771029 Forcep Radial 2.8mmx240cmx3.2mm 1337 0272 50.80$ 14771423 Forceps,Biopsy 0272 50.80$ 4025401 FORTEX 0.035 OTW PTS BALLOON CATHETER *A35HPV09040080 0272 597.30$ 1410679 FULL RADIUS RESECTOR 3.5 0272 709.85$ 1405711 GAUZE 2X2 STERILE 0272 0.14$ 1477945 Gauze 4'' Sof-Roll Cast Padding 9034 0272 2.41$ 14771914 Gauze,Mirasorb Sponges 2x2 0272 50.80$ 14771015 Gauze,Mirasorb Sponges 4x4 0272 50.80$ 14771115 Gauze,Sof-Kling 2'''' 0272 50.80$ 14771215 Gauze,Sof-Kling 3'''' 0272 46.18$ 14771315 Gauze,Sof-Kling 4'''' 0272 50.80$ 14771515 Gauze,Sof-Rol Cast Padding 2'''' unsterile 0272 50.80$ 14771615 Gauze,Sof-Rol Cast Padding 3''''unsterile 0272 50.80$ 14771715 Gauze,Sof-Rol Cast Padding 6'''' unsterile 0272 50.80$ 1477173 Gauze,Soft Roll 2'''' 0272 50.80$ 14771815 Gauze,Sponges 2x2, 2's 0272 50.80$ 3608990 GCMH 4 Fr Single-Lumen Power picc (nitinol) 0272 426.36$ 3610001 GCMH 4.0 Prolene Suture 0272 8.69$ 3608978 GCMH 5 Fr Dual-Lumen Power picc (nitinol) 0272 396.00$ 3610023 GCMH 50ml Polystyrene Conical Tube 0272 2.08$ 3608467 GCMH Adapter Luer Lock Double Male 0272 10.00$ 3608956 GCMH AMPLATZ GOOSENECK 120CM 4FR 10MM CATH 0272 1,452.00$ 3610878 GCMH AMPLATZ SS GUIDEWIRE .038X75CM 0272 111.36$ 3609534 GCMH APDL CATHETER 10FR 0272 369.12$ 3608545 GCMH BARD MISSION BIOPSY NEEDLE 20X16CM 0272 216.52$ 3610478 GCMH BILIARY CATH REG 8FR 0272 359.79$ 3608201 GCMH Centurion Suture Tray 0272 55.00$ 3608289 GCMH CHIBA NEEDLE 20G X 15CM 0272 44.79$ 3609545 GCMH Chiba Needle 23ga x 15 cm 0272 44.79$ 3609945 GCMH Chlora prep w/ tint 3 ml 0272 4.53$ 3611701 GCMH Chlora prep w/ tint 0272 32.86$ 3611712 GCMH Chlora prep w/ tint 26ml 0272 27.62$ 3608890 GCMH Clean Ultrsound probe covers N00102 0272 16.54$ 3609267 GCMH CONTROL WIRE GUIDEWIRE .018X300CMM 0272 372.28$ 3609256 GCMH CONTROLWIRE GUIDEWIRE .018X200CM 0272 355.78$ 3610378 GCMH Cope Mandril Wire Guides 0272 123.20$ 3609523 GCMH DENAL ECLIPSE IVC FILTERS - FEMORAL 0272 7,370.00$ 3610112 GCMH Dilators 12 Fr. .038 x 20 cm 0272 39.29$ 3608134 GCMH Double Male Adapter 0272 115.50$ 3608567 GCMH EVAC CONTAINERS - GLASS BTL 0272 71.28$ 3609312 GCMH Ext Dwell Cath Device 20 Ga X 6 cm 0272 215.60$ 3608812 GCMH EXTENSION SET 6IN LL 0272 6.73$ 3610667 GCMH GLIDEWIRE ANGLED STD .035X150CM 0272 152.93$ 3609412 GCMH Halyard Introducer Kit for Gastrostomy 20fr 0272 840.18$ 3609423 GCMH Halyard Introducer Kit for Gastrostomy 24fr 0272 891.00$ 3609467 GCMH Halyard Mic# J/GJ Intro. Kits 16F 0272 891.00$

3609478 GCMH Halyard Mic# J/GJ Intro. Kits 18F 0272 891.00$ 3609667 GCMH Halyard MIC* G Feeding Tube 0272 92.80$ 3609389 GCMH Halyard MIC* GJ Feeding Tube 0272 959.20$ 3610956 GCMH HSG 7 FR Catheter 0272 107.80$ 3608934 GCMH INTERLINK INJECTION - NM 0272 5.50$ 3611867 GCMH INTRODUCER FOR COACCESS 0272 607.20$ 3608845 GCMH IVC RETREIVAL DEVICE 0272 3,207.60$ 3610456 GCMH Large Alcohol Pads 0272 0.68$ 3609445 GCMH Medallion 10ml syringe 0272 7.48$ 3609456 GCMH Medallion 20ml syringe 0272 7.48$ 3609134 GCMH MICRO PUNCTURE KIT 0272 116.91$ 3608167 GCMH NEEDLE 25GTX 1.5* 0272 0.14$ 3610889 GCMH Ostycut Bone Bx Needle 14.5X100 0272 253.44$ 3610034 GCMH PLUERX DRANAGE KIT 1000ML 0272 306.59$ 3611478 GCMH Skin Marker 0272 6.18$ 3609723 GCMH Soft-VU Omni Flush Cath 4FRX.035X90CM 6s 0272 101.20$ 3611512 GCMH SPINAL NEEDLE 20GX3.5* 0272 4.94$ 3611523 GCMH Spinal Needle 22g X 7* 0272 12.06$ 3609901 GCMH Spinal Needle 25G x 3 1/2 0272 4.94$ 3609912 GCMH SPINAL NEEDLE 25GX3.5CM 0272 4.94$ 3611667 GCMH Steri-Drape 17* x 23* 0272 3.77$ 3611389 GCMH SUTURE SILK 2.0 0272 7.14$ 3611678 GCMH Syringe 20ml Luer Lock 0272 0.73$ 3611823 GCMH Temno Evolution 20Ga x 6cm 0272 139.98$ 3608756 GCMH Transducer Probe Cover w Aquasonic Gel 0272 1.64$ 3610978 GCMH Trap Bone Marrow Biopsy Needle 11G x 150 cm 0272 68.20$ 2306645 GCMH-C-ARM COVER/EZ-3030 0272 44.78$ 3604618 GCMH-CHLORAPREP-CARD.-26ML-260 0272 57.97$ 3604162 GCMH-CTH-A.DYN-SFTVU -10732302 0272 131.92$ 3603511 GCMH-CTH-B.SCI-APDL DRAIN PIG 0272 417.11$ 3603529 GCMH-CTH-B.SCI-BILARY REG 8FR- 0272 406.34$ 3603602 GCMH-CTH-B.SCI-FLEX BILARY 12F 0272 447.92$ 3603594 GCMH-CTH-B.SCI-FLEX BILARY 14F 0272 362.47$ 3606647 GCMH-CTH-CK-ANGIO 5FR-G09469 0272 81.27$ 3602018 GCMH-CTH-CK-ANGIOCATH-G11993 0272 232.10$ 3603560 GCMH-CTH-CK-BILARY DRAIN 10.2F 0272 369.73$ 3606605 GCMH-CTH-CK-PIG .038X110-G0592 0272 82.54$ 3606530 GCMH-CTH-CK-SIM1 5FR 100CM-G03 0272 208.24$ 2501567 GCMH-CTH-CK-YUEH 5FR 7CM-G0948 0272 86.19$ 3605979 GCMH-CTH-MRSHL-HSG TRAY 5FR-TM 0272 124.43$ 3604485 GCMH-DILATOR-COOK-10FR-G00993 0272 73.57$ 3904501 GCMH-DILATOR-COOK-12FR-G00995 0272 73.57$ 3606639 GCMH-DILATOR-COOK-6FR-G00937 0272 48.00$ 3604451 GCMH-DILATOR-COOK-7FR-G00973 0272 73.57$ 3604469 GCMH-DILATOR-COOK-8FR-G00980 0272 69.98$ 3603610 GCMH-DRAIN-APDL-14-25/27-139 0272 351.60$ 3604840 GCMH-DRAPE-CARD.-17X23 STERI-M 0272 6.62$ 2306785 GCMH-GASTRO-Anch-17-12/G35563 0272 585.26$ 3604154 GCMH-GD-WIRE-BOS.SCI-AMPLATZ S 0272 144.55$ 3603388 GCMH-GD-WIRE-TERUMO-STD ANG-GR 0272 698.28$ 3606258 GCMH-INTRDCR-COOK-CHK FLO 8FR- 0272 82.54$ 3606233 GCMH-INTRDCR-COOK-CHK FLO 9FR- 0272 88.89$ 3604691 GCMH-INTRO-PERC-NDL/G00003 0272 36.28$ 3604857 GCMH-IV SET-BAXT-EXTENTION SET 0272 3.96$ 2601250 GCMH-IV SET-BAXT-INTERLINK IV 0272 52.12$ 2601243 GCMH-IV SET-BAXT-SOL SET 76''''-2 0272 5.48$ 3600798 GCMH-IV SET-COOK-MICROPUNC-G47 0272 229.86$ 3604584 GCMH-IV SET-COOK-MULTIPUR TUB 0272 63.07$ 3600996 GCMH-IV SET-COOK-PLAST MULTIPU 0272 22.53$ 2306538 GCMH-IV-ADMINST-SET/265703-A 0272 27.42$ 3606373 GCMH-IV-ANGIOCATH-20/381137 0272 17.82$ 2306827 GCMH-MRI-disp Kit /SSQK65-115VS 0272 54.58$ 2201564 GCMH-NDL-BX-EVO-18-11/CTT1811 0272 244.51$

2306462 GCMH-NDL-BX-MIS/1810MSK 0272 157.92$ 2306470 GCMH-NDL-BX-MIS/1816MSK 0272 157.92$ 2306488 GCMH-NDL-BX-MIS/1820MSK 0272 157.92$ 2306504 GCMH-NDL-BX-MIS/2010MSK 0272 157.92$ 2306512 GCMH-NDL-BX-MIS/2016MSK 0272 157.92$ 2306520 GCMH-NDL-BX-MIS/2020MSK 0272 157.92$ 3700176 GCMH-NDL-CARD.-QUICKCTH 24G-38 0272 8.23$ 3604725 GCMH-NDL-CARD.-SPINAL 22GX7-40 0272 21.38$ 2306140 GCMH-NDL-CARD.-SPINAL 25GX3.5- 0272 5.36$ 3603727 GCMH-NDL-CARD.-TEMNO 20GX15-AC 0272 294.86$ 3603719 GCMH-NDL-CARD.-TEMNO EVO-CTT 2 0272 294.86$ 3604022 GCMH-NDL-CARD.-TEMNO EVO-T206 0272 201.49$ 2201481 GCMH-NDL-CARD.-TEMNO EVO-TT206 0272 183.71$ 3604436 GCMH-NDL-COOK-CHIBA 20GX15-G00 0272 75.91$ 3604543 GCMH-NDL-COOK-CHIBA 22GX20-G00 0272 68.51$ 2306181 GCMH-NDL-COOK-CHIBA BX-G00850 0272 372.50$ 3600616 GCMH-NDL-COOK-FRANSEEN 20GX15- 0272 197.90$ 3604006 GCMH-NDL-HAWK-18-15/G05045 0272 205.85$ 3601143 GCMH-PACK-SPEC/SBA54SPGRD 0272 373.48$ 2306777 GCMH-PIG-CENT-5-100/G11916 0272 2,031.67$ 3605938 GCMH-PLEURAL CATH-CARD.-PLEURX 0272 3,783.30$ 2501302 GCMH-PNEUMO-PIG-NDL/G08744 0272 268.30$ 2501294 GCMH-PNEUMO-PIG-SET/G03278 0272 622.77$ 3606134 GCMH-PORT-8F/10808070 0272 2,514.18$ 3606498 GCMH-PROBE COVER-CARD.-TRANSDU 0272 48.91$ 3604923 GCMH-PULSATOR-SYRINGE/4905 0272 68.51$ 2306314 GCMH-SCALPEL-10/371610 0272 2.68$ 2306322 GCMH-SCALPEL-15/371615 0272 2.68$ 3604592 GCMH-STOPCOCK-3WAY/G00219 0272 68.51$ 2306447 GCMH-SUCTION-3.1M/8888301614 0272 4.57$ 3604741 GCMH-SUTURE-2-SILK/482 0272 21.20$ 3606506 GCMH-SUTURE-CARD.-ETHIBOND RB- 0272 8.90$ 3606472 GCMH-SUTURE-CARD.-MONOCRYL 3-0 0272 18.90$ 3606423 GCMH-SUTURE-CARD.-PROLENE 2-0- 0272 9.96$ 2501344 GCMH-SUTURE-CARD.-PROLENE 4.0- 0272 15.80$ 3606456 GCMH-SUTURE-CARD.-VICRYL 4-0-J 0272 7.98$ 2306835 GCMH-SUTURE-TRAY-LG/SUT13350 0272 57.73$ 2201150 GCMH-SYRINGE-MEDRAD-SINGLE KIT 0272 109.25$ 2306611 GCMH-TOWELS-OR/BRLBBCT02W 0272 4.27$ 2306108 GCMH-TRAY-CARD.-ARTHROGRAM-432 0272 32.70$ 3606738 GCMH-TRAY-CARD.-DISCOGRAM-SEN7 0272 45.51$ 2305274 GCMH-TRAY-CARD.-MYELOGRAM-4324 0272 87.88$ 2305886 GCMH-TRAY-COOPER-HSG-6050T 0272 171.49$ 2306637 GCMH-URINE-COLLECT/DYND30224 0272 2.52$ 3604147 GCMH-WIRE-AMPLZ-035-75/46-563 0272 144.55$ 3604121 GCMH-WIRE-COPE-Steel-018-40/G09593 0272 163.54$ 3604063 GCMH-WIRE-GLD-A-38-150/GR3806 0272 189.29$ 3603784 GCMH-WIRE-GLD--A-ST-150/GS3506 0272 225.59$ 3604303 GCMH-WIRE-J-TAP-035-145/G01720 0272 91.06$ 2601029 GCMH-XENON CONVENIENCE KIT-BIO 0272 72.12$ 1406974 GEL PREP 0272 43.02$ 14771428 Gemini Set 20 Drop w/Yell Strip 10011301 0272 50.80$ 14771328 Gemini Set 20 Drop/2-port 2420-0007 0272 50.80$ 1410976 GEMINI STONE RETRIEVAL 0272 652.93$ 1489023 GLENOID CT GUIDE AND BONE MODEL 0272 9,873.60$ 1429596 Glide Scope ET Tube 8.0 item 0272 46.18$ 4024790 GLIDESHEATH SLENDER 10X5CM 0272 1,388.48$ 4027190 GLIDEWIRE ADVANTAGE .014" 180CM ANGLED *GA1418 0272 660.00$ 4015780 GLIDEWIRE HYDROPHILIC STD .035'' 150 CM 3 CM 0272 184.38$ 3608378 GLIDEWIRE STIFF ANGLED 260CM *GR3509 0272 144.38$ 1452317 Gloves, Protegrity SMT 8 0272 7.30$ 6610398 GLOVES-PROTEXIS 7 1/2 0272 6.01$ 1452150 Gown Flyte Toga XL 408-830-100 0272 504.16$

1453851 Gown XL Xlong Impervious Surgical 9041EL 0272 26.59$ 1477183 Gown, Yellow 0272 48.49$ 6680111 Grounding Pads 0272 11.64$ 1493123 GUARDUS OVERTUBE ESOPHAGEAL 10.2MM X 19.5MM X 16.7MM 0272 643.50$ 1470392 GUIDE WIRE .035'''' X 5.75'''' ST 0272 67.87$ 1431220 Guide Wire .045 x 6in WS-1106ST 0272 78.13$ 1492967 GUIDE WIRE 6' *AR-8941-6 0272 132.00$ 1435478 GUIDE WIRE BALL TIPPED STERILE 3 X 1000MM *1806-0058S 0272 718.44$ 4024678 GUIDEWIRE .018X45CM PIGTAIL 0272 59.40$ 1429877 Guidewire .035 Hydra/5604 0272 709.65$ 4028056 GUIDEWIRE .035X300 0272 2,077.83$ 1488790 GUIDEWIRE 0.35 X 5.75 *WS-0906ST 0272 79.86$ 4011045 GUIDEWIRE 035 X 260CM 3CM ANGLE HDRPH 0272 262.92$ 1483745 GUIDEWIRE BALL TIPPED 0272 857.00$ 3604105 GUIDEWIRE COPE MANDRILL .018X60CM 0272 177.65$ 1482389 GUIDEWIRE STRAIGHT TIP 0272 1,985.49$ 4011037 GUIDEWIRE VASC 150CM .035'''' 3CM ANGLE HDRPH 0272 176.00$ 4009973 GUIDEWIRE VASC DGW .035 FC J3MM 150CM TEF 0272 153.65$ 4009965 GUIDEWIRE VASC DGW .035 FC J3MM 260CM TEF 0272 153.65$ 14771010 Guidewire, .038'''' Straight 0272 50.80$ 14771210 Guidewire,.035'''' 0272 50.80$ 14771818 Guidewire,Jagwire ''''Guidewire 0.035'''' 0272 50.80$ 4025545 GUNTHER TULIP VENA CAVA FILTER RETRIEVAL SET *G13287 0272 907.50$ 1434645 HAEMONETICS PALL FILTER *SB1E 0272 92.40$ 1418375 HAND ARM MODULE 0272 327.82$ 1493278 HAND DRILL 16" *0306-813-000 0272 243.24$ 1471002 Handpiece Blade Electrode 130309a 0272 12.55$ 14771025 Harmonic Scalpel 10872 0272 50.80$ 1411602 HARMONIC SCALPEL/LCSC5 0272 1,585.90$ 1483112 HEMODIALYSIS DUAL LUMEN CATH 0272 1,510.04$ 1477117 Hickman 9.6fr. 0272 50.80$ 1442771 HIGH PERFORMANCE BONE DRILL 0272 716.47$ 1410125 HIP DRAPE W/POUCH 0272 74.66$ 1487023 HIP PROCEDURE TRACKING KIT 0272 937.61$ 14771716 Holder,Limb,Secure-all 0272 50.80$ 1490289 HUMERAL TRAY STANDARD 0272 1,452.00$ 4024990 HYDROCOIL AZUR 35D System 8 mm x 20 cm 0272 5,082.00$ 4025290 HYDROPEARL 0400 MICROSPHERE 0272 825.00$ 4025289 HYDROPEARL 0600 MICROSPHERE 0272 825.00$ 1421593 HYSTEROSCOPY TUBING 0272 484.00$ 4023222 ICU MED. CARDIAC DYE SINGLE SPIKE 0272 32.23$ 14771312 Immobilizer,Shoulder,Large 0272 50.80$ 14771412 Immobilizer,Shoulder,Medium 0272 50.80$ 1401934 IMPERVIOUS STOCKINETTE/1585 0272 66.69$ 6680175 India Ink (Spot) 0272 140.37$ 4025223 INDIGO CANISTER 0272 1,188.00$ 1428259 Ink Spot/GIS-44 0272 123.20$ 4025101 INPACT ADMIRAL CATHETER BALLOON DIALATION 4MM 130CM 150MM 0272 5,115.00$ 1484312 INSORB SKIN STAPLER 0272 181.89$ 1491501 INSTRUMENT POUCH STERI-DRAPE 0272 23.10$ 1422658 INSUFFLATION ACCESS NEEDLE 14G 0272 112.54$ 1413103 INSUFFLATION NEEDLE/28-0602 0272 342.03$ 6680117 Insufflation Tubing 0272 23.09$ 6680169 Insulated Coated Needle 0272 19.39$ 1445568 INTEGUSEAL MICROBIAL SEALANT 0272 142.31$ 1490256 INTRODUCER ADULT (BOUGIE) 0272 42.35$ 1477489 IOBAN DRAPE 6650EZ 0272 40.25$ 1477128 Iodine Prep Bottle 0272 50.80$ 14771333 Irrigating 500mL Sodium 2F7123 0272 46.18$ 1453422 J905T SUTURE 2-0 VICRYL 18'' TIES 0272 47.26$ 6680159 Jackson-Pratt Reservoir #0070740 0272 16.17$ 6680254 Joy Sticks (Womble) 0272 24.98$ 1402072 JP RESEVOIR-LRG. 0272 116.57$

1482567 J-TUBE FEEDING 0272 507.91$ 1486934 KEG POSITIONER DIS 0272 160.28$ 1434456 KEY SURGICAL DRILL BIT 3.5MM *KI-86-8435 0272 90.75$ 1434467 KEY SURGICAL DRILL BIT 4.0MM *KI-86-8440 0272 94.05$ 1434478 KEY SURGICAL DRILL BIT 4.5MM *KI-86-8445 0272 94.05$ 1436435 Kit CBCII Blood Conservation 225-28-514 0272 619.44$ 4005203 KIT ENCORE DEV INFLATION SCIMED 0272 162.59$ 1430099 Kit Tissue Trap/ED2369-01 0272 389.16$ 4005310 KIT TRAY CVP 7FR 3LUM 20CM 0272 320.35$ 1480978 KJ-WIRE .062MM 0272 69.26$ 1434067 KLS BATTERY PACK FOR KLS-SD-1000 0272 603.41$ 1453935 KM3-105 Brasseler small Bone Saw Blade 0272 61.30$ 1491067 KNEE PAD FOR KNEE POSITIONER 0272 323.07$ 1477278 KNEE POSITIONERS 0272 159.31$ 1487301 KNEE PROCEDURE TRACKING KIT 0272 937.61$ 1443100 Knife Round Cold 27069L 0272 548.52$ 4005302 KNIFE SURG BP 11 SS RTRCT SHLD PRCT LCK 0272 8.46$ 1477164 Knife, 3.0 Slit Knife Angled, Bevel Up 0272 50.80$ 1489501 KNOT PUSHER CUTTER 0272 635.25$ 1480912 K-WIRE .035MM 0272 69.26$ 1480934 K-WIRE .045MM 0272 69.26$ 1484945 K-WIRE .094-12MM 0272 209.89$ 1479734 K-WIRE .11MM 0272 230.87$ 1481378 K-WIRE 1.25MM 0272 454.59$ 1447390 K-Wire 1.25mmx150mm 390157 0272 49.34$ 1487389 K-WIRE 2.0 0272 163.98$ 1488456 K-WIRE 2.5X150MM 0272 59.40$ 1489745 K-WIRE DBL TROCAR 6X.054X1.4MM 0272 11.00$ 1483345 K-WIRE RECON 3.2X400MM 0272 662.84$ 1489334 K-WIRE SMOOTH DBL TROCAR 0272 181.50$ 1489756 K-WIRE SMOOTH DBL TROCAR 0272 199.65$ 1482401 K-WIRE STD 0272 230.87$ 1434145 K-WIRE STERILE 1.8 X 310MM *0152-0218S 0272 402.40$ 1418383 LAP CHOLE MODULE 0272 407.13$ 1408822 LAP ELECTRODE L HOOK 5MM 0272 473.23$ 6680061 Lap Sponges 18”x18” 0272 0.98$ 1468388 LAPAROSCOPY MODULE 0272 363.36$ 6680256 Laparotomy Packs (SUB:SPP99MN7AA) 0272 139.10$ 6680127 Large Cast Shoe 0272 26.17$ 1435467 LARGE MULTI PIN CLAMP 4 POSITION *390.004 0272 2,317.92$ 6680211 Large SCD Sleeves 0272 178.34$ 1493378 LARYNGSCOPE DISPOSABLE LED *301-LED-030S 0272 25.58$ 1486223 LASER FIBER 200 0272 839.53$ 1486490 LASER FIBER FLEXIVA 0272 973.85$ 14771223 Laser Fiber,Flex Master Holmium,Bare Flat Tip,200 0272 50.80$ 4025267 LAUNCHER 6FR SCR 4.0 0272 135.30$ 1434201 LEEP RADIUS ELECTRODE 2.0CM X 0.8CM *R2008 0272 76.34$ 4011474 LEFT HEART KIT 0272 13.82$ 1447994 Ligaclip 10mm Endoscopic ER320 0272 408.54$ 14771013 Ligaclip, Endoscopic 5mm 0272 50.80$ 1427897 LIGACLIPS LRG./MCL20 0272 281.40$ 1421841 LIGACLIPS MED./MSM20 0272 782.98$ 1421858 LIGACLIPS-SM./MCS20 0272 277.90$ 1459056 LIGASURE LAP VESSELL SEALER 0272 1,657.94$ 1459254 LIGASURE OPEN VESSEL SEALER 0272 3,923.77$ 1489690 LIGATOR MULTIBAND 6 SHOOTER 0272 653.40$ 1434059 Ligator Six Shooter Saeed MBL-6 0272 694.79$ 1434703 LINEAR CUTTER RELOAD 45MM (BLUE) 0272 471.10$ 1434695 LINEAR CUTTER RELOAD 45MM WHITE 0272 576.20$ 1469436 LINEAR RELOADS 60MM 0272 185.16$ 1462183 LINEAR STAPLER /TX60B 0272 427.36$ 1482289 LINEAR STAPLER 90MM 0272 406.57$ 1424571 Linvatec Arthroscopy Tubing Set 0272 305.44$

1418409 LITHOTOMY MODULE 0272 342.66$ 6680202 LMA #3 Disposable 0272 27.25$ 1428788 LMA 3 Disposable 125030 0272 66.50$ 1428796 LMA 4 Disposable 125040 0272 64.54$ 1428804 LMA 5 Disposable 125050 0272 64.54$ 1493212 LONG CANNULATED PILOT DRILL 7.0 *217-70-001 0272 1,402.50$ 1444926 LONG NARROW BLADE 25MMX5.5MM 0272 60.24$ 4021978 LONG TR BAND W/ INFLATOR 0272 261.21$ 1441195 Loop Electrode 24fr. 0272 468.59$ 14771925 Loops Red Maxi Silicone Vessel 011311PBX 0272 50.80$ 1418417 LOWER EXTREMITY MODULE 0272 406.48$ 1402452 LUMBAR PUNCTURE TRAY-ADULT 0272 85.27$ 14771132 M0068318261 Capio SLIM Suture Capt Device 0272 50.80$ 14771032 M0068331131 Capio Sut Nonabs, brd poly 48'''' 0272 50.80$ 1489312 MAIN PUMP TUBING 0272 22.14$ 1486945 MAKE DRAPE KIT 0272 208.35$ 1486990 MAKO BONE BLADE STD 0272 351.09$ 1480612 MALE POSTE 2-HOLE 0272 360.16$ 1477152 Marker,Surgical Pen 0272 50.80$ 14771920 Marker,Surgical Skin 0272 50.80$ 1434760 MASIMO PEDI 0272 75.28$ 14771813 Mastisol 0272 50.80$ 1455500 MAXGUARD EXTENTION SET PEDI 0272 13.38$ 1488012 MAYO STAND COVER XL 0272 57.24$ 6680205 Medium SCD Sleeves 0272 178.34$ 1434345 MEDLINE ABDOMINAL PAD *NON21450 0272 0.23$ 4027301 MEDTRONIC IN PACT ADMIRAL 6MM X 150MM X 130CM *ADM06015013P 0272 5,907.00$ 4027290 MEDTRONIC IN PACT ADMIRAL 6MM X 250MM X 130CM *ADM06025013P 0272 8,151.00$ 1483701 MEDTRONIC NEUROSTIM CONTROLLER 0272 5,456.94$ 1483690 MEDTRONIC NEUROSTIM RECHARGER 0272 4,617.40$ 4025390 MEDTRONIC PTA BALLON CATHETER 9.0MMX 60MM X 80CM *IAV0900600 0272 5,395.50$ 1493667 MEDTRONIC SCCESSORY KIT *3550-45 0272 181.50$ 4026067 MEDTRONIC SHEATH 12FR *SENSH1228W 0272 495.00$ 4026078 MEDTRONIC SHEATH 16FR *SENSH1628W 0272 660.00$ 4025812 MEDTRONIC TRAILBLAZER ANGLED SUPPORT CATHETER *B108355 0272 989.34$ 1434634 MEDTRONIC WASH KIT *ATL2001 0272 171.60$ 6680032 MIC PEG Replacement Feeding Adapter 0272 34.17$ 1456656 MICROBAN INCISE DRAPE 0272 104.73$ 4026556 MIDDLEWEIGHT UNIVERSAL II GUIDEWIRE 0.014 X 190CM *1009664 0272 250.80$ 1487823 MILL DISPOSABLE MD 0272 1,270.50$ 1486767 MINISCAL CINCH 0272 311.96$ 1420959 MINIVIEW 6800 C-ARM DRAPE VMC60-5427 0272 137.67$ 1418425 MINOR LAP MODULE 0272 324.16$ 14771726 Module Cataract SEY54CAGRL 0272 50.80$ 1487490 MOSES LAER FIBER 0272 324.37$ 3608367 MPA CATHETER 5F 0.38 X 100CM *HNBR5 0272 82.50$ 1434089 MULTIFUNCTION INSTRUMENT STRAIGHT GIP HANDLE *60-3010-005/00 0272 147.11$ 1465988 MYOSURE LITE INFLOW TUBE 0272 3,044.94$ 1465996 MYOSURE OUTFLOW TUBE 0272 3,044.94$ 1466184 MYOSURE SEAL SET 40-902 0272 47.50$ 1466176 MYOSURE TISSUE REMOVAL DEVICE 10-401 0272 4,749.01$ 1469980 NAMIC INFLATION DEVICE 0272 222.37$ 3000304 NASAL CANNULA/01103 HOLD 0272 23.23$ 1400050 NASOPHARYNGEAL AIRWAY 28FR 0272 103.82$ 4024978 NAVICROSS .035 X 150 CM ANGLD MCR CATH *NC35151 0272 611.66$ 4024967 NAVICROSS .035 X 150 CM STRT MCR CATH *NC35150 0272 183.87$ 4027023 NC EMRGE MONORAIL PTCA DILATION CATHETER 6.0MM X 12MM 0272 610.50$ 1456664 NDC 50419-421-01 Mirena IUD 0272 1,512.28$ 1434414 Ndl 22g X 5 inch Spinal 405148 0272 21.52$ 1446988 Needle 17gx6'' Tuohy Epidural 1401 0272 136.94$ 1456748 Needle 18gx3 1/2'' Tuohy Epidural 332166 0272 44.96$ 1432368 Needle 20gx3.5'' Tuohy Epidural E2035T 0272 58.08$ 1487545 NEEDLE 22X2 STIMPLEX 0272 21.27$

1477912 Needle 25gx3.5'' Spinal 405180 0272 4.62$ 4010823 NEEDLE 9CM 18G 1WL PROC SS ADV 0272 10.37$ 1488245 NEEDLE COUNTER 0272 324.37$ 14771033 Needle Counter 31142295 0272 50.80$ 1444439 NEEDLE FORCEMAX 4MMX27 0272 174.24$ 4007001 NEEDLE INJ 22GX1-1/2 GLD SHIELD 0272 1.10$ 1467323 Needle Mayo Gut 1/2 Circle 1824-5D 0272 18.02$ 1429356 Needle Riza Ribe Retrieval 10035 0272 266.72$ 1477139 Needle,Spinal 18gax3 1/2'''' 0272 50.80$ 1477149 Needle,Spinal 22gaX7in 0272 50.80$ 6680055 Nerve Block Packs 0272 75.20$ 14771320 Net,Retrieval,Roth 3mm Disposable 0272 50.80$ 1410160 NIPPLE SHIELD CONTACT 20MM 0272 43.56$ 1457910 NOVASURE HANDPIECE 0272 6,403.10$ 1482256 NOVASURE KIT 0272 20,204.58$ 14771133 NU-Knit Surgicell 1943 0272 50.80$ 1480534 NUT 10MM 0272 530.99$ 3000320 O2 Initial 0272 479.20$ 4025034 OCCLUDER AZUR CX 18D System 10 mm x 32 cm 0272 3,176.25$ 4025023 OCCLUDER AZUR CX Detachable 035 16 mm x 32 cm 0272 4,167.24$ 1477345 ONE LINK CONNECTOR 0272 5.78$ 1432442 ONQ C-bloc Dual Site 600ml CB6007 0272 2,571.42$ 1457787 OP101022 Tricortical Block 22-26mm 0272 12,682.77$ 1418433 OPEN SHOULDER MODULE 0272 734.44$ 1481089 OPTIUM DBM PUTTY 1CC 0272 3,693.92$ 1477101 OR LIGHT HANDS 0272 950.06$ 1484167 ORTHOGLASS 3'' 0272 19.40$ 1453661 OrthoGlass 3 OG3L 0272 229.91$ 1484178 ORTHOGLASS 4'' 0272 211.67$ 1453679 OrthoGlass 4 OG4L 0272 262.25$ 1446640 OSC BLADE 34.5MMX13.0MM SAW BLADE 0272 62.39$ 3400538 OSC REG Blocks 0272 435.94$ 1483778 OVERDRILL 3.5MM 0272 734.59$ 1483534 OVERDRILL BIT 3.0MM 0272 734.59$ 1487245 OVERDRILL BIT 4.0MM 0272 667.81$ 3000312 OXYGEN MASK-ADULT/1201 0272 23.23$ 4012860 PACEMAKER PK 845 0272 139.72$ 4010013 PACK CATH LAB CA5 (CUSTOM PACKS) 0272 971.40$ 14771129 Pack General Laparoscopy SPP99GL2AA 0272 50.80$ 1431113 Pack Knee Arthoscopy SPP99KA3AA 0272 275.31$ 1455138 Pad Imp Knee Positioner 294-P 0272 208.65$ 1431931 Pad Leg Holder R-S4133-V 0272 113.99$ 14771533 Pad Neutral Electrode Grounding 8149F 0272 50.80$ 1477967 Pad Sanitary Napkin FH-PADPCH 0272 0.51$ 4027267 PANTERA PRO 2.5MM X 20MM DILATION CATHETER *393308 0272 376.20$ 1488856 PASSPORT BUTTON CANNULA 12MM X 3CM *AR-6592-12-30 0272 217.80$ 1487767 PASSPORT CANNULA BUTTON 0272 98.01$ 1477823 PATELLA CUTTER 8000-0029 0272 1,221.06$ 1490610 PDO QUILL SUTURE 2-0 0272 831.27$ 6680062 Peanuts Sponges 0272 16.35$ 6680095 Pedi Stylet 10fr #85864 0272 10.09$ 1471820 PEG MIC-REMOVABLE/0160-20 TO ENDO! 0272 355.53$ 1406487 PEG, Percutaneous Endo Gastrostomy Kit 20fr 0272 964.28$ 14771825 Pencil Electosurgical 3035HT 0272 21.84$ 1488289 PENEVAC 0272 412.50$ 1488845 PERCUTANEOUS INSERTION KIT FOR 3.0 KNOTLESS SUTURETAK *AR-19 0272 1,288.65$ 14771823 Pillow,AB-Ductin,Heel Elevated 0272 50.80$ 1444058 Pin 3.2X89mm Flutd Hdles 7650-2038A 0272 2,627.05$ 1467455 PIN COVERS YELLOW 101001PBX 0272 4.52$ 4024634 PINNACLE R/O 11 5FRENCH 6CM *RSB511 0272 135.85$ 1300482 PKU SLIPS DOUBLE 0272 640.11$ 4027245 PLEURX PLEURAL CATHETER KIT CAT *50-7700 0272 2,603.67$ 3605953 PLUREX DRAINAGE KIT 1000ML 0272 676.24$

14771127 Polaris Loop Ureteral Stent 6 X 22 0272 50.80$ 1492501 POLYEHTLENE BEARING 3X36MM 0272 2,933.70$ 6680007 Polyp Trap 0272 50.80$ 1477167 PORT OBTRURATOR PORT 12X100MM 1-7024 0272 154.62$ 3604667 POWER LOCK INFUSION SET 0272 48.27$ 1481390 PRECISION GLIDE NEEDLE 30G 0272 3.18$ 1477195 Premium Plus CEEA 28mm 0272 50.80$ 1434289 PREMIUM SURGICLIP III CLIP APPLIER 9.0 SMALL *133650 0272 663.89$ 1100619 PREP CHARGE - CATH LAB 0272 707.69$ 1477124 Prep,Povidone Iodine Topical Solution 0272 48.49$ 1444314 Probe 3.5mm 50-S Serfas 279-351-250 0272 621.67$ 1444066 Probe 3.5mm Super 90-S 279-351-300 0272 565.15$ 14771618 Probe 7fr x 300mm Bicap Gold 6007 0272 50.80$ 1477512 PROBE ULTRASOUND 3.8MMX403MM M0068407330 0272 984.81$ 1487089 PROCTO SWAB 16" 0272 1.76$ 1490501 PROVIC OPTHALMIC DEVICE .85ML 0272 137.40$ 1490512 PROVISC OPTHALMIC DEVICE .55ML 0272 115.83$ 1481567 PROXIMAL DRILL 0272 1,962.40$ 1411669 PROXIMATE LINEAR RELOAD/TCR55 0272 289.71$ 1409804 PROXIMATE LINEAR RELOAD/TLC55 0272 1,574.55$ 1409374 PROXIMATE STAPLER INTERNAL/PPH03 0272 1,785.74$ 1450147 Punch Biopsy 2.0mm BP20 0272 10.63$ 1435190 QUAD TENDON GRAFT CUTTING BLADE 9MM *AR-2385-09 0272 115.50$ 1415090 QUICK CATH.18GA. 0272 13.26$ 1415108 QUICK CATH.20GA. 0272 13.26$ 1415116 QUICK CATH.22GA. 0272 13.26$ 1447077 QUICK RELEASE SURGIBIT DRILL 2.0MM 0272 621.83$ 3606399 QUICKNE SPINAL NEEDLE 18G X 3.5'''' 0272 4.94$ 1435890 Quill Suture 2PDO 2XT8 24X24 RA-1033Q 0272 157.05$ 1457308 RA-1028Q Quill PDO suture 2-0 0272 162.48$ 14771332 Radial Jaw 4 1341 0272 46.18$ 6680024 Radial Jaw 4 Hot Biopsy 2.8mmx240cmx2.4mm 0272 65.00$ 6680054 Radial Jaw 4 Jumbo w/ndl 2.8mmx240cmx3.2mm 0272 84.95$ 1477189 RADIAL JAW 4 PULMONARY W/NDL M00515191 0272 127.38$ 6680218 Radial Jaw 4 Std w/ndl 2.4mmx240cmx2.8mm 0272 35.89$ 4025490 RADIAL/FEMORAL ANGIOGRAPHY DRAPE *29529 0272 25.15$ 1485723 RAIL BODY LNG CMPT 0272 5,456.94$ 1492267 RAPID RHINO NASAL PACK 5.5 0272 123.75$ 1468008 REAMER 18MM CONCAVE 310-01-018 0272 888.86$ 1485234 REAMER CONVEX 20MM 0272 734.59$ 1488978 REAMER HEAD 20MM 0272 635.25$ 1493056 REAMER LOW PROFILE 5.5MM 0272 643.50$ 1459155 REG Blocks 0272 435.97$ 4026056 RELIANT STENT GRAFT BALLOON CATHETER *REL46 0272 1,468.50$ 1422245 Reload 75mm Linear Cutter TCR75 0272 395.40$ 1471309 RELOAD STAPLER GIA 45CM EGIA45AMT 0272 2,326.41$ 1484245 RESOLUTION CLIP 23X2.8 0272 650.63$ 1434596 Retractor Wound LG Alexis O C8403 0272 372.12$ 1434604 Retractor Wound Med Alexis O C8402 0272 253.72$ 1429364 Retriever 10mm ENDOPouch/Pouch 0272 948.62$ 6680132 Reusable Bulb Syringe 0272 110.81$ 1492656 REV SHOULDER BONE MODEL RT 0272 3,300.00$ 1491189 ROD ATTACHMENT FOR LG MULTI PIN CLAMP SZ LARGE *390.003 0272 1,584.66$ 1466499 ROD TO ROD COUPLING 4941-1-010 0272 1,999.39$ 4025489 ROSCH-UCHIDA TRANSJUGULAR LIVER ACCESS SET *G06929 0272 1,603.80$ 1437672 ROUND CARBIDE BUR 0272 102.32$ 4025823 RUNTHROUGH VASCULAR GUIDEWIRE *NS-351 0272 330.00$ 4025567 RX TAKERU BALLOON 2.50MM X 8MM *DC-RY2508UA2 0272 412.50$ 4027056 SAFE SHEATH ULTRA 7F X 13CM 0272 1,221.00$ 1436021 Salient Aquamantys Mallable 23-301-1 0272 3,065.22$ 4026878 SAPPHIRE II PRO OTW BALN DIL CATH 1.0MM X 10MM X 150CM *5010 0272 544.50$ 14771134 Savary-Gilliard Dilator SGD-70-1 0272 50.80$ 1444579 SAW BLADE OSC 18MMX5.5MM 0272 60.09$

