Standard Charges - mgh.net · ep eval card-defb leads tst gn 7/1/2019 $ 652.00 ep eval pacing...

Standard ChargesMarion General Hospital, INC

Description Charges as of Stnd ChargeAMB-ALS EMER TRANSPORT L1 7/1/2019 910.00$ AMB-ALS EMER TRANSPORT L2 7/1/2019 1,102.00$ AMB-ALS NON-EMER TRANSPORT L1 7/1/2019 841.00$ AMB-AMBULATORY TRANSPORT 7/1/2019 115.00$ AMB-BLS EMERGENCY TRANSPORT 7/1/2019 815.00$ AMB-BLS NON-EMER TRANSPORT 7/1/2019 202.00$ AMB-TREATMENT AT SCENE 7/1/2019 35.00$ AMB-SPECIALTY CARE TRANSPORT 7/1/2019 1,127.00$ AMB-WAITING TIME EA ADD 30 MIN 7/1/2019 51.00$ AMB-MILEAGE ALS(PER 1/10 MILE) 7/1/2019 7.00$ AMB-MILEAGE BLS(PER 1/10 MILE) 7/1/2019 7.00$ AMB-MILEAGE AMB(PER 1/10 MILE) 7/1/2019 6.00$ AMB-MILEAGE NON-COV (1/10 MI) 7/1/2019 6.00$ BUNDLE OF HIS RECORDING 7/1/2019 7,307.00$ CARDIOVERSION ELECTRIC EXT 7/1/2019 1,118.00$ COMP EP EVAL W/INDUCT ARRHYTH 7/1/2019 7,307.00$ COMP EP EVAL W/LT ATR PAC/REC 7/1/2019 630.00$ COMP EP EVAL W/LT VENT PAC/REC 7/1/2019 630.00$ COMP EP EVAL W/O INDUCTION 7/1/2019 7,307.00$ EP EVAL CARD-DEFB LEADS IMP/RP 7/1/2019 652.00$ EP EVAL CARD-DEFB LEADS TST GN 7/1/2019 652.00$ EP EVAL PACING CARDIO-DEFIB 7/1/2019 1,318.00$ EP F/U W/PACING REC W/INDUCT 7/1/2019 7,307.00$ ILIAC ART ANGIO DURING CATH 7/1/2019 466.00$ IMPLT PATNT-ACT CARD EVNT RCDC 7/1/2019 10,613.00$ INDU OF ARRHYTH BY ELE PACING 7/1/2019 1,318.00$ INJ PRO EXT VENOGRAM 7/1/2019 293.00$ INJ, IV PUSH, SINGLE/INITIAL 7/1/2019 300.00$ INJECTION THERAP SUBQ OR IM 7/1/2019 138.00$ INTRA-ATRIAL PACING 7/1/2019 7,307.00$ INTRA-ATRIAL RECORDING 7/1/2019 7,307.00$ INTRAVENTRICULAR PACING 7/1/2019 7,307.00$ IV INFUSION THERAPY,UP TO 1 HR 7/1/2019 600.00$ PERICARDIOCENTESIS, INITIAL 7/1/2019 1,568.00$ PERICARDIOCENTESIS, SUBSEQUENT 7/1/2019 1,568.00$ PRC INS INTRA AORTIC BALLON DV 7/1/2019 1,134.00$ PROG STIM/PACING AFT IV DRUG 7/1/2019 724.00$ RMVL IMPLT PATNT-ACT EVNT RCDC 7/1/2019 830.00$ RMVL INTR-AORTIC BALLOON PRC 7/1/2019 311.00$ RT VENTRICULAR RECORDING 7/1/2019 1,318.00$ TEMP TRANSCUTANEOUS PACING 7/1/2019 755.00$ THROMBOLYSIS INTRAVENOUS INFUS 7/1/2019 413.00$

PLACE OCCLUSIVE DEVICE 7/1/2019 102.00$ TILT TABLE 7/1/2019 653.00$ NIPS THRU PACER 7/1/2019 402.00$ IV INFUSION THERAPY, EA ADD HR 7/1/2019 120.00$ INJ, IV PUSH, EA ADDL/SEQNTL 7/1/2019 138.00$ CORONARY BALLOON, INITIAL LD 7/1/2019 6,706.00$ CORONARY BALLOON, EA ADD'L LD 7/1/2019 3,245.00$ BM CORONARY STENT, INITIAL LD 7/1/2019 17,966.00$ BM CORONARY STENT, EA ADD'L LD 7/1/2019 8,696.00$ DE CORONARY STENT, INITIAL LD 7/1/2019 17,966.00$ DE CORONARY STENT, EA ADD'L LD 7/1/2019 8,696.00$ CORONARY THROMBECTOMY 7/1/2019 3,988.00$ THORACIC AORTOGRAM 7/1/2019 6,273.00$ ABDOMINAL AORTOGRAM 7/1/2019 3,786.00$ ABD AORTOGRAM W LOWER EXTREM 7/1/2019 3,786.00$ ANGIOGRAPHY EXTREMITY, BILAT 7/1/2019 3,786.00$ INTERNAL MAMMARY ANGIOGRAPHY 7/1/2019 3,786.00$ PLACE NONSELCATH RT HEART/PULM 7/1/2019 470.00$ PLACE CATH RT OR LT PULMONARY 7/1/2019 470.00$ PLACE CATH EXTREMITY ARTERY 7/1/2019 470.00$ PLACE CATH AORTA/TRANSLUMBAR 7/1/2019 470.00$ PLACE CATH AORTA OTHER APPROAC 7/1/2019 470.00$ PLACE CATH 1ST THORA/BRACHIO 7/1/2019 470.00$ PLACE CATH 2ND THORA/BRACHIO 7/1/2019 470.00$ PLACE CATH 3RD OR >, BRACHIO 7/1/2019 470.00$ PLACE CATH ED ADD'L 2ND OR HI 7/1/2019 470.00$ PLACE CATH 1ST ABD/PELVIC/EXT 7/1/2019 470.00$ PLACE CATH 2ND ABD/PELVIC/EXT 7/1/2019 470.00$ PLACE CATH 3RD ABD/PELVIC/EXT 7/1/2019 470.00$ PLACE CATH EA ADD'L ABD/PEL/EX 7/1/2019 470.00$ VENOGRAM EXT BILATERAL 7/1/2019 1,568.00$ SUPERIOR VENOCAVOGRAM 7/1/2019 889.00$ IN PICC W/O PORT OR IMAGE5Y/> 7/1/2019 1,568.00$ REPAIR NON-TUNNELED NO PORT 7/1/2019 889.00$ REPAIR TUNNELED NO PORT/PUMP 7/1/2019 889.00$ REPAIR TUNNELED WITH PORT 7/1/2019 1,568.00$ PARTIAL REPLACEMENT CATH 7/1/2019 3,786.00$ REPLACE NON-TUNNELD SAME ACCES 7/1/2019 1,568.00$ REPLACE TUNNELED NO PORT SAME 7/1/2019 3,786.00$ REPLACE TUNNELED PORT SAME ACC 7/1/2019 3,786.00$ RPL PIC NO PRT SAME ALL IMAGE 7/1/2019 1,568.00$ REPLACE PICC W PORT SAME ACC 7/1/2019 3,786.00$ REMOVE NON-TUNNELD NO PORT PIC 7/1/2019 48.00$ REMOVE TUNNELED NO PORT PICC 7/1/2019 889.00$ REMOVE TUNNELED W PORT PICC 7/1/2019 889.00$ FLUOROGUIDE CNTRL VEIN DEVICE 7/1/2019 319.00$ PERC ASP/INJ RNL CYST/PELV,LT 7/1/2019 830.00$

PERC ASP/INJ RNL CYST/PELV,RT 7/1/2019 830.00$ US GUIDE, VASCULAR ACCESS 7/1/2019 205.00$ REPOSITION PREV PLACED CV CATH 7/1/2019 1,568.00$ FLUOROSCOPY (UP TO 1 HR.) 7/1/2019 330.00$ VERT AUG THORATIC 1 VERT BODY 7/1/2019 12,103.00$ VERT AUG LUMBAR 1 VERT BODY 7/1/2019 12,103.00$ EA ADD'L THORA/LUMBAR VER BODY 7/1/2019 5,301.00$ ANGIOGR PULM NONSEL/VEIN INJ 7/1/2019 1,568.00$ ANGIO PULMONONARY SELECTV UNIL 7/1/2019 3,786.00$ ANGIO PULMONONARY SELECTV BIL 7/1/2019 3,786.00$ INS NON-TUNNEL CV CATH, <5 Y 7/1/2019 1,568.00$ INS TUNNEL CATH W/O PORT, <5 Y 7/1/2019 6,273.00$ INS TUNNEL CATH W/PORT, <5Y 7/1/2019 3,786.00$ IN PICC W/O PORT OR IMAGE<5YR 7/1/2019 889.00$ INS PICC W/PORT AGE <5 Y 7/1/2019 3,786.00$ INJ TRIGGER PT 1 OR 2 MUSCLE 7/1/2019 355.00$ INJ TRIGGER PT 3 OR MORE MUSCL 7/1/2019 355.00$ CORONARY BALLOON, INITIAL LC 7/1/2019 6,706.00$ CORONARY BALLOON, INITIAL RC 7/1/2019 6,706.00$ CORONARY BALLOON, EA ADD'L LC 7/1/2019 3,245.00$ CORONARY BALLOON, EA ADD'L RC 7/1/2019 3,245.00$ BM CORONARY STENT, INITIAL LC 7/1/2019 17,966.00$ BM CORONARY STENT, INITIAL RC 7/1/2019 17,966.00$ BM CORONARY STENT, EA ADD'L LC 7/1/2019 8,696.00$ BM CORONARY STENT, EA ADD'L RC 7/1/2019 8,696.00$ DE CORONARY STENT, INITIAL LC 7/1/2019 17,966.00$ DE CORONARY STENT, INITIAL RC 7/1/2019 17,966.00$ DE CORONARY STENT, EA ADD'L LC 7/1/2019 8,696.00$ DE CORONARY STENT, EA ADD'L RC 7/1/2019 8,696.00$ COR ANGIO, ARTERY S & I 7/1/2019 8,972.00$ COR ANGIO, LT HRT ART/VENT 7/1/2019 13,457.00$ COR ANGIO, LT HRT ART/GRFT/VEN 7/1/2019 13,457.00$ RIGHT HEART CATH 7/1/2019 5,233.00$ INJECT SUPRVLV AORTOGRAPHY 7/1/2019 369.00$ DRUG ADMN HEMO MSMT CATH 7/1/2019 584.00$ COR ANGIO, RT HEART CATH 7/1/2019 5,233.00$ COR ANGIO, RT HRT ART/GRFT 7/1/2019 5,233.00$ COR ANGIO, R&L HRT ART/VENT 7/1/2019 13,457.00$ COR ANGIO, R&L HRT ART/GRFT/VE 7/1/2019 13,457.00$ INS TNLD IP CATH w/IMAGE, PERQ 7/1/2019 4,225.00$ ILIAC REVASC TLA-LT 7/1/2019 6,706.00$ ILIAC REVASC TLA-RT 7/1/2019 6,706.00$ ILIAC REVASC W STENT-LT 7/1/2019 17,966.00$ ILIAC REVASC W STENT-RT 7/1/2019 17,966.00$ ILIAC REVASC ADDON TLA-LT 7/1/2019 1,210.00$ ILIAC REVASC ADDON TLA-RT 7/1/2019 1,210.00$ ILIAC REVASC ADDON W STENT-LT 7/1/2019 1,210.00$

ILIAC REVASC ADDON W STENT-RT 7/1/2019 1,210.00$ FEM/POP REVASC TLA-LT 7/1/2019 8,693.00$ FEM/POP REVASC TLA-RT 7/1/2019 8,693.00$ FEM/POP REVASC W STENT-LT 7/1/2019 13,859.00$ FEM/POP REVASC W STENT-RT 7/1/2019 13,859.00$ TIB/PER REVASC-LT 7/1/2019 13,859.00$ TIB/PER REVASC-RT 7/1/2019 13,859.00$ TIB/PER REVASC W STENT-LT 7/1/2019 22,009.00$ TIB/PER REVASC W STENT-RT 7/1/2019 22,009.00$ TIB/PER REVASC ADDON TLA-LT 7/1/2019 1,210.00$ TIB/PER REVASC ADDON TLA-RT 7/1/2019 1,210.00$ TIB/PER REVASC ADDON W STENT L 7/1/2019 1,210.00$ TIB/PER REVASC ADDON W STENT-R 7/1/2019 1,210.00$ 3D MAPPING INTRACARDIAC 7/1/2019 5,683.00$ ABLATION AV NODE 7/1/2019 7,307.00$ INS/RPLC PM W ATRL LEAD/S 7/1/2019 14,161.00$ INS/RPLC PM W VNTRL LEAD/S 7/1/2019 14,161.00$ INS/RPLC PM W ATRL&VNTRL LEADS 7/1/2019 14,161.00$ INS/RPLC TEMP LEAD, SNGL 7/1/2019 10,613.00$ INS/RPLC TEMP LEADS, DUAL 7/1/2019 10,613.00$ INS PM GEN ONLY EXST SNGL LEAD 7/1/2019 10,613.00$ INS PM GEN ONLY EXST DUAL LEAD 7/1/2019 14,161.00$ UPGRADE PM SC TO DC W/LEAD/S 7/1/2019 14,161.00$ REPOSITION PACER/ICD LEAD/S 7/1/2019 3,786.00$ INS 1-PACER/ICD LEAD ONLY 7/1/2019 10,613.00$ INS 2-PACER/ICD LEADS ONLY 7/1/2019 10,613.00$ REPAIR 1-PACER/ICD LEAD 7/1/2019 4,487.00$ REPAIR 2-PACER/ICD LEADS 7/1/2019 4,487.00$ INS PM GEN ONLY EXST MLPL LEAD 7/1/2019 25,341.00$ INSERT&CONNECT LV LEAD ONLY 7/1/2019 14,161.00$ INS LV LEAD WHEN PM/ICD INSERT 7/1/2019 2,765.00$ REPOSITION LV LEAD 7/1/2019 3,786.00$ REM/RPLC PM GEN, SNGL LEAD SYS 7/1/2019 10,613.00$ REM/RPLC PM GEN, DUAL LEAD SYS 7/1/2019 14,161.00$ REM/RPLC PM GEN, MULT LEAD SYS 7/1/2019 25,341.00$ INS ICD GEN ONLY, DUAL LEADS 7/1/2019 31,529.00$ INS ICD GEN ONLY, MULT LEADS 7/1/2019 43,942.00$ REM PM GENERATOR ONLY 7/1/2019 10,613.00$ RMVL 1-PM LEAD ONLY 7/1/2019 4,487.00$ RMVL 2-PM LEADS ONLY 7/1/2019 4,487.00$ INS ICD GEN ONLY, SNGL LEAD 7/1/2019 31,529.00$ REM ICD GENERATOR ONLY 7/1/2019 4,487.00$ RMVL 1-ICD LEAD ONLY 7/1/2019 4,487.00$ RMVL 2-ICD LEADS ONLY 7/1/2019 4,487.00$ INS/RPLC ICD SNGL CHMBR W/LEAD 7/1/2019 43,942.00$ INS/RPLC ICD DUAL CHMBR W/LEAD 7/1/2019 43,942.00$ REM/RPL ICD GEN SNGL LEAD SYS 7/1/2019 31,529.00$

REM/RPL ICD GEN DUAL LEAD SYS 7/1/2019 31,529.00$ REM/RPL ICD GEN MULT LEAD SYS 7/1/2019 43,942.00$ PLCMT DUOD/JEJ TUBE W/FLUORO 7/1/2019 2,126.00$ PLCMT OF COLON TUBE W/FLUORO 7/1/2019 1,404.00$ REPLACE G-J TUBE W/FLUORO 7/1/2019 1,092.00$ INS ENDOVAS VENA CAVA FILTER 7/1/2019 6,273.00$ RENAL ART 1ST ORD, CATH BIL 7/1/2019 3,786.00$ REN ART,BIL W/2ND ORD CATH PLC 7/1/2019 3,786.00$ INSRT INDWLNG TUN PLEURAL CATH 7/1/2019 4,225.00$ PLMT BILIARY DRAIN CATH;EXTERN 7/1/2019 4,225.00$ FLUORO/US GUIDANCE, DRAIN CATH 7/1/2019 1,450.00$ INJECT PERC ANEURYSM 7/1/2019 1,646.00$ CORONARY ART/GRFT ANGIO S&I 7/1/2019 5,981.00$ CORONARY BALLOON, INITIAL LM 7/1/2019 6,706.00$ CORONARY BALLOON, INITIAL RI 7/1/2019 6,706.00$ CORONARY BALLOON, EA ADD'L LM 7/1/2019 3,245.00$ CORONARY BALLOON, EA ADD'L RI 7/1/2019 3,245.00$ BM CORONARY STENT, INITIAL LM 7/1/2019 17,966.00$ BM CORONARY STENT, INITIAL RI 7/1/2019 17,966.00$ BM CORONARY STENT, EA ADD'L LM 7/1/2019 8,696.00$ BM CORONARY STENT, EA ADD'L RI 7/1/2019 8,696.00$ DE CORONARY STENT, INITIAL LM 7/1/2019 17,966.00$ DE CORONARY STENT, INITIAL RI 7/1/2019 17,966.00$ DE CORONARY STENT, EA ADD'L LM 7/1/2019 8,696.00$ DE CORONARY STENT, EA ADD'L RI 7/1/2019 8,696.00$ COMP EP EVAL & ABLATE SVT 7/1/2019 27,541.00$ COMP EP EVAL & ABLATE VT 7/1/2019 27,541.00$ ABLATE ADDL 2ND DESCRETE PATH 7/1/2019 938.00$ COMP EP EVAL & ABLATE PV ISOL 7/1/2019 27,541.00$ ABLATE ADDL LA/RA AFIB PV ISOL 7/1/2019 938.00$ RELOC SKIN POCKET, PMKR 7/1/2019 2,220.00$ RELOC SKIN POCKET, ICD 7/1/2019 2,220.00$ US GUIDED NEEDLE PLACEMENT 7/1/2019 414.00$ CERV/THOR VERTEBROPLASTY 7/1/2019 5,571.00$ LUMB/SACR VERTEBROPLASTY 7/1/2019 5,571.00$ VERTEBROPLASTY ADDL, ANY AREA 7/1/2019 3,515.00$ RT&LT HEART CATH, NO COR ANGIO 7/1/2019 8,972.00$ DVT, OUTPT MGMT 7/1/2019 172.00$ ANGIOP,TRLUML BAL 1ST ART LT 7/1/2019 6,706.00$ ANGIOP, TRLUML BAL 1ST ART RT 7/1/2019 6,706.00$ ANGIOP, TRLUML BAL ADDL ART LT 7/1/2019 3,245.00$ ANGIOP, TRUML BAL ADDL ART RT 7/1/2019 3,245.00$ REN ART, 1ST ORD CATH PLC, LT 7/1/2019 3,786.00$ REN ART, 1ST ORD CATH PLC, RT 7/1/2019 3,786.00$ REN ART,W/2ND ORD CATH PLC LT 7/1/2019 6,273.00$ REN ART W/2ND ORD CATH PLC RT 7/1/2019 6,273.00$ PERIPHERAL STENT, 1ST ART, LT 7/1/2019 13,859.00$

PERIPHERAL STENT, 1ST ART, RT 7/1/2019 13,859.00$ PERIPHERAL STENT, ADDL ART, LT 7/1/2019 1,210.00$ PERIPHERAL STENT, ADDL ART, RT 7/1/2019 1,210.00$ REMOVE TNLD IP CATH 7/1/2019 3,786.00$ PLMT NEPH/URET/OSTOMY,CATH, LT 7/1/2019 3,233.00$ PLMT NEPH/URET/OSTOMY, CATH,RT 7/1/2019 3,233.00$ PLMT NEPH/URET/OSTOMY,CATH,BIL 7/1/2019 3,233.00$ CONVERT NEPHROSTOMY CATH, LT 7/1/2019 3,233.00$ CONVERT NEPHROSTOMY CATH, RT 7/1/2019 3,233.00$ CONVERT NEPHROSTOMY CATH, BIL 7/1/2019 3,233.00$ PERC URET STENT PLMT EXIST, LT 7/1/2019 3,233.00$ PERC URET STENT PLMT EXIST, RT 7/1/2019 3,233.00$ PERC URET STENT PLMT EXIST,BIL 7/1/2019 3,233.00$ PERC URET ST PLC NEW/SAME, LT 7/1/2019 4,195.00$ PERC URET ST PLC NEW/SAME, RT 7/1/2019 4,195.00$ PERC URET ST PLC NEW/SAME, BIL 7/1/2019 4,195.00$ PERC URET ST PLC, NEW/SEPR, LT 7/1/2019 4,195.00$ PERC URET ST PLC, NEW/SEPR, RT 7/1/2019 4,195.00$ PER URET ST PLC, NEW/SEPR, BIL 7/1/2019 4,195.00$ URETER EMBOLIZATION/OCCL, LT 7/1/2019 349.00$ URETER EMBOLIZATION/OCCL, RT 7/1/2019 349.00$ URETER EMBOLIZATION/OCCL, BIL 7/1/2019 524.00$ BALLOON DILATE URET STRIX, LT 7/1/2019 349.00$ BALLOON DILATE URET STRIX, RT 7/1/2019 349.00$ BALLOON DILATE URET STRIX, BIL 7/1/2019 524.00$ ANGIOGRAPHY EXTREMITY, LT 7/1/2019 3,786.00$ ANGIOGRAPHY EXTREMITY, RT 7/1/2019 3,786.00$ VENOGRAM EXT, LEFT 7/1/2019 889.00$ VENOGRAM EXT, RIGHT 7/1/2019 889.00$ INFERIOR VENOCAVOGRAM 7/1/2019 3,786.00$ PLC CATH SVC/IVC NON-SELEC, LT 7/1/2019 470.00$ PLC CATH SVC/IVC NON-SELEC, RT 7/1/2019 470.00$ PLC CATH SVC/IVC NON-SELEC,BIL 7/1/2019 705.00$ PLC CATH VEIN 1ST ORDER, LT 7/1/2019 470.00$ PLC CATH VEIN 1ST ORDER, RT 7/1/2019 470.00$ PLC CATH VEIN 1ST ORDER,BIL 7/1/2019 705.00$ PLC CATH VEIN 2ND OR HIGH, LT 7/1/2019 470.00$ PLC CATH VEIN 2ND OR HIGH, RT 7/1/2019 470.00$ PLC CATH VEIN 2ND OR HIGH,BIL 7/1/2019 705.00$ INS TNL CATH W/O PORT >5Y, LT 7/1/2019 3,786.00$ INS TNL CATH W/O PORT >5Y, RT 7/1/2019 3,786.00$ INS TNL CATH W/PORT >5Y, LT 7/1/2019 3,786.00$ INS TNL CATH W/PORT >5Y, RT 7/1/2019 3,786.00$ INS PICC CATH W/PORT >5Y, LT 7/1/2019 3,786.00$ INS PICC CATH W/PORT >5Y, RT 7/1/2019 3,786.00$ INJ W/FLUOR EVAL CV DEVICE, LT 7/1/2019 268.00$ INJ W/FLUOR EVAL CV DEVICE, RT 7/1/2019 268.00$

REVASC CABG ANG/BMSNT, INIT LC 7/1/2019 17,966.00$ REVASC CABG ANG/BMSNT, INIT LD 7/1/2019 17,966.00$ REVASC CABG ANG/BMSNT, INIT LM 7/1/2019 17,966.00$ REVASC CABG ANG/BMSNT, INIT RC 7/1/2019 17,966.00$ REVASC CABG ANG/BMSNT, INIT RI 7/1/2019 17,966.00$ REVASC CABG ANG/DESTNT,INIT LC 7/1/2019 17,966.00$ REVASC CABG ANG/DESTNT,INIT LD 7/1/2019 17,966.00$ REVASC CABG ANG/DESTNT,INIT LM 7/1/2019 17,966.00$ REVASC CABG ANG/DESTNT,INIT RC 7/1/2019 17,966.00$ REVASC CABG ANG/DESTNT,INIT RI 7/1/2019 17,966.00$ REVASC CABG ANG/BMSTNT,ADDL LC 7/1/2019 8,696.00$ REVASC CABG ANG/BMSTNT,ADDL LD 7/1/2019 8,696.00$ REVASC CABG ANG/BMSTNT,ADDL LM 7/1/2019 8,696.00$ REVASC CABG ANG/BMSTNT ADDL RC 7/1/2019 8,696.00$ REVASC CABG ANG/BMSTNT,ADDL RI 7/1/2019 8,696.00$ REVASC CABG ANG/DESTNT,ADDL LC 7/1/2019 8,696.00$ REVASC CABG ANG/DESTNT,ADDL LD 7/1/2019 8,696.00$ REVASC CABG ANG/DESTNT,ADDL LM 7/1/2019 8,696.00$ REVASC CABG ANG/DESTNT,ADDL RC 7/1/2019 8,696.00$ REVASC CABG ANG/DESTNT,ADDL RI 7/1/2019 8,696.00$ CARD REVASC DURNG MI,INIT LC 7/1/2019 17,966.00$ CARD REVASC DURNG MI,INIT LD 7/1/2019 17,966.00$ CARD REVASC DURNG MI,INIT LM 7/1/2019 17,966.00$ CARD REVASC DURNG MI,INIT RC 7/1/2019 17,966.00$ CARD REVASC DURNG MI,INIT RI 7/1/2019 17,966.00$ CARD REVASC MI ANG/DESTNT, LC 7/1/2019 22,721.00$ CARD REVASC MI ANG/DESTNT, LD 7/1/2019 22,721.00$ CARD REVASC MI ANG/DESTNT, LM 7/1/2019 22,721.00$ CARD REVASC MI ANG/DESTNT, RC 7/1/2019 22,721.00$ CARD REVASC MI ANG/DESTNT, RI 7/1/2019 22,721.00$ CARD REVASC CHRONIC, INIT LC 7/1/2019 17,966.00$ CARD REVASC CHRONIC, INIT LD 7/1/2019 17,966.00$ CARD REVASC CHRONIC, INIT LM 7/1/2019 17,966.00$ CARD REVASC CHRONIC, INIT RC 7/1/2019 17,966.00$ CARD REVASC CHRONIC, INIT RI 7/1/2019 17,966.00$ CAR REVASC CHR ANG/DE, INIT LC 7/1/2019 22,009.00$ CAR REVASC CHR ANG/DE, INIT LD 7/1/2019 22,009.00$ CAR REVASC CHR ANG/DE, INIT LM 7/1/2019 22,009.00$ CAR REVASC CHR ANG/DE, INIT RC 7/1/2019 22,009.00$ CAR REVASC CHR ANG/DE, INIT RI 7/1/2019 22,009.00$ CARD REVASC CHRONIC, ADDL LC 7/1/2019 8,696.00$ CARD REVASC CHRONIC, ADDL LD 7/1/2019 8,696.00$ CARD REVASC CHRONIC, ADDL LM 7/1/2019 8,696.00$ CARD REVASC CHRONIC, ADDL RC 7/1/2019 8,696.00$ CARD REVASC CHRONIC, ADDL RI 7/1/2019 8,696.00$ CAR REVASC CHR ANG/DE, ADDL LC 7/1/2019 10,224.00$ CAR REVASC CHR ANG/DE, ADDL LD 7/1/2019 10,224.00$

CAR REVASC CHR ANG/DE, ADDL LM 7/1/2019 10,224.00$ CAR REVASC CHR ANG/DE, ADDL RC 7/1/2019 10,224.00$ CAR REVASC CHR ANG/DE, ADDL RI 7/1/2019 10,224.00$ DOPPLER FLOW VELOCITY, INIT LC 7/1/2019 1,000.00$ DOPPLER FLOW VELOCITY, INIT LD 7/1/2019 1,000.00$ DOPPLER FLOW VELOCITY, INIT LM 7/1/2019 1,000.00$ DOPPLER FLOW VELOCITY, INIT RC 7/1/2019 1,000.00$ DOPPLER FLOW VELOCITY, INIT RI 7/1/2019 1,000.00$ DOPPLER FLOW VELOCITY, ADDL LC 7/1/2019 443.00$ DOPPLER FLOW VELOCITY, ADDL LD 7/1/2019 443.00$ DOPPLER FLOW VELOCITY, ADDL LM 7/1/2019 443.00$ DOPPLER FLOW VELOCITY, ADDL RC 7/1/2019 443.00$ DOPPLER FLOW VELOCITY, ADDL RI 7/1/2019 443.00$ IV INFUSION, HYDRA 31M TO 1 HR 7/1/2019 360.00$ IV INFUSION, HYDRA EA ADDL HR 7/1/2019 156.00$ INJ, IV PUSH, EA SAME SEQNTL 7/1/2019 65.00$ RECOVERY / HR 7/1/2019 51.00$ CARDIOVERSION ELECTIVE INTERN 7/1/2019 755.00$ IN PICC W/O PRT W/ALL IMAGE<5Y 7/1/2019 889.00$ IN PICC W/O PRT W/ALL IMAGE 5+ 7/1/2019 1,568.00$ INJ,INTRLMNR CERV/THOR,W_IMAGE 7/1/2019 2,384.00$ INJ,INTRLMNR LUMB/SACR,W_IMAGE 7/1/2019 2,384.00$ INJ,SACROIL JNT/W_IMAGE, LEFT 7/1/2019 2,384.00$ INJ,SACROIL JNT/W_IMAGE, RIGHT 7/1/2019 2,384.00$ INJ,SACROIL JNT/W_IMAGE, BILAT 7/1/2019 3,576.00$ ANGIOP, TRLUML BAL 1ST ART, BI 7/1/2019 10,059.00$ ANGIOP, TRLUML BAL ADDL ART,BI 7/1/2019 4,868.00$ REMOVE NON-BIO DRUG DEL IMPLNT 7/1/2019 657.00$ THORACENTESIS W/O IMAGING, LT 7/1/2019 796.00$ THORACENTESIS W/O IMAGING, RT 7/1/2019 796.00$ THORACENTESIS W/O IMAGE, BILAT 7/1/2019 1,194.00$ INS INDW PLR CATH w/o IMAGE,LT 7/1/2019 1,575.00$ INS INDW PLR CATH w/o IMAGE,RT 7/1/2019 1,575.00$ INS INDW PLR CATH w/o IMAGE,BI 7/1/2019 2,363.00$ INS INDW PLR CATH w/IMAGE LT 7/1/2019 2,592.00$ INS INDW PLR CATH w/IMAGE RT 7/1/2019 2,592.00$ INS INDW PLR CATH w/IMAGE BIL 7/1/2019 4,050.00$ MIDLINE PLACEMENT 3/>YR 7/1/2019 350.00$ CLOSURE DEVICE, VASCULAR 7/1/2019 558.00$ GUIDEWIRE 7/1/2019 50.00$ GUIDING CATHETER 7/1/2019 151.00$ INTRODUCER, FIX CURVE NO PEEL 7/1/2019 940.00$ INTRODUCER/SHEATH, NOT GUIDING 7/1/2019 58.00$ INTRODUCER,FIX CURVE, PEEL 7/1/2019 1,651.00$ CATH, TRANSLUM DRAINAGE 7/1/2019 489.00$ CATH, TRANSLUM ANGIOPLASTY 7/1/2019 573.00$ CATH, INFUSION CENTRAL PICC 7/1/2019 297.00$

RETRIEVAL DEVICE, INSERTABLE 7/1/2019 449.00$ PORT, INDWELLING (IMPLANTABLE) 7/1/2019 1,227.00$ STENT, COATED W DELIVERY SYS 7/1/2019 1,550.00$ STENT, NON COATED W DELIV SYS 7/1/2019 1,248.00$ VENA CAVA FILTER 7/1/2019 1,917.00$ EMBOLIZATION PROTECTION SYSTEM 7/1/2019 3,845.00$ CATH, OCCLUSION BALLOON 7/1/2019 619.00$ PNEUMOTHORAX SET 7/1/2019 148.00$ CATH, HALO 20 POLE 7/1/2019 3,664.00$ CATH, WEBSTER CS BI-DIRECTION 7/1/2019 2,344.00$ CATH, WEBSTER DEFLECT DECAPOLE 7/1/2019 2,209.00$ CATH, WEBSTER FIXED QUAD 7/1/2019 671.00$ CATHETER, ABLATION 7/1/2019 3,085.00$ CATH, ELECTRO DIAG<19 DCAPOLAR 7/1/2019 3,492.00$ GUIDEWIRE 2 7/1/2019 223.00$ GUIDEWIRE 3 7/1/2019 525.00$ GUIDEWIRE 4 7/1/2019 990.00$ GUIDING CATHETER 2 7/1/2019 227.00$ GUIDING CATHETER 3 7/1/2019 440.00$ INTRODUCER SHEATH, RAD/ACCSTK 7/1/2019 496.00$ INTRODUCER SHEATH, FAST TRACK 7/1/2019 990.00$ CATH, TRANSLUM ANGIOPLASTY CUT 7/1/2019 2,903.00$ RETRIEVAL DEVICE, GOOSENECK 7/1/2019 1,415.00$ CATHETER, ABLATION, NAVISTAR 7/1/2019 8,183.00$ CATHETER, VENTRICULAR PACING 7/1/2019 477.00$ CATHETER, THERMO S-TIP 7/1/2019 534.00$ CATH, INTRA-AORTIC BALLOON 7/1/2019 2,799.00$ FFR PRESSURE WIRE 7/1/2019 2,268.00$ BONE CEMENT 7/1/2019 368.00$ CARDIAC REHAB EXERCISE/DAY 7/1/2019 5.00$ CARDIAC REHAB W/CONT ECG 7/1/2019 312.00$ CARDIAC REHAB EXC/DAY CARD 7/1/2019 50.00$ CARDIAC REHAB W/O CONT ECG 7/1/2019 183.00$ PULM REHAB W EXERCISE 31-60MIN 7/1/2019 277.00$ PAD REHAB 30-60MIN SESSION 7/1/2019 184.00$ ECG 12-LEAD TRACING ONLY 7/1/2019 252.00$ ECHO 2D & M-MODE, COMPLETE 7/1/2019 1,040.00$ ECHO DOPPLER, COLOR FLOW MAP 7/1/2019 746.00$ ECHO DOPPLER, COMPLETE 7/1/2019 956.00$ ECHO REST/STRESS DOBUTAMINE 7/1/2019 2,305.00$ ECHO REST/STRESS TEST 7/1/2019 2,305.00$ ECHO 2D & M-MODE, F-UP/LMTD 7/1/2019 902.00$ RHYTHM EKG, 1-3 LDS TRACING 7/1/2019 252.00$ STRESS TEST by TREADMILL 7/1/2019 1,230.00$ STRESS TEST by MEDICATION INJ 7/1/2019 1,230.00$ TEE (COMPLETE STUDY) 7/1/2019 2,510.00$ ECG-INITIAL MEDICARE PHYSICAL 7/1/2019 61.00$

ECHO 2D COMPLETE W COLOR DOPP 7/1/2019 2,245.00$ HOLTER CNCT/RECORD,UP TO 48HRS 7/1/2019 1,000.00$ HOLTER ANALYSIS/RPT,UP TO 48HR 7/1/2019 550.00$ EXT ECG HOOKUP/RECORD > 48 HR 7/1/2019 1,000.00$ EXT ECG SCAN ANALYSIS >48 HR 7/1/2019 550.00$ EXT ECG HOOKUP/RECORD<48HR 7/1/2019 1,000.00$ EXT ECG SCAN ANALYSIS<48HR 7/1/2019 550.00$ EXT ECG HOOKUP/RECORD>48HR 7/1/2019 1,000.00$ EXT ECG SCAN ANALYSIS>48HR 7/1/2019 550.00$ DUPLEX CAROTID BILATERAL 7/1/2019 1,347.00$ DUPLEX CAROTID LIMITED 7/1/2019 502.00$ DUPLEX VENOUS, BILAT 7/1/2019 1,540.00$ DUPLEX VENOUS, LIMITED 7/1/2019 1,588.00$ DUPLEX LOW EXTREM ART/BPG BIL 7/1/2019 1,516.00$ DUPLEX LOW EXTREM ART/BPG UNI 7/1/2019 869.00$ DUPLEX UP EXT ART/BPG BILAT 7/1/2019 641.00$ DUPLEX UP EXT ART/BPG UNILAT 7/1/2019 448.00$ UPPER ARTERIAL EXT MULT, BIL 7/1/2019 555.00$ UPPER ARTERIAL ABI, BILAT 7/1/2019 363.00$ LOWER ARTERIAL EXT MULTI, BIL 7/1/2019 604.00$ LOWER ARTERIAL ABI, BILAT 7/1/2019 363.00$ LOW ART EXTREM,TREADMILL,BILAT 7/1/2019 755.00$ UPPER ARTERIAL ABI, UNIL 7/1/2019 363.00$ LOWER ARTERIAL ABI, UNIL 7/1/2019 363.00$ UPPER ARTERIAL EXT MULT, UNIL 7/1/2019 411.00$ LOWER ARTERIAL EXT MULT, UNIL 7/1/2019 447.00$ AC EST PATIENT OP VISIT, LVL 1 7/1/2019 123.00$ AC NEW PATIENT OP VISIT, LVL 1 7/1/2019 123.00$ INJ, IV PUSH, THERAPEUTIC 7/1/2019 300.00$ INTERROGATE CMEMS REMOTE 7/1/2019 54.00$ HF EST PATIENT OP VISIT, LVL 1 7/1/2019 129.00$ HEART FAILURE CLINIC LEVEL 2 7/1/2019 166.00$ HEART FAILURE CLINIC LEVEL 3 7/1/2019 166.00$ HEART FAILURE CLINIC LEVEL 4 7/1/2019 166.00$ HEART FAILURE CLINIC LEVEL 5 7/1/2019 166.00$ HF NEW PATIENT OP VISIT, LVL 1 7/1/2019 166.00$ BIRTHING CARE SERVICE 7/1/2019 2,616.00$ INJECTION THERAP IM ANTIBIOTIC 7/1/2019 138.00$ TRANSFUSE, BLOOD OR COMPONENTS 7/1/2019 859.00$ IV INFUSION, SEQUEN UP TO 1 HR 7/1/2019 138.00$ IV INFUSION, CONCURRENT 7/1/2019 65.00$ OB FETAL NON-STRESS TEST 7/1/2019 423.00$ ER LEVEL 1 E&M (A) 7/1/2019 270.00$ ER LEVEL 2 E&M (A) 7/1/2019 539.00$ ER LEVEL 3 E&M (A) 7/1/2019 1,001.00$ ER LEVEL 4 E&M (A) 7/1/2019 1,899.00$ ER LEVEL 5 E&M (A) 7/1/2019 2,939.00$

ER CRITICAL CARE 30-74 7/1/2019 3,837.00$ IMMUNIZATION ADMINISTRATION 7/1/2019 98.00$ SUTURE REMOVAL VISIT 7/1/2019 172.00$ ER LEVEL 1 E&M (B) 7/1/2019 293.00$ ER LEVEL 2 E&M (B) 7/1/2019 507.00$ ER LEVEL 3 E&M (B) 7/1/2019 942.00$ ER LEVEL 4 E&M (B) 7/1/2019 1,820.00$ ER LEVEL 5 E&M (B) 7/1/2019 2,803.00$ PLACE NEEDLE INTRAOSSEOUS INF 7/1/2019 573.00$ URINE PREGNANCY POC 7/1/2019 15.00$ I&D WOUND/ABCESS, SIMPLE 7/1/2019 697.00$ SKIN TEST, TB, INTRADERMAL 7/1/2019 32.00$ CAST APPLICATION 7/1/2019 391.00$ ER LEVEL 1 E&M (A) W/PROC 7/1/2019 270.00$ ER LEVEL 2 E&M (A) W/PROC 7/1/2019 539.00$ ER LEVEL 3 E&M (A) W/PROC 7/1/2019 1,001.00$ ER LEVEL 4 E&M (A) W/PROC 7/1/2019 1,899.00$ ER LEVEL 5 E&M (A) W/PROC 7/1/2019 2,939.00$ ER CRITICAL CARE 30-74 W/PROC 7/1/2019 3,837.00$ ER CRITICAL CARE EA ADDL 30 M 7/1/2019 1,061.00$ ER LEVEL 1 E&M (B) W/PROC 7/1/2019 293.00$ ER LEVEL 2 E&M (B) W/PROC 7/1/2019 507.00$ ER LEVEL 3 E&M (B) W/PROC 7/1/2019 942.00$ ER LEVEL 4 E&M (B) W/PROC 7/1/2019 1,820.00$ ER LEVEL 5 E&M (B) W/PROC 7/1/2019 2,803.00$ INSERTION OF CHEST TUBE 7/1/2019 1,568.00$ INTUBATION, ET, EMERGENT 7/1/2019 563.00$ CARDIOPULMONARY RESUSCITATION 7/1/2019 1,191.00$ CLOSED FRACTURE TREATMENT 7/1/2019 640.00$ TREATMENT OF JOINT DISLOCATION 7/1/2019 899.00$ TREATMENT OF P-THICK BURN/S 7/1/2019 1,050.00$ SPLINT APPLICATION 7/1/2019 391.00$ IMMUNIZATION ADM; EA ADDTL VAC 7/1/2019 55.00$ NERVE BLOCK/INJECTION 7/1/2019 785.00$ CHANGE GASTROSOMY TUBE 7/1/2019 325.00$ REMOVE FB, EYE 7/1/2019 419.00$ REMOVE FB, SIMPLE 7/1/2019 884.00$ REMOVE FB, COMPLEX 7/1/2019 1,541.00$ REMOVE IMPACTED WAX, EAR/S 7/1/2019 193.00$ WOUND REPAIR, SIMPLE 7/1/2019 884.00$ WOUND REPAIR, INTERMEDIATE 7/1/2019 1,058.00$ WOUND REPAIR, COMPLEX 7/1/2019 871.00$ CONTROL OF NOSE BLEED 7/1/2019 412.00$ DRAIN/INJ JOINT/BURSA 7/1/2019 669.00$ I&D WOUND/ABSCESS, COMPLEX 7/1/2019 3,375.00$ LEVEL 1 PROCEDURE 7/1/2019 267.00$ LEVEL 2 PROCEDURE 7/1/2019 376.00$

LEVEL 3 PROCEDURE 7/1/2019 544.00$ LEVEL 4 PROCEDURE 7/1/2019 561.00$ LEVEL 5 PROCEDURE 7/1/2019 2,343.00$ LEVEL 6 PROCEDURE 7/1/2019 3,550.00$ LEVEL 7 PROCEDURE 7/1/2019 7,069.00$ LEVEL 8 PROCEDURE 7/1/2019 6,526.00$ SPINAL PUNCT LUMBAR DIAGNOSTIC 7/1/2019 2,057.00$ DRAIN SPINAL FLUID,THERAPEUTIC 7/1/2019 1,606.00$ IN&OUT CATH, SPECIMEN COLLECT 7/1/2019 100.00$ IN&OUT CATH, RESIDUAL URINE 7/1/2019 485.00$ FOLEY, ANCHORED, SIMPLE 7/1/2019 340.00$ FOLEY, ANCHORED, COMPLEX 7/1/2019 400.00$ RMV IMPACT EAR WAX,IRR/LAV,UNI 7/1/2019 117.00$ ENDO/MINOR PROC LEVEL 1 / MIN 7/1/2019 129.00$ DECALCIFICATION 7/1/2019 65.00$ FNA EVAL TO DETERMN ADEQUACY 7/1/2019 269.00$ FNA, INTERPRETATION & REPORT 7/1/2019 95.00$ GROUP 1 MICROORGANISM STAIN 7/1/2019 95.00$ GROUP II -ALL OTHER STAINS 7/1/2019 184.00$ HISTOSTAIN WITH FROZEN SECTION 7/1/2019 52.00$ PATH CONS SURG EA ADD TISSUE 7/1/2019 56.00$ PATH CONS SURG W/FROZEN SECT 7/1/2019 269.00$ SURG PATH-GROSS & MICRO #2 7/1/2019 60.00$ SURG PATH-GROSS & MICRO #3 7/1/2019 95.00$ SURG PATH-GROSS & MICRO #4 7/1/2019 95.00$ SURG PATH-GROSS & MICRO #5 7/1/2019 510.00$ SURG PATH-GROSS & MICRO #6 7/1/2019 1,037.00$ SURG PATH-GROSS ONLY #1 7/1/2019 32.00$ IN SITU HYBRIDIZATION,EA PROBE 7/1/2019 269.00$ PATH CONSULT DURING SURGERY 7/1/2019 60.00$ CYTO EX (TP) INTR-OP INIT SITE 7/1/2019 1,037.00$ CYTO EX (TP) INTR-OP ADNL SITE 7/1/2019 50.00$ TUMOR IHC, MANUAL QUANT 7/1/2019 269.00$ TUMOR IHC, APL IMAGER QUANT 7/1/2019 510.00$ FNA W/O IMAGE GUIDANCE,1ST LSN 7/1/2019 584.00$ RETRIEVAL OF ARCHIVED TISSUE 7/1/2019 32.00$ FNA EVAL FOR ADEQU, ADD'L SITE 7/1/2019 19.00$ SURG PATH-GROSS ONLY #1 ADDL 7/1/2019 32.00$ SURG PATH-GROSS&MICRO #2 ADDL 7/1/2019 60.00$ SURG PATH-GROSS&MICRO #3 ADDL 7/1/2019 95.00$ SURG PATH-GROSS&MICRO #4 ADDL 7/1/2019 95.00$ SURG PATH-GROSS&MICRO #5 ADDL 7/1/2019 510.00$ SURG PATH-GROSS&MICRO #6 ADDL 7/1/2019 1,037.00$ IHC, PER SPEC. 1st SINGLE AB 7/1/2019 269.00$ IHC, PER SPEC. ADDL SINGLE AB 7/1/2019 88.00$ IHC, PER SPEC.,EA MULTIPLEX AB 7/1/2019 377.00$ SURG PATH-PROSTATE(MDCR&MDCD) 7/1/2019 510.00$

AG H. INFLUENZA, TYPE B 7/1/2019 20.00$ AG N. MENINGITIDIS C. W135 7/1/2019 20.00$ AG N. MENINGITID GRP A, Y 7/1/2019 20.00$ AG N. MENINGITID GRP B E COL/K 7/1/2019 20.00$ AG S. AGALACTIAE 7/1/2019 20.00$ AG S. PNEUMONIAE 7/1/2019 20.00$ ANAEROBIC ID 7/1/2019 15.00$ CULTURE, BLOOD 7/1/2019 20.00$ CULT TYPING,SAL/SHIG/ANTI SERA 7/1/2019 10.00$ CULTURE BACT, ADDTL ID 7/1/2019 15.00$ CULTURE BACT, ANAEROBIC 7/1/2019 18.00$ CULTURE BACT, NOSE/THROAT 7/1/2019 16.00$ CULTURE BACT, OTHER SOURCE 7/1/2019 16.00$ DNA PROBE, MICRO. IDENTITY-CH 7/1/2019 39.00$ DNA PROBE, MICRO. IDENTITY-GC 7/1/2019 46.00$ FUNGUS CULTURE DEF I.D YEAST 7/1/2019 20.00$ FUNGUS CULTURE-BLOOD 7/1/2019 35.00$ CULTURE, FUNGUS, OTHER SOURCE 7/1/2019 16.00$ CULT, FUNGUS, SKIN/NAIL/HAIR 7/1/2019 15.00$ GIARDIA LAMBIA/CRYTOSPORIDIUM 7/1/2019 23.00$ GRAM STAIN SMEARS 7/1/2019 8.00$ SMEAR, INDIA INK, WET MOUNT 7/1/2019 10.00$ NIH SWAB (PINWORM) 7/1/2019 8.00$ OVA & PARASITES DIR SMR W ID 7/1/2019 17.00$ RAPID STREP SCR ANTIGEN (EIA) 7/1/2019 29.00$ ROTAVIRUS 7/1/2019 23.00$ SENSITIVITY STUDY DISK 7/1/2019 13.00$ SENSITIVITY STUDY MIC 7/1/2019 16.00$ SMEAR FOR LEUKOCYTES 7/1/2019 8.00$ STREPTOCOCCAL SCREEN 7/1/2019 13.00$ TISSUE EXAM, KOH 7/1/2019 8.00$ SMEAR, TRICHOMONAS, WET MOUNT 7/1/2019 10.00$ UREASE 7/1/2019 13.00$ URINE CULTURE ID 7/1/2019 15.00$ URINE CULTURE/COLONY COUNT 7/1/2019 15.00$ CULTURE, ENVIRONMENTAL 7/1/2019 21.00$ MRSA SCREENING WOUND 7/1/2019 13.00$ S. PNEUMONIA ANTIGEN, URINE 7/1/2019 23.00$ LEGIONELLA ANTIGEN, URINE 7/1/2019 23.00$ CHYLAMYDIA TRACHOMATIS 7/1/2019 67.00$ NEISSERIA GONORRHOEAE, DNA 7/1/2019 67.00$ C. DIFFICILE ANTIGEN, QUAL 7/1/2019 23.00$ C. DIFFICILE TOXINS A&B 7/1/2019 23.00$ S. PNEUMONIA ANTIGEN, CSF 7/1/2019 23.00$ CRYPTOSPORIDIUM AG BY EIA 7/1/2019 24.00$ GIARDIA AG BY EIA 7/1/2019 23.00$ LACTOFERRIN, FECAL 7/1/2019 37.00$

INFLUENZA ANTIGEN A 7/1/2019 28.00$ INFLUENZA ANTIGEN B 7/1/2019 28.00$ SIALIDASE ENZYME ASSAY 7/1/2019 23.00$ TRICHOMONAS ASSAY W/OPTIC 7/1/2019 26.00$ AEROBIC STOOL CUL & PREM.EXAM 7/1/2019 18.00$ AEROB STOOL CUL ADD PATHOGEN 7/1/2019 18.00$ STOOL, CAMPYLOBACTERIA ANTIGEN 7/1/2019 28.00$ STOOL, SHIGA I 7/1/2019 23.00$ STOOL, SHIGA II 7/1/2019 23.00$ MRSA, PATHOGENIC SCREEN 7/1/2019 13.00$ STREP, GROUP B (Delivery) 7/1/2019 76.00$ IADNA DNA/RNA PROBE 6-11 (EP) 7/1/2019 451.00$ C DIFF AMPLIFIED PROBE 7/1/2019 67.00$ MYCOBACTERIA T AMPLIF NA PROBE 7/1/2019 71.00$ AMPLIF NA PROBE NOS AGENT 7/1/2019 67.00$ FLU PCR (IN HOUSE) 7/1/2019 164.00$ FLU/RSV 7/1/2019 245.00$ RSV PCR 7/1/2019 134.00$ RESP VIRUS 6-11 TARGETS 7/1/2019 407.00$ RESP VIRUS/BACTERIA 12-25 TARG 7/1/2019 794.00$ AMPLIF NA PROBE NOS AGENT_B.P. 7/1/2019 67.00$ AMPLIF NA PROBE NOS AGENT_B.H. 7/1/2019 67.00$ AMPLIF NA PROBE NOS AGENT_B.B. 7/1/2019 67.00$ LIM BROTH CULTURE GRP B STREP 7/1/2019 13.00$ GRP B STREP BY PCR 7/1/2019 76.00$ TRICHOMONAS VAGINALIS AMPLIF 7/1/2019 67.00$ CULTURE BLOOD, GP PROBE ID, EA 7/1/2019 38.00$ CULTURE BLOOD, GN PROBE ID, EA 7/1/2019 38.00$ STREP A AMPLIF NA PROBE(PCR) 7/1/2019 67.00$ ACETAMINOPHEN (TYLENOL) 7/1/2019 111.00$ ALBUMIN, OTHER, QUANT 7/1/2019 13.00$ ALBUMIN, SERUM 7/1/2019 9.00$ ALCOHOL BREATH 7/1/2019 51.00$ ALCOHOL, (ETHANOL), BLOOD 7/1/2019 111.00$ ALKALINE PHOSPHATASE, SERUM 7/1/2019 10.00$ AMMONIA, PLASMA 7/1/2019 28.00$ AMYLASE, URINE 7/1/2019 12.00$ AMYLASE, SERUM 7/1/2019 12.00$ BASIC METABOLIC PANEL 7/1/2019 16.00$ BILIRUBIN DIRECT 7/1/2019 10.00$ BILIRUBIN TOTAL 7/1/2019 10.00$ CALCIUM, TOTAL, SERUM 7/1/2019 10.00$ CALCIUM, QUANT., URINE 24-HR 7/1/2019 11.00$ CARBAMAZEPINE, TOTAL 7/1/2019 28.00$ CARBON DIOXIDE 7/1/2019 9.00$ CEA 7/1/2019 36.00$ GLUCOSE, BODY FLUID 7/1/2019 7.00$

PROTEIN, TOTAL, OTHER SOURCE 7/1/2019 8.00$ CHLORIDE 7/1/2019 9.00$ CHOLESTEROL, TOTAL, SERUM 7/1/2019 8.00$ CK-MB 7/1/2019 22.00$ COMPREHENSIVE METABOLIC PANEL 7/1/2019 20.00$ C-REACTIVE PROTEIN 7/1/2019 11.00$ CK, TOTAL 7/1/2019 12.00$ CREATININE, CLEARANCE 7/1/2019 18.00$ CREATININE, BLOOD 7/1/2019 10.00$ CREATININE, URINE 7/1/2019 10.00$ ELECTROLYTE PANEL 7/1/2019 13.00$ FERRITIN 7/1/2019 26.00$ FOLATE 7/1/2019 28.00$ FOLLICLE STIMULATING HORMONE 7/1/2019 40.00$ GENTAMICIN 7/1/2019 31.00$ GGT, GAMMA GLUTAMYLTRANSFERASE 7/1/2019 16.00$ GLUCOSE (POINT OF CARE) 7/1/2019 6.00$ GLUCOSE 1 HR PP 7/1/2019 9.00$ GLUCOSE, QUANTITATIVE, BLOOD 7/1/2019 7.00$ HEMOGLOBIN, GLYCATED (A1C) 7/1/2019 18.00$ AST or SGOT 7/1/2019 10.00$ ALT or SGPT 7/1/2019 10.00$ GTT ADDITIONAL SPECIMEN 7/1/2019 8.00$ GTT THREE SPECIMENS 7/1/2019 28.00$ HDL, LIPOPROTEIN (ONLY) 7/1/2019 16.00$ HCG, QUANTITATIVE 7/1/2019 29.00$ HEPATIC FUNCTION PANEL 7/1/2019 16.00$ HEPATITIS B SURFACE ANTIGEN 7/1/2019 20.00$ HEPATITIS C VIRUS ANTIBODY 7/1/2019 31.00$ IRON BINDING CAP, SERUM (TIBC) 7/1/2019 17.00$ IRON, SERUM 7/1/2019 12.00$ LACTATE DEHYDROGENASE, SERUM 7/1/2019 12.00$ LIPASE 7/1/2019 13.00$ LIPID PANEL 7/1/2019 26.00$ LITHIUM 7/1/2019 13.00$ MAGNESIUM, SERUM 7/1/2019 13.00$ MAGNESIUM, URINE 7/1/2019 13.00$ MICROALBUMIN, RANDOM 7/1/2019 11.00$ OSMOLALITY, URINE 7/1/2019 14.00$ OSMOLALITY,SERUM 7/1/2019 13.00$ PHENOBARBITAL 7/1/2019 26.00$ PHENYTOIN, TOTAL 7/1/2019 25.00$ PHOSPHORUS,SERUM 7/1/2019 9.00$ POTASSIUM 7/1/2019 9.00$ POTASSIUM, URINE 7/1/2019 8.00$ PROTEIN, TOTAL, URINE 7/1/2019 8.00$ PROTEIN, TOTAL, BLOOD 7/1/2019 7.00$