1487078 SAW TIP CARTRIDGE 0272 356.81$ 14771921 Saw,Oscillating Sagittal 25 x 5.5mm 0272 50.80$ 14771213 Scalpal,Curved Shears Harmonic,23cm 0272 50.80$ 1445808 Scissor Long Blade Metzenbaum 1412 0272 477.53$ 1420827 SCISSORS CURVED 5MM/5DCS WAS DCS12 0272 308.28$ 1487778 SCORPION MULTIFIRE NEEDLE 0272 617.10$ 1483790 SCREW SYNDESMOTIC 4X46 0272 1,259.29$ 1435123 SCREWDRIVER ANGULUS II BLADE MAXDRIVE 2.0MM 11MM *50-991-20- 0272 510.84$ 1477201 SEAL SET 10/12MM 1-7044 0272 73.89$ 1477190 SEAL SET 5MM 1-7013 0272 73.89$ 6680074 Secondary Medication Set Tubing 0272 3.94$ 4010906 SENSOR OXIMAX ADULT O2 18'' 0272 54.30$ 1452234 SERFAS ENERGY HOOK 279-350-501 0272 539.25$ 1432459 Set Smallbore Extension 471960 0272 5.87$ 1489889 SHAFT W/ SAFE T GAUGE 25MM W X 8MM D ROUND LOOP 11CM *DLP-B1 0272 47.19$ 1493678 SHOULDER TRACTION/ROTATION SLEEVE *AR-1606V 0272 55.01$ 1486956 SILICONE RETRACTOR CORD 0272 26.72$ 1493256 SILICONE WOUND CONTACT LAYER 8 X 12 *MSC17812EPZ 0272 58.44$ 1486489 SIMPLEX NO GENTEMIACIN 0272 1,888.94$ 14771325 Sleeve Scd Lg Knee Hi/9789 0272 50.80$ 1429984 Sleeve Scd Med Knee Hi/9529 0272 139.83$ 1481834 SLICONE DRAIN 19FR BLAKE 0272 54.57$ 1434349 SMALL BONE 2 BLADE 0272 62.39$ 6680198 Small SCD Sleeves 0272 66.45$ 6680172 Smallbore Ext. Set #471960 0272 3.86$ 1487901 SMOOTH WASHER 5.5MM 0272 629.65$ 1487912 SMOOTH WASHER 7.0MM 0272 629.65$ 1477156 SNARE 20MM ROUNDED CAP II 6124 0272 59.48$ 1430792 Snare 20mm W/Spiral Wire SD-230U-20 0272 148.62$ 14771126 Snare Small 13mm Oval Flexible 6242 0272 50.80$ 14771913 Snare,Gip Polypectomy - Rotable 0272 50.80$ 6680158 Snares 27mm Oval 0272 150.23$ 1444280 Solution 500ml Bss Ster Irr 0065-0795-50 0272 40.90$ 3604295 SOS POMNI FLUSH 1 - 4FR 80CM 0272 106.17$ 1402445 SPECIMEN TRAPS 40ML TO OR!! 0272 25.82$ 4025312 SPIDER FX EMBO PROTECTION DEV 0272 3,138.30$ 4024823 SPIDEX GUIDEWIRE 4MM 0272 3,452.13$ 2306165 SPINAL NEEDLE 20G X 3.5'''' 0272 5.43$ 2306090 SPINAL NEEDLE 20G X 6'''' 0272 13.41$ 2306157 SPINAL NEEDLE 25G X 3'''' 0272 5.64$ 2306082 SPINAL NEEDLE QUICKNE 22GX7'''' 0272 13.92$ 3604808 SPINAL NEEDLES 22GA.X 3 1/2 0272 8.58$ 14771510 Splint,Plaster 4'''' 0272 50.80$ 14771610 Splint,Plaster 5'''' 0272 50.80$ 14771316 Sponge,Kerlix Super 0272 50.80$ 4028078 SS GUIDERWIRE 0272 76.96$ 4021960 STANDARD TR BAND W/ INFLATOR 0272 261.21$ 14771413 Stapler,Endoscopic Curved Intraluminal 29mm 0272 50.80$ 4023453 STENT INT25022UX INTEGRITY 2.50X22UX 0272 86.35$ 14771136 STERI STRIP 1/2IN.X4/MR1547-CLEAR 0272 3.78$ 1403682 STERI STRIPS 1/4 X3 0272 3.94$ 1403708 STERIDRAPE 1010 0272 13.02$ 1454917 Steri-Drape 1010 0272 69.97$ 1454925 Steri-Drape 1015 0272 247.45$ 1454933 Steri-Drape 1020 0272 93.16$ 6680073 Sterile O.R. Towels 0272 8.55$ 1435999 STERNUM SAW BLADE 10X35X0.6MM 0272 51.71$ 1477162 Stockinette,Cotton Tubular,non-sterile,2'''' 0272 50.80$ 14771810 Stockinette,Tubular Synthetic 3'''' 0272 50.80$ 14771910 Stockinette,Tubular Synthetic 4'''' 0272 50.80$ 1466507 STRAIGHT POST 4941-2-120 0272 453.33$ 14771430 Strip 1/4'''' x 4'''' Tan Steri E4546 0272 50.80$ 1434134 STRYKER BONE PREP KIT *0260-710-000 0272 294.03$

1435390 STRYKER CANNULATED DRILL 2.1MM *40-30005S 0272 964.43$ 1488901 STRYKER PRECISION FALCON OSCILLATING TIP SAW CTRG *6725-127- 0272 998.25$ 1435965 Stryker Rvolutn Cmnt MixSys 0606-563-000 0272 448.79$ 1493401 SUCTION EVACUATOR *0070740 0272 12.21$ 1488312 SUGIRFOAM - OR 0272 214.50$ 1447713 SUPER ACE 4IN. 0272 77.84$ 1410067 SUPER ACE 6IN. 0272 32.78$ 1484067 SUREFIT DRAIN POUCH 1 3/4'' 0272 0.94$ 1489289 SURGICAL SKIN CLOSURE ZIP 24 0272 323.07$ 6680060 SurgiLav Plus Handpiece 0272 145.70$ 1447986 Suture 0 Chromic CT-1 27'' 812H 0272 11.96$ 1483045 SUTURE 0 CTX VICRYL 0272 5.67$ 1445576 Suture 0 PDS CT-1 36'' Z346H 0272 17.20$ 1437912 Suture 0 Prolene FSLX 30in 8690H 0272 14.34$ 1477112 Suture 0 Silk MO-6 18 inch C045D 0272 50.80$ 1437599 Suture 0 Silk SH 30in K834H 0272 10.77$ 1443514 Suture 0 Silk Ties 24in SA76G 0272 12.90$ 1437086 Suture 0 Vicryl CT-1 18 Inch VCP740D 0272 83.92$ 1477956 Suture 0 Vicryl CT-2 27'' J270H 0272 7.39$ 1438217 Suture 0 Vicryl CT-2 27in J334H 0272 12.90$ 1447218 Suture 0 Vicryl Plus CT-1 36'' VCP346H 0272 14.20$ 1438332 Suture 0 Vicryl Plus CT-2 27in VCP270H 0272 12.90$ 1443050 Suture 0 Vicryl Plus CT-2 VCP334H 0272 11.73$ 1437532 Suture 0 Vicryl Plus CTB-1 36'' VCPB946H 0272 19.36$ 14771327 Suture 0 Vicryl Plus Ties 18'''' VCP646T 0272 50.80$ 1477178 SUTURE 0 VICRYL UR-6 27'' J603H 0272 48.31$ 1437938 Suture 1 Chromic CT 27in 803H 0272 12.27$ 1437920 Suture 1 Chromic CT-1 27in 813H 0272 12.90$ 1438225 Suture 1 Vicryl Plus CT-2 27in J335H 0272 12.90$ 1443068 Suture 1 Vicryl Plus CT-2 VCP335H 0272 12.90$ 1445659 Suture 1 Vicryl Plus CTXB 36'' VCPB977H 0272 19.11$ 1438027 SUTURE 1654G 0272 25.84$ 1443639 SUTURE 1673H 0272 10.77$ 1438639 Suture 2 Ethibond V-37 30'' MX69G 0272 105.41$ 1443605 Suture 2 Ethilon LR 30in 490T 0272 43.02$ 1436807 Suture 2 PDO 36cmx36cm RA-1065Q 0272 184.99$ 1437979 Suture 2-0 Chromic SH 27in G123H 0272 12.90$ 1483034 SUTURE 2-0 CTX VICRYL 0272 5.67$ 1442870 Suture 2-0 Prolene FS 18in 8685H 0272 15.08$ 1443563 Suture 2-0 Silk FS 18in 685H 0272 10.25$ 1443555 Suture 2-0 Silk SH 18in C012D 0272 62.39$ 1443548 Suture 2-0 Silk SH 30in K833H 0272 9.79$ 1443522 Suture 2-0 Silk Ties 18in SA65H 0272 12.90$ 1447739 Suture 2-0 Vicryl CTB-1 36'' J945H 0272 13.33$ 1447655 Suture 2-0 Vicryl Plus CT-2 27'' VCP269H 0272 12.91$ 1437888 Suture 2-0 Vicryl Plus CTB-1 36 VCPB945H 0272 18.41$ 1437185 Suture 2-0 Vicryl Plus SH 27in VCP317H 0272 12.90$ 1437557 Suture 2-0 Vicryl Plus Ties 18'' VCP105G 0272 58.67$ 1438209 Suture 2-0 Vicryl SH 27in J417H 0272 12.27$ 1443001 SUTURE 2775G 0272 78.21$ 1483001 SUTURE 3-0 27'' CR/8 0272 42.90$ 1438019 Suture 3-0 Chromic SH 27'' G122H 0272 12.90$ 1445295 Suture 3-0 Ethilon FS-1 18'' 663H 0272 10.77$ 1502801 SUTURE 3-0 MG 27IN 0272 6.38$ 1502745 SUTURE 3-0 PC-5 18IN 0272 19.35$ 1438118 Suture 3-0 PDSII RB-1 27in Z305H 0272 13.53$ 1438100 Suture 3-0 PDSII SH 27in Z316H 0272 15.08$ 1442904 Suture 3-0 Prolene KS 30in 8622H 0272 12.27$ 1442912 Suture 3-0 Prolene V-5 36in 8936H 0272 39.12$ 1483012 SUTURE 3-0 SILK IES 0272 7.29$ 1437060 Suture 3-0 Vicryl KS 27 Inch VCP663H 0272 11.73$ 1438266 Suture 3-0 Vicryl Plus CT-1 27'' VCP338H 0272 12.90$ 1449321 Suture 3-0 Vicryl Plus FS-2 27'' VCP423H 0272 13.59$

1438308 Suture 3-0 Vicryl Plus RB-1 27'' VCP215H 0272 12.90$ 1438241 Suture 3-0 Vicryl Plus SH 27in VCP316H 0272 12.90$ 1477234 SUTURE 3-0 VICRYL SH 27'' J416H 0272 5.28$ 1438134 Suture 3-0 Vicryl SH 27in J784G 0272 81.74$ 1437078 Suture 3-0 Vicryl Ties 18 Inch VCP104G 0272 62.39$ 1477978 SUTURE 3-0 VICRYL TIES 18'' J644H 0272 12.61$ 1438183 Suture 3-0 Vicryl Ties 18in J904T 0272 17.20$ 1443720 SUTURE 3557H 0272 27.38$ 14771229 Suture 4-0 Ethilon FS-1 18 1629H 0272 50.80$ 1443647 Suture 4-0 Ethilon FS-2 18in 662H 0272 10.77$ 1477078 Suture 4-0 Monocryl PS-2 18 inch Y496G 0272 17.22$ 1477145 SUTURE 4-0 PROLENE RB-1 30'' 8871H 0272 50.80$ 1442920 Suture 4-0 Prolene V-5 36in 8935H 0272 43.02$ 1438357 Suture 4-0 Vicryl Plus FS-1 27in VCP441H 0272 15.08$ 1438365 Suture 4-0 Vicryl Plus FS-2 27in VCP422H 0272 15.08$ 1438282 Suture 4-0 Vicryl Plus RB-1 27in VCP214H 0272 12.90$ 1438324 Suture 4-0 Vicryl SH 27in J315H 0272 12.90$ 1443654 Suture 5-0 Ethilon P-3 18in 698H 0272 23.67$ 1477212 SUTURE 5-0 MONO P-3 18'' Y493G 0272 19.53$ 1437581 Suture 5-0 Monocryl Plus P-3 18'' MCP493G 0272 32.27$ 1443704 Suture 5-0 Monocryl PS-2 18'' Y495G 0272 30.12$ 1502734 SUTURE 5-0 PC-5 18IN 8630G 0272 19.71$ 1502767 SUTURE 5-0 PROLENE PC-3 18IN 0272 19.71$ 1442961 Suture 5-0 Prolene PC-3 18in 8635G 0272 32.29$ 1442979 Suture 5-0 Prolene PS-2 18in 8686G 0272 28.66$ 1443621 SUTURE 664H 0272 10.77$ 1442987 SUTURE 8307H 0272 44.99$ 1453828 SUTURE 8418H 0272 21.34$ 1438449 SUTURE 8433H 0272 15.08$ 1442946 SUTURE 8521H 0272 30.12$ 1442888 SUTURE 8623H 0272 12.90$ 1442938 SUTURE 8631G TO SURGERY 0272 30.71$ 1442896 SUTURE 8832H 0272 15.08$ 1438456 SUTURE 8833H 0272 15.08$ 1458363 SUTURE 8934H 0272 42.67$ 1489689 SUTURE ABS POLYG ACID FS-1 0272 6.86$ 1438613 SUTURE B409T 0272 17.61$ 1486845 SUTURE BRAIDED TIES 18" 0272 14.69$ 1437607 SUTURE C013D 0272 60.23$ 1467273 SUTURE CHROMIC GUT 2-0 N878H 0272 16.71$ 1453430 SUTURE CHROMIC GUT 54'''' 0272 11.13$ 1483023 SUTURE CHROMIC GUT 90CM 0272 10.41$ 1489778 SUTURE CHROMIC GUT COLLAGEN 27" 0272 8.13$ 1405562 Suture Cotton Umbilical Tape U11T 0272 7.83$ 1437565 SUTURE CTD 3/0 27'' 0272 12.27$ 1453513 SUTURE CTD VICRYL 2/0 36'''' UNDYED 0272 14.39$ 1438431 SUTURE CTD VICRYL PLUS 0272 19.36$ 1493967 SUTURE CUP SIZE 39 NEUTRAL *AR-9502F-39CPC 0272 5,890.50$ 1489945 SUTURE CV-6 GORE TEX *6K02A 0272 98.01$ 1438142 SUTURE EJ10G 0272 208.02$ 1482323 SUTURE ETHILON 2 LR 0272 323.21$ 1502701 SUTURE ETHILON 5-0 PC 18IN 1865G 0272 13.11$ 1482789 SUTURE ETHILONG FS 0272 12.06$ 1438258 SUTURE ETVCP260H 0272 12.90$ 1438274 SUTURE ETVCP333H 0272 12.90$ 1438415 SUTURE ETVCP376H 0272 17.20$ 1437516 SUTURE ETVCP603H 0272 16.37$ 1445246 SUTURE ETVCPB977H 0272 15.08$ 1437524 SUTURE ETVCPP41D 0272 90.35$ 1438175 SUTURE J103T 0272 52.07$ 1453026 SUTURE J215H 0272 11.81$ 1438233 SUTURE J332H 0272 12.90$ 1469303 SUTURE J774D 0272 56.31$

1438167 SUTURE JB725 0272 103.25$ 1405430 SUTURE JJ31G 0272 419.46$ 1443589 SUTURE K832H 0272 10.77$ 3604774 SUTURE K834H 0272 13.27$ 1492245 SUTURE MONOCRYL 0 36" 0272 25.87$ 1487923 SUTURE PASSER TRANSOSSEOUS 0272 610.57$ 1466531 SUTURE PDO 45CM X 45XM RA-2065Q 0272 123.20$ 1438076 SUTURE PDP879 0272 32.75$ 1467943 SUTURE PLAIN 2/0 27IN XLH HR76 70CM 0272 32.34$ 1502756 SUTURE PLN 4-0 18IN 0272 19.58$ 1502778 SUTURE PRLN 6-0 24IN NABS 0272 19.67$ 14771233 Suture Prolene 2-0 MH 8843 0272 50.80$ 1453448 SUTURE PROLENE 5/0 36'''' BLUE 0272 37.04$ 1502723 SUTURE PROLENE 5-0 18IN 0272 19.71$ 1453455 SUTURE PROLENE 7/0 4X18'''' 0272 63.02$ 1404078 SUTURE REMOVAL KIT 0272 8.48$ 1443597 SUTURE SA63H 0272 12.90$ 1471416 SUTURE SA66G 0272 8.01$ 1443530 SUTURE SA85H 0272 12.90$ 1487367 SUTURE TAPE 1.3MM W NEEDLE 0272 324.37$ 1491512 SUTURE TAPE W NEEDLE 0272 41.75$ 1438043 SUTURE U203H 0272 12.90$ 1502856 SUTURE VCL 5-0 18IN BRAID CTD 0272 7,465.89$ 1502823 SUTURE VCL MTPS 4-0 PS-4 0272 14.41$ 1502834 SUTURE VCL MTPS 5-0 PC5 0272 15.84$ 1502812 SUTURE VCRL MEPS 3-0 27IN 0272 14.28$ 1443688 SUTURE Y426H 0272 27.38$ 1443662 SUTURE Y427H 0272 30.12$ 1438084 SUTURE Z880G 0272 29.33$ 1487967 SUTURELASSO 90 DEG STRT 0272 610.57$ 1467257 SUTURING DEVICE FIXATE FB-101-01 0272 2,031.67$ 1482512 SUTURING NEEDLE 0272 170.84$ 1493390 SUTURING SET *7510 0272 18.91$ 1483789 SYNESMATC DRILL 0272 1,091.39$ 1483101 SYNTHES K-WIRE 0272 454.82$ 1491689 syringe 30ml ll 0272 4.62$ 4006995 SYRINGE ANGIO FASTURN WFILL TUBE 150ML 0272 20.47$ 1433952 Syringe Epidural L.O.R. Pulsator 4905 0272 59.43$ 1436427 System Cement Mixing 0606-563-000 0272 466.38$ 1437896 System Gelport Laparoscopic C8XX2NONCE 0272 1,856.35$ 1415686 System Integrated Inflation/5060-05 0272 225.87$ 1443019 System Orthopedic Suction 0800-01S 0272 105.41$ 4025189 TAKERU BALLOON CATH 2X15MM 0272 412.50$ 14771512 Tegaderm (Transparent) 0272 50.80$ 1428028 TEGADERM-SM. 0272 2.18$ 1488301 TELESCOPE EXTENTION CATH 0272 412.50$ 3606480 TEMNO NEEDLE 18G X 15CM 0272 183.70$ 1469733 TENSIX DBM PUTTY 2.5CC 0272 8,469.99$ 4023172 Terum. GUIDEWIRE .035X 150CM STF 0272 226.37$ 4023214 Terum. GUIDEWIRE .035X 260CM STF 0272 241.70$ 4025890 TERUMO AZURE COIL 12MM X 30CM *45-451230 0272 4,306.50$ 4025889 TERUMO AZURE CX COIL 6MM X 17CM *45-750617 0272 3,788.40$ 4025867 TERUMO DESTINATION 6FR SHEATH *RSR09 0272 300.30$ 4026256 TERUMO DESTINATION CATHETER 6FR X 45CM *RSR01 0272 60.06$ 4026189 TERUMO GLIDECATH PV MULTICURVE *CG430 0272 167.15$ 4026923 TERUMO GLIDECATH STRAIGHT TAPER 5FR X 100CM CATHETER *CG506 0272 167.15$ 4026890 TERUMO GLIDECATHETER COBRA 2 4FR 65CM *CG409 0272 167.15$ 4025145 TERUMO GLIDEWIRE GT ANGLED .018 X 180CM *RG*GE1818SP 0272 521.73$ 4026212 TERUMO HINCK HEADHUNTER 1 5FR 100CM *CG513 0272 167.15$ 4025790 TERUMO NAVICROSS SUPPORT CATHETER ANGLED *PN-NA180NH3 0272 1,976.70$ 4025801 TERUMO PINNACLE 5FR SHEATH 25CM *RSS506 0272 825.00$ 4027234 TERUMO RUNTHROUGH NS GUIDEWIRE *25-1013 0272 1,650.00$ 4025367 TERUMO RX TAKERU 2.5 X 20 BALLOON 0272 412.50$

4025601 TERUMO RX TAKERU BALLOON 1.50MM X 15MM *DC-RY1515UA1 0272 412.50$ 4025612 TERUMO RX TAKERU BALLOON 1.5MM X 12MM *DC-RY1512UA1 0272 412.50$ 4026201 TERUMO SIMMONS/SIDEWINDER 2FR 100CM *CG402 0272 167.15$ 4025445 TERUMO TAKERU BALLOON 2.5MM X 12 *DC-RY2512UA2 0272 412.50$ 1404318 Thoracic 28fr. 0272 138.83$ 1490778 TIGHTROPE EXTENDER 0272 5,426.85$ 1477169 Tissue Trap 0272 50.80$ 1481145 TITANIUM CATH ADAPTOR 0272 1,182.85$ 4025478 TLAB TRANSJUGULAR LIVER BIOPSY SYSTEM *TL-19S 0272 1,287.00$ 4005229 TORQUE DEVICE TD2 ACPT .014-.018 IN GW 0272 20.24$ 1418458 TOTAL HIP MODULE 0272 2,117.18$ 1418466 TOTAL KNEE MODULE 0272 2,361.34$ 6640016 TR BAND REGULAR 0272 215.86$ 1411065 TRANSTIBIAL ACL KIT 0272 724.91$ 1435957 Tray 16fr Silicone Foley 900116A 0272 105.41$ 1435650 Tray Nerve Block SNE54NBGRC 0272 86.87$ 1491101 TRIATHALON FEMORAL PREP KIT SZ 1 0272 635.25$ 1492056 TRISTAPLE RELOAD 2.0MM INTELLIGENT 0272 449.16$ 1472240 TROCAR 10/12MM/512XD 0272 251.93$ 14771733 Trocar 11mmx100mm Surgical DT-11R 0272 50.80$ 1415595 TROCAR 12MM/512B 0272 610.89$ 1466457 TROCAR 12MMX100MM XCEL B12LT 0272 238.99$ 14771633 Trocar 5-12mmx150mm Surgical BT-12L 0272 50.80$ 1430446 Trocar 5mmx100mm XCEL 2B5LT 0272 249.00$ 1430453 Trocar 8mmx100mm Bladeless B8LT 0272 300.10$ 1449701 TROCAR ENDOPATH XCEL BLUNT 100ML 0272 324.15$ 1457134 TROCAR LONG BLADELESS 5MMX150MM 0272 261.53$ 1434567 TROCAR WIRE 1.6 X 150MM *44112008 0272 59.40$ 14771713 Trocar, Ethicon 5mm 35NLT 0272 50.80$ 14771613 Trocar, Ethicon 7/8mm 578SD 0272 43.92$ 1482523 TROCARE DIL TIP 12X150 0272 240.53$ 1492445 TROCH REATTACHMENT DEVICE 0272 4,241.16$ 1477105 Tube,Suction 0272 44.08$ 1477923 Tubing 1/4''x10' Suction Sterile 8888301614 0272 5.18$ 14771933 Tubing Auxiliary Water Channel MAJ-1651 0272 50.80$ 1443431 Tubing Integrated 350-600-006 0272 441.16$ 14771521 Tubing,Smoke Evacuation w/Adapter 0272 50.80$ 14771529 TUR Set 4000-040 0272 50.80$ 1404607 U-DRAPE/8475 SURGERY 0272 135.53$ 1480489 UNIV JOINT 0272 1,650.73$ 1479090 UNIVERSAL STAPLERS EGIAUSTND 0272 1,757.39$ 14771212 Universal, Immobilizer,Knee 0272 50.80$ 1484201 URETERAL STENT 6X24 0272 268.62$ 1490823 URETERAL STENT ASCERTA 6X24CM 0272 310.63$ 1400688 URETHRAL CATH ADAPTER 0272 6.46$ 14771416 Urinary Drainage Bag with Anti Reflux Chamber 0272 46.18$ 14771311 Uterine Manipulator Injector 0272 50.80$ 1466473 VACCURETTE SZ 7 21852 0272 18.63$ 1466754 VALOR NAIL BEADED GUIDEWIRE 3.0MM 4150004030 0272 1,167.69$ 1466762 VALOR NAIL DRILL 4.3 X 120MM 415S-0023-52 0272 949.81$ 1466770 VALOR NAIL DRILL 4.3 X 80MM 415S-0023-51 0272 949.81$ 1466747 VALOR NAIL K-WIRE 3.0MM 4150004025 0272 1,167.69$ 1490701 VARIABLE LOOP SUTURE PDO 2.0 0272 831.27$ 4026245 VASCULAR ARMADA 18 PTA CATHETER 6 X 80 X 150 *1013470-080 0272 561.00$ 1455765 VASCULAR BOOTIES 0272 8.05$ 6680023 Vaseline Petrolatum Gauze 3x36 0272 5.51$ 1482490 VASULCAR RELOAD 2.0MM 0272 915.60$ 1435619 Vcare Stadrd Uterine Manipul 60-6085-100 0272 413.31$ 1452580 VCP315 4-0 COATED VICRYL PLUS ANTI 27'' 0272 13.92$ 14771717 Vessel Loops Blue 0272 50.80$ 14771516 Vessel Loops Blue Mini 0272 50.80$ 14771616 Vessel Loops Red Maxi 0272 50.80$ 1404755 VESSEL LOOPS/310 0272 13.92$

1467000 VISUALIZATION SYSTEM/SCOPE WARMER 0272 288.59$ 1456169 VITALLIUM CABLE/SLEEVE SET 2.0MM 0272 1,403.88$ 1488623 VIVACET CROSSLINK BEARING 0272 4,620.00$ 4027034 VOLCANO VISIONS PV .014P RX DIGITAL IVUS CATHETER *014R 0272 2,425.50$ 4027278 VOLCANO VISIONS PV .018 #86700 0272 2,227.50$ 1459064 WARMER DRAPE 44''''X66'''' 0272 206.95$ 3606449 WHITACRE NEEDLE 25G X 4 11/16'''' 0272 22.35$ 1447069 Wire .062x6'' ST Guide WS-1607ST 0272 78.13$ 1477523 WIRE AMPLATZ SS STRAIGHT TIP M0066401040 0272 116.61$ 1445139 Wire Guide 3x1000mm 1806-0085S 0272 581.48$ 4025466 WIRE GUIDE BENSON .038X145MM 0272 2,018.97$ 3608390 WIRE GUIDED JEJUNAL FEEDING/GASTRIC DECOMPRESSION TUBE *0007 0272 1,092.10$ 4027312 WIRE HI TORQUE .018 X 300CM *1012592 0272 1,402.50$ 1499442 WOUND VAC CANNISTER 0272 92.85$ 1434578 WRIGHT DRILL BIT 2.5MM *5362000016 0272 323.40$ 1434589 WRIGHT DRILL BIT 2.7MM *IW702713 0272 574.20$ 6680257 X-Large Athletic Supporter 0272 31.49$ 1434867 XRAY CASSETTE DRAPE W/ADHESIVE CLOSE 62CM/64CM *VAE5604 0272 3.47$ 1434078 Y CONNECTOR *M6275066/5/10 0272 4.55$ 1486067 Y-ADAPTER 0272 125.93$ 3400298 Yag Laser 0272 1,042.73$ 1453497 Z765D SUTURE 1 PDS II 18'' CTX 0272 119.41$ 1401124 ZIMMER DERMATOME BLADE 00-8800-000-10 0272 120.75$ 1491534 ZONE NAVIGATOR HANDLE 0272 907.50$ 4027045 Assurity PM Gen MRI PM2272 0275 17,190.60$ 1486901 AZURE XT DR MIR SURESCAN 0275 16,716.15$ 4014254 ELLIPSE DR CD2411-36C DUAL CHAMBER GENERATOR 0275 96,503.77$ 4014247 ELLIPSE DR CD2411-36Q DUAL CHAMBER GENERATOTO 0275 106,154.15$ 4014221 ELLIPSE VR CD1411-36Q SINGLE CHAMBER GENERATO 0275 96,376.81$ 1487156 PACEMAKER PM1272 0275 12,581.47$ 4014288 Unify Assura IPG 0275 109,201.64$ 4014189 ZEPHYR DR 5820 DUAL CHAMBER GENERATOR 0275 25,979.83$ 1477878 Lens 17.0D IOL Silicone Aspheric Z9002 0276 410.95$ 1405513 Silicone Aspheric Fold IOL 23.5D Z9002 0276 486.27$ 1488634 .045 X 5.0 MM K-WIRE *KM172-45-45S C1713 0278 13.86$ 1428580 0.045 in K Wire With Length Marking 0278 145.31$ 1431246 1.4 X 150 K-WIRE 0278 160.60$ 1489867 1.6 X 127 MM K-WIRE *KM172-45-62S 0278 15.25$ 1434056 10 HOLE PLATE RIB LOCKING T=1.5MM SCW 2.3MM *24-015-20-71 0278 3,557.40$ 1488656 10 MM DRILL CANN *AR-1218-100 0278 707.85$ 1410497 100020400 Mesh,Prolite 2x4 0278 377.80$ 1457928 100MM RIGID DISTAL STRUT 0278 3,054.41$ 1422948 1010306-02 Mesh Prolite 2x4. 5cm Preshape 0278 445.84$ 1422922 1010306-06 Mesh, Prolite 2.5x 6cm Preshape 0278 410.66$ 1452242 113042 VERSA-DIAL 46x18x53 HMRL HEAD 0278 10,156.37$ 1492623 11MM CARBON FIBER RODS 650MM 0278 945.12$ 1458488 127 DEG. NECK ANGLE HIP STEM 35MMX105MM 0278 17,204.14$ 1493645 132 DEGREE CEMENTED HIPSYSTEM ACCOLADE C #4 *6058-0435D 0278 4,451.70$ 4015624 145 DEGREE PIGTAIL DUAL LUMEN CATHETER 0278 166.50$ 1434045 16 HOLE PLATE RIB LKG T=1.5MM SCREW 2.3MM *24-015-31-71 0278 4,367.62$ 1449222 1826-1320S T2 SUPCOND NAIL 13x200mm 0278 5,027.45$ 1431154 1896-5050S STRY T2 F/T Lck Scr 5x50 0278 654.16$ 1457282 1896-5065S 5mm Lck Scr Full Thr, Series 0278 1,137.32$ 1424647 2.3 X 22MM LOCKING CORTICAL 0278 350.04$ 1492712 2.4MM X 24MM LOCK SCW 0278 561.00$ 1493323 2.7 X 26MM NON LOCK SCW *40-27026 0278 242.35$ 1410505 3'' X 6'' PROLITE MESH 0278 487.01$ 1493190 3.0 X 10MM NL SCREW *301-30-010 0278 280.50$ 1435389 3.0MM MICRO CANNULATED SCREW 38 X 18MM *40-30238 0278 720.98$ 1493290 3.5 X 10MM LOCKING SCW *40-35610 0278 531.83$ 1493301 3.5 X 14MM LOCKING SCW *40-35614 0278 531.83$ 1493312 3.5 X 16MM LOCKING SCW *40-35616 0278 531.83$ 1492845 3.5MM CORTICAL LOCKING SCREW 0278 281.23$

1434590 3.5MM TITANIUM LCP BEND MEDIAL DISTAL TIBIA PLATE *04.112.52 0278 4,924.26$ 1492834 3.5MM X 22MM CORTICAL LOCKING SCREW *8161-35-022 0278 281.23$ 1492856 3.5MM X 26MM CORTICAL LOCKING SCREW *8161-35-026 0278 281.23$ 1492878 3.5MM X 28MM 715 LOW PROFILE CORT SCW *110017728 0278 257.40$ 1424456 3.5mm, Locking Screw 12mm 0278 755.03$ 1447101 338616 STRYKER 3.5 CORT STD SCR 0278 122.91$ 1433598 371560 Locking Scr AXSOS 4.0mm / L60mm 0278 395.16$ 1492956 4.0 X 56MM SYNDESMOTIC SCREW *306-41-056 0278 990.00$ 1488867 4.0 X 7.0CM DECELLULARIZED DERMIS *AFLEX301 DERMACELL 0278 13,772.22$ 1469170 4.0MM COMPRESSION PLATE 6 HOLE 0278 799.96$ 1492701 4.0MM X 16MM FULL THRD CAN BONE SCREW 0278 69.80$ 1492867 4.0MM X 38MM CANCELLOUS LKG SCREW *8161-40-038 0278 281.23$ 1488578 4.5 X 34 MM LOCK SCREW *59214534 C1713 0278 878.46$ 1493078 4.5MM X 32MM CORTEX SCREW SELF TAP 0278 169.39$ 1493089 4.5MM X 42MM CORTEX SCREW SELF TAP 0278 169.39$ 1424290 423.561 3.5 TI LCP PLT 6 H 85 0278 1,766.34$ 1449263 45-80200 K-Wire Smooth 1.4mm x 100mm 0278 98.22$ 4012084 4F INFINITI DIAG CATH 4F PIG 145° MOD 110CM 0278 60.96$ 1487890 5.0MM BONE PIN *10204191 0278 3,630.00$ 1493012 5.0MM X 38MM LOCKING SCREW *661138 0278 752.24$ 1493023 5.0MM X 46MM LOCKING SCREW *661146 0278 752.24$ 1493034 5.0MM X 75MM LOCKING SCREW *661175 0278 752.24$ 1493045 5.0MM X 80MM LOCKING SCREW *661180 0278 752.24$ 1400795 5050-044 C-Wire .062 0278 143.43$ 1453083 5512-F-601 TRI TS FEMUR Sz6 0278 37,844.15$ 1458603 5530-G-611 Tibial Bearing Ins CR 9x11mm 0278 3,292.65$ 1453059 5565-S-015 TRI Fluted Stem STEM 15mm 0278 7,457.13$ 1492678 58MM ACETABULAR SHELL 0278 13,988.70$ 4015590 5F RADIAL INTRODUCER 11CM .018X40CM NITINOL 0278 167.61$ 1492990 6.0MM CANCELLOUS SCREW 0278 189.29$ 1493101 6.0MM X 35MM CANCELLOUS SCW FULL THRD 0278 189.29$ 1493090 6.0MM X 75MM CANCELLOUS SCW 32MM PARTAIL THRD 0278 189.29$ 1493112 6.0MM X 75MM CANCELLOUS SCW FULL THRD 0278 189.29$ 1462704 6.5 X 100MM CANNULATED SCREW 0278 1,391.72$ 1445873 623-10-36F TRIDENT 10X3 INSERT 0278 6,890.70$ 4018826 6F .070 H-STK 100CM 0278 245.83$ 4015608 6F GUIDELINER 0278 1,924.77$ 4025193 6FR ANGIOSEAL STS PLUS 0278 1,173.28$ 1425602 6FRX24CM URETHRAL STENT 0278 433.06$ 1471721 7 Hole Contoured VL Gridlock Fibula Plate 0278 6,181.55$ 1470939 7 HOLE PLATE 0278 4,317.28$ 1457100 777655562 DARCO HD SCR 6.5x55 16mm 0278 2,539.10$ 4023321 ABBT ASAHI FIELDER XT 190 0278 90.66$ 1480301 ACCOLADE CEMENTED STEM 0278 5,945.76$ 1480289 ACCOLADE DISTAL SPACER 0278 440.76$ 1480278 ACCOLADE HIP STEM 0278 9,808.01$ 1486378 ACCOLADE HIP STEM 0278 7,732.05$ 1486389 ACCOLADE HIP STEM 13MM 0278 587.68$ 1482345 ACCOLADE NECK STEM 127 DEG 0278 9,808.01$ 1481234 ACETABULAR INSERT SZ F 0278 11,863.60$ 1435090 ACETABULAR LINER 10 DEGREES HOODED 36MM HEAD X 64/66MM 0278 3,379.20$ 1480778 ACETABULAR LINER 28MM 0278 4,501.97$ 1481367 ACETABULAR LINER 32X54MM 0278 4,501.97$ 1482267 ACETABULAR SHELL 0278 4,392.30$ 1490689 ACETABULAR SHELL 46MM 0278 3,107.28$ 1480767 ACETABULAR SHELL 48MM 0278 5,079.14$ 1492023 ACETABULAR SHELL 50MM 0278 2,970.00$ 1492101 ACETABULAR SHELL 52MM 0278 13,988.70$ 1481356 ACETABULAR SHELL 54MM 0278 4,617.40$ 1491567 ACETABULAR SHELL 54MM 0278 15,387.57$ 1483934 ACETABULAR SHELL 56MM 0278 5,456.94$ 1491856 ACETABULAR SHELL 56MM 0278 13,988.70$ 1435189 ACL FIBERTAG TIGHTROPE *AR-1588RTT 0278 1,732.50$

1422393 Acucise Proc Kit BK002 0278 4,741.96$ 1472331 ACU-LOC 2 VDR PROX PLT,WIDE,L 0278 3,315.29$ 1493334 ACUMED 2.3MM X 16MM LOCKING CORTICAL PEG *CO-S2316 0278 432.30$ 1493345 ACUMED 2.3MM X 20MM LOCKING CORTICAL PEG *CO-2320 0278 432.30$ 1493367 ACUMED 2.3MM X 22MM LOCKING CORTICAL PEG *CO-S2322 0278 432.30$ 1434734 ACUMED ACU-LOC 2 VOLAR DISTAL RADIUS PLATE STANDARD LEFT 0278 5,223.90$ 1486301 ADHESION BARRIER 4X4CM PER SQCM 0278 306.53$ 1485145 ADHESION BARRIER 4X8CM 0278 986.44$ 1493689 ALLCOLADE C DISTAL SPACER MEDIUM 15MM *1059-4515 0278 633.60$ 1479512 ALLOPURE 22X20MM 0278 10,767.79$ 1481245 ALLOPURE 6MM COTTON 0278 8,034.29$ 1482356 ALLOPURE BIOCORTICAL 12MM 0278 11,063.31$ 3606092 AMPLATZ SS GUIDEWIRE .035 X 260CM 0278 223.29$ 4025078 ANGIOJET SELANTE DVT 105X8FR 0278 11,276.10$ 4011391 ANGIOSEAL 6F 0278 1,173.28$ 4011409 ANGIOSEAL 8F 0278 1,066.62$ 4025112 ANGIOSEAL 8FR VASC CLOS DEV 0278 800.42$ 1479456 ANGLE HIP STEM 127 DEG 6057-0335D 0278 6,228.87$ 1490123 APEX HUMERAL STEM 7NN 0278 15,155.25$ 1435290 ARTEGRAFT COLLAGEN VASCULAR GRAFT 6MM X 44CM *AG740 0278 4,224.00$ 1434389 ARTHEX APEX HUMERAL STEM SZ 6 *AR-9501-06S 0278 9,850.50$ 1434445 ARTHREX BICEP IMPLANT SYSTEM 1.9MM *AR-3670 0278 2,062.50$ 1434367 ARTHREX CENTRAL MODULAR SCREW 20MM *AR-9561-20S 0278 3,135.00$ 1434390 ARTHREX COMBO HUMERAL INSERT 36+3/33 *AR-9503-3633-3 0278 3,349.50$ 1434689 ARTHREX ECLIPSE CAGE SCREW LARGE 40MM *AR-9301-03 0278 14,602.50$ 1493445 ARTHREX ECLIPSE CAGE SCREW MEDIUM *AR-9301-02 0278 14,602.50$ 1435167 ARTHREX ECLIPSE HUMERAL HEAD 45/17 *AR-9345-17 0278 6,600.00$ 1493456 ARTHREX ECLIPSE HUMERAL HEAD 47 X 18 *AR-9347-18 0278 6,600.00$ 1493434 ARTHREX ECLIPSE TRUNION 47 *AR-9301-47CPC 0278 14,850.00$ 1435156 ARTHREX ECLIPSE TRUNION SZ 45MM *AR-9301-45CPC 0278 14,850.00$ 1434378 ARTHREX GLENOSPHERE 33+4 LAT/24 *AR-9564-2433-LAT 0278 7,590.00$ 1434346 ARTHREX PIN SET *AR-9507S 0278 1,320.00$ 1434123 ARTHREX TWO HOLE PLATE TI *AR-8958-02S 0278 2,805.00$ 1435134 ARTHREX UNIVER VAULT LOCK GLENOID SZ SMALL *AR-9106-01 0278 5,197.50$ 1434690 ARTHREX VAULTLOCK GLENOID MEDIUM *AR-9106-02 0278 5,197.50$ 1470178 AUGMENT BONE GRAFT 0278 19,526.77$ 1434934 AUGMENTED MGS BASEPLATE 20MM *AR-9582-20 0278 3,300.00$ 4009122 BALLOON EMERGE 6F 2.5MM .07'''' 144CM 15MM RX 0278 964.81$ 4009015 BALLOON EMERGE 6F 2MM .07'''' 144CM 12MM RX SHFT 0278 964.81$ 4009106 BALLOON EMERGE 6F 2MM .07'''' 144CM 20MM PTCA 0278 1,010.75$ 4008918 BALLOON EMERGE 6F 2MM .07'''' 15MM PTCA RX SHFT 0278 964.81$ 4008892 BALLOON EMERGE 6F 3.50MM .07''''12MM PTCA RX 0278 964.81$ 4009155 BALLOON EMERGE 6F 3MM .07'''' 144CM 15MM RX 0278 1,010.75$ 4009171 BALLOON EMERGE 6F 4MM .07'''' 144CM 12MM RX 0278 1,010.75$ 4010898 BALLOON MEGA 8F 50CC 0278 4,266.48$ 1446673 Base 4mm Hydrid Glenoid 113952 0278 7,098.37$ 1493901 BASE PLATE 28MM +2 LAT *AR-9560-28-2 0278 7,260.00$ 1434701 BASEPLATE 10 DEGREE FULL AUGMENT 25MM *AR-9580-2410 0278 8,910.00$ 1435445 BASEPLATE FULL AUGMENT 24MM 20DEGREES *AR-9580-2420 0278 6,930.00$ 1466598 BASEPLATE STEMMED SZ 2 LEFT1201-122-200 0278 5,466.44$ 1466614 BASEPLATE TIB SZ 5 RT 1201-222-500 0278 5,726.73$ 1437904 Basket Nitinol Stone Retrieval 390-301 0278 836.95$ 1487845 BIO COMPOSITE DISTAL REPAIR 0278 816.75$ 1486889 BIO D LARGE 0278 3,934.34$ 1434401 BIOCOMPOSITE KNOTLESS SWIVELOCK ANCHOR 4.75 X19.1 0278 310.20$ 1493201 BIOCOMPOSITE TENODESIS SCW W/DISP DRIVER PK *AR-1547CDS 0278 1,336.50$ 1485534 BioDDry Flex Dehydrated Connective Tissue Sheet Allograft 4x 0278 4,887.43$ 1485667 BIODFLEX ADHESION BARRIER 1.5X2CM 0278 2,104.31$ 1437136 Biomet Comp Stand Adapter 118001 0278 1,143.96$ 1481489 BIPOLAR COMPONENT UNIV 0278 2,862.78$ 4025391 BIPOLAR ENDOCARDIAL PACING 45CM 0278 2,956.06$ 1486989 BONE PIN 3.2X110 0278 1,057.06$ 1487290 BONE PIN 3.2X110MM 0278 1,110.46$