URINE, VOLUME MEAS 7/1/2019 6.00$ PSA, DIAGNOSTIC 7/1/2019 35.00$ PSA, SCREENING 7/1/2019 35.00$ RENAL FUNCTION PANEL 7/1/2019 17.00$ SALICYLATE, SERUM 7/1/2019 111.00$ SODIUM 7/1/2019 10.00$ SODIUM, URINE 7/1/2019 10.00$ T4 THYROXINE TOTAL 7/1/2019 15.00$ THYROID STIMULATING HORMONE 7/1/2019 32.00$ T4 THYROXINE, FREE 7/1/2019 19.00$ TOBRAMYCIN 7/1/2019 31.00$ TRIGLYCERIDES, SERUM 7/1/2019 11.00$ TROPONIN I 7/1/2019 21.00$ UREA NITROGEN, QUANTITATIVE 7/1/2019 8.00$ UREA NITROGEN, URINE 7/1/2019 10.00$ URIC ACID, SERUM 7/1/2019 9.00$ URIC ACID, URINE 7/1/2019 9.00$ VANCOMYCIN LEVEL 7/1/2019 26.00$ VITAMIN B12 7/1/2019 29.00$ MICROALBUMIN 24 HR 7/1/2019 11.00$ HEPATITIS A IgM ANTIBODY 7/1/2019 24.00$ HEPATITIS B CORE IgM ANTIBODY 7/1/2019 25.00$ HEPATITIS PANEL, ACUTE 7/1/2019 91.00$ BILIRUBIN TOTAL, NEONATAL 7/1/2019 10.00$ T3 FREE 7/1/2019 35.00$ PARATHYROID HORMONE INTACT 7/1/2019 79.00$ TESTOSTERONE, TOTAL 7/1/2019 49.00$ GENERAL HEALTH PANEL 7/1/2019 74.00$ ED-HCT 7/1/2019 5.00$ ED-CALCIUM, IONIZED 7/1/2019 26.00$ CALCIUM, IONIZED 7/1/2019 26.00$ ALCOHOL BREATH, DOT 7/1/2019 36.00$ PREALBUMIN 7/1/2019 28.00$ BILIRUBIN, TRANSCUT, NEONATE 7/1/2019 10.00$ LACTIC ACID 7/1/2019 20.00$ BETA-HYDROXYBUTYRATE 7/1/2019 16.00$ NT pro-BNP 7/1/2019 67.00$ RHEUMATOID FACTOR 7/1/2019 11.00$ RUBELLA SCREEN 7/1/2019 31.00$ DRUG SCREEN 5, URINE 7/1/2019 111.00$ DRUG SCREEN 7, URINE 7/1/2019 111.00$ DRUG SCREEN 8, URINE 7/1/2019 111.00$ VITAMIN D TOTAL 7/1/2019 56.00$ AGENT NOS ASSAY W/OPTIC 7/1/2019 28.00$ ANTIBODY, HIV 1 & HIV 2 7/1/2019 30.00$ DIGOXIN, TOTAL 7/1/2019 25.00$ VALPROIC ACID, TOTAL 7/1/2019 26.00$

STREPTOCOCCUS, GROUP B 7/1/2019 76.00$ HIV 1&2 AB IN HOUSE 7/1/2019 30.00$ PROCALCITONIN LEVEL 7/1/2019 51.00$ HEPATITIS B SAG SCRN,HIGH RISK 7/1/2019 54.00$ CYTOLOGY (ANY OTHER SOURCE) 7/1/2019 60.00$ CYTO FLD, NON-GYN, SMEAR 7/1/2019 60.00$ CYTOLOGY,CONC TECH,SMEARS/INTE 7/1/2019 60.00$ ACTIVATED COAGULATION TIME 7/1/2019 8.00$ PRTL THROMBOPLASTIN TIME 7/1/2019 11.00$ DX BONE MARROW BIOPSY 7/1/2019 2,556.00$ CBC/PLATELET/NO DIFFERENTIAL 7/1/2019 12.00$ CBC/PLATELET/AUTO DIFFERENTIAL 7/1/2019 15.00$ CRYSTALS BY POLARIZED LIGHT 7/1/2019 14.00$ ERYTHROCYTE SEDIMENTION RATE 7/1/2019 5.00$ FIBRINOGEN 7/1/2019 17.00$ HEMOGLOBIN 7/1/2019 5.00$ SMEAR, MALARIA STAIN 7/1/2019 11.00$ MANUAL DIFFERENTIAL 7/1/2019 7.00$ PLATELET COUNT 7/1/2019 9.00$ PT; PROTHROMBIN TIME 7/1/2019 7.00$ RETICULOCYTE COUNT 7/1/2019 8.00$ SICKLE CELL SCREEN 7/1/2019 11.00$ D-DIMER, QUANTITATIVE 7/1/2019 19.00$ PLATELET FUNCTION SCREEN, EPI 7/1/2019 43.00$ PLATELET FUNCTION SCREEN, ADP 7/1/2019 43.00$ PT, SUB PLASMA FRACTION EA 7/1/2019 8.00$ PTT, SUB PLASMA FRACTIONS EA 7/1/2019 12.00$ DX BONE MARROW ASPIRATION 7/1/2019 2,556.00$ EOSINOPHIL SMEAR, URINE 7/1/2019 9.00$ EOSINOPHIL SMEAR, SPUTUM 7/1/2019 9.00$ EOSINOPHIL SMEAR, NASAL 7/1/2019 10.00$ DX BONE MARROW ASPIR & BIOPSY 7/1/2019 2,556.00$ BLOOD TYPING, ABO 7/1/2019 6.00$ ANTIBODY ELUTION, ABSORPTION 7/1/2019 269.00$ ANTIBODY IDENTIFICATION 7/1/2019 510.00$ ANTIBODY SCREEN, RBC 7/1/2019 17.00$ COOMBS TEST INDIRECT TITER 7/1/2019 10.00$ BLOOD TYPE, ANTIGEN SCR, EA U 7/1/2019 28.00$ BLOOD TYPE, ANTIGEN, EACH 7/1/2019 11.00$ RBC, LEUKOREDUCED, DIR 7/1/2019 341.00$ RBC, LEUKOREDUCED, EA UNIT 7/1/2019 341.00$ RBC, EA UNIT 7/1/2019 258.00$ CYTOMEGALOVIRUS ANTIBODY 7/1/2019 31.00$ SPLITTING OF BLOOD PRODUCT 7/1/2019 269.00$ CROSSMATCH, SPIN TECH/UNIT 7/1/2019 269.00$ COOMBS TEST, DIRECT 7/1/2019 10.00$ COOMBS TEST INDIRECT, QUAL 7/1/2019 11.00$

CROSSMATCH, ANTIGLOBULIN/UNIT 7/1/2019 269.00$ CROSSMATCH, INCUBATION/UNIT 7/1/2019 269.00$ CRYOPRECIPITATE 7/1/2019 91.00$ HEMOGLOBIN, FETAL 7/1/2019 14.00$ FRESH FROZEN PLASMA, THAW/UNIT 7/1/2019 269.00$ FRESH FROZEN PL IGA DEF 7/1/2019 132.00$ FRESH FROZEN PLASMA 7/1/2019 132.00$ PLATELETS, PHERESIS LR HLA MCH 7/1/2019 1,558.00$ IRRADIATE BLD PRODUCT EA UNIT 7/1/2019 60.00$ KLEIHAUER-BETKE FETAL HG 7/1/2019 15.00$ PLATELETS, LR 7/1/2019 252.00$ PLATELETS, PHERESIS LR 7/1/2019 897.00$ POOL PLATELETS or BLD PRODUCTS 7/1/2019 269.00$ BLOOD TYPING, RH D 7/1/2019 6.00$ RBC, WASHED, EA UNIT 7/1/2019 656.00$ PLATELETS, IRRADIATED 7/1/2019 317.00$ PLATELETS, LR IRRADIATED 7/1/2019 308.00$ PLATELETS, PHERESIS IRRADATED 7/1/2019 1,020.00$ PLATELETS, PHRESESIS LR IRRAD 7/1/2019 1,153.00$ RBC, IRRADIATED 7/1/2019 408.00$ RBC, LR IRRADIATED 7/1/2019 471.00$ PLT PHER LR CMV-NEG IRRAD 7/1/2019 908.00$ RBC FRZ DEG WSH LR IRRAD 7/1/2019 414.00$ RBC LR CMV-NEG IRRADIATED 7/1/2019 423.00$ AUTOLOG BLOOD, COLLECT/PROCESS 7/1/2019 269.00$ AUTOLOG BLOOD, TRANSFUSED 7/1/2019 258.00$ CRYOPRECIPITATE, POOLED 5units 7/1/2019 456.00$ HIV-1 AG W/HIV-1 & HIV-2 AB 7/1/2019 46.00$ CHORIONIC GONADOTROPIN 7/1/2019 15.00$ CELL COUNT & DIFF; NOT BLOOD 7/1/2019 11.00$ MICROSCOPIC ONLY 7/1/2019 6.00$ PH, BODY FLUID, EXCEPT BLOOD 7/1/2019 7.00$ SEMEN ANALYSIS COMPLETE 7/1/2019 23.00$ SEMEN ANALYSIS/SPERM DETECTION 7/1/2019 23.00$ URINALYSIS WITH MICROSCOPIC 7/1/2019 6.00$ URINALYSIS WITHOUT MICROSCOPIC 7/1/2019 4.00$ SPECIFIC GRAVITY, EXCEPT URINE 7/1/2019 6.00$ HCG, QUALITATIVE SERUM 7/1/2019 14.00$ OCCULT BLOOD, GASTRIC 7/1/2019 9.00$ OCCULT BLOOD IA FECES SCREEN 7/1/2019 31.00$ OCCULT BLOOD IA FECES DIAGNOST 7/1/2019 30.00$ RUPTURE MEMBRANES, AMNIO PRTN 7/1/2019 168.00$ 11-DEOXYCORTISOL, SERUM 7/1/2019 48.00$ 17-HYDROXYCORTICOSTEROIOS URIN 7/1/2019 67.00$ 17-KETOSTEROIDS-UR 7/1/2019 21.00$ 17-HYDROXYPROGESTERONE 7/1/2019 44.00$ IGF BINDING PROTEIN-3 7/1/2019 35.00$

5' NUCLEOTIDASE 7/1/2019 26.00$ 5-HIAA, URINE 7/1/2019 22.00$ 68 KD BY WESTERN BLOT 7/1/2019 43.00$ AChR BINDING ANTIBODY 7/1/2019 39.00$ CARDIOLIPIN IgG AB 7/1/2019 42.00$ CARDIOLIPIN IgM AB 7/1/2019 42.00$ ACTH-PLASMA 7/1/2019 63.00$ CHROM ANALY; ADDTL KARYOTYPES 7/1/2019 200.00$ ADRENAL TOTAL AUTOANTIBODIES 7/1/2019 21.00$ ALCOHOL, (ETHANOL), URINE 7/1/2019 111.00$ ALDOLASE 7/1/2019 16.00$ ALDOSTERONE, URINE, 24hr 7/1/2019 67.00$ ALDOSTERONE, SERUM 7/1/2019 67.00$ ALLERGEN, CORN 7/1/2019 9.00$ ALLERGEN, COW'S MILK 7/1/2019 9.00$ ALLERGEN, ANIMALS MULTI, QUAL 7/1/2019 26.00$ ALLERGEN, SEAFOODS MULTI, QUAL 7/1/2019 26.00$ ALLERGEN, GRAINS MULTI, QUAL 7/1/2019 26.00$ ALLERGEN, GRASSES MULTI, QUAL 7/1/2019 26.00$ ALLERGEN, HOUSEHLD MULTI, QUAL 7/1/2019 26.00$ ALLERGEN, MOLDS MULTI, QUAL 7/1/2019 26.00$ ALLERGEN, NUTS MULTI, QUAL 7/1/2019 26.00$ ALLERGEN, TREES MULTI, QUAL 7/1/2019 26.00$ ALLERGEN, WEEDS MULTI, QUAL 7/1/2019 26.00$ ALPHA-1-ANTITRYPSIN 7/1/2019 22.00$ ALPHA-SUBUNIT TUMOR MARKER 7/1/2019 35.00$ ALPHA-2-MACROGLOBULIN 7/1/2019 50.00$ ALPHA-FETOPROTEIN, MATERNAL 7/1/2019 27.00$ ALUMINUM,SERUM 7/1/2019 65.00$ AMIKACIN, RANDOM 7/1/2019 26.00$ AMINO ACID, URINE 7/1/2019 131.00$ AMIODARONE 7/1/2019 27.00$ AMINOLEVULINIC ACID URINE 7/1/2019 54.00$ AMITRIPTYLINE 7/1/2019 168.00$ AMPHETAMINES, QUANTITATIVE 7/1/2019 168.00$ ANDROSTENEDIONE, SERUM 7/1/2019 53.00$ ANGIOTENSIN CNVR ENZM, CSF 7/1/2019 24.00$ ANGIOTENSIN CNVR ENZM, SERUM 7/1/2019 24.00$ ANTISMOOTH MUSCLE ANTIBODY 7/1/2019 21.00$ TRICYCLIC ANTIDEPRESSANTS 7/1/2019 111.00$ ANTIDIURETIC HORMONE (ADH) 7/1/2019 55.00$ DNA DOUBLE-STRANDED IgG Ab 7/1/2019 22.00$ GLOMERULAR BASE MEMBRANE 7/1/2019 22.00$ CHROMATIN (HISTONE) ANTIBODY 7/1/2019 29.00$ ANTI-MITOCHONDRIAL ANTIBODY 7/1/2019 20.00$ HEPARIN-ASSOCIATED ANTIBODY 7/1/2019 30.00$ ANTITHROMBIN III, FUNCTIONAL 7/1/2019 20.00$

THYROGLOBULIN ANTIBODY 7/1/2019 26.00$ ACTIVATED PROTEIN C RESISTANCE 7/1/2019 25.00$ APOLIPOPROTEIN A-1 7/1/2019 31.00$ APOLIPOPROTEIN B 7/1/2019 31.00$ ARSENIC, URINE 7/1/2019 31.00$ ARSENIC, BLOOD 7/1/2019 31.00$ ARSENIC, URINE, 24-HR 7/1/2019 31.00$ VITAMIN C (ASCORBIC ACID) 7/1/2019 41.00$ Jo-1 IgG ANTIBODY 7/1/2019 29.00$ SCLERODERMA (Scl-70) IgG AB 7/1/2019 29.00$ BETA-2 MICROGLOBULIN, SERUM 7/1/2019 26.00$ BETA-2 MICROGLOBULIN, URINE 7/1/2019 26.00$ BENZENE 7/1/2019 26.00$ BETA 2 GLYCOPROTEIN IgG 7/1/2019 42.00$ BETA 2 GLYCOPROTEIN IgM 7/1/2019 42.00$ BUPROPION (WELLBUTRIN) 7/1/2019 168.00$ C. PNEUMONIAE ANTIBODY, IgG 7/1/2019 19.00$ C. PNEUMONIAE ANTIBODY, IgM 7/1/2019 21.00$ C.PSITTACI ANTIBODY, IgG 7/1/2019 19.00$ C.PSITTACI ANTIBODY, IgM 7/1/2019 21.00$ C.TRACHOMATIS ANTIBODY, IgG 7/1/2019 19.00$ C.TRACHOMATIS ANTIBODY, IgM 7/1/2019 21.00$ C-1-ESTERASE INHIBITOR, FUNCT. 7/1/2019 43.00$ CADMIUM, URINE 7/1/2019 38.00$ CAFFEINE 7/1/2019 57.00$ CALCITONIN 7/1/2019 44.00$ CA 125, SERUM 7/1/2019 34.00$ CA 27.29 , SERUM 7/1/2019 34.00$ CA 19-9, SERUM 7/1/2019 34.00$ CARBOHYDRATE DEF TRANSFERRIN 7/1/2019 88.00$ CARNITINE (total & free), QUAN 7/1/2019 28.00$ CAROTENE 7/1/2019 26.00$ CATECHOLAMINE, FRAC,URINE FREE 7/1/2019 41.00$ CATECHOLAMINE, FRACTIONATED 7/1/2019 41.00$ CENTROMERE B IgG ANTIBODY 7/1/2019 29.00$ CERULOPLASMIN 7/1/2019 18.00$ CHLORIDE, FECES 7/1/2019 24.00$ CHROMIUM, SERUM 7/1/2019 33.00$ CHROMIUM,URINE, RANDOM OR 24HR 7/1/2019 33.00$ CHROMOGRANIN A 7/1/2019 69.00$ CITRATE 7/1/2019 45.00$ CLONAZEPAM (CLONOPIN) 7/1/2019 168.00$ CLOZAPINE (CLOZARIL), SERUM 7/1/2019 30.00$ CYTOMEGALOVIRUS IgG ANTIBODY 7/1/2019 31.00$ CYTOMEGALOVIRUS IgM ANTIBODY 7/1/2019 28.00$ COCAINE METABOLITE, URINE 7/1/2019 168.00$ COCAINE METABOLITE, BLOOD 7/1/2019 168.00$

COCCIDIOIDES ANTIBODY 7/1/2019 19.00$ COMPLEMENT COMPONENT 2 7/1/2019 55.00$ COMPLEMENT COMPONENT 3 7/1/2019 20.00$ COMPLEMENT COMPONENT 4 7/1/2019 20.00$ COMPLEMENT, TOTAL (CH50) 7/1/2019 33.00$ COPPER, URINE, 24H 7/1/2019 20.00$ COPPER, SERUM 7/1/2019 20.00$ COPPER, URINE, RANDOM 7/1/2019 20.00$ CORTISOL, FREE, URINE, 24-HR 7/1/2019 29.00$ CORTISOL, TOTAL 7/1/2019 34.00$ COXSACKIE A9 VIRUS ANTIBODY 7/1/2019 38.00$ C-PEPTIDE, SERUM/PLASMA 7/1/2019 34.00$ C-REACTIVE PROTEIN, H.SENS 7/1/2019 25.00$ CRYOFIBRINOGEN(incl Cryoglob.) 7/1/2019 21.00$ CRYOGLOBULIN 7/1/2019 11.00$ ALBUMIN, CSF 7/1/2019 13.00$ IgG, CSF 7/1/2019 15.00$ CYANIDE, BLOOD 7/1/2019 51.00$ CYCLIC AMP, SERUM 7/1/2019 42.00$ CYCLOSPORINE 7/1/2019 29.00$ CYSTINE, URINE, 24H 7/1/2019 89.00$ CULTURE, CYTOMEGALOVIRUS 7/1/2019 96.00$ CYTOPATHOLOGY DIANOSTIC PAP 7/1/2019 43.00$ CYTOPATHOLOGY SCREENING PAP 7/1/2019 43.00$ DHEA SULFATE 7/1/2019 36.00$ DEOXYPYRIDINOLINE (DPD), URINE 7/1/2019 45.00$ DESIPRAMINE 7/1/2019 168.00$ DIAZEPAM (VALIUM) 7/1/2019 168.00$ 5-A-DIHYDROTESTOSTERONE 7/1/2019 57.00$ DIPHTHERIA IgG ANTIBODY 7/1/2019 24.00$ DISOPYRAMIDE (NORPAC) 7/1/2019 32.00$ MOLEC. CYTOGENTICS, DNA PROBE 7/1/2019 35.00$ E HISTOLYTICA IgG ANTIBODY 7/1/2019 21.00$ EFFEXOR (VENLAFAXINE) 7/1/2019 168.00$ EHRLICHIA CHAFFEENSIS IgG 7/1/2019 17.00$ LYME DISEASE, SERUM 7/1/2019 28.00$ ENDOMYSIAL IgA AB SCRN,BY IFA 7/1/2019 21.00$ ENDOMYSIAL IgA ANTIBODY TITER 7/1/2019 21.00$ ENTEROVIRUS DETECTION, BY PCR 7/1/2019 181.00$ EPSTEIN-BARR IgG, EARLY D 7/1/2019 21.00$ ERYTHROPOIETIN (EPO), SERUM 7/1/2019 31.00$ ESTRADIOL, SERUM/PLASMA 7/1/2019 46.00$ ESTRIOL, SERUM 7/1/2019 39.00$ ESTRONE, SERUM/PLASMA 7/1/2019 41.00$ ETHOSUXIMIDE (ZARONTIN) 7/1/2019 27.00$ COAGULATION FACTOR 9 7/1/2019 42.00$ von WILLEBRAND FACTOR ANTIGEN 7/1/2019 37.00$

COAGULATION FACTOR 8 7/1/2019 31.00$ COAGULATION FACTOR 8 INHIBITR 7/1/2019 21.00$ COAGULATION FACTOR 11 7/1/2019 56.00$ COAGULATION FACTOR 12 7/1/2019 56.00$ FAT, QUANTITATIVE, FECES 7/1/2019 87.00$ FELBAMATE, SERUM 7/1/2019 168.00$ FETAL FIBRONECTIN 7/1/2019 105.00$ FLECAINIDE, SERUM 7/1/2019 32.00$ INFUENZA A VIRUS ANTIBODY, IgG 7/1/2019 22.00$ INFUENZA A VIRUS ANTIBODY, IgM 7/1/2019 22.00$ INFUENZA B VIRUS ANTIBODY, IgG 7/1/2019 22.00$ INFUENZA B VIRUS ANTIBODY, IgM 7/1/2019 22.00$ FOLATE LEVEL, RBC 7/1/2019 28.00$ PSA, FREE 7/1/2019 30.00$ FRUCTOSAMINE, SERUM/PLASMA 7/1/2019 25.00$ T. PALLIDUM IgG ANTIBODY, CSF 7/1/2019 36.00$ T. PALLIDUM TOTAL ANTIBODY 7/1/2019 25.00$ GABAPENTIN (NEURONTIN), SERUM 7/1/2019 32.00$ GASTRIN, SERUM 7/1/2019 29.00$ NEISSERIA GONORRHOEAE 7/1/2019 67.00$ GAMMA-HYDROXYBUTYRIC SCR, UR 7/1/2019 111.00$ GLUCAGON, PLASMA 7/1/2019 30.00$ GLUCOSE-6-PHOS (G6PD) 7/1/2019 21.00$ GRANULOCYTE ANTIBODIES 7/1/2019 102.00$ GROWTH HORMONE HUMAN 7/1/2019 27.00$ H. PYLORI ANTIGEN, FECES 7/1/2019 25.00$ HALOPERIDOL (HALDOL) 7/1/2019 46.00$ ACID HEMOLYSIN (HAM TEST) 7/1/2019 14.00$ HAPTOGLOBIN 7/1/2019 21.00$ HEPATITIS C VIRUS RNA, QUANT 7/1/2019 74.00$ HEMOGLOBIN IDENTIFICATION,HPLC 7/1/2019 24.00$ HEMOGLOBIN FREE, PLASMA 7/1/2019 12.00$ HEMOSIDERIN, URINE 7/1/2019 17.00$ HEPATITIS B SURFACE ANTIBODY 7/1/2019 18.00$ HEPATITIS B CORE TOTAL Ab 7/1/2019 20.00$ HEPATITIS A TOTAL ANTIBODY 7/1/2019 20.00$ HEPATITIS B VIRUS DNA BY PCR 7/1/2019 123.00$ HEPATITIS BE ANTIBODY 7/1/2019 24.00$ HEPATITIS BE ANTIGEN 7/1/2019 22.00$ HEPATITIS C VIRUS GENOTYPING 7/1/2019 420.00$ HEPATITIS C VIRUS RNA QUAL 7/1/2019 74.00$ HEPATITIS DELTA VIRUS ANTIBODY 7/1/2019 28.00$ HEPATITIS E VIRUS IgG ANTIBODY 7/1/2019 21.00$ HEPATITIS E VITRU IgM ANTIBODY 7/1/2019 21.00$ HERPES SIMPLEX VIRUS, IgG 7/1/2019 24.00$ HERPES SIMPLEX VIRUS, IgM 7/1/2019 24.00$ HSV TYPE 1 & 2, BY PCR 7/1/2019 120.00$

HISTAMINE, BLOOD 7/1/2019 48.00$ HISTOPLASMA ANTIGEN, URINE 7/1/2019 79.00$ HIV-1 ULTRA SENSITIVE 7/1/2019 139.00$ HLA-B27, WHOLE BLOOD 7/1/2019 44.00$ HOMOCYSTEINE, TOTAL 7/1/2019 32.00$ HOMOVANILLIC ACID, URINE 7/1/2019 33.00$ HTLV I/II ANTIBODIES 7/1/2019 21.00$ HPV DNA PROBE, HIGH RISK 7/1/2019 57.00$ HYDROXYPROLINE, URINE, 24 H 7/1/2019 40.00$ IgA, SERUM 7/1/2019 15.00$ IgD, SERUM 7/1/2019 15.00$ TOTAL IgE, SERUM 7/1/2019 27.00$ IgG, SERUM 7/1/2019 15.00$ IgM, SERUM 7/1/2019 15.00$ IMMUNOFIXATION, SERUM 7/1/2019 36.00$ IMMUNOFIXATION, URINE 7/1/2019 48.00$ IMIPRAMINE 7/1/2019 168.00$ INSULIN ANTIBODY 7/1/2019 59.00$ INSULIN, FREE, SERUM 7/1/2019 21.00$ INSULIN, TOTAL, SERUM 7/1/2019 19.00$ MCG; IP SITU 100-300 CELL 7/1/2019 75.00$ INTRINSIC FACTOR BLOCKING Ab 7/1/2019 28.00$ ISLET CELL ANTIBODY, IgG 7/1/2019 39.00$ LEVETIRACETAM, SERUM/PLASMA 7/1/2019 24.00$ LAMOTRIGINE, SERUM/PLASMA 7/1/2019 24.00$ ALLERGEN, LATEX 7/1/2019 9.00$ LACTATE DEHYDROGENASE ISOENZYM 7/1/2019 23.00$ LEAD, BLOOD 7/1/2019 20.00$ LEAD, URINE 7/1/2019 20.00$ L. PNEUMOPHILA IgG, TYPES 1-6 7/1/2019 25.00$ CULTURE, LEGIONELLA SPECIES 7/1/2019 13.00$ LEMS (VGCC) ANTIBODY 7/1/2019 216.00$ LIDOCAINE (XYLOCAINE) LEVEL 7/1/2019 30.00$ LIPID ASSOCIATED SIALIC ACID 7/1/2019 31.00$ LIPOPROTEIN (a) 7/1/2019 22.00$ LIVER-KIDNEY MICROSOME IgG Ab 7/1/2019 25.00$ LSD, URINE 7/1/2019 111.00$ LUTEINIZING HORMONE (LH) 7/1/2019 30.00$ LYME DISEASE BY PCR 7/1/2019 140.00$ LYME DISEASE, CSF 7/1/2019 28.00$ LYSOZYME (MURAMIDAS) 7/1/2019 31.00$ MANGANESE, SERUM 7/1/2019 40.00$ MELANIN, RANDOM URINE 7/1/2019 17.00$ MEPERIDINE&NORMEPERIDINE,URINE 7/1/2019 168.00$ MEPROBAMATE (EQUANIL) 7/1/2019 168.00$ MERCURY, URINE 7/1/2019 27.00$ MERCURY, BLOOD 7/1/2019 27.00$

METANEPHRINES, PLASMA 7/1/2019 85.00$ METANEPHRINES, URINE 7/1/2019 28.00$ METHOTREXATE 7/1/2019 27.00$ METHYLMALONIC ACID, SERUM 7/1/2019 31.00$ METHYLMALONIC ACID, UR, 24 HR 7/1/2019 31.00$ MEXILETINE, SERUM or PLASMA 7/1/2019 45.00$ MUMPS IgG ANTIBODY 7/1/2019 21.00$ MUMPS IgM ANTIBODY, SERUM 7/1/2019 21.00$ MYCOPLASMA, GENITAL CULTURE 7/1/2019 25.00$ MYELIN BASIC PROTIEN, CSF 7/1/2019 32.00$ MYELOPEROXIDASE IgG ANTIBODY 7/1/2019 22.00$ MYOGLOBIN 7/1/2019 21.00$ NEURON SPECIFIC ENOLASE 7/1/2019 55.00$ NICOTINE&METABOLITE, QNT URINE 7/1/2019 168.00$ NICKEL, SERUM 7/1/2019 40.00$ NEUTROPHIL OXIDATIVE BURST 7/1/2019 286.00$ NORTRIPTYLINE 7/1/2019 168.00$ ORGANIC ACIDS, PLASMA 7/1/2019 174.00$ ORGANIC ACIDS, URINE 7/1/2019 131.00$ OSMOLALITY, FECES 7/1/2019 38.00$ N-TELOPEPTIDE, CROSS-LINKED UR 7/1/2019 45.00$ OXALATE, URINE 7/1/2019 25.00$ PARATHYROID RELATED PROTEIN 7/1/2019 77.00$ PARIETAL CELL IgG ANTIBODY 7/1/2019 22.00$ PARVOVIRUS B19 IgG ANTIBODY 7/1/2019 25.00$ PARVOVIRUS B19 IgM ANTIBODY 7/1/2019 25.00$ PENTOBARBITAL (NEMBUTAL) 7/1/2019 168.00$ PHENYTOIN, FREE 7/1/2019 22.00$ PHOSPHORUS, URINE 7/1/2019 12.00$ PLATELET ANTIBIODIES, INDIRECT 7/1/2019 87.00$ PORPHYRINS, URINE 7/1/2019 36.00$ POTASSIUM, FECES 7/1/2019 22.00$ PREGNENOLONE 7/1/2019 47.00$ PRIMIDONE (MYSOLINE) 7/1/2019 29.00$ PROCAINAMIDE w METABOLITES 7/1/2019 30.00$ PROGESTERONE LEVEL 7/1/2019 34.00$ TACROLIMUS (PROGRAF) 7/1/2019 22.00$ PROINSULIN 7/1/2019 39.00$ PROLACTIN 7/1/2019 32.00$ FLUPHENAZINE 7/1/2019 168.00$ PROTEIN S, TOTAL 7/1/2019 26.00$ PROSTATIC ACID PHOSPHATASE 7/1/2019 23.00$ PROTEIN C, TOTAL 7/1/2019 26.00$ PROTEIN ELECTROPHORESIS, URINE 7/1/2019 90.00$ PROTEIN ELECTROPHORESIS, CSF 7/1/2019 90.00$ PROTEIN ELECTROPHORESIS, SERUM 7/1/2019 23.00$ ZINC PROTOPORPHYRYNS 7/1/2019 23.00$

PSEUDOCHOLINESTERASE, TOTAL 7/1/2019 18.00$ QUINIDINE 7/1/2019 26.00$ SIROLIMUS (RAPAMUNE) 7/1/2019 24.00$ RENIN ACTIVITY, PLASMA 7/1/2019 36.00$ RIBOSOMAL P PROTEIN IgG AB 7/1/2019 29.00$ RISPERDAL 7/1/2019 168.00$ von WILLEBRAND MULTIMERS 7/1/2019 59.00$ RUBELLA IgG ANTIBODY 7/1/2019 31.00$ RUBEOLA (MEASLES) IgG ANTIBODY 7/1/2019 21.00$ RUBEOLA (MEASLES) IgM ANTIBODY 7/1/2019 21.00$ RUSSELL'S VIPER VENOM 7/1/2019 16.00$ SELENIUM 7/1/2019 42.00$ SEROQUEL (QUETIAPINE) 7/1/2019 168.00$ SEROTONIN - BLOOD 7/1/2019 57.00$ SERTRALINE (ZOLOFT) 7/1/2019 168.00$ SEX HORMONE BINDING GLOBULIN 7/1/2019 36.00$ SODIUM, FECES 7/1/2019 22.00$ INSULIN LIKE GROWTH FACTOR I 7/1/2019 35.00$ STONE ANALYSIS 7/1/2019 21.00$ T3 REVERSE-SERUM 7/1/2019 35.00$ T3 TOTAL-SERUM 7/1/2019 23.00$ TEICHOIC ACID ANTIBODY 7/1/2019 25.00$ TESTOSTERONE, FREE S 7/1/2019 42.00$ THYROXINE BINDING GLOBULIN 7/1/2019 28.00$ CANNABINOID METABOLITE, SERUM 7/1/2019 168.00$ VITAMIN B1 (THIAMINE) 7/1/2019 35.00$ THIOCYANATE SERUM 7/1/2019 40.00$ THROMBOPLASTIN 7/1/2019 16.00$ THYROID PEROXIDASE ANTIBODIES 7/1/2019 24.00$ THYROGLOBULIN, BODY FLUID 7/1/2019 31.00$ THYROGLOBULIN, SERUM/PLASMA 7/1/2019 26.00$ THYROTROPIN RELEASING HORMONE 7/1/2019 317.00$ THYROID STIMULATING IMMUNOGLOB 7/1/2019 85.00$ TISSUE CULTURE; AMNIOTIC FLUID 7/1/2019 241.00$ TOPIRAMATE, SERUM 7/1/2019 21.00$ TOXOPLASMA IgG ANTIBODY 7/1/2019 24.00$ TOXOPLASMA IgM ANTIBODY 7/1/2019 24.00$ TRANSFERRIN 7/1/2019 21.00$ TRILEPTAL (OXCARBAZEPINE) 7/1/2019 22.00$ VANILLYLAMANDILIC ACID, URINE 7/1/2019 25.00$ VARICELLA-ZOSTER IgM ANTIBODY 7/1/2019 21.00$ VARICELLA-ZOSTER IgG ANTIBODY 7/1/2019 21.00$ VASOACTIVE INTESTINAL PEPTIDE 7/1/2019 58.00$ EPSTEIN-BARR IgG, VIRAL CAPSID 7/1/2019 30.00$ EPSTEIN-BARR IgM, VIRAL CAPSID 7/1/2019 30.00$ VDRL, QUALITATIVE, CSF 7/1/2019 7.00$ VISCOSITY, SERUM 7/1/2019 19.00$

VITAMIN D, 1,25-DIHYDROXY 7/1/2019 63.00$ VITAMIN A (RETINOL) 7/1/2019 20.00$ VITAMIN B12 BINDING CAPACITY 7/1/2019 28.00$ VITAMIN B6 (PYRIDOXAL 5-PHOS) 7/1/2019 46.00$ VITAMIN E (TOCOPHEROL) 7/1/2019 23.00$ VITAMIN K1 7/1/2019 68.00$ HIV, WESTERN BLOT CONFIRMATION 7/1/2019 38.00$ ZINC 7/1/2019 21.00$ ZONISAMIDE 7/1/2019 80.00$ ZYPREXA (OLANZAPINE) 7/1/2019 168.00$ EPSTEIN-BARR IgG, NUCLEAR 7/1/2019 25.00$ CD4 COUNT, ABSOLUTE 7/1/2019 44.00$ T4 THYROXINE, FREE by DIALYSIS 7/1/2019 47.00$ TOXOCARA IgG ANTIBODY 7/1/2019 38.00$ SACCHAROMYCES CEREVISIAE IgG 7/1/2019 20.00$ SACCHAROMYCES CEREVISIAE IgA 7/1/2019 20.00$ 17-HYDROXYPREGNENLONE 7/1/2019 47.00$ DEAMIDATED GLIADIN, IgA 7/1/2019 22.00$ DEAMIDATED GLIADIN, IgG 7/1/2019 22.00$ NEUTROPHIL CYTOPLASMIC IgG Ab 7/1/2019 21.00$ COAGULATION FACTOR 10 7/1/2019 56.00$ COAGULATION FACTOR 13 7/1/2019 56.00$ COAGULATION FACTOR 2 7/1/2019 46.00$ COAGULATION FACTOR 5 7/1/2019 30.00$ COAGULATION FACTOR 7 7/1/2019 56.00$ HERPESVIRUS 6 IgG ANTIBODY 7/1/2019 30.00$ METHAMPHETAMINES LEVEL 7/1/2019 168.00$ T. PALLIDUM ANTIBODY, TP-PA 7/1/2019 25.00$ ALPHA-FETOPROTEIN, TUMOR MRKR 7/1/2019 27.00$ VITAMIN B2 (RIBOFLAVIN) 7/1/2019 252.00$ VOLATILES 7/1/2019 168.00$ TETANUS IgG ANTIBODY 7/1/2019 24.00$ HER-2/neu, QUANTITATIVE, SERUM 7/1/2019 355.00$ ANTI-CAR 7/1/2019 43.00$ GALACTOS-1-PHOS URIDYLTRANSFRS 7/1/2019 124.00$ TSH RECEPTOR ANTIBODY 7/1/2019 53.00$ M.TUBERCULOSIS AMP DIRECT DET. 7/1/2019 71.00$ HIV-1 GENOTYPE 7/1/2019 456.00$ ETHYLENE GLYCOL 7/1/2019 111.00$ GAD-65 ANTIBODY 7/1/2019 35.00$ BILE ACIDS 7/1/2019 293.00$ HIV PHENOTYPE CULT; 1-10 DRUGS 7/1/2019 798.00$ HIV PHENOTYPE CULT;EA ADD DRUG 7/1/2019 43.00$ MCG; SITU HYBRID 10-30 CELLS 7/1/2019 52.00$ POLIOVIRUS 1 ANTIBODY 7/1/2019 21.00$ B. PERTUSSIS IgA Ab by ELISA 7/1/2019 22.00$ CITRULLINATED PEPTIDE, IgG 7/1/2019 21.00$

SOLUBLE TRANSFERRIN RECEPTOR 7/1/2019 60.00$ SMEAR, MICROSPORIDIA STAIN 7/1/2019 11.00$ CONCENTRATION FOR INFECT AGNT 7/1/2019 11.00$ CATECHOLAMINE,UR RANDOM,FREE 7/1/2019 41.00$ LYME DISEASE IgG Ab by WBLOT 7/1/2019 25.00$ CORTISOL, SALIVA 7/1/2019 34.00$ CMV DNA, QUANTITATIVE PCR 7/1/2019 161.00$ THROMBIN CLOTTING TIME 7/1/2019 10.00$ ALLERGEN, CHICKEN 7/1/2019 9.00$ ALLERGEN, POTATO 7/1/2019 9.00$ ALLERGEN, EGG WHITE 7/1/2019 9.00$ ALLERGEN, CHOCOLATE 7/1/2019 9.00$ ALLERGEN, MIXED FEATHERS 7/1/2019 26.00$ ALLERGEN, YEAST 7/1/2019 9.00$ TISSUE TRANSGLUTAMINASE IgA AB 7/1/2019 22.00$ TISSUE CULTURE; BM BLD CELLS 7/1/2019 211.00$ ALLERGEN, EACH INDIVIDUAL IGE 7/1/2019 9.00$ CARDIOLIPIN IgA AB 7/1/2019 42.00$ COUMADIN LEVEL 7/1/2019 168.00$ HEPARIN Xa ASSAY 7/1/2019 61.00$ HERPES SIMPLEX TYPE 2, IgG 7/1/2019 32.00$ ASPERGILLUS GALACTOMANNAN AG 7/1/2019 123.00$ ADENOVIRUS IGG 7/1/2019 21.00$ ADENOVIRUS IGM 7/1/2019 21.00$ INHIBIN A 7/1/2019 25.00$ LEPTOSPIRA ANTIBODY 7/1/2019 63.00$ T CELLS, TOTAL COUNT 7/1/2019 62.00$ ABSOLUTE CD4/CD8 COUNT 7/1/2019 77.00$ PROSTAGLANDIN E2, URINE 7/1/2019 463.00$ FENTANYL AND METABOLITE, URINE 7/1/2019 168.00$ PHOSPHATIDYLGLYCEROL, AMNIO FL 7/1/2019 82.00$ NEURONAL NUCLEAR IgG Ab TITER 7/1/2019 61.00$ OSTEOCALCIN 7/1/2019 68.00$ TIMP-1 7/1/2019 35.00$ LEU/LYM FLOW CYTO. ADDL MARKER 7/1/2019 119.00$ LEU/LYM FLOWCYTO INTRP 2-8 MKR 7/1/2019 1.00$ FLOW CYTOMETRY INTRP 9-15 MRK 7/1/2019 1.00$ FLOW CYTOMETRY INTERP 16&> MRK 7/1/2019 1.00$ PYRUVATE KINASE 7/1/2019 59.00$ VARICELLA ZOSTER, PCR, CSF 7/1/2019 110.00$ NICOTINE & METABOLITES, SERUM 7/1/2019 168.00$ EPSTEIN-BARR VIRUS, PCR 7/1/2019 106.00$ TRYPTASE, SERUM 7/1/2019 147.00$ RISTOCETIN COFACTOR ASSAY 7/1/2019 40.00$ MAG ANTIBODY, IgM 7/1/2019 22.00$ NEURONAL NUCLEAR IgG ANTIBODY 7/1/2019 22.00$ LEXAPRO LEVEL 7/1/2019 168.00$

18-HYDROXYCORTOSTERONE 7/1/2019 236.00$ C1Q BINDING ASSAY 7/1/2019 40.00$ PHENYLALANINE MONITORING 7/1/2019 72.00$ H. INFLUENZA B IgG ANTIBODY 7/1/2019 24.00$ ACYLCARNITINES 7/1/2019 202.00$ METHADONE AND METABOLITE, UR 7/1/2019 168.00$ HISTAMINE, URINE 7/1/2019 48.00$ LIPOPROTEIN BLD HR FRACTION 7/1/2019 50.00$ BK VIRUS, QUANTITATIVE, PCR 7/1/2019 185.00$ CANNABINOID METABOLITE, URINE 7/1/2019 168.00$ BLASTOMYCES DERM. ANTIGEN 7/1/2019 141.00$ PREGABALIN (LYRICA), BLOOD 7/1/2019 168.00$ POOL WATER COLIFORMS/HETEROTRO 7/1/2019 22.00$ DNASE-B ANTIBODY 7/1/2019 22.00$ HYALURONIC ACID 7/1/2019 152.00$ PYRUVIC ACID 7/1/2019 36.00$ IMMUNOFIXATION, FLUID 7/1/2019 48.00$ CARBROMAL 7/1/2019 168.00$ PENTOBARBITAL 7/1/2019 168.00$ PNEUMOCYSTIS CARINII 7/1/2019 47.00$ PLASMINOGEN ACTIVTR INHIBITOR 7/1/2019 80.00$ ACID PHOSPHATASE 7/1/2019 17.00$ PROPAFENONE (RYTHMOL) 7/1/2019 46.00$ FAT, QUALITATIVE, FECES 7/1/2019 15.00$ MEAT FIBERS, FECES 7/1/2019 57.00$ PHENOLPHTHALEIN, FECES 7/1/2019 15.00$ ACETYLCHOLINE REC BLOCKING AB 7/1/2019 22.00$ ACETYLCHOLINE REC MODULATE AB 7/1/2019 22.00$ ALLERGEN, SULFAMETHOXAZOL 7/1/2019 9.00$ DEHYDROEPIANDROSTERONE (DHEA) 7/1/2019 47.00$ LDL CHOLESTEROL DIRECT MEASURE 7/1/2019 16.00$ THEOPHYLLINE 7/1/2019 23.00$ BUPRENORPHINE, SERUM 7/1/2019 168.00$ VERY LONG CHAIN FATTY ACIDS 7/1/2019 186.00$ VITAMIN B5 (PANTOTHENIC ACID) 7/1/2019 117.00$ OSMOTIC FRAGILITY, ERYTHROCYTE 7/1/2019 110.00$ LEFLUNOMIDE 7/1/2019 36.00$ MYCO. TUBERCULOSIS,QUANTIFERON 7/1/2019 101.00$ ALBUMIN, GLYCATED 7/1/2019 25.00$ GLYCOMARK 7/1/2019 95.00$ ETHYL GLUCURONIDE SCREEN, UR 7/1/2019 111.00$ BENZTROPINE (COGENTIN) 7/1/2019 168.00$ INHIBIN B 7/1/2019 143.00$ BLASTOMYCES ANTIBODY 7/1/2019 21.00$ GROWTH HORMONE STIM PANEL 7/1/2019 109.00$ CULTURE, ACID-FAST BACILLI 7/1/2019 18.00$ CALPROTECTIN, FECES 7/1/2019 257.00$

PARASITE EXAM, INSECT OR SCRAP 7/1/2019 7.00$ BIOTINIDASE 7/1/2019 34.00$ FENTANYL, BLOOD 7/1/2019 168.00$ MANNOSE-BINDING LECTIN 7/1/2019 145.00$ MULLERIAN HORMONE 7/1/2019 143.00$ LEGIONELLA PNEUMONIA, DFA 7/1/2019 57.00$ NEUROMYELITIS OPTIC ANTIBODY 7/1/2019 605.00$ MALARIA TOTAL ANTIBODIES 7/1/2019 22.00$ TISSUE TRANSGLUTAMINASE IgG AB 7/1/2019 22.00$ PARASITE EXAM, WORM/SEGMENT 7/1/2019 7.00$ DEXAMETHASONE 7/1/2019 27.00$ HEMOGLOBIN-OXYGEN AFFINITY 7/1/2019 456.00$ FATTY ACIDS, FREE 7/1/2019 78.00$ CARBON MONOXIDE 7/1/2019 20.00$ FLOW CYTOMETRY ADDL MARKER/S 7/1/2019 119.00$ FLOW CYTOMETRY INTRP 2-8 MRK 7/1/2019 1.00$ REPTILASE TIME 7/1/2019 43.00$ CNDABS: CANDIDA IgA 7/1/2019 20.00$ CNDABS: CANDIDA IgG 7/1/2019 20.00$ CNDABS: CANDIDA IgM 7/1/2019 20.00$ HPV, LOW RISK 7/1/2019 437.00$ HPV, HIGH RISK 7/1/2019 437.00$ IA-2 ANTIBODY 7/1/2019 250.00$ PANCREATIC ELASTASE, FECES 7/1/2019 216.00$ NEUROMYEL. OPTICA IGG, SERUM 7/1/2019 255.00$ H. PYLORI BREATH TEST 7/1/2019 155.00$ WEST NILE VIRUS, IgM Ab 7/1/2019 28.00$ WEST NILE VIRUS, IgG Ab 7/1/2019 24.00$ C DIFFICILE ANTIBODY, SERUM 7/1/2019 135.00$ NOROVIRUS, EIA, FECES 7/1/2019 102.00$ HANTAVIRUS IgG ANTIBODY 7/1/2019 21.00$ HANTAVIRUS IgM ANTIBODY 7/1/2019 21.00$ LAMBDA LIGHT CHAIN 7/1/2019 61.00$ KAPPA LIGHT CHAIN 7/1/2019 61.00$ CHLAMYDIA T AMPLIF NA PROBE 7/1/2019 67.00$ BARTONELLA HENSELAE IgG 7/1/2019 17.00$ BARTONELLA HENSELAE IgM 7/1/2019 17.00$ BARTONELLA QUINTANA IgG 7/1/2019 17.00$ BARTONELLA QUINTANA IgM 7/1/2019 17.00$ FONDAPARINUX SODIUM ASSAY 7/1/2019 27.00$ GALOP ANTIBODY 7/1/2019 372.00$ RECOMBX HU ANTIBODY 7/1/2019 22.00$ LYMPHOCYTE MITOGEN RESPONSE 7/1/2019 80.00$ NMDA RECEPTOR IgG Ab, SERUM 7/1/2019 279.00$ INTERFERON GAMMA BY MAFD 7/1/2019 138.00$ ALLERGEN, LATEX IgG 7/1/2019 11.00$ LISTERIA AB BY CF, SERUM 7/1/2019 104.00$

THYROXINE ANTIBODY (ANTI T4) 7/1/2019 171.00$ CARNITINE (total & free) 7/1/2019 28.00$ ARSENIC, HAIR/NAILS 7/1/2019 87.00$ LEAD, HAIR/NAILS 7/1/2019 87.00$ MERCURY, HAIR/NAILS 7/1/2019 87.00$ GONADOTROPIN RELEASING HORMONE 7/1/2019 322.00$ HSV-1 TYPING 7/1/2019 33.00$ HSV-2 TYPING 7/1/2019 33.00$ SMEAR;FLUORESCENT OR AFB STAIN 7/1/2019 11.00$ BETA-2 GLYCOPROTEIN IgA 7/1/2019 42.00$ CARBAMAZEPINE, FREE 7/1/2019 22.00$ PARVOVIRUS B19, PCR 7/1/2019 110.00$ VITAMIN D2 AND D3; 25-HYDROXY 7/1/2019 56.00$ H. PYLORI IgA ANTIBODY 7/1/2019 25.00$ VWB FACTOR CLEAVING PROTEASE 7/1/2019 236.00$ LEU/LYM FLOW CYTO. 1ST MARKER 7/1/2019 300.00$ ALPRAZOLAM (XANAX), SERUM 7/1/2019 168.00$ AMINO ACID, SERUM 7/1/2019 131.00$ PROTEIN S, FUNCTIONAL 7/1/2019 26.00$ PROTEIN C, FUNCTIONAL 7/1/2019 23.00$ HEX PHOS NEUTRALIZATION 7/1/2019 110.00$ ITRACONAZOLE LEVEL 7/1/2019 95.00$ B CELL, TOTAL COUNT 7/1/2019 62.00$ NATURAL KILLER CELLS 7/1/2019 62.00$ DNA SINGLE-STRANDED IgG Ab 7/1/2019 31.00$ THIOPURINE METHYLTRANSFERASE 7/1/2019 175.00$ BRUCELLA ANTIBODY (TOTAL) 7/1/2019 57.00$ RICKETTSIA RICKETTSII IgG Ab 7/1/2019 32.00$ RICKETTSIA RICKETTSII IgM Ab 7/1/2019 32.00$ RICKETTSIA TYPHI IgG Ab 7/1/2019 32.00$ RICKETTSIA TYPHI IgM Ab 7/1/2019 32.00$ SAMONELLA TYPHI H type A 7/1/2019 22.00$ SAMONELLA TYPHI H type B 7/1/2019 22.00$ SAMONELLA TYPHI H type D 7/1/2019 22.00$ SAMONELLA TYPHI O type D 7/1/2019 22.00$ SAMONELLA TYPHI O type VI 7/1/2019 22.00$ CADMIUM, BLOOD 7/1/2019 38.00$ LIPOPROTIEN ELECTROPHORESIS 7/1/2019 77.00$ GM1 IgG ANTIBODY 7/1/2019 22.00$ GM1 IgM ANTIBODY 7/1/2019 22.00$ POLIOVIRUS 3 ANTIBODY 7/1/2019 21.00$ B. PERTUSSIS IgG Ab by ELISA 7/1/2019 30.00$ B. PERTUSSIS IgM Ab by ELISA 7/1/2019 22.00$ LYME DISEASE IgM Ab by WBLOT 7/1/2019 25.00$ PROTIEN, TOTAL, CSF 7/1/2019 8.00$ HISTOPLASMA CAPSULATUM Ab 7/1/2019 20.00$ AChR BLOCKING ANTIBODY 7/1/2019 22.00$

AChR MODULATING ANTIBODY 7/1/2019 22.00$ STRIATED MUSCLE IgG ANTIBODY 7/1/2019 28.00$ VIRUS ISOLATE,TISSUE CULT INOC 7/1/2019 92.00$ VIRUS ISOLATE, ADDL ID 7/1/2019 33.00$ SGPG ANTIBODY, IgM 7/1/2019 22.00$ NEUTROPHIL CYTOPLASMIC Ab 7/1/2019 28.00$ REDUCING SUBSTANCE, FECES 7/1/2019 9.00$ PLATELET ASSOCIATED ANTIBODY 7/1/2019 34.00$ TISSUE CULTURE; LYMPHOCYTE 7/1/2019 190.00$ CHROM ANALY; ADDTL HI RESOLN 7/1/2019 56.00$ CULTURE, CHLAMYDIA TRACHOMATIS 7/1/2019 32.00$ CULTURE, TYPING, I.F. METHOD 7/1/2019 9.00$ TISSUE CULTURE; SKIN OR SOLID 7/1/2019 230.00$ CPK ISOENZYMES 7/1/2019 22.00$ BICARBONATE (HCO3), URINE 7/1/2019 9.00$ CHLORIDE, URINE, RANDOM 7/1/2019 10.00$ PROTEIN, TOTAL, URINE RANDOM 7/1/2019 8.00$ CYCLIC AMP, URINE 7/1/2019 42.00$ SMITH IgG ANTIBODY 7/1/2019 29.00$ Sm/RNP IgG ANTIBODY 7/1/2019 29.00$ RIBONUCLEIC PROTIEN IgG Ab 7/1/2019 29.00$ HERPES SIMPLEX TYPE 1, IgG 7/1/2019 22.00$ BORDETELLA PERTUSSIS, PCR 7/1/2019 57.00$ BORDETELLA PARAPERTUSSIS, PCR 7/1/2019 57.00$ VOLTAGE GATED K CHANNEL AB 7/1/2019 399.00$ THYROGLOBIN ANTIBODY ONLY 7/1/2019 26.00$ SSA (Ro) IgG ANTIBODY 7/1/2019 29.00$ SSB (La) IgG ANTIBODY 7/1/2019 29.00$ TUMOR NECROSIS FACTOR-ALPHA 7/1/2019 138.00$ LIPOFIT BY NMR 7/1/2019 52.00$ EVEROLIMUS 7/1/2019 135.00$ BENZODIAZEPINE, QUANTITATIVE 7/1/2019 168.00$ BARBITURATE, QUANTITATIVE 7/1/2019 168.00$ BUPRENORPHINE 7/1/2019 168.00$ TRAMADOL & METABOLITES, URINE 7/1/2019 168.00$ PROPOXYPHENE, URINE 7/1/2019 168.00$ ALLERGEN, TIMOTHY GRASS 7/1/2019 9.00$ ALLERGEN, KENTUCKY BLUE GRASS 7/1/2019 9.00$ ALLERGEN, BOX ELDER 7/1/2019 9.00$ ALLERGEN, OAK TREE 7/1/2019 9.00$ ALLERGEN, RAGWEED 7/1/2019 9.00$ ALLERGEN, PLANTAIN/RIBWORT 7/1/2019 9.00$ ALLERGEN, LAMB'S QUARTER 7/1/2019 9.00$ ALLERGEN, ASPERGILLUS FUMIGATU 7/1/2019 9.00$ ALLERGEN, ALTERNARIA ALTERNATA 7/1/2019 9.00$ ALLERGEN, CAT DANDER 7/1/2019 9.00$ ALLERGEN, DOG DANDER 7/1/2019 9.00$