1487289 BONE PIN 4X140MM 0278 1,111.23$ 1487001 BONE PIN 4X170MM 0278 1,057.06$ 1449271 BONE SCREW 3.5 X 12 0278 325.00$ 4024808 BOS SCI RUNWAY 6FR JL3.5 0278 235.15$ 4026084 BOS SCI SYNERGY (MR) 2.25 MM X 12 0278 5,729.79$ 4026092 BOS SCI SYNERGY (MR) 2.25 MM X 16 0278 6,302.76$ 4026126 BOS SCI SYNERGY (MR) 2.25 mm x 28 mm 0278 7,514.84$ 4026076 BOS SCI SYNERGY (MR) 2.25 mm x 8 mm 0278 6,002.63$ 4026001 BOS SCI SYNERGY (MR) 2.50 mm x 20 mm 0278 6,002.63$ 4026027 BOS SCI SYNERGY (MR) 2.50 mm x 28 mm 0278 7,872.67$ 4026035 BOS SCI SYNERGY (MR) 2.50 mm x 32 mm 0278 7,872.67$ 4026043 BOS SCI SYNERGY (MR) 2.50 mm x 38 mm 0278 7,514.84$ 4026167 BOS SCI SYNERGY (MR) 2.75 mm x 16 mm 0278 6,302.76$ 4026175 BOS SCI SYNERGY (MR) 2.75 MM X 20 0278 6,002.63$ 4026191 BOS SCI SYNERGY (MR) 2.75 MM X 28 0278 6,002.63$ 4026217 BOS SCI SYNERGY (MR) 2.75 mm x 38 mm 0278 7,872.67$ 4026068 BOS SCI SYNERGY (MR) 2.75X12MM 0278 6,602.88$ 4026241 BOS SCI SYNERGY (MR) 3.00 MM X 16 0278 5,729.79$ 4026258 BOS SCI SYNERGY (MR) 3.00 mm x 20 mm 0278 6,602.88$ 4026266 BOS SCI SYNERGY (MR) 3.00 MM X 24 0278 6,002.63$ 4019287 BOS SCI SYNERGY (MR) 3.00 mm x 28 mm 0278 6,937.66$ 4026282 BOS SCI SYNERGY (MR) 3.00 mm x 32 mm 0278 7,872.67$ 4026290 BOS SCI SYNERGY (MR) 3.00 mm x 38 mm 0278 7,872.67$ 4026225 BOS SCI SYNERGY (MR) 3.00 mm x 8 mm 0278 6,002.63$ 4026316 BOS SCI SYNERGY (MR) 3.50 MM X 12 0278 5,729.79$ 4026324 BOS SCI SYNERGY (MR) 3.50 MM X 16 0278 5,729.79$ 4026332 BOS SCI SYNERGY (MR) 3.50 mm x 20 mm 0278 5,729.79$ 4026340 BOS SCI SYNERGY (MR) 3.50 mm x 24 mm 0278 7,514.84$ 4026357 BOS SCI SYNERGY (MR) 3.50 mm x 28 mm 0278 7,514.84$ 4019337 BOS SCI SYNERGY (MR) 3.50 mm x 32 mm 0278 5,208.90$ 4019386 BOS SCI SYNERGY (MR) 3.50 mm x 38 mm 0278 5,208.90$ 4026399 BOS SCI SYNERGY (MR) 4.00 mm x 12 mm 0278 6,602.88$ 4026423 BOS SCI SYNERGY (MR) 4.00 mm x 24 mm 0278 7,872.67$ 4026449 BOS SCI SYNERGY (MR) 4.00 mm x 32 mm 0278 7,872.67$ 4024824 Bos Sci. RUNWAY 6F AR1 SH 0278 246.36$ 4024337 Bos Sci. RUNWAY 6F CLS3.75 SH 0278 246.36$ 4024782 BOS SCI. RUNWAY 6F JL3.5 SH 0278 246.36$ 4024741 BOS SCI. RUNWAY 6F JR3.5 0278 213.76$ 4024733 BOS SCI. RUNWAY 6F JR4 0278 246.35$ 1487756 BUSHING FOR FEMUR 0278 942.57$ 1487467 BUTTRESS PLATE 0278 4,826.82$ 1449305 CABLE PIN SET 40MM 0278 2,415.37$ 1463124 CABLE SLEEVE SET 2.0MM 0278 2,246.26$ 1443746 CANCELLOUS BONE SCREW 6.5MM X 35MM 0278 707.04$ 1444603 CANCELLOUS BONE SCREW SIZE 6.5MM 0278 584.33$ 1493134 CANCELLOUS TITANIUM SHAFT SCREW 32MM *414.232 0278 63.86$ 1493145 CANCELLOUS TITANIUM SHAFT SCREW 34MM *414.234 0278 63.86$ 1493156 CANCELLOUS TITANIUM SHAFT SCREW 38MM *414.238 0278 63.86$ 1493167 CANCELLOUS TITANIUM SHAFT SCREW 56MM *414.248 0278 74.98$ 1400209 Cannula 7mm Vacurette Curved 21853 0278 435.42$ 1435489 CANNULATED SCREW 2.0MM X 30MM *200-20-030 0278 363.00$ 1435490 CANNULATED SCREW 2.0MM X 36MM *200-20-036 0278 363.00$ 1435501 CANNULATED SCREW 2.4MM X 40MM *200-24-040 0278 363.00$ 1493812 CANNULATED SCREW 3.0 X 12MM *200-30-012 0278 429.00$ 1493690 CANNULATED SCREW 4.0 X 26MM *200-40-026 0278 429.00$ 1434901 CANNULATED SCREW 4.0 X 30MM *200-40-030 0278 429.00$ 1493223 CANNULATED SCREW 7.0MM X 50MM *208-70-050 0278 2,524.50$ 4025086 CARD. SHEATH KIT 6 FR 13 CM 0278 340.35$ 4004263 CATH GUIDE 6FR RUNWAY AL1 CRV 0278 258.67$ 4004396 CATH GUIDE 6FR RUNWAY IM CVR 0278 235.14$ 4004453 CATH GUIDE 6FR RUNWAY MP1 CRV 0278 271.00$ 4004412 CATH GUIDE 6FR RUNWAY Q3 5 CRV 0278 258.67$ 4002861 CATH GUIDE MACH 1 6FR Q4 5 0278 246.36$

4003372 CATH GUIDE RUNWAY FL4 CRV 0278 235.14$ 4002770 CATH GUIDE RUNWAY IM 110CM 0278 241.42$ 4011185 CATH JACKY RADIAL 5FR 110 0278 186.66$ 4006383 CATHETER 2.0MMX12MM MINI TREK CORONARY DILATA 0278 1,042.38$ 4006409 CATHETER 2.0MMX15MM MINI TREK CORONARY DILAT 0278 1,042.38$ 4006391 CATHETER 2.0MMX20MM MINI TREK CORONARY DILAT 0278 1,146.62$ 4006425 CATHETER 2.0MMX30MM MINI TREK CORONARY DILAT 0278 1,092.03$ 4006441 CATHETER 2.50MMX12MM TREK CORONARY DILATATION 0278 1,146.62$ 4006664 CATHETER 2.5MMX12MM NC TREK CORONARY DILATATI 0278 1,042.38$ 4006086 CATHETER 3.0MMX15MM TREK CORONARY DILATATION 0278 1,146.62$ 4017554 CATHETER LA6EBU35SHD LA 6F 90CM EB35 0278 266.65$ 1427863 Catheter, Foley 24fr. 5cc Balloon 0278 58.08$ 1423565 Catheter, Reddick Cholangiogram 4FR 0278 414.81$ 1484223 CEMENTED HIP SYST 30X124MM 0278 5,662.62$ 1493889 CEMENTED STEM 9MM X 150MM *5560-S-309 0278 4,075.50$ 1480801 CEMENTLESS HIP 9MM OFFSET 0278 8,773.07$ 1493890 CENTRAL SCREW 30MM *AR-9561-30S 0278 3,135.00$ 1445733 CERAMIC V40 FEMORAL HEAD 36MM 0278 7,243.85$ 1480812 CERAMIX HEAD OFFSET 3.5MM 0278 3,878.62$ 1486023 CHRONIC CATH KIT 14.5FR 0278 625.06$ 1427392 Clip Resolution 2261 0278 839.97$ 1492679 CLUSTERHOLE ACETABULAR SHELL 48MM 0278 13,988.70$ 1443852 Cmponent Tibial Rotating 6481-2-100 0278 11,680.13$ 1464916 COCR FEMORAL HEAD 32MM/+4MM 0278 2,239.91$ 1492645 COMP REV SHOULDER MED BASEPLATE 0278 8,580.00$ 1476514 CONTACT LEADS 3086 0278 0.01$ 4012803 CONTROLCATH SWAN-GANZ CATHETER, C-TIP 0278 274.67$ 1493178 CORTEX TITANIUM SCREW 56MM *414.856 0278 81.68$ 1462647 CORTICAL SCREW 3.5 X 12MM 0278 375.41$ 1462654 CORTICAL SCREW 3.5 X 26MM 0278 703.97$ 1424662 CORTICAL SCREW 3.5MM X 10.0MM 0278 296.85$ 1480923 COUNTERSINK 3.0MM 0278 808.05$ 1480445 COUNTERSINK 3.5MM 0278 3,568.75$ 1479712 COUNTERSINK 7.0MM LG 0278 1,962.40$ 1435223 COUNTERSINK CANNULATED SCW 6.5/7.5MM *98230532 0278 620.40$ 1443993 CRUCIATE RETAINING FEMORAL SIZE 3 0278 11,771.24$ 1435512 CRUCIATE RETAINING FEMORAL SIZE 6 *5510-F-602 0278 5,303.10$ 1493701 DECELLULARIZED DERMIS *AFLEX201 0278 12,421.20$ 4027801 DES STENT REOLUTE 2.5X22MM 0278 4,386.54$ 4027701 DES STENT RESOLUTE 2.25X18MM 0278 4,187.15$ 4027734 DES STENT RESOLUTE 2.25X30MM 0278 4,386.54$ 4027756 DES STENT RESOLUTE 2.25X38MM 0278 4,386.54$ 4027789 DES STENT RESOLUTE 2.5X15MM 0278 4,187.15$ 4027812 DES STENT RESOLUTE 2.5X26MM 0278 4,386.54$ 4027823 DES STENT RESOLUTE 2.5X30MM 0278 4,386.54$ 4027878 DES STENT RESOLUTE 2.75X15MM 0278 4,386.54$ 4027912 DES STENT RESOLUTE 2.75X30MM 0278 4,386.54$ 4027934 DES STENT RESOLUTE 2.75X38MM 0278 4,386.54$ 4027956 DES STENT RESOLUTE 3X12MM 0278 4,386.54$ 4027967 DES STENT RESOLUTE 3X15MM 0278 4,187.15$ 4027978 DES STENT RESOLUTE 3X18MM 0278 4,187.15$ 4027989 DES STENT RESOLUTE 3X22MM 0278 4,187.15$ 4028001 DES STENT RESOLUTE 3X30MM 0278 4,386.54$ 1493834 DISTAFLO BYPASS GRAFT 6MM X 80CM *DF8006SC 0278 5,844.30$ 1468743 DISTAL FEMORAL COMPONENT SIZE SM RT 65MM 0278 29,248.15$ 1493001 DISTAL FEMUR PLATE *627606 0278 8,957.06$ 1434845 DISTAL FIBULA PLATE LEFT SS 4 HOLE *AR-43BL-04 0278 1,815.00$ 1479478 DISTAL SPACER 1059-2310 0278 461.74$ 1493656 DISTAL SPACER ACCOLADE C MED 13MM *1059-4513 0278 330.00$ 1492034 DISTAL SPACER SM 0278 577.50$ 1457423 DNE-10-B 10 Bolt with Hex 0278 91.32$ 1457365 DNE-160-DHFP 160 Double Hole Foot Plt 0278 7,609.67$ 1457373 DNE-180 180 Full Ring 0278 4,051.78$

1457464 DNE-2-MP 2 Hole Male Post 0278 685.18$ 1491456 DRILL BIT 3.1MM 0278 929.72$ 1488689 DRILL BIT QCK COUPLING 0278 297.83$ 1413434 Drill Bit, 1.1, Mini QC, 55mm 0278 448.79$ 1413624 Drill Bit, 2.4, Mini QC, 6mm 0278 343.19$ 1413459 Drill Bit,1.5 ,85mm 0278 426.91$ 1413442 Drill Bit,Mini QC,2.0,65mm 0278 426.91$ 1492045 DRILL PIN 4MM CLOSED 0278 412.50$ 4014387 DURATA LEAD 7122Q 52CM 0278 22,348.24$ 4014395 DURATA LEAD 7122Q 58CM 0278 22,348.24$ 4015632 EAGLE EYE PLATINUM IMAGING CATHETER 0278 3,999.84$ 4012639 EMERALD DX GUIDEWIRE .035'''' FC J3MM 150CM TEF 0278 132.06$ 4012647 EMERALD DX GUIDEWIRE .035'''' FC J3MM 260CM TEF 0278 126.06$ 4013934 EXTERNAL DUAL CHAMBER KIT 0278 32,531.94$ 1445071 Fem Cruc Ret 5510-F-601 0278 14,757.60$ 1466325 FEML COMPONENT SZ 6, RIGHT 1201-212-600 0278 8,304.42$ 1445600 Femoral #5 RT Posteriorly 5515-F-502 0278 11,771.24$ 1469568 FEMORAL COMPONENT 0278 9,134.85$ 1485801 FEMORAL COMPONENT 0278 7,207.35$ 1482278 FEMORAL COMPONENT 4 LEFT 0278 7,181.42$ 1464296 FEMORAL COMPONENT CR 3N RIGHT 0278 9,591.59$ 1466085 FEMORAL COMPONENT SIZE 5 1201-112-500 0278 9,134.85$ 1466358 FEMORAL COMPONENT SZ 3, LFT 1201-112-300 0278 8,719.62$ 1467711 FEMORAL COMPONENT SZ 4 RT 1201-212-400 0278 9,134.85$ 1467315 FEMORAL COMPONENT SZ 4, LFT 1201-112-44 0278 8,304.42$ 1466622 FEMORAL COMPONENT SZ 5 RT 1201-212-500 0278 9,134.85$ 1467422 FEMORAL COMPONENT SZ 6 LEFT 1201-112-600 0278 9,134.85$ 1471788 FEMORAL HEAD 25MM HEAD DIAMETER NEUTRAL 0278 2,133.24$ 1486412 FEMORAL HEAD 28MM 0278 3,714.92$ 1469378 FEMORAL HEAD 36MM 0278 4,693.13$ 1467554 FEMORAL HEAD 4X 36MM 1451-036-400 0278 4,693.13$ 1486812 FEMORAL HEAD BIOLOX 0278 3,714.92$ 1488290 FEMORAL HEAD BIOLOX 36MM 0278 2,920.50$ 1464817 FEMORAL HEAD BIOLOX CERAMIC 32MM 0278 4,479.81$ 1464791 FEMORAL HEAD CERAMIC 32MM HEAD DIAMETER 0278 4,927.79$ 1493634 FEMORAL HEAD DELTA CERAMIC 36MM NEUTRAL *1451-036-000 0278 6,583.50$ 1463652 FEMORAL PREP KIT SIZE 3 0278 2,053.26$ 1463041 FEMORAL PREP KIT SIZE 6 0278 2,053.26$ 1463637 FEMORAL PREP KIT SIZE 7 0278 1,959.93$ 1465434 FEMORAL PREP KIT SZ 4 0278 1,026.63$ 1463553 FEMORAL PREP KIT SZ 5 0278 5,599.76$ 1464510 FEMORAL PREP KIT SZ 6 0278 1,437.27$ 1467679 FEMORAL PREP KIT SZ 6 5555-2206 0278 1,777.70$ 1467034 FEMORAL PREP KIT SZ3 5555-2253 0278 977.72$ 1492434 FEMORAL STEM 12/14 CALCAR 0278 17,074.20$ 1484334 FEMORAL STEM CP113618 0278 15,195.46$ 1464346 FEMORAL STEM STD OFFSET 13.5MM 0278 11,146.19$ 1487956 FIBERTAK KNOTLESS #2 SUTURE 0278 744.13$ 1480823 FIBULA PLATE 11 HOLE 0278 5,079.14$ 1435301 FLOWABLE PLACENTAL TISSUE MATRIX 2 CC *HRT-AMAF-0020 0278 90.75$ 1492567 FLUTED STEM 11MM 0278 3,960.00$ 1480112 FUSEFORCE STAPLE KIT 0278 8,306.72$ 1481689 FUSIONFLEX 20X50X4 0278 11,706.39$ 1434223 GAMMA SYSTEM LONG NAIL KIT 011X400MMx125 *3525-1400S 0278 8,716.59$ 3600004 GCMH-BOS.SCI-ACCUSTICK SYS-20- 0278 538.57$ 3606183 GCMH-CTH-A.DYN-SFTVU -10732203 0278 122.23$ 3605003 GCMH-CTH-BARD-HSPLIT 19CM-5735 0278 1,323.39$ 3606068 GCMH-CTH-CK-YUEH 5FR 10CM-G094 0278 81.99$ 3603537 GCMH-DRAIN-APDL-10-25/24-508 0278 404.57$ 3604328 GCMH-GD-WIRE-COOK-BENSON-G0069 0278 94.63$ 3604329 GCMH-GD-WIRE-COOK-BENSON-G0175 0278 112.88$ 3604261 GCMH-GD-WIRE-COOK-BENSON-G0978 0278 90.02$ 3604246 GCMH-GD-WIRE-COOK-NEWTON 10CM- 0278 90.02$

3603768 GCMH-GD-WIRE-TERUMO-STNDRD STR 0278 225.59$ 3605052 GCMH-INTRDCR-COOK-16FR-G02950 0278 441.14$ 3605060 GCMH-INTRDCR-COOK-CHK FLO 7FR- 0278 1,060.61$ 3606225 GCMH-INTRDCR-COOK-FLEXOR 7FR-G 0278 1,013.61$ 3603966 GCMH-INTRDCR-COOK-MICROPUNC 21 0278 213.30$ 2306793 GCMH-INTRO-MICRO-5F-10/G43869 0278 111.79$ 3600954 GCMH-PICC LINE-BARD-DUAL 6FR-3 0278 529.57$ 2305662 GCMH-PICC LINE-BARD-SING 5FR-3 0278 329.34$ 2306413 GCMH-PICC-4F-S-POW/3174335 0278 427.10$ 2306421 GCMH-PICC-5F-D-POW/3275135 0278 396.67$ 3603206 GCMH-PORT-BARD-SLIM POWERPT-17 0278 1,572.12$ 1479101 Generator External Pulse 2 Port Header 3032 0278 2,539.57$ 1492767 GLENOID MODULAR POST *SAGP0002 0278 1,815.00$ 1434956 GLENOSPHERE 36+4 LAT/24 *AR-9564-2436-LAT 0278 7,590.00$ 1480756 GLENOSPHERE 36MM 0278 7,563.31$ 1489101 GLENOSPHERE 36MM 0278 15,500.10$ 1493945 GLENOSPHERE 39+ LAT/28 AR-9564-2839-LAT 0278 7,590.00$ 1483712 GLENOSPHERE BASEPLATE 0278 8,605.17$ 1429133 Glide Scope ET Tube 6.5 0278 41.10$ 3603750 GLIDEIRE STANDARD ANGLED .035 X 150MM 0278 237.16$ 4016002 GLIDESHEATH A-KIT .021GW 22G 1 1/4'''' 5F 10CM 0278 475.73$ 4015988 GLIDESHEATH INTRODUCER 6FR 10CM/ 0.021 GW 0278 213.33$ 4021937 GLIDEWIRE SS ANGEL TIP .035''''150CM 3 CM 0278 268.41$ 1468727 GMRS AXLE 0278 4,584.53$ 1435401 GORE BIO A TISSUE REINFORCEMENT 7CM X 10CM *HH0710 0278 1,699.50$ 4025190 GORE STENT 7MM X 10.0CM X 120CM *VBJR071002A 0278 13,035.00$ 1471812 GORE-TEX STRETCH VASCULAR GRAFT 4MM-7MMX45CM 0278 3,098.28$ 1489534 GRAFTLINK GRAFT *FGL 0278 8,944.32$ 1437862 GRANUFOAM THIN DRESSING 0278 362.65$ 1484401 GRIDLOCK PLATE SM 0278 545.70$ 1434267 GUIDE PIN 4 X 400MM *1213-9091S 0278 472.46$ 4007035 GUIDEWIRE 145CM .038IN JTP 33MM 3MM AMPTZ 0278 149.67$ 1467638 GUIDEWIRE 2.0X 9 WS-2009ST 0278 111.75$ 4011102 GUIDEWIRE 260CM .035'''' 3CM HDRPH 0278 239.03$ 4007050 GUIDEWIRE 260CM .035'''' SSTF J 3CM AMPTZ 0278 202.03$ 4011086 GUIDEWIRE STFF 260CM .035'''' 3CM HDRPH 0278 275.44$ 4007043 GUIDEWIRE VASC 260CM .035''''SSTF STR 6CM AMPTZ 0278 202.03$ 4024545 HAWKONE THROMBECTOMY DEVICE *H1-M 0278 12,142.35$ 1443373 Head 26mm LFIT Femoral 6260-9-026 0278 3,445.35$ 1445048 Head 26mm V40 Femoral 6260-9-126 0278 3,457.30$ 1445865 Head 36mm V40 Femoral 6570-0-136 0278 6,914.58$ 1444538 Head V40 22.2mm Femoral 6260-4-222 0278 1,935.92$ 1482212 HEMI ACETABULAR SHELL 50MM 0278 4,848.27$ 1435089 HEMISPHERICAL ACETABULAR SHELL CLUSTER HOLE 64MM *1501-161-0 0278 4,141.50$ 1483223 HEMISPHERICAL SHELL 0278 5,079.14$ 3604998 HEMOSPLIT CATHETER 28CM STANDARD 0278 1,258.87$ 1483923 HIP CEMENTLESS 0278 5,037.18$ 1489834 HIP STEM 127 DEG NECK ANGLE II 0278 8,105.79$ 1482556 HIP STEM 7.5MM STD OFFSET 0278 8,773.07$ 1464585 HIP SYSTEM OFFSET SZ 10.5MM 0278 11,146.19$ 1465004 HIP SYSTEM SZ 12MM 0278 11,146.19$ 1469477 HIP SYTEM TAPERED CEMENTLESS LATERAL OFFSET 0278 9,650.38$ 1492512 HUMERAL FRACTURE STEM 10X122MM 0278 8,580.00$ 1434989 HUMERAL INSERT SMALL 36+3 *AR-9503S-03 0278 3,349.50$ 1493978 HUMERAL INSERT SZ 39 MEDIUM/39/+3 *AR-9503M-03 0278 3,349.50$ 1493956 HUMERAL STEM SIZE 13 *AR-9501-13S 0278 9,850.50$ 1434967 HUMERAL STEM SIZE 9 *AR-9501-09S 0278 9,850.50$ 1492012 HYDROSET XT 0278 14,753.38$ 4027010 ICD CD3369-40Q Dual Chamber AICD 0278 56,462.47$ 1436260 Implant Opus Magnum 2 OM-1502 0278 1,861.94$ 1490745 IMPLANT SYS 4.75 X 19.1 0278 2,178.00$ 1493067 IMPLANT SYSTEM ACL TIGHTROPE BIOCOMPOSITE 0278 7,953.00$ 1492601 INSERT SZ 1 RT 6MM NEUTRAL 0278 5,705.70$

1492556 INSERT SZ 3 RT 8MM NUETRAL 0278 5,705.70$ 1444512 Insert SZED Cntrain Acet 690-00-22D 0278 13,935.66$ 4014403 ISOFLEX LEAD 1948 52CM 0278 3,047.48$ 3606175 IVC FILTER TRANSJUGULAR 0278 5,556.27$ 1444199 Kit 11 X 180mm X 125 Nail TI 3125-1180S 0278 7,609.10$ 1487990 KIT KNOTLESS FIBERTAK CURVED 0278 744.13$ 1423862 Kit Wrench Pacemaker 5873W 0278 211.18$ 1464304 KNEE SYSTEM SZ 2 0278 1,399.95$ 1492312 KNOTLESS CORKSCREW 3.9MM ANCHOR 0278 254.10$ 1433655 K-Wire 1.6mmx150mm 390164 0278 34.64$ 1491478 K-WIRE 2.0MM 390192 0278 44.08$ 1445113 K-WIRE 3.2X450MM 0278 483.03$ 1467240 K-WIRE FIXATION KIT 1806-1417S 0278 762.65$ 1446335 LAG SCREW TI 10.5X 85MM 0278 2,956.07$ 1444207 LAG SCREW,TI 10.5 X 105MM 0278 3,105.59$ 1491190 LARGE COMBINATION CLAMP 0278 2,183.28$ 1471358 LARGE TRICORT BLOCK 0278 11,296.02$ 1465608 LATERAL OFFSET STEM 15MM 0278 11,146.19$ 1482756 LATERAL OFFSET STEM 5.25 0278 8,773.07$ 1493601 LATERAL TTC FUSION LT SIZE LARGE *5920303L 0278 6,204.00$ 1444363 LFIT V 40 FEMORAL HEAD 26MM 8MM 0278 2,766.04$ 1446327 LFIT V40 FEMORAL HEAD 26MM 0278 2,757.22$ 1456607 LINER - CEMENTLESS 38MM 0278 7,957.28$ 1492778 LOCKIGN PEG 3.2MM X 34 *110025334 0278 471.90$ 1458843 LOCKING BONE SCREW 3.5 X 12 0278 742.42$ 1447036 LOCKING HEX SCREW 3.5 X 18MM 0278 393.07$ 1492789 LOCKING PEG 3.2MM X 38MM *110025338 0278 471.90$ 1492790 LOCKING PEG 3.2MM X 40 *110025340 0278 471.90$ 1492801 LOCKING PEG 3.2MM X 44 *110025344 0278 471.90$ 1492812 LOCKING PEG 3.2MM X 48 *110025348 0278 471.90$ 1470293 LOCKING SCREW 2.4 X 14 0278 863.46$ 1434923 LOCKING SCREW 3.0 X 22MM *302-20-022 0278 561.00$ 1434556 LOCKING SCREW 3.5 X 34MM *5351035034 0278 336.60$ 1434545 LOCKING SCREW 3.5 X 38MM *5351035038 0278 336.60$ 1434534 LOCKING SCREW 3.5 X 40MM *5351035040 0278 336.60$ 1483201 LOCKING SCREW 3.5MM 0278 662.64$ 1493867 LOCKING SCREW 4.0 *371150 0278 395.18$ 1493578 LOCKING SCREW 4.0 X 12MM *305-40-012 0278 594.00$ 1493523 LOCKING SCREW 4.0 X 24MM *302-40-024 0278 709.50$ 1434234 LOCKING SCREW 4.0 X 26MM *302-40-026 0278 709.50$ 1493589 LOCKING SCREW 4.0 X 46MM *305-40-046 0278 594.00$ 1493234 LOCKING SCREW 4.0MM X 40MM *302-40-028 0278 709.50$ 1434212 LOCKING SCREW 5 X 32.5MM *2360-5032S 0278 777.55$ 1435378 LOCKING SCREW 5 X 37.5MM *2360-5037S 0278 777.55$ 1436542 LOCKING SCREW 5 X 40MM 0278 700.01$ 1445121 LOCKING SCREW 5 X 45MM 0278 1,137.32$ 1435056 LOCKING SCREW 5 X 60MM *2360-5060S 0278 777.55$ 1435067 LOCKING SCREW 5 X 70MM *2360-5070S 0278 777.55$ 1493556 LOCKING SCREW 5.5 X 28MM *59215528 0278 798.60$ 1444215 LOCKING SCREW, FULLY THREADED 5 X 50MM 0278 910.18$ 1493789 LOCKING THIRD TUBULAR PLATE SS 7 HOLE **AR-8943T-07 0278 841.50$ 1493856 LOCKING TIBIAL PLATE 4.0 *437322 0278 4,431.80$ 1492356 LONG NAIL KIT R1 0278 8,545.81$ 1434756 LONG THREAD SCREW 5.5 X 80MM *206-55-080 0278 1,485.00$ 1434912 LONG THREAD SCREW 7.0 X 60MM *206-70-060 0278 1,485.00$ 1434767 LONG THREAD SCREW 7.0 X 85MM *206-70-085 0278 1,485.00$ 1493734 LO-PRO CORTICAL SCREW TM SS 3.5 X 12MM *AR-8835-12 0278 115.50$ 1493745 LO-PRO CORTICAL SCREW TM SS 3.5 X 18MM *AR-8835-18 0278 115.50$ 1493756 LO-PRO LOCKING SCREW SS 3.5 X 12MM *AR-8835L-12 0278 379.50$ 1493767 LO-PRO LOCKING SCREW SS 3.5 X 16MM *AR-8835L-16 0278 379.50$ 1434812 LO-PRO SCREW SS 2.7 X 10MM CORTEX *AR-8827L-10 0278 379.50$ 1434823 LO-PRO SCREW SS 2.7 X 16MM CORTEX *AR-8827L-16 0278 379.50$ 1434834 LO-PRO SCREW TMSS 2.7 X 18MM CORTEX *AR-8827L-18 0278 379.50$

1434801 LO-PRO SCREW TMSS 2.7 X 24MM CORTEX *AR-8827-24 0278 148.50$ 4013918 Medtronc Linq Loop Recorder 0278 29,583.49$ 1483689 MEDTRONIC NEUROSTIM WITH BATT 0278 73,458.73$ 1469907 MESH PROLENE 1X4 0278 352.73$ 1435676 Mesh Sepra Permanent IP 3X6in 5959360 0278 2,546.03$ 1434167 METAL ALTERNATIVE CR FEMORAL 65MM *CP113619 0278 16,080.90$ 1492289 METAL FEMORAL CR 70MM 0278 12,540.00$ 4019782 Micropuncture Kit 0278 3,047.48$ 1492534 MINI HUMERAL TRAY 5X40MM 0278 825.00$ 1492756 MODULAR GLENOID 3 PEG SZ 3 *SAGL2033 0278 2,805.00$ 1434856 MODULAR HIP SYSTEM 155MM/15MM *6276-7-015 0278 8,686.39$ 1434878 MODULAR HIP SYSTEM 155MM/17MM *6276-7-017 0278 8,686.39$ 1463132 MODULAR HIP SYSTEM 155MMX14MM 0278 18,169.35$ 1434889 MODULAR HIP SYSTEM 19MM/+0/V4O *6276-1-019 0278 12,123.54$ 1434712 MODULAR POST FOR AUGMENTED 25MM BASEPLATE *AR-9582-25 0278 3,300.00$ 1468735 MRH KNEE TIBIAL BASEPLATE SIZE SM-1 0278 13,192.59$ 1486512 NAIL RT 9X340MM 0278 9,215.50$ 1492934 NL SCREW 3.0 X 50MM *30-0319 0278 336.60$ 1492945 NL SCREW 3.0 X 55MM *30-0320 0278 336.60$ 1447044 NON LOCKING SCREW 3.5 X 16MM 0278 703.97$ 1434523 NON LOCKING SCREW 3.5 X 28MM *5351135028 0278 336.60$ 1434512 NON LOCKING SCREW 3.5 X 34MM *5351135034 0278 336.60$ 1434490 NON LOCKING SCREW 3.5 X 44MM *5351135044 0278 336.60$ 1434489 NON LOCKING SCREW 3.5 X 50MM *5351135050 0278 336.60$ 1434312 NON LOCKING SCREW 3.5MM X 48MM *304-35-048 0278 379.50$ 1435234 NON LOCKING SCREW 4.5 X 36 *59224536 0278 336.60$ 1493534 NON LOCKING SCREW 5.4 X 40MM *59224540 0278 336.60$ 1493545 NON LOCKING SCREW 5.4 X 45MM *59224545 0278 336.60$ 1493567 NON LOCKING SCREW 5.5 X 28MM *59225528 0278 336.60$ 1493590 NON LOCKING SCREW 5.5 X 32MM *59225532 0278 336.60$ 1487701 NON-LOCKING 2.7 X 18 0278 555.63$ 1444348 O DEG. POLYETHYLENE INSERT 36MM 0278 7,243.85$ 5202078 OASIS MATRIX 3X7CM 0278 42.93$ 1483256 OBTRYX HALO II 0278 3,946.21$ 1487212 OPTIMUM BONE PUTTY 5CC 0278 3,300.00$ 4016036 OPTITORQUE DIAG CATH 5F RADIAL TIG 4.0 110CM 0278 207.99$ 1468503 OVER DRILL 2.4 0278 977.72$ 4011466 PACEL BIPOLAR PACING CATHETER STRAIGHT 5F 0278 264.00$ 1482301 PARCUS ANCHOR 5.0MM 0278 7,845.39$ 1487623 PARKUS ANCHOR 2.5MM 0278 1,419.33$ 1477712 PARKUS ANCHOR 3.5MM 10472 0278 1,723.35$ 1490345 PARTIALLY THRD SCW 50MM X 4.0MM *325050S 0278 652.34$ 1443324 Patella 29 X 10mm Inset 6642-2-629 0278 4,155.95$ 1486256 PATELLA 31X6.2MM 0278 2,233.14$ 1466051 PATELLA SIZE 3 1201-341-334 0278 1,396.78$ 1466028 PATELLA SIZE 4 1201-341-438 0278 1,396.78$ 1490101 PATELLA SYMETRIC 9X33MM 0278 5,953.20$ 1490301 PATELLA SYMMETRIC TRIATHALON 9X31MM 0278 1,971.09$ 1485790 PATELLA SZ 2 30MM X 8.5MM *1201-341-230 0278 1,888.94$ 1489489 PATELLA TRIATHALON X3 29X8MM 0278 2,007.39$ 1420660 Pattella Tendon Hemi 0278 9,990.51$ 1460443 PEEK ACHILLES SPEEDBRIDGE 4.75X 19.1MM 0278 8,852.95$ 1493912 PERIPHERAL LOCKING SCREW 5.5 X 16MM *AR-9563-16 0278 396.00$ 1493923 PERIPHERAL LOCKING SCREW 5.5 X 20MM *AR-9563-20 0278 396.00$ 1493934 PERIPHERAL LOCKING SCREW 5.5 X 24MM *AR-9563-24 0278 396.00$ 1434945 PERIPHERAL SCREW NL 4.5 X 24MM *AR-9562-24NL 0278 396.00$ 1435434 PERIPHERAL SCREW NON LOCKING 4.5 X 28MM *AR-9562-28NL 0278 396.00$ 1463694 PIN 1/8'''' X 4'''' 0278 387.19$ 1485978 PIN HALF SELF DRILL 3X80MM 0278 399.29$ 1434667 PIN SET 2.8MM STEINMANN PIN-2 1.6MM KIRSCHNER 0278 907.50$ 4015897 PINNACLE SHEATH 5F 10CM SHEATH .038'''' MINI GW 0278 52.26$ 4015947 PINNACLE SHEATH 5F 25CM SHEATH NO MGW 0278 106.67$ 4015913 PINNACLE SHEATH 6F 10CM SHEATH .038'' MINI GW 0278 54.76$

4015954 PINNACLE SHEATH 6F 25CM SHEATH NO MGW 0278 112.00$ 4015921 PINNACLE SHEATH 7F 10CM SHEATH .038'''' MINI GW 0278 52.26$ 4015939 PINNACLE SHEATH 8F 10CM SHEATH .038'''' MINI GW 0278 47.51$ 4015970 PINNACLE SHEATH 8F 25CM SHEATH NO MGW 0278 106.67$ 1480656 PINS 0278 395.62$ 1446699 Pins 1/8x2.5 Steinmann 406669 0278 1,366.89$ 1463744 Pins 3.2mmx300mm Guide Sterile 702462S 0278 731.72$ 1483189 PLATE 14 HOLE 3.5MM 0278 3,202.07$ 1490767 PLATE 2-HOLE 0278 3,085.50$ 1485245 PLATE 3.5X163MM 0278 1,798.27$ 1449255 Plate 3H Distal Lateral 40-20903 0278 2,815.52$ 1484278 PLATE 4-HOLE 0278 3,568.00$ 1480956 PLATE 5-HOLE 0278 3,924.79$ 1467992 PLATE 5-HOLE 300-50-005 0278 4,317.28$ 1445410 Plate 67mm Primary Tibial 141212 0278 6,018.95$ 1447226 Plate 69mm 6H Tubular 441.361 0278 955.17$ 1479756 PLATE 7-HOLE 0278 4,848.27$ 1486678 PLATE FIB 9 HOLE 0278 4,770.05$ 1487689 PLATE FIBULA 10 HOLE 0278 4,537.50$ 1479778 PLATE FIBULA 11 HOLE 0278 5,771.77$ 1487501 PLATE FIBULA 12 HOLE 0278 4,197.64$ 1479767 PLATE FIBULA 7 HOLE 0278 5,771.77$ 1479912 PLATE GRIDLOCK 2HOLE 0278 3,924.79$ 1488989 PLATE GRIDLOCK 4 HOLE 0278 3,811.50$ 1485812 PLATE GRIDLOCK 6 HOLE 0278 3,568.00$ 1492478 PLATE LATERAL TIBIA 0278 7,230.89$ 1479523 PLATE LG VLC LFT 0278 6,002.63$ 1484001 PLATE MED CLC 0278 5,985.84$ 1492467 PLATE OLRCON STD 3-HOLE 0278 5,095.20$ 1481990 PLATE RT VLC LG 0278 6,002.63$ 1479745 PLATE TIBIAL 9HOLE 0278 6,926.12$ 1467398 PLATE TIBIAL CEMENTED SZ 6 1201-122-600 0278 5,726.73$ 1488678 PLATE TUBULAR 1/3 W COLLAR 0278 636.41$ 1487512 PLATE TUBULAR 12 HOLE 0278 3,993.00$ 1492067 PLATE VDR RIGHT 0278 5,223.90$ 1483945 PLATE WIDE RT PRX 0278 6,296.47$ 1447416 Plt 6H 1/3 Tubular 430206 0278 320.41$ 1461615 Plug Large Perfix Mesh 0112770 0278 2,480.71$ 1410414 Plug Medium Perfix Mesh 0112760 0278 1,287.68$ 1427384 Plug Small Perfix Mesh 0112750 0278 1,070.41$ 1444264 Plug X-Large Perfix Mesh 0112780 0278 1,513.55$ 1489123 POLY BEARING INSERT 36MM 0278 2,904.00$ 1432186 Port Power 8fr Groshong 1808561 0278 2,930.86$ 14771829 Port Power 8fr Groshong 1878001 0278 2,199.92$ 1487256 POST ANGLED 30 DEG 0278 238.73$ 1446681 Post PT Regenerex Glenoid PT-113950 0278 2,544.65$ 1444041 POSTERIOR STABILIZED FEMORAL #4 0278 11,197.37$ 1443357 POSTERIOR STABILIZED FEMORAL #6 0278 11,771.24$ 1445147 POSTERIOR STABILIZED FEMORAL SIZE 3 0278 11,197.37$ 1435212 POSTERIOR TTC FUSION PLATE *59205030 0278 7,797.90$ 1455203 POWER PORT 9.6FR TITANIUM SILICONE 0278 1,471.93$ 1434430 Powerport W 8fr Groshong 1778001 0278 2,903.89$ 1482478 PREP KIT SZ 2 0278 808.05$ 1482467 PREP KIT SZ1 0278 577.17$ 1468545 PRE-SHAPED PATELLAR TENDON 11MM X 45MM 0278 17,071.27$ 1493712 PRE-SUTURED GRAFTLINK TENDON *GRX-001 0278 8,250.00$ 1451095 PRIMARY TIBIAL BASEPLATE SZ 6 0278 6,982.92$ 1443258 PRIMARY TIBIAL BASEPLATE SZ4 0278 6,890.70$ 1435523 PRIMARY TIBIAL MODULAR TRAY CEMENTED W/ LOCK BAR 63MM *14121 0278 7,322.70$ 1477223 PROCLAIM 5 ELITE 3660 0278 74,178.61$ 1492823 PROXIMAL LOW PLATE LEFT 4 HOLE 83MM *110030101 0278 6,025.80$ 1487678 PROXIMAL STANDARD LEFT 0278 2,976.51$ 4024789 PTA Balloon Catheter 4mm x 150mm x 135cm OTW 0278 503.72$

4028112 PTA CATH 5X80X150 0278 713.60$ 5201067 PURAPLY 2X2 ANTIMICROBIAL 0278 6,583.71$ 5201056 PURAPLY 2X4 0278 3,619.25$ 1466929 PUTTY H-GENIN 5CC PHG-02P 0278 5,098.45$ 1490034 RADIAL HEAD COMPONENT 20MM 0278 6,672.60$ 1490023 RADIAL HEAD COMPONENT 6MM 0278 7,906.80$ 1435045 RECONSTRUCTION NAIL 11 X 360 X 125 DEGREE *1847-1136S 0278 7,389.72$ 1434101 RECONSTRUCTION NAIL R2.0 TIBIA RT *1003334 0278 7,389.72$ 1435023 RENOVIS PATELLA SZ 5 42MM X 10MM *1201-341-542 0278 1,485.00$ 4027078 RESOLUTE 3.5X15 DES 0278 3,809.36$ 4027090 RESOLUTE 3.5X22 DES 0278 3,636.20$ 4027101 RESOLUTE 3.5X26 DES 0278 3,636.20$ 4027112 RESOLUTE 3.5X30 DES 0278 3,809.36$ 4027134 RESOLUTE 3.5X38MM DES 0278 3,809.36$ 4027256 RESOLUTE 4.5X18MM DES 0278 3,809.36$ 4017156 RESOLUTE 4X12MM DES 0278 3,809.36$ 4027167 RESOLUTE 4X15MM DES 0278 3,809.36$ 4027189 RESOLUTE 4X22MM DES 0278 3,809.36$ 4027201 RESOLUTE 4X30MM DES 0278 3,809.36$ 4024601 RESOLUTE ONYX STENT 2X15MM 0278 2,994.75$ 4025234 RESOLUTE ONYX STENT 2X26MM 0278 2,805.00$ 1492389 REV SHOULD BASEPLATE MINI 0278 4,897.20$ 4015848 RUNTHROUGH NS .014 EXTRA FLOPPY 180 CM 0278 507.91$ 1413954 Scr 1.5mmx12mm TI Cortex 400.812.96 0278 284.09$ 1413962 Scr 1.5mmx8mm TI Cortex 400.808.96 0278 281.25$ 1413996 Scr 2.0mmx8mm TI Cortex 401.808.96 0278 289.43$ 1447259 Scr 3.5mmx14mm TI Cortex 404.814 0278 143.14$ 1433663 Scr 4.0mmx20 Canc Full Th 345420 0278 122.34$ 1411032 Scr 8x30mm Cannulated Interference AR-1382 0278 732.51$ 1445105 Screw 10.5x100mm Lag Ti 3060-0100S 0278 3,103.67$ 1483478 SCREW 2.7 X 12 0278 584.10$ 1480401 SCREW 2.7MMX14MM 0278 1,385.22$ 1483878 SCREW 3.5X34MM 0278 106.24$ 1480556 SCREW 3.5X46MM 0278 530.99$ 1480378 SCREW 4.0X30MM 0278 4,218.64$ 1480856 SCREW 4X16MM LOCK 0278 793.35$ 1480478 SCREW 4X40MM 0278 2,701.18$ 1480490 SCREW 4X52MM 0278 1,385.22$ 1480501 SCREW 4X54MM 0278 1,385.22$ 1483634 SCREW 5X80MM 0278 1,103.98$ 1446715 Screw 6.5mmx90mm Cann 326090S 0278 1,323.87$ 1485256 SCREW 6.5X20MM 0278 1,043.24$ 1491556 SCREW 6.5X25MM 0278 798.60$ 1492490 SCREW 60MM 0278 712.37$ 1466945 SCREW BN 4MM 36MM ASNS 325036S 0278 834.91$ 1492401 SCREW BONE 6.5MMX25MM 0278 363.00$ 1486667 SCREW CANMN 3X30MM 0278 545.70$ 1481678 SCREW CANN 2X20MM 0278 600.26$ 1486601 SCREW CANN 3X34MM 0278 545.70$ 1481601 SCREW CANN 3X40MM 0278 600.26$ 1481667 SCREW CANN 3X40MM 0278 600.26$ 1480467 SCREW CANN 4.0 0278 571.00$ 1490312 SCREW CANN 4X28MM 0278 471.90$ 1484390 SCREW CANN 4X32MM 0278 545.70$ 1480423 SCREW CANN 4X44MM 0278 1,322.26$ 1482001 SCREW CANN 4X50MM 0278 600.26$ 1480790 SCREW CANN 6.5X30MM 0278 808.05$ 1479678 SCREW CANN 7X85MM 0278 2,077.83$ 1480789 SCREW CANN BONE 6.5X25MM 0278 808.05$ 1483501 SCREW CANN HEADLESS 7.0 0278 3,211.20$ 1480734 SCREW CENTAL SHOULDER 0278 784.96$ 1489078 SCREW CENTRAL 6.5X25MM 0278 980.10$ 1492078 SCREW CORT 2.5X10MM 0278 405.90$

1483856 SCREW CORTEX 3.5X30 0278 106.24$ 1492156 SCREW CORTICAL 2.7X22MM 0278 129.26$ 1462662 Screw Cortical 3.5 x 14mm COL-3140 0278 703.97$ 1462670 Screw Cortical 3.5 x 16mm COL-3160 0278 639.97$ 1490445 SCREW CORTICAL 3.5X28MM 0278 164.41$ 1491378 SCREW CORTICAL 3.5X30MM 0278 164.41$ 1490190 SCREW CORTICAL 6X50MM 0278 208.22$ 1480745 SCREW FIXED 4.75X30X3.5 0278 794.20$ 1490290 SCREW FIXED LCK 4.75MM 0278 363.00$ 1479923 SCREW GRIDLOCK 2.4X12MM 0278 784.96$ 1483578 SCREW GRIDLOCK 3X12MM 0278 713.60$ 1483589 SCREW GRIDLOCK 3X14 0278 713.60$ 1491867 SCREW GRIDLOCK 4X22 0278 924.00$ 1487267 SCREW GRIDLOCK 4X30MM 0278 539.00$ 1485678 SCREW HEADLESS 5.5X80MM 0278 3,054.65$ 1490690 SCREW HEX 6.5X20MM 0278 762.30$ 1485278 SCREW HEXALOBE 3.5X16MM 0278 331.62$ 1486001 SCREW HEXALOBE 3.5X20MM 0278 331.62$ 1490590 SCREW INTERFERENCE 8X28MM 0278 853.05$ 1490534 SCREW INTERFERENCE 9X28MM 0278 853.05$ 1488667 SCREW LCK 3.5MM 0278 455.40$ 1484578 SCREW LCK 4X18MM 0278 755.57$ 1485590 SCREW LCK HEX 2.7X18MM 0278 717.79$ 1485601 SCREW LCK HEX 2.7x20 0278 682.80$ 1479789 SCREW LK 2.7X16MM 0278 793.35$ 1479790 SCREW LK 2.7X24MM 0278 831.14$ 1483590 SCREW LK 3.0X16MM 0278 784.96$ 1479589 SCREW LK 3.0X18MM 0278 749.28$ 1480590 SCREW LK 3.5X16MM 0278 790.61$ 1480601 SCREW LK 3.5X16MM 0278 754.68$ 1479823 SCREW LK 3.5X20MM 0278 831.14$ 1480012 SCREW LK 3.5X22MM 0278 662.64$ 1480290 SCREW LK 3.5X24MM 0278 5,925.22$ 1480023 SCREW LK 3.5X36MM 0278 643.35$ 1480034 SCREW LK 3.5X40MM 0278 643.35$ 1480334 SCREW LK 3.5X40MM 0278 3,971.87$ 1480056 SCREW LK 3.5X50MM 0278 643.62$ 1488556 SCREW LK 4 X 40 MM *304-40-040 C1713 0278 417.45$ 1480356 SCREW LK 4.0X20MM 0278 1,050.64$ 1491845 SCREW LO PRO HEX 6.5X35MM 0278 776.49$ 1481656 SCREW LOCK 2.4X10MM 0278 784.96$ 1480391 SCREW LOCK 2.7MMX12 0278 831.14$ 1481001 SCREW LOCK 3.0X24MM 0278 392.48$ 1481301 SCREW LOCK 3.5X18MM 0278 831.14$ 1481290 SCREW LOCK 3.5X34MM 0278 831.14$ 1483989 SCREW LOCK 3.5X40MM 0278 428.16$ 1486012 SCREW LOCK 3.5X50MM 0278 562.49$ 1489090 SCREW LOCK 4.75X 15MM 0278 653.40$ 1481978 SCREW LOCK 4X14MM 0278 992.75$ 1483434 SCREW LOCK 4X26MM 0278 831.14$ 1483445 SCREW LOCK 4X28MM 0278 831.14$ 1488223 SCREW LOCK 4X3.6MM 0278 686.90$ 1483456 SCREW LOCK 4X32MM 0278 831.14$ 1480867 SCREW LOCK 4X34MM 0278 831.14$ 1484723 SCREW LOCK 4X42MM 0278 755.57$ 1488145 SCREW LOCKIN 4.5X28MM 0278 878.46$ 1483956 SCREW LOCKING 2.3X18MM 0278 965.46$ 1483967 SCREW LOCKING 2.3X20MM 0278 965.46$ 1485067 SCREW LOCKING 2.47X22MM 0278 713.60$ 1486201 SCREW LOCKING 2.7X18MM 0278 755.57$ 1486723 SCREW LOCKING 2.7X28MM 0278 594.00$ 1483190 SCREW LOCKING 3.5X28MM 0278 662.64$ 1488112 SCREW LOCKING 3.5X44MM 0278 686.90$

1485089 SCREW LOCKING 3X22MM 0278 713.60$ 1485645 SCREW LOCKING 4X16MM 0278 902.50$ 1484412 SCREW LOCKING 4X18MM 0278 902.50$ 1490412 SCREW LOCKING 4X70MM 0278 783.61$ 1490245 SCREW LOCKING 5X65MM 0278 827.46$ 1490234 SCREW LOCKING 5X70MM 0278 827.46$ 1491667 screw locking gridlock 3x28mm 0278 280.50$ 1480878 SCREW LOWPRO 4X50MM 0278 1,322.26$ 1479567 SCREW NL 2.4X18MM 0278 784.96$ 1481323 SCREW NL 2.7X24MM 0278 530.99$ 1468081 SCREW NL 3.0 X 26 301-30-026 0278 453.31$ 1479556 SCREW NL 3.0X18MM 0278 392.48$ 1481090 SCREW NL 3.5X16MM 0278 662.64$ 1483067 SCREW NL 3.5X18MM 0278 530.99$ 1479189 SCREW NL 3.5X24MM 0278 530.99$ 1479801 SCREW NL 3.5X26MM 0278 530.99$ 1480578 SCREW NL 3.5X28MM 0278 505.12$ 1479812 SCREW NL 3.5X30MM 0278 530.99$ 1481312 SCREW NL 3.5X36MM 0278 530.99$ 1480523 SCREW NL 304-40-038 0278 505.12$ 1486334 SCREW NL 3X12MM 0278 356.81$ 1481956 SCREW NL 3X14MM 0278 392.48$ 1481967 SCREW NL 3X16MM 0278 392.48$ 1485634 SCREW NL 4X16MM 0278 545.70$ 1480845 SCREW NL 4X18MM 0278 530.99$ 1479867 SCREW NL 4X20MM 0278 530.99$ 1484289 SCREW NL 4X24MM 0278 545.70$ 1481045 SCREW NL 4X26MM 0278 530.99$ 1481056 SCREW NL 4X28MM 0278 530.99$ 1486467 screw nl 4x34MM 0278 482.74$ 1488423 SCREW NL 5.5X36MM 0278 336.60$ 1472646 SCREW NON-LOCKING 2.7 X 16 0278 557.55$ 1472653 SCREW NON-LOCKING 3.5 X 16 0278 557.55$ 1490334 SCREW PARTIALLY THRD 6.5X105MM 0278 1,141.89$ 1492334 SCREW PARTL THRD CORT 4X32MM 0278 652.34$ 1434023 SCREW RIB LKG MAX DRIVE DRILL FREE 2.3 X 7MM *24-016-07-70 0278 580.64$ 1434034 SCREW RIB LKG MAX DRIVE DRILL FREE 2.3 X 7MM 4 EA 0278 580.64$ 1492489 SCREW SELF TAPPING 5X60MM 0278 752.24$ 1484589 SCREW SYNDES 4X42MM 0278 1,259.29$ 1486790 SCREW SYNDESMOITIC 4X48 0278 990.00$ 1490390 SCREW THREADED 4.0X70MM 0278 178.09$ 1480890 SCREW TIGER 3X26MM 0278 600.26$ 1482534 SCREW TIGER 4X38MM 0278 600.26$ 1486801 SCREW TIGER 4X40MM 0278 545.70$ 1484801 SCREW TIGER 7X75MM 0278 3,211.20$ 1491645 SCREW TIGER CANN LG 5.5X70MM 0278 1,717.22$ 1489367 SCREW TITAN CORTEX 2.4X24MM 0278 274.73$ 1492978 SCREW WASHER TITANIUM 3.75MM *AR-7000-15 0278 165.00$ 1413780 Screw,Cortex,TI-3.5,404.826 0278 150.48$ 1491678 scrw gridlock 4x12mm 0278 924.00$ 4015756 SENSATION PLUS 8F 50CC FIBOPT BLL CATH KIT 0278 5,119.77$ 1422369 SEPRAFILM ADHESION BARRIER 0278 3,765.85$ 1435114 SEPRAMESH 4X8 0278 4,049.30$ 1445766 Set 6x17.5mm TI Screw 3003-0822S 0278 933.83$ 4003729 SHEATH GLIDE 5FR .074IN 45CM 10CM 0278 174.22$ 1434501 SHORT SCREW 3.5 X 32MM *777353232 0278 798.60$ 1434745 SHORT THREAD SCREW 7.0 X 65MM *205-70-065 0278 1,485.00$ 1487123 SHOULDER BONE PIN LNG 0278 3,630.00$ 1487323 SHOULDER STABILIZATION KIT 0278 192.83$ 1471531 SIDEKICK FULL RING 180MM 0278 4,866.74$ 1485312 SIMPLEX HV WITH GENTAMIACIN 0278 1,371.94$ 1482245 SJM LOOP RECORDER 0278 21,240.07$ 4026563 SJM LOOP RECORDER 0278 16,853.53$

1443886 Sleeve Knee Tibial 6481-2-140 0278 1,987.32$ 1434978 SPACER 36+6MM *AR-9555-06 0278 1,617.00$ 1492423 SPEEDBRIDGE IMPLANT 4.75X19MM 0278 5,742.00$ 4016028 SS GLIDESHEATH SLENDER .021 6FR 10CM 0278 309.31$ 4020012 St. Jude Safesheath 6fr 0278 3,352.23$ 1492378 STABLYX IMPLANT SZ 3 0278 10,725.00$ 1470806 STDE E BEARING 44-41MM 0278 9,106.91$ 1493790 STEINMANN PIN 3.5MM X 9 *K1-71-462 0278 36.96$ 1493801 STEINMANN PIN 40.MM X 9 *K1-71-465 0278 42.70$ 1446657 Stem 13mmx53mm Shoulder Syst 113613 0278 27,193.40$ 1492145 STEM CURVED CEMENTED 13X127MM 0278 7,361.64$ 1486245 STEM FINNED MODULAR 40MM 0278 3,110.45$ 1486190 STEM OFFSET LATERAL 13.5MM 0278 5,876.71$ 1417591 Stent 6fr x 22cm Ureteral 192-131 0278 930.97$ 4010559 STENT COR 15MM 3.5MM INTGR COCR RX BLN XPND 0278 3,809.36$ 1487134 STRAIGHT BONE PIN 0278 3,630.00$ 1487145 STRAIGHT BONE PIN TIP 0278 839.53$ 1492612 STRAIGHT OUTRIGGER POST 11MM 0278 403.92$ 1493823 STRAIGHT PLATE 8 HOLE *447.031 0278 733.59$ 1488723 STRYKER 4.5 CORTICAL SCREW 36 MM *661736 0278 186.33$ 1488734 STRYKER 4.5 CORTICAL SCREW 40 MM * 661740 0278 186.33$ 1488690 STRYKER AYS053 DL FEMUR PLATE 4 HOLE *62764 0278 9,628.10$ 1488778 STRYKER DRILL BIT 3.2 X 216 MM *705032 0278 967.92$ 1488789 STRYKER DRILL BIT 4.0 X 216 MM *705043 0278 929.72$ 1434278 STRYKER LOCKING SCREW 5 X 42.5MM *2360-5042S 0278 777.55$ 1435034 STRYKER LOCKING SCREW 5 X 50MM *2360-5050S 0278 777.55$ 1434423 STRYKER LOCKING SCREW 5MM X 35MM *2360-5035S 0278 777.55$ 1434334 STRYKER LOCKING SCREW 5MM X 40MM *2360-5040S 0278 777.55$ 1435312 STRYKER LONG NAIL KIT 11 X 300MM X 125 DEGREES *3525-1300S 0278 8,716.59$ 1435001 STRYKER TIBIAL BEARING INSERT SIZE 1 *5530-G-113-E 0278 3,135.00$ 1488767 STRYKER V WIRE 2.0 X 150 MM *S390192 0278 103.09$ 1493489 SUTURE ANCHOR BIOCOMPOSITE SWIVELOCK 3.9 X 17.9MM *AR-2326BC 0278 1,320.00$ 1406057 SUTURE W31G (BONE WAX) 0278 20.55$ 1487356 SWIVEL-LOCK SUTURE ANCHOR 4.75 X 19.1M *AR-2324BCC 0278 1,320.00$ 1489523 SWIVELOCK 4.75X19.1MM 0278 2,178.00$ 1442813 SYMMETRIC PATELLA 36MM 0278 3,732.48$ 1472174 SYND SCREW 4.0 X 46 0278 1,523.74$ 1434112 SYNDEMOSIS TIGHT ROPE TI *AR-8925T 0278 4,933.50$ 1472190 SYNDESMOTIC SCREW 4.0 X 46 0278 630.28$ 4024934 SYNERGY II MR US 5X12MM 0278 3,993.00$ 4025334 SYNERGY STENT 2.5X12MM 0278 3,630.00$ 1433671 Synthes 2.0mm Screws 401.364.97 0278 282.46$ 1433689 Synthes 2.4mm Screws 401.764 0278 411.84$ 1436252 Synthes K-Wire Non-THD 1.25mm 900.721 0278 152.37$ 1436245 Synthes K-Wire THD 1.25mm 900.722 0278 163.19$ 1434301 SYNTHES OUTRIGGER POST 30 DEGREES 11MM *390.012 0278 403.92$ 1493612 SYNTHES PLATE SIZE 8 HOLE *446.482 0278 804.87$ 1436237 Synthes SCR Cann ST THD 4.0x40mm 407.640 0278 1,091.24$ 1435423 SYNTHES TITANIUM STRAIGHT PLATE 1.5MM *446.031 0278 668.25$ 1492690 T2 SYSTEM END CAP STANDARD 8MM 0278 692.74$ 1492589 TALAR DOME SZ 1 RT 0278 17,585.70$ 1487056 TALOR DOME SZ 3 RGT 0278 23,084.99$ 1487534 TAPER HIP STEM 12MM 0278 7,241.85$ 1492301 TAPERED CEMENTLESS HIP 5.25MM 0278 6,583.50$ 1435101 TAPERED CEMENTLESS HIP LATERAL OFFSET 16.5MM *1401-622-165 0278 6,583.50$ 1493623 TAPERED CEMENTLESS HIP STANDARD OFFSET 13.5MM *1401-322-135 0278 6,583.50$ 1464775 TAPERED FEMORAL STEM OFFSET 9MM LATERAL 0278 11,146.19$ 1479590 TENDON 260MM 0278 11,543.51$ 4014346 TENDRIL ST LEAD 1888TC 58CM 0278 2,793.53$ 4014353 TENDRIL STS LEAD 2088TC 46CM 0278 3,199.86$ 4014361 TENDRIL STS LEAD 2088TC 52CM 0278 3,199.86$ 4014379 TENDRIL STS LEAD 2088TC 58CM 0278 4,799.81$ 1484501 TENSIX PUTTY 5CC 0278 6,363.62$

1492989 THREADED CANNULATED SCW 3.75MM X 28MM 0278 660.00$ 1469535 TIBIAL BASEPLATE CR STEMMED SZ 2 RIGHT LINEAR 0278 5,466.44$ 1466077 TIBIAL BASEPLATE SIZE 5 1201-122-500 0278 5,726.73$ 1466036 TIBIAL BASEPLATE SIZE 7 1201-122-700 0278 5,726.73$ 1466366 TIBIAL BASEPLATE SZ 3, LFT 1201-122-300 0278 5,726.73$ 1466390 TIBIAL BASEPLATE SZ 3, RT 1201-222-300 0278 5,726.73$ 1466341 TIBIAL BASEPLATE SZ 6, RT 1201-222-600 0278 5,726.73$ 1469188 TIBIAL BASEPLATE,CEMENTED SIZE 4,LEFT 0278 5,726.73$ 1488323 TIBIAL BEARING 2X9MM 0278 3,135.00$ 1489278 TIBIAL BEARING CP LIPPED 10X63/67MM 0278 3,684.45$ 1489134 TIBIAL BEARING CS 0278 4,290.00$ 1444033 TIBIAL BEARING INSER-PS SZ 6 9MM 0278 6,890.70$ 1487667 TIBIAL BEARING INSERT 4X9MM 0278 3,448.50$ 1487312 TIBIAL BEARING INSERT 5X9MM 0278 3,625.24$ 1490356 TIBIAL BEARING INSERT 5X9MM 0278 3,448.50$ 1435356 TIBIAL BEARING INSERT CS SZ 4 11MM *5531-G-411-E 0278 3,135.00$ 1487556 TIBIAL BEARING INSERT SZ3 0278 2,299.00$ 1492456 TIBIAL BEARING INSERT SZ4 0278 10,269.60$ 1449818 TIBIAL INSERT CR SZ 4 0278 6,890.70$ 1487712 TIBIAL INSERT KNEE 13MM 0278 3,486.48$ 1466010 TIBIAL INSERT LEFT 10MM 1201-132-510 0278 2,933.21$ 1466069 TIBIAL INSERT SIZE B, 10MM 1201-132-310 0278 2,933.21$ 1466333 TIBIAL INSERT SIZE C, 10MM RT 1201-232-510 0278 2,933.21$ 1486712 TIBIAL INSERT STABILIZER SZ4 0278 9,824.99$ 1466606 TIBIAL INSERT SZ 1 10MM 1201-132-110 0278 2,799.89$ 1466382 TIBIAL INSERT SZ 8, 10MM RT 1201-232-310 0278 2,933.21$ 1467604 TIBIAL INSERT SZ B 12MM RT 1201-232-312 0278 2,933.21$ 1466648 TIBIAL INSERT SZ B 14MM 1201-132-314 0278 2,666.57$ 1467430 TIBIAL INSERT SZ C 12MM LEFT 1201-132-512 0278 2,666.57$ 1469543 TIBIAL INSERT ULTRA CONQUENT CR,SZ A 10MM RT 0278 2,799.89$ 1492278 TIBIAL MODULAR TRAY 71MM 0278 7,322.70$ 1483723 TIBIAL NAIL 9X285MM 0278 7,110.53$ 1434256 TIBIAL NAIL STANDARD 9 X 375MM *1822-0937S 0278 5,656.89$ 1491112 TIBIAL NAIL STD 9X330CM 0278 6,222.58$ 1463603 TIBIAL PREP KIT SIZE 3 0278 1,466.61$ 1464007 TIBIAL PREP KIT SZ 2 0278 1,026.63$ 1463546 TIBIAL PREP KIT SZ 4 0278 1,466.61$ 1463033 TIBIAL PREP KIT SZ 6 0278 1,399.95$ 1484367 TIBIAL TRAY 75MM 0278 5,461.13$ 1492590 TIBIAL TRAY SZ 2 RT 0278 16,041.30$ 1492545 TIBIAL TRAY SZ 4 RT 0278 16,041.30$ 1489801 TIBIASL BEARING INSERT SZ4 0278 4,386.54$ 1490589 TIGHTROPE ACL 0278 1,343.10$ 1492123 TITANIUM FLUTED STEM 12X80MM 0278 2,984.12$ 1471275 TONNEAU SURGIMESH 22 X 15 X 10 CM 0278 4,291.88$ 1445592 TOTAL KNEE UNIVERSAL BASEPLATE SZ4 0278 8,753.00$ 1492745 TOTAL SHOULDER GUIDE/BONE MODEL LT *20-8090-002-01 0278 3,300.00$ 1493845 TOTAL STABILIZER TIBIAL INSERT #5 16MM *5537-G-516-E 0278 6,694.12$ 1491145 TRANSFIXATION PIN 6.0MM X 225MM 0278 393.36$ 1482545 TRIAL LEAD KIT 60CM 0278 990.00$ 1443183 TRIATHALON CRUCIATE FEMORAL SZ#6 0278 10,701.12$ 1446210 TRIATHALON FEMORAL SZ #4 0278 11,771.24$ 1445717 Triathlon X3 Cs Insert 5531-G-209 0278 7,315.43$ 1435278 TRIATHLON X3 TIBIAL BEARING INSERT CS SZ 3 *5531-G-311-E 0278 3,135.00$ 1435367 TRIATHLON X3 TOTAL STABILIZER + TIBIAL INSERT #3 13MM TS *55 0278 6,694.12$ 1444959 TRIDENT HEMISP.ACETABULAR SHELL 48MM 0278 4,745.66$ 1435412 TRILLIANT LONG THREAD SCREW 70 X 80 *206-70-080 0278 1,485.00$ 1435112 TRILLIANT NON LOCKING SCREW 3.0 X 40MM *301-30-040 0278 280.50$ 1486823 TROCH NAIL KIT 0278 2,194.23$ 1446368 TROCH NAIL KIT TI 11X 180MM 0278 7,609.10$ 1445188 TS PLUS TIB INST X3 5537-G-409 0278 14,652.52$ 1490045 TUBULAR PLATE 9-HOLE 0278 1,960.20$ 1443340 UH1-46-26 UHR BIPOLAR 26X46mm 0278 4,033.52$

1492578 UHR UNIVERSAL BIPOLAR COMPONENT 55MM 0278 2,310.00$ 1423896 Uni-Punch Bx (all sizes) 0278 15.64$ 1479467 UNIVERSAL DISTAL PLUG 0278 363.00$ 1434012 UNIVERSAL TIBIAL BASE PLATE SZ 2 *5521-B-200 0278 4,075.50$ 1445618 UNIVERSAL TIBIAL BASEPLATE SZ 5 0278 8,326.27$ 1493423 UNIVERSE VAULTLOCK GLENOID MEDIUM *AR-0106-02 0278 5,197.50$ 1456144 URETERAL STENTS 7FRX24CM 0278 765.29$ 1424621 UroForce Balloon Dilation Cath 887504 0278 1,040.31$ 1435178 USP 11 HUMERAL HEAD 44/19 *AR-9144-19P 0278 5,775.00$ 1483056 VALOR NAIL 0278 12,252.92$ 1466689 VALOR SCREW 5 X 30MM 4151150030 0278 1,469.39$ 1434156 VANGUARD KNEE TIBIAL BEARING ANTERIOR 67MM X 10MM *VE189040 0278 3,349.50$ 1435534 VANGUARD KNEE TIBIAL BEARING ANTERIOR STABLIZED 63MM/10MM *V 0278 8,952.90$ 4025089 VASCULAR XXL 0278 615.98$ 1488501 VDR PLATE PROXIMAL NAR 0278 5,223.90$ 4015715 VERRATA PRESSURE GUIDE WIRE 10185 0278 3,733.18$ 1492290 VICACRIT POLYETHLENE CROSSLINK 71X10MM 0278 3,349.50$ 4025090 VICI VENOUS STENT SYS 14CX90X100MM 0278 6,435.00$ 4015640 VISIONS PV 0.018 DIGITAL IVUS CATHETER 0278 3,301.45$ 4015657 VISIONS PV 0.035 DIGITAL IVUS CATHETER 0278 5,053.76$ 1492367 WALLFLEX STENT 22X90MM 0278 5,435.10$ 1413327 Wire,Kirschner w/ Trocar Point,1.6,150mm 0278 533.27$ 1413319 Wire-K,1.25 0278 507.27$ 1435245 WRIGHT LOCKING SCREW 5.5 X 38 *59215538 0278 798.60$ 1435256 WRIGHT NON LOCKING SCREW 5.5 X 38 *59225538 0278 336.60$ 1434412 X3 INSERT FOR ADM/MDM 28 X28/48 X 42E *1236-2-848 0278 3,603.60$ 1435267 XEN MATRIX AB SURGICAL GRAFT 19CM X 28CM *1151928 0278 42,570.00$ 4024767 Xience Sierra Stent 2.50 x 15mm 0278 2,980.33$ 4024778 Xience Sierra Stent 3.00 x 28mm 0278 2,980.33$ 1434090 ZIMMER GLENOID 4 PEG SIZE 5 *SAGL2045 0278 3,135.00$ 3604915 ZIPWIRE .035X 150CM STIFF LONG TAPERED 0278 198.07$ 3603818 ZIPWIRE .038 X 150MM LONG ANGLED TAPERED 0278 300.71$ 1708866 .1 Hr OB Gest Glucose 0300 199.46$ 1700467 .CBC W/AUTODIFF 0300 288.23$ 1706423 .M. marinum Susceptibility LC 0300 214.09$ 1710292 .TIBC TOTAL IRON BINDING CAPACITY 0300 318.36$ 1701770 .URINALYSIS COMPLETE 0300 118.32$ 1707207 17-alpha-Hydroxyprogesterone LC 0300 446.19$ 1714667 2019 Novel Coronavirus (CoVID-19), NAA LC 0300 165.00$ 1707736 24 HOUR URINE SODIUM 0300 230.15$ 1702000 36415 Venipuncture 0300 58.09$ 1703990 5 HIAA URINE 24HR 0300 304.23$ 1705748 5-HIAA Qn,Random Urine LC 0300 299.71$ 4017687 85347 CL - ACT TEST 0300 32.34$ 1714434 87503 FLU A/B EA ADDL PCR 0300 1,005.29$ 1300383 88720 Bilirubin Total Transcutaneous 0300 153.89$ 1700012 ACETAMINOPHEN LEVEL 0300 415.13$ 1702422 ACTH Plasma LC 0300 676.04$ 1702497 AFP, Serum, Tumor Marker LC 0300 642.25$ 1702430 Aldolase LC 0300 324.49$ 1702448 Aldosterone LC 0300 959.98$ 1702463 Alk Phos Isoenzyme LC 0300 292.94$ 1700079 ALKALINE PHOSPHATASE 0300 230.15$ 1705029 Allergen Profile, Basic Food LC 0300 522.80$ 1702489 Alpha-1-Antitrypsin, Serum LC 0300 414.63$ 1711076 ALPHA-2-MACROGLOBULIN 0300 480.87$ 1700095 AMMONIA (SEP & FREEZE) 0300 316.20$ 1700103 AMYLASE (SERUM) 0300 337.72$ 1702596 Angiotensin-Converting Enzyme LC 0300 342.52$ 1702620 Anti- (ENA) 0300 425.91$ 1707066 Anti Thrombin 3 Activity 0300 757.17$ 1710912 Anti Thrombin 3 Ag 0300 346.41$ 1706803 ANTICARDIOLIPIN ANTI 0300 808.98$

1706319 Anti-Centromere B Antibodies LC 0300 425.91$ 1703149 Anti-DNA(SS)IgG, Ab, Qn LC 0300 338.03$ 1702612 Anti-dsDNA Antibodies LC 0300 412.39$ 1707181 Antiepidermal Antibodies 0300 225.35$ 1703727 Antihistone Antibodies LC 0300 425.91$ 1701342 ANTIMYELOPEROXIDASE 0300 546.99$ 1710342 ANTIMYELOPEROXIDASE 0300 601.68$ 1702588 Antinuclear Antibodies, IFA LC 0300 630.97$ 1716056 Antipancreatic Islet Cells LC 0300 59.14$ 1707157 ANTIPHOSPHOLIPID AB 0300 668.59$ 1711043 ANTISACCHAROMYCES CEREVISIAE AB 0300 540.83$ 1706324 Antiscleroderma-70 Antibodies LC 0300 425.91$ 1706217 Antistreptolysin O Ab LC 0300 371.82$ 1702653 ANTI-THYROGLOBULIN 0300 369.56$ 3001237 ARTERIAL PUNCTURE 0300 706.17$ 1701374 Aspartate Aminotransferase 0300 249.52$ 1712496 B-2 GLYCOPROTEIN AB, EACH 0300 376.77$ 1709641 Basic Metabolic Panel 0300 290.39$ 1708130 Beta-2 Microglobulin, Serum LC 0300 428.16$ 1707140 Bile Acid LC 0300 263.65$ 1601913 BILL FNA INTERP AND REPORT 0300 458.87$ 1712629 BK Virus Quant, Real Time DNA PCR 0300 147.64$ 1710466 BNP BRAIN NATRIURETIC PEPTIDE 0300 337.72$ 1711423 Body Fluid, Cholesterol LC 0300 203.26$ 1711434 Body Fluid, Creatinine LC 0300 285.09$ 1711445 Body Fluid, Triglycerides LC 0300 29.77$ 1700301 BUN 0300 187.14$ 1714745 C3 Complement 0300 351.53$ 1714756 C4 Complement 0300 351.53$ 1716123 C9803: COVID-19 Specimen Collection 0300 82.50$ 1702927 CA 15-3 0300 496.87$ 1708635 CA 27.29 LC 0300 520.54$ 1703776 Calcitriol(1,25 di-OH Vit D) LC 0300 932.92$ 1700319 CALCIUM 0300 249.52$ 1708460 Calcium, 24Hr Urine LC 0300 252.40$ 1713049 Calprotectin, Fecal LC 0300 884.94$ 1705987 Cancer Antigen (CA) 125 LC 0300 520.54$ 1715012 Candida species LC 0300 33.00$ 1700335 CARBAMAZEPINE 0300 393.64$ 1705979 Carbohydrate Antigen 19-9 LC 0300 349.29$ 1706712 Carnitine Total and Free LC. 0300 739.15$ 1706068 Catecholamines, Plasma LC 0300 1,038.85$ 1706001 CD4/CD8 Ratio Profile LC 0300 885.60$ 1702885 Ceruloplasmin LC 0300 313.24$ 1714467 Chlamydia trachomatis, PCR 0300 363.77$ 1700400 CHLORIDE 0300 120.47$ 1709591 CHLORIDE RANDOM URINE 0300 150.57$ 1700392 CHOLESTEROL 0300 230.15$ 1708437 CHOLESTEROL-HDL 0300 109.70$ 1712520 Chromogranin A LC 0300 475.94$ 1706043 Citric Acid (Citrate), Urine LC 0300 712.10$ 1700418 CKMBR 0300 365.66$ 1712603 CMV Quant DNA PCR (Plasma) LC 0300 1,127.86$ 1708080 COCCI ANTIBODY - CSF 0300 290.69$ 1704170 Coccidioides Abs, IgG/IgM, EIA LC 0300 290.69$ 1706241 Cold Agglutinin Titer, Quant LC 0300 410.11$ 1702778 Complement C3, Serum LC 0300 351.53$ 1702786 Complement C4, Serum LC 0300 351.53$ 1706506 Complement, Total (CH50) LC 0300 434.91$ 1709625 COMPREHENSIVE PROFILE 0300 537.76$ 1707116 Copper, Serum LC 0300 367.32$ 1706019 Cortisol, Urinary Free LC 0300 534.08$ 1714618 COVID-19 Testing 0300 165.00$

1707272 C-Peptide, Serum LC 0300 425.91$ 1700459 CPK 0300 440.97$ 1703008 C-Reactive Protein 0300 232.32$ 1714767 C-Reactive Protein High sensitivity 0300 341.00$ 1700483 CREATININE 0300 182.85$ 1709344 CREATININE 24 HR. UR 0300 299.71$ 1700491 CREATININE CLEARANCE 0300 606.58$ 1703040 Cryoglobulin, Ql, Serum, Rflx LC 0300 322.23$ 1702190 Crystal Exam Body Fluid 0300 204.35$ 1703081 CULT, ACID FAST BACIL 0300 351.53$ 1712884 CULTURE, FUNGI WITH PRESUMPTIVE ID 0300 88.09$ 1714790 Cyclic Citrullinated Peptide 0300 187.14$ 1703073 Cyclosporine, Blood LC 0300 319.99$ 1713106 CYTOLOGY SMEAR 0300 197.70$ 1702851 Cytomegalovirus (CMV) Ab, IgG LC 0300 407.67$ 1703065 Cytomegalovirus (CMV) Ab, IgM LC 0300 369.56$ 1711712 D-DIMER 0300 208.22$ 1707876 Dehydroepiandrosterone (DHEA) LC 0300 759.43$ 1714390 Dexamethasone level 0300 307.82$ 1703123 DHEA-Sulfate LC 0300 759.43$ 1700350 DIGOXIN 0300 240.91$ 1714310 DNA/RNA DIRECT PROB 0300 121.00$ 1701945 DOCUMENTED DRAW 0300 58.09$ 1714302 DRUG SCRN QUAN MYCOPHENOLATE 0300 113.53$ 1713387 DRUGS OF ABUSE PANEL (QUAL) 0300 160.66$ 1707892 EBV CHRONIC PROFILE 0300 149.78$ 1712397 EBV, VCA 0300 104.49$ 1703255 ELEC PROTEIN OTHER 0300 552.10$ 1700558 ELECTROLYTE PROFILE 0300 245.22$ 1712611 ENA ANTIBODY PANEL LC 0300 480.87$ 1703305 EPS BARR VIR (EA) 0300 190.51$ 1703339 Erythropoietin (EPO), Serum LC 0300 540.83$ 1706034 Estradiol LC 0300 92.20$ 1703354 ESTRADIOL SERUM 0300 746.41$ 1706407 Estrogens, Total LC 0300 491.26$ 1700574 ETHANOL 0300 523.75$ 1703412 Factor VIII Activity LC 0300 540.83$ 1713197 FDP, Plasma LC 0300 132.04$ 1703446 Fecal Fat, Qualitative LC 0300 752.64$ 1703461 FERRITIN 0300 440.97$ 1710979 FETAL FIBRONECTIN 0300 1,066.92$ 1707025 Fibrinogen Ag 0300 345.11$ 1714445 Flu & RSV by PCR 0300 477.00$ 1703537 Folate (Folic Acid) Serum 0300 385.02$ 1714778 Free light chain Kappa 0300 457.42$ 1714789 Free light chain Lambda 0300 480.87$ 1708767 FREE PSA 0300 799.98$ 1706811 FREE T3 0300 680.54$ 1703560 Fructosamine LC 0300 78.88$ 1703545 FSH 0300 509.80$ 1703578 FTA ABS (HATTS) 0300 232.10$ 1703628 G6PD 0300 281.69$ 1716045 GAD-65 Autoantibody LC 0300 120.95$ 1700616 Gamma Glutamyl Transferase 0300 230.15$ 1715023 Gardnerella vaginalis LC 0300 33.00$ 1703644 Gastrin, Serum LC 0300 590.39$ 1700632 Gentamicin Level Peak 0300 302.84$ 1708809 Gentamicin Lvl 0300 302.84$ 1700640 Gentamicin Trough 0300 302.84$ 1700665 GLUCOSE 0300 219.41$ 1701549 Glucose Body Fluid LC 0300 159.16$ 1702307 GLUCOSE CSF 0300 151.40$ 1700681 Glucose; tolerance test (GTT) 0300 445.26$