ALLERGEN, MITE, D.farinae 7/1/2019 9.00$ ALLERGEN, SILVER BIRCH 7/1/2019 9.00$ PHENCYCLIDINE, QUANTITATIVE 7/1/2019 168.00$ METHAQUALONE, URINE 7/1/2019 168.00$ MATRIX METALLOPROTEINASE-9 7/1/2019 106.00$ ALLERGEN, CARMINE RED DYE #4 7/1/2019 9.00$ ALLERGEN, STRAWBERRY 7/1/2019 9.00$ ALLERGEN, QUINOLINE YELLOW 7/1/2019 9.00$ MELONOCYTE STIM. HORMONE,ALPHA 7/1/2019 258.00$ LACOSAMIDE, SERUM OR PLASMA 7/1/2019 168.00$ LEPTIN 7/1/2019 114.00$ PM/Scl-100 IgG ANTIBODY 7/1/2019 29.00$ C-1-ESTERASE INHIBITOR 7/1/2019 24.00$ H. PYLORI IgM ANTIBODY 7/1/2019 25.00$ SILICONE LEVEL 7/1/2019 38.00$ PORPHYRINS, TOTAL, SERUM 7/1/2019 21.00$ PARTIAL THROMBOPLASTIN TIME 7/1/2019 11.00$ DES-GAMMA-CARBOXY PROTHROMBIN 7/1/2019 196.00$ CREATININE, BODY FLUID 7/1/2019 10.00$ VITAMIN B3 (NIACIN) 7/1/2019 105.00$ ALLERGEN, CLADOSPOR. HERBARUM 7/1/2019 9.00$ ALLERGEN, COCKROACH, GERMAN 7/1/2019 9.00$ ALLERGEN, MITE,D.PTERONYSSINUS 7/1/2019 9.00$ ALLERGEN, COD 7/1/2019 9.00$ ALLERGEN, HAZELNUT 7/1/2019 9.00$ ALLERGEN, PECAN/HICKORY 7/1/2019 9.00$ ALLERGEN, NETTLE 7/1/2019 9.00$ ALLERGEN, PEANUT 7/1/2019 9.00$ ALLERGEN, PENICILLIUM NOTATUM 7/1/2019 9.00$ ALLERGEN, PIGWEED 7/1/2019 9.00$ ALLERGEN, MULBERRY 7/1/2019 9.00$ ALLERGEN, SHRIMP 7/1/2019 9.00$ ALLERGEN, SHEEP SORREL 7/1/2019 9.00$ ALLERGEN, SOYBEAN 7/1/2019 9.00$ ALLERGEN, SYCAMORE 7/1/2019 9.00$ ALLERGEN, WALNUT 7/1/2019 9.00$ ALLERGEN, WHEAT 7/1/2019 9.00$ ALLERGEN, BEEF 7/1/2019 9.00$ ALLERGEN, HOUSEDUST(HOL-STIER) 7/1/2019 9.00$ ALLERGEN, MAPLE (HARD) TREE 7/1/2019 9.00$ ALLERGEN, RHIZOPUS NIGRICANS 7/1/2019 9.00$ ALLERGEN, WHITE ASH 7/1/2019 9.00$ ALLERGEN, BERMUDA GRASS 7/1/2019 9.00$ ALLERGEN, ACREMONIUM 7/1/2019 9.00$ ALLERGEN, COTTONWOOD 7/1/2019 9.00$ ALLERGEN, CURVULARIA SPICIFERA 7/1/2019 9.00$ ALLERGEN, EPICCUM NIGRUM 7/1/2019 9.00$

ALLERGEN, FUSARIUM VASINFECTUM 7/1/2019 9.00$ ALLERGEN, JOHNSON GRASS 7/1/2019 9.00$ ALLERGEN, ROUGH MARSHELDER 7/1/2019 9.00$ ALLERGEN, MUCOR RACEMOSUS 7/1/2019 9.00$ ALLERGEN, MUGWORT 7/1/2019 9.00$ ALLERGEN, PHOMA HERBARUM 7/1/2019 9.00$ ALLERGEN, WHITE PINE 7/1/2019 9.00$ ALLERGEN, RED CEDAR 7/1/2019 9.00$ ALLERGEN, RUSSIAN THISTLE 7/1/2019 9.00$ COBALT, SERUM 7/1/2019 36.00$ MONONUCLEAR CELL ANTIGEN 7/1/2019 44.00$ METHYLMALONIC ACID, UR, RANDOM 7/1/2019 31.00$ ALLERGEN, PENICILLOYL G IgE 7/1/2019 9.00$ ALLERGEN, H. HALODES 7/1/2019 9.00$ IA BY EIA - MULTI STEP 7/1/2019 20.00$ SHIGA-LIKE TOXIN AG EIA 7/1/2019 23.00$ SEROTONIN RELEASE ASSAY 7/1/2019 478.00$ SMEAR COMPLEX STAIN 7/1/2019 29.00$ HEMOGLOBIN, URINE 7/1/2019 26.00$ MML: MCG; DNA PROBE EA 7/1/2019 35.00$ MML: MCG; IP SITU 100-300 CELL 7/1/2019 75.00$ MML: CYTOGENETIC STUDY 7/1/2019 81.00$ MML: TISSUE CULTURE; BM/BLD 7/1/2019 215.00$ MML: FLOW CYTOMETRY 1ST MARKER 7/1/2019 300.00$ MML: FLOW CYTOMTRY ADDL MRKR/S 7/1/2019 119.00$ MML: FLOW CYTO INTRP 2-8 MRK 7/1/2019 1.00$ MML: MCG; IP SITU 25-99 CELLS 7/1/2019 62.00$ MML: PERIPHERAL BLOOD MORPHLGY 7/1/2019 81.00$ RETINOL BINDING PROTEIN 7/1/2019 26.00$ LAMELLAR BODY COUNTS 7/1/2019 82.00$ EBV, QUANTITATIVE, PCR 7/1/2019 261.00$ CIRCULATING TUMOR CELL COUNT 7/1/2019 864.00$ CULTURE VIRAL, NON-RESPIRATORY 7/1/2019 92.00$ M. GORDONAE, DNA PROBE 7/1/2019 136.00$ MML: FLOW CYTO. INTRP 9-15 MRK 7/1/2019 1.00$ MML: FLOW CYTO INTERP 16&> MRK 7/1/2019 1.00$ ALLERGEN, GLUTEN IgG 7/1/2019 11.00$ ALLERGEN, CASEIN IgG 7/1/2019 11.00$ (1,3)-BETA-D-GUCAN 7/1/2019 237.00$ CMV DNA, QUALITATIVE PCR 7/1/2019 140.00$ VORICONAZOLE, SERUM/PLASMA 7/1/2019 95.00$ PNEUMOCYSTIS JIROVECII, PCR 7/1/2019 315.00$ HISTOPLASMA ANTIGEN, SERUM 7/1/2019 102.00$ ALK PHOSPHATASE, BONE SPECIFIC 7/1/2019 27.00$ LACTOSE TT, 1ST 3 SPECIMEN 7/1/2019 28.00$ FIBRIN DEGRADATION PRODUCTS 7/1/2019 34.00$ CRYPTOCOCCAL ANTIGEN, SERUM 7/1/2019 17.00$

NBS: AMINO ACID DISORDERS 7/1/2019 23.00$ NBS: BIOTINIDASE DEFICIENCY 7/1/2019 28.00$ NBS: ENDOCRINE DISORDERS 7/1/2019 32.00$ NBS: FATTY ACID DISORDERS 7/1/2019 24.00$ NBS: GALACTOSEMIA 7/1/2019 21.00$ NBS: HEMOGLOBINOPATHY 7/1/2019 24.00$ NBS: ORGANIC ACID DISORDER 7/1/2019 44.00$ NBS: CYSTIC FIBROSIS 7/1/2019 22.00$ CHEMILUM. ASSAY, ICAM 7/1/2019 35.00$ CHEMILUM. ASSAY, VCAM 7/1/2019 35.00$ CHEMILUM. ASSAY, SAA 7/1/2019 35.00$ IMMUNOASSAY QUANTITATIVE 7/1/2019 25.00$ IF EA Ab, INDIRECT 7/1/2019 314.00$ ALLERGEN, BARLEY 7/1/2019 9.00$ ALLERGEN, GRAPE 7/1/2019 9.00$ ALLERGEN, OAT 7/1/2019 9.00$ ALLERGEN, RASPBERRY 7/1/2019 9.00$ ALLERGEN, CRAB 7/1/2019 9.00$ ALLERGEN, PORK 7/1/2019 9.00$ ALLERGEN, LETTUCE 7/1/2019 9.00$ ALLERGEN, ORANGE 7/1/2019 9.00$ ALLERGEN, TOMATO 7/1/2019 9.00$ VIRUS IDENTIFICATION 7/1/2019 48.00$ LEUKOCYTE ALK PHOS STAIN 7/1/2019 14.00$ MML: MICRODISSECTION, MANUAL 7/1/2019 1.00$ M. TUBERCULOSIS, DNA PROBE 7/1/2019 136.00$ M. AVIUM-INTRACELL., DNA PROBE 7/1/2019 136.00$ SULFONAMIDES 7/1/2019 28.00$ SOLUBLE LIVER ANTIGEN IgG 7/1/2019 22.00$ PLATELET AGGREGATION 7/1/2019 90.00$ SRP AUTOANTIBODIES 7/1/2019 29.00$ FUNGAL ID; MOLD 7/1/2019 54.00$ MML: BCR/ABL1 MAJOR BP 7/1/2019 351.00$ MML: BCR/ABL1 MINOR BP 7/1/2019 310.00$ MML: BCR/ABL1 OTHER BP 7/1/2019 414.00$ MML:TRB@GENE REARRANGE AMPLIFY 7/1/2019 410.00$ MML:TRG GENE REARRANGEMNT ANAL 7/1/2019 395.00$ MML:IGK REARRANGEABN CLONL POP 7/1/2019 368.00$ MML: JAK-2 (V617F) MUTATION 7/1/2019 432.00$ MML: JAK2 EXON 12 MUTATION 7/1/2019 350.00$ MML: BCR/ABL, p210, QUAN 7/1/2019 351.00$ MML: BCR/ABL, p190 mRNA DETCTN 7/1/2019 310.00$ MML: EGFR MUTATION ANALYSIS 7/1/2019 2,602.00$ MML: PML/RARA QUANT, PCR 7/1/2019 886.00$ HLA B27, CONFIRMATION 7/1/2019 145.00$ FACTOR V LEIDEN 7/1/2019 108.00$ PROTHROMBIN GENE MUTATION 7/1/2019 97.00$

HEMOCHROMATOSIS GENE ANALYSIS 7/1/2019 141.00$ MTHFR GENE 7/1/2019 148.00$ HUNTINGTON DISEASE DNA TESTING 7/1/2019 498.00$ JAK-2 (V617F) MUTATION 7/1/2019 432.00$ BCR/ABL, MINOR BP (p190) 7/1/2019 310.00$ FLUOXETINE & METABOLITES, S/P 7/1/2019 168.00$ CLOMIPRIMINE & METABOLITE 7/1/2019 168.00$ NARCOLEPSY-ASSOC. HLA TYPING 7/1/2019 413.00$ JAK2 EXON 12 MUTATION 7/1/2019 350.00$ BETA GLOBIN MUTATIONS 7/1/2019 336.00$ TPMT GENETICS, PROMETHEUS 7/1/2019 446.00$ ALPHA THALASSEMIA 7 DELETIONS 7/1/2019 561.00$ CONNEXIN 26 SEQUENCING 7/1/2019 879.00$ FMR1 GENE DETECTION 7/1/2019 228.00$ FMR1 GENE CHARACTERIZATION 7/1/2019 66.00$ HLA II TYPING 1 LOCUS LR 7/1/2019 200.00$ MT-RNR1 7/1/2019 272.00$ MT-TS1 7/1/2019 272.00$ MML: PMS2 GENE FULL SEQ ANALYS 7/1/2019 994.00$ PMS2 GENE DUP/DELET VARIANTS 7/1/2019 989.00$ MLH1 GENE FULL SEQ 7/1/2019 993.00$ MLH1 GENE DUP/DEL VARIANT 7/1/2019 954.00$ MSH2 GENE FULL SEQ 7/1/2019 954.00$ MSH2 GENE DUP/DEL VARIANT 7/1/2019 954.00$ MSH6 GENE FULL SEQ 7/1/2019 944.00$ MSH6 GENE DUP/DEL VARIANT 7/1/2019 954.00$ MOLECULAR PATHOLOGY, UNLISTED 7/1/2019 125.00$ CHROM MICROARRAY ANALYSIS-HR 7/1/2019 2,256.00$ ENA ANY METHOD 7/1/2019 29.00$ OLIGOCLONAL BAND-CSF & SERUM 7/1/2019 48.00$ PHENOL EXPOSURE, URINE 7/1/2019 26.00$ MAGNESIUM, RBC 7/1/2019 13.00$ COMPLEMENT COMPONENT 3A 7/1/2019 111.00$ SUSCEPTABILITY-M. TUBERCULOSIS 7/1/2019 65.00$ HISTOPLASMA ANTIBODY, ID,SERUM 7/1/2019 20.00$ CEA, BODY FLUID 7/1/2019 36.00$ ALLERGEN, SESAME SEED 7/1/2019 9.00$ ALLERGEN, SCALLOP 7/1/2019 9.00$ ALLERGEN, GLUTEN 7/1/2019 9.00$ ALLERGEN, CLAM 7/1/2019 9.00$ ALPHA-1-ANTITRYPSIN, PHENOTYPE 7/1/2019 24.00$ CULTURE, NEISSERIA GONORRHOEAE 7/1/2019 13.00$ MML: KRAS ANALYS, CONDON 12&13 7/1/2019 432.00$ VARICELLA ZOSTER, PCR, BLOOD 7/1/2019 110.00$ NOROVIRUS Group 1 7/1/2019 151.00$ NOROVIRUS Group 2 7/1/2019 151.00$ MML: BRAF GENE ANALYSIS 7/1/2019 675.00$

PLATELET FUNCTION INHIBITION 7/1/2019 127.00$ HLA-DR GENOTYPE 7/1/2019 505.00$ IMMUNOASSAY NONANTIBODY 7/1/2019 22.00$ CHLAMYDOPHILA PNEUMONIAE, PCR 7/1/2019 249.00$ T3, THYROID HORMONE UPTAKE 7/1/2019 11.00$ MML: GOMORI'S RETICULUM STAIN 7/1/2019 184.00$ RUBELLA IgM ANTIBODY 7/1/2019 31.00$ IMMUNOASSAY QUANT NOS NON AB 7/1/2019 25.00$ FLOW CYTOMETRY 1ST MARKER 7/1/2019 300.00$ FATTY ACID PROFILE COMPREHNSIV 7/1/2019 132.00$ BETA-2 MICROGLOBULIN, CSF 7/1/2019 26.00$ PORPHOBILINOGEN URINE; QUAN 7/1/2019 48.00$ ASIALO-GM1 ANTIBODIES IgG/IgM 7/1/2019 22.00$ GM1 ANTIBODIES, IgG/IgM 7/1/2019 22.00$ GD1a ANTIBODIES, IgG/IgM 7/1/2019 22.00$ GD1b ANTIBODIES, IgG/IgM 7/1/2019 22.00$ GQ1b ANTIBODIES, IgG/IgM 7/1/2019 22.00$ PCCA/ANNA IgG ANTIBODY SCREEN 7/1/2019 28.00$ HISTOPLASMA MYCELIA ANTIBODY 7/1/2019 20.00$ HISTOPLASMA YEAST ANTIBODY 7/1/2019 20.00$ T3 RESIN UPTAKE 7/1/2019 14.00$ HIV-1 ANTIBODY DIFFERENTIATION 7/1/2019 54.00$ HIV-2 ANTIBODY 7/1/2019 54.00$ DIURETICS SCREEN, URINE 7/1/2019 111.00$ DIURETICS CONFIRMATION, URINE 7/1/2019 168.00$ CULTURE, DIPHTHERIA 7/1/2019 13.00$ ORGANISM SUSCEPTIBILITY MIC 7/1/2019 16.00$ ALLERGEN, CASHEW 7/1/2019 9.00$ ALLERGEN, PECAN NUT 7/1/2019 9.00$ ALLERGEN, MACADAMIA NUT 7/1/2019 9.00$ HEPATITIS B GENOTYPE 7/1/2019 498.00$ IMMUKNOW 7/1/2019 293.00$ RICKETTSIA RICKETTSII DNA, PCR 7/1/2019 114.00$ PROTEINASE-3 IgG AB 7/1/2019 22.00$ UGT1A1 (IRINOTECAN TOXICITY) 7/1/2019 425.00$ MML: HER2 BREAST IHC,AUTOMATED 7/1/2019 454.00$ HETEROPHILE TITER 7/1/2019 38.00$ MOLYBDENUM, WHOLE BLOOD 7/1/2019 73.00$ CHROMOSOME ANAL, 20-25 CELLS 7/1/2019 213.00$ JOHN CUNNINGHAM VIRUS, PCR 7/1/2019 359.00$ GLOMERULAR BASEMNT MEMBRN IgG 7/1/2019 89.00$ P-10 SEQUENCING 7/1/2019 1,400.00$ MML: HIV-1 RNA QUANT W/REFLEX 7/1/2019 174.00$ ALLERGEN, SPECIFIC IgE 7/1/2019 9.00$ ASPERGILLUS ANTIBODY 7/1/2019 25.00$ TISSUE CULTURE; OTHER TISSUE 7/1/2019 241.00$ CHROM ANALY: 5 CELLS 7/1/2019 389.00$

CHROM ANALY: AF CELLS 6-12 COL 7/1/2019 272.00$ MML:CHROM ANALY: ADD CELL CNTS 7/1/2019 41.00$ CARBAMAZEPINE EPOXIDE & TOTAL 7/1/2019 28.00$ DOXEPIN AND METABOLITE 7/1/2019 168.00$ HIV-1 INTEGRASE RESISTANCE 7/1/2019 245.00$ HLA-B 5701 GENOTYPE 7/1/2019 250.00$ MML:IHC PER SPEC 1st SINGLE AB 7/1/2019 269.00$ MML:IHC PER SPEC ADD SINGLE AB 7/1/2019 88.00$ MOL PATH LEVEL 6; TGFBR1 7/1/2019 443.00$ MOL PATH LEVEL 6; TGFBR2 7/1/2019 443.00$ MOLECULAR PATH, DEL/DUP 7/1/2019 125.00$ MAGNESIUM, FECES 7/1/2019 13.00$ TITANIUM, SERUM/PLASMA 7/1/2019 141.00$ IODINE 7/1/2019 68.00$ HEMATOCRIT, BODY FLUID 7/1/2019 5.00$ SULFONYLUREA SCREEN, URINE 7/1/2019 168.00$ HYPOGLYCEMIC PANEL (QUAL) 7/1/2019 168.00$ MML: ESTERASE,BUTYRATE+CHLORAC 7/1/2019 889.00$ COCAINE & METABOLITE, URINE 7/1/2019 111.00$ METHEMOGLOBIN 7/1/2019 17.00$ MML: SPECIAL STAINS GROUP 1 7/1/2019 233.00$ FUNGAL ID BY MALDI-TOF MS 7/1/2019 11.00$ TRICHOMONAS VAGINALIS NAAT 7/1/2019 26.00$ CULTURE,VARICELLA-ZOSTER VIRUS 7/1/2019 42.00$ AMMONIA, URINE 7/1/2019 28.00$ CALCIUM, URINE 7/1/2019 11.00$ SULFATE, URINE 7/1/2019 31.00$ CEA AG, SERUM/PLASMA 7/1/2019 36.00$ MML: ISH, EPSTEIN-BARR VIRUS 7/1/2019 798.00$ C. DIFFICILE ANTIGEN (GDH) 7/1/2019 20.00$ MML: C. DIFF TOX B GENE BY PCR 7/1/2019 67.00$ BABESIA MICROTI IgG ANTIBODY 7/1/2019 20.00$ BABESIA MICROTI IgM ANTIBODY 7/1/2019 20.00$ COXIELLA BRUNETII IgG PHASE 1 7/1/2019 20.00$ COXIELLA BRUNETII IgG PHASE 2 7/1/2019 20.00$ MML: CALR GENE MUTATION EXON9 7/1/2019 1,076.00$ MML: MPL EXON 10 MUTATION DET 7/1/2019 993.00$ RHEUMATOID FACTOR QUANTITATIVE 7/1/2019 9.00$ EHRLICHIA CHAFFEENSIS IgM 7/1/2019 17.00$ MYCOPLASMA PNEUMONIAE by PCR 7/1/2019 127.00$ AMYLASE, PANCREATIC 7/1/2019 12.00$ MML:IGH GENE REARRANG AMP METH 7/1/2019 468.00$ ALLERGEN, ELM TREE 7/1/2019 9.00$ ALLERGEN, MOUNTAIN JUNIPER 7/1/2019 9.00$ COLD AGGLUTININS 7/1/2019 12.00$ HERPES SIMPLEX 2 AG, IF 7/1/2019 37.00$ HERPES SIMPLEX 1 AG, IF 7/1/2019 37.00$

DIGITOXIN 7/1/2019 36.00$ IgG SUBCLASS 1 7/1/2019 13.00$ IgG SUBCLASS 2 7/1/2019 13.00$ IgG SUBCLASS 3 7/1/2019 13.00$ IgG SUBCLASS 4 7/1/2019 13.00$ MAG ANTIBODY 7/1/2019 25.00$ SGPG ANTIBODY 7/1/2019 25.00$ SULFATIDE IgG ANTIBODY 7/1/2019 330.00$ SULFATIDE IgM ANTIBODY 7/1/2019 330.00$ ASIALO-GM1 ANTIBODY 7/1/2019 25.00$ CO-GM1 ANTIBODY 7/1/2019 25.00$ GD1a ANTIBODY 7/1/2019 25.00$ GD1b ANTIBODY 7/1/2019 25.00$ PHOSPHATIDYLSERINE IgA AB 7/1/2019 26.00$ PHOSPHATIDYLSERINE IgG AB 7/1/2019 26.00$ PHOSPHATIDYLSERINE IgM AB 7/1/2019 26.00$ DENGUE FEVER VIRUS IgG AB 7/1/2019 21.00$ DENGUE FEVER VIRUS IgM AB 7/1/2019 21.00$ A. FUMAGATUS #1 AB 7/1/2019 25.00$ A. FUMAGATUS #6 AB 7/1/2019 25.00$ A. FUMAGATUS #2 AB 7/1/2019 25.00$ A. FUMAGATUS #3 AB 7/1/2019 25.00$ A. PULLULANS AB 7/1/2019 20.00$ PIGEON SERUM AB 7/1/2019 20.00$ M. FAENI AB 7/1/2019 20.00$ T. VULGARIS #1 AB 7/1/2019 20.00$ A. FLAVUS AB BY ID 7/1/2019 25.00$ S. VIRIDIS AB 7/1/2019 20.00$ T. CANDIDUS AB 7/1/2019 20.00$ T. SACCHARI AB 7/1/2019 20.00$ ALLERGEN, PHOMA BETAE 7/1/2019 9.00$ ECHOVIRUS 6 ANTIBODY 7/1/2019 21.00$ ECHOVIRUS 7 ANTIBODY 7/1/2019 21.00$ ECHOVIRUS 9 ANTIBODY 7/1/2019 21.00$ ECHOVIRUS 11 ANTIBODY 7/1/2019 21.00$ ECHOVIRUS 30 ANTIBODY 7/1/2019 21.00$ COXSACKIE B1 VIRUS ANTIBODY 7/1/2019 21.00$ COXSACKIE B2 VIRUS ANTIBODY 7/1/2019 21.00$ COXSACKIE B3 VIRUS ANTIBODY 7/1/2019 21.00$ COXSACKIE B4 VIRUS ANTIBODY 7/1/2019 21.00$ COXSACKIE B5 VIRUS ANTIBODY 7/1/2019 21.00$ COXSACKIE B6 VIRUS ANTIBODY 7/1/2019 21.00$ PNEUMOCOCCAL SEROTYPE 1 IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 3 IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 4 IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 5 IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 6B IgG 7/1/2019 24.00$

PNEUMOCOCCAL SEROTYPE 7F IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 8 IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 9N IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 9V IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 12F IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 14 IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 18C IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 19F IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 23F IgG 7/1/2019 24.00$ PYRROLES, URINE 7/1/2019 12.00$ ATG16L1 SNP MOLECULAR PATH. 7/1/2019 57.00$ ECM1 SNP MOLECULAR PATH. 7/1/2019 57.00$ NKX2-3 SNP MOLECULAR PATH. 7/1/2019 57.00$ STAT3 SNP MOLECULAR PATH. 7/1/2019 57.00$ ANTI-A4-Fla2 IgG by ELISA 7/1/2019 25.00$ ANTI-CBir1 IgG by ELISA 7/1/2019 25.00$ ANTI-FlaX IgG by ELISA 7/1/2019 25.00$ ANTI-OmpC IgA by ELISA 7/1/2019 25.00$ ASCA IgA by ELISA 7/1/2019 25.00$ ASCA IgG by ELISA 7/1/2019 25.00$ IBD-pANCA AutoAB by ELISA 7/1/2019 25.00$ VEGF by ELISA 7/1/2019 25.00$ IBD-pANCA DNAse SENSITIVITY 7/1/2019 314.00$ IBD-pANCA PERINUCLEAR PATTERN 7/1/2019 111.00$ MONONUCLEAR CELL ANTIGEN, CD2 7/1/2019 44.00$ MONONUCLEAR CELL ANTIGEN, CD3 7/1/2019 44.00$ MONONUCLEAR CELL ANTIGEN, CD5 7/1/2019 44.00$ MONONUCLEAR CELL ANTIGEN, CD7 7/1/2019 44.00$ MONONUCLEAR CELL ANTIGEN, CD8 7/1/2019 44.00$ MONONUCLEAR CELL ANTIGEN, CD16 7/1/2019 44.00$ MONONUCLEAR CELL ANTIGEN, CD56 7/1/2019 44.00$ MONONUCLEAR CELL ANTIGEN, CD57 7/1/2019 44.00$ RNA POLYMERASE III IgG AB 7/1/2019 22.00$ ALLERGEN, MEADOW FESCUE 7/1/2019 9.00$ ALLERGEN, RYE-GRASS 7/1/2019 9.00$ ALLERGEN, C. LUNATA 7/1/2019 9.00$ ALLERGEN, E. PURPURASCENS 7/1/2019 9.00$ ALLERGEN, F. MONILIFORME 7/1/2019 9.00$ ALLERGEN, ALMONDS 7/1/2019 9.00$ ALLERGEN, BRAZIL NUT 7/1/2019 9.00$ ALLERGEN, PISTACHIO 7/1/2019 9.00$ ALLERGEN, CORIANDER/CILANTRO 7/1/2019 9.00$ CELL COUNT, CSF 7/1/2019 9.00$ BACTERIAL CULTURE OTHER SOURCE 7/1/2019 16.00$ IA INFECTIOUS AGENT AB QUAN 7/1/2019 24.00$ PANCREATIC POLYPEPTIDE 7/1/2019 131.00$ CYSTATIN C 7/1/2019 89.00$

CA 15-3 7/1/2019 34.00$ BRUCELLA IgG ANTIBODY 7/1/2019 57.00$ BRUCELLA IgM ANTIBODY 7/1/2019 57.00$ HLA-DQB GENOTYPE 7/1/2019 505.00$ TRICHOMONAS VAGINALIS TMA 7/1/2019 67.00$ IN SITU HYBRID/SPEC, INT STAIN 7/1/2019 269.00$ ADENOVIRUS, QUANTITATIVE PCR 7/1/2019 447.00$ TRYPANOSOMA CRUZI IgG ANTIBODY 7/1/2019 30.00$ TRYPANOSOMA CRUZI IgM ANTIBODY 7/1/2019 30.00$ MALARIA SMEAR 7/1/2019 14.00$ MML: MASSON'S TRICHOME STAIN 7/1/2019 184.00$ DRUG SCREEN 6, CLASS A, SERUM 7/1/2019 111.00$ DRUG SCREEN 8, w/CONFIRM PRN 7/1/2019 111.00$ DRUG SCREEN 9, w/CONFIRM PRN 7/1/2019 111.00$ DRUG SCREEN 9, MECONIUM 7/1/2019 111.00$ DRUG SCREEN 10, w/CONFIRM PRN 7/1/2019 111.00$ DRUG SCREEN PAIN PNL A;CLASS A 7/1/2019 111.00$ DRUG SCREEN PAIN PNL B;CLASS A 7/1/2019 111.00$ DRUG SCREEN PRSMPTV 1 CLASS B 7/1/2019 111.00$ DRUG SCREEN w VOLTLS; CLASS A 7/1/2019 111.00$ DRUG SCREEN PAIN PNL; CLASS A 7/1/2019 111.00$ DRUG SCREEN QUANT ALCOHOLS 7/1/2019 168.00$ DRUG SCREEN ONE/MULT CLASS 7/1/2019 111.00$ DRUG SCREEN COMPRHSV; CLASS A 7/1/2019 111.00$ HER-2/NEU,PARAFFIN BLK/FISHNEO 7/1/2019 563.00$ HEROIN METABOLITE 7/1/2019 168.00$ OPIATES 1 OR MORE 7/1/2019 168.00$ OPIOIDS & OPIATE ANALOGS 1/2 7/1/2019 168.00$ MML: SOLID TUMOR CANCER PANEL 7/1/2019 4,702.00$ HEXOSAMINIDASE A % and TOTAL 7/1/2019 134.00$ ALLERGEN, LOBSTER 7/1/2019 9.00$ ALLERGEN, OYSTER 7/1/2019 9.00$ ALLERGEN, PINE NUT 7/1/2019 9.00$ ADALIMUMAB ACTIVITY 7/1/2019 340.00$ ADALIMUMAB NEUTRALIZING AB 7/1/2019 35.00$ METHADONE QNT, MECONIUM 7/1/2019 168.00$ F-ACTIN ANTIBODY, IgG 7/1/2019 22.00$ CHIKUNGUNYA AB, IgG 7/1/2019 21.00$ CHIKUNGUNYA AB, IgM 7/1/2019 21.00$ ACYLGLYCINE, URINE 7/1/2019 254.00$ MML: MCG; IP SITU < 25 CELLS 7/1/2019 62.00$ KIT (D816V) MUTATION BY PCR 7/1/2019 420.00$ NMO/AQUAPORIN-4 RECEPTOR AB 7/1/2019 22.00$ IN SITU HYBRID/SPEC, ADD STAIN 7/1/2019 188.00$ QUANT HPLC 6-methyl-thioguanin 7/1/2019 35.00$ TPMT ENZYME ACTIVITY, RBC 7/1/2019 175.00$ UROVYSION FISH_NEO 7/1/2019 900.00$

THALLIUM, WHOLE BLOOD 7/1/2019 36.00$ BARIUM, URINE 7/1/2019 73.00$ MML: HRAS EXON 2 SEQUENCE 7/1/2019 510.00$ MML: NRAS EXON 1 & 2 SEQUENCE 7/1/2019 814.00$ ANA BY IFA, BODY FLUID 7/1/2019 23.00$ RHEUMATOID FACTOR, BODY FLUID 7/1/2019 23.00$ ALLERGEN, EGG YOLK 7/1/2019 9.00$ ELECTROPHORESIS NES 7/1/2019 90.00$ MUCOPOLYSACCHARIDES 7/1/2019 42.00$ ENZYME ACTIVITY BC; RA 7/1/2019 504.00$ PNEUMOCOCCAL SEROTYPE 2 IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 10A IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 11A IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 15B IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 17F IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 19A IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 20 IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 22F IgG 7/1/2019 24.00$ PNEUMOCOCCAL SEROTYPE 33F IgG 7/1/2019 24.00$ AFB SUSCEPTABILITY 7/1/2019 99.00$ GRAM STAIN 7/1/2019 8.00$ ALLERGEN, WHOLE EGG 7/1/2019 9.00$ MML:MYD88 L265P GENE MUT ANLYS 7/1/2019 1,029.00$ MML: BENNHOLD AMYLOID MOD 7/1/2019 184.00$ PHENOTYPE INFECT AGENT DRUG 7/1/2019 213.00$ GENOTYPE DNA HIV REVERSE T 7/1/2019 420.00$ GENOTYPE DNA HIV OTHER REGION 7/1/2019 210.00$ ALLERGEN, HORSE DANDER 7/1/2019 9.00$ ALLERGEN, REDTOP/BENTGRASS 7/1/2019 9.00$ ALLERGEN, HOUSE DUST (GREER) 7/1/2019 9.00$ ALLERGEN, CANDIDA ALBICANS 7/1/2019 9.00$ ALLERGEN, WILLOW 7/1/2019 9.00$ ALLERGEN, FALSE RAGWEED 7/1/2019 9.00$ ALLERGEN, WESTERN RAGWEED 7/1/2019 9.00$ ALLERGEN, MULTI FEATHERS ASSAY 7/1/2019 26.00$ ESTROGENS, FRACTIONATED 7/1/2019 53.00$ MML: CHROM ANALY; 20-25 CELLS 7/1/2019 263.00$ BROMIDE, SERUM OR PLASMA 7/1/2019 27.00$ LKM1 IGG 7/1/2019 24.00$ PROPYLENE GLYCOL 7/1/2019 26.00$ MMLONCOHEME NGS HEMATOLOGIC CA 7/1/2019 1,117.00$ BARBITUATES, MECONIUM 7/1/2019 168.00$ LIVER FIBROSIS (FIBROSURE) 7/1/2019 376.00$ BRCA1 BRCA2 SEQUENCING 7/1/2019 3,522.00$ CORTISOL BINDING GLOBULIN 7/1/2019 63.00$ AFB CONCENTRATION 7/1/2019 11.00$ HIV-1 RNA QUANT PCR 7/1/2019 139.00$

24 HR UREA NITROGEN 7/1/2019 10.00$ PHOSPHOLIPASE A2 RECEPTOR AB 7/1/2019 252.00$ 24 HR URINE CHLORIDE 7/1/2019 10.00$ MML:KIT ASP816VAL MUTATE ANAL 7/1/2019 982.00$ HLA DQB1 7/1/2019 594.00$ MELANOCYTE BETA 7/1/2019 258.00$ MELANOCYTE GAMMA 7/1/2019 258.00$ MACROPROLACTIN ASSAY 7/1/2019 32.00$ IRON, RANDOM, URINE 7/1/2019 12.00$ COENZYME Q10 7/1/2019 181.00$ MUSCLE-SPECIFIC KINASE AUTO AB 7/1/2019 1,372.00$ ALPHA-FETOPROTEIN, TOTAL & L3% 7/1/2019 216.00$ METHADONE AND METABOLITE,SERUM 7/1/2019 168.00$ BETA-C-TELOPEPTIDE 7/1/2019 45.00$ MML: HGB ELECTROPHORESIS, B 7/1/2019 29.00$ MML: HGB A2 AND F 7/1/2019 41.00$ POSACONAZOLE 7/1/2019 95.00$ INSULIN TOTAL, TIMED BASELINE 7/1/2019 19.00$ CYP2C19 GENE COM VARIANTS 7/1/2019 568.00$ CYP2D6 GENE COM VARIANTS 7/1/2019 663.00$ CYP2C9 GENE COM VARIANTS 7/1/2019 568.00$ MOPATH PROC LEVEL 2 7/1/2019 257.00$ ALLERGEN, TRICHODERMA, IGE 7/1/2019 9.00$ ALLERGEN, YELLOW DOCK, IGE 7/1/2019 9.00$ S2M:NEURONAL(V-G)K+ CHANNEL AB 7/1/2019 47.00$ S2M:ACH RECEPTR (MUSC) BIND AB 7/1/2019 47.00$ S2M:STRIATIONAL(STR MUSC)AB 7/1/2019 25.00$ S2M:N-TYPE CALCIUM CHANNEL AB 7/1/2019 47.00$ S2M:P/Q-TYPE CAL CHANNEL AB 7/1/2019 47.00$ S2M:PURKINJE CYTO AB TYPE TR 7/1/2019 28.00$ S2M: CRMP-5-IGG 7/1/2019 28.00$ S2M:ANTI-NEURONAL AB TYPE 3 7/1/2019 28.00$ S2M:PURKINJE CYTO AB TYPE 2 7/1/2019 28.00$ S2M:ACHR GANGLION NEURONAL AB 7/1/2019 47.00$ S2M:ANTI-NEURONAL AB TYPE 1 7/1/2019 28.00$ S2M:ANTI-NEURONAL AB TYPE 2 7/1/2019 28.00$ S2M:PURKINJE CYTO AB TYPE 1 7/1/2019 28.00$ S2M:AMPHIPHYSIN AB 7/1/2019 28.00$ S2M:ANTI-GLIAL NUCLEAR AB 7/1/2019 28.00$ BP 180/BP AG1 7/1/2019 22.00$ BP 230/BP AG2 7/1/2019 22.00$ INFLIXIMAB ACTIVITY 7/1/2019 340.00$ INFLIXIMAB NEUTRALIZING AB 7/1/2019 35.00$ S2A:FIBROMETER A2M MAAA 7/1/2019 22.00$ S2A:FIBROMETER ALT MAAA 7/1/2019 10.00$ S2Q:EUGLOBULIN CLOT LYSIS TIME 7/1/2019 14.00$ CHLAMYDIA PNEUMONIAE IGG 7/1/2019 19.00$

CHLAMYDIA PSITTACI IGG 7/1/2019 19.00$ CHLAMYDIA TRACHOMATIS IGG 7/1/2019 19.00$ MYELOPROLIFERATIVE NEOPL (MPN) 7/1/2019 150.00$ ALLERGEN, WALNUT IGE (NUT) 7/1/2019 9.00$ HIV-1 ANTIBODY 7/1/2019 54.00$ MYCOPHENOLIC ACID & METABOLITE 7/1/2019 47.00$ MYCOPLASMA GENTALIUM, PCR 7/1/2019 57.00$ MYCOPLASMA HOMINS, PCR 7/1/2019 57.00$ UREAPLASMA PARVUM, PCR 7/1/2019 57.00$ UREAPLASMA UREALYTICUM, PCR 7/1/2019 57.00$ IGA SUBCLASS 1 7/1/2019 13.00$ IGA SUBCLASS 2 7/1/2019 13.00$ HCV RNA GENO 1 NS5A DRUG RESIS 7/1/2019 1,092.00$ BLASTOMYCES AB BY ID, CSF 7/1/2019 21.00$ ASPERGILLUS AB BY ID, CSF 7/1/2019 25.00$ HISTOPLASMA AB BY ID, CSF 7/1/2019 20.00$ COCCIDIOIDES AB BY ID, CSF 7/1/2019 19.00$ PROCESSING FEE:BACTERISIL ISOL 7/1/2019 47.00$ PROCESSING FEE:ARUP 7/1/2019 11.00$ AMPHET&CAN SC; REFL CONF,URINE 7/1/2019 111.00$ METHYLPHENIDATE & METAB, URINE 7/1/2019 168.00$ PARVOVIRUS B19 BY QNT PCR 7/1/2019 276.00$ CHYLOMICRION SCRN, BODY FLUID 7/1/2019 90.00$ MML: GI STOOL PATHOGEN PANEL 7/1/2019 1,091.00$ HUMAN ANTI-MOUSE ANTIBODY 7/1/2019 228.00$ CARDIO IQ LIPO FRAC, ION MOBIL 7/1/2019 90.00$ REFLEX: RPR TITER 7/1/2019 11.00$ REFLEX:SMOOTH MUSC IGG TITER 7/1/2019 21.00$ PROPOXYPHENE & META QNT SERUM 7/1/2019 168.00$ NMS: METHYL ETHYL KETONES 7/1/2019 26.00$ MML:CYTOGENETICS DNA PROBE EAC 7/1/2019 35.00$ MYOGLOBIN, URINE 7/1/2019 21.00$ SUSCEPTIBILITY, DISK DIFFUSION 7/1/2019 13.00$ SUSCEPTIBILITY-SINGLE DRG, DIL 7/1/2019 82.00$ S2A:CHITOBIOSIDE CARB AB IGA 7/1/2019 22.00$ S2A:MANNOBIOSIDE CARB AB IGG 7/1/2019 22.00$ S2A:LAMINARIBIOSIDE CARB IGG 7/1/2019 22.00$ S2A: S. CEREVISIAE AB, IGG 7/1/2019 40.00$ PSA, TOTAL; REFLEX TO FREE PSA 7/1/2019 35.00$ BACLOFEN 7/1/2019 168.00$ LEPTOSPIRA DNA, QUAL PCR 7/1/2019 525.00$ PNEUMOCOCCAL SEROTYPE 2 7/1/2019 24.00$ ZIKA VIRUS RT-PCR, SERUM 7/1/2019 443.00$ ZIKA VIRUS RT-PCR, URINE 7/1/2019 443.00$ MTB, DIRECT PCR:CHG ONLY 7/1/2019 96.00$ RPR WITH REFLEX TO TITER 7/1/2019 7.00$ S2A:ALKP-ISOENZYMES 7/1/2019 24.00$

COPPER, RBC 7/1/2019 20.00$ SUSCEPT, MIC, AEROBE BILL ONLY 7/1/2019 14.00$ BACTERIAL ID, AEROBE BILL ONLY 7/1/2019 15.00$ BARTONELL SP: PCR 7/1/2019 350.00$ CARDIO IQ OMEGA-3 & 6 FAT ACID 7/1/2019 279.00$ CORTICOSTEROID BINDING GLOBULI 7/1/2019 63.00$ PROMETHEUS ANSER ADA/HUMIRA 7/1/2019 2,963.00$ CANNABINOID MET, MEC:BILL ONLY 7/1/2019 168.00$ CHG ONLY p-ANCA, IgG BY IFA 7/1/2019 21.00$ MENINGI/ENCEPH PAN;PCR;CSF 7/1/2019 803.00$ OXIDIZED LDL 7/1/2019 22.00$ KOH PREP: SEND OUT 7/1/2019 11.00$ ALLERGEN, APPLE 7/1/2019 9.00$ ALLERGEN, CASEIN IGE 7/1/2019 29.00$ ALLERGEN, CINNAMON 7/1/2019 9.00$ ALLERGEN, RICE 7/1/2019 9.00$ ALLERGEN, SALMON 7/1/2019 9.00$ ALLERGEN, SWEET POTATO 7/1/2019 9.00$ ALLERGEN, ANNATTO SEED 7/1/2019 9.00$ ALLERGEN, GUM XANTHAN 7/1/2019 9.00$ ALLERGEN, GUAR GUM 7/1/2019 9.00$ ALLERGEN, TRAGACANTH GUM 7/1/2019 9.00$ ALLERGEN, ACACIA 7/1/2019 9.00$ ALLERGEN, OCC, GUM, CARAGEENAN 7/1/2019 9.00$ PAIN MNGMT PNL A, UR 7/1/2019 111.00$ DRUG SCREEN 6, SERUM 7/1/2019 111.00$ PAIN MNGMT PNL A W/CONF, UR 7/1/2019 111.00$ PAIN MNGMT PNL B W/CONF, UR 7/1/2019 111.00$ PAIN MNGMT PNL W/INTERP, UR 7/1/2019 111.00$ DRUG SCREEN W/VOLATILES, BL 7/1/2019 111.00$ DRUG SCREEN, COMPREHENSIVE, UR 7/1/2019 111.00$ OPIATES, QUANTITATIVE 7/1/2019 168.00$ ALLERGEN, AUSTRALIAN PINE 7/1/2019 9.00$ ALLERGEN, BALD CYPRESS 7/1/2019 9.00$ ALLERGEN, BAYBERRY 7/1/2019 9.00$ ALLERGEN, PEPPERTREE 7/1/2019 9.00$ ALLERGEN, POLLEN, RED MULBERRY 7/1/2019 9.00$ ALLERGEN, RED MAPLE 7/1/2019 9.00$ ALLERGEN, QUEEN PALM 7/1/2019 9.00$ ALLERGEN, PRIVET 7/1/2019 9.00$ ALLERGEN, SWEET GUM 7/1/2019 9.00$ ALLERGEN, MALALEUCA, CAJEPUT 7/1/2019 9.00$ TRYPTASE, MATURE&TOTAL, IA QNT 7/1/2019 188.00$ T3, FREE BY ED-HPLC/MS-MS 7/1/2019 89.00$ COTININE SCREEN, BLOOD 7/1/2019 111.00$ HBG ISOELECTRIC FOCUS,BILL ONL 7/1/2019 204.00$ a-ANCA, IgG AB TITER,BILL ONLY 7/1/2019 21.00$

HOMOGENIZ TISSUE FOR CULTURE 7/1/2019 14.00$ EMA IgA AB TITER, BILL ONLY 7/1/2019 21.00$ TRYPSIN, QNT BY RIA 7/1/2019 34.00$ RBC PROTOPORHYRIN QNT,WHOLBLD 7/1/2019 82.00$ EOSINOPHIL COUNT, BLOOD, AUTO 7/1/2019 5.00$ FUNGAL ISOLATION, BILL ONLY 7/1/2019 47.00$ RBC SICKLE CELL SOL;BILL ONLY 7/1/2019 11.00$ YEAST SUSC,BROTH DIL;BILL ONLY 7/1/2019 130.00$ IODINE QUANT, URINE 7/1/2019 68.00$ HLA-DQA1:PROMETHEUS 7/1/2019 594.00$ HLA-DQB1:PROMETHEUS 7/1/2019 594.00$ 11-DEOXYCORTICOSTERONE, QNT 7/1/2019 111.00$ BACTERIAL ID,DNA SEQ,BILL ONLY 7/1/2019 214.00$ FACTOR V INHIBITOR SCREEN 7/1/2019 21.00$ BILIRUBIN TOTAL, BODY FLUID 7/1/2019 10.00$ HSV QUAL PCR,AMNIO/BAL/TISSUE 7/1/2019 89.00$ BACT, ANAEROBE, ADDL ID 7/1/2019 15.00$ BACT, AEROBE, ADDL ID, URINE 7/1/2019 15.00$ SUSCEPT, ENZYME DETECTION 7/1/2019 10.00$ DRUG SCREEN W/ALCOHOL, URINE 7/1/2019 111.00$ CULTURE TYPE LATEX AGGLUT 7/1/2019 11.00$ LORAZEPAM, URINE 7/1/2019 168.00$ SUSCEPTIBILITY, BROTH DIL PNL 7/1/2019 97.00$ BACTERIAL ID,ADDL,MALDI-TOF MS 7/1/2019 99.00$ SUSCEPTIBILITY, BETA LACTAMASE 7/1/2019 42.00$ FUNGUS CULTURE, BLOOD 7/1/2019 35.00$ MML: CYCLIC AMP 24 URINE 7/1/2019 124.00$ COLD AGGLUTININ TITER 7/1/2019 13.00$ ETHYLENE GLYCOL IU 7/1/2019 24.00$ MUMPS VIRUS RNA BY PCR 7/1/2019 425.00$ MECA GENE DETECTION BY PCR 7/1/2019 67.00$ FUNGAL ID BY DNA SEQUENCING 7/1/2019 214.00$ SPECIAL STAIN GR II CONGO RED 7/1/2019 184.00$ THYROGLOBULIN, LC-MS/MS SERUM 7/1/2019 64.00$ THYROGLOBULIN, TM BY CIA 7/1/2019 26.00$ HCG QUANT, TUMOR MARKER 7/1/2019 29.00$ PROMETHEUS THIOPURINE METABOL 7/1/2019 309.00$ ZIKA VIRUS AB, IGM 7/1/2019 203.00$ IMMUNOPEROXIDASE STAIN 7/1/2019 269.00$ MML:SEROTONIN RECEPTOR GENOTYP 7/1/2019 750.00$ T3 ANTIBODY 7/1/2019 78.00$ HLA DRB 3,4,5 7/1/2019 533.00$ THYROID FUNCTION REFLEX CASCAD 7/1/2019 32.00$ JOHN CUNNINGHAM VIRUS,STRATIFY 7/1/2019 496.00$ C4D FRAGMENT, EIA 7/1/2019 72.00$ COMPLEMENT COMPONENT 1Q 7/1/2019 34.00$ BASOFUNCTION HRT YELLOW #5 7/1/2019 222.00$

HEPATITIS B CORE AB,TOTAL 7/1/2019 20.00$ LEAD, CAPILLARY 7/1/2019 20.00$ AQUAPORIN-4 IgG/IFA, W/REFLEX 7/1/2019 375.00$ CRYPTOCOCCAL AG W/REFLEX TITER 7/1/2019 28.00$ ALLERGEN, A. FUM IgG BY FEIA 7/1/2019 11.00$ ASPERGILLUS NIGER BY ID 7/1/2019 25.00$ ASPERGILLUS FUMIGATUS BY ID 7/1/2019 25.00$ HAIRSTAT 5 REFLEX PANEL DRUG 7/1/2019 111.00$ ALLERGEN, CHESTNUT 7/1/2019 9.00$ ALLERGEN, BLUEBERRY IGE 7/1/2019 9.00$ ALLERGEN, CHERRY IGE 7/1/2019 9.00$ ALLERGEN, AMERICAN BEECH IGE 7/1/2019 9.00$ ALLERGEN, BLACKBERRY IGE 7/1/2019 9.00$ CULTURE, ROUTINE INCLUDE SMEAR 7/1/2019 20.00$ PLA2R REC AB, IGG TITER 7/1/2019 394.00$ ALLERGEN, TUNA/YELLOW FIN IGE 7/1/2019 9.00$ ALLERGEN, CABBAGE IGE 7/1/2019 9.00$ ALLERGEN, CARROT IGE 7/1/2019 9.00$ ALLERGEN, PAPRIKA/SWEET PEPPER 7/1/2019 9.00$ ALLERGEN, RYE IGE 7/1/2019 9.00$ ALLERGEN, WHITE BEAN IGE 7/1/2019 9.00$ MML:MORPH ANALYSIS IHC, MANUAL 7/1/2019 581.00$ TSH POST HAMA TREATMENT 7/1/2019 32.00$ METHANOL, BLOOD IU 7/1/2019 26.00$ MML: ISH INITIAL 7/1/2019 798.00$ MML: ISH ADDITIONAL 7/1/2019 798.00$ HEPATITIS A ANTIBODIES TOTAL 7/1/2019 20.00$ ALLERGEN, BANANA IGE 7/1/2019 9.00$ ALLERGEN, SUNFLOWER SEED IGE 7/1/2019 9.00$ PDE PYRIDOXINE EPILEPSY PANEL 7/1/2019 357.00$ ALLERGEN, LINSEED FLAXSEED IGE 7/1/2019 9.00$ ALLERGEN, MELON IGE 7/1/2019 9.00$ ALLERGEN, ISAC IMMUNOCAP IGE 7/1/2019 954.00$ GLUTATHIONE TOTAL BLOOD 7/1/2019 100.00$ JCUNNINGHAM VIRUS DNA QNT PCR 7/1/2019 496.00$ CORT PANEL/ACTH STIM 7/1/2019 53.00$ ALLERGEN, BEE VENOM PANEL IGE 7/1/2019 43.00$ ALLERGEN, INSECT FIRE ANT IGE 7/1/2019 9.00$ LEAD,BLOOD SPOT (FILTER PAPER) 7/1/2019 20.00$ NMS 0448SP APIXABAN 7/1/2019 168.00$ STRONGYLOIDES AB IGG 7/1/2019 32.00$ PANCREATIC ELASTASE FECES 7/1/2019 216.00$ JCV AB,W_INDEX,STRATISFY/RFLX 7/1/2019 496.00$ ALLERGEN, SAGEBRUSH/WORMWOOD 7/1/2019 9.00$ ANTITHROMBIN III AG ASSAY 7/1/2019 38.00$ STRIATED MUSCLE AB TITER,REFLX 7/1/2019 61.00$ 4KSCORE TEST PROSTATE,ONCOLOGY 7/1/2019 1,170.00$

CLOBAZAM, SERUM OR PLASMA 7/1/2019 168.00$ CHROMIUM, WHOLE BLOOD 7/1/2019 154.00$ CHYMOTRYPSIN, FECES, SPECTRO 7/1/2019 148.00$ CARISOPRODOL, URINE RFLX 2 QNT 7/1/2019 111.00$ ALLERGEN EUCALYPTUS/GUM TREE 7/1/2019 9.00$ LACTATE DEHYDROGENASE TOTAL 7/1/2019 12.00$ N-TELOPEPTIDE,CROSS-LINK,SERUM 7/1/2019 172.00$ MML:MLH-1,IMMUNOSTAIN RFLX,ADD 7/1/2019 88.00$ MML: MSH-2, IMMUNOSTAIN, ADDL 7/1/2019 88.00$ MML:PMSI PMS-2 IMMUNOSTAIN,INT 7/1/2019 269.00$ MML:MSH-6,IMMUNOSTAIN, ADDL 7/1/2019 88.00$ ZOLPIDEM (AMBIEN), QUANT,URINE 7/1/2019 168.00$ MML:SPECIAL STAIN GROUP III 7/1/2019 889.00$ LYME AB TOTAL BY ELISA 7/1/2019 28.00$ CRYPTO AG TITER/SERUM/BILLONLY 7/1/2019 28.00$ CRYPTO AG TITER,CFS/BILLONLY 7/1/2019 28.00$ HEPARIN LOW MOLECULAR WEIGHT 7/1/2019 61.00$ CRYPTO AG W/REFLEX TITER, CSF 7/1/2019 28.00$ BCR/ABL MAJOR BP(p210)PCR/QNT 7/1/2019 351.00$ BARBITURATES QUANT, SERUM 7/1/2019 168.00$ CHOLESTEROL, TOTAL BODY FLUID 7/1/2019 12.00$ MRSA QUALITATIVE PCR 7/1/2019 72.00$ CARDIO IQ Lp-PLA2 ACTIVITY 7/1/2019 85.00$ ALLERGEN,MOLD/MICRO TRICHOPHYT 7/1/2019 9.00$ 21 - HYDROXYLASE ANTIBODY 7/1/2019 69.00$ HCVAB W/RFLX RNA QNT PCR& GENO 7/1/2019 31.00$ MALARIA DETECT/SPECIE QUAL PCR 7/1/2019 470.00$ GADOLINIUM, QUANT 24 HR URINE 7/1/2019 197.00$ TSH SENSITIVE W/RFLX FREE T4 7/1/2019 32.00$ DRUG PANEL A & B TMS 7/1/2019 111.00$ CARISOPRODOL & METABLT UR, QNT 7/1/2019 168.00$ ANG 1 7/1/2019 25.00$ ANG 2 7/1/2019 25.00$ CEACAM 1 7/1/2019 25.00$ EMMPRIN 7/1/2019 25.00$ IL 7 7/1/2019 25.00$ MMP 1 7/1/2019 25.00$ MMP 2 7/1/2019 25.00$ MMP 3 7/1/2019 25.00$ MMP 9 7/1/2019 25.00$ SAA 1 7/1/2019 25.00$ TGF ALPHA 7/1/2019 25.00$ VCAM 1 7/1/2019 25.00$ PREGABALIN (LYRICA), URINE 7/1/2019 168.00$ HYDROXYZINE & METABOLITE,BLOOD 7/1/2019 168.00$ 7- DEHYDROCHOLESTEROL, PLASMA 7/1/2019 289.00$ NG BY NAA, THIN PREP 7/1/2019 67.00$

MEN1 (MULT ENDROC NEO TYPE1) 7/1/2019 949.00$ APT TEST FOR FETAL HEMOGLOBIN 7/1/2019 22.00$ ECHINOCOCCUS ANTIBODY, IGG 7/1/2019 32.00$ MML:PDL1(SP142)SEMIQNT IHC,MNL 7/1/2019 432.00$ ZOLPIDEM, QUANT SERUM/PLASMA 7/1/2019 168.00$ CYSTIC FIBROSIS 165 PATH VARIA 7/1/2019 818.00$ PINWORM EXAM / SCOTCH TAPE 7/1/2019 8.00$ PHOSPHORUS, URINE RANDOM 7/1/2019 12.00$ HIV-1 DNA/RNA QUAL PCR 7/1/2019 348.00$ HCV GENO 1 NS5A DRG RESISTANCE 7/1/2019 1,092.00$ ZOLPIDEM METABOLITE, URINE 7/1/2019 168.00$ MML: MCG, DNA PROBE EACH/IRF4 7/1/2019 373.00$ ALLERGEN, GIANT RAGWEED IGE 7/1/2019 9.00$ ALLERGEN, ORCHARD GRASS IGE 7/1/2019 9.00$ ARUP: ANA SCREENING 7/1/2019 23.00$ RH FACTOR IGA, IGG, TGM, SERUM 7/1/2019 56.00$ IMMUNOFLUOR ANTB ADDL STAIN 7/1/2019 111.00$ CANNABINIODS SCREEN, URINE 7/1/2019 111.00$ ALPHA-1 GLOBULIN 7/1/2019 22.00$ FLOW FET/MAT BLD, TC 1ST MRKR 7/1/2019 300.00$ TAPENTADOL SCR W/RFLX/QNT UR 7/1/2019 111.00$ BUPRENORPHINE W/RFLX/QNT,URINE 7/1/2019 111.00$ LYSOSOMAL ACID LIPASE ACTIVITY 7/1/2019 404.00$ PAINPANL C15 DRUG W/CONF,URINE 7/1/2019 111.00$ BORDETELLA PERTUSS AB IGG BLOT 7/1/2019 22.00$ NEURONAL CELL AB QUANT SERUM 7/1/2019 110.00$ SYNTHETIC STIMULANTS QNT,URINE 7/1/2019 168.00$ COTININE SCREEN, QUAL / URINE 7/1/2019 111.00$ PROTEIN S,FREE Ag W/RFLX TOTAL 7/1/2019 28.00$ REFLEXED AMA IgG TITER BY IFA 7/1/2019 20.00$ LIVER FIBROSIS,FIBROTEST ACTI 7/1/2019 106.00$ CV2.1 SCR BY IFA W/RFLX TITER 7/1/2019 140.00$ MML: BCLL IGH SOMATIC HYPERMUT 7/1/2019 1,139.00$ BCR/ABL 1 GENE MAJOR BP 7/1/2019 268.00$ BCR/ABL 1 GENE MINOR BP 7/1/2019 237.00$ TRAMODOL & METAB QNT SERUM 7/1/2019 168.00$ ALLERGEN, WATERMELON IGE 7/1/2019 9.00$ ANGELMAN & PRADER-WIL SYND PCR 7/1/2019 347.00$ UREA NITROGEN CLEARANCE 7/1/2019 21.00$ ALLERGEN CMN FOODS X5,QUAL IGE 7/1/2019 26.00$ BILE ACIDS, TOTAL 7/1/2019 33.00$ ALLERGEN COMMON FOOD MIX,QUAL 7/1/2019 26.00$ ALLERGEN ORANGE IGE 7/1/2019 9.00$ SEDIMENTATION RATE 7/1/2019 5.00$ FLOURESCNT AB SCR, EA AB 43707 7/1/2019 176.00$ RIA NON AB QUANT, 43707 7/1/2019 352.00$ FLRSCNT AB SCR,EA ADD AB 43707 7/1/2019 176.00$

MML:IHC INTIAL TECH ONLY/IHTOI 7/1/2019 138.00$ B. PERTUSSIS AB IGA IGG IGM 7/1/2019 74.00$ MYCOPLASMA AB IGG AND IGM 7/1/2019 50.00$ MML:MPLB EXON 10 MUTATN, BLOOD 7/1/2019 993.00$ ALLERGEN PARASITE, ANISAKIS IG 7/1/2019 9.00$ HERPES VIRUS 6 AB IGG & IGM 7/1/2019 60.00$ INTERLEUKIN 28B 7/1/2019 94.00$ SNP C/T AND T/G 7/1/2019 186.00$ HEP C RNA GENOTYPE3 NS5a RESIS 7/1/2019 1,092.00$ BORDETELLA PERTUSS AB IGM BLOT 7/1/2019 22.00$ HERPES VIRUS 6 (A&B) PCR 7/1/2019 284.00$ MYCOPLASMA PNEUMONIAE AB IGG 7/1/2019 25.00$ MML: INTRINSIC HEPCIDIN IDX 7/1/2019 225.00$ PHOSPHATIDYLSERINE AB IgG&IgM 7/1/2019 52.00$ RUBEOLA CSF ANTIBODY, IGM 7/1/2019 21.00$ ALPHA-FETOPROTEIN TM, BODY FLD 7/1/2019 40.00$ ALLERGEN, ALPHA-LACTOALBUMIN 7/1/2019 35.00$ ALLERGEN, BETA-LACTOGLOBULIN 7/1/2019 35.00$ BACT ID, PRSMPTIVE, CHG ONLY 7/1/2019 15.00$ CADASIL (NOTCH3) SEQU,PCR 7/1/2019 1,950.00$ CELIAC-ASSOC HLA TYP ALLELE HR 7/1/2019 208.00$ CARNITINE, FR&TOT, ESTERIFIED 7/1/2019 38.00$ LUTEINIZING HORMONE, PEDIATRIC 7/1/2019 80.00$ MUMPS VIRUS AB IgM & IgG 7/1/2019 50.00$ MDL:HPV LOW&HIGH RISK, UR/NGS 7/1/2019 233.00$ 5HIAA QUANT, PLASMA 7/1/2019 451.00$ CRYPTOSPORIDIUM ANTIGEN 7/1/2019 24.00$ CYP3A4 GENE COMMON VARIANTS 7/1/2019 306.00$ CFTR 165 PATH VAR W/RFX SEQ 7/1/2019 195.00$ TROFILE CO-RECEPTOR TROPISM 7/1/2019 2,934.00$ GIARDIA ANTIGEN, EIA 7/1/2019 23.00$ ALLERGEN CHICK PEA IGE 7/1/2019 9.00$ ALLERGEN PEA IGE 7/1/2019 9.00$ ALLERGEN GRAPEFRUIT IGE 7/1/2019 9.00$ HERPES SIMPLEX TYPE 1, IGM 7/1/2019 22.00$ HERPES SIMPLEX TYPE 2, IGM 7/1/2019 32.00$ ALLERGEN, CRAYFISH IGE 7/1/2019 9.00$ SUSCEPTIBILITY, MIC/MBC ARUP 7/1/2019 110.00$ MML:MPL EXON 10 MUT DETCT,RFLX 7/1/2019 993.00$ MML:HER2 MISC TUMOR,FISH,TISSU 7/1/2019 1,434.00$ CFTR SEQUENCING REFLEX 7/1/2019 1,696.00$ ANTINUCLEAR ANTIBODY(ANA)TITER 7/1/2019 21.00$ ANTINUCLEAR ANTIBODY (ANA) SCR 7/1/2019 23.00$ ANTI-STREPTOLYSIN 0 (ASO-SCR) 7/1/2019 11.00$ ANTISTREPTOLYSIN O (ASO) TITER 7/1/2019 14.00$ HETEROPHILE SCREEN 7/1/2019 10.00$ M. PNEUMONIAE ANTIBODY, IgM 7/1/2019 25.00$

RSV ANTIGEN, ASPIRATE 7/1/2019 24.00$ MONO SCREEN 7/1/2019 31.00$ TREPONEMA PALLIDUM, ANTIBODY 7/1/2019 25.00$ SPECIMEN COLLECTION 7/1/2019 6.00$ VENIPUNCTURE 7/1/2019 5.00$ UDS SPECIMEN COLLECTION 7/1/2019 10.00$ DOT UDS SPECIMEN COLLECTION 7/1/2019 16.00$ CAPILLARY PUNCTURE 7/1/2019 5.00$ H. PYLORI DRUG ADMINISTRATION 7/1/2019 15.00$ ADMIN PNEUMOCOCCAL VACCINE 7/1/2019 54.00$ DECLOT VASCULAR DEVICE 7/1/2019 536.00$ EST PATIENT OP VISIT, LEVEL 1 7/1/2019 149.00$ EST PATIENT OP VISIT, LEVEL 2 7/1/2019 192.00$ EST PATIENT OP VISIT, LEVEL 3 7/1/2019 209.00$ EST PATIENT OP VISIT, LEVEL 4 7/1/2019 224.00$ EST PATIENT OP VISIT, LEVEL 5 7/1/2019 242.00$ INJECT INTRAMUSCUL ANTIBIOTIC 7/1/2019 138.00$ INJECTION, INTRA-ARTERIAL 7/1/2019 282.00$ NEW PATIENT OP VISIT, LEVEL 1 7/1/2019 123.00$ NEW PATIENT OP VISIT, LEVEL 2 7/1/2019 134.00$ NEW PATIENT OP VISIT, LEVEL 3 7/1/2019 148.00$ NEW PATIENT OP VISIT, LEVEL 4 7/1/2019 161.00$ NEW PATIENT OP VISIT, LEVEL 5 7/1/2019 221.00$ PHLEBOTOMY, THERAPEUTIC 7/1/2019 1,060.00$ CHEMO ADMIN SUBQ/IM NON-HORMON 7/1/2019 212.00$ CHEMO ADMIN SUBQ/IM HORMONAL 7/1/2019 412.00$ IV INFUSION, HYRDA EA ADD HR 7/1/2019 156.00$ IV INFUSION THERAPY,EA ADD HR 7/1/2019 120.00$ CHEMO IV PUSH, SINGLE/INITIAL 7/1/2019 584.00$ CHEMO IV PUSH, EA ADDL MEDS 7/1/2019 626.00$ CHEMO IV INFUSION, UP TO 1 HR 7/1/2019 1,044.00$ CHEMO IV INFUSION, EA ADDL HR 7/1/2019 305.00$ CHEMO IV INFUS,SEQ UP TO 1 HR 7/1/2019 385.00$ PORT FLUSH 7/1/2019 140.00$ BLOOD DRAW, IMPLANTED PORT 7/1/2019 125.00$ BLOOD DRAW, CENTRAL LINE/PICC 7/1/2019 80.00$ INJ, IV PUSH, EA SAME SEQUENTL 7/1/2019 65.00$ APPLICATION/PREP ON-BODY INJ 7/1/2019 135.00$ GUIDE NERV DESTR NEEDLE EMG 7/1/2019 156.00$ EMG EACH EXT W/NCT, <5 MUSCLES 7/1/2019 207.00$ EMG EACH EXT W/NCT, COMPLETE 7/1/2019 651.00$ EMG NON-EXT W/NCT 7/1/2019 168.00$ NRV CNDJ TST 1-2 STUDIES 7/1/2019 193.00$ NRV CNDJ TST 3-4 STUDIES 7/1/2019 345.00$ NRV CNDJ TST 5-6 STUDIES 7/1/2019 704.00$ NRV CNDJ TST 7-8 STUDIES 7/1/2019 882.00$ NRV CNDJ TST 9-10 STUDIES 7/1/2019 578.00$

NRV CNDJ TST 11-12 STUDIES 7/1/2019 1,366.00$ NRV CNDJ TST 13 or > STUDIES 7/1/2019 916.00$ DESTROY NRV NECK MUSCLE/S, UNI 7/1/2019 442.00$ DESTROY NRV NECK MUSCLE/S, BIL 7/1/2019 677.00$ DESTROY NRV 1 EXT 1-4 MSCL/S 7/1/2019 951.00$ DESTROY NRV ADD EXT 1-4 MSCL/S 7/1/2019 158.00$ DESTROY NRV 1 EXT 5 or> MSCL/S 7/1/2019 763.00$ DESTROY NRV ADD EXT 5or>MSCL/S 7/1/2019 158.00$ EEG AWAKE & ASLEEP 7/1/2019 765.00$ EEG AWAKE & DROWSY 7/1/2019 909.00$ EEG DIGITAL ANALYSIS 7/1/2019 677.00$ EEG EXTENDED MON. >1 HR 7/1/2019 1,061.00$ EEG EXTENDED MON. UP TO 1 HR 7/1/2019 772.00$ EEG LONG TERM MONITOR EA 24 HR 7/1/2019 2,182.00$ EEG MONITORING W/VIDEO EA 24HR 7/1/2019 1,163.00$ EEG SLEEP ONLY 7/1/2019 385.00$ EEG-CEREBRAL EVALUATION ONLY 7/1/2019 580.00$ DIABETES TRAINING GROUP/30 MIN 7/1/2019 16.00$ DIABETES TRAINING-INDIV/30 MIN 7/1/2019 58.00$ NUTRITIONAL COUNSELING/15 MIN. 7/1/2019 36.00$ HEIGHT & WEIGHT FOR DISABILITY 7/1/2019 16.00$ OBS-DIRECT ADMISSION 7/1/2019 666.00$ OBS-TREATMENT ROOM PER HOUR 7/1/2019 49.00$ OBS-OBSTERIC CARE PER HOUR 7/1/2019 49.00$ OBS-EXTENDED RECOVERY/HOUR 7/1/2019 49.00$ IV INFUSION, HYDRA EA ADD HR 7/1/2019 156.00$ ADMISTRATION OF FLU VACCINE 7/1/2019 62.00$ FETAL CONTRACTION STRESS TEST 7/1/2019 423.00$ CHEST TUBE INSERT w/o IMAGING 7/1/2019 1,575.00$ DRN/INJ MD JNT; ELBW/WRST 7/1/2019 1,050.00$ INS NON-TUNNEL CV CATH, =/>5 Y 7/1/2019 1,568.00$ SWAN-GANZ INSERTION 7/1/2019 1,772.00$ NB CATH INSERTION, UMB VEIN 7/1/2019 91.00$ NB CATH INSERTION, UMB ARTERY 7/1/2019 91.00$ NB CIRCUMCISION 7/1/2019 2,895.00$ EPIDURAL BLOOD OR CLOT PATCH 7/1/2019 1,131.00$ US GUIDED NEEDLE BIOPSY 7/1/2019 414.00$ BANDAGE SURGICEL 4 X 8 7/1/2019 569.00$ NASOPORE DRESSING 4CM STD 7/1/2019 589.00$ TUBE DRAIN PENROSE 1/2 7/1/2019 2.00$ TUBE DRAIN PENROSE 1/4 7/1/2019 2.00$ CATH, ARTERIAL, RAD 22GA ARROW 7/1/2019 61.00$ CATH, GUIDE RELIEVA SINUS S-0 7/1/2019 1,587.00$ CATH, ARTERIAL EMBOLECTOMY 4FR 7/1/2019 438.00$ CATH, ARTERIAL EMBOLECTOMY 5FR 7/1/2019 438.00$ CATH, ARTERIAL EMBOLECTOMY 6FR 7/1/2019 438.00$ CATH, BALLOON UROFORCE 6X4CM 7/1/2019 888.00$

CATHETER EXTENSION SINUS GDE 7/1/2019 308.00$ CATHETER GUIDE 8FR X B4.5 SH 7/1/2019 320.00$ CATH, HICKMAN TRIPLE LUMN 12.5 7/1/2019 710.00$ CATHETER INJECTION NEEDLE 7/1/2019 212.00$ CATHETER LAPAROSCOPIC CHOLANG 7/1/2019 228.00$ CATHETER RELIEVA SINUS 5MM 7/1/2019 2,834.00$ CATHETER RELIEVA SINUS 6MM 7/1/2019 2,834.00$ CATHETER RELIEVA SINUS 7MM 7/1/2019 2,834.00$ CATHETER SINUS IRRIGATION 7/1/2019 619.00$ CATHETER TENCKHOFF SET 7/1/2019 819.00$ CATHETER THORACIC SILICONE 28F 7/1/2019 47.00$ CATHETER THORACIC SILICONE 32F 7/1/2019 52.00$ CATHETER THORACIC SILICONE 36F 7/1/2019 51.00$ FILTER, GREENFIELD VENA CAVA 7/1/2019 1,681.00$ DEVICE INFLATION EAGLE 20CC 7/1/2019 272.00$ FILTER, GREENFIELD JUGULAR 7/1/2019 774.00$ CATH, RELIEVA SINUS GUIDE F70 7/1/2019 1,587.00$ CATH, RELIEVA SINUS GUIDE M110 7/1/2019 1,587.00$ GUIDEWIRE AMPLATZ SUPER STIFF 7/1/2019 236.00$ GUIDEWIRE 0.035 ANGLED 7/1/2019 340.00$ GUIDEWIRE HEAVY DUTY 7/1/2019 185.00$ GUIDEWIRE LUNDERQUIST .032 7/1/2019 188.00$ GUIDEWIRE 0.035 STRAIGHT 7/1/2019 205.00$ GUIDEWIRE TMT 38 7/1/2019 76.00$ CATH, MULTI LUMEN CVC 7FR 7/1/2019 291.00$ KIT REPAIR GROSHONG CATH 9.5FR 7/1/2019 83.00$ KIT SHUNT ARTERY 6 7/1/2019 126.00$ PRECISION SPEED TAC 7/1/2019 3,567.00$ CATH ARNDT ENDOBRONCHL BLOCKER 7/1/2019 277.00$ SET ARNDT ENDOBRONCHIAL BLOCKE 7/1/2019 821.00$ SINUS ILLUMINATION SYSTEM 7/1/2019 1,840.00$ STENT 8FR X 26CM 7/1/2019 92.00$ STENT DB PIGTAIL URETERAL 8FR 7/1/2019 163.00$ STENT DOUBLE PIGTAIL FIRM 7/1/2019 272.00$ STENT INJECTION SET 6FR X 22-3 7/1/2019 333.00$ STENT RETROMAX PLUS ENDOPYE 7/1/2019 674.00$ STENT RETROMAX PLUS 7/1/2019 721.00$ STENT RETROMAX PLUS 26CM 7/1/2019 721.00$ STENT SINGLE J 7/1/2019 735.00$ STENT URETERAL PERCUFLEX 6FR 7/1/2019 435.00$ STENT URETERAL W/GUIDEWIRE 6FR 7/1/2019 270.00$ STENT VARIBLE LENGTH 8FR 7/1/2019 270.00$ STENT VERSAFIT 6 X 24 7/1/2019 270.00$ TRAY PARACENTESIS 7/1/2019 146.00$ TUBE GASTROSTOMY 16FR 7/1/2019 207.00$ TUBE GASTROSTOMY 20FR 2.5 CM 7/1/2019 547.00$ BAG ENDO POUCH 7/1/2019 236.00$

CATH, BALLOON BRONCHIAL 7/1/2019 838.00$ BASKET SEQUAR HEMISPHERE 4 WIR 7/1/2019 320.00$ CATHETER THERMACHOICE III 7/1/2019 4,819.00$ DILATOR WIRE GUIDED BALLOON 7/1/2019 1,311.00$ LIGASURE IMPACT INST 18CM 7/1/2019 1,801.00$ SUTURE QUICK ANCHOR ETHIBOND 7/1/2019 270.00$ LINER LONGEVITY 50 X 36MM 7/1/2019 2,235.00$ LINER LONGEVITY 62 X 36MM 7/1/2019 2,235.00$ ACETABULAR SHELL 46MM 7/1/2019 3,279.00$ ACETABULAR SHELL 48MM 7/1/2019 2,443.00$ ACETABULAR SHELL 50MM 7/1/2019 2,443.00$ ACETABULAR SHELL 52MM 7/1/2019 2,443.00$ ACETABULAR SHELL 54MM 7/1/2019 2,443.00$ ACETABULAR SHELL 56MM 7/1/2019 2,443.00$ ACETABULAR SHELL 58MM 7/1/2019 2,443.00$ ACETABULAR SHELL 60MM 7/1/2019 2,443.00$ ACETABULAR SHELL 62MM w HOLES 7/1/2019 3,279.00$ ARTICULAR SURF 3-4/YEL 10M 7/1/2019 2,088.00$ ARTICULAR SURF 3-4/YEL 20M 7/1/2019 3,096.00$ ARTICULAR SURF 3-4/YEL 14MM 7/1/2019 2,088.00$ ARTICULAR SURF 3-4/YEL 20MM 7/1/2019 3,096.00$ ARTICULAR SURF 3-4/YEL 12MM 7/1/2019 2,088.00$ ARTICULAR SURF 5-6/GRE 10MM 7/1/2019 2,088.00$ ARTICULAR SURF 5-6/GRE 12MM 7/1/2019 2,088.00$ ARTICULAR SURF 5-6/GRE 14MM 7/1/2019 2,088.00$ ARTICULAR SURF 5-6/GRE 20MM 7/1/2019 2,088.00$ ARTICULAR SURF 5-6/STR GRE 10M 7/1/2019 2,088.00$ ARTICULAR SURF 5-6/STR GRE 12M 7/1/2019 2,088.00$ ARTICULAR SURF 5-6/STR GRE 14M 7/1/2019 2,088.00$ ARTICULAR SURF 5-6/STR GRE 17M 7/1/2019 2,088.00$ ARTICULAR SURF 5-6/STR GRE 20M 7/1/2019 2,088.00$ ARTICULAR SURF 7-10/BLUE 10MM 7/1/2019 2,088.00$ ARTICULAR SURF 7-10/BLUE 12MM 7/1/2019 2,088.00$ ARTICULAR SURF 7-10/BLUE 14MM 7/1/2019 2,088.00$ ARTICULAR SURF 7-10/BLUE 17MM 7/1/2019 2,088.00$ ARTICULAR SURF 7-10/BLUE 20MM 7/1/2019 2,088.00$ ARTICULAR SURF SZ YEL C,D 10MM 7/1/2019 2,088.00$ ARTICULAR SURF 14MM 7/1/2019 3,096.00$ ARTICULAR SURF 17 YELLOW 7/1/2019 3,096.00$ ARTICULAR SURF SZ ER 12MM 7/1/2019 2,088.00$ ARTICULAR SURF SZ YELLOW 7/1/2019 3,096.00$ STEM EXTENSION 100MM NEXGEN 7/1/2019 1,625.00$ STEM EXTENSION OS 11MM 7/1/2019 2,328.00$ STEM EXTENSION OS 12MM 7/1/2019 1,670.00$ STEM EXTENSION OS 15X100 7/1/2019 1,670.00$ FEMORAL COMPONENT SZ F RT 7/1/2019 7,277.00$ FEMORAL COMPONENT SZ E LT 7/1/2019 2,614.00$

FEMORAL COMPONENT SZ G LT 7/1/2019 7,277.00$ FEMORAL COMPONENT SZ H LT 7/1/2019 3,876.00$ FEMORAL COMPONENT SZ H RT 7/1/2019 2,673.00$ FEMORAL COMPONENT SZ D LT 7/1/2019 7,277.00$ FEMORAL COMPONENT SZ D RT 7/1/2019 5,022.00$ FEMORAL COMPONENT SZ E RT 7/1/2019 7,006.00$ FEMORAL COMPONENT SZ G RT 7/1/2019 5,478.00$ FEMORAL HEAD 12/14 +0 22MM 7/1/2019 1,163.00$ FEMORAL HEAD 12/14 +0 28MM 7/1/2019 912.00$ FEMORAL HEAD 12/14 +10.5 28MM 7/1/2019 1,163.00$ FEMORAL HEAD 12/14 +10.5X 36MM 7/1/2019 1,690.00$ FEMORAL HEAD 12/14 +3 22MM 7/1/2019 1,163.00$ FEMORAL HEAD 12/14 +3.5 28MM 7/1/2019 1,163.00$ FEMORAL HEAD 12/14 +3.5 X 36MM 7/1/2019 1,690.00$ FEMORAL HEAD 12/14 +7 28MM 7/1/2019 1,163.00$ FEMORAL HEAD 12/14 +7.0 X 36MM 7/1/2019 1,627.00$ FEMORAL HEAD 12/14 0 X 36MM 7/1/2019 1,690.00$ FEMORAL HEAD 12/14 -2 22MM 7/1/2019 1,163.00$ FEMORAL HEAD 12/14 -3.5 28MM 7/1/2019 1,073.00$ FEMORAL HEAD 12/14 -3.5 X 36MM 7/1/2019 1,690.00$ FEMORAL STEM 11MM 7/1/2019 1,724.00$ FEMORAL STEM 12MM 7/1/2019 2,066.00$ FEMORAL STEM 13MM 7/1/2019 2,066.00$ FEMORAL STEM 14MM 7/1/2019 2,066.00$ FEMORAL STEM 15MM 7/1/2019 2,066.00$ FEMORAL STEM 16MM 7/1/2019 2,066.00$ STEM FEMORAL EXT SZ 13 7/1/2019 4,004.00$ STEM FEMORAL EXT SZ 14 7/1/2019 4,004.00$ STEM FEMORAL EXT SZ 15 7/1/2019 4,004.00$ STEM FEMORAL EXT SZ 16 7/1/2019 4,004.00$ STEM FEMORAL STD SZ 16 7/1/2019 4,004.00$ STEM FEMORAL STD SZ 17 7/1/2019 4,004.00$ STEM FEMORAL EXT SZ 12 7/1/2019 4,004.00$ LINER LONGEVITY 48 X 28MM 7/1/2019 1,923.00$ LINER LONGEVITY 60 X 36MM 7/1/2019 2,235.00$ LINER BIPOL CUP 28MM 44/45/46 7/1/2019 495.00$ LINER BIPOL CUP 28MM 47/48/49 7/1/2019 830.00$ LINER BIPOL CUP 22MM 38 7/1/2019 830.00$ LINER BIPOL CUP 22MM 39 7/1/2019 830.00$ LINER BIPOL CUP 22MM 40/41 7/1/2019 830.00$ LINER BIPOL CUP 22MM 42/43 7/1/2019 830.00$ LINER BIPOL CUP 28MM 50/51/52 7/1/2019 495.00$ LINER BIPOL CUP 28MM 53/54/55 7/1/2019 495.00$ LINER BIPOL CUP 28MM 57/58 7/1/2019 830.00$ LINER BIPOL CUP 28MM 60/62 7/1/2019 830.00$ LINER BIPOL CUP 28MM 64/66 7/1/2019 830.00$ LINER LONGEVITY 46 X 28MM 7/1/2019 1,923.00$

LINER LONGEVITY 58 X 36MM 7/1/2019 2,235.00$ LINER LONGEVITY 56 X 36MM 7/1/2019 2,235.00$ SHELL BIPOLAR CUP 38MM 7/1/2019 1,245.00$ SHELL BIPOLAR CUP 39MM 7/1/2019 1,245.00$ SHELL BIPOLAR CUP 40MM 7/1/2019 1,245.00$ SHELL BIPOLAR CUP 41MM 7/1/2019 1,245.00$ SHELL BIPOLAR CUP 42MM 7/1/2019 1,245.00$ SHELL BIPOLAR CUP 43MM 7/1/2019 1,245.00$ SHELL BIPOLAR CUP 44MM 7/1/2019 858.00$ SHELL BIPOLAR CUP 45MM 7/1/2019 1,121.00$ SHELL BIPOLAR CUP 46MM 7/1/2019 858.00$ SHELL BIPOLAR CUP 47MM 7/1/2019 858.00$ SHELL BIPOLAR CUP 48MM 7/1/2019 1,121.00$ SHELL BIPOLAR CUP 49MM 7/1/2019 1,121.00$ SHELL BIPOLAR CUP 50MM 7/1/2019 858.00$ SHELL BIPOLAR CUP 51MM 7/1/2019 1,121.00$ SHELL BIPOLAR CUP 52MM 7/1/2019 858.00$ SHELL BIPOLAR CUP 53MM 7/1/2019 1,245.00$ SHELL BIPOLAR CUP 54MM 7/1/2019 1,245.00$ SHELL BIPOLAR CUP 55MM 7/1/2019 1,245.00$ SHELL BIPOLAR CUP 57MM 7/1/2019 1,245.00$ SHELL BIPOLAR CUP 58MM 7/1/2019 1,245.00$ SHELL BIPOLAR CUP 60MM 7/1/2019 858.00$ SHELL BIPOLAR CUP 62MM 7/1/2019 1,245.00$ SHELL BIPOLAR CUP 64MM 7/1/2019 1,245.00$ SHELL BIPOLAR CUP 66MM 7/1/2019 1,245.00$ STEM EXTENSION 12 X 155 7/1/2019 1,690.00$ STEM EXTENSION ST 12MM 7/1/2019 1,782.00$ STEM EXTENSION 13 X 155 7/1/2019 1,782.00$ STEM EXTENSION 14MM 7/1/2019 1,782.00$ STEM EXTENSION ST 10MM 7/1/2019 1,625.00$ STEM EXTENSION ST 14MM 7/1/2019 1,563.00$ STEM EXTENSION ST 11MM 7/1/2019 1,503.00$ STEM EXTENSION ST 13MM 7/1/2019 1,625.00$ STEM EXTENSION ST 15MM NEXGEN 7/1/2019 1,625.00$ STEM EXTENSION ST 20MM 7/1/2019 1,690.00$ STEM FEMORAL STD SZ 13 7/1/2019 4,004.00$ STEM FEMORAL STD SZ 14 7/1/2019 4,004.00$ STEM FEMORAL CEMENTED SZ 11 7/1/2019 2,066.00$ STEM FEMORAL CEMENTED SZ 12 7/1/2019 1,724.00$ STEM FEMORAL CEMENTED SZ 14 7/1/2019 1,543.00$ STEM FEMORAL CEMENTED SZ 16 7/1/2019 2,066.00$ STEM FEMORAL CEMENTED SZ 18 7/1/2019 2,066.00$ STEM FEMORAL STD SZ 12 7/1/2019 4,004.00$ STEM FEMORAL STD SZ 15 7/1/2019 4,004.00$ TIBIAL BLOCK 5MM SIZE 8 7/1/2019 1,571.00$ TIBIAL BLOCK 10MM SIZE 6 7/1/2019 1,571.00$

TIBIAL BLOCK 10MM SIZE 7 7/1/2019 1,571.00$ TIBIAL BLOCK 10MM SIZE 8 7/1/2019 1,571.00$ TIBIAL BLOCK 5MM SIZE 4 7/1/2019 1,768.00$ TIBIAL BLOCK 5MM SIZE 7 7/1/2019 1,571.00$ ARCH BAR 7/1/2019 1,059.00$ BLOCK NETTE THYROPLASTY DEVICE 7/1/2019 1,480.00$ GORE THYROPLASTY DEVICE 7/1/2019 1,501.00$ OBTURATOR GYNECARE TVT DEVICE 7/1/2019 2,049.00$ SOLUTION ADHESION REDUC ADEPT 7/1/2019 1,116.00$ CATH, TRIPLE LUMEN CVC 20CM 7/1/2019 107.00$ KIT ANT/POST PELVIC REPAIR 7/1/2019 3,007.00$ KIT PERCUTANEOUS INSERTION ACC 7/1/2019 505.00$ KIT PROLIFT ANTERIOR PELVIC 7/1/2019 1,738.00$ TRAY, CATHETER W/RED RUBBER CA 7/1/2019 11.00$ BARRIER ADHESION INTERCEED 7/1/2019 699.00$ BIOMESH PELVI SOFT 6 X 8 7/1/2019 1,547.00$ GRAFT DOUBLE VELOUR 14 X 7 7/1/2019 1,397.00$ GRAFT DOUBLE VELOUR 20 X 10 7/1/2019 1,397.00$ GRAFT MINIMAL INVASIVE MIIGX3 7/1/2019 5,198.00$ GRAFT VASC THIN WALL 8 X 80 7/1/2019 1,929.00$ GRAFT VASCULAR ePTFE 8-5x70mm 7/1/2019 1,267.00$ MESH, COMPOSIX 4 X 8 IN 7/1/2019 1,198.00$ MESH, PARIETEX 12 X 8 7/1/2019 2,119.00$ MESH, PARIETEX 14.5 X 11 7/1/2019 2,517.00$ MESH, PARIETEX 15 X 10CM LEFT 7/1/2019 486.00$ MESH, PARIETEX 15 X 10CM RT 7/1/2019 456.00$ MESH, PARIETEX 8 X 6 7/1/2019 1,406.00$ MESH, PARIETEX POLYESTER 6 RD 7/1/2019 1,202.00$ MESH, PARIETEX POLYESTER 8 RD 7/1/2019 1,496.00$ MESH, PELVICL ACELLULAR MATRIX 7/1/2019 1,255.00$ MESH, PLUG LARGE 7/1/2019 674.00$ MESH, PLUG MEDIUM 7/1/2019 690.00$ MESH, PLUG X LARGE 7/1/2019 665.00$ MESH, TRELEX NATURAL 10 X 14 7/1/2019 539.00$ MESH, TRELEX NATURAL 3 X 6 7/1/2019 273.00$ PATCH CIRCLE LG KUGEL 4.5 IN 7/1/2019 1,369.00$ PATCH SM CIRCLE VENTRIO 3 IN 7/1/2019 1,715.00$ PATCH HERNIA PARSTOMAL 7/1/2019 2,244.00$ PATCH OVAL LG KUGEL 5.4 X 7.0 7/1/2019 1,901.00$ PATCH OVAL MD KUGEL 4.3 X 5.5 7/1/2019 1,545.00$ PATCH OVAL SM KUGEL 3.1 X 4.7 7/1/2019 772.00$ PATCH OVAL XL KUGEL 10.8 X13.7 7/1/2019 1,207.00$ PATCH OVAL XL KUGEL 7.7 X 9.7 7/1/2019 2,498.00$ PATCH OVAL XL KUGEL 8.7 X 10.7 7/1/2019 2,572.00$ PUTTY BONE ALLOMATRIX C 7/1/2019 2,409.00$ FIBER LASER MICRON 1000 7/1/2019 1,716.00$ FIBER LASER MICRON 200 7/1/2019 940.00$

FIBER LASER MICRON 365 7/1/2019 990.00$ FIBER LASER MICRON 550 7/1/2019 1,311.00$ CATHETER KIT PLEURX PLEURAL 7/1/2019 1,233.00$ DRAIN BLAKE 10FR ROUND FLUTED 7/1/2019 76.00$ DRAIN BLAKE 10MM FLAT 3/4 7/1/2019 76.00$ DRAIN BLAKE 10MM FLAT 3/4 TROC 7/1/2019 113.00$ DRAIN BLAKE 15FR ROUND FLUTED 7/1/2019 76.00$ DRAIN BLAKE 19FR ROUND FLUTED 7/1/2019 76.00$ DRAIN BLAKE 7MM FLAT 3/4 7/1/2019 76.00$ KIT FALOPE RING BAND 7/1/2019 286.00$ KIT NOVASURE IMPEDANCE CONT 7/1/2019 3,551.00$ LENS MORGAN 7/1/2019 134.00$ ORTHOFUSER CBC2 BLOOD 7/1/2019 575.00$ PROTECTOR CORNEAL CROUCH 7/1/2019 58.00$ TUBE EAR RICHARD SHEPARD GOURM 7/1/2019 96.00$ VALVE HIMELICK CHEST 7/1/2019 151.00$ VALVE HIMELICK PNEUMOTHORAX 7/1/2019 880.00$ BONE WAX 2.5 GR 7/1/2019 20.00$ BUTTON POLY ORTHO TENDON 7/1/2019 8.00$ DURASEAL 5ML DURA SEALANT SYTM 7/1/2019 2,968.00$ HEMOSTAT ABS SURGICEL 2 X 3 7/1/2019 353.00$ BINDER ABDOMINAL DALE 30-45 7/1/2019 76.00$ BINDER ABDOMINAL DALE 60-75 7/1/2019 107.00$ BINDER ABDOMINAL DALE 46-62 7/1/2019 86.00$ BRACE ANKLE STANDARD UNIVERSAL 7/1/2019 69.00$ CEMENT, BONE 40GM/20ML 7/1/2019 210.00$ CUFF CRYO KNEE EX LG 7/1/2019 358.00$ CUFF CYRO KNEE LG 7/1/2019 370.00$ IMMOBILIZER KNEE TRIMFOAM 19 7/1/2019 125.00$ IMMOBILIZER KNEE TRIMFOAM 24 7/1/2019 139.00$ IMMOBILIZER KNEE TRIMFOAM 28 7/1/2019 179.00$ IMMOBILIZER SHOULDER DELUXE 7/1/2019 42.00$ SHOE DARCO POST-OP MEN LG 7/1/2019 45.00$ SHOE DARCO POST-OP MEN MED 7/1/2019 45.00$ SHOE DARCO POST-OP MEN SM 7/1/2019 53.00$ SHOE DARCO POST-OP MEN XL 7/1/2019 45.00$ SHOE DARCO POST-OP WOMEN LG 7/1/2019 46.00$ SHOE DARCO POST-OP WOMEN MED 7/1/2019 45.00$ SHOE DARCO POST-OP WOMEN SM 7/1/2019 46.00$ SLING MULTI UNIVERSAL 7/1/2019 26.00$ SLING ULTRA SHOULDER LARGE 7/1/2019 237.00$ SPLINT NASAL THERMOPLAS 7/1/2019 48.00$ PLATE LC-DCP B TI 4.5 124MM 7H 7/1/2019 406.00$ SUPPORTER ATHLETIC SMALL 7/1/2019 33.00$ SUPPORTER ATHLETIC LG 7/1/2019 20.00$ SUPPORTER ATHLETIC MED 7/1/2019 19.00$ SUPPORTER ATHLETIC XL 7/1/2019 20.00$

ANCHOR DOUBLE POLY ABSORB 7/1/2019 643.00$ ANCHOR STATAK ST 2.5MM 7/1/2019 473.00$ ANCHOR STATAK ST 3.5MM 7/1/2019 473.00$ ANCHOR STATAK ST 5.0MM 7/1/2019 473.00$ ROD TO ROD COUPLING 8mm 7/1/2019 3,088.00$ CABLE SET SM GRIP 1.6MM 7/1/2019 3,188.00$ PIN CLAMP, 5 HOLE 7/1/2019 2,881.00$ CLAMP 5 HOLE 7/1/2019 2,907.00$ DISTAL CENTRALIZER 13MM 7/1/2019 520.00$ DOUBLE PLAY IMPLANT 6.5MM 7/1/2019 1,287.00$ SPLINT, DOYLE OPEN LUMEN 7/1/2019 110.00$ DRAIN FLAT SNYDER 3/4 PERF 7/1/2019 26.00$ PIN GUIDE HERBERT SCREWS 7/1/2019 177.00$ GUIDEWIRE THREADED 1.6MM 7/1/2019 238.00$ K WIRE 3.2 X 450MM 7/1/2019 797.00$ K WIRE STYLE 1 0.7 X 102 7/1/2019 32.00$ K WIRE STYLE 6 0.9 X 229 7/1/2019 26.00$ K WIRE STYLE 6 1.1 X 229 7/1/2019 39.00$ K WIRE STYLE 6 1.6 X 229 7/1/2019 40.00$ K WIRE STYLE 7 0.9 X 102 7/1/2019 40.00$ K WIRE STYLE 7 1.1 X 102 7/1/2019 40.00$ K WIRE STYLE 7 1.6 X 102 7/1/2019 40.00$ K WIRE TROCAR POINT 0.6 X 70MM 7/1/2019 31.00$ K WIRE TROCAR POINT 0.8 X 70MM 7/1/2019 31.00$ K WIRE TROCAR POINT 1 X 150 7/1/2019 53.00$ K WIRE TROCAR POINT 1.0 X 150M 7/1/2019 44.00$ K WIRE TROCAR POINT 1.25 X 150 7/1/2019 44.00$ K WIRE TROCAR POINT 1.6 X 150 7/1/2019 109.00$ K WIRE TROCAR POINT 2.0 X 150 7/1/2019 45.00$ K WIRE TROCAR PT TI 1.25 X 150 7/1/2019 61.00$ K WIRE TROCAR PT TI 1.60 X 150 7/1/2019 70.00$ K WIRE TROCAR PT TI 2.0 X 150M 7/1/2019 72.00$ KIT RESORBABLE MINI BEAD 7/1/2019 3,248.00$ KNEE SYSTEM 7/1/2019 704.00$ KNEE WRAP DORSAL 7/1/2019 182.00$ K WIRE 0.9MM X 229MM 7/1/2019 71.00$ K WIRE 1.1MM X 229MM 7/1/2019 71.00$ K WIRE 1.6MM X 229MM 7/1/2019 71.00$ KIT STIMUCATH NERVE BLOCK 7/1/2019 466.00$ NUT ADJUSTING PART 7/1/2019 59.00$ NUT FOR 4.5 CORTEX SCREW 7/1/2019 179.00$ OMNITIP SWITCHABLE TIP SIDE 7/1/2019 1,039.00$ PELLETS OSTEOSET 7/1/2019 3,259.00$ PELLETS OSTEOSET 20CC 7/1/2019 3,563.00$ PIN APEX 4 X 150 40 THR 7/1/2019 262.00$ PIN APEX 4 X 180 40 THR 7/1/2019 428.00$ PIN APEX 5 X 150 40 THR 7/1/2019 507.00$

PIN APEX 5 X 180 50 THR 7/1/2019 341.00$ PIN APEX 5 X 200 60 THR 7/1/2019 460.00$ PIN ASSEMBLY 7/1/2019 180.00$ PIN BALL .035 7/1/2019 34.00$ PIN CLAMP ASSY HOFFMAN 2 7/1/2019 1,750.00$ PIN CLAMP MT TRIAX 15MM YELLOW 7/1/2019 1,048.00$ PIN GUIDE 7/1/2019 75.00$ PIN GUIDE FREE LOCK 3.2 X 230M 7/1/2019 79.00$ PIN KNOWLES 4.8MM X 15.5CM 7/1/2019 272.00$ PIN KNOWLES 4.8MM X 16.2CM 7/1/2019 304.00$ PIN RUSH Q MED 2.4 X 152MM 7/1/2019 132.00$ PIN RUSH S MED 2.4 X 178MM 7/1/2019 186.00$ PIN RUSH H MED 2.4 X 70MM 7/1/2019 161.00$ PIN RUSH K MED 2.4 X 89MM 7/1/2019 161.00$ PIN RUSH A MED 3.2 X 102MM 7/1/2019 174.00$ PIN RUSH D MED 3.2 X 140MM 7/1/2019 174.00$ PIN RUSH J MED 3.2 X 216MM 7/1/2019 251.00$ PIN STEINMANN STY 6 2.0 X 229 7/1/2019 23.00$ PIN STEINMANN STY 6 2.4 X 229 7/1/2019 32.00$ PIN STEINMANN STY 6 2.8 X 229 7/1/2019 32.00$ PIN STEINMANN STY 6 3.2 X 229 7/1/2019 18.00$ PIN STEINMANN STY 6 3.6 X 229 7/1/2019 18.00$ PIN STEINMANN STY 6 4.0 X 229 7/1/2019 18.00$ PIN STEINMANN STY 6 4.8 X 229 7/1/2019 18.00$ PLATE COMP 3.5 X 85MM 7H 7/1/2019 252.00$ PAIN PUMP, ON-Q, BUSTER 7/1/2019 694.00$ POST ANGLED MEDIUM 7/1/2019 453.00$ POST ANGLED SMALL 7/1/2019 453.00$ POST ANGLED SS HOFF 2 30o 7/1/2019 658.00$ POST STRAIGHT 7/1/2019 305.00$ PUTTY ALLOMATRIX INJECTABLE 7/1/2019 2,282.00$ RESTRICTOR CEMENT 7/1/2019 1,326.00$ ROD 120MM 7/1/2019 1,158.00$ ROD 150MM 7/1/2019 1,222.00$ ROD ALUM CURVED 174MM WIDTH 7/1/2019 1,403.00$ ROD BLACK CARBON 7/1/2019 1,561.00$ ROD CARB CON HOFF2 8MM X 250MM 7/1/2019 1,561.00$ ROD CARB CON HOFF2 8MM X 300MM 7/1/2019 1,561.00$ ROD CARB CON HOFF2 8MM X 350MM 7/1/2019 1,677.00$ ROD COMPRESSION DIST HOFF2 7/1/2019 2,497.00$ SCREW CANC FULL THD 4.0 X 14MM 7/1/2019 55.00$ SCREW LAG LARGE 90MM 7/1/2019 711.00$ T-DRAIN SILICONE STER 7/1/2019 40.00$ TRAPEZIUM SWANSON SZ 2 7/1/2019 6,066.00$ TUBE CARBON 15MM 200MM LNG 7/1/2019 631.00$ TUBE CARBON 15MM 250MM LNG 7/1/2019 673.00$ TUBE CLIP GAMMA3 CLOSED 7/1/2019 940.00$

TUBE PLATE STD FX II 130o 6H 7/1/2019 1,882.00$ TUBE PLATE STD FX II 135o 12H 7/1/2019 1,977.00$ TUBE T RICHARDS 7/1/2019 178.00$ WAND HUMMINGBIRD 45o ONLY 7/1/2019 381.00$ WAND HUMMINGBIRD 45o PLASMA 7/1/2019 1,208.00$ WASHER 7.0MM FOR SM SCREW 7/1/2019 90.00$ WASHER FOR 4.5 CORTEX SCREW 7/1/2019 83.00$ WASHER MINI FOR 1.5 2.0 SCREWS 7/1/2019 87.00$ WASHER SM FOR 2.7 3.5 4.0 SCR 7/1/2019 60.00$ WIRE CERCLAGE PC 0.6 X 175MM 7/1/2019 24.00$ WIRE CERCLAGE PC 0.8 X 200MM 7/1/2019 27.00$ WIRE FIBER # 2 7/1/2019 123.00$ WIRE LOOP LUQUE BD 1.22 X 20CM 7/1/2019 208.00$ WIRE LOOP LUQUE BD 1.22 X 30CM 7/1/2019 249.00$ BARRIER FLAT WAFER 1 3/4 GRN 7/1/2019 6.00$ BARRIER FLAT WAFER 2 1/4 RED 7/1/2019 6.00$ BARRIER FLAT WAFER 2 3/4 BLU 7/1/2019 6.00$ BARRIER FLAT WAFER 4 YEL 7/1/2019 26.00$ OSTOMY BELT MEDIUM 7/1/2019 10.00$ POUCH DRAINABLE 1 3/4 GRN 7/1/2019 6.00$ POUCH DRAINABLE 2 1/4 RED 7/1/2019 3.00$ POUCH DRAINABLE 2 3/4 BLU 7/1/2019 3.00$ POUCH DRAINABLE 4 YEL 7/1/2019 4.00$ POUCH UROSTOMY CUT TO FIT FLAT 7/1/2019 10.00$ BATTERY NEUROSTIMULATOR SMALL 7/1/2019 13,490.00$ BLOCK AUGMENT TIBIAL 5MM SZ 6 7/1/2019 1,810.00$ BLOCK TIBIAL SZ 4 10M 7/1/2019 3,162.00$ BLOCK TIBIAL SZ 5 5MM THICK 7/1/2019 3,142.00$ SCREW BONE 250/80 7/1/2019 317.00$ CABLE SET LG GRIP 2.0MM 7/1/2019 3,188.00$ ROD TO ROD CLAMP 7/1/2019 2,352.00$ DISTAL CENTRALIZER 10MM 7/1/2019 516.00$ DISTAL CENTRALIZER 11MM 7/1/2019 520.00$ DISTAL CENTRALIZER 12MM 7/1/2019 520.00$ DISTAL CENTRALIZER 14MM 7/1/2019 520.00$ DISTAL CENTRALIZER 15MM 7/1/2019 516.00$ DISTAL CENTRALIZER 16MM 7/1/2019 516.00$ DISTAL CENTRALIZER 17MM 7/1/2019 516.00$ DISTAL CENTRALIZER 18MM 7/1/2019 516.00$ DISTAL CENTRALIZER 19MM 7/1/2019 516.00$ DISTAL CENTRALIZER 9MM 7/1/2019 516.00$ END CAP STD TI 0MM 7/1/2019 1,183.00$ IMPLANT ORBITAL MEDPOR TI 38MM 7/1/2019 3,441.00$ KIT GPS SPRAY APP 7/1/2019 208.00$ SCREW LAG STANDARD 120MM 7/1/2019 600.00$ NAIL KIT TROCH 11 X 180 X 120 7/1/2019 2,505.00$ NAIL KIT TROCH 11 X 180 X 125 7/1/2019 3,555.00$

NAIL KIT TROCH 11 X 180 X 130 7/1/2019 2,505.00$ NAIL LGN KIT LF 11 X 280 X 125 7/1/2019 3,300.00$ NAIL LGN KIT LF 11 X 280 X 130 7/1/2019 3,300.00$ NAIL LGN KIT LF 11 X 300 X 125 7/1/2019 3,650.00$ NAIL LGN KIT LF 11 X 300 X 130 7/1/2019 3,650.00$ NAIL LGN KIT LF 11 X 320 X 125 7/1/2019 3,650.00$ NAIL LGN KIT LF 11 X 320 X 130 7/1/2019 3,650.00$ NAIL LGN KIT LF 11 X 340 X 125 7/1/2019 3,650.00$ NAIL LGN KIT LF 11 X 340 X 130 7/1/2019 3,650.00$ NAIL LGN KIT LF 11 X 360 X 125 7/1/2019 3,650.00$ NAIL LGN KIT LF 11 X 360 X 130 7/1/2019 3,650.00$ NAIL LGN KIT LF 11 X 380 X 125 7/1/2019 3,650.00$ NAIL LGN KIT LF 11 X 380 X 130 7/1/2019 3,650.00$ NAIL LGN KIT LF 11 X 400 X 125 7/1/2019 3,119.00$ NAIL LGN KIT LF 11 X 400 X 130 7/1/2019 3,650.00$ NAIL LGN KIT LF 11 X 420 X 125 7/1/2019 3,650.00$ NAIL LGN KIT LF 11 X 420 X 130 7/1/2019 3,650.00$ NAIL LGN KIT LF 11 X 440 X 125 7/1/2019 3,341.00$ NAIL LGN KIT LF 11 X 440 X 130 7/1/2019 3,650.00$ NAIL LGN KIT RT 11 X 280 X 125 7/1/2019 3,300.00$ NAIL LGN KIT RT 11 X 280 X 130 7/1/2019 3,300.00$ NAIL LGN KIT RT 11 X 300 X 125 7/1/2019 3,650.00$ NAIL LGN KIT RT 11 X 300 X 130 7/1/2019 3,650.00$ NAIL LGN KIT RT 11 X 320 X 125 7/1/2019 3,650.00$ NAIL LGN KIT RT 11 X 320 X 130 7/1/2019 3,650.00$ NAIL LGN KIT RT 11 X 340 X 125 7/1/2019 3,650.00$ NAIL LGN KIT RT 11 X 340 X 130 7/1/2019 3,650.00$ NAIL LGN KIT RT 11 X 360 X 125 7/1/2019 3,119.00$ NAIL LGN KIT RT 11 X 360 X 130 7/1/2019 3,690.00$ NAIL LGN KIT RT 11 X 380 X 125 7/1/2019 3,650.00$ NAIL LGN KIT RT 11 X 380 X 130 7/1/2019 3,650.00$ NAIL LGN KIT RT 11 X 400 X 125 7/1/2019 3,119.00$ NAIL LGN KIT RT 11 X 400 X 130 7/1/2019 3,650.00$ NAIL LGN KIT RT 11 X 420 X 125 7/1/2019 3,341.00$ NAIL LGN KIT RT 11 X 420 X 130 7/1/2019 3,650.00$ NAIL LGN KIT RT 11 X 440 X 125 7/1/2019 3,650.00$ NAIL LGN KIT RT 11 X 440 X 130 7/1/2019 3,650.00$ NUT CORTICAL 4.5MM 7/1/2019 126.00$ PIN APEX 200MM 7/1/2019 383.00$ PIN APEX 4 X 120 35 THR 7/1/2019 354.00$ PIN APEX 4 X 200 50 THR 7/1/2019 495.00$ PIN APEX 4 X 90 10 THR 7/1/2019 304.00$ PIN APEX DRILL SELF TAP 250MM 7/1/2019 341.00$ PIN APEX DRILL SELF TAP 180MM 7/1/2019 341.00$ PIN APEX HALF 6 X 180 60 THD 7/1/2019 492.00$ PIN APEX MOD 4 X 250 X 50 THD 7/1/2019 290.00$ PIN APEX MOD 4 X 250 X 70 THD 7/1/2019 290.00$

PIN GUIDE CALIBRATED 3.2MM 7/1/2019 109.00$ PIN HALF APEX 5 X 120 40 THD 7/1/2019 371.00$ PIN HALF APEX 6 X 150 50 C/THD 7/1/2019 284.00$ PIN HALF MOD 4 X 180 50 THD 7/1/2019 304.00$ PIN RUSH N MED 2.4 X 114MM 7/1/2019 142.00$ PIN RUSH R MED 2.4 X 165MM 7/1/2019 147.00$ PIN RUSH U MED 2.4 X 203MM 7/1/2019 255.00$ PIN RUSH C MED 3.2 X 127MM 7/1/2019 153.00$ PIN RUSH G MED 3.2 X 178MM 7/1/2019 174.00$ PIN RUSH M MED 3.2 X 254MM 7/1/2019 153.00$ PLATE 1/3 TUBULAR 121MM X 10H 7/1/2019 191.00$ PLATE 1/3 TUBULAR 25MM X 2H 7/1/2019 84.00$ PLATE 1/3 TUBULAR 37MM X 3H 7/1/2019 160.00$ PLATE 1/3 TUBULAR 49MM X 4H 7/1/2019 171.00$ PLATE 1/3 TUBULAR 61MM X 5H 7/1/2019 144.00$ PLATE 1/3 TUBULAR 73MM X 6H 7/1/2019 179.00$ PLATE 1/3 TUBULAR 85MM X 7H 7/1/2019 179.00$ PLATE 1/3 TUBULAR 97MM X 8H 7/1/2019 191.00$ PLATE 1/3 TUBULAR TI 109MM X 9 7/1/2019 261.00$ PLATE 1/3 TUBULAR TI 25MM X 2H 7/1/2019 191.00$ PLATE 1/3 TUBULAR TI 37MM X 3H 7/1/2019 149.00$ PLATE 1/3 TUBULAR TI 49MM X 4H 7/1/2019 212.00$ PLATE 1/3 TUBULAR TI 61MM X 5H 7/1/2019 259.00$ PLATE 1/3 TUBULAR TI 73MM X 6H 7/1/2019 271.00$ PLATE 1/3 TUBULAR TI 85MM X 7H 7/1/2019 252.00$ PLATE 1/4 TUBULAR 23MM X 3H 7/1/2019 102.00$ PLATE 1/4 TUBULAR 31MM X 4H 7/1/2019 151.00$ PLATE 1/4 TUBULAR 39MM X 5H 7/1/2019 162.00$ PLATE 1/4 TUBULAR 47MM X 6H 7/1/2019 180.00$ PLATE 1/4 TUBULAR 55MM X 7H 7/1/2019 264.00$ PLATE 1/4 TUBULAR 63MM X 8H 7/1/2019 193.00$ PLATE 90 17.5MM 4H RT 7/1/2019 3.00$ PLATE CLOVERLEAF 3.5 X 104MM 4 7/1/2019 250.00$ PLATE CLOVERLEAF 3.5 X 88MM 3H 7/1/2019 444.00$ PLATE CLOVERLEAF TI 120MM X 5H 7/1/2019 690.00$ PLATE COMP 3.5 X 109MM 9H 7/1/2019 314.00$ PLATE COMP 3.5 X 121MM 10H 7/1/2019 322.00$ PLATE COMP 3.5 X 73MM 6H 7/1/2019 320.00$ PLATE COMP 3.5 X 97MM 8H 7/1/2019 253.00$ PLATE COMP 4.5 X 103MM 6H 7/1/2019 298.00$ PLATE COMP 4.5 X 119MM 7 H 7/1/2019 357.00$ PLATE COMP 4.5 X 119MM 7H 7/1/2019 240.00$ PLATE COMP 4.5 X 135MM 8H 7/1/2019 286.00$ PLATE COMP 4.5 X 151MM 9H 7/1/2019 269.00$ PLATE COMP 4.5 X 183MM 11H 7/1/2019 351.00$ PLATE COMP 4.5 X 55MM 3H 7/1/2019 252.00$ PLATE COMP 4.5 X 71MM 4H 7/1/2019 277.00$