1713353 GROUP B STREP BY PCR 0300 342.01$ 1703982 Growth Hormone, Serum LC 0300 333.51$ 1700657 GTT Additional Specimen 0300 167.77$ 1702398 H pylori IGG Ab 0300 94.99$ 1709542 Hantavirus Antibodies, ELISA LC 0300 437.15$ 1703800 Haptoglobin LC 0300 482.23$ 1701507 hCG Qual Serum. 0300 232.32$ 1701754 hCG Qual Urine. 0300 174.23$ 1710615 HCG QUANT 0300 400.10$ 1706829 HCV Antibody LC 0300 649.00$ 1708684 HCV RNA NAA Qualitative LC 0300 799.98$ 1708510 HCV RT-PCR, Quant (Graph) LC 0300 1,417.31$ 1705714 Heavy Metal Serum 0300 322.23$ 1708106 Hematocrit Automated 0300 92.49$ 1708338 Hemoglobin 0300 96.81$ 1703834 HEMOGLOBIN (AIC) 0300 292.56$ 1703222 Hemoglobin Frac w/o Solubility LC 0300 520.54$ 1714589 Hemogram Standard 0300 288.23$ 1707959 Hep A Ab, IgM LC 0300 315.47$ 1703909 Hep A Ab, Total LC 0300 315.47$ 1714945 Hep B Core Ab IgM 0300 245.63$ 1703917 Hep B Core Ab, IgM LC 0300 245.63$ 1707967 Hep B Core Ab, Tot LC 0300 286.19$ 1714967 Hep B Surface Ag 0300 250.13$ 1714956 Hep C Ab 0300 649.00$ 1709633 HEPATIC PANEL 0300 628.10$ 1714990 Hepatitis Panel Acute 0300 270.40$ 1706985 Hepatitis Panel, Acute LC 0300 270.40$ 1710540 Hered.Hemochromatosis, DNA LC 0300 548.02$ 1714252 Herpes Simplex Type 1 0300 75.43$ 1704006 Histamine, Plasma LC 0300 446.60$ 1703701 HIV 1/2 AB Screen 0300 205.06$ 1714336 HIV-1 ANTIBODY 0300 55.91$ 1712363 HIV-2 AB SCREEN 0300 132.96$ 1714978 HOMOCYSTEINE SERUM 0300 691.60$ 1712447 HSV 1 and 2-Specific Ab IgG LC 0300 91.74$ 1703958 HSV Culture and Typing LC 0300 274.92$ 1707934 HSV IgM I/II Combination LC 0300 290.69$ 1707983 IFE and PE CSF LC 0300 428.16$ 1704097 IG M 0300 387.59$ 1714856 IgA 0300 368.69$ 1704063 IGA QN 0300 387.59$ 1708544 IGF-1 LC 0300 968.98$ 1714867 IgG 0300 368.69$ 1704089 IGG QN 0300 387.59$ 1707223 IGG SUBCLASSES 0300 194.88$ 1714878 IgM 0300 368.69$ 1715045 IL-6 (Interleukin-6) 0300 330.00$ 1704048 IMMUNDELECTROP SERUM 0300 96.89$ 1710789 INFLUENZA A ANTIGEN 0300 116.15$ 1710797 INFLUENZA B ANTIGEN 0300 116.15$ 1714423 Influenza by PCR 0300 443.27$ 1704113 Insulin LC 0300 412.39$ 1700749 Iron 0300 279.63$ 1713577 JAK2 Mutation Analysis, Qual LC 0300 1,284.46$ 1713148 JC Virus DNA, PCR (CSF) LC 0300 820.26$ 1707702 K - URINE 24HR 0300 139.83$ 1704196 LACTIC ACID 0300 366.87$ 1714013 Lactoferrin Fecal Quant LC 0300 209.06$ 1700806 LD 0300 230.15$ 1710003 LDL Direct 0300 139.83$ 1704238 Lead Serum/UR 0300 347.03$ 1706738 Legionella pneumophila Abs LC 0300 331.28$

1704261 LEUTENIZING HORMONE 0300 490.42$ 1711902 Levetiracetam (Keppra) S LC 0300 518.29$ 1700848 LIPID PROFILE 0300 608.74$ 1712728 Lipoprotein (a) LC 0300 71.90$ 1700855 Lithium Level 0300 277.49$ 1707165 Lupus Anticoagulant Comp LC 0300 727.86$ 1712553 Lyme, Western Blot, CSF LC 0300 176.00$ 1705755 Lyme, Western Blot, Serum LC 0300 176.00$ 1706100 LYMES SEROLOGY 0300 385.35$ 1700889 MAGNESIUM SERUM 0300 176.40$ 1704410 Mercury Urine 0300 309.17$ 1704402 Metanephrines, Frac, Qn, 24-Hr LC 0300 495.75$ 1712652 Methylmalonic Acid, Serum LC 0300 210.58$ 1709328 MICROALBUMIN, 24 HR. UR 0300 338.69$ 1713114 Miscellaneous Fluid Cytology LC 0300 333.58$ 17080506 MODIFIED AFB (CRYPTOSPORIDIUM) 0300 59.60$ 1708056 MODIFIED AFB (CRYPTOSPORIDIUM) 0300 59.60$ 1700913 MONONUCLEOSIS TEST 0300 273.19$ 1713304 MRSA BY PCR 0300 331.27$ 1714501 MRSA BY PCR 0300 709.97$ 1714489 MTB, PCR 0300 346.04$ 1706456 Multiple Sclerosis(MS) Profile LC 0300 434.91$ 1704519 Mumps Antibodies, IgG LC 0300 173.53$ 1706183 Mycoplasma pneu. IgG/IgM Abs LC 0300 236.63$ 1706480 Myelin Basic Protein CSF LC 0300 525.18$ 1704535 MYOGLOBIN SERUM 0300 320.51$ 1711787 NEISSERIA GONORRHOEAE, NAA 0300 120.95$ 1714478 Neisseria gonorrhoeae, PCR 0300 363.77$ 1700954 Occult Bld Diagnostic 1-3 0300 19.49$ 1713619 Occult Bld Screen 1-3 0300 42.30$ 1709385 OCCULT BLOOD GASTRIC 0300 146.28$ 1704626 Osmolality Serum LC 0300 351.53$ 1704634 Osmolality, Urine LC 0300 220.84$ 1704659 Oxalate, Quant, 24-Hour Urine LC 0300 261.40$ 1711936 Oxcarbazepine (Trileptal),S LC 0300 433.02$ 1714278 Pancreatic Elastase, Fecal LC 0300 72.55$ 1714286 Panel 083935 LC 0300 151.45$ 1700996 PARTIAL THROM TIME 0300 163.49$ 1713320 Peripheral Smear w/Path Interp 0300 167.61$ 1701002 pH Stool LC 0300 107.55$ 1702562 Phenobarbital Level 0300 324.49$ 1701028 PHENYTOIN 0300 374.45$ 1711464 Phospholipids, Serum LC 0300 552.76$ 1701069 PHOSPHORUS 0300 189.31$ 1708122 Platelet Antibodies 0300 641.22$ 1701093 PLATELET AUTOMATED 0300 92.09$ 1701119 POTASSIUM 0300 176.40$ 1706027 PREALBUMIN 0300 335.76$ 1714912 Procalcitonin Level 0300 110.00$ 1701895 PROFILE RENAL 0300 544.21$ 1704873 PROGESTERONE FROZEN 0300 449.56$ 1716012 Progesterone LC 0300 68.84$ 1704907 PROLACTIN 0300 559.26$ 1716023 Prolactin LC 0300 63.95$ 1701911 Prostate Specific Antigen 0300 645.32$ 1707728 PROT - URINE 24 HOUR 0300 245.22$ 1707173 Protein C + S Panel 0300 169.48$ 1704949 PROTEIN ELECT SERUM 0300 454.42$ 1704956 PROTEIN ELECT URINE 0300 552.10$ 1710474 Protein S Free 0300 195.06$ 1701200 PROTEIN URINE QUANT 0300 245.22$ 1701218 Protein, Body Fluid LC 0300 225.87$ 1701176 PROTHROMBIN TIME 0300 152.72$

1709302 PTH INTACT 0300 428.05$ 1704667 PTHrP (PTH-Related Peptide) LC 0300 112.75$ 1713841 QUANTIFERON CLIENT INTUBATED 0300 383.98$ 1701242 RAPID STREP THROAT 0300 215.12$ 1705094 Renin Activity, Plasma LC 0300 459.69$ 1714689 Reticulocyte Count % 0300 115.38$ 1701259 Reticulocyte Count LC 0300 126.92$ 1705011 Rheumatoid Arthritis Factor LC 0300 205.06$ 1714889 Rheumatoid Factor 0300 205.06$ 1705854 Rotavirus Ag, EIA LC 0300 329.01$ 1701317 RPR Rfx Qn RPR/Confirm TP LC 0300 200.04$ 1706340 Rubeola Antibodies, IgG LC 0300 214.09$ 1701333 SALICYLATES 0300 415.14$ 1711456 Salivary Cortisol MS LC 0300 387.12$ 1714734 SARS-CoV-2 (COVID-19) Antibody, IgG LC 0300 165.00$ 1714701 SARS-CoV-2 (COVID-19) IgG Abs Rapid 0300 59.40$ 1714712 SARS-CoV-2 (COVID-19) IgM Abs Rapid 0300 165.00$ 1714723 SARS-CoV-2 (COVID-19) Total Abs (no Ratio) 0300 165.00$ 1701366 Semen Analy-Post Vas 1 0300 191.43$ 1712645 Sex Horm Binding Glob, Serum LC 0300 118.99$ 1705995 SJOGREN'S AB(SSA-SSB) 0300 425.91$ 1701416 SODIUM SERUM 0300 189.31$ 1701424 SODIUM URINE 0300 230.15$ 1714512 Staph Aureus, amp probe 0300 363.73$ 1705235 Stone Analysis LC 0300 387.59$ 1714456 Strep A by PCR 0300 363.77$ 1709617 STRIATED MUSCLE AB TITER 0300 272.68$ 1710904 SUBSTITUTION, PLASMA FRACTIONS, EA 0300 326.77$ 1711365 Sulfonylurea, Screen, Quant, Serum or Plasma LC 0300 518.29$ 1714823 Syphilis 0300 232.10$ 1714328 SYPHILIS TEST NOT-TREP QUANT 0300 27.65$ 1705268 T-3 0300 422.87$ 1701606 T3 Uptake 0300 323.68$ 1701614 T-4 0300 331.25$ 1705292 Testosterone Total 0300 896.97$ 1712371 TESTOSTERONE, BIOAVAILABLE 0300 162.03$ 1701648 THEOPHYLLINE 0300 215.12$ 1712801 THROMBIN TIME; PLASMA 0300 39.67$ 1706449 THYROGLOBULIN 0300 475.48$ 1714845 Thyroid Peroxidase (TPO) Ab 0300 385.35$ 1702638 Thyroid Peroxidase (TPO) Ab LC 0300 385.35$ 1707009 Thyroid Stim Immunoglobulin LC 0300 689.56$ 1712686 Topiramate (Topamax), Serum LC 0300 163.60$ 1708007 Toxoplasma gondii Ab, IgG, Qn LC 0300 279.41$ 1708015 Toxoplasma gondii Ab,IgM,Qn LC 0300 358.30$ 1705433 Transferrin 0300 374.09$ 1715034 Trichomonas vaginalis LC 0300 33.00$ 1714656 Trichomonas vaginalis, PCR 0300 320.65$ 1701705 TRIGLYCERIDES 0300 209.23$ 1708858 TROPONIN I 0300 316.20$ 1714801 Troponin-I High Sensitivity 0300 316.20$ 1710896 Tryptase LC. 0300 911.63$ 1701655 TSH Cascade 0300 554.97$ 1708874 Ur Creatinine 0300 299.71$ 1706258 Ur Microalb 0300 356.06$ 1701739 URIC ACID SERUM 0300 219.41$ 1707769 Uric Acid, 24 hr Urine LC 0300 279.41$ 1701762 Urinalysis Microscopic Standard 0300 57.37$ 1707710 URINE K 0300 139.83$ 1701820 VALPROIC ACID 0300 367.83$ 1706191 Vancomycin Peak 0300 349.28$ 1708577 Vancomycin Trough 0300 349.29$ 1705524 Vanillylmandelic Acid, 24-Hr U LC 0300 468.73$

1703610 Varicella-Zoster V Ab, IgG LC 0300 448.45$ 1107325 Venipuncture 0300 58.09$ 1714294 VIRUS ANTIBODY NOS 0300 72.03$ 1709351 Viscosity, Serum LC 0300 189.31$ 1702687 VIT B12 LEVEL 0300 415.14$ 1706365 VITAMIN B1 (THIAMINE) 0300 395.05$ 1706357 Vitamin B6 LC 0300 585.90$ 1705508 Vitamin D, 25-Hydroxy 0300 781.94$ 1712090 Vitamin E, Serum LC 0300 54.41$ 1707900 VON WILLEBRAND FACTOR 0300 366.55$ 1712140 VON WILLEBRAND FACTOR AG 0300 680.13$ 1712058 West Nile Virus IgG 0300 321.82$ 1712041 West Nile Virus IgM 0300 292.56$ 1701838 WET MOUNT PREP 0300 126.19$ 1705557 Zinc, Plasma or Serum LC 0300 306.48$ 1716067 ZNT8 Antibodies LC 0300 270.60$ 1709443 80050 General Health Panel 0301 1,112.09$ 4001392 82810 O2 SAT DIRECT MEASUREMENT 0301 1,608.89$ 3000007 ABG COMPLETE ANALYSIS 0301 765.23$ 1710318 ACETYLCHOLINE BLOCKING 0301 2,638.79$ 1705185 Actin (Smooth Muscle) Antibody LC 0301 739.15$ 1701382 Alanine Aminotransferase 0301 249.52$ 1700061 Albumin 0301 230.15$ 1711746 Albumin, CSF 0301 56.78$ 1704071 Allergens w/Total IgE Area 10 LC 0301 368.69$ 1710334 ANTIPROTEINASE-3 AB 0301 739.15$ 1711514 Beta-Hydroxybutyrate LC 0301 220.06$ 1700244 BILIRUBIN DIRECT 0301 197.88$ 1700236 BILIRUBIN, TOTAL 0301 191.43$ 1702315 Bilirubin, Total Body Fluid LC 0301 191.43$ 1702802 Calcium, Ionized, Serum LC 0301 306.48$ 1702836 Carcinoembryonic Antigen 0301 367.83$ 1712173 Cortisol Evening 0301 406.97$ 1703016 Cortisol Morning 0301 406.97$ 1714187 DRUG TEST DEF 1-7 CLASSES 0301 523.75$ 1711167 Factor II, DNA Analysis LC 0301 412.57$ 1700582 Fetal Screen 2 0301 319.46$ 1713957 H. pylori Breath Test LC 0301 521.25$ 1710060 Homocyst(e)ine, Plasma LC 0301 691.60$ 1710433 IGF-BP3 LC 0301 911.63$ 1710946 Immunoglobulin D, Quant, Serum LC 0301 387.59$ 1711688 Insulin Autoantibodies LC 0301 217.69$ 1712454 Lactic Acid CSF 0301 317.26$ 1712165 Lamotrigine (Lamictal), Serum LC 0301 518.29$ 1710730 Legal Draw 0301 58.09$ 1700830 LIPASE 0301 304.23$ 1704501 Mitochondrial (M2) Antibody LC 0301 739.15$ 1714021 Nicotine Metabolite, Urine LC 0301 283.93$ 1709278 POINT OF CARE GLUCOSE 0301 23.66$ 1701127 Prenatal Profile 0301 1,135.74$ 1701689 PROTEIN CSF 0301 214.86$ 1701168 PROTEIN TOTAL 0301 197.88$ 3000940 RT HGB Methemoglobin, Quant Charge 0301 220.00$ 1713601 Ruptured Membrane Test 0301 438.02$ 1711381 Sirolimus (Rapamune), Blood LC 0301 106.48$ 1709948 Tacrolimus (FK506), Blood LC 0301 354.93$ 1712157 Testosterone, Free, Direct LC 0301 205.85$ 1701937 Thyroxine (T4) Free, Direct, S LC 0301 366.26$ 1708643 t-Transglutaminase (tTG) IgA LC 0301 639.19$ 1708650 t-Transglutaminase (tTG) IgA LC 0301 739.15$ 1701986 Urine Drug Collect 0301 98.96$ 1710144 ALLERGEN SPECIFIC IGE 0302 94.63$ 1700129 ANTIBODY ID PANEL 0302 1,116.85$

1700111 Antibody Screen Gel 0302 406.60$ 1710714 Anti-Jo-1 LC 0302 406.55$ 1710987 Antiphosphatidylserine IgG/M/A LC 0302 281.79$ 1800606 CCP Antibodies IgG/IgA LC 0302 187.14$ 1710300 C-Reactive Protein, Cardiac LC 0302 318.36$ 1700541 DAT Poly Gel 0302 668.81$ 1710888 Endomysial Antibody IgA LC 0302 260.27$ 1710813 H pylori IGA Ab 0302 104.47$ 1710821 H pylori IGM Ab 0302 94.99$ 1703925 Hep B Surface Ab LC 0302 184.77$ 1711886 Hep Be Ab LC 0302 63.89$ 1711860 Heparin Induced Platelet LC 0302 641.22$ 1709658 Parvovirus B19, Human, IgG/IgM LC 0302 445.27$ 1800630 Ref Antibody Screen 0302 406.60$ 1800531 Reference DAT 0302 668.81$ 1702133 RSV 2 0302 178.33$ 1701325 Rubella Ab 0302 204.34$ 1709336 Activated Protein C Resistance LC 0305 290.54$ 1800382 Blood Type ABO/Rh Typing 0305 440.91$ 1702844 Catecholamines,Ur.,Free,24 Hr LC 0305 1,038.85$ 1710870 DILUTE RUSSELL'S VIPER VENOM TIME 0305 727.86$ 1709526 Factor V Leiden Mutation LC 0305 555.18$ 1708536 Gabapentin (Neurontin), Serum LC 0305 518.29$ 1713155 Protein C-Functional LC 0305 113.59$ 1712421 RBC, Automated 0305 68.35$ 1711134 Reference ABO/Rh 0305 440.91$ 1701341 SEDIMENTATION RATE 0305 203.48$ 1710862 TISSUE THROMBOPLASTIN INHIBITION 0305 677.58$ 1702406 Anaerobic Culture LC 0306 313.24$ 1702091 BACTERIAL ID 1 0306 98.96$ 1709666 BACTERIAL ID 2 0306 98.96$ 1714556 C Diff Antigen (GDH) 0306 46.71$ 1714578 C Diff Toxins 0306 142.46$ 1713312 C. Difficile, PCR 0306 376.21$ 1711779 CHLAMYDIA TRACHOMATIS SWAB OR URINE 0306 127.77$ 1701515 CULTURE BETA STREP 0306 350.63$ 1700277 Culture Blood 0306 251.68$ 1707777 CULTURE BODY FLUID 0306 350.63$ 1707785 CULTURE MISCELLANEOUS 0306 350.63$ 1701473 CULTURE SPUTUM 0306 350.63$ 1701523 CULTURE STOOL 0306 288.23$ 1701663 CULTURE THROAT COMP 0306 350.63$ 1701846 CULTURE TIP(IV ONLY) 0306 333.52$ 1701796 CULTURE URINE 0306 288.23$ 1701861 CULTURE VAG/URETHRAL 0306 350.63$ 1701853 CULTURE WOUND 0306 350.63$ 1712348 FUNGUS STRAIN 0306 75.71$ 1707793 GENITAL CULTURE 0306 350.63$ 1701481 GRAM STAIN 0306 83.90$ 1709518 H. pylori Stool Ag, EIA LC 0306 499.04$ 1707652 HBs Ag Screen LC 0306 250.13$ 1711878 HBV Real-Time PCR, Quant LC 0306 395.16$ 1708882 HCV Genotyping Non Reflex LC 0306 887.34$ 1711894 Hep Be Ag LC 0306 63.89$ 1712330 HSV AMPLIFIED PROBE 0306 356.44$ 1700962 Ova + Parasite Exam LC 0306 228.01$ 1711498 RNA, Real Time PCR (Graph) LC 0306 489.79$ 1701440 SPINAL FLUID CULTURE 0306 333.52$ 1701101 STOOL WBC 0306 83.90$ 1707439 SUSCEPTIBILITY 1 0306 141.97$ 1712199 Trichrome Stain 0306 98.87$ 1707926 Viral Culture, General LC 0306 313.24$ 1709286 POINT OF CARE URINE 0307 65.20$

1700384 Body Fluid Cell Count 0309 139.15$ 1701465 CSF Cell Count Standard 0309 139.83$ 1713874 HLA B 27 Disease Association LC 0310 554.52$ 1714401 88108 TC AP Bill Non-Gyn Concentration Technique 0311 180.71$ 1711407 88172 TC AP Bill FNA Immediate Read 0311 879.70$ 1710177 Comp panel: Leukemia/Lymphoma LC 0311 1,170.05$ 1712223 FLOW CYTOMETRY EACH ADDL MARKER 0311 193.35$ 1711175 88300 TC AP Bill Surgical Pathology Level I Complexity 0312 163.36$ 1711183 88302 TC AP Bill Surgical Pathology Level II Complexity 0312 276.57$ 1711191 88304 TC AP Bill Surgical Pathology Level III Complexity 0312 483.47$ 1711209 88305 TC AP Bill Surgical Pathology Level IV Complexity 0312 692.37$ 1711217 88307 TC AP Bill Surgical Pathology Level V Complexity 0312 1,128.92$ 4001699 75671 ANGIO CAROTID CEREB BI 0320 6,607.96$ 4001756 75736 ANGIO PELVIC SELECT/ SUPRA 0320 17,902.78$ 4001939 75946 IVUS NON CORONARY ADDL VESSEL 0320 1,226.83$ 4002655 ANGIO AV DIALYSIS PREV CT 0320 1,679.94$ 6900062 FETAL BIOPHYSICAL WITH NON-STRESS 0320 448.60$ 2301216 FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON 0320 975.15$ 36080347 GCMH Fluoro Guidance 0320 975.15$ 3600236 IR - ARTHROGRAM SHOULDER L 0320 2,142.56$ 3600244 IR - ARTHROGRAM SHOULDER R 0320 2,142.56$ 3600392 IR - BIL STRUCTURE DIALATI 0320 6,153.96$ 3601416 IR Arthrogram Hip Right 0320 1,915.67$ 3600210 IR Arthrogram Knee LT 0320 1,915.67$ 3600228 IR Arthrogram Knee RT 0320 1,915.67$ 3601796 IR BA Swallow Modified 0320 966.74$ 3601622 IR Cholangiogram Inj Exist Access 0320 12,220.01$ 2301083 IR Cystogram Min 3V 0320 1,630.18$ 3601036 IR Drainage Perc Cath Placement 0320 2,884.41$ 3601721 IR Fluoro Guide CVA Device Placement 0320 1,239.43$ 2301422 IR Hysterosalpingogram 0320 2,071.30$ 2301521 IR Myelogram Lumbar 0320 4,773.22$ 3601234 IR Nephrostogram Tube Change Add-on 0320 1,739.65$ 3600384 IR Nephrostomy Cath Placement 0320 8,337.98$ 2301091 IR Voiding Cystogram 0320 1,965.02$ 6900187 OB TRANSVAGINAL US 0320 609.25$ 6900104 OB US < 14 WKS 0320 718.29$ 6900120 OB US >/= 14 WKS 0320 718.29$ 6900096 OB US LIMITED FETU 0320 607.29$ 6900203 US Doppler Umbilical Artery 0320 572.46$ 6900211 US Echo Middle Cerebral Artery 0320 629.71$ 6900047 US EXAM PEL NON OB LIM OR FOLL-UP 0320 369.86$ 6900039 US EXAM PELVIC NON OB 0320 613.24$ 6900070 US Fetal Biophysical Profile w/o N-Str 0320 592.31$ 6900161 US Nuchal Translucency Single 0320 404.39$ 2500502 US OB After 1st Trimester Twins 0320 881.10$ 6900088 US OB Follow Up 0320 556.85$ 6900112 US OB Less Than 14 Weeks Each Addl Gest 0320 652.99$ 6900138 US OB More Than 14 Weeks Each Addl Gest 0320 629.71$ 6900054 US Transvaginal Non-OB 0320 1,555.42$ 2300655 XR ABDOMEN 2V 0320 930.68$ 2302602 XR ABDOMEN 2VW W/CXR 1VW 0320 1,079.42$ 2300424 XR AC JOINTS 0320 583.98$ 2303568 XR Ankle 2 Views Bilateral 0320 1,874.88$ 2303576 XR Ankle 2 Views Right 0320 937.43$ 2303584 XR Ankle 3 Views Left 0320 1,176.29$ 2303600 XR Ankle Complete Bilateral 0320 2,352.60$ 2303550 XR ANKLE LT 2V 0320 937.43$ 2300945 XR Barium Enema w/ Air Complete 0320 1,732.91$ 2300911 XR Barium Swallow 0320 3,281.01$ 2300952 XR BE WO Air 0320 1,060.91$ 2301323 XR BONE AGE 0320 583.98$ 2305944 XR BONE LENGTH/LEG ETC 0320 1,005.04$

2301307 XR BONE SURVEY COMPLETE 0320 1,295.75$ 2304244 XR Calcaneus Bilateral 0320 1,744.17$ 2304228 XR Calcaneus Min 2 View Rt 0320 872.09$ 2300580 XR CHEST 1 VIEW 0320 428.16$ 2300598 XR CHEST 2V 0320 989.25$ 2301539 XR CHEST 3V 0320 1,088.16$ 2306207 XR Cholangiogram in OR 0320 1,786.37$ 2303626 XR CLAVICLE RT 0320 399.50$ 2300721 XR C-SPINE 2/3VW TRAUMA 0320 748.14$ 2303659 XR Elbow 2 Views Left 0320 495.75$ 2303683 XR Elbow 3 Views Min Lt 0320 518.29$ 2303667 XR ELBOW BILAT 2V 0320 993.77$ 2303691 XR Elbow Complete Bilateral 0320 1,149.25$ 2300150 XR Facial Bones Minimum 3 Views 0320 763.92$ 2304715 XR FEMUR BILAT 2V 0320 2,487.79$ 2304731 XR FEMUR RT 2V 0320 1,243.90$ 2303717 XR Finger 2nd Digit Left 0320 531.82$ 2303766 XR Finger 2nd Digit Right 0320 531.82$ 2303725 XR Finger 3rd Digit Left 0320 531.82$ 2303774 XR Finger 3rd Digit Right 0320 531.82$ 2303733 XR Finger 4th Digit Left 0320 531.82$ 2303782 XR Finger 4th Digit Right 0320 531.82$ 2303741 XR Finger 5th Digit Left 0320 531.82$ 2303790 XR Finger 5th Digit Right 0320 531.82$ 2303709 XR Finger Thumb Right 0320 531.82$ 6400188 XR Finger Thumb Right 0320 267.05$ 2303832 XR Foot 2 Views Bilateral 0320 518.29$ 2303824 XR Foot 2 Views Right 0320 518.29$ 2303865 XR Foot Complete Bilateral 0320 2,307.54$ 2303857 XR FOOT LT MIN 3V 0320 1,153.77$ 2303881 XR Forearm 2 Views Right 0320 1,047.86$ 2303899 XR FOREARM BILAT 2V 0320 1,905.18$ 2303873 XR FOREARM LT 2V 0320 1,047.86$ 2302073 XR Foreign Body Loc Nose/Rectum Child 0320 1,072.54$ 2303907 XR Hand 2 Views Left 0320 788.71$ 6400170 XR Hand 3 Views Min Rt 0320 907.04$ 2303923 XR HAND BILAT 2V 0320 1,577.40$ 2303956 XR Hand Complete Bilateral 0320 2,307.54$ 2303931 XR Hand LT Min 3V 0320 1,153.77$ 2303915 XR HAND RT 2V 0320 788.71$ 2303964 XR Hip LT 1V 0320 387.59$ 2303980 XR Hip LT 2V 0320 581.39$ 2303972 XR Hip RT 1V 0320 387.59$ 2303998 XR Hip RT 2V 0320 581.39$ 2307090 XR Hips Bil w/ or w/o Pelvis Min 5 Views 0320 1,072.54$ 2304004 XR Hips Bil w/ Pelvis 2 Views 0320 955.45$ 6400436 XR Hips Bil w/ Pelvis Min 5 Views 0320 842.99$ 2304012 XR Humerus 2 Views Min Lt 0320 556.61$ 2304020 XR Humerus 2 Views Min Rt 0320 556.61$ 6400121 XR Humerus 2 Views Min Rt 0320 242.77$ 2304038 XR Humerus Bilateral 0320 841.84$ 2300648 XR Infant CXR/ABD 1 OR 2 View Add-On 0320 572.36$ 2301042 XR IVP 0320 1,929.77$ 2304111 XR Knee 1 or 2 Views Right 0320 937.43$ 2304152 XR Knee 3 Views Bilateral 0320 2,307.54$ 2304145 XR Knee 3 Views Right 0320 1,153.77$ 2304186 XR Knee 4 Views Bilateral 0320 1,606.70$ 2304129 XR Knee Bilat 1 or 2V 0320 937.43$ 2304160 XR KNEE LT 4V 0320 1,606.70$ 2304202 XR LEG LT TIBIA/FIBULA 0320 1,243.90$ 2304061 XR Lower Extremity Infant Bilateral 0320 682.79$ 2304053 XR Lower Extremity Infant Right 0320 682.79$ 2302677 XR LUMBAR SPINE 2 OR 3 VIEW 0320 732.39$

2300804 XR LUMBAR SPINE MIN 4VIEW 0320 1,302.49$ 2302404 XR LUMBOSACRAL W BENDING MIN 6VIEWS 0320 953.22$ 2300200 XR MANDIBLE 0320 786.46$ 2302503 XR MANDIBLE PARTIAL 0320 364.86$ 2300168 XR NASAL BONES 0320 585.90$ 2300762 XR NECK SOFT TISSUE 2V 0320 512.16$ 2302081 XR OSSCOUS SURV INFANT 0320 583.98$ 2300556 XR PELVIS 0320 596.29$ 2302891 XR PM Fluoro Guide Spinal 0320 824.77$ 2304681 XR RIBS BILAT W PA CXR MIN 4V 0320 583.98$ 2304251 XR RIBS LT 2V 0320 709.85$ 2304707 XR RIBS RT W PA CXR MIN 3V 0320 583.98$ 2300853 XR SACRO-ILIAC SI JOINT 0320 709.85$ 2300861 XR SACRUM/COCCYX 3VWS 0320 651.26$ 2304285 XR Scapula Left 0320 1,069.35$ 2302131 XR Scoliosis Study - Spine Entire AP/LAT 0320 1,401.64$ 2304327 XR Shoulder 1 View Bilateral 0320 983.32$ 2304301 XR Shoulder 1 View Right 0320 540.83$ 2304350 XR SHOULDER BILAT MIN 2V 0320 1,243.90$ 2304335 XR SHOULDER LT MIN 2V 0320 621.96$ 2305480 XR Shuntogram Non-Vascular 0320 2,517.11$ 2300184 XR SINUSES 3V 0320 919.42$ 2300127 XR SKULL 2V 0320 732.39$ 2300101 XR SKULL 4V 0320 919.42$ 2300903 XR Small Bowel 0320 926.17$ 2302586 XR SPINE 1V 0320 687.31$ 2300812 XR Spine Thoracolumbar 2 Views 0320 733.40$ 2300747 XR SPINE, CERVICAL 6 V OR MORE 0320 797.72$ 2300739 XR SPINE,CERVICAL 4 OR 5 VIEWS 0320 1,074.91$ 2300705 XR Sternum Min 2 Views 0320 484.51$ 2300770 XR THORACIC SPINE 2V 0320 732.39$ 2300788 XR THORACIC SPINE 3V 0320 822.51$ 2302412 XR THORACIC SPINE COMPLETE 0320 792.80$ 2304210 XR Tibia/Fibula Bilateral 0320 2,487.79$ 2304392 XR Toes 2nd Digit Left 0320 500.28$ 2304442 XR Toes 2nd Digit Right 0320 454.78$ 2304418 XR Toes 4th Digit Left 0320 500.28$ 2304467 XR Toes 4th Digit Right 0320 500.28$ 2304426 XR Toes 5th Digit Left 0320 500.28$ 2304475 XR Toes 5th Digit Right 0320 500.28$ 2304384 XR Toes Great Left 0320 500.28$ 6400337 XR Toes Great Right 0320 345.53$ 2304087 XR Upper Extremity Infant Left 0320 1,047.86$ 2302651 XR Upper GI Air w/ Small Bowel 0320 2,357.10$ 2304756 XR Upper GI and Ba Sw W Kub 0320 1,919.94$ 2300895 XR Upper GI w/ Air Contrast 0320 1,854.58$ 2304541 XR WRIST BILAT 2V 0320 1,883.88$ 2305225 XR WRIST BILAT MIN. 3VIEWS 0320 1,901.91$ 2304491 XR WRIST LT MIN 3V 0320 950.95$ 2304533 XR WRIST RT 2V 0320 941.95$ 6400279 X-RAY ANKLE MINIMUM 3 VWS 0320 263.37$ 6400253 X-RAY BOTH KNEES STANDING 0320 267.36$ 6400097 X-RAY COLLAR BONE COMPLET 0320 330.17$ 6400139 X-RAY EXAM ELBO 2 VIEWS 0320 354.31$ 6400147 X-RAY EXAM FOREARM 2 VIEW 0320 263.37$ 6400238 X-RAY EXAM KNEE 3 VIEWS 0320 263.37$ 6400048 X-RAY EXAM L-S 2 OR 3 VIEWS 0320 369.86$ 6400055 X-RAY EXAM L-S MIN 4 VIEWS 0320 402.06$ 6400022 X-RAY EXAM NECK 4 OR 5 VIEWS 0320 369.86$ 6400071 X-RAY EXAM OF PELV 1/2 VW 0320 369.86$ 6400352 X-RAY EXAM SPINE THORACIC 2 VIEWS 0320 369.86$ 6400501 XRAY FEMUR 2V 0320 263.37$ 6400295 X-RAY FOOT MINIMUM 3 VIEW 0320 263.37$

6400402 X-RAY HAND, 2 VIEWS 0320 369.86$ 2307101 XRAY HIP BILAT 3-4 VIEW 0320 1,011.21$ 6400204 X-RAY HIP MINIMUM 2 VIEWS 0320 263.37$ 6400220 X-RAY KNEE 1 OR 2 VIEWS 0320 263.37$ 6400246 X-RAY OF KNEE 4 OR MORE 0320 402.06$ 6400261 X-RAY OF LOWER LEG 2 VWS 0320 263.37$ 6400105 X-RAY OF SCAPULA COMPLETE 0320 369.86$ 6400154 X-RAY OF WRIST 2 VIEWS 0320 263.37$ 6400113 X-RAY SHOULDER MIN 2 VIEWS 0320 263.37$ 6400162 X-RAY WRIST MIN 3 VIEWS 0320 263.37$ 2300622 XR CHEST 2V WITH FLURO 0324 989.25$ 2300606 XR CHEST 4V 0324 601.68$ 1101245 96401 CHEMO SQ IM NON HORMONAL INJ CHARGE 0331 580.24$ 1101302 96409 CHEMO INJECTION/IV PUSH SINGLE/INITIAL CHARGE 0331 988.36$ 1101278 96411 CHEMO ADM, IV PUSH EA ADD DRUG CHARGE 0331 469.32$ 5301023 96450 CHEMOTX ADMN CNS REQ SPINAL PUNCTURE TechFee 0331 1,021.68$ 1101286 CHEMO INFUSION INI HR (CHEMO) 0331 1,719.33$ 5300033 77280 THERAP RAD SIM-AIDED FLD SETTING SI 0333 1,329.33$ 5300058 77290 THERAP RADIO SIM-AIDED COMPLEX 0333 2,431.88$ 5300066 77295 THERAP RADIO SIM-AIDED SET 3-DIM 0333 6,382.59$ 5300082 77300 RAD DOSIMETRY BASIC-CENT AXIS DEPTH 0333 695.52$ 5300090 77301 INTENS MOD RADIOTHERAP PLAN SIMPLE 0333 8,640.76$ 5300132 77321 TELETHERAPY SPEC PORT PLAN TTL BODY 0333 1,933.16$ 5300181 77332 TREATMENT DEVICES, SIMPLE 0333 1,325.20$ 5300207 77334 TREATMENT DEVICES, COMPLEX 0333 1,356.21$ 5300215 77336 CONT. MED PHYSICS CONSULT 0333 695.52$ 5300223 77338 MLC DEVICE PER IMRT PLAN 0333 2,130.25$ 5300231 77370 SPECIAL MED RAD PHYSICS CONSULT 0333 931.12$ 5300900 77385 IMRT TX DELIVERY SIMPLE 0333 3,120.51$ 5300918 77386 IMRT TX DELIVERY COMPLEX 0333 3,120.51$ 5300256 77402 RAD TREATMENT DEL SINGLE/SIMPLE 0333 523.58$ 5300389 77412 INTENS MOD TRMT DEL SING/MUL BIN D 0333 2,663.73$ 5300629 77470 SPECIAL TX PROCEDURE TOTAL/HEMI BDY 0333 3,120.51$ 1101229 96417 INF EA ADDL SEQ INF/1HR 0335 301.15$ 1101203 96521 PORTABLE PUMP MAINTENANCE TER CHARGE 0335 925.78$ 1101146 96523 IRRIG/IMPLANTED VENOUS A 0335 440.39$ 1101294 CHEMO ADMIN INF ADD HR-I(CHEMO) 0335 606.40$ 1101005 REFILL/MAINT IMPL PUMP/RES SYS 0335 925.79$ 2600013 BONE SCAN COMPLETE 0341 5,958.13$ 2600021 BONE SCAN LIMITED 0341 3,377.92$ 2600518 BONE SCAN-THREE PHASE 0341 5,926.56$ 2600252 GASTRIC EMPTYING 0341 2,044.41$ 2600286 GI BLEED SCAN 0341 2,044.41$ 3001138 MYOCARDIAL PERFUSION STUDY 0341 7,284.15$ 2600260 NM HepatoBilary Scan w CCK 0341 2,381.91$ 2601144 NM HepatoBiliary Scan only 0341 2,381.91$ 2601011 NM LYMPHATICS/LYMPHNODE IMAGE. 0341 3,037.66$ 2600245 NM MUGA SCAN 0341 3,350.89$ 2600302 NM Myocardial Perf Multi Rest/Stress 0341 7,284.15$ 2601185 NM PARATHYRD W SPECT INCL SUBTRACTI 0341 4,664.22$ 2600450 NM PARATHYROID PLANAR IMG INCL SUBT 0341 1,837.59$ 2600690 NM PULMO VENT AND PERF SCAN 0341 3,193.14$ 2600120 NM Renal Function w/ Vascular Flow 0341 2,633.17$ 2600153 NM THYROID UP SGL/MULT 0341 4,110.28$ 2601094 NM Tumor Loc/Whole Body 2+ Days 0341 7,308.14$ 2601102 NM TUMOR TOMO SPECT 0341 4,343.41$ 2600948 GCMH-ISO-l-131-Sod-Iodide Caps Per mCi 0343 250.13$ 2601086 GCMH-ISO-NM INDIUM-111PENTETREO SD^6MCI 0343 8,143.94$ 2601078 GCMH-ISO-Tc Cardiolite per dose 0343 763.92$ 2600823 GCMH-ISO-Tc Choletec up to 15mCi 0343 376.33$ 2600807 GCMH-ISO-Tc MAA up to 10mCi 0343 272.68$ 2600815 GCMH-ISO-XE 133 Up to 15mCi 0343 312.97$ 3700119 GCMH-PET-F18-FDG-up to 15mCi 0343 1,083.91$