PLATE COND TI 1.5 X 36 LF 7H 7/1/2019 701.00$ PLATE COND TI 1.5 X 36 RT 7H 7/1/2019 701.00$ PLATE COND TI 2.0 X 39 LF 7H 7/1/2019 701.00$ PLATE COND TI 2.0 X 39 RT 7H 7/1/2019 701.00$ PLATE COND TI 2.7 X 57 LF 7H 7/1/2019 828.00$ PLATE COND TI 2.7 X 57 RT 7H 7/1/2019 828.00$ PLATE H 1.5 X 9MM 4H 7/1/2019 250.00$ PLATE H 2.0 X 12MM 4H 7/1/2019 280.00$ PLATE L BUTT ANG LF TI 86MM 4H 7/1/2019 901.00$ PLATE L BUTT ANG RT TI 86MM 4H 7/1/2019 965.00$ PLATE L OBLIQUE LF 2.0 X 21MM 7/1/2019 84.00$ PLATE L OBLIQUE LF 2.7 X 35MM 7/1/2019 182.00$ PLATE L OBLIQUE RT 2.0 X 21MM 7/1/2019 84.00$ PLATE L OBLIQUE RT 2.7 X 35MM 7/1/2019 129.00$ PLATE L TI 2.7 X 3H OBLIQ LF 7/1/2019 186.00$ PLATE L TI 2.7 X 3H OBLIQ RT 7/1/2019 186.00$ PLATE LAT TIB TI 238 X 11H LF 7/1/2019 1,781.00$ PLATE LAT TIB TI 238 X 11H RT 7/1/2019 1,781.00$ PLATE LC-DCP B 4.5 X 322MM 18H 7/1/2019 807.00$ PLATE LC-DCP B TI 4.5 106MM 6H 7/1/2019 670.00$ PLATE LC-DCP B TI 4.5 142MM 8H 7/1/2019 701.00$ PLATE LC-DCP B TI 4.5 178MM 10 7/1/2019 701.00$ PLATE LC-DCP B TI 4.5 196MM 11 7/1/2019 755.00$ PLATE LC-DCP B TI 4.5 214MM 12 7/1/2019 755.00$ PLATE LC-DCP B TI 4.5 250MM 14 7/1/2019 755.00$ PLATE LC-DCP N 4.5 X 124MM 7H 7/1/2019 426.00$ PLATE LC-DCP N 4.5 X 178MM 10H 7/1/2019 562.00$ PLATE LC-DCP N 4.5 X 70MM 4H 7/1/2019 379.00$ PLATE LC-DCP N TI 4.5 106MM 6H 7/1/2019 548.00$ PLATE LC-DCP N TI 4.5 142MM 8H 7/1/2019 529.00$ PLATE LC-DCP N TI 4.5 160MM 9H 7/1/2019 492.00$ PLATE LC-DCP N TI 4.5 196MM 11 7/1/2019 643.00$ PLATE LC-DCP N TI 4.5 214MM 12 7/1/2019 643.00$ PLATE LC-DCP N TI 4.5 70MM 4H 7/1/2019 438.00$ PLATE LC-DCP N TI 4.5 88MM 5H 7/1/2019 438.00$ PLATE LC-DCP TI 3.5 X 103MM 8H 7/1/2019 479.00$ PLATE LC-DCP TI 3.5 X 129MM 10 7/1/2019 529.00$ PLATE LC-DCP TI 3.5 X 155MM 12 7/1/2019 552.00$ PLATE LC-DCP TI 3.5 X 64MM 5H 7/1/2019 430.00$ PLATE QT TUBE TI 31 X 4H 7/1/2019 275.00$ PLATE QT TUBE TI 47 X 6H 7/1/2019 257.00$ PLATE QT TUBE TI 55 X 7H 7/1/2019 277.00$ PLATE QT TUBE TI 63 X 8H 7/1/2019 285.00$ PLATE RECON 3.5 X 58MM 5H 7/1/2019 770.00$ PLATE RECON 4.5 X 125MM 8H 7/1/2019 1,062.00$ PLATE RECON 4.5 X 157MM 10H 7/1/2019 1,195.00$ PLATE RECON 4.5 X 173MM X 11H 7/1/2019 1,236.00$

PLATE RECON 4.5 X 189MM 12H 7/1/2019 1,094.00$ PLATE RECON 4.5 X 221MM 14H 7/1/2019 1,198.00$ PLATE RECON 4.5 X 61MM 4H 7/1/2019 837.00$ PLATE RECON 4.5 X 93MM 6H 7/1/2019 965.00$ PLATE SEMI TUBE TI 103MM X 6H 7/1/2019 251.00$ PLATE SEMI TUBE TI 119MM X 7H 7/1/2019 259.00$ PLATE SEMI TUBE TI 71MM X 4H 7/1/2019 222.00$ PLATE SEMI TUBE TI 87MM X 5H 7/1/2019 230.00$ PLATE SEMI TUBULAR 103MM X 6H 7/1/2019 142.00$ PLATE SEMI TUBULAR 119MM X 7H 7/1/2019 148.00$ PLATE SEMI TUBULAR 71MM X 4H 7/1/2019 118.00$ PLATE SEMI TUBULAR 87MM X 5H 7/1/2019 133.00$ PLATE ST TI 1.5 X 100MM 20H 7/1/2019 739.00$ PLATE ST TI 2.0 X 100MM 20H 7/1/2019 641.00$ PLATE STR 2.0 X 17MM 3H 7/1/2019 126.00$ PLATE STR 2.0 X 23MM 4H 7/1/2019 137.00$ PLATE STR 2.0 X 29MM 5H 7/1/2019 90.00$ PLATE STR 2.0 X 35MM 6H 7/1/2019 99.00$ PLATE SUPRACONDYLR 90o 10H 7/1/2019 994.00$ PLATE SUPRACONDYLR 90o 14H 7/1/2019 1,203.00$ PLATE SUPRACONDYLR 90o 8H 7/1/2019 1,147.00$ PLATE SUPRACONDYLR 95o 11H 7/1/2019 1,147.00$ PLATE T 2.0 X 18MM 7/1/2019 129.00$ PLATE T 2.7 X 32MM 7/1/2019 129.00$ PLATE T 3.5 X 50MM 3H H/S 7/1/2019 249.00$ PLATE T 3.5 X 56MM 4H H/S 7/1/2019 246.00$ PLATE T 4.5 X 116MM 6H 7/1/2019 539.00$ PLATE T 4.5 X 148MM 8H 7/1/2019 613.00$ PLATE T 4.5 X 84MM 4H 7/1/2019 359.00$ PLATE T OBLQ 3.5 X 52MM 3H 7/1/2019 200.00$ PLATE T OBLQ 3.5 X 74MM 3H 7/1/2019 376.00$ PLATE T TI 1.5 X 3H X 9H 50MM 7/1/2019 512.00$ PLATE T TI 1.5 X 4H X 9H 50MM 7/1/2019 388.00$ PLATE T TI 118MM X 6H 7/1/2019 749.00$ PLATE T TI 148MM X 8H 7/1/2019 1,034.00$ PLATE T TI 2.0 X 3H X 9H 50MM 7/1/2019 426.00$ PLATE T TI 2.0 X 4H X 9H 50MM 7/1/2019 636.00$ PLATE T TI 2.7 X 3H 7/1/2019 186.00$ PLATE T TI 84MM X 4H 7/1/2019 785.00$ PLATE T TI OB ANG 3H X 5H SHAF 7/1/2019 713.00$ PLATE T TI RT ANG 3H X 5H SHAF 7/1/2019 430.00$ PLATE T TI RT ANG 4H X 4H SHAF 7/1/2019 398.00$ PLATE T TI RT ANG 4H X 6H SHAF 7/1/2019 495.00$ PLATE TI RECON 3.5 X 106MM 9H 7/1/2019 1,139.00$ PLATE TI RECON 3.5 X 118MM 10H 7/1/2019 1,240.00$ PLATE TI RECON 3.5 X 130MM11H 7/1/2019 1,182.00$ PLATE TI RECON 3.5 X 58MM 5H 7/1/2019 882.00$

PLATE TI RECON 3.5 X 70MM 6H 7/1/2019 1,017.00$ PLATE TI RECON 3.5 X 94MM 8H 7/1/2019 1,107.00$ POLY PLUG 11MM 7/1/2019 836.00$ POLY PLUG 13MM 7/1/2019 891.00$ POLY PLUG 15MM 7/1/2019 940.00$ POLY PLUG 17MM 7/1/2019 836.00$ POLY PLUG 19MM 7/1/2019 787.00$ POST 3/5 7/1/2019 614.00$ PROGRAMMER INTERSTIM SLIM PAT 7/1/2019 1,767.00$ ROD 20MM 7/1/2019 611.00$ ROD ALUMINUM 8 X 200MM 7/1/2019 255.00$ ROD ALUMINUM 8 X 250MM 7/1/2019 255.00$ ROD ALUMINUM 8 X 300MM 7/1/2019 255.00$ ROD DISTRACTION 7/1/2019 861.00$ ROD SEBI 400MM 7/1/2019 480.00$ SCREW BONE 50MM 7/1/2019 351.00$ SCREW BONE CORTICAL 70/20 7/1/2019 418.00$ SCREW BONE SELF TAP 6.5 X 15MM 7/1/2019 312.00$ SCREW BONE SELF TAP 6.5 X 20MM 7/1/2019 266.00$ SCREW BONE SELF TAP 6.5 X 25MM 7/1/2019 312.00$ SCREW BONE SELF TAP 6.5 X 30MM 7/1/2019 266.00$ SCREW BONE SELF TAP 6.5 X 35MM 7/1/2019 247.00$ SCREW CANC 6.5 X 100MM 16MM TH 7/1/2019 82.00$ SCREW CANC 6.5 X 100MM 32MM TH 7/1/2019 98.00$ SCREW CANC 6.5 X 105MM 16MM TH 7/1/2019 82.00$ SCREW CANC 6.5 X 105MM 32MM TH 7/1/2019 82.00$ SCREW CANC 6.5 X 110MM 16MM TH 7/1/2019 82.00$ SCREW CANC 6.5 X 110MM 32MM TH 7/1/2019 98.00$ SCREW CANC 6.5 X 20MM FULL THD 7/1/2019 78.00$ SCREW CANC 6.5 X 25MM FULL THD 7/1/2019 66.00$ SCREW CANC 6.5 X 30MM 16MM THD 7/1/2019 78.00$ SCREW CANC 6.5 X 30MM FULL THD 7/1/2019 62.00$ SCREW CANC 6.5 X 35MM 16MM THD 7/1/2019 78.00$ SCREW CANC 6.5 X 35MM FULL THD 7/1/2019 62.00$ SCREW CANC 6.5 X 40MM 16MM THD 7/1/2019 66.00$ SCREW CANC 6.5 X 40MM FULL THD 7/1/2019 95.00$ SCREW CANC 6.5 X 45MM 16MM THD 7/1/2019 78.00$ SCREW CANC 6.5 X 45MM 32MM THD 7/1/2019 60.00$ SCREW CANC 6.5 X 45MM FULL THD 7/1/2019 95.00$ SCREW CANC 6.5 X 50MM 16MM THD 7/1/2019 78.00$ SCREW CANC 6.5 X 50MM 32MM THD 7/1/2019 62.00$ SCREW CANC 6.5 X 50MM FULL THD 7/1/2019 95.00$ SCREW CANC 6.5 X 55MM 16MM THD 7/1/2019 62.00$ SCREW CANC 6.5 X 55MM 32MM THD 7/1/2019 84.00$ SCREW CANC 6.5 X 55MM FULL THD 7/1/2019 95.00$ SCREW CANC 6.5 X 60MM 16MM THD 7/1/2019 78.00$ SCREW CANC 6.5 X 60MM 32MM THD 7/1/2019 60.00$

SCREW CANC 6.5 X 60MM FULL THD 7/1/2019 95.00$ SCREW CANC 6.5 X 65MM 16MM THD 7/1/2019 78.00$ SCREW CANC 6.5 X 65MM 32MM THD 7/1/2019 95.00$ SCREW CANC 6.5 X 70MM 16MM THD 7/1/2019 78.00$ SCREW CANC 6.5 X 70MM 32MM THD 7/1/2019 95.00$ SCREW CANC 6.5 X 75MM 16MM THD 7/1/2019 78.00$ SCREW CANC 6.5 X 75MM 32MM THD 7/1/2019 95.00$ SCREW CANC 6.5 X 80MM 16MM THD 7/1/2019 78.00$ SCREW CANC 6.5 X 80MM 32MM THD 7/1/2019 95.00$ SCREW CANC 6.5 X 85MM 16MM THD 7/1/2019 82.00$ SCREW CANC 6.5 X 85MM 32MM THD 7/1/2019 98.00$ SCREW CANC 6.5 X 90MM 16MM THD 7/1/2019 82.00$ SCREW CANC 6.5 X 90MM 32MM THD 7/1/2019 98.00$ SCREW CANC 6.5 X 95MM 16MM THD 7/1/2019 82.00$ SCREW CANC 6.5 X 95MM 32MM THD 7/1/2019 82.00$ SCREW CANC FULL THD 4.0 X 12MM 7/1/2019 55.00$ SCREW CANC FULL THD 4.0 X 16MM 7/1/2019 55.00$ SCREW CANC FULL THD 4.0 X 18MM 7/1/2019 55.00$ SCREW CANC FULL THD 4.0 X 22MM 7/1/2019 51.00$ SCREW CANC FULL THD 4.0 X 24MM 7/1/2019 33.00$ SCREW CANC FULL THD 4.0 X 26MM 7/1/2019 55.00$ SCREW CANC FULL THD 4.0 X 28MM 7/1/2019 33.00$ SCREW CANC FULL THD 4.0 X 30MM 7/1/2019 42.00$ SCREW CANC FULL THD 4.0 X 32MM 7/1/2019 55.00$ SCREW CANC FULL THD 4.0 X 34MM 7/1/2019 42.00$ SCREW CANC FULL THD 4.0 X 36MM 7/1/2019 42.00$ SCREW CANC FULL THD 4.0 X 38MM 7/1/2019 42.00$ SCREW CANC FULL THD 4.0 X 40MM 7/1/2019 31.00$ SCREW CANC FULL THD 4.0 X 55MM 7/1/2019 42.00$ SCREW CANC FULL THD 4.0 X 60MM 7/1/2019 42.00$ SCREW CANC FULL THD 4.5 X 50MM 7/1/2019 55.00$ SCREW CANC FULL THD 4.0 X 10MM 7/1/2019 33.00$ SCREW CANC FULL THR 4.0 X 20MM 7/1/2019 55.00$ SCREW CANC PART THD 4.0 X 10MM 7/1/2019 42.00$ SCREW CANC PART THD 4.0 X 12MM 7/1/2019 42.00$ SCREW CANC PART THD 4.0 X 14MM 7/1/2019 33.00$ SCREW CANC PART THD 4.0 X 16MM 7/1/2019 42.00$ SCREW CANC PART THD 4.0 X 18MM 7/1/2019 29.00$ SCREW CANC PART THD 4.0 X 20MM 7/1/2019 42.00$ SCREW CANC PART THD 4.0 X 22MM 7/1/2019 30.00$ SCREW CANC PART THD 4.0 X 24MM 7/1/2019 42.00$ SCREW CANC PART THD 4.0 X 26MM 7/1/2019 42.00$ SCREW CANC PART THD 4.0 X 28MM 7/1/2019 42.00$ SCREW CANC PART THD 4.0 X 30MM 7/1/2019 55.00$ SCREW CANC PART THD 4.0 X 35MM 7/1/2019 55.00$ SCREW CANC PART THD 4.0 X 40MM 7/1/2019 55.00$ SCREW CANC PART THD 4.0 X 45MM 7/1/2019 55.00$

SCREW CANC PART THD 4.0 X 50MM 7/1/2019 55.00$ SCREW CANN 6 X 5 40MM 7/1/2019 667.00$ SCREW CANN 6.5 X 100MM 7/1/2019 448.00$ SCREW CANN 6.5 X 105MM 7/1/2019 448.00$ SCREW CANN 6.5 X 110MM 7/1/2019 448.00$ SCREW CANN 6.5 X 115MM 7/1/2019 448.00$ SCREW CANN 6.5 X 120MM 7/1/2019 728.00$ SCREW CANN 6.5 X 25MM 7/1/2019 458.00$ SCREW CANN 6.5 X 30MM 7/1/2019 680.00$ SCREW CANN 6.5 X 35MM 7/1/2019 458.00$ SCREW CANN 6.5 X 45MM 7/1/2019 680.00$ SCREW CANN 6.5 X 50MM 7/1/2019 668.00$ SCREW CANN 6.5 X 55MM 7/1/2019 458.00$ SCREW CANN 6.5 X 60MM 7/1/2019 619.00$ SCREW CANN 6.5 X 65MM 7/1/2019 448.00$ SCREW CANN 6.5 X 70MM 7/1/2019 448.00$ SCREW CANN 6.5 X 75MM 7/1/2019 448.00$ SCREW CANN 6.5 X 80MM 7/1/2019 564.00$ SCREW CANN 6.5 X 85MM 7/1/2019 564.00$ SCREW CANN 6.5 X 90MM 7/1/2019 448.00$ SCREW CANN 6.5 X 95MM 7/1/2019 448.00$ SCREW CANN BONE 4.5 X 30MM 7/1/2019 1,075.00$ SCREW CANN BONE 4.5 X 35MM 7/1/2019 1,075.00$ SCREW CANN BONE 4.5 X 40MM 7/1/2019 1,075.00$ SCREW CANN BONE 4.5 X 45MM 7/1/2019 1,075.00$ SCREW CANN BONE 4.5 X 50MM 7/1/2019 1,075.00$ SCREW CANN BONE 4.5 X 55MM 7/1/2019 1,075.00$ SCREW CANN BONE 4.5 X 60MM 7/1/2019 1,075.00$ SCREW CANN BONE 4.5 X 65MM 7/1/2019 1,075.00$ SCREW CANN BONE 4.5 X 70MM 7/1/2019 1,075.00$ SCREW CANN BONE 6.5 X 100MM 7/1/2019 1,075.00$ SCREW CANN BONE 6.5 X 70MM 7/1/2019 1,075.00$ SCREW CANN BONE 6.5 X 80MM 7/1/2019 1,075.00$ SCREW CANN BONE 6.5 X 85MM 7/1/2019 1,075.00$ SCREW CANN BONE 6.5 X 90MM 7/1/2019 1,075.00$ SCREW CANN BONE 6.5 X 95MM 7/1/2019 1,075.00$ SCREW CANNULA 8.4 X 75MM 7/1/2019 25.00$ SCREW COMP 1 1/2 IN 7/1/2019 148.00$ SCREW COMP 1 3/4 IN 7/1/2019 148.00$ SCREW COMP 2 IN 7/1/2019 148.00$ SCREW COMPRESSION 1IN 7/1/2019 186.00$ SCREW CORT LG HEX 4.5 X 64MM 7/1/2019 28.00$ SCREW CORT SELF TAP 1.5 X 10MM 7/1/2019 58.00$ SCREW CORT SELF TAP 1.5 X 11MM 7/1/2019 58.00$ SCREW CORT SELF TAP 1.5 X 12MM 7/1/2019 58.00$ SCREW CORT SELF TAP 1.5 X 14MM 7/1/2019 58.00$ SCREW CORT SELF TAP 1.5 X 16MM 7/1/2019 47.00$

SCREW CORT SELF TAP 1.5 X 18MM 7/1/2019 47.00$ SCREW CORT SELF TAP 1.5 X 20MM 7/1/2019 47.00$ SCREW CORT SELF TAP 1.5 X 22MM 7/1/2019 47.00$ SCREW CORT SELF TAP 1.5 X 24MM 7/1/2019 47.00$ SCREW CORT SELF TAP 1.5 X 6MM 7/1/2019 67.00$ SCREW CORT SELF TAP 1.5 X 7MM 7/1/2019 39.00$ SCREW CORT SELF TAP 1.5 X 8MM 7/1/2019 47.00$ SCREW CORT SELF TAP 1.5 X 9MM 7/1/2019 47.00$ SCREW CORT SELF TAP 2.0 X 06MM 7/1/2019 37.00$ SCREW CORT SELF TAP 2.0 X 10MM 7/1/2019 39.00$ SCREW CORT SELF TAP 2.0 X 12MM 7/1/2019 36.00$ SCREW CORT SELF TAP 2.0 X 14MM 7/1/2019 67.00$ SCREW CORT SELF TAP 2.0 X 16MM 7/1/2019 49.00$ SCREW CORT SELF TAP 2.0 X 18MM 7/1/2019 49.00$ SCREW CORT SELF TAP 2.0 X 20MM 7/1/2019 49.00$ SCREW CORT SELF TAP 2.0 X 22MM 7/1/2019 49.00$ SCREW CORT SELF TAP 2.0 X 24MM 7/1/2019 49.00$ SCREW CORT SELF TAP 2.0 X 8MM 7/1/2019 39.00$ SCREW CORT SELF TAP 2.7 X 10MM 7/1/2019 47.00$ SCREW CORT SELF TAP 2.7 X 12MM 7/1/2019 39.00$ SCREW CORT SELF TAP 2.7 X 14MM 7/1/2019 39.00$ SCREW CORT SELF TAP 2.7 X 16MM 7/1/2019 47.00$ SCREW CORT SELF TAP 2.7 X 18MM 7/1/2019 47.00$ SCREW CORT SELF TAP 2.7 X 20MM 7/1/2019 47.00$ SCREW CORT SELF TAP 2.7 X 22MM 7/1/2019 47.00$ SCREW CORT SELF TAP 2.7 X 24MM 7/1/2019 64.00$ SCREW CORT SELF TAP 2.7 X 6MM 7/1/2019 39.00$ SCREW CORT SELF TAP 2.7 X 8MM 7/1/2019 47.00$ SCREW CORT SELF TAP 3.5 X 10MM 7/1/2019 67.00$ SCREW CORT SELF TAP 3.5 X 12MM 7/1/2019 67.00$ SCREW CORT SELF TAP 3.5 X 14MM 7/1/2019 67.00$ SCREW CORT SELF TAP 3.5 X 16MM 7/1/2019 67.00$ SCREW CORT SELF TAP 3.5 X 18MM 7/1/2019 67.00$ SCREW CORT SELF TAP 3.5 X 20MM 7/1/2019 67.00$ SCREW CORT SELF TAP 3.5 X 22MM 7/1/2019 67.00$ SCREW CORT SELF TAP 3.5 X 24MM 7/1/2019 67.00$ SCREW CORT SELF TAP 3.5 X 26MM 7/1/2019 67.00$ SCREW CORT SELF TAP 3.5 X 30MM 7/1/2019 39.00$ SCREW CORT SELF TAP 3.5 X 32MM 7/1/2019 37.00$ SCREW CORT SELF TAP 3.5 X 34MM 7/1/2019 39.00$ SCREW CORT SELF TAP 3.5 X 36MM 7/1/2019 67.00$ SCREW CORT SELF TAP 3.5 X 38MM 7/1/2019 67.00$ SCREW CORT SELF TAP 3.5 X 40MM 7/1/2019 67.00$ SCREW CORT SELF TAP 3.5 X 45MM 7/1/2019 64.00$ SCREW CORT SELF TAP 3.5 X 50MM 7/1/2019 37.00$ SCREW CORT SELF TAP 4.5 X 14MM 7/1/2019 47.00$ SCREW CORT SELF TAP 4.5 X 16MM 7/1/2019 37.00$

SCREW CORT SELF TAP 4.5 X 18MM 7/1/2019 55.00$ SCREW CORT SELF TAP 4.5 X 20MM 7/1/2019 47.00$ SCREW CORT SELF TAP 4.5 X 22MM 7/1/2019 58.00$ SCREW CORT SELF TAP 4.5 X 24MM 7/1/2019 47.00$ SCREW CORT SELF TAP 4.5 X 26MM 7/1/2019 58.00$ SCREW CORT SELF TAP 4.5 X 28MM 7/1/2019 58.00$ SCREW CORT SELF TAP 4.5 X 30MM 7/1/2019 58.00$ SCREW CORT SELF TAP 4.5 X 32MM 7/1/2019 58.00$ SCREW CORT SELF TAP 4.5 X 34MM 7/1/2019 58.00$ SCREW CORT SELF TAP 4.5 X 36MM 7/1/2019 58.00$ SCREW CORT SELF TAP 4.5 X 38MM 7/1/2019 58.00$ SCREW CORT SELF TAP 4.5 X 40MM 7/1/2019 58.00$ SCREW CORT SELF TAP 4.5 X 42MM 7/1/2019 58.00$ SCREW CORT SELF TAP 4.5 X 44MM 7/1/2019 58.00$ SCREW CORT SELF TAP 4.5 X 46MM 7/1/2019 58.00$ SCREW CORT SELF TAP 4.5 X 48MM 7/1/2019 58.00$ SCREW CORT SELF TAP 4.5 X 50MM 7/1/2019 58.00$ SCREW CORT SELF TAP 4.5 X 52MM 7/1/2019 36.00$ SCREW CORT SELF TAP 4.5 X 54MM 7/1/2019 36.00$ SCREW CORT SELF TAP 4.5 X 56MM 7/1/2019 37.00$ SCREW CORT SELF TAP 4.5 X 58MM 7/1/2019 37.00$ SCREW CORT SELF TAP 4.5 X 60MM 7/1/2019 58.00$ SCREW CORT SELF TAP 4.5 X 62MM 7/1/2019 47.00$ SCREW CORT SELF TAP 4.5 X 64MM 7/1/2019 39.00$ SCREW CORT SELF TAP 4.5 X 68MM 7/1/2019 58.00$ SCREW CORT SELF TAP 4.5 X 70MM 7/1/2019 58.00$ SCREW CORT SHAFT 3.5 X 16MM 7/1/2019 58.00$ SCREW CORT SHAFT 3.5 X 18MM 7/1/2019 58.00$ SCREW CORT SHAFT 3.5 X 20MM 7/1/2019 55.00$ SCREW CORT SHAFT 3.5 X 22MM 7/1/2019 58.00$ SCREW CORT SHAFT 3.5 X 24MM 7/1/2019 58.00$ SCREW CORT SHAFT 3.5 X 26MM 7/1/2019 58.00$ SCREW CORT SHAFT 3.5 X 28MM 7/1/2019 58.00$ SCREW CORT SHAFT 3.5 X 30MM 7/1/2019 46.00$ SCREW CORT SHAFT 3.5 X 32MM 7/1/2019 46.00$ SCREW CORT SHAFT 3.5 X 34MM 7/1/2019 46.00$ SCREW CORT SHAFT 3.5 X 36MM 7/1/2019 46.00$ SCREW CORT SHAFT 3.5 X 38MM 7/1/2019 58.00$ SCREW CORT SHAFT 3.5 X 40MM 7/1/2019 46.00$ SCREW CORT SHAFT 3.5 X 45MM 7/1/2019 46.00$ SCREW CORT SHAFT 3.5 X 50MM 7/1/2019 46.00$ SCREW CORT SHAFT 4.5 X 22MM 7/1/2019 33.00$ SCREW CORT SHAFT 4.5 X 24MM 7/1/2019 44.00$ SCREW CORT SHAFT 4.5 X 26MM 7/1/2019 44.00$ SCREW CORT SHAFT 4.5 X 28MM 7/1/2019 44.00$ SCREW CORT SHAFT 4.5 X 30MM 7/1/2019 44.00$ SCREW CORT SHAFT 4.5 X 32MM 7/1/2019 44.00$

SCREW CORT SHAFT 4.5 X 34MM 7/1/2019 51.00$ SCREW CORT SHAFT 4.5 X 36MM 7/1/2019 44.00$ SCREW CORT SHAFT 4.5 X 38MM 7/1/2019 55.00$ SCREW CORT SHAFT 4.5 X 40MM 7/1/2019 47.00$ SCREW CORT SHAFT 4.5 X 42MM 7/1/2019 44.00$ SCREW CORT SHAFT 4.5 X 44MM 7/1/2019 44.00$ SCREW CORT SHAFT 4.5 X 46MM 7/1/2019 51.00$ SCREW CORT SHAFT 4.5 X 48MM 7/1/2019 44.00$ SCREW CORT SHAFT 4.5 X 50MM 7/1/2019 44.00$ SCREW DENTAL 2 X 8MM 7/1/2019 139.00$ SCREW FREE LOCK LG THD 115MM 7/1/2019 492.00$ SCREW HEX HEAD COMPRESSION 22 7/1/2019 186.00$ SCREW IT CANC BN 16T 6.5 80MM 7/1/2019 90.00$ SCREW IT CANN 4.5 X 20MM PT 7/1/2019 532.00$ SCREW LAG 15.8 LG 70MM 7/1/2019 711.00$ SCREW LAG 15.8 X 105MM 7/1/2019 492.00$ SCREW LAG 15.8 X 110MM 7/1/2019 492.00$ SCREW LAG 15.8 X 120MM 7/1/2019 711.00$ SCREW LAG 15.8 X 125MM 7/1/2019 815.00$ SCREW LAG 15.8 X 130MM 7/1/2019 492.00$ SCREW LAG 15.8 X 60MM 7/1/2019 711.00$ SCREW LAG 15.8 X 65MM 7/1/2019 767.00$ SCREW LAG 15.8 X 85MM LG THD 7/1/2019 661.00$ SCREW LAG 15.8X 55MM 7/1/2019 492.00$ SCREW LAG 70MM STD 7/1/2019 753.00$ SCREW LAG 75MM LENGTH 7/1/2019 653.00$ SCREW LAG 80MM LARGE 7/1/2019 725.00$ SCREW LAG FREE LOCK 115MM 7/1/2019 720.00$ SCREW LAG LARGE 7/1/2019 711.00$ SCREW LAG LARGE 15.8 X 100MM 7/1/2019 661.00$ SCREW LAG LG 15.8MM X 75MM 7/1/2019 689.00$ SCREW LAG STANDARD 100MM 7/1/2019 653.00$ SCREW LAG STANDARD 130MM 7/1/2019 555.00$ SCREW LAG STANDARD 85MM 7/1/2019 653.00$ SCREW LAG STANDARD 90MM 7/1/2019 653.00$ SCREW LAG STANDARD 95MM 7/1/2019 653.00$ SCREW LAG STD 110MM 7/1/2019 753.00$ SCREW LAG STD 55MM 7/1/2019 600.00$ SCREW LAG STD 65MM 7/1/2019 653.00$ SCREW LAG STD 80MM LENGTH 7/1/2019 653.00$ SCREW LAG STD LGTH 105MM 7/1/2019 653.00$ SCREW LAG STD THD 125MM 7/1/2019 653.00$ SCREW LAG STD THD 135MM 7/1/2019 1,158.00$ SCREW LAG STD THD 140MM 7/1/2019 600.00$ SCREW LAG STD THD 145MM 7/1/2019 600.00$ SCREW LAG STD THD 150MM 7/1/2019 600.00$ SCREW LAG STD THD 60MM 7/1/2019 653.00$

SCREW LAG TI 10.5 X 100MM 7/1/2019 1,241.00$ SCREW LAG TI 10.5 X 105MM 7/1/2019 1,688.00$ SCREW LAG TI 10.5 X 110MM 7/1/2019 1,178.00$ SCREW LAG TI 10.5 X 115MM 7/1/2019 1,241.00$ SCREW LAG TI 10.5 X 120MM 7/1/2019 1,276.00$ SCREW LAG TI 10.5 X 70MM 7/1/2019 1,276.00$ SCREW LAG TI 10.5 X 75MM 7/1/2019 1,276.00$ SCREW LAG TI 10.5 X 80MM 7/1/2019 1,688.00$ SCREW LAG TI 10.5 X 85MM 7/1/2019 1,688.00$ SCREW LAG TI 10.5 X 90MM 7/1/2019 1,773.00$ SCREW LAG TI 10.5 X 95MM 7/1/2019 1,773.00$ SCREW LOCK FUL THD 5.0 X 25MM 7/1/2019 591.00$ SCREW LOCK FUL THD 5.0 X 30MM 7/1/2019 663.00$ SCREW LOCK FUL THD 5.0 X 35MM 7/1/2019 663.00$ SCREW LOCK FUL THD 5.0 X 40MM 7/1/2019 561.00$ SCREW LOCK FUL THD 5.0 X 45MM 7/1/2019 695.00$ SCREW LOCK FUL THD 5.0 X 50MM 7/1/2019 561.00$ SCREW LOCK FUL THD 5.0 X 55MM 7/1/2019 663.00$ SCREW LOCK FUL THD 5.0 X 60MM 7/1/2019 641.00$ SCREW LOCK FUL THD 5.0 X 65MM 7/1/2019 621.00$ SCREW LOCK FUL THD 5.0 X 70MM 7/1/2019 621.00$ SCREW LOCK FUL THD 5.0 X 75MM 7/1/2019 621.00$ SCREW LOCK FUL THD 5.0 X 80MM 7/1/2019 621.00$ SCREW LOCK FUL THD 5.0 X 85MM 7/1/2019 695.00$ SCREW LOCK FUL THD 5.0 X 90MM 7/1/2019 621.00$ SCREW MALLEOLAR 4.5 X 25MM 7/1/2019 67.00$ SCREW MALLEOLAR 4.5 X 30MM 7/1/2019 67.00$ SCREW MALLEOLAR 4.5 X 35MM 7/1/2019 82.00$ SCREW MALLEOLAR 4.5 X 45MM 7/1/2019 67.00$ SCREW MALLEOLAR 4.5 X 50MM 7/1/2019 67.00$ SCREW MALLEOLAR 4.5 X 55MM 7/1/2019 62.00$ SCREW MALLEOLAR 4.5 X 60MM 7/1/2019 73.00$ SCREW MALLEOLAR 4.5 X 65MM 7/1/2019 73.00$ SCREW MALLEOLAR 4.5 X 70MM 7/1/2019 73.00$ SCREW MINI TI CORT 1.5 X 10MM 7/1/2019 132.00$ SCREW MINI TI CORT 1.5 X 11MM 7/1/2019 88.00$ SCREW MINI TI CORT 1.5 X 12MM 7/1/2019 88.00$ SCREW MINI TI CORT 1.5 X 14MM 7/1/2019 88.00$ SCREW MINI TI CORT 1.5 X 18MM 7/1/2019 132.00$ SCREW MINI TI CORT 1.5 X 6MM 7/1/2019 126.00$ SCREW MINI TI CORT 1.5 X 7MM 7/1/2019 132.00$ SCREW MINI TI CORT 1.5 X 8MM 7/1/2019 132.00$ SCREW MINI TI CORT 1.5 X 9MM 7/1/2019 132.00$ SCREW SET 8 X 17.5 7/1/2019 557.00$ SCREW SS CORT 4.5 X 28MM 7/1/2019 39.00$ SCREW SS CORT 4.5 X 36MM 7/1/2019 39.00$ SCREW SS CORT 4.5 X 38MM 7/1/2019 39.00$

SCREW TI CANC 4.0 X 48MM 7/1/2019 524.00$ SCREW TI CANC BN 16T 6.5 100MM 7/1/2019 127.00$ SCREW TI CANC BN 16T 6.5 105MM 7/1/2019 127.00$ SCREW TI CANC BN 16T 6.5 110MM 7/1/2019 127.00$ SCREW TI CANC BN 16T 6.5 30MM 7/1/2019 127.00$ SCREW TI CANC BN 16T 6.5 35MM 7/1/2019 90.00$ SCREW TI CANC BN 16T 6.5 40MM 7/1/2019 109.00$ SCREW TI CANC BN 16T 6.5 45MM 7/1/2019 114.00$ SCREW TI CANC BN 16T 6.5 50MM 7/1/2019 114.00$ SCREW TI CANC BN 16T 6.5 55MM 7/1/2019 114.00$ SCREW TI CANC BN 16T 6.5 60MM 7/1/2019 114.00$ SCREW TI CANC BN 16T 6.5 65MM 7/1/2019 90.00$ SCREW TI CANC BN 16T 6.5 70MM 7/1/2019 90.00$ SCREW TI CANC BN 16T 6.5 75MM 7/1/2019 114.00$ SCREW TI CANC BN 16T 6.5 85MM 7/1/2019 127.00$ SCREW TI CANC BN 16T 6.5 90MM 7/1/2019 127.00$ SCREW TI CANC BN 16T 6.5 95MM 7/1/2019 127.00$ SCREW TI CANC BN 32T 6.5 100MM 7/1/2019 127.00$ SCREW TI CANC BN 32T 6.5 105MM 7/1/2019 127.00$ SCREW TI CANC BN 32T 6.5 110MM 7/1/2019 127.00$ SCREW TI CANC BN 32T 6.5 50MM 7/1/2019 114.00$ SCREW TI CANC BN 32T 6.5 55MM 7/1/2019 114.00$ SCREW TI CANC BN 32T 6.5 60MM 7/1/2019 114.00$ SCREW TI CANC BN 32T 6.5 65MM 7/1/2019 114.00$ SCREW TI CANC BN 32T 6.5 75MM 7/1/2019 109.00$ SCREW TI CANC BN 32T 6.5 80MM 7/1/2019 109.00$ SCREW TI CANC BN 32T 6.5 85MM 7/1/2019 126.00$ SCREW TI CANC BN 32T 6.5 90MM 7/1/2019 127.00$ SCREW TI CANC BN 32T 6.5 95MM 7/1/2019 127.00$ SCREW TI CANC BN FT 6.5 25MM 7/1/2019 114.00$ SCREW TI CANC BN FT 6.5 30MM 7/1/2019 114.00$ SCREW TI CANC BN FT 6.5 35MM 7/1/2019 76.00$ SCREW TI CANC BN FT 6.5 40MM 7/1/2019 117.00$ SCREW TI CANC BN FT 6.5 45MM 7/1/2019 100.00$ SCREW TI CANC BN FT 6.5 50MM 7/1/2019 114.00$ SCREW TI CANC BN FT 6.5 55MM 7/1/2019 114.00$ SCREW TI CANC BN FT 6.5 60MM 7/1/2019 82.00$ SCREW TI CANC FUL THD 4.0 10MM 7/1/2019 64.00$ SCREW TI CANC FUL THD 4.0 14MM 7/1/2019 64.00$ SCREW TI CANC FUL THD 4.0 16MM 7/1/2019 64.00$ SCREW TI CANC FUL THD 4.0 18MM 7/1/2019 61.00$ SCREW TI CANC FUL THD 4.0 20MM 7/1/2019 53.00$ SCREW TI CANC FUL THD 4.0 22MM 7/1/2019 60.00$ SCREW TI CANC FUL THD 4.0 24MM 7/1/2019 60.00$ SCREW TI CANC FUL THD 4.0 26MM 7/1/2019 55.00$ SCREW TI CANC FUL THD 4.0 28MM 7/1/2019 55.00$ SCREW TI CANC FUL THD 4.0 30MM 7/1/2019 55.00$

SCREW TI CANC FUL THD 4.0 35MM 7/1/2019 48.00$ SCREW TI CANC FUL THD 4.0 40MM 7/1/2019 55.00$ SCREW TI CANC FUL THD 4.0 45MM 7/1/2019 55.00$ SCREW TI CANC FUL THD 4.0 50MM 7/1/2019 55.00$ SCREW TI CANC FUL THD 4.0 55MM 7/1/2019 62.00$ SCREW TI CANC FUL THD 4.0 60MM 7/1/2019 55.00$ SCREW TI CANC PAR THD 4.0 10MM 7/1/2019 49.00$ SCREW TI CANC PAR THD 4.0 12MM 7/1/2019 50.00$ SCREW TI CANC PAR THD 4.0 14MM 7/1/2019 49.00$ SCREW TI CANC PAR THD 4.0 16MM 7/1/2019 50.00$ SCREW TI CANC PAR THD 4.0 18MM 7/1/2019 49.00$ SCREW TI CANC PAR THD 4.0 20MM 7/1/2019 49.00$ SCREW TI CANC PAR THD 4.0 22MM 7/1/2019 49.00$ SCREW TI CANC PAR THD 4.0 24MM 7/1/2019 49.00$ SCREW TI CANC PAR THD 4.0 26MM 7/1/2019 49.00$ SCREW TI CANC PAR THD 4.0 28MM 7/1/2019 49.00$ SCREW TI CANC PAR THD 4.0 35MM 7/1/2019 57.00$ SCREW TI CANC PAR THD 4.0 40MM 7/1/2019 61.00$ SCREW TI CANC PAR THD 4.0 45MM 7/1/2019 34.00$ SCREW TI CANC PAR THD 4.0 50MM 7/1/2019 50.00$ SCREW TI CANN 16T 7.3 100MM 7/1/2019 687.00$ SCREW TI CANN 16T 7.3 115MM 7/1/2019 468.00$ SCREW TI CANN 16T 7.3 120MM 7/1/2019 687.00$ SCREW TI CANN 16T 7.3 125MM 7/1/2019 687.00$ SCREW TI CANN 16T 7.3 130MM 7/1/2019 687.00$ SCREW TI CANN 16T 7.3 135MM 7/1/2019 690.00$ SCREW TI CANN 16T 7.3 140MM 7/1/2019 690.00$ SCREW TI CANN 16T 7.3 145MM 7/1/2019 690.00$ SCREW TI CANN 16T 7.3 150MM 7/1/2019 690.00$ SCREW TI CANN 16T 7.3 30MM 7/1/2019 609.00$ SCREW TI CANN 16T 7.3 40MM 7/1/2019 502.00$ SCREW TI CANN 16T 7.3 45MM 7/1/2019 609.00$ SCREW TI CANN 16T 7.3 50MM 7/1/2019 502.00$ SCREW TI CANN 16T 7.3 55MM 7/1/2019 690.00$ SCREW TI CANN 16T 7.3 60MM 7/1/2019 690.00$ SCREW TI CANN 16T 7.3 65MM 7/1/2019 664.00$ SCREW TI CANN 16T 7.3 85MM 7/1/2019 687.00$ SCREW TI CANN 16T 7.3 90MM 7/1/2019 658.00$ SCREW TI CANN 32T 7.3 100MM 7/1/2019 687.00$ SCREW TI CANN 32T 7.3 105MM 7/1/2019 609.00$ SCREW TI CANN 32T 7.3 110MM 7/1/2019 658.00$ SCREW TI CANN 32T 7.3 115MM 7/1/2019 468.00$ SCREW TI CANN 32T 7.3 120MM 7/1/2019 690.00$ SCREW TI CANN 32T 7.3 125MM 7/1/2019 690.00$ SCREW TI CANN 32T 7.3 130MM 7/1/2019 690.00$ SCREW TI CANN 32T 7.3 135MM 7/1/2019 690.00$ SCREW TI CANN 32T 7.3 140MM 7/1/2019 690.00$

SCREW TI CANN 32T 7.3 145MM 7/1/2019 690.00$ SCREW TI CANN 32T 7.3 150MM 7/1/2019 690.00$ SCREW TI CANN 32T 7.3 45MM 7/1/2019 690.00$ SCREW TI CANN 32T 7.3 60MM 7/1/2019 690.00$ SCREW TI CANN 32T 7.3 70MM 7/1/2019 740.00$ SCREW TI CANN 32T 7.3 75MM 7/1/2019 740.00$ SCREW TI CANN 32T 7.3 85MM 7/1/2019 687.00$ SCREW TI CANN 4.0 X 10MM 7/1/2019 524.00$ SCREW TI CANN 4.0 X 12MM 7/1/2019 524.00$ SCREW TI CANN 4.0 X 16MM 7/1/2019 620.00$ SCREW TI CANN 4.0 X 18MM 7/1/2019 620.00$ SCREW TI CANN 4.0 X 20MM 7/1/2019 620.00$ SCREW TI CANN 4.0 X 22MM 7/1/2019 428.00$ SCREW TI CANN 4.0 X 24MM 7/1/2019 463.00$ SCREW TI CANN 4.0 X 26MM 7/1/2019 463.00$ SCREW TI CANN 4.0 X 28MM 7/1/2019 602.00$ SCREW TI CANN 4.0 X 30MM 7/1/2019 500.00$ SCREW TI CANN 4.0 X 34MM 7/1/2019 428.00$ SCREW TI CANN 4.0 X 38MM 7/1/2019 500.00$ SCREW TI CANN 4.0 X 40MM 7/1/2019 602.00$ SCREW TI CANN 4.0 X 42MM 7/1/2019 581.00$ SCREW TI CANN 4.0 X 44MM 7/1/2019 463.00$ SCREW TI CANN 4.0 X 46MM 7/1/2019 562.00$ SCREW TI CANN 4.0 X 50MM 7/1/2019 524.00$ SCREW TI CANN 4.5 X 20MM FT 7/1/2019 612.00$ SCREW TI CANN 4.5 X 22MM FT 7/1/2019 465.00$ SCREW TI CANN 4.5 X 22MM PT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 24MM FT 7/1/2019 612.00$ SCREW TI CANN 4.5 X 24MM PT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 26MM FT 7/1/2019 465.00$ SCREW TI CANN 4.5 X 26MM PT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 28MM FT 7/1/2019 612.00$ SCREW TI CANN 4.5 X 28MM PT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 30MM FT 7/1/2019 465.00$ SCREW TI CANN 4.5 X 30MM PT 7/1/2019 571.00$ SCREW TI CANN 4.5 X 32MM FT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 32MM PT 7/1/2019 612.00$ SCREW TI CANN 4.5 X 34MM FT 7/1/2019 366.00$ SCREW TI CANN 4.5 X 34MM PT 7/1/2019 465.00$ SCREW TI CANN 4.5 X 36MM FT 7/1/2019 366.00$ SCREW TI CANN 4.5 X 38MM FT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 38MM PT 7/1/2019 612.00$ SCREW TI CANN 4.5 X 40MM FT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 40MM PT 7/1/2019 430.00$ SCREW TI CANN 4.5 X 42MM FT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 42MM PT 7/1/2019 430.00$ SCREW TI CANN 4.5 X 44MM FT 7/1/2019 532.00$

SCREW TI CANN 4.5 X 44MM PT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 46MM FT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 46MM PT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 48MM FT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 48MM PT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 50MM FT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 50MM PT 7/1/2019 592.00$ SCREW TI CANN 4.5 X 52MM FT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 52MM PT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 54MM FT 7/1/2019 571.00$ SCREW TI CANN 4.5 X 54MM PT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 56MM FT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 56MM PT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 60MM PT 7/1/2019 571.00$ SCREW TI CANN 4.5 X 64MM FT 7/1/2019 465.00$ SCREW TI CANN 4.5 X 64MM PT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 68MM FT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 68MM PT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 72MM FT 7/1/2019 532.00$ SCREW TI CANN 4.5 X 72MM PT 7/1/2019 532.00$ SCREW TI CANN BN 32T 6.5 70MM 7/1/2019 76.00$ SCREW TI CORT 2.0 X 10MM 7/1/2019 92.00$ SCREW TI CORT 2.0 X 12MM 7/1/2019 132.00$ SCREW TI CORT 2.0 X 14MM 7/1/2019 132.00$ SCREW TI CORT 2.0 X 18MM 7/1/2019 132.00$ SCREW TI CORT 2.0 X 20MM 7/1/2019 132.00$ SCREW TI CORT 2.0 X 22MM 7/1/2019 132.00$ SCREW TI CORT 2.0 X 24MM 7/1/2019 132.00$ SCREW TI CORT 2.0 X 6MM 7/1/2019 126.00$ SCREW TI CORT 2.0 X 8MM 7/1/2019 101.00$ SCREW TI CORT 3.5 X 10MM 7/1/2019 49.00$ SCREW TI CORT 3.5 X 12MM 7/1/2019 56.00$ SCREW TI CORT 3.5 X 14MM 7/1/2019 56.00$ SCREW TI CORT 3.5 X 16MM 7/1/2019 49.00$ SCREW TI CORT 3.5 X 18MM 7/1/2019 56.00$ SCREW TI CORT 3.5 X 22MM 7/1/2019 54.00$ SCREW TI CORT 3.5 X 24MM 7/1/2019 47.00$ SCREW TI CORT 3.5 X 26MM 7/1/2019 47.00$ SCREW TI CORT 3.5 X 28MM 7/1/2019 49.00$ SCREW TI CORT 3.5 X 30MM 7/1/2019 49.00$ SCREW TI CORT 3.5 X 32MM 7/1/2019 49.00$ SCREW TI CORT 3.5 x 34MM 7/1/2019 49.00$ SCREW TI CORT 3.5 X 36MM 7/1/2019 49.00$ SCREW TI CORT 3.5 X 38MM 7/1/2019 49.00$ SCREW TI CORT 3.5 X 40MM 7/1/2019 49.00$ SCREW TI CORT 3.5 X 45MM 7/1/2019 49.00$ SCREW TI CORT 3.5 X 50MM 7/1/2019 49.00$

SCREW TI CORT 4.5 X 16MM 7/1/2019 55.00$ SCREW TI CORT 4.5 X 18MM 7/1/2019 55.00$ SCREW TI CORT 4.5 X 22MM 7/1/2019 52.00$ SCREW TI CORT 4.5 X 26MM 7/1/2019 52.00$ SCREW TI CORT 4.5 X 30MM 7/1/2019 55.00$ SCREW TI CORT 4.5 X 34MM 7/1/2019 52.00$ SCREW TI CORT 4.5 X 44MM 7/1/2019 83.00$ SCREW TI CORT 4.5 X 50MM 7/1/2019 83.00$ SCREW TI CORT 4.5 X 52MM 7/1/2019 83.00$ SCREW TI CORT 4.5 X 54MM 7/1/2019 83.00$ SCREW TI CORT 4.5 X 56MM 7/1/2019 55.00$ SCREW TI CORT 4.5 X 58MM 7/1/2019 55.00$ SCREW TI CORT 4.5 X 60MM 7/1/2019 83.00$ SCREW TI CORT 4.5 X 64MM 7/1/2019 83.00$ SCREW TI CORT 4.5 X 66MM 7/1/2019 83.00$ SCREW TI CORT 4.5 X 68MM 7/1/2019 83.00$ SCREW TI CORT 4.5 X 70MM 7/1/2019 83.00$ SCREW TI CORTEX 2.7 X 10MM 7/1/2019 147.00$ SCREW TI CORTEX 2.7 X 14MM 7/1/2019 140.00$ SCREW TI CORTEX 2.7 X 18MM 7/1/2019 147.00$ SCREW TI CORTEX 2.7 X 20MM 7/1/2019 147.00$ SCREW TI CORTEX 2.7 X 22MM 7/1/2019 147.00$ SCREW TI CORTEX 2.7 X 24MM 7/1/2019 140.00$ SCREW TI CORTEX 2.7 X 28MM 7/1/2019 147.00$ SCREW TI CORTEX 2.7 X 30MM 7/1/2019 147.00$ SCREW TI CORTEX 2.7 X 32MM 7/1/2019 147.00$ SCREW TI CORTEX 2.7 X 6MM 7/1/2019 147.00$ SCREW TI CORTEX 2.7 X 8MM 7/1/2019 147.00$ SCREW TI SHAFT 3.5 x 16MM 7/1/2019 64.00$ SCREW TI SHAFT 3.5 X 18MM 7/1/2019 64.00$ SCREW TI SHAFT 3.5 X 20MM 7/1/2019 64.00$ SCREW TI SHAFT 3.5 X 22MM 7/1/2019 64.00$ SCREW TI SHAFT 3.5 X 24MM 7/1/2019 64.00$ SCREW TI SHAFT 3.5 X 26MM 7/1/2019 64.00$ SCREW TI SHAFT 3.5 X 28MM 7/1/2019 64.00$ SCREW TI SHAFT 3.5 X 30MM 7/1/2019 64.00$ SCREW TI SHAFT 3.5 X 32MM 7/1/2019 64.00$ SCREW TI SHAFT 3.5 X 34MM 7/1/2019 64.00$ SCREW TI SHAFT 3.5 X 36MM 7/1/2019 64.00$ SCREW TI SHAFT 3.5 X 38MM 7/1/2019 64.00$ SCREW TI SHAFT 4.5 X 28MM 7/1/2019 65.00$ SCREW TI SHAFT 4.5 X 30MM 7/1/2019 65.00$ SCREW TI SHAFT 4.5 X 32MM 7/1/2019 62.00$ SCREW TI SHAFT 4.5 X 34MM 7/1/2019 65.00$ SCREW TI SHAFT 4.5 X 36MM 7/1/2019 65.00$ SCREW TI SHAFT 4.5 X 38MM 7/1/2019 65.00$ SCREW TI SHAFT 4.5 X 40MM 7/1/2019 65.00$

SCREW TI SHAFT 4.5 X 42MM 7/1/2019 87.00$ SCREW TI SHAFT 4.5 X 44MM 7/1/2019 87.00$ SCREW TI SHAFT 4.5 x 46MM 7/1/2019 87.00$ SCREW TI SHAFT 4.5 X 48MM 7/1/2019 87.00$ SCREW TI SHAFT 4.5 X 50MM 7/1/2019 87.00$ SCREW MALLEOLAR 4.5 X 40MM 7/1/2019 67.00$ SCREW TI CANN 32T 7.3 65MM 7/1/2019 690.00$ SLING SOLYX SINGLE INCISION 7/1/2019 1,958.00$ STEM EXTENSION 13 X 100MM 7/1/2019 2,328.00$ STEM EXTENSION 14 X 100MM 7/1/2019 2,118.00$ STEM EXTENSION 16MM X 100MM 7/1/2019 1,670.00$ STEM EXTENSION 18MM X 100MM 7/1/2019 1,670.00$ STEM EXTENSION LONG 15MM 7/1/2019 1,503.00$ SYSTEM ESSURE PERMANENT BIRTH 7/1/2019 4,602.00$ TIBIAL BLOCK 10MM SIZE 3 7/1/2019 1,768.00$ TIBIAL BLOCK 5MM SIZE 3 7/1/2019 1,768.00$ TRAPEZIUM SWANSON SZ 1 7/1/2019 4,290.00$ TRAPEZIUM SWANSON SZ 3 7/1/2019 4,290.00$ TRAPEZIUM SWANSON SZ 4 7/1/2019 5,513.00$ TRAPEZIUM SWANSON SZ 5 7/1/2019 4,290.00$ TUBE PLATE COMP 90 X 150MM 7/1/2019 1,095.00$ TUBE PLATE COMP 90 X 205MM 7/1/2019 1,109.00$ TUBE PLATE COMP 90 X 255MM 7/1/2019 1,109.00$ TUBE PLATE SHT FX II 130o 4H 7/1/2019 989.00$ TUBE PLATE SHT FX II 130o 5H 7/1/2019 652.00$ TUBE PLATE SHT FX II 130o 6H 7/1/2019 652.00$ TUBE PLATE SHT FX II 135o 6H 7/1/2019 848.00$ TUBE PLATE SHT FX II 140o 4H 7/1/2019 989.00$ TUBE PLATE SHT FX II 140o 5H 7/1/2019 652.00$ TUBE PLATE SHT FX II 140o 6H 7/1/2019 652.00$ TUBE PLATE SHT FX II 145o 4H 7/1/2019 652.00$ TUBE PLATE SHT FX II 145o 5H 7/1/2019 652.00$ TUBE PLATE SHT FX II 145o 6H 7/1/2019 652.00$ TUBE PLATE SHT FX II 150o 4H 7/1/2019 652.00$ TUBE PLATE SHT FX II 150o 5H 7/1/2019 652.00$ TUBE PLATE SHT FX II 150o 6H 7/1/2019 652.00$ TUBE PLATE STD FX II 130o 4H 7/1/2019 989.00$ TUBE PLATE STD FX II 130o 5H 7/1/2019 848.00$ TUBE PLATE STD FX II 130o 8H 7/1/2019 1,113.00$ TUBE PLATE STD FX II 135o 4H 7/1/2019 989.00$ TUBE PLATE STD FX II 135o 5H 7/1/2019 989.00$ TUBE PLATE STD FX II 135o 6H 7/1/2019 941.00$ TUBE PLATE STD FX II 135o 8H 7/1/2019 1,113.00$ TUBE PLATE STD FX II 140o 10H 7/1/2019 1,171.00$ TUBE PLATE STD FX II 140o 12H 7/1/2019 1,171.00$ TUBE PLATE STD FX II 140o 4H 7/1/2019 989.00$ TUBE PLATE STD FX II 140o 5H 7/1/2019 941.00$

TUBE PLATE STD FX II 140o 6H 7/1/2019 989.00$ TUBE PLATE STD FX II 140o 8H 7/1/2019 1,047.00$ TUBE PLATE STD FX II 145o 10H 7/1/2019 862.00$ TUBE PLATE STD FX II 145o 12H 7/1/2019 1,047.00$ TUBE PLATE STD FX II 145o 4H 7/1/2019 941.00$ TUBE PLATE STD FX II 145o 5H 7/1/2019 739.00$ TUBE PLATE STD FX II 145o 6H 7/1/2019 989.00$ TUBE PLATE STD FX II 145o 8H 7/1/2019 1,047.00$ TUBE PLATE STD FX II 150o 10H 7/1/2019 1,047.00$ TUBE PLATE STD FX II 150o 12H 7/1/2019 1,047.00$ TUBE PLATE STD FX II 150o 4H 7/1/2019 892.00$ TUBE PLATE STD FX II 150o 5H 7/1/2019 989.00$ TUBE PLATE STD FX II 150o 6H 7/1/2019 799.00$ TUBE PLATE STD FX II 150o 8H 7/1/2019 1,047.00$ TUBE/PLATE FREE LOCK 130o 4H 7/1/2019 1,067.00$ TUBE/PLATE FREE LOCK 130o 5H 7/1/2019 799.00$ TUBE/PLATE FREE LOCK 130o 6H 7/1/2019 959.00$ TUBE/PLATE FREE LOCK 135o 10H 7/1/2019 1,097.00$ TUBE/PLATE FREE LOCK 135o 12H 7/1/2019 799.00$ TUBE/PLATE FREE LOCK 135o 4H 7/1/2019 989.00$ TUBE/PLATE FREE LOCK 135o 5H 7/1/2019 989.00$ TUBE/PLATE FREE LOCK 135o 6H 7/1/2019 989.00$ TUBE/PLATE FREE LOCK 135o 8H 7/1/2019 1,258.00$ TUBE/PLATE FREE LOCK 140o 4H 7/1/2019 1,067.00$ TUBE/PLATE FREE LOCK 140o 5H 7/1/2019 739.00$ TUBE/PLATE FREE LOCK 140o 6H 7/1/2019 1,067.00$ TUBE/PLATE FREE LOCK 145o 4H 7/1/2019 959.00$ TUBE/PLATE FREE LOCK 145o 5H 7/1/2019 1,067.00$ TUBE/PLATE FREE LOCK 145o 6H 7/1/2019 1,036.00$ TUBE/PLATE FREE LOCK 150o 4H 7/1/2019 798.00$ TUBE/PLATE FREE LOCK 150o 5H 7/1/2019 799.00$ UNIT GPS PLATELET CONC 7/1/2019 2,149.00$ WASHER 7/1/2019 7.00$ WASHER 10MM FOR 4.5 CANN SCREW 7/1/2019 90.00$ WASHER LARGER 4.5MM 7/1/2019 89.00$ WASHER TI 13.0MM 7/1/2019 86.00$ WASHER TI 7.0 MM 7/1/2019 87.00$ TUBE GASTROSTOMY 18FR 7/1/2019 128.00$ CATH, ARGYLE CT/TROCAR 20FR 7/1/2019 87.00$ CATH, ARGYLE CT/TROCAR 24FR 7/1/2019 87.00$ CATH, ARGYLE CT/TROCAR 28FR 7/1/2019 87.00$ CATH, ARGYLE CT/TROCAR 32FR 7/1/2019 87.00$ DRAIN CHEST AQUASEAL DUAL 7/1/2019 389.00$ DRAIN CHEST AQUASEAL SINGLE 7/1/2019 251.00$ DRAIN FLAT SILCONE 7MM X 20CM 7/1/2019 40.00$ KIT EVACUTOR HEMOVAC 1/8 IN 7/1/2019 56.00$ CLAMP RAYPORT BIOPSY 12MM 7/1/2019 107.00$

KIT EVACUTOR HEMOVAC 1/4 IN 7/1/2019 56.00$ BASKET STONE HELICAL 7/1/2019 320.00$ BASKET STONE 2.4FR 13MM 7/1/2019 888.00$ BASKET STONE DIMENSION 16FR 7/1/2019 888.00$ CATH, COUNCIL 2W 5CC 18F 7/1/2019 66.00$ CATH, COUNCIL 2W 5CC 20F 7/1/2019 66.00$ CATH, COUNCIL 2W 5CC 22F 7/1/2019 66.00$ CATH, BAKER JEJUNOSTOMY 7/1/2019 1,427.00$ CATH, BALLOON DILATION 6X10 7/1/2019 1,116.00$ CATH, BALLOON DILATION 6X4 7/1/2019 1,116.00$ CATH, BALLOON UROFORCE 6X10CM 7/1/2019 477.00$ CATH, COUDE 2 WAY 5CC 16FR 7/1/2019 67.00$ CATH, COUDE 2 WAY 5CC 18FR 7/1/2019 67.00$ CATH, COUDE 2 WAY 5CC 20FR 7/1/2019 67.00$ CATH, COUDE 2 WAY 5CC 22FR 7/1/2019 67.00$ CATH, COUDE 2 WAY 5CC 24FR 7/1/2019 67.00$ CATH, FOGARTY BILIARY 5FR 40CM 7/1/2019 505.00$ CATH, FOGARTY BILIARY 6FR 23CM 7/1/2019 505.00$ CATH, FOGARTY IRRIG 10FR 23CM 7/1/2019 365.00$ CATHETER FOLEY 12FR 5CC 7/1/2019 39.00$ CATHETER FOLEY 14FR 5CC 7/1/2019 39.00$ CATHETER FOLEY 16FR 5CC 7/1/2019 39.00$ CATHETER FOLEY 18FR 5CC 7/1/2019 39.00$ CATHETER FOLEY 20FR 5CC 7/1/2019 39.00$ CATHETER FOLEY 22FR 5CC 7/1/2019 39.00$ CATHETER FOLEY 24FR 5CC 7/1/2019 39.00$ CATHETER FOLEY 3 WAY 30CC 18FR 7/1/2019 65.00$ CATHETER FOLEY 3 WAY 30CC 20FR 7/1/2019 65.00$ CATHETER FOLEY 3 WAY 30CC 22FR 7/1/2019 58.00$ CATHETER FOLEY 3 WAY 30CC 24FR 7/1/2019 55.00$ CATHETER FOLEY ST 20FR 7/1/2019 43.00$ CATHETER OLIVE TIP FILIFORM 5 7/1/2019 58.00$ CATHETER PHILLIP FOLLOWER 10F 7/1/2019 90.00$ CATHETER PHILLIP FOLLOWER 12FR 7/1/2019 95.00$ CATHETER PHILLIP FOLLOWER 14FR 7/1/2019 73.00$ CATHETER PHILLIP FOLLOWER 22FR 7/1/2019 94.00$ CATHETER PHILLIP FOLLOWER 24FR 7/1/2019 84.00$ CATHETER PHILLIP FOLLOWER 8FR 7/1/2019 85.00$ CATHETER POLY 6FR OPEN TIP 7/1/2019 42.00$ CATHETER RUTNER UNIV WEDGE 5FR 7/1/2019 59.00$ CATHETER SPIRAL FILIFORM 3FR 7/1/2019 57.00$ CATHETER SPIRAL FILIFORM 4FR 7/1/2019 57.00$ CATHETER SPIRAL FILIFORM 5FR 7/1/2019 101.00$ CATHETER SUPRAPUBIC 16F 7/1/2019 98.00$ CATHETER URETERAL CONE TIP 8FR 7/1/2019 50.00$ CATHETER URETERAL POLY 4FR 7/1/2019 40.00$ CATHETER FOLEY SILICONE LATEX 7/1/2019 50.00$

CATHETER FOLEY STRAIGHT 24 FR 7/1/2019 42.00$ CATHETER UROTRACK PLUS 16 FR. 7/1/2019 164.00$ COIL RETRIEVAL STONE CONE 7MM 7/1/2019 779.00$ COIL RETRIEVAL STONE CONE 10MM 7/1/2019 477.00$ GROSHONG, RED CONNECTOR REPL 7/1/2019 77.00$ GROSHONG, WHITE CONNECTOR REPL 7/1/2019 77.00$ DRAIN ABRAMSON TRIP LUMEN SUMP 7/1/2019 58.00$ DRAIN MALECOT 12FR 7/1/2019 38.00$ DRAIN MALECOT 14FR 7/1/2019 38.00$ FOLLOWER HEYMAN COUDE 10FR 7/1/2019 72.00$ FOLLOWER HEYMAN COUDE 12FR 7/1/2019 72.00$ FOLLOWER HEYMAN COUDE 14FR 7/1/2019 72.00$ FOLLOWER HEYMAN COUDE 16FR 7/1/2019 72.00$ FOLLOWER HEYMAN COUDE 18FR 7/1/2019 72.00$ FOLLOWER HEYMAN COUDE 22FR 7/1/2019 72.00$ FOLLOWER HEYMAN COUDE 24FR 7/1/2019 72.00$ KIT ACCES GROSHONG CV CATH 10F 7/1/2019 589.00$ CATH, POWER PORT 6 FR 7/1/2019 1,121.00$ CATH, POWER PORT 8 1/2 FR 7/1/2019 644.00$ CATH, HAYMAN 10FR-24FR 7/1/2019 452.00$ SHEATH URETERAL 11FR 13/15 7/1/2019 420.00$ SLING SINGLE INCISION ADJUST 7/1/2019 1,834.00$ STENT 6 X 22 7/1/2019 270.00$ STENT URETERAL 6 X 24 7/1/2019 374.00$ STENT INLAY OPTIMA 26 FR 7/1/2019 262.00$ STENT INLAY VERSAFIT 4.7FR ML 7/1/2019 270.00$ STENT OPTIMA 6 X 20 7/1/2019 262.00$ STENT OPTIMA 6FR 22CM 7/1/2019 262.00$ STENT OPTIMA MUTI-LENGTH 7/1/2019 262.00$ STENT VARIABLE LENGTH 7/1/2019 262.00$ STENT VERSAFIT INLAY 6FR 7/1/2019 270.00$ SYSTEM URETHRAL ALIGN TRANS 7/1/2019 1,543.00$ TRAY, CATHETER CLOSED 18 FR. 9 7/1/2019 85.00$ TUBE T CATTELL 10FR 7/1/2019 48.00$ TUBE T CATTELL 12FR 7/1/2019 42.00$ TUBE T CATTELL 14FR 7/1/2019 45.00$ TUBE T CATTELL 16FR 7/1/2019 48.00$ TUBE T CATTELL 18FR 7/1/2019 45.00$ TUBE T CATTELL 20FR 7/1/2019 48.00$ CATH, CHOLANGIOGRAM 19FR 7/1/2019 264.00$ GUIDEWIRE THREADED 1.25MM 7/1/2019 204.00$ NAIL PGP C TYPE 3.2 X 22CM 7/1/2019 5.00$ NAIL PGP S TYPE 3.2 X 23CM 7/1/2019 5.00$ PIN CLAMP 4MM 7/1/2019 1,060.00$ PIN GUIDE 2.8MM 7/1/2019 166.00$ PIN GUIDE CALB STY 6 2.4 X 229 7/1/2019 66.00$ PIN KNOWLES 4.8MM X 16.8CM 7/1/2019 254.00$

PIN RUSH T MED 2.4 X 191MM 7/1/2019 255.00$ PIN RUSH V MED 2.4 X 216MM 7/1/2019 216.00$ PIN RUSH W MED 2.4 X 229MM 7/1/2019 216.00$ PIN RUSH X MED 2.4 X 241MM 7/1/2019 261.00$ PIN RUSH H MED 3.2 X 191MM 7/1/2019 256.00$ PIN RUSH L MED 3.2 X 241MM 7/1/2019 232.00$ PIN RUSH B MED 4.8 X 222MM 7/1/2019 268.00$ PIN RUSH C MED 4.8 X 241MM 7/1/2019 268.00$ PIN RUSH A MED 6.4 X 279MM 7/1/2019 312.00$ PLATE 1/3 TUBULAR TI 97MM X 8H 7/1/2019 261.00$ PLATE 110 22MM 4H LT 7/1/2019 3.00$ PLATE 90 22MM 4H LT 7/1/2019 697.00$ PLATE 90 22MM 4H RT 7/1/2019 697.00$ PLATE COMP 4.5 X 231MM 14H 7/1/2019 495.00$ PLATE CURVED 27MM 3H 7/1/2019 405.00$ PLATE LC-DCP TI 3.5 X 90MM 7H 7/1/2019 472.00$ PLATE STR 30MM 2H 7/1/2019 78.00$ PLATE T BUTTRESS 4.5 X 80MM 4H 7/1/2019 651.00$ PLATE T TI RT ANG 3H X 3H SHAF 7/1/2019 417.00$ ROD ENDER 3.5 X 22CM 7/1/2019 1,062.00$ ROD ENDER 3.5 X 23CM 7/1/2019 1,062.00$ ROD ENDER 3.5 X 24CM 7/1/2019 1,062.00$ ROD ENDER 3.5 X 31CM 7/1/2019 700.00$ ROD ENDER 3.5 X 32CM 7/1/2019 1,062.00$ ROD ENDER 4.0 X 30CM 7/1/2019 191.00$ ROD ENDER 4.5 X 38CM 7/1/2019 1,062.00$ ROD ENDER 4.5 X 39CM 7/1/2019 1,062.00$ SCREW BONE 40MM 7/1/2019 463.00$ SCREW BONE 40MM X 100 7/1/2019 463.00$ SCREW CANC FULL THD 4.0 X 45MM 7/1/2019 29.00$ SCREW CORT SELF TAP 3.5 X 28MM 7/1/2019 27.00$ SCREW CORT SELF TAP 4.5 X 66MM 7/1/2019 55.00$ SCREW DENTAL 10MM 7/1/2019 29.00$ SCREW DENTAL 12MM 7/1/2019 171.00$ SCREW SS CORT 4.5 X 14MM 7/1/2019 55.00$ SCREW SS CORT 4.5 X 54MM 7/1/2019 59.00$ SCREW SS CORT 4.5 X 60MM 7/1/2019 59.00$ SCREW SS MALLEOLAR 4.5 X 45MM 7/1/2019 113.00$ SCREW TI CANC FUL THD 4.0 12MM 7/1/2019 64.00$ SCREW TI CANN 16T 7.3 75MM 7/1/2019 687.00$ SCREW TI CANN 16T 7.3 80MM 7/1/2019 687.00$ SCREW TI CANN 16T 7.3 95MM 7/1/2019 687.00$ SCREW TI CANN 32T 7.3 80MM 7/1/2019 687.00$ SCREW TI CANN 32T 7.3 90MM 7/1/2019 687.00$ SCREW TI CANN 32T 7.3 95MM 7/1/2019 687.00$ SCREW TI CANN 4.0 X 32MM 7/1/2019 581.00$ SCREW WOODRUFF 1 IN 7/1/2019 24.00$

CATH, RADIAL ARTERY LF 7/1/2019 64.00$ DILATOR WIRE GUIDED 6-8MM 7/1/2019 1,311.00$ DILATOR WIRE GUIDED 8-10MM 7/1/2019 1,311.00$ DILATOR WIRE GUIDED 12-15MM 7/1/2019 1,102.00$ DILATOR WIRE GUIDED 15-18MM 7/1/2019 1,064.00$ DILATOR WIRE GUIDED 18-20MM 7/1/2019 1,064.00$ TUBE GASTROSTOMY FLEXIFLO 18FR 7/1/2019 173.00$ TUBE GASTROSTOMY 24FR 7/1/2019 207.00$ TUBE GASTROSTOMY 22FR 7/1/2019 207.00$ TUBE FEEDING 10FR X 42 7/1/2019 4.00$ TUBE GASTROSTOMY 20FR 7/1/2019 207.00$ TUBE GASTROSTOMY 30FR 7/1/2019 211.00$ TUBE GASTROSTOMY 26FR 7/1/2019 207.00$ TUBE GASTROSTOMY 28FR 7/1/2019 207.00$ KIT PEG TUBE STD 20FR ENDO 7/1/2019 393.00$ COAPITATE 1 ML SYRINGE 7/1/2019 833.00$ ROD TO TUBE COUPLING 8/20 7/1/2019 184.00$ APLIGRAF 44 CM2 7/1/2019 1,893.00$ ALLODERM 4x12 cm IMPLANT XTk 7/1/2019 2,277.00$ ALLODERM 6x16 cm IMPLANT Tk 7/1/2019 5,114.00$ ALLODERM 12x12 cm IMPLANT XTk 7/1/2019 5,701.00$ ALLODERM 12x12 cm IMPLANT Tk 7/1/2019 5,873.00$ ALLODERM 16x20 cm IMPLANT XTk 7/1/2019 12,278.00$ ALLODERM CYMETRA MICRON. TISS. 7/1/2019 961.00$ ALLODERM 8x16 cm IMPLANT Tk 7/1/2019 5,483.00$ ALLODERM 2x4 cm GRAFTABLE 7/1/2019 761.00$ SURGIMEND 7X17 CM 7/1/2019 4,255.00$ ALLODERM 3x7 cm IMPLANT Md 7/1/2019 1,706.00$ ILLUMINATOR LIGHTMAT ULTRA 7/1/2019 1,480.00$ PACK FIRST ICE FOR KNEE WRAP 7/1/2019 24.00$ PIN BALL .045 7/1/2019 34.00$ SCREW CORK ANCHOR 5.0 MM 7/1/2019 445.00$ TUBING ILLUMINATOR 7/1/2019 432.00$ CABLE SET 2.0 SLEEVE 7/1/2019 1,310.00$ CABLE SET MD GRIP 2.0 MM 7/1/2019 4,534.00$ CABLE SLEEVE 1.6 MM HOLE 7/1/2019 1,312.00$ CABLE SLEEVE SET 1.6 MM 7/1/2019 1,639.00$ SET TRACH CIAGLIA RHINO 8 FR 7/1/2019 1,698.00$ TUBE VENT ARMSTRONG BEVELED 7/1/2019 162.00$ CABLE SLEEVE SET 2.0 MM MED 7/1/2019 1,114.00$ SLING SYSTEM, DESARA 7/1/2019 1,525.00$ FLO SEAL SEALANT MATRIX 7/1/2019 741.00$ IMPLANT EXTERNAL NASAL VALVE 7/1/2019 873.00$ INTRODUCER PORT-A-CATH 8.5 7/1/2019 187.00$ KIT WRIST FIXATOR, EXTERNAL 7/1/2019 4,412.00$ COLON DECOMPRESSION SET 7/1/2019 475.00$ GUIDEWIRE BALL TIP 30mmx100cm 7/1/2019 841.00$

PAIN PUMP, ABDOMINAL 7/1/2019 2,123.00$ GUIDEWIRE, DRILL TIP 3.2MM 7/1/2019 1,435.00$ CEMENT, BONE W/GENTAMICIN 7/1/2019 455.00$ GUIDEWIRE SMOOTH TIP 3X800MM 7/1/2019 1,398.00$ FOLLOWER HEYMAN COUDE 20FR 7/1/2019 72.00$ KIT POSTERIOR PINNACLE REPAIR 7/1/2019 2,613.00$ KIT ANTERIOR PINNACLE REPAIR 7/1/2019 2,693.00$ OMNITIP SWITCHABLE TIP 30 DEG 7/1/2019 693.00$ BAG ENDO POUCH RETRIEVER 7/1/2019 236.00$ TRAY CATH RED RUBBER LF 7/1/2019 11.00$ TRAY CATH 16 FR LF 7/1/2019 74.00$ NASAL AIRWAY, KOTLER 7/1/2019 387.00$ HELISTAT ABS COLL SPONGE 3X4 7/1/2019 687.00$ SCREW PERI SELF TAP 3.5 x 16mm 7/1/2019 88.00$ SCREW PERI SELF TAP 3.5 x 20mm 7/1/2019 109.00$ SCREW PERI SELF TAP 3.5 x 24mm 7/1/2019 109.00$ SCREW PERI SELF TAP 3.5 x 26mm 7/1/2019 109.00$ SCREW PERI SELF TAP 3.5 x 28mm 7/1/2019 109.00$ SCREW PERI SELF TAP 3.5 x 30mm 7/1/2019 118.00$ SCREW PERI SELF TAP 3.5 x 32mm 7/1/2019 109.00$ SCREW PERI SELF TAP 3.5 x 34mm 7/1/2019 75.00$ SCREW PERI SELF TAP 3.5 x 65mm 7/1/2019 103.00$ SCREW FORTE CANC 4.0 X 16MM 7/1/2019 185.00$ SCREW FORTE CANC 40MM 7/1/2019 185.00$ SCREW CORT SELF TAP 2.7 X 26MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 28MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 30MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 32MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 34MM 7/1/2019 39.00$ SCREW CORT SELF TAP 2.7 X 36MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 38MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 40MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 42MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 44MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 46MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 48MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 50MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 52MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 54MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 56MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 58MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 60MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 65MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 70MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 7MM 7/1/2019 55.00$ SCREW CORT SELF TAP 2.7 X 9MM 7/1/2019 55.00$ SCREW FORTE CANC 10MM 7/1/2019 139.00$

SCREW FORTE CANC 10MM FULL 7/1/2019 139.00$ SCREW FORTE CANC 12MM 7/1/2019 139.00$ SCREW FORTE CANC 12MM FULL 7/1/2019 139.00$ SCREW FORTE CANC 14MM 7/1/2019 169.00$ SCREW FORTE CANC 14MM FULL 7/1/2019 139.00$ SCREW FORTE CANC 16MM 7/1/2019 169.00$ SCREW FORTE CANC 18MM 7/1/2019 169.00$ SCREW FORTE CANC 18MM FULL 7/1/2019 185.00$ SCREW FORTE CANC 20MM 7/1/2019 139.00$ SCREW FORTE CANC 20MM FULL 7/1/2019 185.00$ SCREW FORTE CANC 22MM 7/1/2019 170.00$ SCREW FORTE CANC 22MM FULL 7/1/2019 185.00$ SCREW FORTE CANC 24MM 7/1/2019 112.00$ SCREW FORTE CANC 24MM FULL 7/1/2019 185.00$ SCREW FORTE CANC 26MM 7/1/2019 185.00$ SCREW FORTE CANC 26MM FULL 7/1/2019 185.00$ SCREW FORTE CANC 28MM 7/1/2019 169.00$ SCREW FORTE CANC 28MM FULL 7/1/2019 139.00$ SCREW FORTE CANC 30MM 7/1/2019 169.00$ SCREW FORTE CANC 30MM FULL 7/1/2019 104.00$ FORTE CANC SCREW 32MM 7/1/2019 104.00$ SCREW FORTE CANC 32MM FULL 7/1/2019 104.00$ SCREW FORTE CANC 34MM 7/1/2019 169.00$ SCREW FORTE CANC 34MM FULL 7/1/2019 169.00$ SCREW FORTE CANC 36MM 7/1/2019 104.00$ SCREW FORTE CANC 36MM FULL 7/1/2019 104.00$ SCREW FORTE CANC 38MM 7/1/2019 169.00$ SCREW FORTE CANC 38MM FULL 7/1/2019 104.00$ SCREW FORTE CANC 40MM FULL 7/1/2019 185.00$ SCREW PERI SELF TAP 3.5 x100mm 7/1/2019 103.00$ SCREW PERI SELF TAP 3.5 x105mm 7/1/2019 103.00$ SCREW PERI SELF TAP 3.5 x 10mm 7/1/2019 80.00$ SCREW PERI SELF TAP 3.5 x110mm 7/1/2019 103.00$ SCREW PERI SELF TAP 3.5 x 12mm 7/1/2019 88.00$ SCREW PERI SELF TAP 3.5 x 14mm 7/1/2019 88.00$ SCREW PERI SELF TAP 3.5 x 18mm 7/1/2019 109.00$ SCREW PERI SELF TAP 3.5 x 22MM 7/1/2019 109.00$ SCREW PERI SELF TAP 3.5 x 36mm 7/1/2019 109.00$ SCREW PERI SELF TAP 3.5 X 38MM 7/1/2019 109.00$ SCREW PERI SELF TAP 3.5 X 40MM 7/1/2019 75.00$ SCREW PERI SELF TAP 3.5 X 42MM 7/1/2019 103.00$ PAIN BLOCK SOAKER 7/1/2019 426.00$ SCREW PERI SELF TAP 3.5 X 44MM 7/1/2019 80.00$ SCREW PERI SELF TAP 3.5 X 46MM 7/1/2019 80.00$ SCREW PERI SELF TAP 3.5 X 48MM 7/1/2019 103.00$ SCREW PERI SELF TAP 3.5 X 50MM 7/1/2019 103.00$ SCREW PERI SELF TAP 3.5 X 52MM 7/1/2019 64.00$

SCREW PERI SELF TAP 3.5 X 54MM 7/1/2019 103.00$ SCREW PERI SELF TAP 3.5 X 56MM 7/1/2019 103.00$ SCREW PERI SELF TAP 3.5 X 58MM 7/1/2019 75.00$ SCREW PERI SELF TAP 3.5 X 60MM 7/1/2019 64.00$ SCREW PERI SELF TAP 3.5 X 70MM 7/1/2019 66.00$ SCREW PERI SELF TAP 3.5 X 75MM 7/1/2019 103.00$ SCREW PERI SELF TAP 3.5 X 80MM 7/1/2019 88.00$ SCREW PERI SELF TAP 3.5 X 85MM 7/1/2019 103.00$ SCREW PERI SELF TAP 3.5 X 8MM 7/1/2019 88.00$ SCREW PERI SELF TAP 3.5 X 90MM 7/1/2019 103.00$ SCREW PERI SELF TAP 3.5 X 95MM 7/1/2019 103.00$ COLLAGEN, IMPLANT 3x8cm x 1mm 7/1/2019 1,441.00$ CATH, GROSHONG DBL LUMEN CV 7/1/2019 1,263.00$ KIT CATH W/COIL TIP 7/1/2019 348.00$ TUBE GROMMET VENT 7/1/2019 171.00$ K WIRE 8.0MM X 310 MM 7/1/2019 866.00$ KIT PERITONEAL LAVAGE 7/1/2019 177.00$ PAIN PUMP, ON-Q, RELIEF T-BLOC 7/1/2019 224.00$ MESH, C-QUR PATCH CIRCLE 4.5 7/1/2019 1,180.00$ MESH, C-QUR PATCH OBLONG 3x6 7/1/2019 959.00$ MESH, C-QUR PATCH OBLONG 4x6 7/1/2019 1,080.00$ MESH, C-QUR PATCH OBLONG 5x5 7/1/2019 1,047.00$ MESH, C-QUR PATCH OBLONG 6x8 7/1/2019 1,473.00$ MESH, C-QUR PATCH OBLONG 8x10 7/1/2019 1,890.00$ MESH, C-QUR PATCH OBLONG 8x12 7/1/2019 2,078.00$ MESH, C-QUR V-PATCH SM 1.7x1.7 7/1/2019 754.00$ MESH, C-QUR V-PATCH 2.5x2.5 7/1/2019 949.00$ MESH, C-QUR V-PATCH 3.2x3.2 7/1/2019 1,223.00$ MESH, PROLITE OVAL SHEET 3x6 7/1/2019 80.00$ MESH, PROLITE OVAL SHEET 10x14 7/1/2019 182.00$ MESH, PROLOOP PLUG SMALL 1.10 7/1/2019 293.00$ MESH, PROLOOP PLUG MEDIUM 1.55 7/1/2019 230.00$ MESH, PROLOOP PLUG LARGE 1.90 7/1/2019 327.00$ MESH, PROLOOP PLUG XLARGE 2.0 7/1/2019 359.00$ CATH, FOLEY STRAIGHT 22FR 7/1/2019 42.00$ MESH, C-QUR ROUND 9X9 7/1/2019 638.00$ SMART PREP PROC KIT 7/1/2019 2,436.00$ KIT SPRAY APPLICATOR SMARTPREP 7/1/2019 648.00$ CATH, THORACIC 28FR 7/1/2019 24.00$ KIT PEG PONSKY PULL 7/1/2019 1,312.00$ CHIN IMPLANT SMALL 7/1/2019 1,237.00$ GENESYS HTA PROCERVA SET 7/1/2019 4,157.00$ NEUROSTIMULATOR,LEAD INTRO KIT 7/1/2019 1,716.00$ TUBE SHEEHY 7/1/2019 136.00$ DILATOR WIRE GUIDED 10-12 MM 7/1/2019 1,102.00$ FEMORAL COMPONENT SZ C LT 7/1/2019 4,829.00$ FEMORAL COMPONENT SZ C RT 7/1/2019 4,829.00$

FEMORAL COMPONENT SZ F LT 7/1/2019 7,277.00$ CATH, RELIEVA SINUS GUIDE 7/1/2019 1,340.00$ MESH, PARIETEX COMPOSITE 7/1/2019 1,406.00$ MESH, SURG MERSILENE 2.5x4.5 7/1/2019 230.00$ PATCH HERNIA VENTRALEX SM CRCL 7/1/2019 944.00$ PIN STEINMAN 3/16x9 7/1/2019 84.00$ PLATE SUPRACONDYLAR 90o 10H FL 7/1/2019 1,239.00$ SCREW CONDYLE 5x45MM 7/1/2019 693.00$ SCREW CONDYLE 5x50MM 7/1/2019 346.00$ SCREW CONDYLE 5x65MM 7/1/2019 609.00$ SCREW EMERGENCY 2.4 X 6MM 7/1/2019 3.00$ SCREW FORTE CANC 32MM 7/1/2019 104.00$ TITANIUM LP PORT wGROSHONG 8F 7/1/2019 1,093.00$ TRAY, CATHETER CLOSED 16 FR 9 7/1/2019 85.00$ TUBE/PLATE FREE LOCK 150o 6H 7/1/2019 959.00$ CANCELLOUS SPONGE 2.0 CM CUBE 7/1/2019 3,542.00$ SLING URETHERAL, COOK 7/1/2019 1,626.00$ CATH, COUNCIL 2 WAY 16FR 7/1/2019 66.00$ CATHETER LATEX COUDE 24FR 30CC 7/1/2019 160.00$ MESH, C-QUR PL 8x10 7/1/2019 1,543.00$ MESH, C-QUR PL 6x8 7/1/2019 1,124.00$ MESH, C-QUR PL 8x12 7/1/2019 1,736.00$ MESH, C-QUR PL 10x14 7/1/2019 2,398.00$ MESH, C-QUR ROUND 5.9x5.9 7/1/2019 1,057.00$ MESH, C-QUR 13 cm x 13 cm 7/1/2019 764.00$ CATHETER KIT PLEURX PERITONEAL 7/1/2019 1,180.00$ SUTURE SPARTAN PEEK IMPLANT 7/1/2019 705.00$ GRAFT BIODESIGN POST PELVIC 7/1/2019 2,220.00$ SMARTPIN 2.0 x 40MM 7/1/2019 346.00$ SMARTPIN 1.5 x 30MM 7/1/2019 334.00$ K WIRE 0.045 9 IN 7/1/2019 126.00$ IMPLANT NASAL MEDPOR DARTT 7/1/2019 948.00$ SPLINT NASAL LG BIVALVE 7/1/2019 30.00$ NASAL BARRIER MEDPOR 66 x 8mm 7/1/2019 834.00$ MESH, C-QUR 2.5x5.5 7/1/2019 334.00$ CATH, ABLATION FOCAL 90 7/1/2019 1,935.00$ CATH, ABLATION ULT LONG FOCAL 7/1/2019 2,455.00$ SIZING BALLOON 7/1/2019 1,626.00$ CEMENT, BONE SMARTSET GHV 7/1/2019 675.00$ SCREW PERI SELF TAP 3.5 x 55mm 7/1/2019 95.00$ SCREW PERI 20mm THD 4.0 x 30mm 7/1/2019 95.00$ SCREW PERI 20mm THD 4.0 x 40mm 7/1/2019 95.00$ SCREW PERI 20mm THD 4.0 x 45mm 7/1/2019 95.00$ SCREW PERI 20mm THD 4.0 x 50mm 7/1/2019 95.00$ SCREW PERI 20mm THD 4.0 x 55mm 7/1/2019 95.00$ SCREW PERI 20mm THD 4.0 x 60mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 10mm 7/1/2019 95.00$

SCREW PERI FULL THD 4.0 x 12mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 14mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 16mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 18mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 20mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 22mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 24mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 26mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 28mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 30mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 32mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 34mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 36mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 38mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 40mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 45mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 50mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 55mm 7/1/2019 95.00$ SCREW PERI FULL THD 4.0 x 60mm 7/1/2019 95.00$ SCREW PERI SELF TAP 4.5 x 26mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 28mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 30mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 32mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 34mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 36mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 38mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 40mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 42mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 44mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 46mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 48mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 50mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 55mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 60mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 65mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 70mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 75mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 80mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 85mm 7/1/2019 103.00$ SCREW PERI SELF TAP 4.5 x 90mm 7/1/2019 103.00$ SCREW PERI 16mm THD 6.5 x 35mm 7/1/2019 114.00$ SCREW PERI 16mm THD 6.5 x 40mm 7/1/2019 114.00$ SCREW PERI 16mm THD 6.5 x 45mm 7/1/2019 114.00$ SCREW PERI 16mm THD 6.5 x 50mm 7/1/2019 114.00$ SCREW PERI 16mm THD 6.5 x 55mm 7/1/2019 114.00$ SCREW PERI 16mm THD 6.5 x 60mm 7/1/2019 114.00$ SCREW PERI 16mm THD 6.5 x 65mm 7/1/2019 114.00$

SCREW PERI 16mm THD 6.5 x 70mm 7/1/2019 114.00$ SCREW PERI 16mm THD 6.5 x 75mm 7/1/2019 114.00$ SCREW PERI 16mm THD 6.5 x 80mm 7/1/2019 114.00$ SCREW PERI 16mm THD 6.5 x 85mm 7/1/2019 114.00$ SCREW PERI 16mm THD 6.5 x 90mm 7/1/2019 114.00$ SCREW PERI 32mm THD 6.5 x 45mm 7/1/2019 114.00$ SCREW PERI 32mm THD 6.5 x 50mm 7/1/2019 114.00$ SCREW PERI 32mm THD 6.5 x 55mm 7/1/2019 114.00$ SCREW PERI 32mm THD 6.5 x 60mm 7/1/2019 114.00$ SCREW PERI 32mm THD 6.5 x 65mm 7/1/2019 114.00$ SCREW PERI 32mm THD 6.5 x 70mm 7/1/2019 114.00$ SCREW PERI 32mm THD 6.5 x 75mm 7/1/2019 114.00$ SCREW PERI 32mm THD 6.5 x 80mm 7/1/2019 114.00$ SCREW PERI 32mm THD 6.5 x 85mm 7/1/2019 114.00$ SCREW PERI 32mm THD 6.5 x 90mm 7/1/2019 114.00$ SCREW PERI FULL THD 6.5 x 25mm 7/1/2019 114.00$ SCREW PERI FULL THD 6.5 x 30mm 7/1/2019 114.00$ SCREW PERI FULL THD 6.5 x 35mm 7/1/2019 114.00$ SCREW PERI FULL THD 6.5 x 40mm 7/1/2019 114.00$ SCREW PERI FULL THD 6.5 x 45mm 7/1/2019 114.00$ SCREW PERI FULL THD 6.5 x 50mm 7/1/2019 114.00$ SCREW PERI FULL THD 6.5 x 55mm 7/1/2019 114.00$ SCREW PERI FULL THD 6.5 x 60mm 7/1/2019 114.00$ SCREW PERI FULL THD 6.5 x 65mm 7/1/2019 114.00$ SCREW PERI FULL THD 6.5 x 70mm 7/1/2019 114.00$ SCREW PERI FULL THD 6.5 x 75mm 7/1/2019 114.00$ SCREW PERI FULL THD 6.5 x 80mm 7/1/2019 114.00$ SCREW PERI FULL THD 6.5 x 85mm 7/1/2019 114.00$ SCREW PERI FULL THD 6.5 x 91mm 7/1/2019 114.00$ SPHERICAL WASHER 3.5x7.9x4.2mm 7/1/2019 113.00$ PLATE DISTAL MEDIAL FEM 8H RT 7/1/2019 1,579.00$ WIRE KIRSCHNER 2.0mm 7/1/2019 140.00$ ALLODERM 2x4 cm MATRIX 7/1/2019 761.00$ MESH, PERMACOL 10x15cmx1.5mm 7/1/2019 5,136.00$ TUBE DRAIN PENROSE 1IN 7/1/2019 2.00$ KIT TIGHT ROPE REPAIR SSTEEL 7/1/2019 1,062.00$ KIT TIGHT ROPE REPAIR TITANIUM 7/1/2019 1,126.00$ NASOPORE DRESSING 4CM FIRM 7/1/2019 605.00$ MESH, PERMACOL 18x28 cm 7/1/2019 12,807.00$ DILATOR URETERAL SET 7/1/2019 846.00$ CATH, URETERAL BALLOON 6X4 7/1/2019 1,176.00$ CATH, URETERAL BALLOON 6X10 7/1/2019 1,176.00$ PIN BALL .028 7/1/2019 34.00$ STENT COLONIC EVOL METAL 6CM 7/1/2019 3,282.00$ STENT COLONIC EVOL METAL 8CM 7/1/2019 3,282.00$ COLONIC STENT 10CM 7/1/2019 1,846.00$ MESH, OPTMIZED COMPOSITE 20X15 7/1/2019 710.00$

CABLE SLEEVE SET 2.0, BEADED 7/1/2019 2,192.00$ DILATOR NO WIRE GUIDE 6-8MM 7/1/2019 1,004.00$ DILATOR NO WIRE GUIDE 8-9MM 7/1/2019 1,004.00$ DILATOR NO WIRE GUIDE 10-12MM 7/1/2019 927.00$ DILATOR NO WIRE GUIDE 12-15MM 7/1/2019 927.00$ DILATOR NO WIRE GUIDE 15-18MM 7/1/2019 927.00$ SURGIMEND 8X16 CM 7/1/2019 4,752.00$ CATH, BARRX CHANNEL RFA ENDO 7/1/2019 4,908.00$ SPLINT NASAL AQUAPLAST 7/1/2019 149.00$ SUPPORTER ATHLETIC XXL 7/1/2019 20.00$ FIBER LASER HB1000 7/1/2019 1,237.00$ FIBER LASER HB550 7/1/2019 876.00$ FIBER LASER HB365 7/1/2019 742.00$ CATH, FiAPC CIRCUMFERENTIAL 7/1/2019 1,089.00$ MESH, PARIETEX 15CM ROUND 7/1/2019 486.00$ MESH, SYMBOTEX 15CM ROUND 7/1/2019 1,119.00$ MESH, SYMBOTEX 20x15CM 7/1/2019 1,247.00$ GUIDEWIRE BALL TIP 3mmx1000cm 7/1/2019 1,202.00$ CATHETER FOLEY 2W 18FR LF 7/1/2019 20.00$ CATHETER FOLEY 2W 20FR LF 7/1/2019 20.00$ CATHETER FOLEY 2W 22FR LF 7/1/2019 20.00$ ACETABULAR SHELL 62MM CLSTR HL 7/1/2019 1,596.00$ OVERTUBE 25CM, ENDOSCOPIC 7/1/2019 965.00$ WAND ARTHRSCPY SURFAS 35MM 90S 7/1/2019 718.00$ MESH, SYMBOTEX 25x20CM 7/1/2019 1,628.00$ POLY PLUG 9MM 7/1/2019 787.00$ CATH, CHOLANGIOGRAM 4FR 7/1/2019 393.00$ NET ROTH FOOD BOLUS RETRIEVER 7/1/2019 520.00$ DILATOR NO WIRE GUIDE 18-20MM 7/1/2019 927.00$ MESH, HERNIA SQUARE 30x30cm 7/1/2019 494.00$ KIT NERVE FLEXBLOCK CATH 19x60 7/1/2019 370.00$ MESH, SYMBOTEX 9CM ROUND 7/1/2019 737.00$ SPLINT NASAL SEPTAL NEIMAN 7/1/2019 223.00$ TUBE T RICHARD MODIFIED 7/1/2019 235.00$ STENT, EVOLUTION ESOPHAGEAL 7/1/2019 2,398.00$ CATH, CHOLANGIOGRAM 4.5FR 7/1/2019 316.00$ SURGIMESH 7/1/2019 557.00$ STEM EXTENSION ST 15MM X 145MM 7/1/2019 1,563.00$ STEM EXTENSION 17MM X 100MM 7/1/2019 1,670.00$ IMPLANT PROPEL MINI 7/1/2019 3,429.00$ GUIDEWIRE NON-THR 1.25x150mm 7/1/2019 196.00$ GUIDEWIRE THR 1.25x150mm 7/1/2019 210.00$ SCREW CANN SHORT THR 4.0x10mm 7/1/2019 602.00$ SCREW CANN SHORT THR 4.0x12mm 7/1/2019 602.00$ SCREW CANN SHORT THR 4.0x14mm 7/1/2019 602.00$ SCREW CANN SHORT THR 4.0x16mm 7/1/2019 602.00$ SCREW CANN SHORT THR 4.0x18mm 7/1/2019 602.00$

SCREW CANN SHORT THR 4.0x20mm 7/1/2019 602.00$ SCREW CANN SHORT THR 4.0x22mm 7/1/2019 602.00$ SCREW CANN SHORT THR 4.0x24mm 7/1/2019 602.00$ SCREW CANN SHORT THR 4.0x26mm 7/1/2019 602.00$ SCREW CANN SHORT THR 4.0x28mm 7/1/2019 602.00$ SCREW CANN SHORT THR 4.0x30mm 7/1/2019 620.00$ SCREW CANN SHORT THR 4.0x32mm 7/1/2019 620.00$ SCREW CANN SHORT THR 4.0x34mm 7/1/2019 620.00$ SCREW CANN SHORT THR 4.0x36mm 7/1/2019 620.00$ SCREW CANN SHORT THR 4.0x38mm 7/1/2019 602.00$ SCREW CANN SHORT THR 4.0x40mm 7/1/2019 602.00$ SCREW CANN SHORT THR 4.0x42mm 7/1/2019 602.00$ SCREW CANN SHORT THR 4.0x44mm 7/1/2019 620.00$ SCREW CANN SHORT THR 4.0x46mm 7/1/2019 654.00$ SCREW CANN SHORT THR 4.0x48mm 7/1/2019 602.00$ SCREW CANN SHORT THR 4.0x50mm 7/1/2019 620.00$ NEEDLE, INJECTION, 25Gx5MM 7/1/2019 169.00$ NEEDLE, INJECTION, 25Gx4MM 7/1/2019 169.00$ PRIMATRIX DERMAL, 8x12CM 7/1/2019 4,847.00$ DRAIN SILICONE 19FR ROUND 7/1/2019 46.00$ HAMMERLOCK 7/1/2019 1,708.00$ PRIMATRIX DERMAL, 8x8CM 7/1/2019 3,231.00$ MYOSURE LITE TISS REMVL DEVICE 7/1/2019 2,214.00$ BIOSURGERY SEALANT HEMOSTATS 7/1/2019 501.00$ CATHETER CRITICORE LF 7/1/2019 196.00$ TUBE PLATE KEYLESS 4 HOLE 135 7/1/2019 989.00$ ALLOMAX 2X4 cm IMPLANT GRAFT 7/1/2019 262.00$ PRIMATRIX GRAFT 8X8 CM 7/1/2019 3,231.00$ TUBE PLATE KEYLESS 4 HOLE 130 7/1/2019 989.00$ TUBE PLATE KEYLESS 4 HOLE 140 7/1/2019 989.00$ TUBE PLATE KEYLESS 4 HOLE 145 7/1/2019 989.00$ TUBE PLATE KEYLESS 4 HOLE 150 7/1/2019 1,510.00$ TUBE PLATE KEYLESS 5 HOLE 130 7/1/2019 1,435.00$ TUBE PLATE KEYLESS 5 HOLE 135 7/1/2019 989.00$ TUBE PLATE KEYLESS 5 HOLE 140 7/1/2019 989.00$ TUBE PLATE KEYLESS 5 HOLE 145 7/1/2019 1,573.00$ TUBE PLATE KEYLESS 5 HOLE 150 7/1/2019 1,593.00$ TUBE PLATE KEYLESS 6 HOLE 130 7/1/2019 1,623.00$ TUBE PLATE KEYLESS 6 HOLE 135 7/1/2019 989.00$ TUBE PLATE KEYLESS 6 HOLE 140 7/1/2019 1,805.00$ TUBE PLATE KEYLESS 6 HOLE 145 7/1/2019 1,572.00$ TUBE PLATE KEYLESS 6 HOLE 150 7/1/2019 1,793.00$ NET TWISTER PLUS 7/1/2019 426.00$ SHOOTER COLONOSCOPY 7/1/2019 1,272.00$ G-J TUBE 7/1/2019 1,262.00$ PRIMATRIX GRAFT 4X4 CM 7/1/2019 1,167.00$ IMPLANT, EYELID, GOLD 7/1/2019 1,394.00$

DUAL PRO-PICC SET 7/1/2019 594.00$ BONE VOID FILLER OSTEOMED 7/1/2019 4,620.00$ PLATE 1/3 TUBULAR SS 109 X 9H 7/1/2019 249.00$ PLATE 1/3 TUBULAR SS 121 X10H 7/1/2019 257.00$ PLATE 1/3 TUBULAR SS 49 X 4H 7/1/2019 238.00$ PLATE 1/3 TUBULAR SS 73 X 6H 7/1/2019 248.00$ PLATE 1/3 TUBULAR SS 85 X 7H 7/1/2019 255.00$ PLATE 1/3 TUBULAR SS 97 X 8H 7/1/2019 257.00$ PLATE LC DCP 3.5 X 116M 9H 7/1/2019 522.00$ PLATE LC DCP 3.5 X 77MM 6H 7/1/2019 456.00$ PLATE LCP 3.5 X 119MM 10H 7/1/2019 710.00$ SCREW CANC BONE P/T 4.0 X 14MM 7/1/2019 33.00$ SCRE CANC BONE P/T 4.0 X 10MM 7/1/2019 42.00$ SCREW CANC BONE P/T 4.0 X12MM 7/1/2019 42.00$ SCREW CANC BONE P/T 4.0 X 16MM 7/1/2019 42.00$ SCREW CANC BONE P/T 4.0 X 24MM 7/1/2019 42.00$ SCREW CANC BONE P/T 4.0 X 30MM 7/1/2019 55.00$ SCREW CANC BONE P/T 4.0 X 35MM 7/1/2019 55.00$ SCREW CANC BONE P/T 4.0 X 40MM 7/1/2019 55.00$ SCREW CANC BONE P/T 4.0 45MM 7/1/2019 55.00$ SCREW CANC BONE P/T 4.0 X 50MM 7/1/2019 55.00$ SCREW CANC FUL THD 4.0 X 14 7/1/2019 66.00$ SCREW CANC FUL THD 4.0 X 10MM 7/1/2019 68.00$ SCREW CANC FUL THD 4.0 X 12MM 7/1/2019 68.00$ SCREW CANC FUL THD 4.0 X 16MM 7/1/2019 68.00$ SCREW CANC FUL THD 4.0 X 18MM 7/1/2019 66.00$ SCREW CANC FUL THD 4.0 X 20MM 7/1/2019 66.00$ SCREW CANC FUL THD 4.0 X 22MM 7/1/2019 66.00$ SCREW CANC FUL THD 4.0 X 24MM 7/1/2019 64.00$ SCREW CANC FUL THD 4.0 X 30MM 7/1/2019 66.00$ SCREW CANC FUL THD 4.0 X35MM 7/1/2019 41.00$ SCREW CANC FUL THD 4.0 X 40MM 7/1/2019 64.00$ SCREW CANC FUL THD 4.0 X 45MM 7/1/2019 64.00$ SCREW CANC FUL THD 4.0 X 50MM 7/1/2019 64.00$ SCREW CANC FUL THD 4.0 X 55M 7/1/2019 64.00$ SCREW CANC FUL THD 4.0 X 60MM 7/1/2019 64.00$ SCREW CORT SELF TAP 3.5 X12MM 7/1/2019 80.00$ SCREW CORT SELF TAP 3.5 X14MM 7/1/2019 80.00$ SCREW CORT SELF TAP 3.5 X24MM 7/1/2019 80.00$ SCREW SHAFT 3.5 X 22MM 7/1/2019 46.00$ SIMPLEX BONE CEMENT W GENT 7/1/2019 675.00$ FIXATION DEVICE SECURESTRAP 7/1/2019 1,047.00$ FIBER LASER MICRON 365 SMART 7/1/2019 990.00$ MESH, PROGRIP 15X15 7/1/2019 652.00$ MESH,PARIETEX PROGRIP 15X9CM 7/1/2019 632.00$ MESH, PROGRIP 7/1/2019 805.00$ GJ TUBE 7/1/2019 876.00$

IMPLANT, NASAL LATERA ABSORBAB 7/1/2019 1,782.00$ MESH, UPHOLD LITE 7/1/2019 3,984.00$ SUTURE ANCHOR 5.5 7/1/2019 858.00$ SUTURE ANCHOR 4.75 7/1/2019 858.00$ IMPLANT SYS PROXIMAL TENDESIS 7/1/2019 1,225.00$ SPEEDBRIDGE IMPLANT SYSTEM 7/1/2019 2,584.00$ EAR, TUBE PAPARELLA 7/1/2019 92.00$ FIBER LASER HB200 7/1/2019 693.00$ BALLOON, EUSTACHIAN TUBE, AERA 7/1/2019 5,968.00$ GUIDE, EUSTACHIAN TUBE AERA 7/1/2019 1.00$ ARTACENT WOUND 4CMX4CM 7/1/2019 4,990.00$ CATH BALLOON BARRX 360 EXPRESS 7/1/2019 7,627.00$ ACEBUTOLOL 200MG CAPSULE 7/1/2019 3.00$ ACETAMINOPHEN 325MG TABLET 7/1/2019 1.00$ ACETAMINOPHEN 325MG/10.15MLSOL 7/1/2019 12.00$ ACETAMINOPHEN 80MG CHEW TAB 7/1/2019 1.00$ ACETAMINOPHEN/CODEINE 300MG/30 7/1/2019 2.00$ ACETAZOLAMIDE 250MG TAB 7/1/2019 19.00$ ACETIC ACID 0.25% 1000ML IRRIG 7/1/2019 13.00$ ACETONE 7/1/2019 57.00$ ACETYLCYSTEINE 20% 50LN 4 ML 7/1/2019 32.00$ ACTIDOSE 50GM/240ML SUSP 7/1/2019 195.00$ ACTIVASE 100MG INJ 7/1/2019 37,754.00$ ACTIVASE 50MG INJ 7/1/2019 18,877.00$ ACTIVASE CATHFLO 2MG 7/1/2019 691.00$ ADENOSINE 90MG INJ 7/1/2019 1,769.00$ ADRENALIN 1:1000 NASAL SOLN 7/1/2019 557.00$ ALBUMIN 5% INJ 250ML 7/1/2019 300.00$ ALBUMIN, HUMAN 25% INJ 100ML 7/1/2019 530.00$ ALBUTEROL 0.083% INH. SOLN 3ML 7/1/2019 2.00$ ALLOPURINOL 100 MG TABLET 7/1/2019 2.00$ ALLOPURINOL 300MG TABLET 7/1/2019 3.00$ ALPRAZOLAM 0.25 MG TABLET 7/1/2019 2.00$ ALPRAZOLAM 0.5 MG TABLET 7/1/2019 2.00$ ALUM POWDER 30 GM 7/1/2019 8.00$ AMANTADINE 100 MG CAPSULE U.D. 7/1/2019 5.00$ AMINOCAPROIC ACID 250MG/ML 7/1/2019 40.00$ AMINOPHYLLINE 250 MG/10ML INJ 7/1/2019 69.00$ AMIODARONE 900 MG/18 ML 7/1/2019 88.00$ AMIODARONE 150 MG/3 ML 7/1/2019 9.00$ AMITRIPTYLINE 10MG TABLET 7/1/2019 2.00$ AMITRIPTYLINE 25MG TABLET 7/1/2019 2.00$ AMITRIPTYLINE 50 MG TAB 7/1/2019 3.00$ AMMONIA LACTATE 12% LOTION 8OZ 7/1/2019 29.00$ APLISOL 5 TU/O.1ML SKIN TEST 7/1/2019 49.00$ AQUAMEPHYTON GEQ 1MG/0.5ML SYR 7/1/2019 135.00$ ARMOUR THYROID 30MG TAB UD 7/1/2019 5.00$

ASCORBIC ACID 250MG TABLET 7/1/2019 1.00$ ASPIRIN 325MG TABLET 7/1/2019 1.00$ ASPIRIN 325MG TABLET E.C. 7/1/2019 1.00$ ASPIRIN 81MG CHEWABLE TABLET 7/1/2019 1.00$ ATENOLOL 25 MG TABLET 7/1/2019 2.00$ ATENOLOL 50 MG TABLET 7/1/2019 2.00$ ATROPINE 1 MG/ML INJ 1 ML 7/1/2019 45.00$ ATROPINE SULFATE 1% OPHTH SOLN 7/1/2019 302.00$ AZATHIOPRINE 50MG TABLET 7/1/2019 3.00$ BACITRACIN OPTH OINT 3.5GM 7/1/2019 539.00$ WATER, BACTERIOSTATIC 30ML 7/1/2019 1.00$ BAL IN OIL 100MG/ML INJ 3ML 7/1/2019 764.00$ BENZONATATE 100MG CAPSULE 7/1/2019 2.00$ BENZTROPINE 0.5 MG TABLET 7/1/2019 2.00$ BENZTROPINE 1MG TABLET 7/1/2019 2.00$ BETAXOLOL 0.5% OP SOLN 5ML 7/1/2019 236.00$ BOTULINUM TOXIN TYPE A 1 UNIT 7/1/2019 42.00$ BREVIBLOC 10MG/ML INJ 250ML 7/1/2019 1,039.00$ BSS 15ML SOLUTION 7/1/2019 20.00$ BUMETANIDE 1 MG TABLET 7/1/2019 8.00$ BUPIVACAINE 0.25% INJ 10ML 7/1/2019 9.00$ BUPIVACAINE 0.25% INJ 30ML 7/1/2019 9.00$ BUPIVACAINE 0.25%/EPI 1:20000 7/1/2019 24.00$ BUPIVACAINE 0.5% W/EPI 1:200M 7/1/2019 24.00$ BUPROPION 100MG TABLET 7/1/2019 7.00$ BUPROPION 75MG TABLET 7/1/2019 2.00$ BUSPIRONE 10MG TABLET 7/1/2019 2.00$ BUSPIRONE 5MG TABLET 7/1/2019 2.00$ BUTALBITAL/APAP/CAFFEINE TAB 7/1/2019 2.00$ BUTORPHANOL TARTRATE 2 MG INJ 7/1/2019 30.00$ CALCITRIOL 0.25 MCG CAPSULE 7/1/2019 4.00$ CALCIUM CHLORIDE 10% ABBOJECT 7/1/2019 52.00$ CALMOSEPTINE OINT 1/8 OZ. PACK 7/1/2019 4.00$ CANDIN INJECTION 7/1/2019 107.00$ CAPTOPRIL 25 MG TABLET 7/1/2019 10.00$ CARBIDOPA/LEVODOPA 10/100 TAB 7/1/2019 3.00$ CARBIDOPA/LEVODOPA CR 50/200MG 7/1/2019 4.00$ CARISOPRODOL 350 MG TAB UD 7/1/2019 2.00$ CARMUSTINE 100 MG 7/1/2019 16,863.00$ CERVIDIL 10MG VAGINAL INSERT 7/1/2019 1,910.00$ CHLORDIAZEPOXIDE 25 MG CAPSULE 7/1/2019 3.00$ CHLORDIAZEPOXIDE 5MG CAPSULE 7/1/2019 3.00$ CHLORPROMAZINE 25 MG TABLET 7/1/2019 22.00$ CHLORTHALIDONE 25 MG TABLET 7/1/2019 10.00$ CLONAZEPAM 0.5MG TABLET 7/1/2019 2.00$ CLONAZEPAM 1MG TABLET 7/1/2019 2.00$ CLONIDINE 0.1MG TAB U.D. 7/1/2019 2.00$