3001179 MYOVIEW ISOTOPE 0343 687.31$ 2741379 Amino Acids 3% and Glycerin 3% with Electrolytes (ProcalAmine) intravenous solution Amino Acids 3% & G 0350 132.00$ 2201101 CT Angio Lower Extremity Bilat 0350 7,141.17$ 3605334 CT Biopsy Bone Superficial 0350 5,658.55$ 3605284 CT Biopsy Liver 0350 6,469.23$ 3605326 CT Biopsy Lymph Node 0350 6,469.23$ 3605482 CT Biopsy Renal 0350 7,901.65$ 3605342 CT BIOPSY,NEEDLE,ABD/RETROPERO MASS 0350 6,469.23$ 2201341 CT Bone Length Study 0350 1,005.04$ 3607181 CT Drain Retroperitoneal/Perc Catheter 0350 7,183.33$ 2501583 CT Drain Soft Tissue/Perc Catheter 0350 4,784.45$ 3607058 CT Drain Visceral/Perc Catheter 0350 6,279.20$ 2200640 CT GUIDANCE NEEDLE PLACEMENT 0350 1,776.68$ 2201184 CT Guidance Tissue Ablation 0350 3,015.16$ 3606993 CT Guidance Tissue Ablation 0350 18,841.87$ 2201119 CT GUIDE FOR RAD N THERAPY FIELDS 0350 348.08$ 2200632 CT GUIDED PERCUTANEOUS DRAINAGE 0350 2,884.41$ 2200954 CT Lower Extremity w/+w/o Contrast Bilat 0350 5,303.80$ 2200020 CT NECK ST W/CONTR 0350 3,684.41$ 2200038 CT NECK ST W/O CONTR 0350 3,860.15$ MISC CT Neck w/ and w/o Cont 0350 6,032.48$ 3605433 CT PANCREAS BIOPSY,PERCUTANEOUS 0350 6,469.23$ 3605318 CT PERCUTANEOUS, LUNG BIOPSY 0350 6,469.23$ 2501591 CT PUNCTURE ASPIRATION OF ABCESS/CYST 0350 1,470.73$ 3620034 CT Renal Ablation 1 or More Tumors 0350 15,951.24$ 2200988 CT Upper Extremity w/o Contrast Bilat 0350 4,048.03$ 3608067 GCMH CT Guidance 0350 1,776.68$ 2200814 CT Angio Head w/ + w/o Contrast 0351 3,141.29$ 2200806 CT Angio Neck 0351 4,186.91$ 2200160 CT HEAD W W/O CONTRAST 0351 3,528.92$ 2200186 CT HEAD W/CONTRAST 0351 4,443.79$ 2200194 CT HEAD W/O CONTRAST 0351 3,528.92$ 2200749 CT Maxillofacial w/ Contrast 0351 2,068.68$ 2200087 CT Maxillofacial w/o Contrast 0351 2,091.21$ 2200210 CT Orbit Sella etc. w/ + w/o Contrast 0351 3,447.76$ 2200236 CT Orbit Sella etc. w/ Contrast 0351 2,792.02$ 2200228 CT Orbit Sella etc. w/o Contrast 0351 2,589.20$ 2200152 CT ABD W/CONTRAST 0352 5,507.43$ 2200145 CT ABD W/O CONTRAST 0352 3,591.98$ 2200574 CT ABDOMEN W/WO CONTRAST 0352 7,129.91$ 2201291 CT ABDOMEN/PELVIS W CONTRAST 0352 7,089.35$ 2201283 CT ABDOMEN/PELVIS WO CONTRAST 0352 4,896.74$ 2201309 CT ABDOMEN/PELVIS WO/W CONTRAST 0352 10,471.78$ 2200772 CT Angio Abdomen 0352 8,910.12$ 2200491 CT CERVICAL SPINE W/CONTRAST 0352 4,184.66$ 2200483 CT CERVICAL SPINE W/O CONTRAST 0352 3,553.69$ 2200509 CT CERVICAL SPINE W/WO CONTRAST 0352 5,146.05$ 2200137 CT CHEST & MED COMBO 0352 6,832.45$ 2200111 CT CXR & MED W/CONTRAST 0352 4,407.74$ 2200129 CT CXR MED W/O CONTRAST 0352 4,222.94$ 2200871 CT LOWER BILT W/O Contrast 0352 7,102.90$ 2200939 CT LOWER LT EXT W CONTRAST 0352 5,689.97$ 2200897 CT LOWER LT EXT WO CONTRAST 0352 3,551.45$ 2200889 CT LOWER RT EXT W CONTRAST 0352 5,689.97$ 2200301 CT LUMBAR W/CONTRAST 0352 4,540.72$ 2200103 CT PELVIS W/CONTRAST 0352 3,943.54$ 2200095 CT PELVIS W/O CONTR 0352 2,936.23$ 2200319 CT Spine Lumbar w/ + w/o Contrast 0352 5,158.35$ 2200293 CT Spine Lumbar w/o Contrast 0352 3,857.91$ 2200269 CT THORACIC SPINE W/O CONTRAST 0352 5,135.61$ 2201002 CT UPPER LT EXT W CONTRAST 0352 5,507.43$ 2200970 CT UPPER LT EXT WO CONTRAST 0352 4,452.82$ 2200996 CT UPPER RT EXT W CONTRAST 0352 5,507.43$

2200962 CT UPPER RT EXT WO CONTRAST 0352 4,452.82$ 2200756 CTA AA/ILEO FEM RUN/O W/WO CONT 0352 5,899.52$ 2201333 CTA ABD/PELVIS WITH CONT 0352 2,463.34$ 2200798 CTA CHEST WO&W CONTRAST 0352 3,857.91$ 2201085 CTA LOWER LT EXT WO/W CONTRAST 0352 1,843.51$ 2201093 CTA LOWER RT EXT WO/W CONTRAST 0352 1,843.51$ 2201192 CTA PELVIS WO/W CONT 0352 5,509.69$ 2201051 CTA UPPER LT EXT WO/W CONTRAST 0352 3,816.53$ 2201069 CTA UPPER RT EXT WO/W CONTRAST 0352 3,816.53$ 3620012 G Code - CDSM Technical Fee 0359 0.01$ 4002531 INJ VENOGRAPHY EXTREMITY 0360 2,588.69$ 4000477 INSERT TUNNELED PLEURAL CATH 0360 9,829.51$ 4001053 INSRT / REPLC AICD & LDS 0360 59,663.33$ 4001913 IVUS INITIAL VESSELL 0360 11,711.47$ 1001015 Main OR Lvl 1 1st HR 0360 7,887.07$ 1001197 OR EMERGENCY 1ST HR 0360 31,548.25$ 1001205 OR EMERGENCY ROOM ADD 1/4 0360 7,887.07$

1001023 OR Level 1 addl 1/4 HR 0360 2,239.94$ 1001031 OR Level 2 1st HR 0360 15,873.97$

1001049 OR Level 2 addl 1/4 HR 0360 3,968.48$ 1001056 OR Level 3 1st HR 0360 21,558.54$

1001064 OR Level 3 addl 1/4 HR 0360 5,389.63$ 1001072 OR Level 4 1st HR 0360 27,704.30$

1001080 OR Level 4 addl 1/4 HR 0360 6,926.08$ 4002325 PERC MECH THROMBECTOMY V 0360 12,026.38$ 4001061 REM / REPLC AICD SINGLE LD 0360 48,165.06$ 4000972 REM / REPLC PM GEN SGL LD 0360 38,091.63$ 4002184 REM/RPLC AICD DUAL LD 0360 106,532.71$ 4000113 REVASC ILIAC INITIAL 0360 22,265.29$ 4000931 REVISION SKIN PCKT AICD 0360 7,675.82$

3400421 SVOSC OR Level addl 1/4 HR 0360 6,926.08$ 3400405 SVOSC OR Level 3 addl 1/4 HR 0360 5,389.63$ 3400413 SVOSC OR Level 4 1st HR 0360 27,704.30$

3400355 SVOSC OR Lvl 1 1st HR 0360 7,887.06$ 3400371 SVOSC OR LVL 2 1ST HR 0360 15,873.97$

3400389 SVOSC OR Lvl 2 addl 1/4 HR 0360 3,968.48$ 3400397 SVOSC OR Lvl 3 1st HR 0360 21,558.54$

3400363 SVOSC OR Lvl Addl 1/4 HR 0360 2,239.94$ 4002507 VASC EMB / OCC ORGAN 0360 33,164.30$ 5200217 10060 AWC I & D drainage abcess 0361 995.37$ 5201033 10140 I and D Hematoma Seroma TS CHARGE 0361 6,278.13$ 5202023 11104 Punch Bx skin (w/wo simp cls) sgl lesion 0361 1,037.52$ 5200795 11422: EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM ED C 0361 4,529.58$ 5200126 97606 Npwt GT 50 sqcm TS CHARGE 0361 1,304.62$ 5200506 APP MULT-LYR COMP SYS BEL KNEE 0361 954.78$ 5200167 DEBRID MSCLE/FASCIA 1ST 20SQCM OR < 0361 2,395.00$ 5200209 DEBRIDE BONE EA ADD 20SQCM /PT 0361 3,336.29$ 5200175 DEBRIDE BONE FIRST 20SQCM OR LESS 0361 6,279.19$ 5200191 DEBRIDE MSCLEFASCA EA ADD 20SQCM/PT 0361 1,223.78$ 5200134 DEBRIDE OPEN WND FIRST 20SQCM OR LS 0361 1,260.17$ 5200183 DEBRIDE SUB Q EA ADD 20SQCM /PART 0361 1,223.78$ 5200332 DEBRIDEMNT OF NAILS 6 OR MORE NAILS 0361 389.61$ 5200365 EXCISION NAIL MATRIX PERMANENT REMV 0361 2,326.57$ 5202167 EXCISION, MALIGNANT INCLUSING MARGINS, SCALP, NECK HANDS 0361 2,052.50$ 5200225 I&D OF ABSCESS (COMPLICATED/MULTI) 0361 1,304.62$ 5200118 NEGPRESWNDTH/SESSION <OR= 50SQCM 0361 709.19$ 5200415 SKIN APP-FACE TO 100SQCM/1ST 25SQCM 0361 8,657.91$ 5200373 SKIN APP-TRNK TO 100SQCM/1ST 25SQCM 0361 7,870.83$ 1501519 SMP REPAIR SCALP/ NECK/ TRUNK/ 0361 782.75$ 5200258 TRIM SKIN LESION OVER 4 LESIONS 0361 1,145.61$ 3400801 ANESTHESIA - HIP INJECTION 0370 550.00$ 2900306 ANESTHESIA 1ST HR EMERGENCY 0370 13,688.31$ 2900314 ANESTHESIA EMERGENCY ADD 1/4 0370 3,422.44$

2900215 ANESTHESIA LVL 1 ADD'L 1/4 0370 985.90$ 2900207 ANESTHESIA LVL 1 UP TO 1 HR 0370 3,943.54$ 2900231 ANESTHESIA LVL 2 ADD'L 1/4 HR 0370 2,048.60$ 2900223 ANESTHESIA LVL 2 UP TO 1 HR 0370 8,194.35$ 2900256 ANESTHESIA LVL 3 ADD'L 1/4 HR 0370 2,560.73$ 2900249 ANESTHESIA LVL 3 UP TO 1 HR 0370 10,242.94$ 2900272 ANESTHESIA LVL 4 ADD'L 1/4 HR 0370 3,328.97$ 2900264 ANESTHESIA LVL 4 UP TO 1HR 0370 13,315.83$ 2900199 Anesthesia Supplies 0370 1,453.11$ 34000462 Conscious Sedation-Local Anesthesia 0370 452.34$ 2900090 Epidural Procedure Charge 0370 262.43$ 3400462 OSC Conscious Sed/Loc Anesth 0370 497.57$ 3400611 SVOC ANESTHESIA LVL 1 ADD'L 1/4 0370 985.90$ 3400603 SVOC ANESTHESIA LVL 1 UP TO 1 HR 0370 3,943.54$ 3400637 SVOC ANESTHESIA LVL 2 ADD'L 1/4 HR 0370 2,048.60$ 3400629 SVOC ANESTHESIA LVL 2 UP TO 1 HR 0370 8,194.35$ 3400652 SVOC ANESTHESIA LVL 3 ADD'L 1/4 HR 0370 2,560.73$ 3400645 SVOC ANESTHESIA LVL 3 UP TO 1 HR 0370 10,242.94$ 3400660 SVOC ANESTHESIA LVL 4 UP TO 1HR 0370 27,704.30$ 1800663 Aph Plt ACDA LR 2 0390 2,539.88$ 1800416 Bill Only Antigen Testing 0390 336.80$ 1700509 Compatible 0390 479.07$ 1713163 Compatible 0390 526.98$ 1713171 Compatible 0390 479.07$ 1705052 EXTENDED PHENOTYPE 0390 892.74$ 1800655 RBC CP2D AS3 500 LR 0390 925.38$ 1800671 RBC CP2D AS3 500 LR Irr 0390 1,073.51$ 1800523 REF Titration 0390 813.29$ 1701275 Reference Rh Phenotype 0390 370.48$ 1800515 Reference Elution 0390 581.68$ 1800408 Rh 0390 305.49$ 1709401 UBS ANTIBODY ID 0390 927.21$ 1800622 UBS RBC PRETREAT FICIN/ENZYMES 0390 892.74$ 1800572 UBS RBC TREATMENT 0390 172.02$ 1711126 Weak D 0390 353.65$ 3300761 BLOOD ADMIN/ UNIT 0391 1,545.85$ 3300134 BLOOD ADMIN/UNIT MED 0391 1,540.51$ 1502574 76937 ER ULTRASND GUIDED IV ACCESS CHARGE 0402 1,545.87$ 3900164 bladder scan (ea) 0402 420.52$ 3605847 CT Biopsy Renal Right 0402 7,901.65$ 1502293 FAST Ultrasound at bedside ED 0402 2,980.24$ 1501063 FAST Ultrasound Chest 0402 730.50$ 3608045 GCMH Ultrasound Guidance 0402 1,827.54$ 3602190 IR US Thoracentesis 0402 3,413.99$ 2500619 ULTRASOUND CHEST 0402 849.74$ 2500486 US ABD/SINGLE ORGAN/QUAD/FOLLOWUP 0402 919.42$ 3605417 US Biopsy Muscle 0402 6,153.85$ 2500544 US COMP ABDOMEN 0402 2,012.33$ 2500205 US Encephalogram 0402 772.48$ 2501229 US EXT NON VASCULAR LTD LTSUE 0402 570.12$ 2501211 US EXT NON VASCULAR LTD RTSUE 0402 570.12$ 2500726 US EXT/JOINT BILAT NON VASCULAR 0402 1,699.45$ 2501203 US Extremity Limited 0402 570.12$ 2500700 US EXTREMITY NON VASC COMP LT 0402 849.74$ 2500718 US EXTREMITY NON VASC COMP RT 0402 849.74$ 2500981 US Guidance for Vascular Access Add-on 0402 1,545.87$ 2500957 US GUIDANCE IN OR 0402 901.37$ 2500510 US GUIDANCE NEEDLE PLACEMENT IMG S&I 0402 1,827.54$ 2501377 US IMAGE GUIDANCE DURING SURGERY 0402 512.29$ 2500924 US OB <14 WEEKS SGL 0402 1,005.04$ 2500080 US OB >14 WEEKS SGL 0402 1,005.04$ 2500601 US OB 1 OR MORE FETUSES LTD 0402 858.04$ 2500478 US OB BPP W/O NST 0402 1,088.41$

2500692 US OB Fol-Up 1 Fetus 0402 612.54$ 2500908 US OB Less Than 14 Weeks Each Addl Gest 0402 1,005.04$ 2500940 US OB TRANSVAGINAL 0402 1,978.54$ 2501385 US PARACENTESIS, ABDOMEN W/ IMAGING 0402 3,120.91$ 2501120 US PELVIC LIMITED/FOLLOW UP 0402 847.32$ 2500304 US PELVIS NON OB COMP 0402 1,737.41$ 2500015 US RETROPER. COMP RENAL/AORTA/NODE 0402 1,219.12$ 2500320 US RETROPERITONEAL LTD 0402 780.05$ 2500296 US SCROTUM AND CONTENTS 0402 1,424.18$ 2500254 US SOFT TISSUE HEAD/NECK 0402 1,645.02$ 2501195 US Spinal Canal c/ Contents 0402 581.39$ 2500452 US Transvaginal Non-OB 0402 1,978.54$ 2500791 US UE Arterial Duplex Bilateral 0402 4,490.51$ 3700077 PET IMAGE W/CT, FULL BODY 0404 8,409.86$ 3700069 PET IMAGE W/CT, SKULL-THIGH 0404 9,610.95$ 3300282 CODE BLUE 0410 1,177.72$ 3000817 CPT Initial RT Charge 0410 758.08$ 3000114 CPT SUB TX 0410 382.16$ 3001252 G0238 PULMON/RESPIR FUNC P/15MIN CHARGE 0410 242.36$ 3001294 G0239 PULMON GROUP CHARGE 0410 187.10$ 4200226 NEBULIZER TREATMENT 0410 680.45$ 3000957 OXIMETER MULTIPLE 0410 176.65$ 3001245 RESP MUSCLE STRENGTH/ENDURANCE TRNG 0410 366.17$ 3001005 RESPIRATORY TREATMENT 0410 961.58$ 3001013 RESPIRATORY TREATMENT SUBSEQUENT 0410 760.70$ 3000239 RT Ventilator Services - Sub Charge 0410 2,145.57$ 3000411 SUCTION 0410 678.09$ 3000478 Updraft RX initial 0410 831.86$ 3001195 AEROSOLIZED PENTAMIDINE 0412 653.17$ 3000627 BiPAP/CPAP Initial 0412 1,350.52$ 3001203 CONTINUOUS INH TX - 1ST HOUR 0412 645.90$ 3001211 CONTINUOUS INH TX - SUB HOUR 0412 211.77$ 3000403 SPUTUM COLLECTION 0412 760.80$ 3000809 VENT INITIAL 0412 2,023.90$ 5200563 HBOT PER 30 MIN 0413 610.61$ 3104239 CH 0% impaired 0420 0.01$ 3104312 CI At least 1% but less than 20% impaired 0420 0.01$ 3106622 CI At least 1% but less than 20% impaired 0420 0.01$ 3104254 CJ At least 20% but less than 40% impaired 0420 0.01$ 3106648 CK At least 40% but less than 60% impaired 0420 0.01$ 3100294 CPM MACHINE USE 0420 178.59$ 3100799 DEV OF COGN SKILLS 15 MIN 0420 132.55$ 3100401 ELECT STIM MANUAL 15 MIN 0420 82.13$ 5102702 IRF PT Eval Low 0420 250.68$ 5102710 IRF PT Eval Mod 0420 358.12$ 3100369 KINETIC ACTIVITY-15 MIN 0420 179.32$ 3100906 MANUAL THERAPY TECHNIQUES 15 MINS. 0420 155.03$ 3100682 NEUROMUSCALR RE ED 15 MIN 0420 165.12$ 3101136 NEUROMUSCULAR RE 0420 164.75$ 3100039 PT - ELECT STIM UNATTEND 0420 53.42$ 3108560 PT Eval High Complexity 0420 487.73$ 3108545 PT Eval Low Complexity 0420 262.61$ 5100821 PT GAIT TRAINING - 15 FEET 0420 147.53$ 3100146 PT GAIT TRAINING-15 MIN 0420 147.54$ 3108552 PT Moderate Complexity 0420 375.18$ 5100862 PT ORTHO TRAINING 15 MIN 0420 189.26$ 3108487 PT PROSTHETIC TRAIN 15MIN 0420 157.86$ 3109256 PT ReEval Units 0420 223.88$ 5100805 PT THERAPEUTIC EXERCISE - 15 MIN 0420 173.88$ 3100120 PT Therapeutic Exercise Units 0420 158.42$ 5100904 PT THERAPY ACTIVITIES 15 MIN 0420 188.45$ 3100047 PT-ULTRASOUND 15 MIN 0420 63.33$ 3100203 ROM MEASUREMENT AND RPT 0420 252.02$

3101599 STRAPPING OF HAND/FINGER 0420 266.15$ 3101631 STRAPPING OF KNEE 0420 400.36$ 3101573 STRAPPING OF SHOULDER 0420 400.36$ 3101847 STRAPPING TOES 59 MOD 0420 266.15$ 3100716 THER PROC GROUP 0420 74.93$ 3100856 WHEELCHAIR MGMT/PROPULSION TRAINING 0420 144.46$ 3109301 CHECKOUT FOR PROS/ORTH USE 0430 144.90$ 3108623 COGNITIVE FUNCTION TESTING - OT (Occupational Therapy) 0430 126.39$ 5102751 IRF OT EVAL HIGH 0430 519.68$ 5102736 IRF OT Eval Low 0430 267.10$ 5102744 IRF OT Eval Mod 0430 399.75$ 5102041 IRF PT MANUAL THERAPY 0430 140.77$ 3104007 Neuromuscular Reeducation Charges 0430 164.75$ 3109134 ORTHOTIC TRNING AMD MGMT 0430 185.66$ 3102241 OT - HOT OR COLD PACKS 0430 44.12$ 3102308 OT ELECTRICAL STIMULATION (MANUAL) 0430 86.04$ 3108594 OT Eval High Complexity 0430 544.42$ 3102316 OT Iontophoresis Units 0430 142.63$ 3108578 OT Low Complexity Eval 0430 307.79$ 3102399 OT MANUAL THERAPY TECHNIQUES 0430 147.48$ 3102381 OT MASSAGE 0430 117.89$ 3108586 OT MODERATE COMPLEX UNITS 0430 439.73$ 3102357 OT Neuromuscular Reeducation Units 0430 149.94$ 3108446 OT ORTHOTIC MNGMNT/FIT/TRAN 15 0430 171.66$ 3102456 OT SELF CARE/HOME MGMT TRAINING 0430 171.48$ 3105988 OT Self-Care Current Status G-8987 0430 0.01$ 3105996 OT Self-Care Current Status G-8987 0430 0.01$ 3106127 OT Self-Care Discharge Status G-8989 0430 0.01$ 3106150 OT Self-Care Discharge Status G-8989 0430 0.01$ 3106051 OT Self-Care Goal Status G-8988 0430 0.01$ 3106077 OT Self-Care Goal Status G-8988 0430 0.01$ 3102217 OT THERAPEUTIC ACTIVITIES 0430 171.71$ 5100896 OT THERAPEUTIC ACTIVITY 0430 188.45$ 3102340 OT THERAPEUTIC EXERCISE 0430 150.89$ 5100789 OT THERAPEUTIC EXERCISE 0430 158.07$ 3102472 OT WHEELCHAIR MGMT/PROPULSION TRNG 0430 131.17$ 3101904 OT-ELECTRIC STIM UNATTENDED 0430 58.76$ 3109089 ROM HAND CHARGES 0430 76.53$ 3100948 OT Re-Evaluation 0434 259.55$ 3104171 ACUTE CARE SLP NONSPEECH GENERATING 0440 308.87$ 3104205 ACUTE CARE SLP THER SERVICE GEN DEV 0440 455.15$ 3104155 ACUTE CARE SLP VOICE PROS USE/FIT E 0440 405.39$ 3103942 ACUTE CARE TX OF SWALLOW DYSFUNCTIO 0440 412.10$ 3103397 ASSESSMENT OF APHASIA 0440 435.80$ 5102264 EVAL OF SPEECH W LANGUAGE COMP 0440 865.36$ 3103371 EVALUATION OF SWALLOWING - BEDSIDE 0440 333.84$ 3103389 EVALUATION OF SWALLOWING - MBS 0440 411.91$ 3108645 SLP COGNITIVE FUNC MEDICARE UNITS 0440 120.91$ 3104031 SPEECH - COGN PERFORM TEST 0440 564.48$ 3103363 SPEECH THERAPY TREATMENT 0440 362.68$ 1502277 10061 ER-INCISION AND DRAINAGE ABSCESS, MULTIPLE/COMP Charge 0450 1,304.62$ 1501329 10140 ER- INCISION AND DRAINAGE HEMATOMA Charge 0450 6,278.13$ 1501998 12005 ER-Repair Simple 12.6 CM-20 CM 0450 1,054.38$ 1501584 12014 ER- REPAIR SIMPLE 5.1CM TO 7.5CM Charge 0450 709.19$ 1502004 12036 ER- REPAIR INTERMEDIATE 20.1CM TO 30.0CM GCMH 0450 2,512.36$ 1502111 16020 ER-TREATMENT OF BURN Charge 0450 3,733.18$ 1502533 21337 ER CLSD TX NASAL SEPTAL FX Charge 0450 11,029.58$ 1502251 24640 ER- CLOSED REDUCTION OF ELBOW- CHILD Charge 0450 1,326.93$ 1502541 25520 Closed treatment of radial shaft fracture and closed t 0450 5,666.56$ 1502327 25605 CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF TechFee 0450 5,666.56$ 1502129 26770 ER- CLOSED REDUCTION FINGER DISLOCATION Charge 0450 988.54$ 1502467 27250 ER CLOSED TX HIP DISLOCATION W/O ANESTHESIA Charge 0450 902.07$ 1502335 27265 CLTX POST HIP ARTHRP DISLC W/O ANES TechFee 0450 1,205.85$

1502079 27266 ER - Closed reduction dislocated hip prosthesis Charg 0450 5,666.56$ 1502890 27752 ER - CLOSED TREATMENT OF TIBIA FX 0450 6,233.22$ 1501071 36410 venipuncture performed by provider 0450 58.09$ 1502566 36556 ER - INSERTION CVP CATH Charge 0450 8,584.98$ 1502525 36620 ER CENTRAL LINE CATHETER INSERTION Charge 0450 600.00$ 1502426 40800 ER DRAINAGE MOUTH ABSCESS Charge 0450 2,404.62$ 1502901 41800 ER- DRAINAGE OF GUM ABSCESS 0450 456.46$ 1502509 42700 ER I&D PERITONILLAR ABSCESS Charge 0450 1,589.42$ 3601333 43752 Naso- or oro-gastric tube placement, requiring physici 0450 5,991.68$ 1502160 46050 ER- INCISION AND DRAINAGE PERIANAL ABSCESS Charge 0450 2,980.24$ 1502269 46083 ER- INCISION EXTERNAL HEMORRHOID Charge 0450 3,276.94$ 1502517 51798 ER - BLADDER SCAN Charge 0450 486.28$ 1501352 56405 ER - INCISION AND DRAINAGE PERINEAL ABSCESS Charge 0450 7,977.06$ 1501337 56420 INCISION AND DRAINAGE OF BARTHOLIN'S GLAND ABSCESS 0450 804.97$ 1501493 58301 ER - REMOVAL INTRAUTERINE DEVICE Char 0450 893.38$ 1502400 69209 IRRIGATION IMPACTED CERUMEN Charge 0450 284.13$ 1501360 99151 MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS TechFee 0450 276.56$ 1500016 99281 Level 1 FCT Charge 0450 371.76$ 1500024 99282 Level 2 FCT Charge 0450 693.19$ 1500032 99283 Level 3 FCT Charge 0450 1,219.28$ 1500040 99284 Level 4 FCT Charge 0450 2,051.45$ 1500057 99285 Level 5 FCT Charge 0450 3,027.98$ 1500065 99291 Critical Care FCT Charge 0450 4,037.40$ 1502590 ABD PARACENTESIS W/IMAGING 0450 3,120.91$ 1500339 APPL OF FINGER SPLINT - NO THUMB 0450 568.06$ 1500313 APPL OF LONG ARM SPLINT SHOULD-HAND 0450 785.86$ 1500347 APPL OF LONG LEG SPLINT 0450 747.55$ 1500321 APPL OF SHORT ARM SPLINT F-ARM-HAND 0450 547.21$ 1500354 APPL OF SHORT LEG SPLINT CALF-FOOT 0450 747.55$ 1501261 ARTHR/ASP/INJ MAJ JOINT 0450 1,298.06$ 1501253 ARTHROCENTESIS/ASP/INJ FING/ TOES 0450 1,180.03$ 5200340 AVULSION OF NAIL PLATE SIMP 1 NAIL 0450 898.15$ 1501923 BLADDER SIMPLE LAVAGE 0450 1,332.94$ 1502475 CARDIOVERSION ELECTRICAL Charge 0450 3,319.92$ 1501154 CHEST TUBE INSERTION WITH DRAINAGE 0450 5,382.73$ 1502210 CLOSED TX PHALANGEAL FX, W/MANIPUL 0450 1,326.93$ 1502244 CLOSED TX ANKLE FX W/ MANIPULATION 0450 5,666.56$ 1502178 CLOSED TX PATELLAR DISLOCATION W/O 0450 1,035.71$ 1503134 CLOSED TX RADIAL AND ULNAR SHAFT FRAC 0450 4,767.42$ 1502137 CLOSED TX SHOULDER DISLOCATION 0450 1,314.15$ 1502046 CONTROL NASAL HEMORRHAGE SMPL ANT 0450 736.11$ 1501881 CPL RPAIR FHEAD/CHEEKS/CHIN 5CM OR< 0450 737.45$ 1501840 CPL RPAIR FHEAD/CHEEKS/MOUTH 2.6-7C 0450 2,643.41$ 1501873 CPLX REPAIR EYELIDS/NOSE/EARS 2.6 0450 2,182.38$ 1501899 CPLX REPAIR SCALP/ ARMS/ LEGS 5CM 0450 532.05$ 1501857 CPLX REPAIR SCALP/AMRS/LEGS 2.6-7C 0450 2,514.55$ 1500297 Critical Care, each 30 min FCT Charge 0450 614.57$ 5200159 DEBRIDE SUB Q,FIRST 20SQCM OR LESS 0450 1,740.11$ 1502186 DRAINAGE FINGER ABSCESS; SIMPLE 0450 1,275.35$ 1502202 DRAINAGE OF ABCESS OF PALATE, UVULA 0450 1,748.35$ 1502640 EAR ABCESS/ HEMATOMA DRAINAGE 0450 2,404.62$ 1502434 EVACUATION SUBUNGUAL HEMATOMA 0450 440.91$ 1501295 EXCISION NAIL MATRIX PERMANENT REMV 0450 7,588.16$ 1501204 FINGER SPLINT APPLICATION 0450 320.56$ 1500214 FLUID PRESSURE MUSCLE 0450 2,404.62$ 1501931 GASTRO TUBE CHG W/O IMAGE GUIDE 0450 1,141.17$ 1501311 I&D ABSCESS SIMPLE OR SINGLE 0450 995.37$ 1501345 I&D PERIRECTAL ABSCESS 0450 9,282.90$ 1501220 I&D PILONIDAL CYST SIMPLE 0450 2,567.04$ 1500420 I/O NEEDLE PLACEMENT 0450 1,385.25$ 1501188 INJECTION EPIDURAL BLOOD PATCH 0450 2,972.17$ 1501949 INSRT OF INDWELLING CATH SIMPLE 0450 809.72$ 1501659 INT REPAIR FACE/ EAR/ NOSE <2.5CM 0450 2,993.32$

1501683 INT REPAIR FACE/ EAR/ NOSE/ 2.6-5CM 0450 1,304.62$ 1501675 INT REPAIR NECK/ HANDS/ FEET <2.5CM 0450 1,304.62$ 1501709 INT REPAIR NECK/HANDS/FEET 2.6-7.5C 0450 1,848.37$ 1501667 INT REPAIR SCALP/ TRUNK/ EXT <2.5CM 0450 1,186.02$ 1501691 INT REPAIR SCALP/ TRUNK/ EXT2.6-7.5 0450 1,304.62$ 1501774 INT REPAIR SCALP/TRUNK/EXT 12.6-20C 0450 2,643.41$ 1501725 INT REPAIR SCALP/TRUNK/EXT 7.6-12.5 0450 1,304.62$ 1502053 INTUBATION, ENDOTRACHEAL, EMERGENCY 0450 943.84$ 1503167 MOD SED 5 YRS AGE OR > 1 30MIN 0450 263.09$ 1502394 Non Sel Wnd Debried addl 20 sq cm 0450 369.56$ 1502393 Non-Sel WD Debried 1st 20 sqcm 0450 1,260.17$ 1501212 PUNCTURE ASPIRATION OF ABCESS/CYST 0450 1,470.73$ 1501402 REMOVE FB EXTERNAL EAR 0450 809.72$ 1501410 REMOVE FB EYE CONJUNCTIVAL 0450 619.81$ 1501428 REMOVE FB EYE CORNEAL W/O SLIT LAMP 0450 1,946.35$ 1501451 REMOVE FB FOOT 0450 5,262.88$ 1501444 REMOVE FB NASAL 0450 809.72$ 1501477 REMOVE FB SUBCUTANEOUS TISSUE 0450 1,740.11$ 1502867 Repair of Nail Bed 0450 2,049.29$ 1502285 RIGGER POINT INJECTION Charge 0450 10,017.29$ 1502020 SHOULDER DISLOCATION TX 0450 7,071.81$ 1501089 SIMPLE CLOSURE OF SUPERFICIAL WOUND 0450 1,714.93$ 1501501 SMP REPAIR FACE/ NOSE/ LIP <2.5CM 0450 782.75$ 1501543 SMP REPAIR FACE/ NOSE/ LIP 2.6-5CM 0450 782.75$ 1501600 SMP REPAIR FACE/EAR/ NOSE 7.6-12.5C 0450 898.15$ 1501642 SMP REPAIR SCALP/ NECK/ TRUNK/ EXT 0450 1,054.38$ 1501550 SMP REPAIR SCALP/ NECK/TRUNK 0450 782.75$ 1501618 SMP RPAIR SCALP/NECK/TRUNK/EXT 7.6 0450 709.19$ 1501162 SPINAL/LUMBAR PUNCTURE 0450 3,269.40$ 1502228 TX CLOSED ELBOW DISLOCATION W/OUT 0450 1,115.86$ 3000742 CALORIMETRY 0460 1,338.40$ 3001351 CAPNOGRAPHY 0460 1,180.36$ 3000874 DIFFUSION 0460 198.69$ 3000345 Incentive Spirometry 0460 747.19$ 3000346 INCENTIVE SPIROMETRY 0460 749.76$ 3000890 METHACHOLINE CHALLANGE 0460 1,097.37$ 3000791 OVERNIGHT OXIMETRY 0460 717.05$ 3000296 OXIMETER READING 0460 162.69$ 3000569 PEAK FLOW 0460 747.19$ 3000072 PFT BEFORE & AFTER 0460 1,153.58$ 3001286 PULMONARY STRESS TEST, SIMPLE 0460 554.90$ 3000882 RT Nitrogen Washout Charge 0460 735.00$ 3001336 RT Plethysmography TR Only Charge 0460 976.89$ 3301257 NB HEARING SCREEN 0471 908.44$ 4025763 BIL CARTOID ARTCATH PLACEMENT W/ 0480 38,553.57$ 4001004 INS AICD W/ DUAL LDS 0480 154,862.05$ 4024964 33206 INS NEW/ REPL PERM PACEMKR ATRIAL Charge 4051072 0481 48,218.62$ 4024998 33208 INS NEW/ REPL PERM PACEMKR A/V Charge 4051024 0481 50,629.56$ 4026969 36245 sel placement cath abd/pel 1st order 0481 6,113.44$ 4024556 36902 CCL Angioplasty Dialysis Cath 0481 21,345.08$ 4025854 37197 TRANSCATH RETRV PERC INTRAV FB Charge 4051109 0481 13,468.04$ 4000196 37212 Initial venous thrombolysis via cath [GCMH] 0481 9,443.48$ 4051251 37224 Revasc fem pop unilat angioplasty [GCMH] 0481 16,347.90$ 4000063 37225 superficial fem artherectomy 0481 32,697.98$ 4000220 37228 REVASC TIB PER ATH ADD-ON 0481 47,270.27$ 4025524 37242 VASC EMBOLIZATION; ARTERIAL AVM 0481 44,119.14$ 4002036 37244 TRANSCATH EMBOLIZATION 0481 48,901.31$ 4026860 75625 Abdominal Aortography 0481 13,444.65$ 4001723 75710 ANGIO EXTERMITY UNILATERAL 0481 13,004.75$ 4001731 75716 ANGIO EXTREMITY BILATERAL 0481 15,217.27$ 4001749 75726 VISCERAL SELECT/ SUPRA 0481 27,044.46$ 4002705 75736 ANGIO PELVIC SELECT / SUPRA 0481 17,902.78$ 4001798 75756 CANGIO INTERNAL MAMMARY 0481 11,886.93$

4001327 75774 ANGIO ADDITIONAL VESSEL COMP 0481 4,097.10$ 4001806 75820 VENOGRAM EXTREMITY UNI 0481 5,221.49$ 4001814 75822 VENOGRAM EXTREMITY BIL 0481 5,382.73$ 4001822 75825 INFERIOR VENACAVAGRAM 0481 14,789.12$ 4001848 75831 VENOGRAPHY RENAL UNI 0481 13,004.75$ 4001855 75833 VENOGRAPHY RENAL BILAT 0481 13,004.75$ 4000873 76937 CL US guidance perc acc [GCMH] 0481 1,277.58$ 4000592 92920 COR ANGIOPLASTY INITIAL 0481 44,542.27$ 4025060 92950 CARDIOPULMONARY RESUSCITATION CHARGE 0481 1,415.37$ 4000444 92960 CARDIOVERSION ELECT 0481 3,319.92$ 4000600 92978 IVUS CORONARY INITIAL VESSEL 0481 14,424.32$ 4001442 92982 PTCA INITIAL VESSEL 0481 39,278.90$ 4000782 92984 PTCA EA ADDITIONAL VESSEL 0481 4,066.13$ 4001210 93454 CATH CORONARY ARTERY S&I 0481 23,167.65$ 4001228 93455 CATH COR ART/ GRFT S&I 0481 36,060.86$ 4001251 93458 CATH LEFT HEART ARTERY/VENTRICLE 0481 41,129.43$ 4001269 93459 CATH LEFT HEART ART/ GRFT 0481 54,022.63$ 4001277 93460 CATH RIGHT/LEFT HEART ART/ VENT 0481 51,638.28$ 4001285 93461 CATH RIGHT/LEFT HEART AR/VNT BPG 0481 64,508.25$ 4001368 93566 CATH INJ RIGHT VENTRICLE / ARTRIAL 0481 7,193.53$ 4001376 93567 CATH INJ SUPRVLV AORTOG 0481 9,659.88$ 4001509 93571 DOPP FLOW / PR MSMNT INITIAL 0481 6,973.54$ 4002499 96420 chemo admin intra-arterial push CL 0481 36,480.73$ 4025834 ABBOTT ARMADA 35 BALLOON 7.0 X 60MM X 135CM *B2070-060 0481 313.50$ 4025839 ACUTE MI, DES, GRAFT, THROM 0481 74,217.33$ 4025345 ARMADA 35 LL 0.035 BALLOON CATH 6 X 80 X 135 *B2060-080 0481 511.50$ 4025024 ARMADA 35 LL 0.035 OTW BALLOON 8.0 X 20 X 135CM 0481 313.50$ 4024867 Balo Angiop CTR Dialysis Seg 0481 2,143.88$ 4026985 BONE MARROW BIOPSY - CATH LAB 0481 8,417.57$ 4025134 BOSTON SCIENTIFIC EXPO 3.5R CATHETHER *H74908641011 0481 247.20$ 4051092 CL sel cath plcmt first order venous 0481 2,446.19$ 4025245 Delayed Placement of Extention Endvascular Repair 0481 16,500.00$ 4025056 DENALI VENA CAVA FILTER JUGULAR/ 0481 5,527.50$ 4025797 DRUG ELUTPERQ STENT PLCMT W/ANGIO 0481 53,791.43$ 4025256 Each Addl Delayed Placement of Extention EndoV Repair 0481 5,500.00$ 4026034 ENDURANT II STENT GRAFT SYSTEM BIFURCATED *ESBF2514C103E 0481 32,917.50$ 4026045 ENDURANT II STENT GRAFT SYSTEM LIMB *ETW1628C156E 0481 21,120.00$ 4025212 GORE COVERED STENT 6MM X 5.0CM X 120CM *VBJR060502A 0481 11,916.30$ 4027223 GORE VIABAHN VBX 7MM X 59 *BXA075902A 0481 11,794.20$ 4027212 GORE VIABAHN VBX 7MM X 79MM X 135CM 7FR *BXA077902A 0481 12,939.30$ 4027012 GORE VIABAHN VBX BALLOON EXPANDABLE ENDOPROSTHESIS *BXA11390 0481 11,794.20$ 4051212 I&D OF HEMATOMA 0481 6,278.13$ 4025813 IABP INSERTION IP ONLY 0481 12,214.02$ 4024612 INS VENA CAVA FILTER ENDOVASC 0481 15,886.77$ 4025052 INSERT HEART PM VENTRICULAR 0481 53,040.49$ 4025789 INSERT NONTUNNEL CV CATH 5 0481 8,584.98$ 4025938 INSERTION OF LOOP RECORDER 0481 35,809.81$ 4000980 INSERTION OF PM; GEN ONLY EXIST DUAL LDS 0481 40,918.57$ 4000576 Insertion of trans electrode single 0481 29,432.37$ 4025698 INSJ/RPLCMT DEFIB W/LEAD(S) 0481 154,862.05$ 4024690 INTRO VENA CAVA CATH 0481 1,477.11$ 4024834 INTRODUCTION OF CATHETER, AORTA 0481 2,232.04$ 4001921 IVUS NON CORONARY INITIAL 0481 4,081.77$ 4025278 IVUS Noncoronary Addl Vessel 0481 5,500.00$ 4025003 PC. TRNSCTH PLCE OF IC STENT 0481 6,162.54$ 4025979 PERC DES REVASCULARIZATION W/ CABG 0481 48,467.00$ 4001996 PerQ Thrombect/TPA, Dialysis Cicuit w/ Balloon Angioplasy 0481 53,011.20$ 4024701 place cath abd/pel 2nd order 0481 2,664.55$ 4026944 Placement of renal stent 1st major artery 0481 44,119.14$ 4051106 PLC CATH ART ABD 3RD 0481 4,667.06$ 3607330 PTA VENOUS PERQ W ANGIO 0481 32,696.40$ 4025534 RBT BEASON TIP 5FR 90CM CATHETER *G57017 0481 211.20$ 4024972 REM OF PM - GENERATOR ONLY 0481 36,569.20$

4025045 REM/ REP PM GEN DUAL LEAD 0481 53,040.49$ 4025946 REMOVAL OF A LOOP RECORDER 0481 4,784.45$ 4024980 REMOVAL OF PM ELECTRODE 0481 12,038.63$ 4024734 REPOSITION OF PREVIOUS CATH 0481 10,059.74$ 4025423 RESOLUTE ONYX 2.0MM X 12MM *RONYX20012UX 0481 2,805.00$ 4000162 REVASC FEMPOP W/ STENT 0481 47,270.27$ 4000139 REVASC ILIAC W/ STENT 0481 42,750.80$ 4000147 REVASC ILIAC W/ STENT ADD ON 0481 22,265.29$ 4024590 SELECT CATH PCMT, ART SYS, EACH 1ST ORD THORACIC BRCH 0481 9,075.00$ 4025067 Selective Catheter Placement, Arterial System; Initial Secon 0481 2,394.45$ 4026390 STENT DES ORSIRO 2.25 X 15MM OTW *401741 0481 2,145.00$ 4026456 STENT DES ORSIRO 2.25 X 18MM OTW *401747 0481 2,145.00$ 4026467 STENT DES ORSIRO 2.50 X 18MM OTW *401748 0481 2,145.00$ 4026523 STENT DES ORSIRO 2.50 X 22MM OTW *401754 0481 2,145.00$ 4026712 STENT DES ORSIRO 2.50 X 35MM OTW *404667 0481 2,145.00$ 4026412 STENT DES ORSIRO 2.75 X 15MM OTW *401743 0481 2,145.00$ 4026334 STENT DES ORSIRO 3.00 X 13MM OTW *401735 0481 2,145.00$ 4026545 STENT DES ORSIRO 3.00 X 22MM OTW *401756 0481 2,145.00$ 4026490 STENT DES ORSIRO 3.50 X 18MM OTW *401751 0481 2,145.00$ 4026312 STENT DES ORSIRO 3.50 X 9MM OTW *401733 0481 2,145.00$ 4024589 TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT, OPEN OR PERC 0481 35,098.49$ 4026589 VASC EMBO BIL,TUMOR/ORGAN 0481 118,340.98$ 4026472 VASC EMBOLIZATION FOR TUMOR/ ORGAN 0481 59,170.67$ 4027412 VIABAHN BX BALLOON EXP ENDO 8MM X 59MM 7FR 135CM *BXA085902A 0481 11,794.20$ 4027401 VIABAHN BX BALLOON EXP ENDO 8MM X 79MM 8FR 135CM *BXA087902A 0481 12,939.30$ 4025656 VICI STENT 16 X 120MM X 100CM *H74916120100 0481 6,435.00$ 4025634 VICI STENT 16 X 60MM X 100CM *H74916060100 0481 6,435.00$ 4025645 VICI STENT 16 X 90MM X 100CM *H74916090100 0481 6,435.00$ 4001335 93610 CATH ARTRIAL PACING 0482 21,293.62$ 2000008 Cardiovascular stress test using maximal or submaximal tread 0482 1,329.93$ 2501153 Echo Limited Study 0483 2,491.21$ 2501179 Echocardiogram 0483 2,849.40$ 1487523 TEE PROCEDURE 0483 1,805.89$ 5800008 G0463 EVALUATION INITIAL Charge 0510 119.00$ 5200886 G0463 OP CLINIC VISIT MC/TRICARE 0510 119.00$ 5300611 G0463 OUTPATIENT IV THERAPY CHARGE 0510 119.00$ 4200200 Office Visit Charge 0510 119.00$ 2400083 MRI ABDOMEN WO CONTRAST 0610 6,289.36$ 2400174 MRI ABDOMEN WO&W CONTRAST 0610 10,401.92$ 2400687 MRI LOWER LT EXT JOINT WO CONTRAST 0610 7,693.27$ 2400711 MRI LOWER LT EXT JOINT WO/W CONT 0610 7,048.80$ 2400638 MRI LOWER LT EXT WO CONTRAST 0610 7,420.60$ 2400653 MRI LOWER LT EXT WO/W CONTRAST 0610 5,710.24$ 2400695 MRI LOWER RT EXT JOINT WO CONTRAST 0610 7,693.27$ 2400729 MRI LOWER RT EXT JOINT WO/W CONT 0610 7,048.80$ 2400620 MRI LOWER RT EXT WO CONTRAST 0610 7,420.60$ 2400661 MRI LOWER RT EXT WO/W CONTRAST 0610 5,710.24$ 2401099 MRI PELVIS WO CONTRAST 0610 6,370.50$ 2401040 MRI PELVIS WO/W CONTRAST 0610 11,321.31$ 2400802 MRI UPPER LT EXT JOINT WO CONTRAST 0610 7,188.50$ 2400869 MRI UPPER LT EXT JOINT WO/W CONT 0610 5,940.10$ 2400810 MRI UPPER RT EXT JOINT WO CONTRAST 0610 7,188.50$ 2400877 MRI UPPER RT EXT JOINT WO/W CONT 0610 5,940.10$ 2400752 MRI UPPER RT EXT WO CONTRAST 0610 4,058.46$ 2400786 MRI UPPER RT EXT WO/W CONTRAST 0610 7,197.51$ 2400034 MRI BRAIN WO CONTRAST 0611 4,157.63$ 2400232 MRI BRAIN WO/W CONT 0611 6,449.37$ 2400224 MRI Face Neck Orbit w/ + w/o Contrast 0611 7,172.73$ 2400141 MRI C-SPINE W/O CONT 0612 6,361.48$ 2400265 MRI C-SPINE WO/W CONT 0612 6,586.83$ 2400117 MRI L-SPINE W/O CONT 0612 7,668.49$ 2400240 MRI L-SPINE WO/W CONT 0612 12,046.95$ 2400125 MRI T SPINE W CONTRAST 0612 5,045.68$

2400133 MRI T-SPINE W/O CONT 0612 7,627.93$ 2400257 MRI T-SPINE WO/W CONT 0612 8,274.66$ 2401073 MRA NECK WO CONTRAST 0615 5,050.00$ 2401081 MRA NECK WO/W CONTRAST 0615 9,040.83$ 2400497 MRI Brain w/ Contrast 0615 4,340.96$ 2401057 MRV BRAIN W/O CONTRAST 0615 4,748.02$ 3606365 4-WAY STOPCOCK LG BORE 0621 3.97$ 3606555 BEACON TIP ADVANTAGE CATH 5FR 80CM 0621 386.52$ 3606407 COAXIAL SPINAL NEEDLE 18G X 11CM 0621 225.02$ 3606720 EMBOSPHERE MICROSPHERE 0621 1,320.00$ 3604196 EPIDURAL NEEDLE 17G X 6'''' 0621 107.79$ 3604568 GCMH-NDL-COOK-CHIBA 22GX15-G00 0621 65.18$ 3604360 GCMH-NDL-COOK-ECHOTIP CHIBA -G 0621 90.72$ 3604709 GCMH-SYRINGE-MEDRAD-FASTURN 20 0621 30.28$ 2501352 NEEDLE 22G X 1.5'' 0621 0.19$ 3604428 VACCESS BALLOON 12X4X80 0621 74.05$ 3604212 YUEHCENTESIS CATH 5FR X 19G 0621 97.36$ 1488345 DRESSING GEL FIBER OPTICELL 2X2 0623 5.34$ 1488390 PRIMASEAL POST OP AG 3.5X10 0623 86.14$ 1488389 PRIMASEAL POST OP AG 3.5X14 0623 95.98$ 1488356 PRIMASEAL POST OP AG 3.5X4 0623 56.60$ 1488367 PRIMASEAL POST OP AG 3.5X6 0623 68.89$ 1488334 REINFORCED GELFIBER OPTICELL .75X18 0623 12.34$ 2747566 abatacept 250 mg IV Inj [GCMH] 0636 4,830.96$ 2748481 acetaminophen 10 mg/mL IV Sol 100 mL [GCMH] 0636 240.90$ 2704211 acetylcysteine 20% IV Sol 30 ml [GCMH] 0636 664.62$ 2750908 acyclovir 50 mg/mL IV Sol 10 ml [GCMH] 0636 84.77$ 2746998 acyclovir 50 mg/mL IV Sol 20mL [GCMH] 0636 150.92$ 2741403 adenosine 3 mg/mL IV Sol 2mL [GCMH] 0636 13.98$ 2741411 adenosine 3 mg/mL IV Sol 30 mL [GCMH] 0636 264.33$ 2747574 ado-trastuzumab emtansine 100 mg REC [GCMH] 0636 18,528.95$ 2747582 ado-trastuzumab emtansine 160 mg REC [GCMH] 0636 29,646.09$ 2753401 agalsidase beta 5 mg Pow [GCMH] 0636 5,245.35$ 2742484 Al hydroxide/Mg hydroxide/simethicone 200 mg-200 mg-20 mg/5 mL Oral Susp 355 mL [GCMH] 0636 3.41$ 2801272 albumin human 25% IV Sol 100 mL IVPB [GCMH] 0636 427.90$ 2800050 albumin human 25% IV Sol 50 mL [GCMH] 0636 109.30$ 2715621 albuterol 0.083% Inh Sol 3 mL [GCMH] 0636 23.60$ 2708071 albuterol 0.5% Inh Sol 20mL[GCMH] 0636 210.54$ 2749497 alpha 1-proteinase inhibitor - IV Sol [GCMH] 0636 2,743.53$ 2748671 alprostadil 0.5 mg/mL Inj Sol 1mL [GCMH] 0636 166.22$ 2740140 alteplase 2 mg IV Inj [GCMH] 0636 761.96$ 2744688 alteplase 50 mg IV Inj [GCMH] 0636 19,049.11$ 2740058 amikacin 250 mg/mL IV Sol 4mL [GCMH] 0636 316.76$ 2700334 aminophylline 25 mg/mL 20 ml IV Sol [GCMH] 0636 42.46$ 2748499 amiodarone 360 mg/200 mL-D5% Sol [GCMH] 0636 145.20$ 2801017 amiodarone 50 mg/mL IV Sol 3mL [GCMH] 0636 20.16$ 2704799 ampicillin 1 g Inj [GCMH] 0636 56.69$ 2704765 ampicillin 250 mg Inj [GCMH] 0636 22.73$ 2801108 ampicillin-sulbactam 1 g-0.5 g Inj [GCMH] 0636 90.13$ 2740975 ampicillin-sulbactam 2 g-1 g Inj [GCMH] 0636 162.26$ 2700607 antipyrine-benzocaine Otic Sol 15mL [GCMH] 0636 14.18$ 2740017 antivenin (Crotalidae) polyvalent Inj Sol [GCMH] 0636 19,347.90$ 2749851 apixaban 5 mg Tab UD [GCMH] 0636 41.87$ 2744886 argatroban 100 mg/mL IV Sol [GCMH] 0636 48,657.29$ 2748440 atropine 0.05 mg/mL Inj Sol [GCMH] 0636 51.15$ 2700565 atropine 0.1 mg/mL 10 ml Inj Sol [GCMH] 0636 55.99$ 2700557 atropine 0.4 mg/mL Inj Sol 20mL [GCMH] 0636 194.04$ 2702199 atropine/hyoscyamine/PB/scopolamine Oral Elix 480 mL [GCMH] 0636 143.08$ 2747590 azaCITIDine 100 mg Inj [GCMH] 0636 2,474.93$ 2703098 azaTHIOprine 50 mg Tab [GCMH] 0636 14.36$ 2723419 azithromycin 500 mg IV Inj [GCMH] 0636 122.93$ 2718138 aztreonam 2 g Inj [GCMH] 0636 576.42$ 2746683 bacitracin/HC/neomycin/polymyxin B Ophth Oint [GCMH] 0636 71.56$

2749877 bendamustine 25 mg/mL 4 ml Sol [GCMH] 0636 10,678.98$ 2760101 benralizumab 30 mg/mL 1 ml Sol [GCMH] 0636 17,771.53$ 2700169 benzoin Top Spry [GCMH] 0636 67.32$ 2701423 benztropine 1 mg/mL Inj Sol 2 mL [GCMH] 0636 183.50$ 2746303 betameth acet-betameth sod phos 3 mg-3 mg Inj Susp 5 mL [GCMH] 0636 35.73$ 2747632 bevacizumab 25 mg/mL IV Sol 16mL [GCMH] 0636 16,692.19$ 2747624 bevacizumab 25 mg/mL IV Sol 4mL [GCMH] 0636 4,173.05$ 2760501 bevacizumab bvzr 25 mg/mL Sol 16 ml [GCMH] 0636 6,975.76$ 2760490 bevacizumab bvzr 25 mg/mL Sol 4 ml [GCMH] 0636 1,743.94$ 2749133 bivalirudin 250 mg IV Inj [GCMH] 0636 6,425.89$ 2747640 bleomycin 15 units Inj [GCMH] 0636 343.18$ 2750901 bortezomib 3.5 mg Pow IV [GCMH] 0636 4,974.30$ 2747665 brentuximab vedotin 50 mg IV REC [GCMH] 0636 32,774.34$ 2737955 bumetanide 0.25 mg/mL Inj Sol 10 mL [GCMH] 0636 104.72$ 2719763 bupivacaine 0.75% intrathecal Sol 2 mL [GCMH] 0636 15.64$ 2746212 buprenorphine-naloxone 2 mg-0.5 mg sublingual Dis Tab [GCMH] 0636 34.43$ 2746196 buprenorphine-naloxone 8 mg-2 mg sublingual Dis Tab [GCMH] 0636 32.91$ 2706034 butorphanol 2 mg/1mL [GCMH] 0636 66.33$ 2747673 cabazitaxel 60 mg IV Sol [GCMH] 0636 875.29$ 2749778 caffeine citrate 20 mg/mL 3 ml IV Sol [GCMH] 0636 72.53$ 2744563 calcitonin 200 intl units/mL Inj Sol [GCMH] 0636 10,607.87$ 2753501 calcium gluconate 1 gm/50 ml IV Sol [GCMH] 0636 54.45$ 2701043 calcium gluconate 100 mg/mL Inj Sol [GCMH] 0636 41.91$ 2738474 capecitabine 500 mg Tab [GCMH] 0636 159.95$ 2747681 CARBOplatin 10 mg/mL IV 60 ml Sol [GCMH] 0636 669.24$ 2747699 carfilzomib 60 mg IV REC [GCMH] 0636 10,407.82$ 2739043 carmustine 100 mg IV Inj [GCMH] 0636 16,968.46$ 2742328 caspofungin 50 mg IV Inj [GCMH] 0636 433.88$ 2748556 caspofungin 70 mg IV Inj [GCMH] 0636 1,060.16$ 2703379 ceFAZolin 1 g Inj [GCMH] 0636 161.88$ 2750115 ceFAZolin 2 g/50 mL Sol [GCMH] 0636 31.92$ 2745388 cefepime 1 g Inj [GCMH] 0636 60.85$ 2745404 cefepime 2 g Inj [GCMH] 0636 121.70$ 2770156 cefoTEtan 1 g Pow Inj [GCMH] 0636 77.42$ 2745230 cefoTEtan 1 g/50 mL-iso-osmotic dextrose IV Sol [GCMH] 0636 153.81$ 2703841 cefOXitin 1 g powder Inj [GCMH] 0636 68.71$ 2744720 cefOXitin 1 g/50 mL IV Sol [GCMH] 0636 97.00$ 2748457 cefOXitin 2 g Inj [GCMH] 0636 79.08$ 2744712 cefOXitin 2 g/50 mL Sol [GCMH] 0636 171.12$ 2747483 ceftaroline 600 mg REC [GCMH] 0636 60.81$ 2710028 cefTAZidime 1 g Inj [GCMH] 0636 95.85$ 2708394 cefTRIAXone 1 g Inj [GCMH] 0636 473.25$ 2750893 cefTRIAXone 2 g Inj [GCMH] 0636 23.93$ 2709772 cefTRIAXone 250 mg Inj [GCMH] 0636 114.93$ 2722833 cefuroxime 125 mg/5 mL Oral Liq 50mL [GCMH] 0636 18.46$ 2724268 cefuroxime 750 mg/50 mL-D5W IV Sol [GCMH] 0636 123.20$ 2753567 cemiplimab 350 mg/7 mL Sol [GCMH] 0636 55,055.00$ 2747715 cetuximab 2 mg/mL IV Sol 100mL [GCMH] 0636 6,606.60$ 2747707 cetuximab 2 mg/mL IV Sol 50 mL [GCMH] 0636 3,303.30$ 2741908 chloroprocaine 3% PF Inj Sol 20 mL [GCMH] 0636 101.64$ 2739951 chlorothiazide 0.5 g Inj [GCMH] 0636 1,683.77$ 2706943 chlorpheniramine-HYDROcodone 8 mg-10 mg/5 mL Oral Susp, ER 473 mL [GCMH] 0636 192.40$ 2741841 chlorproMAZINE 10 mg Tab [GCMH] 0636 24.56$ 2760267 chlorproMAZINE 100 mg Tab [GCMH] 0636 18.15$ 2706463 chlorproMAZINE 25 mg Tab [GCMH] 0636 31.96$ 2701282 chlorproMAZINE 25 mg/mL Inj Sol 2mL [GCMH] 0636 213.44$ 2747723 CISplatin 1 mg/mL IV 100 ml Sol [GCMH] 0636 368.50$ 2750834 conivaptan 20 mg/100 mL-D5% IV Sol [GCMH] 0636 2,575.10$ 2705218 conjugated estrogens 0.625 mg/g Vag Crm w/Appl [GCMH] 0636 66.97$ 2705200 conjugated estrogens 25 mg IV Inj [GCMH] 0636 1,579.27$ 2721173 cosyntropin 0.25 mg Inj [GCMH] 0636 1,033.96$ 2703213 cromolyn 10 mg/mL Inh Sol [GCMH] 0636 14.34$ 2712651 cromolyn Nasal 5.2 mg/inh Spry 26mL [GCMH] 0636 97.53$

2720555 cyanocobalamin 1000 mcg/mL Inj Sol [GCMH] 0636 39.53$ 2747731 cyclophosphamide 1 g IV Inj [GCMH] 0636 3,967.13$ 2770245 cyclophosphamide 200 mg/mL 5 ml Sol [GCMH] 0636 209.79$ 2720043 cycloSPORINE 100 mg Cap [GCMH] 0636 82.76$ 2723666 cycloSPORINE 25 mg Cap [GCMH] 0636 22.89$ 2747756 dacarbazine 200 mg Inj [GCMH] 0636 80.71$ 2748572 DACTINomycin 0.5 mg IV Sol [GCMH] 0636 7,800.91$ 2741577 DAPTOmycin 500 mg IV Inj [GCMH] 0636 2,162.42$ 2746766 daratumumab 20 mg/mL 20 ml IV Sol [GCMH] 0636 170,353.70$ 2770167 daratumumab 20 mg/mL 5 ml Sol 0636 1,921.76$ 2770201 daratumumab-hyaluronidase 1800 mg-30,000 units/15 mL Sol [GCMH] 0636 26,193.92$ 2750230 darbepoetin alfa 200 mcg/0.4 mL Sol [GCMH] 0636 22,357.57$ 2747764 darbepoetin alfa 300 mcg/0.6 mL Inj Sol [GCMH] 0636 13,414.54$ 2760589 darbepoetin alfa 40 mcg/0.4 mL Inj Sol [GCMH] 0636 973.04$ 2747772 deferoxamine 2 g Inj [GCMH] 0636 132.23$ 2747798 denosumab 120 mg/1.7 mL IV Sol [GCMH] 0636 13,650.79$ 2719268 desmopressin 4 mcg/mL IV Sol 1 mL [GCMH] 0636 61.31$ 2709103 dexamethasone 10 mg/mL Inj Sol 10mL [GCMH] 0636 2,047.98$ 2701902 dexamethasone 4 mg Tab [GCMH] 0636 15.79$ 2701936 dexamethasone 4 mg/mL Inj Sol 1 ML [GCMH] 0636 99.11$ 2760356 dexrazoxane 500 mg IV Inj [GCMH] 0636 1,112.53$ 2800944 dextran, low molecular weight 10%-D5W IV Sol 500 mL [GCMH] 0636 72.83$ 2744373 dextran, low molecular weight 10%-NS IV Sol 500 mL [GCMH] 0636 88.00$ 2801264 Dextrose 5% in Lactated Ringers with KCl 20 mEq/l IV Sol 1000 mL [GCMH] 0636 33.00$ 2800142 Dextrose 5% in Water IV Sol 50 mL [GCMH] 0636 15.95$ 2740181 Dextrose 5% with 0.45% NaCl and KCl 10 mEq/L intravenous solution [GCMH] 0636 33.00$ 2707115 diazepam 5 mg/mL Inj 2 ml Sol [GCMH] 0636 154.77$ 2700755 dicyclomine 10 mg/mL 2 ml Inj Sol [GCMH] 0636 475.40$ 2749752 dicyclomine 10mg/5mL UD [GCMH] 0636 13.97$ 2742419 digoxin 100 mcg/mL (0.1 mg/mL) Inj Sol 1ml [GCMH] 0636 642.17$ 2702025 digoxin 250 mcg/mL (0.25 mg/mL) Inj Sol 2 ml [GCMH] 0636 24.57$ 2743847 digoxin immune FAB 40 mg Inj [GCMH] 0636 21,612.11$ 2701647 dihydroergotamine 1 mg/mL Inj Sol [GCMH] 0636 871.97$ 2749448 diltiazem 5 mg/mL IV Sol 25mL [GCMH] 0636 89.93$ 2700706 diphenhydrAMINE 50 mg/mL Inj Sol [GCMH] 0636 15.79$ 2742518 dipyridamole 5 mg/mL 10 ml Sol [GCMH] 0636 109.78$ 2702124 DOBUTamine 12.5 mg/mL IV Sol 20 ml [GCMH] 0636 405.68$ 2800845 DOBUTamine 2 mg/mL-D5W intravenous solution [GCMH] 0636 1,861.75$ 2747806 DOCEtaxel 20 mg/mL IV Sol 1 mL [GCMH] 0636 1,460.21$ 2747814 DOCEtaxel 20 mg/mL IV Sol 4mL [GCMH] 0636 6,425.01$ 2714228 DOPamine 40 mg/mL IV Sol 10mL [GCMH] 0636 143.44$ 2750891 dornase alfa 2.5 mg/2.5 mL Sol UD [GCMH] 0636 460.63$ 2750347 doxepin 75 mg Cap [GCMH] 0636 13.98$ 2747855 DOXOrubicin 2 mg/mL 25 ml IV Sol [GCMH] 0636 170.78$ 2747848 DOXOrubicin 50 mg IV Inj [GCMH] 0636 82.04$ 2747822 DOXOrubicin liposomal 2 mg/mL 10 ml IV Dispersion [GCMH] 0636 5,175.61$ 2753145 DOXOrubicin liposomal 2 mg/mL 25 ml DSP [GCMH] 0636 17,991.33$ 2702249 doxycycline hyclate100 mg IV Inj [GCMH] 0636 244.39$ 2738987 dronabinol 2.5 mg Cap [GCMH] 0636 48.07$ 2708378 droperidol 2.5mg/ml Inj Sol 2ml [GCMH] 0636 16.02$ 2760601 durvalumab 50 mg/mL 10 ml Sol [GCMH] 0636 12,275.45$ 2749729 elotuzumab 400 mg Pow [GCMH] 0636 11,433.43$ 2749711 elotuzumab Inj 300mg [GCMH] 0636 8,200.51$ 2724045 enoxaparin 100 mg/mL SC Sol [GCMH] 0636 655.53$ 2716991 enoxaparin 30 mg/0.3 mL SC Sol [GCMH] 0636 228.88$ 2723575 enoxaparin 40 mg/0.4 mL SC Sol [GCMH] 0636 254.04$ 2702421 EPINEPHrine 0.1 mg/mL 10 ml Inj Sol Syr [GCMH] 0636 136.51$ 2745925 EPINEPHrine 0.3 mg Inj kit [GCMH] 0636 1,190.57$ 2716496 EPINEPHrine 1 mg/mL Inj 1ml Sol [GCMH] 0636 67.06$ 2749117 epirubicin 2 mg/mL 25 ml IV Inj [GCMH] 0636 128.43$ 2747871 epoetin alfa 10,000 units/mL Inj Sol [GCMH] 0636 1,071.24$ 2747863 epoetin alfa 40,000 units/mL preservative-free Sol [GCMH] 0636 2,923.12$ 2760690 epoetin alfa epbx 10,000 units/mL PF Sol [GCMH] 0636 288.26$

2760423 epoetin alfa epbx 40,000 units/mL PF Sol [GCMH] 0636 1,326.24$ 2743862 eptifibatide 2 mg/mL 10 ml IV Sol [GCMH] 0636 1,047.86$ 2739290 ergoloid mesylates 1 mg Tab [GCMH] 0636 8.91$ 2750412 eriBULin 1 mg/2 mL Sol [GCMH] 0636 5,074.54$ 2745263 ertapenem 1 g Inj [GCMH] 0636 555.38$ 2746873 erythromycin lactobionate 500 mg Inj [GCMH] 0636 388.17$ 2743664 esmolol 10 mg/mL 250 ml IV Sol [GCMH] 0636 1,460.25$ 2713840 estradiol 0.1 mg/24 hours twice weekly Transderm ER Film [GCMH] 0636 63.60$ 2742104 estradiol valerate 20 mg/mL IM Sol [GCMH] 0636 1,071.29$ 2742070 ethacrynic acid 50 mg IV Inj [GCMH] 0636 14,763.49$ 2723468 ethanolamine oleate 50 mg/mL 2 ml Inj Sol [GCMH] 0636 18,454.83$ 2741718 ethosuximide 250 mg Cap [GCMH] 0636 -$ 2747889 etoposide 20 mg/mL IV Sol 50mL [GCMH] 0636 465.85$ 2750902 etoposide 20 mg/mL IV Sol 5mL [GCMH] 0636 21.34$ 2760612 fam-trastuzumab deruxtecan 100 mg Pow [GCMH] 0636 7,576.70$ 2707636 fentaNYL 50 mcg/mL Inj Sol 2mL [GCMH] 0636 30.73$ 2716447 fentaNYL 50 mcg/mL Inj Sol 5mL [GCMH] 0636 63.09$ 2749653 ferric carboxymaltose (as elemental iron) 50 mg/mL 15 ml Sol [GCMH] 0636 4,258.98$ 2760190 ferumoxytol 30 mg/mL 17 ml Sol [GCMH] 0636 3,563.29$ 2714954 fluconazole 200 mg/100 mL-NS IV Sol 100 mL[GCMH] 0636 97.90$ 2744878 fluconazole 400 mg/200 mL-NS IV Sol 200 mL [GCMH] 0636 77.00$ 2747897 fludarabine 25 mg/mL IV Sol 2mL [GCMH] 0636 265.96$ 2748762 fluorouracil 50 mg/mL IV Sol 100mL [GCMH] 0636 264.00$ 2753112 fluorouracil 50 mg/mL IV Sol 10mL [GCMH] 0636 44.55$ 2747905 fluorouracil 50 mg/mL IV Sol 20mL [GCMH] 0636 34.54$ 2747913 fluorouracil 50 mg/mL IV Sol 50mL [GCMH] 0636 96.25$ 2708832 fluPHENAZine decanoate 25 mg/mL Inj Sol [GCMH] 0636 30.95$ 2741270 fluPHENAZine decanoate 25 mg/mL Inj Sol 5mL [GCMH] 0636 1,089.50$ 2746121 fondaparinux 7.5 mg/0.6 mL SC Sol [GCMH] 0636 76.33$ 2747921 fosaprepitant 150 mg IV REC [GCMH] 0636 2,435.70$ 2748382 fosphenytoin (PE) 100 mg/2 mL Inj Sol [GCMH] 0636 29.55$ 2747939 fulvestrant 250mg/5 ml inj 0636 11,221.98$ 2702694 furosemide 10 mg/mL Inj Sol 10mL [GCMH] 0636 205.81$ 2702678 furosemide 10 mg/mL Inj Sol 2mL [GCMH] 0636 41.18$ 2702686 furosemide 10 mg/mL Inj Sol 4mL [GCMH] 0636 82.37$ 2747947 ganciclovir 500 mg IV Inj [GCMH] 0636 381.69$ 2600930 GCMH-ISO-Iodine l123 per 100uCi 0636 559.48$ 2760178 gemcitabine 100 mg/mL 10 ml Sol [GCMH] 0636 64.47$ 2750906 gemcitabine 100 mg/ml 15 ml IV Sol MDV [GCMH] 0636 167.29$ 2702769 gentamicin 10 mg/mL Inj Sol 2ml [GCMH] 0636 13.99$ 2702785 gentamicin 40 mg/mL Inj Sol 2 ml [GCMH] 0636 32.71$ 2702793 glucagon recombinant 1 mg Inj [GCMH] 0636 1,249.31$ 2750989 goserelin 3.6 mg Implant [GCMH] 0636 2,793.53$ 2750065 haloperidol decanoate 100 mg/mL 1 ml Sol [GCMH] 0636 272.64$ 2718518 haloperidol decanoate 50 mg/mL Inj Sol 1mL [GCMH] 0636 144.11$ 2746675 heparin 1 units/mL IV Sol 5 mL Syg (PEDI) [GCMH] 0636 17.38$ 2718971 heparin 10,000 units/mL Inj Sol 1 mL [GCMH] 0636 72.49$ 2743698 heparin 1000 units/mL Inj Sol 1 mL [GCMH] 0636 20.75$ 2711075 heparin 1000 units/mL Inj Sol 10mL [GCMH] 0636 50.60$ 2711687 heparin 25000 units/500 mL-D5W IV Sol [GCMH] 0636 467.50$ 2760434 heparin 25000 units/500mL-NaCl 0.45% Sol [GCMH] 0636 22.00$ 2702900 heparin 5000 units/mL Inj Sol 1 mL [GCMH] 0636 9.89$ 2746337 heparin flush 100 units/mL IV Sol 5 mL Syg (VAD flush) [GCMH] 0636 74.64$ 2749372 heparin flush 2 units/mL-NaCl 0.9% 500 ml Sol [GCMH] 0636 22.00$ 2749885 hePARIN SODIUM 2000 UNITS/0.9% NACL 1000ML [GCMH] 0636 22.00$ 2750651 hepatitis B adult vaccine 20 mcg/mL Sus [GCMH] 0636 228.60$ 2718955 hepatitis B immune globulin IM Sol 5 mL HBIG [GCMH] 0636 3,279.05$ 2711901 hepatitis B pediatric vaccine 10 mcg/0.5 mL [GCMH] 0636 212.51$ 2739191 hepatitis B pediatric vaccine 5 mcg/0.5 mL Inj IM Sus [GCMH] 0636 100.19$ 2748937 hyaluronidase 200 units/mL Inj Sol [GCMH] 0636 452.51$ 2753056 hyaluronidase-rituximab 23,400 units-1400 mg/11.7 mL Sol [GCMH] 0636 26,260.21$ 2700417 hydrALAZINE 20 mg/mL 1 ml Inj Sol [GCMH] 0636 101.74$ 2703007 hydrocortisone 100 mg Inj preservative-free 1ml REC [GCMH] 0636 54.69$

2770211 hydrocortisone 20 mg Tab [GCMH] 0636 14.03$ 2703015 hydrocortisone 250 mg Inj preservative-free REC 2ml [GCMH] 0636 97.30$ 2742096 hydrocortisone 500 mg Inj preservative-free REC [GCMH] 0636 213.60$ 2749646 HYDROmorphone 1 mg/mL Inj Sol 1 mL [GCMH] 0636 9.76$ 2770178 HYDROmorphone 10 mg/mL 1 ml Sol [GCMH] 0636 14.03$ 2740991 HYDROmorphone 10 mg/ml Inj Sol 5 ml [GCMH] 0636 361.35$ 2737906 HYDROmorphone 2 mg/mL Inj Sol 1 mL [GCMH] 0636 31.15$ 2745628 HYDROmorphone 4 mg/mL Inj Sol 1 mL [GCMH] 0636 18.63$ 2702975 hydroxyurea 500 mg Cap [GCMH] 0636 27.97$ 2745792 hydrOXYzine hydrochloride 25 mg/mL IM Sol [GCMH] 0636 118.80$ 2747988 ibandronate 1 mg/mL IV Sol 3 mL [GCMH] 0636 2,798.73$ 2770190 ibuprofen 800 mg/200 mL IV Sol [GCMH] 0636 63.80$ 2723989 ibutilide 0.1 mg/mL IV Sol 10 mL [GCMH] 0636 2,557.83$ 2740918 IDArubicin 1 mg/mL 10 ml IV Sol [GCMH] 0636 336.93$ 2750904 idaruCIZUmab 2.5 g/50 mL Sol 0636 365,457.40$ 2747996 ifosfamide 1 g 50mg/mL IV Inj [GCMH] 0636 332.28$ 2748002 ifosfamide 3 g 50mg/mL IV Inj [GCMH] 0636 996.80$ 2748465 imipenem-cilastatin 250 mg Inj [GCMH] 0636 137.38$ 2705226 imipenem-cilastatin 500 mg Inj [GCMH] 0636 140.98$ 2708709 immune globulin IM Sol 2 mL [GCMH] 0636 53.77$ 2748010 inFLIXimab 100 mg IV Inj [GCMH] 0636 6,728.99$ 2749398 influenza virus vaccine, inactivated preservative-free quadrivalent Sus [GCMH] 0636 168.20$ 2740652 insulin glargine 100 units/mL SC Sol 10 ml [GCMH] 0636 869.78$ 2709020 insulin isophane human recombinant 100 units/mL SubQ Inj [GCMH] 0636 252.35$ 2745156 insulin lispro 100 units/mL SC Inj 3mL [GCMH] 0636 155.39$ 2708964 insulin regular human recombinant 100 units/mL Inj Sol 3mL [GCMH] 0636 455.58$ 2738441 interferon alfa-2b 10,000,000 Int_Units Inj [GCMH] 0636 127.34$ 2748028 ipilimumab 5 mg/mL Sol 40mL [GCMH] 0636 164,290.28$ 2748051 irinotecan 20 mg/mL IV Sol 2mL [GCMH] 0636 92.00$ 2748044 irinotecan 20 mg/mL IV Sol 5 mL [GCMH] 0636 168.96$ 2738227 iron dextran 50 mg/mL Inj Sol 2mL [GCMH] 0636 356.47$ 2748077 iron sucrose 20 mg/mL IV Sol 10mL [GCMH] 0636 406.23$ 2748614 iron sucrose 20 mg/mL IV Sol 2.5mL [GCMH] 0636 2.69$ 2721835 isoproterenol 0.2 mg/mL IV Sol 5 mL [GCMH] 0636 7,025.04$ 2742260 isosulfan blue 1% (10 mg/mL) Inj Sol 5 mL [GCMH] 0636 4,139.63$ 2753190 IVIG Gammagard 10% Sol 1g/10ml [GCMH] 0636 3,172.62$ 2748705 IVIG Gammagard 10% Sol 20 g/200mL [GCMH] 0636 11,413.60$ 2748739 IVIG Gammagard 10% Sol 30g/300mL [GCMH] 0636 17,120.40$ 2748721 IVIG Gammagard 10% Sol 5g/50mL [GCMH] 0636 2,852.85$ 2750899 IVIG Gamunex 10% Sol 10g/100ml [GCMH] 0636 5,853.10$ 2760156 IVIG Gamunex 10% Sol 2.5g/25ml [GCMH] 0636 899.53$ 2750734 IVIG Gamunex 10% Sol 20g/200ml [GCMH] 0636 11,706.20$ 2750898 IVIG Gamunex 10% Sol 5g/50ml [GCMH] 0636 2,926.55$ 2753101 IVIG Octagam 10% Sol 10g/100ml [GCMH] 0636 4,133.80$ 2753090 IVIG Octagam 10% Sol 20g/200ml [GCMH] 0636 8,267.60$ 2760301 IVIG Octagam 10% Sol 5g/50ml [GCMH] 0636 1,536.15$ 2749505 ixabepilone 15 mg IV Inj [GCMH] 0636 5,597.44$ 2770056 ixabepilone 45 mg Pow [GCMH] 0636 16,087.50$ 2721223 ketorolac 30 mg/mL Inj Sol 1mL [GCMH] 0636 100.42$ 2711752 ketorolac 60 mg/2mL Inj Sol 2 mL [GCMH] 0636 144.23$ 2749863 lanreotide 120 mg/0.5 mL Sol [GCMH] 0636 33,471.57$ 2748754 leucovorin 200 mg IV Inj [GCMH] 0636 75.97$ 2748101 leuprolide 22.5 mg/3 months SC Inj, ER [GCMH] 0636 7,261.88$ 2748119 leuprolide 30 mg/4 months SC powder for Inj, ER [GCMH] 0636 9,682.49$ 2748531 leuprolide 7.5 mg/1 month SC Pwdr for Inj [GCMH] 0636 1,683.97$ 2740884 leuprolide depot 3.75 mg IM Pwdr for Inj [GCMH] 0636 5,285.72$ 2760234 leuprolide depot 45 mg IM Pwdr for Inj [GCMH] 0636 33,797.81$ 2715910 leuprolide depot 7.5 mg IM Pwdr for Inj [GCMH] 0636 3,766.16$ 2745420 levETIRAcetam 100 mg/mL IV Sol 5mL [GCMH] 0636 335.56$ 2749489 levETIRAcetam 500 mg/100 mL-NaCl 0.82% Sol [GCMH] 0636 438.90$ 2738466 levofloxacin 250 mg/50 mL IV Sol [GCMH] 0636 198.55$ 2723864 levofloxacin 500 mg/100 mL IV Sol [GCMH] 0636 397.10$ 2742377 levofloxacin 750 mg/150 mL IV Sol [GCMH] 0636 196.35$