CLONIDINE 0.2 MG TABLET 7/1/2019 2.00$ GLUCAGON HCL PER 1 MG INJ 7/1/2019 772.00$ COCAINE 4% TOPICAL SOLN 4ML 7/1/2019 729.00$ COCAINE HCL FLAKES 1 GM 7/1/2019 423.00$ CODEINE 30MG TAB UD 7/1/2019 5.00$ COUMADIN 1MG TABLET 7/1/2019 2.00$ COUMADIN 2.5MG TABLET 7/1/2019 2.00$ COUMADIN 2MG TABLET 7/1/2019 2.00$ COUMADIN 3 MG TABLET 7/1/2019 2.00$ COUMADIN 5MG TAB UD 7/1/2019 2.00$ COUMADIN 7.5MG TABLET 7/1/2019 2.00$ CYCLOBENZAPRINE 10 MG TABLET 7/1/2019 2.00$ CYPROHEPTADINE 4MG TABLET 7/1/2019 2.00$ D50W 50ML ABBOJECT 7/1/2019 50.00$ D5W 1/2 NS 1000ML IV SOLN 7/1/2019 1.00$ D5W 1/3 NS 1000ML IV SOLN 7/1/2019 1.00$ D5W 1/4 NS 1000ML IV SOLN 7/1/2019 1.00$ D5W 1000ML IV SOLN 7/1/2019 1.00$ D5W 100ML IV SOLN 7/1/2019 1.00$ D5W 250ML IV SOLN 7/1/2019 1.00$ D5W 500ML IV SOLN 7/1/2019 1.00$ D5W 50ML IV SOLN 7/1/2019 1.00$ D5W NS 0.9% 1000ML IV SOLN 7/1/2019 1.00$ DAKIN'S SOLUTION 1/8 STR 480ML 7/1/2019 8.00$ DAKIN'S SOLUTION FUL STR 480ML 7/1/2019 68.00$ DEHYDRATED ALCOHOL 98% AMP 5ML 7/1/2019 538.00$ DELTASONE GEQ 2.5MG TAB UD 7/1/2019 2.00$ DELTASONE GEQ 50MG TAB UD 7/1/2019 2.00$ DESMOPRESSIN 4 MCG/ML INJ 7/1/2019 254.00$ DEXAMETHASONE 0.5MG TAB UD 7/1/2019 2.00$ DEXAMETHASONE 4MG TAB UD 7/1/2019 5.00$ D10W 1000ML IV SOLN 7/1/2019 1.00$ D10W 500ML IV SOLN 7/1/2019 1.00$ DEXTROSE 50% INJ 50 ML VIAL 7/1/2019 16.00$ DIAZEPAM 2 MG TABLET 7/1/2019 2.00$ DIAZEPAM 5 MG TABLET 7/1/2019 2.00$ DICLOFENAC 50 MG TABLET 7/1/2019 3.00$ DICLOFENAC 50MG TAB E.C. 7/1/2019 2.00$ DICYCLOMIME 10MG CAPSULE 7/1/2019 2.00$ DICYCLOMINE 20 MG TABLET 7/1/2019 2.00$ DIGOXIN PED ELIX 0.05MG/ML 7/1/2019 553.00$ DILANTIN 100MG CAP UD 7/1/2019 9.00$ DILTIAZEM 125MG/25ML INJ 7/1/2019 33.00$ DILTIAZEM 25 MG/5 ML INJ 7/1/2019 10.00$ DILTIAZEM 30 MG TABLET 7/1/2019 2.00$ DILTIAZEM 60MG TABLET 7/1/2019 2.00$ DILTIAZEM CD 120MG CAPSULE 7/1/2019 2.00$

DILTIAZEM CD 180 MG CAPSULE 7/1/2019 2.00$ DILTIAZEM CD 240MG CAP 7/1/2019 2.00$ DILTIAZEM CD 300MG CAPSULE 7/1/2019 7.00$ DIPHENHYDRAMINE 25MG CAPSULE 7/1/2019 1.00$ DIPHENHYDRAMINE 50 MG CAP 7/1/2019 1.00$ DIPHENHYDRAMINE 50MG CAP 7/1/2019 1.00$ DIPROSONE GEQ 0.05% CREAM 15GM 7/1/2019 161.00$ DIPROSONE GEQ 0.05% OINT 15 GM 7/1/2019 294.00$ DIPYRIDAMOLE 25MG TABLET 7/1/2019 2.00$ DOPAMINE 400 MG/250 ML INJ 7/1/2019 46.00$ DOPRAM 20MG/ML INJ 20 ML 7/1/2019 258.00$ DOXAZOSIN 2MG TABLET 7/1/2019 4.00$ DOXEPIN 10MG CAPSULE 7/1/2019 3.00$ DOXEPIN 25MG CAPSULE 7/1/2019 4.00$ EPHEDRINE 50 MG/ML INJ 7/1/2019 83.00$ EPIFOAM AEROSOL 7/1/2019 438.00$ EPINEPHRINE 1:1000 1 ML 7/1/2019 57.00$ EPINEPHRINE 1:10000 INJ 10ML 7/1/2019 28.00$ EPINEPHRINE 1MG/ML INJ 30ML 7/1/2019 943.00$ ESTRACE 0.01% VAG CREAM 7/1/2019 1,426.00$ ESTRADIOL 0.5MG TABLET 7/1/2019 2.00$ FAMOTIDINE 20MG TABLET 7/1/2019 2.00$ FERRIC SUBSULFATE PASTE 50 GM 7/1/2019 7.00$ FERRIC SUBSULFATE SOLUTION 2OZ 7/1/2019 28.00$ FLUORESCEIN 1MG STRIP 7/1/2019 2.00$ FLUOXETINE 10MG TABLET 7/1/2019 2.00$ FLUPHENAZINE 25MG/ML INJ 5ML 7/1/2019 327.00$ FOLIC ACID 1 MG TABLET 7/1/2019 2.00$ FUROSEMIDE 20mg TABLET 7/1/2019 2.00$ FUROSEMIDE 40 MG TABLET 7/1/2019 2.00$ GELFOAM 12-7 MM SPONGE 7/1/2019 26.00$ GELFOAM-SIZE 100 SPONGE 7/1/2019 117.00$ GEODON 20MG/ML INJ 7/1/2019 323.00$ GLIPIZIDE 5 MG TABLET 7/1/2019 2.00$ GLYBURIDE 1.5MG MICRO TAB 7/1/2019 2.00$ GLYBURIDE 2.5 MG TABLET 7/1/2019 2.00$ GLYBURIDE 5 MG TABLET 7/1/2019 2.00$ GLYCERIN SOLN 1 OZ. 7/1/2019 30.00$ GRANULEX SPRAY 4 OZ 7/1/2019 69.00$ HALOPERIDOL 1 MG TABLET 7/1/2019 2.00$ HALOPERIDOL 5 MG TABLET 7/1/2019 3.00$ HEMABATE 250MCG INJ 7/1/2019 1,806.00$ HEP B VAC/PEDIATRIC/ADOLESCENT 7/1/2019 104.00$ HEPATITIS B IMMUNE GLOB 1ML 7/1/2019 664.00$ HEPATITIS B VACCINE, IMMUNOSUP 7/1/2019 282.00$ HEPATITIS B VACCINE,ADULT DOSE 7/1/2019 283.00$ HETASTARCH 6% IN .9% NACL 500M 7/1/2019 95.00$

HYDRALAZINE 10MG TABLET 7/1/2019 2.00$ HYDRALAZINE 25MG TAB 7/1/2019 2.00$ HYDRALAZINE 50MG TABLET 7/1/2019 2.00$ HYDROCHLOROTHIAZIDE 12.5MG CAP 7/1/2019 2.00$ HYDROCHLOROTHIAZIDE 25MG TAB 7/1/2019 2.00$ HYDROCODONE/HOMATROPINE SYRUP 7/1/2019 18.00$ HYDROCORTISONE 1% CREAM 30GM 7/1/2019 9.00$ HYDROCORTISONE 1% OINT 30GM 7/1/2019 11.00$ HYDROCORTISONE ACETATE 25 MG 7/1/2019 21.00$ HYDROXYUREA 500MG CAPSULE 7/1/2019 5.00$ HYDROXYZINE 10MG/5ML SYRUP 7/1/2019 3.00$ HYDROXYZINE HCL 25MG TABLET 7/1/2019 2.00$ HYDROXYZINE PAMOATE 25MG 7/1/2019 2.00$ IBUPROFEN 400 MG TABLET 7/1/2019 2.00$ IBUPROFEN 600 MG TABLET 7/1/2019 2.00$ IBUPROFEN 800 MG TABLET 7/1/2019 2.00$ IMIPRAMINE 25 MG TAB 7/1/2019 2.00$ IMOVAX RABIES VACCINE 2.5U INJ 7/1/2019 1,258.00$ INDAPAMIDE 1.25 MG TABLET 7/1/2019 2.00$ INDIGO CARMINE 0.8% INJ 5 ML 7/1/2019 646.00$ INDOMETHACIN 25 MG CAPSULE 7/1/2019 2.00$ IRON DEXTRAN 100 MG/2 ML (165) 7/1/2019 172.00$ IPRATROPIUM 0.02% INHALATION 7/1/2019 2.00$ ISOSORBIDE DINITRATE 20MG TAB 7/1/2019 3.00$ ISOSORBIDE DINITRATE 5MG TAB 7/1/2019 6.00$ ISOSORBIDE MONOMITRATE 10MG 7/1/2019 2.00$ ISOSORBIDE MONONITRATE 30MG 7/1/2019 2.00$ ISOSORBIDE MONONITRATE 60MG 7/1/2019 2.00$ ISUPREL 0.2MG/ML /5ML AMP 7/1/2019 4,700.00$ KENALOG 40 MG/ML INJ 1ML 7/1/2019 61.00$ KENALOG GEQ 0.025% CREAM 15GM 7/1/2019 14.00$ KENALOG-10 10MG/ML INJ SUSP 7/1/2019 79.00$ KETAMINE 100 MG/ML INJ 5 ML 7/1/2019 51.00$ KETOROLAC 15MG/ML INJ 1 ML 7/1/2019 9.00$ KETOROLAC 30MG/ML INJ 1 ML 7/1/2019 9.00$ KETOROLAC 60 MG/2ML INJ 7/1/2019 9.00$ KLOR-CON 20 MEQ TABLET 7/1/2019 2.00$ KLOR-CON 8 MEQ TABLET 7/1/2019 2.00$ L.E.T. TOPICAL SOLN 5ML 7/1/2019 20.00$ LABETALOL 100MG TABLET 7/1/2019 2.00$ LABETALOL 5MG/ML INJ 1ML 7/1/2019 2.00$ LABETALOL 5MG/ML INJ 20ML 7/1/2019 16.00$ LR 1000ML IV SOLN 7/1/2019 1.00$ LR 500ML IV SOLN 7/1/2019 1.00$ LACTULOSE 20GM/30ML SOLN 7/1/2019 3.00$ LANTUS U-100 INSULIN 10ML INJ 7/1/2019 1,139.00$ LEVOBUNOLOL 0.5% OP SOLN 5 ML 7/1/2019 26.00$

LIDOCAINE 0.5%/W EPI MDV 50ML 7/1/2019 14.00$ LIDOCAINE 0.5% INJ 50 ML 7/1/2019 27.00$ LIDOCAINE 1% INJ 20ML 7/1/2019 9.00$ LIDOCAINE 1% INJ 50ML 7/1/2019 18.00$ LIDOCAINE 1% W/ EPI 1:100000 7/1/2019 9.00$ LIDOCAINE 2% INJ 10ML P.F. 7/1/2019 14.00$ LIDOCAINE 2% INJ 20ML 7/1/2019 9.00$ LIDOCAINE 2% SYRINGE 5ML 7/1/2019 15.00$ LIDOCAINE 2% W/EPI INJ 20ML 7/1/2019 10.00$ LIDOCAINE 2%/EPI DENTAL CART 7/1/2019 9.00$ LIDOCAINE 2GM/500ML INJ 7/1/2019 34.00$ LIDOCAINE/GLUCOSE 5% INJ 2ML 7/1/2019 50.00$ LIPOSYN II 20% IV SOLN 500 ML 7/1/2019 212.00$ LISINOPRIL 10 MG TABLET 7/1/2019 2.00$ LISINOPRIL 2.5MG TABLET 7/1/2019 2.00$ LISINOPRIL 5MG TABLET 7/1/2019 2.00$ LITHIUM CARBONATE 150 MG CAP 7/1/2019 2.00$ LOMOTIL GEQ SOLN 60ML 7/1/2019 342.00$ LOPERAMIDE 2 MG CAPSULE 7/1/2019 4.00$ LORAZEPAM 0.5 MG TABLET 7/1/2019 2.00$ LORAZEPAM 1 MG TABLET 7/1/2019 2.00$ D5W LR 1000ML IV SOLN 7/1/2019 1.00$ MAG SULF/GLYCERIN/WATER ENEMA 7/1/2019 25.00$ MAGNESIUM SULF 8.12MEQ/2ML INJ 7/1/2019 9.00$ MANNITOL 20% IV SOLN 7/1/2019 90.00$ MARCAINE SPINAL 0.75% INJ 2ML 7/1/2019 14.00$ MAYO ENEMA POWDER 7/1/2019 17.00$ MECLIZINE 12.5 MG TABLET 7/1/2019 2.00$ MECLIZINE 25 MG 7/1/2019 3.00$ MEDROXYPROGESTERONE 10MG TAB 7/1/2019 2.00$ MEDROXYPROGESTERONE 2.5MG TAB3 7/1/2019 2.00$ MEGESTROL 40 MG TABLET 7/1/2019 2.00$ MEPHYTON 5MG TAB UD 7/1/2019 323.00$ METFORMIN 500MG TABLET 7/1/2019 2.00$ METFORMIN 850MG TABLET 7/1/2019 2.00$ METHADONE 5 MG TABLET 7/1/2019 2.00$ METHOCARBAMOL 500 MG TABLET 7/1/2019 2.00$ METHOCARBAMOL 750 MG TABLET 7/1/2019 2.00$ METHYLDOPA 250 MG TABLET 7/1/2019 2.00$ METHYLPHENIDATE 5MG TABLET 7/1/2019 8.00$ METHYLPREDNISOLONE 4MG TABLET 7/1/2019 2.00$ METICORTEN GEQ 1MG TAB UD 7/1/2019 2.00$ METOCLOPRAMIDE 10MG TABLET 7/1/2019 2.00$ METOCLOPRAMIDE 10MG/10ML SYR 7/1/2019 7.00$ METOCLOPRAMIDE 5MG TAB 7/1/2019 2.00$ METOPROLOL 1MG/ML INJ 5ML 7/1/2019 18.00$ METOPROLOL 50 MG TABLET 7/1/2019 2.00$

MEXILETINE 150MG CAPSULE 7/1/2019 4.00$ MEXILETINE 200 MG CAPSULE 7/1/2019 5.00$ MINOXIDIL 2.5MG TABLET 7/1/2019 3.00$ MORPHINE 10MG/5ML SOLN 5ML 7/1/2019 8.00$ MORPHINE SULFATE 15MG TAB 7/1/2019 5.00$ MORPHINE SULFATE 500 MG/20ML 7/1/2019 404.00$ MORRHUATE 50MG/ML INJ 30 ML 7/1/2019 535.00$ NS 0.45% 1000ML IV SOLN 7/1/2019 1.00$ NS 0.9% 1000ML IV SOLN 7/1/2019 1.00$ NS 0.9% 500ML IV SOLN 7/1/2019 1.00$ NS 0.9% 100ML IV SOLN 7/1/2019 1.00$ NS 0.9% 250ML IV SOLN 7/1/2019 1.00$ NS 0.9% 25ML IV SOLN 7/1/2019 1.00$ NS 0.9% 3000ML IRRIG SOLN 7/1/2019 1.00$ NALBUPHINE 10MG/ML INJ 1ML 7/1/2019 22.00$ NAPROXEN 250 MG TABLET 7/1/2019 2.00$ NEPHROCAP CAPSULE 7/1/2019 5.00$ NICOTINE PATCH 21MG 7/1/2019 8.00$ NICOTINE PATCH 7MG 7/1/2019 11.00$ NICOTINE TRANSDERMAL 14MG 7/1/2019 9.00$ NIFEDIPINE 10MG CAPSULE 7/1/2019 5.00$ NITRO-BIO 2% OINTMENT 7/1/2019 13.00$ NITROGLYCERIN 0.2MG TRANSDERM 7/1/2019 2.00$ NITROGLYCERIN 0.4MG SL TABLET 7/1/2019 78.00$ NITROGLYCERIN 0.4MG TRANSDERM 7/1/2019 4.00$ NITROGLYCERIN 0.4 MG SL TABLET 7/1/2019 3.00$ NITROGLYCERIN 2.5MG CAP SR 7/1/2019 2.00$ NITROGLYCERIN 50MG/10ML INJ 7/1/2019 50.00$ D5W NORMOSOL M 1000ML IV SOLN 7/1/2019 1.00$ NS 0.9% 50ML IV SOLN 7/1/2019 1.00$ NORMAL SALINE INJ 10 ML 7/1/2019 1.00$ NORMOSOL R 1000ML IV SOLN 7/1/2019 1.00$ NORTRIPTYLLINE 25MG TABLET 7/1/2019 2.00$ NOVOLIN R INSULIN 7/1/2019 92.00$ NOVOLOG 100 U/ML INSULIN 10ML 7/1/2019 282.00$ OPIUM W/ BELLADONNA 16A SUPP 7/1/2019 154.00$ ORA - PLUS SUSPENDING VEHICLE 7/1/2019 7.00$ ORA SWEET SYRUP 7/1/2019 6.00$ OXYBUTYNIN 5 MG TABLET 7/1/2019 2.00$ OXYCONTIN 10 MG TABLET 7/1/2019 20.00$ OXYCONTIN 20 MG TABLET 7/1/2019 37.00$ PALIVIZUMAB PER 50MG 7/1/2019 6,396.00$ PENTASA 250 MG CAP 7/1/2019 20.00$ PENTOXIFYLLINE 400 MG TAB 7/1/2019 2.00$ PHENAZOPYRIDINE 100 MG TABLET 7/1/2019 3.00$ PHENOBARBITAL 20 MG/ML ELIXIR 7/1/2019 5.00$ PHENOL 6% SOLN 20 ML 7/1/2019 10.00$

PHENOL LIQUID 7/1/2019 243.00$ PHYSOSTIGMINE 1MG/ML INJ 2ML 7/1/2019 254.00$ PILOCARPINE 1% OPTH SOLN 15 ML 7/1/2019 454.00$ PILOCARPINE 2% OPHTH SOLN 15ML 7/1/2019 464.00$ POTASSIUM 25MEQ EFFERVES TAB 7/1/2019 2.00$ POTASSIUM ACETATE 2MEQ/ML 20ML 7/1/2019 18.00$ POTASSIUM CHLORIDE 10% SOLN 7/1/2019 72.00$ POTASSIUM PHOSPHATE 45MM/15ML 7/1/2019 88.00$ POTASSIUM PHOSPHATES 4.4 MEQ 7/1/2019 89.00$ PRAZOSIN 1 MG CAPSULE 7/1/2019 9.00$ PREDNISOLONE ACETATE 1% OPHTH 7/1/2019 179.00$ PREDNISONE 10 MG TABLET 7/1/2019 2.00$ PREDNISONE 20MG TABLET 7/1/2019 2.00$ PREDNISONE 5 MG TABLET 7/1/2019 2.00$ PREMARIN 0.3MG TAB UD 7/1/2019 35.00$ PREMARIN 0.625MG/GM CR 42.5GM 7/1/2019 1,753.00$ ESTROGEN CONJUGATE 25 MG INJ 7/1/2019 1,340.00$ PRENATAL RX TABLET 7/1/2019 2.00$ PRIMIDONE 250MG TABLET 7/1/2019 3.00$ PROBENECID 500 MG TABLET 7/1/2019 4.00$ PROCHLORPERAZINE 25MG SUPP 7/1/2019 46.00$ PROMETHAZINE SYRUP 6.25MG/5ML 7/1/2019 2.00$ PROMETHAZINE 25MG TABLET 7/1/2019 2.00$ PROPARACAINE 0.5% OP SOLN 15ML 7/1/2019 143.00$ PROPRANOLOL 10 MG TABLET 7/1/2019 2.00$ PROPRANOLOL 20MG TABLET 7/1/2019 5.00$ PROPRANOLOL 60 MG CAPSULE SR 7/1/2019 12.00$ PROSTIN E2 20MG SUPP 7/1/2019 10,069.00$ PROTOPAM 1 GM/20ML INJ 7/1/2019 499.00$ RABIES IMMUNE GLOBULIN 300 IU 7/1/2019 3,266.00$ RAC EPINEPHRINE 2.25% INH 7/1/2019 10.00$ DIMETHYL SULFOXIDE 50%, 50 ML 7/1/2019 2,712.00$ SANDOSTATIN 0.05MG/ML,1ML AMP 7/1/2019 15.00$ SIMPLE SYRUP 30 ML 7/1/2019 5.00$ SOD CITRATE/CITRIC ACID 30ML 7/1/2019 15.00$ SOD THIOSULFATE 25% INJ 50 ML 7/1/2019 544.00$ SODIUM ACETATE 2meq/ml INJ 20 7/1/2019 18.00$ SODIUM BICARB 10 MEQ/10ML ABBO 7/1/2019 71.00$ SODIUM BICARB 5 MEQ/10ML ABBO 7/1/2019 57.00$ SODIUM BICARB 50 MEQ/50ML ABBO 7/1/2019 53.00$ SODIUM BICARB 50MEQ/50ML VIAL 7/1/2019 56.00$ SODIUM CHLORIDE 2.5MEQ/ML INJ 7/1/2019 9.00$ SODIUM CHLORIDE, BACT. 30 ML 7/1/2019 1.00$ SODIUM PHOSPHATE 3MM/ML INJ 15 7/1/2019 88.00$ SOLU-CORTEF 500 MG INJ 7/1/2019 321.00$ SOLU-CORTEF PRES. FREE 100MG 7/1/2019 63.00$ SORBITOL 70% SOLN 30ML 7/1/2019 8.00$

SOTALOL 80 MG TABLET 7/1/2019 2.00$ SPIRONOLACTONE 100 MG TABLET 7/1/2019 5.00$ SPIRONOLACTONE 25MG TAB 7/1/2019 2.00$ SPS 15GM/60ML SUSP 60ML 7/1/2019 58.00$ WATER, STERILE 50ML IV SOLN 7/1/2019 1.00$ WATER, STERILE 1.5L IRRIG SOLN 7/1/2019 1.00$ STRONG IODINE USP,LUGOL'S 7/1/2019 4.00$ SUCRALFATE 1 GM TABLET 7/1/2019 2.00$ SUCRALFATE 1000MG/10ML SUSP 7/1/2019 49.00$ SURVANTA 25 MG/ML INJ 4 ML 7/1/2019 1,211.00$ SURVANTA 25MG/ML 8ML INJ 7/1/2019 2,417.00$ SYNTHROID 100 MCG TABLET 7/1/2019 8.00$ SYNTHROID 25 MCG TABLET 7/1/2019 8.00$ SYNTHROID 50MCG TABLET 7/1/2019 8.00$ SYNTHROID 75 MCG TABLET 7/1/2019 8.00$ SYNTHROID 88MCG TAB 7/1/2019 7.00$ TCA 50% SOLUTION 1ML 7/1/2019 7.00$ TEMAZEPAM 15 MG CAPSULE 7/1/2019 2.00$ TERAZOSIN 1MG CAPSULE 7/1/2019 2.00$ TERAZOSIN 5MG CAPSULE 7/1/2019 2.00$ TETANUS IMMUNE GLOBULIN INJ 7/1/2019 2,369.00$ TETRACAINE 0.5 % OP SOLN 15 ML 7/1/2019 52.00$ THEOPHYLLINE 300MG TAB ER 7/1/2019 20.00$ THIAMINE 200 MG/2 ML INJ 7/1/2019 36.00$ THROMBIN 5,000 UNITS TOPICAL 7/1/2019 322.00$ TIKOSYN 0.125MG CAPSULE 7/1/2019 55.00$ TIKOSYN 0.25MG CAPSULE 7/1/2019 71.00$ TIMOLOL MALEATE 0.5% OP SOLN 5 7/1/2019 22.00$ TPN ELECTROYTES INJ 20 ML 7/1/2019 39.00$ TRACE ELEMENTS 1ML INJ 7/1/2019 47.00$ TRAMADOL 50 MG TABLET 7/1/2019 2.00$ TRANSDERM SCOP 1.5 MG PATCH 7/1/2019 112.00$ TRAZODONE 50mg TABLET 7/1/2019 2.00$ TRIAMCINOLONE 0.025% OINT 15GM 7/1/2019 22.00$ TRIAMCINOLONE 0.1% DENTAL 5 GM 7/1/2019 183.00$ TRIHEXYPHENIDYL 2MG TAB 7/1/2019 2.00$ URO-JET 2% JELLY 10ML 7/1/2019 38.00$ URSODIOL 300 MG CAPSULE 7/1/2019 19.00$ VECURONIUM 10 MG/10ML INJ 7/1/2019 26.00$ IRON SUCROSE 100 MG/5 ML 7/1/2019 215.00$ VERAPAMIL 120MG TAB ER 7/1/2019 2.00$ VERAPAMIL 180MG TABLET SR 7/1/2019 2.00$ VERAPAMIL 40 MG TABLET 7/1/2019 2.00$ VERAPAMIL 80MG TABLET 7/1/2019 2.00$ VITAMIN K 10MG/ML INJ 1 ML 7/1/2019 294.00$ WATER, STERILE 3L IRRIG SOLN 7/1/2019 1.00$ WELCHOL 625 MG TABLET 7/1/2019 23.00$

XYLOCAINE GEQ 2% CUP UD 15ML 7/1/2019 6.00$ XYLOCAINE GEQ 4% SOLUTION 7/1/2019 174.00$ XYLOCAINE GEQ 5% OINTMENT 7/1/2019 91.00$ ZETIA 10MG TABLET 7/1/2019 68.00$ ZINC 1MG/ML INJ 10 ML 7/1/2019 87.00$ METHYLPREDNISOLONE 4MG DOSPAK 7/1/2019 62.00$ BUTORPHANOL NASAL SPRAY 2.5 ML 7/1/2019 227.00$ SODIUM BICARBONATE 650 MG TAB 7/1/2019 2.00$ VERAPAMIL 2.5 MG/ML INJ 2 ML 7/1/2019 150.00$ NITROQUICK 0.6 MG TAB S.L. 7/1/2019 4.00$ LIDOCAINE POWDER 25 GM 7/1/2019 67.00$ FERRIC CHLORIDE 10% SOLN 500ML 7/1/2019 103.00$ TRICHLORACETIC ACID 80% SOLN 7/1/2019 345.00$ PROCHLORPERAZINE 10 MG ORAL 7/1/2019 2.00$ HYDROCORTISONE POWDER 7/1/2019 2.00$ NACL 0.9% ADDVANTAGE 100ML 7/1/2019 1.00$ NS 0.9% 50ML IV SOLN ADDV 7/1/2019 1.00$ NS 0.9% 500ML IV SOLN EXCEL 7/1/2019 1.00$ NS 0.9% 1000ML IRRIG SOLN 7/1/2019 1.00$ ACETIC ACID GLACIAL 7/1/2019 8.00$ WATER, STERILE 1000ML IV SOLN 7/1/2019 1.00$ HEPATITIS IMMUNE GLOBULIN 5ML 7/1/2019 3,085.00$ ESTROPIPATE 0.75 MG TABLET 7/1/2019 2.00$ NOVOLIN R INSULIN PER DOSE 7/1/2019 2.00$ PERMETHRIN 5 % CREAM 60 GM 7/1/2019 128.00$ DIASTST 10 MG RECTAL GEL 7/1/2019 758.00$ ISOSORBIDE DINITRATE 10MG TAB 7/1/2019 3.00$ METHIMAZOLE 5 MG TABLET 7/1/2019 2.00$ KETOROLAC 10 MG TABLET 7/1/2019 5.00$ DILTIAZEM 60 MG TABLET ER 7/1/2019 19.00$ ACETYLCYCTEINE 20% 30 ML 7/1/2019 62.00$ PALONOSETRON 0.25 MG/5 ML INJ 7/1/2019 2,297.00$ BROMOCRIPTINE 2.5 MG TABLET 7/1/2019 11.00$ PERPHENAZINE 2 MG TABLET 7/1/2019 7.00$ TAMOXIFEN 10 MG TABLET 7/1/2019 2.00$ ETHAMBUTOL 400 MG TAB 7/1/2019 4.00$ GEMFIBROZIL 600 MG TABLET 7/1/2019 2.00$ HYSOCYAMINE 0.125 MG TABLET 7/1/2019 2.00$ BETHANECHOL 5 MG TABLET 7/1/2019 2.00$ MISOPROSTOL 200 MCG TABLET 7/1/2019 8.00$ PROMETHAZINE 12.5 MG SUPP 7/1/2019 38.00$ PROMETHAZINE 25 MG SUPP 7/1/2019 37.00$ FAMOTIDINE 20 MG/50 ML NS 7/1/2019 30.00$ MIRTAZAPINE 15 MG TABLET 7/1/2019 2.00$ ENALPRILAT 2.5 MG/2 ML INJ 7/1/2019 36.00$ HYOSCYAMINE 0.125MG/ML 15 ML 7/1/2019 73.00$ DIHYDROERGOTAMINE 1MG/ML INJ 7/1/2019 583.00$

TORSEMIDE 5 MG TABLET 7/1/2019 2.00$ PHENOBARBITAL 15 MG TABLET 7/1/2019 2.00$ ORPHENADRINE 60 MG/2ML INJ 7/1/2019 21.00$ DILANTIN 30 MG CAPSULE 7/1/2019 7.00$ DIPHENOXYLATE/ATROP 2.5/0.025 7/1/2019 2.00$ BUPROPION SR 100 MG TABLET 7/1/2019 4.00$ CARB/LEVODOPA 25/100 MG TABLET 7/1/2019 2.00$ TEARS RENEWED OPTH SOLN 7/1/2019 13.00$ BACLOFEN 10 MG TABLET 7/1/2019 2.00$ FLUOXETINE 20 MG CAPSULE 7/1/2019 2.00$ SILVER NITRATE APPLICATOR 7/1/2019 3.00$ LIDOCAINE 2% JELLY 5 ML 7/1/2019 30.00$ BUPIVACAINE 0.5% PF INJ 10 ML 7/1/2019 9.00$ LINDANE 1% SHAMPOO 7/1/2019 492.00$ PHENOBARBITAL 60 MG TABLET 7/1/2019 3.00$ NOVOLOG MIX 70/30 INJ 10 ML 7/1/2019 282.00$ WATER, STERILE 10ML IV SOLN 7/1/2019 1.00$ IBUPROFEN 100 MG/5 ML SUSP 7/1/2019 3.00$ IBUPROFEN 200 MG/10 ML SUSP 7/1/2019 7.00$ METOPROLOL 25 MG TABLET 7/1/2019 2.00$ ALBUTEROL 0.5% 0.5 ML NEB SOLN 7/1/2019 2.00$ M.V.I. ADULT 2 X 5 ML INJ 7/1/2019 46.00$ PAROXETINE 10 MG TABLET 7/1/2019 3.00$ PAROXETINE 20 MG TABLET 7/1/2019 2.00$ BUPROPION SR 150 MG TABLET 7/1/2019 3.00$ MAGIC BUTT CREAM 7/1/2019 35.00$ DESMOPRESSIN NASAL SPRAY 5 ML 7/1/2019 850.00$ TUMESCENT ANESTHETIC SOLN 7/1/2019 138.00$ CITALOPRAM 10 MG TABLET 7/1/2019 2.00$ NABUMETONE 500 MG TABLET 7/1/2019 2.00$ BENZOIN COMPOUND TINCTURE 2 OZ 7/1/2019 17.00$ NOREPINEPHRINE 4 MG/4 ML INJ 7/1/2019 112.00$ VARIVAX VACCINE 7/1/2019 557.00$ GLIPIZIDE EXTENDED RELEASE 5MG 7/1/2019 3.00$ TIZANIDINE 4 MG TABLET 7/1/2019 3.00$ FLUMAZENIL 0.5 MG/5 ML INJ 7/1/2019 17.00$ ARGATROBAN 250 MG/2.5 ML INJ 7/1/2019 928.00$ LIDO/EPI/BICAB SOLUTION 1000ML 7/1/2019 193.00$ METFORMIN 500 MG ER TABLET 7/1/2019 2.00$ PREDNISOLONE 15 MG/5 ML SOLN 7/1/2019 4.00$ METRONIDAZOLE 20 MG/ML SUSP 7/1/2019 37.00$ SYNTHROID 112 MCG TABLET 7/1/2019 8.00$ LISINOPRIL 40 MG TABLET 7/1/2019 2.00$ LISINOPRIL 20 MG TABLET 7/1/2019 2.00$ CITALOPRAM 20 MG TABLET 7/1/2019 2.00$ CHLOROPROCAINE 3% VIAL 20 ML 7/1/2019 137.00$ MIDODRINE 2.5 MG TABLET 7/1/2019 3.00$

HYDRALAZINE 4 MG/ML SUSP 25 ML 7/1/2019 3.00$ CALCIUM CARBONATE 25MG/ML SUSP 7/1/2019 1.00$ CILOSTAZOL 50 MG TABLET 7/1/2019 2.00$ FLUDROCORTISONE 0.1 MG TABLET 7/1/2019 3.00$ RABAVERT RABIES VAC. 2.5 IU 7/1/2019 1,301.00$ BETHANEECHOL 25 MG TABLET 7/1/2019 5.00$ GABAPENTIN 300 MG CAPSULE 7/1/2019 2.00$ OCTREOTIDE 0.5 MG/ML INJ 7/1/2019 76.00$ NITROGLYCERINE 0.1 MG/HR PATCH 7/1/2019 4.00$ MISOPROSTOL 100 MCG TABLET 7/1/2019 7.00$ PROPAFENONE 150 MG TABLET 7/1/2019 2.00$ GABAPENTIN 400 MG CAPSULE 7/1/2019 2.00$ NOVOLOG INSULIN PD 7/1/2019 2.00$ IPRATROPIUM 0.03% NASAL SPRAY 7/1/2019 211.00$ RISPERDAL CONSTA MG/2 ML 7/1/2019 4,261.00$ DILTIAZEM 100 MG ADDVANTAGE 7/1/2019 74.00$ FENTANYL 2 MCG/ML/BUPIV 0.125% 7/1/2019 38.00$ FENTANYL 5 MCG/ML/BUPIV 0.125% 7/1/2019 43.00$ HYDROMORPHONE 10MCG/BUPIV 0.1% 7/1/2019 36.00$ HYDROMORPHONE 25MCG/BUPIV 0.1% 7/1/2019 37.00$ VALPROATE 500 MG/5 ML INJ 7/1/2019 15.00$ TYGACIL 50 MG VIAL 7/1/2019 696.00$ BENADRYL EXT STRENGTH CREAM 7/1/2019 11.00$ ETOMIDATE 20 MG/10 ML 7/1/2019 18.00$ MESALAMINE ENEMA 4 GM/60 ML 7/1/2019 54.00$ BRIMONIDINE 0.2% OPTH SOLN 7/1/2019 16.00$ HYDROMORPHONE 2 MG TABLET 7/1/2019 2.00$ HYDROCORTISONE 1% LOTION 7/1/2019 39.00$ BELLADONNA/PHENOBARB TABLET 7/1/2019 62.00$ HYDROMORPHONE 10MCG/BUP 0.0625 7/1/2019 23.00$ BUPIVACAINE 0.125% EDIDURAL 7/1/2019 29.00$ FENTANYL 4 MCG/BUPIV 0.125% 7/1/2019 45.00$ BUPIVACAINE 0.25% EPIDURAL 7/1/2019 33.00$ FENTANYL 10 MCG/BUPIV 0.25% 7/1/2019 60.00$ D5W NORMOSOL M 500 ML IV SOLN 7/1/2019 1.00$ HUMULIN R INSULIN 7/1/2019 92.00$ CILOSTAZOL 100 MG TABLET 7/1/2019 2.00$ GABAPENTIN 100 MG CAPSULE 7/1/2019 2.00$ PAIN EASE MED SPRAY 7/1/2019 178.00$ LR 3000 ML IRRIG SOLN 7/1/2019 1.00$ SORBITOL MANNITOL 3000 ML IR 7/1/2019 1.00$ LOCM, OMNIPAQUE 240, 50 ML 7/1/2019 1.00$ LOCM, OMNIPAQUE 300, 50 ML 7/1/2019 1.00$ WATER, STERILE 1L IRRIG SOLN 7/1/2019 1.00$ SODIUM CHLORIDE 0.9% IRRIG 1L 7/1/2019 1.00$ LR 1000ML IRRIG SOLN 7/1/2019 1.00$ METOLAZONE 2.5 MG TABLET 7/1/2019 16.00$

IPRATROPIUM 0.06% NASAL SPRAY 7/1/2019 211.00$ ABREVA 10% CREAM 7/1/2019 101.00$ FENTANYL 100 MCG/HR PATCH 7/1/2019 53.00$ FENTANYL 50 MCG/HR PATCH 7/1/2019 29.00$ FENTANYL 25 MCG/HR PATCH 7/1/2019 10.00$ METHADONE 40 MG TABLET 7/1/2019 2.00$ GLIMEPIRIDE 4 MG TABLET 7/1/2019 2.00$ AMPHETAMINE SALT COMBO 10 MG 7/1/2019 2.00$ DIASTAT ACUDIAL 20 MG 7/1/2019 758.00$ PYRIDOSTIGMINE 60 MG TABLET 7/1/2019 7.00$ MORPHINE CR 60 MG TABLET 7/1/2019 13.00$ SULFASALAZINE 500 MG TAB DR 7/1/2019 2.00$ ISOSORBIDE MONONITRATE 20 MG 7/1/2019 2.00$ TRIAMTER/HCTZ 37.5/25 MG TAB 7/1/2019 4.00$ TORSEMIDE 20 MG TABLET 7/1/2019 2.00$ CARBIDOPA/LEVODOPA 25/100 CR 7/1/2019 2.00$ DIGOXIN 0.125 MG SOLN UDC 7/1/2019 33.00$ PROSTIN VR PED 500 MCG/ML AMP 7/1/2019 514.00$ STERILE TALC POWDER 5 GM 7/1/2019 581.00$ STERILE TALC POWDER 4 GM 7/1/2019 574.00$ FENTANYL 75 MCG PATCH 7/1/2019 80.00$ FLUTICASONE 50 MCG NASAL SPRAY 7/1/2019 25.00$ LYRICA 75 MG CAPSULE 7/1/2019 53.00$ LEVEMIR 100 UNITS/ML 10 ML 7/1/2019 543.00$ HYDROPHOR OINTMENT 1 LB JAR 7/1/2019 60.00$ CYCLOPENTOLATE 1% OPTH SOLN 7/1/2019 26.00$ DIBUCAINE 1% OINTMENT 30 GM 7/1/2019 38.00$ DANTROLENE 25 MG CAPSULE 7/1/2019 9.00$ DOCUSATE/SAFFLOWER ENEMA 7/1/2019 43.00$ PREVACID 15 MG SOLUTAB 7/1/2019 90.00$ PRAVASTATIN 20 MG TABLET 7/1/2019 3.00$ PRAVASTATIN 10 MG TABLET 7/1/2019 2.00$ GLIPIZIDE XL 2.5 MG 7/1/2019 6.00$ TRIFLURIDINE 1% OPTH SOLUTION 7/1/2019 641.00$ FINASTERIDE 5 MG TABLET 7/1/2019 2.00$ SERTRALINE 50 MG TABLET 7/1/2019 2.00$ SERTRALINE 100 MG TABLET 7/1/2019 2.00$ MEDROXYPROGESTERONE 150 MG/ML 7/1/2019 328.00$ GAMMAGARD 0.5 GM DOSE 7/1/2019 432.00$ KETOCONAZOLE 2 % SHAMPOO 120ML 7/1/2019 41.00$ NIFEDIPINE XL 30 MG TABLET 7/1/2019 5.00$ SERTRALINE 25 MG TABLET 7/1/2019 2.00$ NOVOLOG MIX 70/30 FLEXPEN SYG 7/1/2019 102.00$ NOVOLOG FLEXPEN SYG 7/1/2019 102.00$ PHARMACY COMPOUND 1 7/1/2019 276.00$ PHARMACY COMPOUND 2 7/1/2019 612.00$ FENT 5MCG/BUPIV 0.0625% EPIDRL 7/1/2019 29.00$

DIAZEPAM 5 MG/5 ML ORAL SOLN 7/1/2019 21.00$ NIFEDIPINE XL 60 MG TABLET 7/1/2019 9.00$ SOTALOL AF 80 MG TABLET 7/1/2019 2.00$ ONDANSETRON 4 MG/2 ML VIAL 7/1/2019 4.00$ ONDANSETRON 2 MG/ML INJECTION 7/1/2019 2.00$ ALPRAZOLAM 1 MG TABLET 7/1/2019 2.00$ M-M-R II 0.5 ML VIAL 7/1/2019 389.00$ CAFFEINE CITRATE ORAL SOLUTION 7/1/2019 66.00$ GAMMAGARD 500 MG LIQUID 7/1/2019 295.00$ ONDANSETRON 4 MG ODT TABLET 7/1/2019 2.00$ CHANTIX 1 MG TABLET 7/1/2019 47.00$ VENLAFAXINE 75 MG TABLET 7/1/2019 2.00$ LYRICA 50 MG CAPSULE 7/1/2019 53.00$ MEPERIDINE 25 MG/ML INJ 7/1/2019 13.00$ ONDANSETRON 8 MG ODT TABLET 7/1/2019 3.00$ OXYBUTYNIN XL 5 MG TAB 7/1/2019 2.00$ GLIMEPIRIDE 1 MG TABLET 7/1/2019 2.00$ MELOXICAM 7.5 MG TABLET 7/1/2019 2.00$ AMLODIPINE 10 MG TABLET 7/1/2019 2.00$ AMLODIPINE 5 MG TABLET 7/1/2019 2.00$ AMITIZA 24 MCG CAPSULE 7/1/2019 40.00$ MIDAZOLAM SYRUP 10 MG/5 ML 7/1/2019 21.00$ AMLODIPINE 2.5 MG TABLET 7/1/2019 2.00$ ZOLPIDEM 5 MG TABLET 7/1/2019 2.00$ CLOBETASOL PROP 0.05% CREAM 7/1/2019 137.00$ CLOBETASOL PROP 0.05% OINTMENT 7/1/2019 42.00$ TRIAMCINOLONE 0.025% LOTION 7/1/2019 175.00$ FAMOTIDINE 10 MG TABLET 7/1/2019 1.00$ METOCLOPRAMIDE 1 MG/ML SYRUP 7/1/2019 2.00$ VALPROIC ACID 250 MG/5ML SYRUP 7/1/2019 4.00$ CARVEDILOL 12.5 MG TABLET 7/1/2019 2.00$ FOSPHENYTOIN 500 PE/10 ML 7/1/2019 106.00$ JANUVIA 50 MG TABLET 7/1/2019 93.00$ CARVEDILOL 3.125 MG TABLET 7/1/2019 2.00$ CARVEDILOL 6.25 MG TABLET 7/1/2019 2.00$ CARVEDILOL 25 MG TABLET 7/1/2019 2.00$ PILOCARPINE 5 MG TABLET 7/1/2019 5.00$ RANEXA 500 MG TABLET 7/1/2019 39.00$ HYDROCORTISONE 5 MG TABLET 7/1/2019 2.00$ HYDROMORPHONE 50 MG VIAL 7/1/2019 39.00$ DANTROLENE 20 MG VIAL 7/1/2019 377.00$ VENLAFAXINE 37.5 MG TABLET 7/1/2019 2.00$ COLESTIPOL 1 GM TABLET 7/1/2019 5.00$ FENTANYL 12 MCG/HOUR PATCH 7/1/2019 43.00$ PROPRANOLOL ER 80 MG CAPSULE 7/1/2019 8.00$ OXYCODONE/APAP 10 MG/325 MG 7/1/2019 6.00$ MEGESTROL SUSP 400 MG/10 ML 7/1/2019 19.00$

PRIMIDONE 50 MG TABLET 7/1/2019 2.00$ FENT 2MCG/BUPV 0.125% EPIDURAL 7/1/2019 127.00$ BIAFINE EMULSION 45 GM TUBE 7/1/2019 312.00$ BETOPTIC S 0.25% OPTH SUSP 7/1/2019 1,395.00$ CALCITRIOL 1 MCG/ML VIAL 7/1/2019 41.00$ METOPROLOL ER 25 MG TABLET 7/1/2019 4.00$ ESMOLOL 100 MG/10 ML VIAL 7/1/2019 16.00$ OXCARBAZEPINE 300 MG TABLET 7/1/2019 3.00$ POLYETHYLENE GLYCOL 255 GM 7/1/2019 38.00$ CARBOCAINE 2% 20 ML VIAL 7/1/2019 24.00$ METOPROLOL ER 50 MG TABLET 7/1/2019 4.00$ K PHOS ORIGINAL TABLET 500 MG 7/1/2019 3.00$ AMIODARONE 200 MG TABLET 7/1/2019 2.00$ FOSPHENYTOIN 100 MG/2 ML VIAL 7/1/2019 29.00$ ROPINIROLE 1 MG TABLET 7/1/2019 2.00$ DIVALPROEX DR 125 MG TABLET 7/1/2019 2.00$ LEXISCAN 0.4 MG/5 ML SYRINGE 7/1/2019 1,020.00$ FENOFIBRATE 160 MG TABLET 7/1/2019 3.00$ FENOFIBRATE 54 MG TABLET 7/1/2019 6.00$ ROPINIROLE 0.25 MG TABLET 7/1/2019 2.00$ RISPERIDONE 0.25 MG TABLET 7/1/2019 2.00$ METOPROLOL ER 100 MG TABLET 7/1/2019 4.00$ CHOLESTYRAMINE LIGHT 4 GM POWD 7/1/2019 13.00$ LEVETIRACETAM 250 MG TABLET 7/1/2019 2.00$ CARBAMAZEPINE 200 MG TABLET 7/1/2019 4.00$ ROCURONIUM 50 MG/5 ML VIAL 7/1/2019 17.00$ INVEGA 6 MG TABLET 7/1/2019 239.00$ RENAL CAPS 7/1/2019 2.00$ PRAVASTATIN 40 MG TABLET 7/1/2019 4.00$ DORZOLAMIDE 2% OPTH SOLN 10 ML 7/1/2019 109.00$ BUPROPION XL 150 MG TABLET 7/1/2019 7.00$ CARDENE 20 MG/200 ML IV BAG 7/1/2019 533.00$ OXYBUTYNIN 10 MG TABCR 7/1/2019 2.00$ OXYBUTYNIN 15 MG TABCR 7/1/2019 3.00$ OXYCODONE 5 MG TABLET 7/1/2019 2.00$ LEVETIRACETAM 500 MG TABLET 7/1/2019 2.00$ LAMOTRIGINE 25 MG TABLET 7/1/2019 2.00$ SUMATRIPTAN 6 MG/0.5 ML VIAL 7/1/2019 48.00$ RANITIDINE 15 MG/ML SYRUP 1 ML 7/1/2019 2.00$ KLOR-CON M 10 MEQ TABLET CR 7/1/2019 2.00$ RISPERIDONE 1 MG TABLET 7/1/2019 2.00$ BUPIVACAINE 0.5% 30 ML VIAL 7/1/2019 9.00$ LAMOTRIGINE 100 MG TABLET 7/1/2019 2.00$ DRONABINOL 2.5 MG CAPSULE 7/1/2019 25.00$ RISPERIDONE 2 MG TABLET 7/1/2019 2.00$ ENTEREG 12 MG CAPSULE 7/1/2019 755.00$ ADENOSINE 6 MG/2 ML VIAL 7/1/2019 11.00$

ADENOSINE 12 MG/4 ML VIAL 7/1/2019 50.00$ METHYLENE BLUE 1% 10 ML VIAL 7/1/2019 808.00$ TOPIRAMATE 100 MG TABLET 7/1/2019 2.00$ TOPIRAMATE 25 MG TABLET 7/1/2019 2.00$ EPLERENONE 25 MG TABLET 7/1/2019 18.00$ MORPHINE ORAL 20 MG/ML 1 ML 7/1/2019 2.00$ FERAHEME 510 MG VIAL 7/1/2019 4,047.00$ CREON 12000 CAPSULE 7/1/2019 19.00$ OXYCODONE/APAP 5 MG/325 MG TAB 7/1/2019 2.00$ DEPO TESTOSTERONE 200 MG/1 ML 7/1/2019 66.00$ CLONIDINE 0.1 MG PATCH 7/1/2019 76.00$ CLONIDINE 0.2 MG PATCH 7/1/2019 105.00$ CLONIDINE 0.3 MG PATCH 7/1/2019 131.00$ BETAMETHASONE 30 MG/5ML VIAL 7/1/2019 221.00$ MILRINONE 20 MG/100 ML BAG 7/1/2019 68.00$ GALANTAMINE ER 8 MG CAPSULE 7/1/2019 9.00$ PROCTOZONE-HC 2.5% CREAM 30 GM 7/1/2019 100.00$ SUMATRIPTAN 25 MG TABLET 7/1/2019 4.00$ MULTAQ 400 MG TABLET 7/1/2019 67.00$ AMITIZA 8 MCG CAPSULE 7/1/2019 40.00$ EFFIENT 10 MG TABLET 7/1/2019 88.00$ EFFIENT 5 MG TABLET 7/1/2019 99.00$ METHYLERGONOVINE 0.2 MG/ML INJ 7/1/2019 106.00$ BYSTOLIC 5 MG TABLET 7/1/2019 29.00$ DORZOLAMIDE/TIMOLOL OPTH SOLN 7/1/2019 118.00$ DIVALPROEX DR 500 MG TABLET 7/1/2019 2.00$ LEVALBUTEROL 1.25 MG 7/1/2019 18.00$ IPRATROPIUM/ALBUTEROL 3ML VIAL 7/1/2019 2.00$ PROPOFOL 200 MG/20 ML VIAL 7/1/2019 15.00$ DEXTROSE 25% 10 ML SYRINGE 7/1/2019 51.00$ OXCARBAZEPINE 300 MG/5 ML SUSP 7/1/2019 431.00$ TETRACAINE 500 MG POWDER 7/1/2019 87.00$ SUMATRIPTAN 100 MG TABLET 7/1/2019 4.00$ BENZTROPINE 2 MG/2 ML AMPULE 7/1/2019 338.00$ PAIN EASE SPRAY PER DOSE 7/1/2019 4.00$ LIDOCAINE/PRILOCAINE CREAM 7/1/2019 48.00$ DIVALPROEX XR 500 MG TABLET 7/1/2019 7.00$ DIVALPROEX ER 250 MG TABCR 7/1/2019 5.00$ VIMPAT 200 MG/20 ML VIAL 7/1/2019 322.00$ KETOROLAC TROM OPHTH SOLN 0.5% 7/1/2019 95.00$ BICALUTAMIDE 50 MG TABLET 7/1/2019 2.00$ PRIVIGEN 0.5 GM DOSE 7/1/2019 286.00$ DIVALPROEX SODIUM 125 MG CAP 7/1/2019 5.00$ NS 0.9% 250ML IV SOLN VISIV 7/1/2019 1.00$ OXYCONTIN 15 MG TABLET 7/1/2019 30.00$ LOSARTAN 50 MG TABLET 7/1/2019 2.00$ ASCORBIC ACID 500 MG/ML VIAL 7/1/2019 521.00$

TAMSULOSIN 0.4 MG CAPSULE 7/1/2019 2.00$ LEVETIRACETAM 500 MG/5 ML VIAL 7/1/2019 14.00$ FEROCON CAPSULE 7/1/2019 2.00$ BROVANA 15 MCG NEBU SOLN 7/1/2019 29.00$ NITROGLYCERIN/D5W 25 MG/250 ML 7/1/2019 104.00$ DILTIAZEM 50 MG/10 ML VIAL 7/1/2019 15.00$ CARBAMAZEPINE SUS 200 MG/10 ML 7/1/2019 21.00$ ANASTROZOLE 1 MG TABLET 7/1/2019 5.00$ METHADONE 10 MG TABLET 7/1/2019 2.00$ VENLAFAXINE ER 150 MG CAP 7/1/2019 2.00$ SEROQUEL XR 200 MG TABCR 7/1/2019 99.00$ VENLAFAXINE 37.5 MG CAPCR 7/1/2019 2.00$ PROVOCHOLINE 100 MG VIAL 7/1/2019 344.00$ CLINIMIX 4.25/DEX 5%, 2000ML 7/1/2019 335.00$ CLINIMIX 5/DEX 15%, 2000ML 7/1/2019 364.00$ LOSARTAN 25 MG TABLET 7/1/2019 2.00$ CLINIMIX 4.25/DEX 10%, 2000ML 7/1/2019 339.00$ CLINIMIX 4.25/DEX 25%, 2000ML 7/1/2019 320.00$ LIDOCAINE TOPICAL 4% SOLN 4 ML 7/1/2019 149.00$ AZELASTINE NASAL SPRAY 30 ML 7/1/2019 69.00$ SANTYL OINTMENT 30 GM TUBE 7/1/2019 952.00$ NAROPIN 0.2% 100 ML VIAL 7/1/2019 245.00$ DONEPEZIL 5 MG TABLET 7/1/2019 2.00$ EMEND 150 MG VIAL 7/1/2019 1,322.00$ VICTOZA 18 MG/3ML PEN 7/1/2019 1,310.00$ PRADAXA 150 MG CAPSULE 7/1/2019 31.00$ PRADAXA 75 MG CAPSULE 7/1/2019 34.00$ PROPAFENONE 225 MG CAPCR 7/1/2019 45.00$ MORPHINE SULFATE 15 MG TABCR 7/1/2019 3.00$ PRAMIPEXOLE 0.5 MG TABLET 7/1/2019 2.00$ D5W 500ML IV SOLN VISIV 7/1/2019 1.00$ VITAMIN D 50000 UNIT CAPSULE 7/1/2019 3.00$ COLCRYS 0.6 MG TABLET 7/1/2019 44.00$ NULYTELY 4000ML W/FLAVOR 7/1/2019 80.00$ DIGIFAB 40 MG VIAL 7/1/2019 15,612.00$ LATANOPROST 0.005% OPTH SOLN 7/1/2019 33.00$ MORPHINE SULFATE 30 MG TABCR 7/1/2019 6.00$ IMOGAM HT 300 IU/2ML VIAL 7/1/2019 3,637.00$ SANTYL OINTMENT 5 GM JAR 7/1/2019 228.00$ PHENOL 30 ML BOTTLE 7/1/2019 15.00$ INFANRIX PF 0.5 ML SYRINGE 7/1/2019 123.00$ COSYNTROPIN 0.25 MG VIAL 7/1/2019 115.00$ CHLORPH/HYDROCOD POLISTIREX 7/1/2019 11.00$ SEROQUEL XR 150 MG TABLET 7/1/2019 90.00$ FOMEPIZOLE 1.5 GM/1.5 ML VIAL 7/1/2019 4,301.00$ LETROZOLE 2.5 MG TABLET 7/1/2019 2.00$ NATEGLINIDE 60MG TABLET 7/1/2019 9.00$