2703601 lidocaine 0.8%-D5W Inj Sol 250 mL [GCMH] 0636 0.34$ 2703585 lidocaine 1% Inj Sol 5mL [GCMH] 0636 68.97$ 2753223 lidocaine 1% PF 5 ml Sol 0636 60.34$ 2747426 lidocaine 1% PF Inj Sol 2 mL [GCMH] 0636 18.44$ 2703593 lidocaine 1% PF Inj Sol 30 mL [GCMH] 0636 72.93$ 2750934 lidocaine 2% PF 2 ml Sol [GCMH] 0636 23.03$ 2722783 lidocaine 2% PF Inj Sol 10 mL [GCMH] 0636 15.07$ 2745032 lidocaine 2% PF Sol abboject [GCMH] 0636 25.85$ 2745107 lidocaine 2% PF Vial Inj Sol 5 mL [GCMH] 0636 25.91$ 2743706 lidocaine 4% PF Sol 5 mL [GCMH] 0636 71.01$ 2720019 lidocaine 5%-D7.5% Inj Sol 2 mL [GCMH] 0636 50.03$ 2745891 linezolid 2 mg/mL IV Sol 300 mL [GCMH] 0636 811.80$ 2770189 loperamide 1 mg/7.5 mL Oral Liq 7.5 ml UD [GCMH] 0636 14.03$ 2700532 LORazepam 2 mg/mL Inj Sol 1 mL [GCMH] 0636 13.98$ 2742336 LORazepam 2 mg/mL Inj Sol 10mL [GCMH] 0636 75.46$ 2750180 lurasidone 20 mg Tab [GCMH] 0636 145.08$ 2750172 lurasidone 40 mg Tab UD [GCMH] 0636 145.08$ 2709095 magnesium lactate 84 mg ER Tab [GCMH] 0636 12.41$ 2743797 magnesium sulfate 1g/100ml D5W IV Sol [GCMH] 0636 63.80$ 2800969 magnesium sulfate 40 mg/mL IV Sol 1000 mL [GCMH] 0636 132.00$ 2703759 magnesium sulfate 50% Inj Sol 10 mL [GCMH] 0636 31.68$ 2753289 magnesium sulfate 50% Inj Sol 20 ml [GCMH] 0636 484.88$ 2742153 mannitol 20% IV Sol 500 mL [GCMH] 0636 308.00$ 2709129 mannitol 25% IV Sol 50 mL [GCMH] 0636 15.40$ 2746311 measles/mumps/rubella virus vaccine SubQ Inj [GCMH] 0636 295.09$ 2716983 medroxyPROGESTERone 150 mg/mL IM Susp [GCMH] 0636 230.68$ 2750511 meningococcal conjugate vaccine - Sol [GCMH] 0636 480.44$ 2720464 meperidine 10 mg/mL-NS PCA IV Sol 50 mL [GCMH] 0636 221.10$ 2707586 meperidine 25mg/0.5mL Inj Sol 0.5mL [GCMH] 0636 43.16$ 2701829 meperidine 50 mg/mL Inj Sol 1mL [GCMH] 0636 78.39$ 2739746 mepivacaine 1.5% Inj Sol 30 mL [GCMH] 0636 123.09$ 2750453 meropenem 1000 mg Pow [GCMH] 0636 71.10$ 2750461 meropenem 500 mg Pow [GCMH] 0636 35.55$ 2750099 meropenem 500 mg/ 50 mL-NaCl 0.9% Sol [GCMH] 0636 74.66$ 2748127 mesna 100 mg/mL Inj Sol 10 mL [GCMH] 0636 110.11$ 2722353 methacholine 100 mg Inh Pwdr for Recon [GCMH] 0636 448.64$ 2705630 methocarbamol 100 mg/mL Inj Sol 10 mL [GCMH] 0636 429.77$ 2748135 methotrexate 25 mg/mL Inj Sol 2 mL [GCMH] 0636 72.42$ 2760656 methotrexate 25 mg/mL PF 10 ml Sol [GCMH] 0636 24.53$ 2740637 methyldopa 50 mg/mL IV Sol [GCMH] 0636 261.09$ 2703965 methylergonovine 0.2 mg/mL Inj Sol [GCMH] 0636 64.64$ 2745982 methylnaltrexone 12 mg/0.6 mL SC Sol [GCMH] 0636 665.13$ 2739860 methylPREDNISolone 500 mg preservative-free Pow [GCMH] 0636 219.98$ 2701860 methylPREDNISolone acetate 40 mg/mL IM Inj Susp 1 ml [GCMH] 0636 94.63$ 2701878 methylPREDNISolone acetate 80 mg/mL IM Inj Susp 1 ml [GCMH] 0636 162.24$ 2713527 methylPREDNISolone Sod Succ 1000 mg Inj Pwdr [GCMH] 0636 222.50$ 2708337 methylPREDNISolone Sod Succ 125 mg PF Pow [GCMH] 0636 144.23$ 2706000 methylPREDNISolone Sod Succ 40 mg PF Pow [GCMH] 0636 34.52$ 2705549 metoclopramide 5 mg/mL Inj Sol 2mL [GCMH] 0636 40.59$ 2722049 midazolam 1 mg/mL preservative-free Inj Sol 2 mL [GCMH] 0636 47.34$ 2722056 midazolam 5 mg/mL Inj Sol 1 mL [GCMH] 0636 35.59$ 2740231 midazolam 5 mg/mL Inj Sol 10mL [GCMH] 0636 139.70$ 2760367 midazolam 5 mg/mL Inj Sol 5 ml [GCMH] 0636 14.19$ 2749430 milrinone 1 mg/mL IV Sol 20 mL [GCMH] 0636 69.52$ 2749414 mitoMYcin 20 mg IV Inj [GCMH] 0636 608.38$ 2709822 mitoMYcin 5 mg IV Inj [GCMH] 0636 548.71$ 2738458 mitoXANTRONE 2 mg/mL IV Sol 10mL [GCMH] 0636 971.96$ 2704187 morphine 10 mg/mL preservative-free Sol 1 ml [GCMH] 0636 18.04$ 2745099 morphine 2 mg/mL Inj Sol 1 mL Syr [GCMH] 0636 14.37$ 2742369 morphine 25 mg/mL preservative-free Inj Sol Vl [GCMH] 0636 45.76$ 2750778 morphine 30 mg/30mL PCA [GCMH] 0636 43.23$ 2770123 morphine 4 mg/mL PF 1ml Sol [GCMH] 0636 14.03$ 2801231 morphine 5 mg/mL Inj Sol 50mL [GCMH] 0636 79.20$

2738235 mycophenolate mofetil 250 mg Cap [GCMH] 0636 22.35$ 2770234 nafcillin 10 g Pow [GCMH] 0636 124.08$ 2704724 nalbuphine 10 mg/mL Inj Sol [GCMH] 0636 1.33$ 2748804 nalbuphine 20 mg/mL Inj Sol [GCMH] 0636 23.88$ 2704328 naloxone 0.4 mg/mL Inj Sol 1mL [GCMH] 0636 297.69$ 2704336 naloxone 1 mg/mL Inj Sol 2 mL [GCMH] 0636 595.39$ 2750446 natalizumab 300 mg/15 ml [GCMH] 0636 133.51$ 2705390 neostigmine 1 mg/mL 10 ml Sol [GCMH] 0636 143.55$ 2749273 netupitant-palonosetron 300 mg-0.5 mg Cap [GCMH] 0636 2,548.70$ 2770223 niacin 500 mg Tab ER UD [GCMH] 0636 14.03$ 2800803 nitroglycerin 10 mg/100 mL-D5W IV Sol 250 mL Btl [GCMH] 0636 206.25$ 2706794 nitroglycerin 5 mg/mL IV Sol [GCMH] 0636 9.97$ 2749232 nivolumab 10 mg/mL IV Sol 4 mL [GCMH] 0636 5,205.38$ 2749224 nivolumab 10 mg/mL Sol 10 mL [GCMH] 0636 13,013.44$ 2750712 ocrelizumab 300 mg/10 mL Sol [GCMH] 0636 75,032.87$ 2749315 octreotide 50 mcg/mL Inj Sol 1 mL [GCMH] 0636 72.39$ 2721983 octreotide 500 mcg/mL Inj Sol 1 mL [GCMH] 0636 878.31$ 2748143 octreotide LAR Depot 20 mg PWD [GCMH] 0636 17,752.68$ 2748150 octreotide LAR Depot 30 mg Inj [GCMH] 0636 26,380.63$ 2748168 ofatumumab 20 mg/mL 50 ml Sol [GCMH] 0636 20,118.83$ 2749042 OLANZapine 10 mg IM Inj [GCMH] 0636 185.34$ 2748176 omalizumab 150 mg SubQ Inj [GCMH] 0636 6,693.48$ 2750255 onabotulinumtoxinA 100 units Pow [GCMH] 0636 2,941.29$ 2750560 ondansetron 2 mg/mL 20 ml [GCMH] 0636 19.80$ 2800951 ondansetron 2 mg/mL Inj Sol 2 mL [GCMH] 0636 22.35$ 2704625 orphenadrine 30 mg/mL Inj Sol 2ml [GCMH] 0636 172.39$ 2748192 oxaliplatin 5 mg/mL IV Sol 10mL [GCMH] 0636 1,303.83$ 2748184 oxaliplatin 5 mg/mL IV Sol 20 mL [GCMH] 0636 1,108.14$ 2705119 oxytocin 10 intl units/mL Inj Sol 1ml [GCMH] 0636 40.57$ 2745453 oxytocin 10 units/1000 mL-LR Inj Sol [GCMH] 0636 27.83$ 2744811 oxytocin 20 units/1000 mL-LR Inj Sol [GCMH] 0636 8.80$ 2748812 oxytocin 30 units/500 mL-NS Inj Sol [GCMH] 0636 0.11$ 2750909 PACLitaxel 100mg/16.7 ml Sol [GCMH] 0636 64.85$ 2748218 PAClitaxel protein-bound 100 mg IV Inj [GCMH] 0636 7,629.49$ 2753067 paliperidone 117 mg/0.75 mL Sus [GCMH] 0636 5,359.68$ 2750297 paliperidone 156 mg/mL Sus [GCMH] 0636 7,526.37$ 2750289 paliperidone 234 mg/1.5 mL Sus [GCMH] 0636 10,304.81$ 2748226 palonosetron 0.25 mg/5 mL IV Sol [GCMH] 0636 1,553.53$ 2738334 pamidronate 3 mg/mL IV Sol 10 mL [GCMH] 0636 1,096.04$ 2746865 pancuronium 1 mg/mL IV Sol 10 mL [GCMH] 0636 -$ 2745412 panitumumab 20 mg/mL IV Sol 5mL [GCMH] 0636 5,419.77$ 2741239 papaverine 30 mg/mL Inj Sol 2 mL [GCMH] 0636 193.16$ 2740389 paricalcitol 5 mcg/mL IV Sol 1 mL [GCMH] 0636 85.67$ 2740942 pegfilgrastim 6 mg/0.6 mL SubQ Inj 0.6mL [GCMH] 0636 35,997.74$ 2760545 pegfilgrastim jmdb 6 mg/0.6 mL Sol [GCMH] 0636 6,564.06$ 2749828 pembrolizumab 25 mg/mL Sol 4 mL [GCMH] 0636 7,245.18$ 2746774 PEMEtrexed 100 mg IV REC [GCMH] 0636 2,877.24$ 2748390 PEMEtrexed 500 mg IV Inj [GCMH] 0636 18,652.01$ 2719276 penicillin G benzathine 600,000 units/mL Sus 1 mL [GCMH] 0636 613.36$ 2750900 pentamidine 300 mg Pow INJ [GCMH] 0636 654.93$ 2746022 perphenazine 4 mg Tab [GCMH] 0636 14.34$ 2748424 pertuzumab 420 mg/14 mL Sol [GCMH] 0636 33,909.88$ 2705093 PHENobarbital 130 mg/mL Inj Sol 1ml [GCMH] 0636 278.77$ 2801074 phentolamine 5 mg Inj [GCMH] 0636 1,714.60$ 2740736 phenylephrine 10 mg/mL Inj Sol 1 mL [GCMH] 0636 216.83$ 2750206 phenylephrine 100 mcg/mL-NaCl 0.9% Sol 10 ml SYR [GCMH] 0636 28.14$ 2705101 phenytoin 50 mg/mL Inj Sol 5mL [GCMH] 0636 15.02$ 2720324 phytonadione 10 mg/mL Inj Sol 1ml [GCMH] 0636 195.13$ 2742526 piperacillin-tazobactam 2 g-0.25 g IV Inj [GCMH] 0636 119.46$ 2744274 piperacillin-tazobactam 2 g-0.25 g/50 mL IV Sol [GCMH] 0636 265.65$ 2717635 piperacillin-tazobactam 3 g-0.375 g IV Inj [GCMH] 0636 131.13$ 2724276 piperacillin-tazobactam 3 g-0.375 g/50 mL Sol [GCMH] 0636 315.15$ 2742534 piperacillin-tazobactam 4 g-0.5 g IV Inj [GCMH] 0636 227.66$

2744340 piperacillin-tazobactam 4 g-0.5 g/100 mL IV Sol [GCMH] 0636 266.20$ 2748929 pneumococcal 13-valent conjugate vaccine - Sus UD [GCMH] 0636 1,046.31$ 2760345 potassium chloride 2 mEq/mL 10 mL [GCMH] 0636 14.19$ 2750636 potassium chloride 2 mEq/mL 5mL [GCMH] 0636 13.97$ 2705150 potassium chloride 2 mEq/mL IV Sol vial 20 mL [GCMH] 0636 27.06$ 2801124 potassium chloride 20 mEq/50 mL in SW IV Sol [GCMH] 0636 42.35$ 2739563 potassium chloride 40 mEq/100 mL in SW IV Sol [GCMH] 0636 59.40$ 2750339 pramipexole 1 mg Tab UD [GCMH] 0636 13.98$ 2721710 prednisoLONE sodium phosphate 5 mg/5 mL Oral Liq [GCMH] 0636 261.36$ 2705192 predniSONE 20 mg Tab [GCMH] 0636 57.37$ 2705267 procainamide 100 mg/mL Inj Sol 10 mL [GCMH] 0636 2,912.80$ 2705317 prochlorperazine 5 mg/mL Inj Sol 2 mL [GCMH] 0636 187.11$ 2746915 progesterone 50 mg/mL IM Sol [GCMH] 0636 287.54$ 2717338 propofol 10 mg/mL IV Emul 50mL [GCMH] 0636 343.20$ 2742575 propofol ICU ONLY 10 mg/mL IV Emul 100mL [GCMH] 0636 284.90$ 2703106 propranolol 1 mg/mL IV Sol 1 mL [GCMH] 0636 111.46$ 2744332 protamine 10 mg/mL Inj Sol 5 mL [GCMH] 0636 69.25$ 2748564 prothrombin complex - REC [GCMH] 0636 4,940.62$ 2747137 pyridoxine 100 mg/mL Inj Sol 1 mL [GCMH] 0636 85.91$ 2749919 rabies immune globulin (human) 300 IntUnit/ml [GCMH] 0636 1,565.58$ 2748366 rabies vaccine, human diploid cell 2.5 intl units IM Inj [GCMH] 0636 1,565.55$ 2747236 rasburicase 1.5 mg IV Inj Rec [GCMH] 0636 3,352.57$ 2741437 RHo (D) immune globulin 5000 intl units/4.4 mL Inj Sol [GCMH] 0636 5,687.58$ 2738276 rifampin 600 mg IV Inj [GCMH] 0636 1,344.30$ 2748242 riTUXimab 10 mg/mL IV Sol 10mL [GCMH] 0636 4,458.30$ 2748259 riTUXimab 10 mg/mL IV Sol 50mL [GCMH] 0636 22,290.95$ 2760512 riTUXimab-pvvr 10 mg/mL Sol 10 ml [GCMH] 0636 1,958.22$ 2760523 riTUXimab-pvvr 10 mg/mL Sol 50 ml [GCMH] 0636 9,846.10$ 2748267 romiPLOStim 250 mcg REC [GCMH] 0636 11,245.74$ 2750696 ropivacaine 0.2% Inj Sol 10 ml [GCMH] 0636 49.83$ 2722775 ropivacaine 0.2% Inj Sol 100 mL [GCMH] 0636 191.40$ 2745446 ropivacaine 0.2% Inj Sol IVPB 200 mL [GCMH] 0636 750.20$ 2739902 ropivacaine 0.5% Inj Sol 30 mL [GCMH] 0636 243.54$ 2749547 sacubitril-valsartan 49 mg-51 mg Tab [GCMH] 0636 27.10$ 2705747 senna 8.6 mg Tab [GCMH] 0636 15.08$ 2760745 sincalide 5 mcg Pow Inj [GCMH] 0636 336.63$ 2745495 Sodium Chloride 0.45% with KCl 20 mEq/L intravenous solution [GCMH] 0636 14.30$ 2705960 sodium chloride 0.9% Inh Sol 3 mL [GCMH] 0636 47.39$ 2749422 Sodium Chloride 0.9% IV Sol 150 mL [GCMH] 0636 36.30$ 2740280 Sodium Chloride 0.9% with KCl 20 mEq/L IV Sol 1000 mL [GCMH] 0636 33.00$ 2705952 sodium chloride 23.4% IV Sol 30 mL [GCMH] 0636 62.70$ 2749158 sodium chloride 3% Inh Sol 4 mL [GCMH] 0636 14.34$ 2742161 Sodium Chloride 3% IV Sol 500 mL [GCMH] 0636 11.00$ 2750479 sodium chloride, hypertonic, ophthalmic 5% Sol 15 ml [GCMH] 0636 90.09$ 2739597 sodium ferric gluconate complex 12.5 mg/mL IV Sol 5 mL [GCMH] 0636 1,036.37$ 2744985 sodium hyaluronate 23 mg/mL Intraocular Liq 0.6 mL [GCMH] 0636 1,023.54$ 2749810 sodium thiosulfate 12.5gm/50mL [GCMH] 0636 349.80$ 2770012 sterile talc - Pow 3g [GCMH] 0636 1,755.60$ 2750812 sugammadex 100 mg/mL Sol 2 ml [GCMH] 0636 408.69$ 2712164 sulfamethoxazole-trimethoprim 80 mg-16 mg/mL IV Sol 10 mL [GCMH] 0636 130.24$ 2716629 SUMAtriptan 6 mg/0.5 mL SC Sol 0.5mL [GCMH] 0636 538.67$ 2719847 sutilains Top Oint [GCMH] 0636 48.06$ 2744639 tacrolimus 0.5 mg Oral Cap [GCMH] 0636 17.00$ 2746790 tacrolimus 5 mg/mL IV Sol 1 mL [GCMH] 0636 1,291.90$ 2750895 tbo-filgrastim 300 mcg/0.5 mL Sol [GCMH] 0636 810.40$ 2745941 Tdap Vaccine Greater Than 7 Yrs IM 0636 360.55$ 2748598 temozolomide 100 mg REC [GCMH] 0636 622.53$ 2748275 temsirolimus 25 mg/2.5 mL IV Sol [GCMH] 0636 7,639.03$ 2745974 tenecteplase 50 mg IV Inj Rec [GCMH] 0636 23,496.30$ 2700862 terbutaline 1 mg/mL Inj Sol 1 mL [GCMH] 0636 101.64$ 2742310 testosterone 200 mg/mL IM Sol 5 mL [GCMH] 0636 319.99$ 2751089 testosterone cypionate 200 mg/mL 1ml [GCMH] 0636 68.09$ 2746113 tetanus immune globulin 250 units IM Sol 1 mL [GCMH] 0636 1,935.12$

2711828 tetanus-diphtheria toxoids adult IM Susp 0.5 mL [GCMH] 0636 166.25$ 2750354 tetracaine ophthalmic ED USE 0.5% Sol 4 ml [GCMH] 0636 57.90$ 2800647 theophylline 1.6 mg/mL-D5W IV Sol 500 mL [GCMH] 0636 225.50$ 2706455 thiamine 100 mg/mL Inj Sol 2mL[GCMH] 0636 52.16$ 2746055 tigecycline 50 mg IV Inj [GCMH] 0636 871.93$ 2753545 tirofiban 50 mcg/mL 250 ml Sol [GCMH] 0636 1,130.25$ 2750602 tobramycin 40 mg/mL 30 ML Sol [GCMH] 0636 14.19$ 2713337 tobramycin 40 mg/mL Inj Sol 2 mL [GCMH] 0636 38.13$ 2748283 topotecan 4 mg IV Inj Rec [GCMH] 0636 14.51$ 2747368 tranexamic acid 100 mg/mL IV Sol 10 mL [GCMH] 0636 47.26$ 2750745 trastuzumab 150 mg Pow [GCMH] 0636 9,428.44$ 2760534 trastuzumab dkst 150 mg Pow [GCMH] 0636 2,790.78$ 2712438 triamcinolone acetonide 40 mg/mL Inj Susp 1ml [GCMH] 0636 81.14$ 2715050 triamcinolone nasal 55 mcg/inh Aer [GCMH] 0636 61.25$ 2706513 trimethobenzamide 100 mg/mL IM Sol 2 mL [GCMH] 0636 219.05$ 2760734 ustekinumab 5 mg/mL 26 ml Sol [GCMH] 0636 5,538.39$ 2770089 ustekinumab 90 mg/mL 1 ml Sol [GCMH] 0636 76,029.82$ 2713758 vancomycin 1000 mg IV Inj Pwdr [GCMH] 0636 360.57$ 2770112 vancomycin 1000 mg/200 mL-Sterile Water Sol [GCMH] 0636 39.60$ 2770078 vancomycin 1250 mg/250mL-Sterile Water Sol [GCMH] 0636 49.50$ 2760756 vancomycin 1500 mg/300 mL-Sterile Water Sol [GCMH] 0636 59.40$ 2770090 vancomycin 250 mg/5 mL REC 80 ml Oral Soln [GCMH] 0636 806.30$ 2747145 vancomycin 500 mg IV Inj [GCMH] 0636 28.27$ 2770145 vancomycin 500 mg/100 mL-Sterile Water Sol [GCMH] 0636 19.80$ 2748697 vancomycin 750 mg REC [GCMH] 0636 120.36$ 2770067 vancomycin 750 mg/150 mL-Sterile Water Sol [GCMH] 0636 29.70$ 2750404 vedolizumab 300 mg Pow [GCMH] 0636 29,356.43$ 2747657 VELCADE (BRAND) 3.5 mg Inj IV or Subq [GCMH] 0636 7,401.70$ 2748309 vinBLAStine 1 mg/mL IV Sol 10 mL [GCMH] 0636 149.27$ 2748317 vinCRIStine 1 mg/mL IV Sol 1 mL [GCMH] 0636 57.27$ 2748325 vinCRIStine 1 mg/mL IV Sol 2mL [GCMH] 0636 105.69$ 2748333 vinorelbine 10 mg/mL 5 ml IV Sol [GCMH] 0636 1,292.61$ 2741197 ziprasidone 20 mg IM Inj [GCMH] 0636 1,949.63$ 2740892 zoledronic acid 4 mg/100 mL Sol [GCMH] 0636 1,375.00$ 2748341 zoledronic acid 5 mg/100 mL IV Sol [GCMH] 0636 1,563.10$ 2706950 acetaminophen 80 mg/0.8 mL Oral Liq 30mL [GCMH] 0637 4.51$ 2753489 Insulin Regular 100 units/100 ml NS IV Sol Premixed [GCMH] 0637 152.46$ 0063131 ROOM/BED: Respite Care 0663 350.45$ 1500362 FULL TRAUMA ACTIVATION FEE 0683 18,910.94$ 1500370 PARTIAL TRAUMA ACTIVATION FEE 0683 10,778.24$ 1500388 TRAUMA ALERT ACTIVATION 0683 6,071.15$ 4012902 CL RECOVERY LVL 1, ADD 15 MIN 0710 896.27$ 4012878 CL RECOVERY LVL 1, FIRST 30 MIN 0710 1,705.13$ 4012910 CL RECOVERY LVL 2, ADD 15 MIN 0710 1,862.36$ 4012886 CL RECOVERY LVL 2, FIRST 30 MIN 0710 4,097.18$ 4012928 CL Recovery LVL 3, Add 15 Min 0710 2,214.45$ 4012894 CL RECOVERY LVL 3, FIRST 30 MIN 0710 4,428.91$ 4024845 DIAG IMAG RECOVERY 1ST 30 MIN 0710 985.90$ 4024856 DIAG IMAG RECOVERY ADDL 15 MIN 0710 492.94$ 1300508 MCU RECOVERY CHARGE LVL 1 0710 1,557.17$ 1300516 MCU RECOVERY CHARGE LVL 2 0710 3,074.61$ 1100064 OCU Ambulatory Care per Hour 0710 307.58$ 1200054 OSC Post Op Assessment 0710 157.75$ 1200104 PACU Level 1, addt'l 15 min 0710 985.90$ 1200104 PACU Level 1, addt'l 15 min 0710 985.90$ 1200070 PACU Level 1, First 30 Min 0710 1,971.77$ 1200070 PACU Level 1, First 30 Min 0710 1,971.77$ 1200112 PACU Level 2, addt'l 15 min 0710 1,862.36$ 1200112 PACU Level 2, addt'l 15 min 0710 2,048.60$ 1200088 PACU Level 2, First 30 Min 0710 3,724.71$ 1200088 PACU Level 2, First 30 Min 0710 4,097.18$ 1200120 PACU Level 3, addt'l 15 min 0710 2,560.73$ 1200096 PACU Level 3, First 30 Min 0710 5,121.48$

1300045 C-SECTION PREP 0720 423.06$ MISCC Higher Level of Care Room Charge 0720 5,177.26$ 1300060 LDR I 0720 3,490.95$ 1300086 LDR II 0720 4,195.04$ 1300003 LABOR LEVEL I 0721 1,186.33$ 1300029 LABOR LEVEL II 0721 1,612.19$ 1300556 VAGINAL DELIVERY 1 0722 8,160.54$ 1300567 VAGINAL DELIVERY II 0722 12,240.82$ 3300290 54150 CIRCUMCISION CHARGE 0723 6,584.77$ 1900000 Electrocardiogram/EKG 0730 531.81$ 3001039 PEDI EKG 0730 483.46$ 3000908 3000908 Holter Hookup CHARGE 0731 623.79$ 3000916 3000916 Holter Scan and Analysis CHARGE 0731 623.79$ 2100287 95805 MULTIPLE SLEEP LATENCY TEST Charge 0740 4,709.54$ 2100105 95810 SLEEP STAGING 4 OR MORE PARAMETERS Charge 0740 5,292.53$ 2100006 EEG AWAKE & DROWSY 0740 1,171.26$ 1601715 EEG Awake and Drowsy 0740 1,231.29$ 2100162 EEG Seizure > 60 Minutes 0740 1,229.57$ 2100170 EEG Seizure 41-60 Minutes 0740 1,292.58$ 2100261 NAP STUDY 0740 2,864.61$ 2100428 POLYSOM <6 YRS 4/> PARAMTRS,ATTEND 0740 5,011.64$ 2100386 POLYSOM<6 YRS 4/>PARAMTRS,ATTENDED 0740 4,127.54$ 2100246 UNATTENDED SLEEP STUDY 0740 994.99$ 1001155 Colonoscopy Level 1 0750 8,242.72$ 3400751 Colonoscopy Level 1 0750 8,242.83$

1001163 COLONOSCOPY LVL 2 0750 9,540.14$ 3400769 COLONOSCOPY LVL 2 SVOSC 0750 9,540.15$ 1101206 EGD Level 1 0750 6,808.70$ 3400710 EGD Level 1 0750 6,808.70$

1001122 EGD LVL 2 0750 7,846.62$ 3400728 EGD LVL 2 0750 7,846.62$ 3608090 50593 CRYOABLATION RENAL TUMOR UNILATERAL 0761 28,102.12$ 4024907 51702 FOLEY CATH INSERTION CHARGE 0761 700.23$ 5200100 97602 NON-SELECTIVE DEBRIDEMENT 0761 741.39$ 1107234 BLOOD DRAW FROM PORT 0761 443.72$ 1101745 BLOOD PATCH EPIDURAL 0761 2,972.17$ 1107291 CATH COLLECTION BLOOD, CENTRAL/PERI 0761 443.07$ 1300391 CATH VEIN UMBIL NEWBORN 0761 350.19$ 3602307 CENTRAL VENOUS CATH INSERT CHARGE 0761 9,146.13$ 5200324 DEBRIDEMENT OF NAILS 1-5 NAILS 0761 440.54$ 1100999 DECLOT VASCULAR DEVICE 0761 1,240.32$ 1300409 DELIVERY/BIRTHING ROOM RESUSC 0761 1,893.80$ 5200290 DRESS AN/OR DEBMT PART THN BURN-MED 0761 1,089.75$ 5200282 DRESS AN/OR DEBMT PART THN BURN-SM 0761 885.27$ 1300219 EXTERNAL CEPHALIC VERSION 0761 7,902.45$ 3602331 INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA 0761 560.87$ 2304590 Injection of contrast for knee arthrography 0761 1,947.80$ 3602935 INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG 0761 409.72$ 3000981 INTUBATION 0761 818.07$ 3600475 IR Cervical Myelogram 0761 4,773.22$ 3602885 IR - CHANGE BILE DUCT CATHETER 0761 12,220.01$ 3602430 IR - CHANGE KIDNEY TUBE 0761 7,117.85$ 3602919 IR - CHANGE OF BLADDER TUBE 0761 2,726.83$ 3600889 IR - IVC FILTER PLAC/INSERTION 0761 21,204.45$ 3605276 IR - NON-TUNNELED CVA PLCMT 5YRS OR > 0761 8,584.98$ 3605409 IR - REPLACEMENT PICC W/OUT PORT/PUMP 0761 5,382.73$ 3605656 IR Abscess Drain Cath Exchange 0761 7,202.12$ 3606795 IR Biopsy Bone Marrow 0761 7,652.34$ 3603099 IR Cath for Hysterography 0761 353.79$ 3607017 IR Cholecystostomy 0761 14,481.15$ 3605912 IR CVA Injection 0761 1,116.30$ 3608145 IR Drainage Pleural Perc 0761 5,382.73$ 3607272 IR Inj Asp Bone Cyst 0761 2,186.02$

3605425 IR INSERTION INDWELL CHEST TUBE 0761 12,220.01$ 1501279 IR Intermediate Joint Asp/Inj 0761 1,234.77$ 3606753 IR Intraperitoneal Cath Insert 0761 12,220.01$ 3602091 IR IVC Filter Remove Endovascular 0761 14,815.76$ 3607025 IR Large Joint Asp/Inj 0761 1,298.06$ 3605813 IR Lumbosacral Injection 0761 4,540.51$ 3605441 IR Mediport Insert >5 Yrs 0761 13,743.65$ 3607082 IR Perc Gastrostomy Tube Placement 0761 5,991.68$ 3606761 IR Puncture Lumbar 0761 3,110.01$ 3607280 IR TIPS Tube Check 0761 21,345.01$ 3605672 IR Tube or Cath Change Duodeno/Jejuno 0761 3,120.91$ 3605375 IR Tube or Cath Change Gastrointestinal 0761 3,120.91$ 3600699 IR Venogram Cava Inferior 0761 14,789.12$ 3606944 IR-CHNG NEPHRL CATH,EXT ACC 0761 7,117.85$ 3605607 IR-PICC INSERTION W/ PORT 5YRS OR > 0761 12,494.22$ 3605383 IR-REMOV TUNNELED CVA DEVICE,W/PORT-PU 0761 5,183.96$ 3605292 IR-REMOVAL CVC W/OUT PORT/PUMP 0761 2,571.35$ 3605664 IR-REPLMT GASTRO/CECO TUBE, PERC 0761 3,120.91$ 3605250 IR-TUN CVA PLCMT W/O PORTS 5YRS AND > 0761 12,494.22$ 3605557 IR-VENPNCT; 3YRS OR >; DIAG OR THERAP 0761 58.09$ 3608323 KYPHOPLASTY EA ADDL VERT BODY, THORACIC OR LUMBAR 0761 476.39$ 3608312 KYPHOPLASTY LUMBAR 0761 19,740.44$ 3608301 KYPHOPLASTY THORACIC 0761 19,740.44$ 5200050 OFC/OUTPATIENT VST-ESTAB PT LEVEL 1 0761 119.00$ 5200027 OFC/OUTPATIENT VST-NEW PT LEVEL 3 0761 498.40$ 5200035 OFC/OUTPATIENT VST-NEW PT LEVEL 4 0761 683.32$ 1100130 Special Procedure 0761 446.44$ 1501964 STRAIGHT CATH INSERTION 0761 809.72$ 3605177 US Biopsy FNA 0761 2,995.07$ 3605169 US Biopsy Thyroid 0761 2,849.06$ 1107242 VAD BLOOD DRAW 0761 488.11$ 3300829 OBSERVATION PER HOUR 0762 162.98$ 1500222 90471 ER - INJECTION IMMUNIZATION Charge 0771 314.11$ 3301595 ADMIN OF INFLUENZA VACCINE 0771 166.24$ 3900388 ADMIN OF INFLUENZA VACCINE 0771 165.66$ 3301587 ADMIN OF PNEUMOCOCCAL VACCINE 0771 247.48$ 2802012 bamlanivimab 0771 1,021.68$ 3301702 Imm admin 1st inj (not flu or pneumo) 0771 247.43$ 1716089 RHOGAM RHIG. 0771 467.28$ 3300324 HEMODIALYSIS 0801 2,366.74$ 5000294 CRISIS PSYCHOTHERAPY - 1ST 60 MIN 0900 604.13$ 5000062 PSYCHIATRIC DIAGNOSTIC EXAM 0900 605.50$ 5001001 PSYCHOANALYSIS 0900 457.41$ 1001239 ECT 0901 2,793.53$ 5001178 ACTIVITY THERAPY 1-HR 0904 142.62$ 5001167 PHP PARTIAL HOSPITALIZATION, TX < 24HRS 0912 1,650.00$ 5001034 GRP THERAPY PHP 0913 95.39$ 5000039 PSYCH THPY 30MIN W/PT OR FAMLY 0914 520.30$ 5000047 PSYCH THPY 45MIN W/PT OR FAMLY 0914 666.84$ 5000013 PSYCH THERAPY GROUP 0915 371.45$ 5000021 PSYCH THERAPY FAMILY W/PATIENT 0916 629.31$ 1300128 59025 FETAL NONSTRESS TEST CHARGE 0920 633.96$ 2100055 SLEEP STAGING & CPAP 0920 5,057.97$ 3002012 ABI COMPLETE 0921 544.73$ 2500882 US ART-VENOUS DOPPLER COMP 0921 2,284.98$ 2500890 US ART-VENOUS DOPPLER LIMITED 0921 1,629.23$ 2500841 US DUPLEX AORTA/IVC COMP 0921 1,874.87$ 2500833 US DUPLEX AORTA/IVC LTD 0921 1,327.29$ 2500742 US LE Venous Duplex Right 0921 1,518.81$ 2500775 US VAS ART LOW EXT RT 0921 2,070.93$ 2500395 US VAS CAROTID DOPP COMP 0921 2,438.23$ 2500783 US VASC ART LOW EXT BIL 0921 3,413.99$ 2500767 US VASC ART LOW EXT LT 0921 2,070.93$

2500809 US VASC ART UPP EXT LT 0921 2,532.86$ 2500817 US VASC ART UPP EXT RT 0921 2,532.86$ 2500759 US VEIN DOPP LOW EXT BIL 0921 3,035.41$ 2500734 US VEIN DOPP LOW EXT LT 0921 1,518.81$ 2501278 US Vein Dopp Upp Ext Bilat 0921 3,035.41$ 2501260 US Vein Dopp Upp Ext LT 0921 1,518.81$ 2501252 US Vein Dopp Upp Ext RT 0921 1,518.81$ 1107341 RT Bronchial Challenge Test Charge 0924 1,463.34$ 1701077 Therapeutic Phlebotomy 0940 488.11$ 5001145 EDUCATION/ TRAINING GROUP 0942 87.04$ 3001278 Tobacco Counseling Charge 0942 114.81$ 3001468 93798 Cardiac Rehab Phase II 0943 405.63$ 3001476 CARDIAC REHAB W/O MONITORING 0943 424.95$ 3001302 PULMONARY REHAB 0948 744.74$ 2720498 acetic acid Otic 2% Sol [GCMH] 637 44.00$ 2741940 ammonium lactate Top 5% Lotion [GCMH] 637 10.47$ 2702207 atropine/hyoscyamine/PB/scopolamine Tab [GCMH] 637 -$ 2708501 balsam Peru/castor oil/trypsin topical 87 mg-788 mg-0.12 mg/g Spr [GCMH] 637 16.66$ 2718401 benzocaine Top 20% Spry 60gm [GCMH] 637 38.06$ 2706588 calcium carbonate 1250 mg Chew Tab [GCMH] 637 15.08$ 2701050 calcium carbonate 1250 mg Tab [GCMH] 637 15.80$ 2717858 dexamethasone 0.5 mg/5 mL Oral Elix 500mL [GCMH] 637 11,253.00$ 2724060 erythromycin Ophth 0.5% Oint [GCMH] 637 102.94$ 2746444 FLUoxetine 20 mg/5 mL Oral Sol [GCMH] 637 47.69$ 2717825 hydrOXYzine hydrochloride 10 mg/5 mL Oral Syrup 473mL[GCMH] 637 27.60$ 2744043 lactase 9000 units Tab [GCMH] 637 -$ 2701316 lactulose 10 g/15 mL Oral Syrup 473mL [GCMH] 637 -$ 2722189 lactulose 10 g/15 mL Oral Syrup 500mL [GCMH] 637 28.55$ 2741858 levobunolol Ophth 0.5% Sol [GCMH] 637 154.72$ 2707438 lidocaine 2% Inj Sol 50 mL [GCMH] 637 32.45$ 2748747 loperamide 1 mg/5 mL Oral Liq 120 mL[GCMH] 637 6.27$ 2724151 megestrol 40 mg/mL Oral Susp 240mL [GCMH] 637 178.93$ 2700227 methyldopa 250 mg Tab [GCMH] 637 13.98$ 2744456 mupirocin Top 2% Oint72gm [GCMH] 637 99.00$ 2723021 naproxen 500 mg Tab UD [GCMH] 637 -$ 2717593 oxaprozin 600 mg Tab [GCMH] 637 2.32$ 2719490 phenylephrine topical 0.25% Oin 57gm [GCMH] 637 15.05$ 2723856 prednisoLONE 15 mg/5 mL Oral Syrup 480mL [GCMH] 637 203.51$ 2743656 ranitidine 15 mg/mL Oral Syrup 473mL [GCMH] 637 72.60$ 2747392 ropivacaine 0.5% Inj Sol 200 mL [GCMH] 637 127.05$ 2716348 sulfamethoxazole-trimethoprim 80 mg-16 mg/mL IV Sol 20 mL [GCMH] 637 15.94$ 2741452 temozolomide 250 mg Cap [GCMH] 637 443.73$ 2708469 theophylline 125 mg ERCap [GCMH] 637 0.40$ 2716389 theophylline 200 mg/24 hours ERCap [GCMH] 637 0.71$ 2711240 theophylline 300 mg/24 hours ERCap [GCMH] 637 0.78$ 2722205 timolol Ophth 0.5% Gel forming Sol 2.5mL [GCMH] 637 26.61$ 2744654 trimethobenzamide 300 mg Cap [GCMH] 637 2.02$ 2717288 trolamine salicylate Top 10% Crm [GCMH] 637 26.18$ 2742039 valproic acid 250 mg/5 mL Oral Syrup 473mL [GCMH] 637 212.84$ 2717916 aztreonam 1 g Inj [GCMH] 186.29$ 2710853 bupivacaine 0.25% PF Inj Sol 30 mL [GCMH] 85.14$ 2740496 clindamycin 600 mg/50 mL-D5W Premix IV Sol [GCMH] 154.55$ 2723872 deferoxamine 500 mg Pow [GCMH] 53.32$ 2715647 diltiazem 5 mg/mL IV Sol 5mL [GCMH] 27.12$ 2700730 diphenhydrAMINE 25 mg Cap [GCMH] 15.80$ 2749976 fluorescein ophthalmic 1 mg Test [GCMH] 13.98$ 2751123 methylene blue 5 mg/mL 10ml Sol [GCMH] 1,162.48$ 2749174 norepinephrine 8 mg/250 mL-D5% Sol[GCMH] 0.68$ 2723732 oxymetazoline 0.025% / tetracaine 0.5% nasal 30mL [GCMH] 1,281.72$ 2739076 pantoprazole 40 mg IV Inj [GCMH] 261.12$ 2750222 rocuronium 5ml syr(GCMH) 13.98$ 2770101 trace elements with selenium 0.3 mg-55 mcg-60 mcg-3 mg Sol [GCMH] 65.87$