XYLOCAINE-MPF 1% ML AMP 7/1/2019 9.00$ EXEMESTANE 25 MG TABLET 7/1/2019 26.00$ HYDROMORPHONE 10 MG/100 ML NS 7/1/2019 83.00$ FENTANYL 2500 MCG/100 ML NS 7/1/2019 228.00$ FONDAPARINUX 2.5 MG/0.5 ML SYR 7/1/2019 67.00$ ACETAZOLAMIDE 500MG INJ 7/1/2019 100.00$ ATROPINE 0.4MG/ML INJ 1 ML 7/1/2019 26.00$ ATROPINE 1 MG/10 ML ABBOJECT 7/1/2019 56.00$ BUMETANIDE 0.25MG/ML INJ 10 ML 7/1/2019 12.00$ BUMETANIDE 0.25MG/ML INJ 4 ML 7/1/2019 11.00$ CHLORPROMAZINE 25MG/ML 2ML INJ 7/1/2019 174.00$ CYANOCOBALAMIN 1000MCQ/ML INJ 7/1/2019 15.00$ DEMEROL 50MG/ML INJ 1 ML 7/1/2019 22.00$ DEXAMETHASONE 4MG/ML INJ 1 ML 7/1/2019 9.00$ DIAZEPAM 10 MG/2 ML SYRINGE 7/1/2019 108.00$ DIGOXIN 0.25 MG/ML INJ 2ML 7/1/2019 18.00$ DIPHENHYDRAMINE 50 MG/ML INJ 7/1/2019 9.00$ FAMOTIDINE 20 MG/ML INJ 2 ML 7/1/2019 9.00$ FENTANYL 0.05MG/ML INJ 5 ML 7/1/2019 9.00$ FENTANYL CITRATE 0.1 MG INJ 7/1/2019 9.00$ FUROSEMIDE 10 MG/ML INJ 4 ML 7/1/2019 9.00$ FUROSEMIDE 10 MG/ML INJ 10 ML 7/1/2019 12.00$ FUROSEMIDE 10 MG/ML INJ 2 ML 7/1/2019 9.00$ HALOPERIDOL 5 MG/ML INJ 1 ML 7/1/2019 9.00$ HEPARIN 1000 U/ML INJ 10 ML 7/1/2019 11.00$ HYDRALAZINE 20 MG/ML INJ 1 ML 7/1/2019 15.00$ HYDROXYZINE 50 MG/ML INJ 1 ML 7/1/2019 86.00$ KCL 2 MEQ/ML INJ 20 ML 7/1/2019 9.00$ LORAZEPAM 2 MG/ML INJ 1 ML 7/1/2019 9.00$ MAGNESIUM SULFATE 20GM IN 500 7/1/2019 23.00$ MANNITOL 25% INJ 50 ML 7/1/2019 12.00$ METHYLPREDNISOLONE 1000 MG INJ 7/1/2019 291.00$ MIDAZOLAM 1 MG/ML INJ 2 ML 7/1/2019 9.00$ MIDAZOLAM 5 MG/ML INJ 10 ML 7/1/2019 13.00$ MIDAZOLAM 5 MG/ML INJ 1 ML 7/1/2019 9.00$ MORPHINE 30 MG/ 30 ML PCA 7/1/2019 49.00$ MORPHINE SULFATE (PF) 10MG 7/1/2019 40.00$ MORPHINE SULFATE 2MG CARPUJECT 7/1/2019 11.00$ MORPHINE SULFATE 4MG CARPUJECT 7/1/2019 11.00$ NALOZONE 0.4 MG/ML INJ 7/1/2019 94.00$ OXYTOCIN 10 UNITS/ML INJ 1 ML 7/1/2019 9.00$ PHENOBARBITAL 65 MG INJ 7/1/2019 126.00$ PHENYLEPHRINE 10 MG/ML INJ 7/1/2019 39.00$ PHENYTOIN 50 MG/ML INJ 5 ML 7/1/2019 9.00$ PROTAMINE 10 MG/ML INJ 5 ML 7/1/2019 55.00$ QUELICIN 20 MG/ML INJ 10 ML 7/1/2019 101.00$ SOLU MEDROL 125 MG INJ 7/1/2019 50.00$

SOLU MEDROL 40 MG INJ 7/1/2019 31.00$ SOLU MEDROL 500 MG VIAL 7/1/2019 137.00$ KCL 10 MEQ in D5 1/2NS 1000 ML 7/1/2019 13.00$ KCL 20 MEQ in D5 1/2 NS 7/1/2019 12.00$ KCL 40 MEQ in D5 1/2NS 1000 ML 7/1/2019 11.00$ KCL 20 MEQ in D5 1/4NS 1000 ML 7/1/2019 15.00$ KCL 20 MEQ in D3W 1000 ML 7/1/2019 11.00$ KCL 20 MEQ in NS 1000 ML 7/1/2019 13.00$ KCL 40 MEQ in NS 1000 ML 7/1/2019 15.00$ KCL 20 MEQ in D5 NS 1000 ML 7/1/2019 14.00$ KCL 40 MEQ in D5 NS 1000 ML 7/1/2019 45.00$ KCL 20 MEQ in D5 LR 1000 ML 7/1/2019 18.00$ KCL 20 MEQ in WATER 100 ML 7/1/2019 15.00$ HEPARIN 1000 UNIT in NS 500ML 7/1/2019 21.00$ KCL 30 MEQ in D5 1/2NS 1000 ML 7/1/2019 13.00$ METOCLOPRAMIDE 10 MG/2ML INJ 7/1/2019 9.00$ PROPRANOLOL 1 MG/ML INJ 1 ML 7/1/2019 13.00$ DIAZEPAM 5 MG/ML INJ 10 ML 7/1/2019 221.00$ LIDOCAINE 0.5% 50 ML PF 7/1/2019 61.00$ HYPERTONIC SALINE 3% 500 ML 7/1/2019 35.00$ DICYCLOMINE 20 MG/2 ML INJ 7/1/2019 315.00$ TERBUTALINE 1 MG/ML INJ 7/1/2019 26.00$ NALOXONE 2 MG/2 ML SYRINGE 7/1/2019 193.00$ METHYLPREDNISOLONE 40 MG/ML 7/1/2019 45.00$ METHYLPREDNISOLONE 80 MG/ML 7/1/2019 92.00$ MAGNESIUM SULFATE 1 GM in D5W 7/1/2019 24.00$ PROCHLORPERAZINE 10 MG/2 ML 7/1/2019 61.00$ MAGNESIUM SULFATE 4 GM/100 ML 7/1/2019 32.00$ MAGNESIUM SULFATE 2 GM/50 ML 7/1/2019 65.00$ HEPARIN 5000 U/0.5 ML SYRINGE 7/1/2019 10.00$ KENALOG 200 MG/5 ML VIAL 7/1/2019 298.00$ PROMETHAZINE 25 MG/ML VIAL 7/1/2019 9.00$ OXYTOCIN 20 U in LR 1000 ML 7/1/2019 63.00$ XYLOCAINE MPF 1% ML VIAL 7/1/2019 11.00$ KCL 20 MEQ in 1/2 NS 1000 ML 7/1/2019 10.00$ CHLOROTHIAZIDE 500 MG VIAL 7/1/2019 274.00$ MEPERIDINE 50 MG/ML 1ML VIAL 7/1/2019 14.00$ OXYCODONE/APAP 7.5 MG/325 MG 7/1/2019 6.00$ NAROPIN 5 MG/ML 30 ML VIAL 7/1/2019 53.00$ MORPHINE 5 MG/ML 1 ML VIAL 7/1/2019 15.00$ BUPIVACAINE MPF 0.25%/EPI 30ML 7/1/2019 15.00$ SAMSCA 15 MG TABLET 7/1/2019 2,325.00$ ULORIC 40 MG TABLET 7/1/2019 69.00$ TAMIFLU SUSP 6 MG/ML 60 ML BTL 7/1/2019 644.00$ CALCIUM ACETATE 667 MG CAPSULE 7/1/2019 4.00$ XARELTO 20 MG TABLET 7/1/2019 68.00$ XARELTO 15 MG TABLET 7/1/2019 68.00$

OLANZAPINE 10 MG TABLET 7/1/2019 3.00$ DEMEROL 25 MG/0.5 ML AMP 7/1/2019 12.00$ LEVOTHYROXINE 100 MCG VIAL 7/1/2019 596.00$ HYDROMORPHONE 1 MG/ML SYRINGE 7/1/2019 13.00$ ZIPRASIDONE 20 MG CAPSULE 7/1/2019 14.00$ MORPHINE SOLN 2 MG/ML POSY 7/1/2019 2.00$ ESCITALOPRAM 10 MG TABLET 7/1/2019 2.00$ OLANZAPINE 2.5 MG TABLET 7/1/2019 2.00$ THROMBIN JMT 5K KIT 7/1/2019 328.00$ MODAFINIL 100 MG TABLET 7/1/2019 34.00$ QUETIAPINE 100 MG TABLET 7/1/2019 2.00$ QUETIAPINE 25 MG TABLET 7/1/2019 2.00$ DONNATAL ELIXIR 10 ML 7/1/2019 193.00$ PROPOFOL 1% 100 ML VIAL 7/1/2019 74.00$ CLOPIDOGREL 75 MG TABLET 7/1/2019 2.00$ STRATTERA 80 MG CAPSULE 7/1/2019 100.00$ OFIRMEV 1000 MG/100ML VIAL 7/1/2019 241.00$ MORPHINE 100 MG ADVANTAGE 7/1/2019 66.00$ PULMICORT 0.5MG/2ML NEB 7/1/2019 35.00$ PULMICORT 0.25MG/2ML NEB 7/1/2019 34.00$ VENTOLIN HFA INHALER 8 GM 7/1/2019 132.00$ MARCAINE EPIN 0.5% 1:200 SDV 7/1/2019 13.00$ BACTERIOSTATIC SOD CHL 10 ML 7/1/2019 4.00$ PHENOBARBITAL 16.2 MG 7/1/2019 3.00$ PHENOBARBITAL 64.8 MG 7/1/2019 4.00$ BRILINTA 90 MG TAB 7/1/2019 40.00$ MORPHINE 100MG/100 ML BAG 7/1/2019 95.00$ GLYCOPYRROLATE 0.4MG / 2ML 7/1/2019 36.00$ NS 0.9% 500 ML IRRIG SOLN 7/1/2019 1.00$ METHYLERGONOVINE 0.2 MG TABLET 7/1/2019 358.00$ MONTELUKAST 10 MG TABLET 7/1/2019 2.00$ HYDROCODONE/APAP 7.5/325 TAB 7/1/2019 2.00$ HYDROCODONE/APAP 5/325 TAB 7/1/2019 2.00$ HYDROCODONE/APAP 10/325 TAB 7/1/2019 2.00$ PROPOFOL 500 MG/50 ML VIAL 7/1/2019 37.00$ SODIUM FERRIC GLUC 62.5 MG 7/1/2019 50.00$ JANUVIA 25 MG TABLET 7/1/2019 93.00$ TIZANIDINE 2 MG TABLET 7/1/2019 4.00$ ESCITALOPRAM 5 MG TABLET 7/1/2019 2.00$ CYCLOBENZAPRINE 5 MG TABLET 7/1/2019 3.00$ LATUDA 40 MG TAB 7/1/2019 257.00$ HEPARIN SOD 25000 U/500 ML D5W 7/1/2019 65.00$ OLANZAPINE 10 MG VIAL 7/1/2019 143.00$ CLOPIDOGREL 300 MG TABLET 7/1/2019 55.00$ AMIODARONE 450 MG / 9 ML VIAL 7/1/2019 13.00$ LEVALBUTEROL 0.31 MG/3 ML VIAL 7/1/2019 9.00$ ATORVASTIN 80 MG TABLET 7/1/2019 2.00$

METAXALONE 800 MG TABLET 7/1/2019 10.00$ MONTELUKAST 5 MG CHEW TABLET 7/1/2019 2.00$ VERAPAMIL 2.5mg/ml/4ml 7/1/2019 176.00$ CISATRACURIUM 20MG/10 ML VIAL 7/1/2019 64.00$ NITROGLYCERIN 400 MCG 4.9 GM 7/1/2019 583.00$ PIOGLITAZONE 15 MG TABLET 7/1/2019 2.00$ PIOGLITAZONE 30 MG TABLET 7/1/2019 3.00$ RECOTHROM 5000 IU KIT 7/1/2019 369.00$ HYDROCODONE/APAP 7.5/325, 15ML 7/1/2019 22.00$ CREON 6000 CAPSULE 7/1/2019 10.00$ LYRICA 100 MG CAPSULE 7/1/2019 53.00$ RISPERIDONE 1 MG/ML SOLN 30 ML 7/1/2019 91.00$ HYLENEX 150 U/ML VIAL 7/1/2019 259.00$ GABAPENTIN 250 MG/5 ML PO SYR 7/1/2019 2.00$ CYANOKIT 5 GM KIT 7/1/2019 3,919.00$ TRADJENTA 5 MG TABLET 7/1/2019 70.00$ ELIQUIS 5 MG TABLET 7/1/2019 10.00$ NAROPIN 2 MG/ML 10 ML VIAL 7/1/2019 31.00$ SODIUM CHLORIDE 10 ML SYRINGE 7/1/2019 1.00$ GELFOAM POWDER 1 GM PACKET 7/1/2019 336.00$ ACETYLCYSTEINE 6000 MG/30 ML 7/1/2019 403.00$ COUMADIN 4 MG TABLET 7/1/2019 2.00$ PRAMIPEXOLE 0.25 MG TABLET 7/1/2019 2.00$ HOMATROPINE 5% OPTH SOLN 5ML 7/1/2019 240.00$ CONTR, EOVIST 0.25, 10 ML 7/1/2019 1.00$ HOCM, CYSTOGRAFIN D 18%, 300ML 7/1/2019 1.00$ HOCM, GASTROGAFIN 37%, 120 ML 7/1/2019 1.00$ LOCM, OMNIPAQUE 180, 20 ML 7/1/2019 1.00$ LOCM, OMNIPAQUE 300, 100 ML 7/1/2019 1.00$ LOCM, OMNIPAQUE 350, 50 ML 7/1/2019 1.00$ LOCM, OMNIPAQUE 350, 100 ML 7/1/2019 1.00$ LOCM, OMNIPAQUE 350, 150 ML 7/1/2019 1.00$ LOCM, VISIPAQUE 320, 50ML 7/1/2019 1.00$ LOCM, VISIPAQUE 320, 100 ML 7/1/2019 1.00$ DELZICOL 40 MG DR CAPSULE 7/1/2019 21.00$ SILDENAFIL 20 MG TABLET 7/1/2019 4.00$ CONTR, BARIUM SULFATE 1 TABLET 7/1/2019 1.00$ CONTR, E-Z-GAS 4 GM 7/1/2019 1.00$ CONTR, E-Z-HD 98%, 12 OZ 7/1/2019 1.00$ CONTR, EZ-PAQUE up to 355ML 7/1/2019 1.00$ CONTR, POLIBAR PLUS LIQ 950 ml 7/1/2019 1.00$ CONTR, VARIBAR PUDDING 30 ML 7/1/2019 1.00$ CONTR, VARIBAR HONEY 40% 30 ML 7/1/2019 1.00$ CONTR, VARIBAR T LIQ 40% 148gm 7/1/2019 1.00$ CONTR, VOLUMEN 450ML 7/1/2019 1.00$ VIMPAT 50 MG TABLET 7/1/2019 62.00$ PROPAFENONE 325 MG ER CAPSULE 7/1/2019 53.00$

HYDROMORPHONE 0.5MG/0.5 ML SYR 7/1/2019 14.00$ BUPRENORPHINE 8 MG TABLET 7/1/2019 10.00$ OXYCODONE 10MG TABLET 7/1/2019 3.00$ BOOSTRIX 0.5 ML SYRINGE 7/1/2019 216.00$ ZOLMITRIPTAN 2.5 MG TABLET 7/1/2019 57.00$ PANTOPRAZOLE 20 MG TABLET 7/1/2019 2.00$ PANTOPRAZOLE 40 MG TABLET 7/1/2019 2.00$ TENIVAC PFS 0.5 ML SYRINGE 7/1/2019 193.00$ LIDOCAINE 5% PATCH 7/1/2019 14.00$ KCENTRA 1 unit 7/1/2019 11.00$ NIMODIPINE 30 MG CAPSULE 7/1/2019 50.00$ VENLAFAXINE 50 MG TABLET 7/1/2019 2.00$ HYDROMORPHONE 10MG/ML VIAL 7/1/2019 13.00$ CARBOCAINE 1% 30 ML VIAL 7/1/2019 28.00$ LIDOCAINE 1% 20MG/2 ML VIAL 7/1/2019 12.00$ CALCIUM DISOD VER 1000MG AMP 7/1/2019 24,558.00$ RHOPHYLAC 300 MCG SYRINGE 7/1/2019 451.00$ DOPAMINE/D5W 800MG/250 ML BAG 7/1/2019 65.00$ DULOXETINE 20MG DR CAPSULE 7/1/2019 2.00$ DIAZEPAM 2.5 MG PED RECTAL GEL 7/1/2019 506.00$ ENTACAPONE 200MG TABLET 7/1/2019 24.00$ DOXERCALCIFEROL 0.5 MCG CAP 7/1/2019 39.00$ CLINIMIX 5/DEX 15%, 1000ML 7/1/2019 204.00$ EXPAREL 1.3% 20ML VIAL 266 MG 7/1/2019 1,706.00$ HEPARIN SODIUM 100U/ML/5ML SYR 7/1/2019 9.00$ HEPARIN SODIUM 10U/ML/5ML SYR 7/1/2019 9.00$ CLINDAMYCIN 600 MG/D5W 50 ML 7/1/2019 37.00$ CLINIMIX E 5/15%, 2000ML 7/1/2019 376.00$ INVEGA 1 MG INJECTION DOSE 7/1/2019 68.00$ FENTANYL PCA 600 MCG/30 ML 7/1/2019 182.00$ HYDROMORPHONE PCA 6 MG/30 ML 7/1/2019 150.00$ CONTR,DOTAREM 10MMOL 20ML VIAL 7/1/2019 1.00$ CONTRDOTAREM 7.5MMOL 15ML VIAL 7/1/2019 1.00$ ANAGRELIDE 1 MG CAPSULE 7/1/2019 8.00$ CALCITONIN 200 IU NASAL SPRAY 7/1/2019 98.00$ LEVEMIR 1 UNIT DOSE 7/1/2019 2.00$ TRANEXAMIC ACID 1000 MG/10 ML 7/1/2019 38.00$ INJECTAFER 750 MG / 15 ML VIAL 7/1/2019 4,000.00$ SALINE FLUSH SF FOR SURGERY 7/1/2019 1.00$ AMIODARONE 100MG TABLET 7/1/2019 27.00$ LORAZEPAM 20 MG/10 ML VIAL 7/1/2019 29.00$ ENTERO VU 24% 600 ML BOTTLE 7/1/2019 1.00$ D5W 250ML IV SOLN VISIV 7/1/2019 1.00$ CONTR, DOTAREM 5 mmol/10 ML 7/1/2019 1.00$ CELECOXIB 200 MG CAPSULE 7/1/2019 10.00$ CELECOXIB 100 MG CAPSULE 7/1/2019 6.00$ ATORVASTIN CALCIUM 10MG TABLET 7/1/2019 2.00$

ATORVASTIN 40 MG TABLET 7/1/2019 2.00$ BLOXIVERZ 5 MG/10ML VIAL 7/1/2019 215.00$ DISOPYRAMIDE 100 MG CAPSULE 7/1/2019 13.00$ ISOSULFAN BLUE 1% 5ML VIAL 7/1/2019 3,839.00$ VALSARTAN 40 MG TABLET 7/1/2019 3.00$ VALSARTAN 80 MG TABLET 7/1/2019 5.00$ VALSARTAN 160 MG TABLET 7/1/2019 6.00$ TACROLIMUS 1 MG CAPSULE 7/1/2019 11.00$ ENOXAPARIN 30 MG/0.3 ML SYR 7/1/2019 19.00$ ENOXAPARIN 40 MG/0.4 ML SYR 7/1/2019 23.00$ ENOXAPARIN 60 MG/0.6 ML SYR 7/1/2019 34.00$ ENOXAPARIN 80 MG/0.8 ML SYR 7/1/2019 47.00$ ENOXAPARIN 100 MG/ 1 ML SYR 7/1/2019 59.00$ ENOXAPARIN 120 MG/0.8 ML SYR 7/1/2019 71.00$ ENOXAPARIN 150 MG/ 1 ML SYR 7/1/2019 89.00$ DOBUTAMINE 1000 MG/250 ML BAG 7/1/2019 147.00$ NICARDIPINE 25 MG/10 ML VIAL 7/1/2019 102.00$ ARIPIPRAZOLE 5 MG TABLET 7/1/2019 2.00$ ARIPIPRAZOLE 10 MG TABLET 7/1/2019 2.00$ OMEPRAZOLE 20 MG/ML ORAL SYR 7/1/2019 12.00$ VANCOMYCIN 125MG/5ML ORAL SOL 7/1/2019 2.00$ BIO GLO OPTHALMIC 1 MG STRIP 7/1/2019 2.00$ ASPIRIN/DIPYRDAMOLE ER CAPS 7/1/2019 55.00$ BIVALIRUDIN 250 MG VIAL 7/1/2019 971.00$ MEMANTINE 10 MG TABLET 7/1/2019 2.00$ MEMANTINE 5MG TABLET 7/1/2019 2.00$ MIACALCIN 200 UN/ML 2ML VIAL 7/1/2019 11,596.00$ SKLICE 0.5% LOTION 117 GM TUBE 7/1/2019 1,741.00$ DIGITEK 125 MCG TABLET 7/1/2019 6.00$ DIGITEK 250 MCG TABLET 7/1/2019 6.00$ CALCIUM GLUCONATE 10% 10 ML 7/1/2019 54.00$ DEXAMETHASONE 1 MG DOSE 7/1/2019 2.00$ INSULIN PER DOSE DRIP-N/INTENS 7/1/2019 1.00$ INSULIN PER DOSE DRIP-INTENSIV 7/1/2019 1.00$ INSULIN DRIP, PER UNIT 7/1/2019 92.00$ INJ, SINCALIDE, 5 MICROGRAMS 7/1/2019 582.00$ NACL 0.9% ADDVANTAGE 250 ML 7/1/2019 1.00$ LATUDA 80 MG TABLET 7/1/2019 257.00$ INJ, SUCCINYLCHOLINE 100MG/5ML 7/1/2019 138.00$ CETIRIZINE 5 MG/5 ML SOLN UDC 7/1/2019 12.00$ OLMESARTAN 20 MG TABLET 7/1/2019 26.00$ CETACAINE 18% 20GM SPRAY 7/1/2019 315.00$ ATROPINE 1% OPTH SOLN 2 ML 7/1/2019 176.00$ THEO 24 ER 100 MG CAPSULE 7/1/2019 14.00$ LABETALOL 20 MG/4 ML SYRINGE 7/1/2019 41.00$ DOFETILIDE 250 MCG CAPSULE 7/1/2019 23.00$ INJ, POTASSIUM PHOS 15MM/5ML 7/1/2019 53.00$

INJ,POTASSIUM PHOS 22 MEQ/5ML 7/1/2019 56.00$ GABAPENTIN 300 MG/6ML SOLN 7/1/2019 13.00$ PHYTONADIONE 1 MG/ML ORAL SYR 7/1/2019 29.00$ TETRACAINE 0.5% OPTH SOLN 4 ML 7/1/2019 32.00$ ITRALIPID 20% 250 ML BAG 7/1/2019 240.00$ EZETIMIBE 10 MG TABLET 7/1/2019 46.00$ ENTERESTO 24 MG / 26 MG TABLET 7/1/2019 50.00$ SOTRADECOL 3% 2 ML VIAL 7/1/2019 449.00$ PIRMELLA 1MG/0.35 MG TABLET 7/1/2019 4.00$ FLUPHENAZINE 2.5 MG TABLET 7/1/2019 3.00$ PANTOPRAZOLE 40 MG VIAL 7/1/2019 21.00$ SCOPOLAMINE 1 MG/3 DAYS PATCH 7/1/2019 99.00$ LEVOTHYROXINE 75 MCG TABLET 7/1/2019 3.00$ LEVOTHYROXINE 125 MCG TABLET 7/1/2019 3.00$ HEPARIN SODIUM 1000 UN/ML 1 ML 7/1/2019 11.00$ SODIUM PHOSPHATE 15 MM/5ML 7/1/2019 56.00$ STERILE WATER 20 ML VIAL 7/1/2019 1.00$ SODIUM CHLORIDE 0.9% 20ML 7/1/2019 1.00$ OXCARBAZEPINE 300MG/5ML UDC 7/1/2019 43.00$ LEVOTHYROXINE 25 MCG TABLET 7/1/2019 2.00$ LEVOTHYROXINE 50 MCG TABLET 7/1/2019 3.00$ LEVOTHYROXINE 88 MCG TABLET 7/1/2019 3.00$ LEVOTHYROXINE 100 MCG TABLET 7/1/2019 3.00$ LEVOTHYROXINE 112 MCG TABLET 7/1/2019 3.00$ LEVOTHYROXINE 137 MCG TABLET 7/1/2019 2.00$ ROPIVACAINE 0.5% 30 ML 7/1/2019 41.00$ INJ, NALOXONE 2 MG KIT 7/1/2019 193.00$ SODIUM CHLORIDE 0.45% 500ML 7/1/2019 1.00$ ESMOLOL 2500 MG/250ML BAG 7/1/2019 795.00$ ESTRADIOL VAGINAL CRM 42.5GM 7/1/2019 819.00$ PHENYTOIN SODIUM ER 100MG CAP 7/1/2019 2.00$ NUCALA 100 MG VIAL 7/1/2019 13,081.00$ PALONOSETRON 0.25 MG/5 ML VIAL 7/1/2019 311.00$ MORPHINE 2 MG/2 ML SYRINGE 7/1/2019 31.00$ DOBUTAMINE 250MG INJ/250ML D5W 7/1/2019 46.00$ BUTORPHANOL 1 MG/ML 7/1/2019 24.00$ SEVELAMER 800 MG TABLET 7/1/2019 43.00$ SOD POLYSTYRENE SULF 15 GM PWD 7/1/2019 84.00$ FLU VACC HD 2018-19 (65YR UP) 7/1/2019 319.00$ FLU VAC QUAD 2018-19 (36 MOS+) 7/1/2019 113.00$ FLU VAC EGG FREE 2018-19(18+) 7/1/2019 319.00$ FLU VAC QV 2018-19 (6-35MOS) 7/1/2019 113.00$ ALPROSTADIL 500 MCG VIAL 7/1/2019 610.00$ LIDOCAINE 2% JELLY 30 ML TUBE 7/1/2019 129.00$ SODIUM CHLORIDE 3 ML SYRINGE 7/1/2019 1.00$ FIRST MOUTHWASH BLM SUSP 236ML 7/1/2019 228.00$ MENACTRA VIAL 7/1/2019 505.00$

SODIUM CHLORIDE 0.9% 100ML MB 7/1/2019 1.00$ VAQTA 50 U/1ML SYRINGE, ADULT 7/1/2019 340.00$ FIRST MOUTHWASH 118 ML BOTTLE 7/1/2019 191.00$ MIRTAZAPINE 30MG TABLET 7/1/2019 2.00$ ROPINIROLE 2MG TABLET 7/1/2019 2.00$ DIPYRIDAMILE 50MG TABLET 7/1/2019 4.00$ FLULAVAL QUAD 60MCG/0.5ML SYRG 7/1/2019 116.00$ HUMULIN R U-500 KWIKPEN/1500UN 7/1/2019 1,284.00$ DONEPEZIL 10 MG TABLET 7/1/2019 2.00$ HALOPERIDOL DEC 100 MG/ML VIAL 7/1/2019 191.00$ CHOLESTYRAMINE 4GM POWDER PKT 7/1/2019 12.00$ SUBOXONE 8 MG/2 MG SUBL FILM 7/1/2019 54.00$ LYRICA 150MG CAPSULE 7/1/2019 57.00$ SURGIFOAM 12-7 SPONGE 7/1/2019 49.00$ SURGIFOAM 100 SPONGE 7/1/2019 241.00$ PRAVASTATIN 80 MG TABLET 7/1/2019 2.00$ LISINOPRIL-HCTZ 10/12.5 MG TAB 7/1/2019 2.00$ LISINOPRIL-HCTZ 20/12.5 MG TAB 7/1/2019 2.00$ PROCTOFOAM HC 1% 10 GM 7/1/2019 826.00$ HEPARIN 500 UN/5 ML VIAL 7/1/2019 9.00$ CUROSURF 120 MG/1.5 ML VIAL 7/1/2019 2,459.00$ CUROSURF 240 MG/3 ML VIAL 7/1/2019 4,452.00$ LIOTHYRONINE 50 MCG TABLET 7/1/2019 5.00$ SILODOSIN 8 MG CAPSULE 7/1/2019 11.00$ RANOLAZINE 500 MG ER TABLET 7/1/2019 33.00$ MORPHINE 100 MG/100 ML NS BAG 7/1/2019 460.00$ HALOPERIDOL CONC 10MG/5ML,ORAL 7/1/2019 14.00$ TRAZODONE 100 MG TABLET 7/1/2019 2.00$ DULOXETINE 60MG DR CAPSULE 7/1/2019 6.00$ PHENAZOPYRIDINE 200 MG TABLET 7/1/2019 4.00$ BUPROPION XL 300 MG TABLET 7/1/2019 7.00$ BRIDION 200 MG/2ML VIAL 7/1/2019 655.00$ ESCITALOPRAM 20 MG TABLET 7/1/2019 2.00$ ANDEXXA FACTOR XA 200 MG VIAL 7/1/2019 26,785.00$ RABIES, KEDRAB, IG 300IU/2 ML 7/1/2019 2,946.00$ LETS GEL 3 ML SYRINGE 7/1/2019 21.00$ AKYNZEO 235 MG/0.25 MG 50 ML 7/1/2019 2,816.00$ ORACIT SOLN 30 ML UDC 7/1/2019 12.00$ MIDODRINE 10 MG TABLET 7/1/2019 5.00$ NEOSTIGMINE 3 MG/3 ML AMPULE 7/1/2019 39.00$ PHENOL 89% SOLN 3 ML VIAL 7/1/2019 84.00$ DULOXETINE 30 MG CAPSULE 7/1/2019 2.00$ SODIUM CHLORIDE 0.9% 15 ML NEB 7/1/2019 1.00$ SODIUM CHLORIDE 0.9% 3 ML NEB 7/1/2019 1.00$ SITZMARK CAPSULE 7/1/2019 120.00$ SAMSCA 30 MG TABLET 7/1/2019 2,412.00$ CLINIMIX E 4.25/5%, 2000ML 7/1/2019 314.00$

RIVASTIGMINE 4.6 MG PATCH 7/1/2019 34.00$ RIVASTIGMINE 9.5 MG PATCH 7/1/2019 41.00$ KETAMINE 50 MG/5 ML SYRINGE 7/1/2019 33.00$ VASOSTRICT 20 U/ML 1 ML VIAL 7/1/2019 711.00$ CLOZAPINE 25 MG TABLET 7/1/2019 2.00$ CLOZAPINE 100 MG TABLET 7/1/2019 5.00$ DUTASTERIDE 0.5 MG CAPSULE 7/1/2019 4.00$ NEOSTIGNIME 5 MG/10 ML VIAL 7/1/2019 216.00$ PRAXBIND 2500 MG/50 ML VIAL 7/1/2019 7,980.00$ SIMETHICONE/NS IRRIG 500ML 7/1/2019 9.00$ FOLIC ACID 1MG/0.2 ML DOSE 7/1/2019 3.00$ ESTRADIOL 0.05 MG PATCH 7/1/2019 49.00$ NEOSTIGMINE 3 MG/ML SYRINGE 7/1/2019 135.00$ PHENTOLAMINE 5 MG VIAL 7/1/2019 1,922.00$ HUMATE P 1 UNIT 7/1/2019 9.00$ BIVALIRUDIN 250 MG ADD-VANTAGE 7/1/2019 1,001.00$ EPTIFIBATIDE 75 MG/100 ML VIAL 7/1/2019 551.00$ EPTIFIBATIDE 20 MG/10 ML VIAL 7/1/2019 166.00$ GLUCAGON 1 MG VIAL, INJ 7/1/2019 511.00$ TPN TRACE ELEMENT INJ, 1ML 7/1/2019 76.00$ IC-GREEN 25 MG VIAL 7/1/2019 471.00$ LEVETIRACETAM 500 MG/5ML SOLN 7/1/2019 21.00$ FUROSEMIDE 40 MG / 4ML SOLN 7/1/2019 12.00$ DIGOXIN 0.25 MG / 5 ML SOLN 7/1/2019 36.00$ PHENYTOIN 100 MG / 4 ML SUSP 7/1/2019 36.00$ DIPHENHYDRAMINE 25 MG / 10 ML 7/1/2019 12.00$ ONDANSETRON 4 MG / 5 ML SOLN 7/1/2019 74.00$ RANITIDINE 150 MG / 10 ML SYRP 7/1/2019 24.00$ MIDAZOLAM 10 MG / 5 ML SYRUP 7/1/2019 34.00$ MUCINEX ER 600 MG TABLET 7/1/2019 5.00$ NEORAL 100 MG CAPSULE 7/1/2019 53.00$ QUETIAPINE 200 MG ER TABLET 7/1/2019 3.00$ LEVONORGESTREL 1.5 MG TABLET 7/1/2019 138.00$ QUETIAPINE 150 MG ER TABLET 7/1/2019 5.00$ DOFETILIDE 125 MCG CAPSULE 7/1/2019 27.00$ OLANZAPINE 5 MG ODT 7/1/2019 5.00$ DILTIAZEM 100 MG/100ML D5 BAG 7/1/2019 133.00$ NUTRILIPID 20% 250 ML BAG 7/1/2019 85.00$ SYNTHROID 137 MCG TABLET 7/1/2019 8.00$ MORPHINE 100 MGC/ML/BUPI.125% 7/1/2019 70.00$ SODIUM NITROPRUSSIDE 50 MG VIA 7/1/2019 170.00$ PROVAYBLUE 50 MG/10 ML AMPULE 7/1/2019 724.00$ GLYDO (LIDOCAINE) JELLY 2% 6mL 7/1/2019 23.00$ LIDOCAINE 1% W/EPI 10ML VIAL 7/1/2019 18.00$ PALIPERIDONE 6 MG ER TABLET 7/1/2019 90.00$ PHENOL PRO 0.27 ML APPLICATOR 7/1/2019 97.00$ FLUCAINE OPTH SOLN 1 DOSE 7/1/2019 2.00$

LIDOCAINE 1%W/EPI, 1:100000 50 7/1/2019 14.00$ LIDOCAINE 1% 10 ML VIAL 7/1/2019 9.00$ MORPHINE ORAL 10 MG /0.5ML SYR 7/1/2019 12.00$ CONTR,INDOCYANINE GRN 25MGVIAL 7/1/2019 403.00$ PHYTONADIONE 5 MG TABLET 7/1/2019 310.00$ CYCLOSPORINE 25 MG CAPSULE 7/1/2019 20.00$ COLESEVELAM 625 MG TABLET 7/1/2019 13.00$ CAFFEINE CITRATE PF 60 MG/3ML 7/1/2019 33.00$ FIRST LANSOPRAZOLE KIT 3 MG/ML 7/1/2019 260.00$ PREDNISOLONE 10 MG ODT TAB 7/1/2019 55.00$ SODIUM CHLOR 0.9% 50 ML BAG MB 7/1/2019 1.00$ LIDOCAINE MPF 2% 5 ML SDV 7/1/2019 14.00$ KETOROLAC 0.5% OPTH SOLN 5 ML 7/1/2019 50.00$ ACYCLOVIR 200MG/5ML SUSP 7/1/2019 14.00$ ACYCLOVIR 500 MG INJ 7/1/2019 22.00$ AMOXICILLIN 500 MG CAPSULE 7/1/2019 2.00$ BACITRACIN 50000 UNITS INJ 7/1/2019 33.00$ BACITRACIN 500U/GM OINT 1 OZ 7/1/2019 17.00$ BICILLIN LA 1200000U TUBEX 7/1/2019 711.00$ CEPHALEXIN 125 MG/5ML SUSP 7/1/2019 72.00$ CEPHALEXIN 250MG/5ML SUSP 7/1/2019 4.00$ CEPHALEXIN 500 MG CAPSULE 7/1/2019 2.00$ CHLORHEXIDINE GLUCONATE 0.12% 7/1/2019 14.00$ CIPRO HC OTIC SUSP 10 ML 7/1/2019 1,332.00$ CLINDAMYCIN 150MG CAPSULE 7/1/2019 2.00$ CLOTRIMAZOLE 1% CRM 15GM 7/1/2019 12.00$ DOXYCYCLINE 100 MG INJ 7/1/2019 120.00$ ERYPED 200MG/5ML 7/1/2019 1,099.00$ ERYTHROCIN FILMTAB 250MG TAB 7/1/2019 71.00$ ERYTHROMYCIN OP OINT 1 GM 7/1/2019 15.00$ ERYTHROMYCIN OP OINT 3.5 GM 7/1/2019 50.00$ FLAGYL GEQ 500MG/100ML INJ 7/1/2019 9.00$ GENTAMICIN 0.1% OINT 15GM 7/1/2019 208.00$ GENTAMICIN 0.3% OP OINT 7/1/2019 184.00$ GENTAMICIN 0.3% OP SOLN 5ML 7/1/2019 22.00$ GENTAMICIN 40 MG/ML VIAL 20ML 7/1/2019 120.00$ HYDROXYCHLOROQUINE 200 MG TAB 7/1/2019 10.00$ INH 300MG TAB UD 7/1/2019 5.00$ METRONIDAZOLE 250MG/50ML INJ 7/1/2019 9.00$ MINOCYCLINE 100MG CAPSULE 7/1/2019 3.00$ MYCOSTATIN GEQ OINT 15GM 7/1/2019 54.00$ NEO/POLYMYXIN B/GRAM OP SOLN 7/1/2019 315.00$ NEOMYCIN 500MG TAB UD 7/1/2019 5.00$ NEOSPORIN GEQ OPTH OINT 3.5GM 7/1/2019 117.00$ NYSTATIN 100,000 UNITS/ML SUSP 7/1/2019 38.00$ PENICILLIN VK 500MG TABLET 7/1/2019 6.00$ POLYMYXIN B/BACITRACIN ZN OINT 7/1/2019 26.00$

POLYMYXIN/NEOMYCIN/BACI/HC 7/1/2019 109.00$ POLYMYXIN/TRIMETHOPRIM 10ML OP 7/1/2019 25.00$ PROSTAPHLIN 1000 MG INJ 7/1/2019 36.00$ PYRAZINAMIDE 500 MG TABLET 7/1/2019 22.00$ RIFAMPIN 300 MG CAPSULE 7/1/2019 3.00$ SILVER SULFADIAZINE 1% CR 25GM 7/1/2019 28.00$ SILVER SULFADIAZINE 1% CREAM 7/1/2019 51.00$ SULFACETAMIDE 10% OPHTH SOLN 7/1/2019 219.00$ SULFADIAZINE 1% CREAM 400GM 7/1/2019 226.00$ TAMIFLU 75 MG CAPSULE 7/1/2019 93.00$ TMP/SMX DS TABLET 7/1/2019 2.00$ TOBRADEX OPTH OINT 3.5GM 7/1/2019 967.00$ TOBRAMYCIN 0.3% OPHTH SOLN 5ML 7/1/2019 21.00$ TRIMOX 250 MG/5ML SUSP 80ML 7/1/2019 10.00$ VANCOMYCIN 125MG CAPSULE 7/1/2019 28.00$ CEPHALEXIN 250MG/5ML SUSP100ML 7/1/2019 81.00$ MONUROL SACHETS 3 GM 7/1/2019 457.00$ NEOMYCIN/POLYB/HC OTIC SUSP 7/1/2019 329.00$ MUPIROCIN 2% CREAM 22 GM 7/1/2019 25.00$ CEFUROXIME 250 MG TABLET 7/1/2019 4.00$ NYSTATIN 5 ML SUSP UDC 7/1/2019 5.00$ SULFAMETH/TMP 400/80 MG TABLET 7/1/2019 4.00$ AMOX/CLAV 400MG/5ML SUSP 75 ML 7/1/2019 35.00$ AMOX/CLAV 400 MG/5 ML SUSP 5ML 7/1/2019 2.00$ AMOX/CLAV 875 MG TABLET 7/1/2019 2.00$ DAPTOMYCIN 500 MG INJ 7/1/2019 2,258.00$ CLOTRIMAZOLE 10 MG TROCHE 7/1/2019 7.00$ CIPROFLOXACIN 0.3% OPHTH SOLN 7/1/2019 21.00$ CIPRODEX OTIC SUSP 5 ML 7/1/2019 982.00$ TRUVADA 200 MG-300 MG TABLET 7/1/2019 321.00$ CLINDAMYCIN 300 MG/2 ML INJ 7/1/2019 16.00$ FLUCONAZOLE 50 MG TABLET 7/1/2019 2.00$ FLUCONAZOLE 40 MG/ML SUSP 35ML 7/1/2019 144.00$ FLUCONAZOLE 100 MG TABLET 7/1/2019 8.00$ NITROFURANTOIN MACRO 100 MG 7/1/2019 16.00$ NEOMYCIN 1% ENEMA 200 ML 7/1/2019 26.00$ TMP/SMZ 160 MG/800 MG INJ 7/1/2019 51.00$ AMPHOTERICIN B 50 MG INJ 7/1/2019 254.00$ CEFTRIAXONE 1 GM VIAL 7/1/2019 9.00$ CEFTRIAXONE 250 MG INJ 7/1/2019 9.00$ CEFTRIAXONE 1 GM ADDVANTAGE 7/1/2019 22.00$ CEFTRIAXONE 2 GM ADDV 7/1/2019 44.00$ AMOXICILLIN/CLAV 500 MG TABLET 7/1/2019 2.00$ NYSTATIN/A&D OINTMENT 71 GM 7/1/2019 58.00$ AZITHROMYCIN 250 MG TABLET 7/1/2019 8.00$ BACITRACIN 150,000 UNITS/NS 7/1/2019 104.00$ AMOXICILLIN/CLAV 600 MG/5 ML 7/1/2019 47.00$

CLARITHROMYCIN 500 MG TABLET 7/1/2019 3.00$ AMIKACIN 50 MG/1 ML INJ 7/1/2019 65.00$ GENTAMICIN 95 MG/7 ML TOPICAL 7/1/2019 11.00$ CEFTAZIDIME 50 MG/ML TOPICAL 7/1/2019 21.00$ VANCOMYCIN 50 MG/1 ML TOPICAL 7/1/2019 16.00$ CEFTAZIDIME 200 MG/1 ML INJ 7/1/2019 21.00$ VANCOMYCIN 50 MG/1 ML INJ 7/1/2019 16.00$ AMIKACIN 4 MG/1 ML INJ 7/1/2019 65.00$ VANCOMYCIN 1 MG/0.1 ML INJ 7/1/2019 16.00$ CEFTAZIDIME 2.25 MG/0.1 ML INJ 7/1/2019 21.00$ VIGAMOX 0.5% OPTH SOLN 3 ML 7/1/2019 693.00$ AMOXICILLIN 400 MG/5 ML SUSP 7/1/2019 9.00$ METRONIDAZOLE 500 MG TABLET 7/1/2019 3.00$ AZITHROMYCIN 100MG/5 ML SUSP 7/1/2019 83.00$ AZITHROMYCIN 200 MG/5 ML SUSP 7/1/2019 79.00$ ALINIA 500 MG TABLET 7/1/2019 548.00$ AMPICILLIN/SULBACTAM 1.5 GM 7/1/2019 18.00$ AMPICILLIN/SULBACTAM 3 GM ADV 7/1/2019 35.00$ ACYCLOVIR 400 MG TABLET 7/1/2019 2.00$ CEFDINIR 300 MG CAPSULE 7/1/2019 5.00$ CEFDINIR 125 MG/5 ML SUSP 60ML 7/1/2019 98.00$ BACITRACIN 50,000 UNITS POUR 7/1/2019 39.00$ CLINDAMYCIN 2% VAGINAL CREAM 7/1/2019 429.00$ CLINDAMYCIN 600 MG ADD-VANTAGE 7/1/2019 27.00$ FAMCICLOVIR 250 MG TABLET 7/1/2019 2.00$ ZIDOVUDINE 100 MG CAPSULE 7/1/2019 10.00$ ITRACONAZOLE 100 MG CAPSULE 7/1/2019 32.00$ CEFPROZIL 125 MG/5 ML 50 ML 7/1/2019 85.00$ VANCOMYCIN 125 MG/5 ML SOLN 7/1/2019 207.00$ AMOXICILLIN/CLAV 250MG/5 ML 7/1/2019 224.00$ AMOXICILLIN/CLAV 250MG/5ML PD 7/1/2019 15.00$ VALACYCLOVIR 500 MG TABLET 7/1/2019 18.00$ XIFAXAN 550 MG TABLET 7/1/2019 238.00$ MYCAMINE 100 MG VIAL 7/1/2019 377.00$ PIPERACILLIN/TAZO 3.375 GM ADD 7/1/2019 48.00$ PIPERACILLIN/TAZO 4.5 GM ADDV 7/1/2019 61.00$ CHLOHEXIDINE 0.12% 15 ML UDC 7/1/2019 10.00$ PFIZERPEN 600000 UNIT DOSE 7/1/2019 9.00$ PFIZERPEN 5000000 UNIT VIAL 7/1/2019 41.00$ ZIDOVUDINE 600MG/60 ML BOTTLE 7/1/2019 234.00$ LEVOFLOXACIN 500 MG TABLET 7/1/2019 2.00$ LEVOFLOXACIN 750 MG TABLET 7/1/2019 3.00$ LEVOFLOXACIN/D-5-W 750MG BAG 7/1/2019 14.00$ LEVOFLOXACIN 500 MG/D-5-W BAG 7/1/2019 13.00$ LEVOFLOXACIN/D-5-W 250 MG 7/1/2019 10.00$ AMPICILLIN 1GM INJ 7/1/2019 10.00$ AMPICILLIN 250MG INJ 7/1/2019 9.00$

CEFAZOLIN 1 GM INJ 7/1/2019 15.00$ ERTAPENEM SODIUM 1 GM 7/1/2019 581.00$ ERYTHROCIN 500MG INJ 7/1/2019 402.00$ GENTAMICIN 100 MG IN 0.9% NACL 7/1/2019 23.00$ GENTAMICIN 10MG/ML INJ 2 ML 7/1/2019 10.00$ GENTAMICIN 40MG/ML INJ 2 ML 7/1/2019 9.00$ GENTAMICIN 80 MG IN 0.9% NACL 7/1/2019 21.00$ TOBRAMYCIN 1.2 GM INJ 7/1/2019 337.00$ TOBRAMYCIN 40GM/ML INJ 2 ML 7/1/2019 9.00$ VANCOMYCIN 1GM ADD-VANTAGE INJ 7/1/2019 38.00$ VANCOMYCIN 500 MG INJ 7/1/2019 16.00$ VANCOMYCIN 500MG ADD-VANTAGE 7/1/2019 25.00$ ZOSYN 2.25 GM INJ 7/1/2019 46.00$ VANCOMYCIN 1000 MG INJ 7/1/2019 20.00$ FLUCONAZOLE 200 MG/100 ML 7/1/2019 54.00$ CEFAZOLIN 1000 MG INJ 7/1/2019 9.00$ CEFOXITIN 2 GM VIAL 7/1/2019 37.00$ INVANZ 1 GM ADD-VANTAGE 7/1/2019 607.00$ CEFAZOLIN 2 GM/D5W 100ML BAG 7/1/2019 6.00$ AZITHROMYCIN 500MG ADD-VANTAGE 7/1/2019 60.00$ CEFEPIME 2 GM VIAL 7/1/2019 47.00$ CEFEPIME 1 GM VIAL 7/1/2019 16.00$ AZITHROMYCIN 500 MG VIAL 7/1/2019 17.00$ LEVOFLOXACIN 250 MG TABLET 7/1/2019 2.00$ AMIKACIN 1000MG/4 ML VIAL 7/1/2019 65.00$ AMPICILLIN/SULBACTAM 3 GM VIAL 7/1/2019 16.00$ MAGIC MOUTHWASH 240 ML BOTTLE 7/1/2019 1.00$ PENICILLIN GK 5MU/D-5-W 100ML 7/1/2019 41.00$ BACITRACIN/500 ML NS IRRIG 7/1/2019 39.00$ CEFAZOLIN 2 GM DUPLEX BAG 7/1/2019 60.00$ DIFICID 200 MG TABLET 7/1/2019 831.00$ MEROPENEM 500 MG VIAL 7/1/2019 21.00$ CEFTRIAXONE 1 GM/50ML DUP BAG 7/1/2019 73.00$ ISENTRESS 400 MG TABLET 7/1/2019 163.00$ AZTREONAM 1 GM VIAL 7/1/2019 176.00$ ACYCLOVIR 5% OINT 30 GM TUBE 7/1/2019 465.00$ SUSTIVA 200 MG CAPSULE 7/1/2019 70.00$ CEFAZOLIN 500 MG VIAL 7/1/2019 9.00$ CEFAZOLIN 1 GM BAG MIXED 7/1/2019 9.00$ CLINDAMYCIN PALMITATE 75mg/5ml 7/1/2019 123.00$ CEFAZOLIN 1GM / D5W 50ML BAG 7/1/2019 40.00$ VIREAD 150 MG TABLET 7/1/2019 228.00$ ACYCLOVIR 5% OINT 15 GM TUBE 7/1/2019 602.00$ TAMIFLU 30 MG CAPSULE 7/1/2019 85.00$ RAPIVAB 200 MG/20 ML VIAL 7/1/2019 1,715.00$ TOBRAMYCIN/DEXA OPTH 2.5 ML 7/1/2019 285.00$ CEFTRIAXONE 500 MG VIAL 7/1/2019 9.00$

LINEZOLID/NS 600 MG BAG 7/1/2019 318.00$ PIPERACILLIN/TAZO 4.5 GM VIAL 7/1/2019 30.00$ DOXYCYCLINE MONO 100 MG CAP 7/1/2019 6.00$ IVERMECTIN 3 MG TABLET 7/1/2019 23.00$ CLINDAMYCIN 300 MG/50 ML BAG 7/1/2019 24.00$ PIPERACILLIN/TAZO 2.25 GM VIAL 7/1/2019 45.00$ NASAL ANTISEPTIC SWABS PKG/4 7/1/2019 74.00$ LINEZOLID 600 MG TABLET 7/1/2019 14.00$ INJ, CEFTAZIDIME 1 GM VIAL 7/1/2019 21.00$ PIPERACILLIN/TAZO 3.375GM VIAL 7/1/2019 22.00$ CLINDAMYCIN 900 MG/50 ML BAG 7/1/2019 43.00$ LINEZOLID 600 MG/300ML D5 BAG 7/1/2019 154.00$ INJ, CEFTRIAXONE 2 GM VIAL 7/1/2019 16.00$ OSELTAMIVIR 75 MG CAPSULE 7/1/2019 53.00$ OSELTAMIVIR 30 MG CAPSULE 7/1/2019 37.00$ SULFAMETHAZOLE/TMP 800/160 SUS 7/1/2019 23.00$ ORBACTIV 400 MG VIAL 7/1/2019 4,761.00$ NOXAFIL 300 MG / 16.7 ML VIAL 7/1/2019 2,689.00$ RETORVIR 200 MG/20 ML VIAL 7/1/2019 190.00$ FLUCONAZOLE 100 MG BAG 7/1/2019 36.00$ AMPICILLIN 2 GM VIAL 7/1/2019 17.00$ INJ, DAPTOMYCIN 500MG VIAL 7/1/2019 789.00$ CUBICIN RF 500 MG VIAL 7/1/2019 2,270.00$ OXACILLIN 2 GM VIAL 7/1/2019 64.00$ MOXIFLOXACIN 0.5% OPTH SOLN 7/1/2019 106.00$ OSELTAMIVIR SUSP 6MG/ML 60 ML 7/1/2019 328.00$ CILOXAN 0.3% OPTH SOLN 5 ML 7/1/2019 543.00$ ZERBAXA 1.5 GM VIAL 7/1/2019 506.00$ AMPICILLIN 2GM ADDVANT VL, INJ 7/1/2019 129.00$ COLISTIMETHATE 150 MG VIAL,INJ 7/1/2019 182.00$ FIRST VANCOMYCIN SOLN 25MG/ML 7/1/2019 499.00$ ERTAPENEM SODIUM 1000 MG VIAL 7/1/2019 515.00$ CIPROFLOXACIN 0.3% 5ML OPTH 7/1/2019 23.00$ INJ, CEFTAZIDINE 2 GM VIAL 7/1/2019 39.00$ INJ, MEROPENEM 1 GM VIAL 7/1/2019 42.00$ ERYTHROMYCIN ETHYL 200 MG/5ML 7/1/2019 1,028.00$ ZIRGAN 0.15% OPTH GEL 5 GM 7/1/2019 2,025.00$ AMOXICILLIN/CLAV 250 MG/5ML 7/1/2019 382.00$ FLUCONAZOLE 200 MG TABLET 7/1/2019 11.00$ FLUCONAZOLE 150 MG TABLET 7/1/2019 9.00$ GENTAMICIN 80 MG/2ML DOSE 7/1/2019 12.00$ BLEOMYCIN SULFATE INJ 15 UNITS 7/1/2019 184.00$ CISPLATIN 10MG INJ 7/1/2019 9.00$ CYTARABINE 100 MG INJ 7/1/2019 30.00$ DOXORUBICIN 10 MG INJ 7/1/2019 41.00$ DOXORUBICIN LIPOSOME INJ 10MG 7/1/2019 632.00$ ETOPOSIDE 10MG INJ 7/1/2019 9.00$

FILGRASTIM 300 MCG INJ 7/1/2019 1,638.00$ FILGRASTIM 480 MCG INJ 7/1/2019 2,428.00$ FLUOROURACIL INJ 500MG 7/1/2019 60.00$ INFLIXIMAB INJ 10MG 7/1/2019 628.00$ LEUPROLIDE (DEPOT SUSP) 7.5 MG 7/1/2019 5,319.00$ METHOTREXATE 2.5MG TABLET 7/1/2019 15.00$ RITUXIMAB 100 MG 7/1/2019 4,491.00$ TRASTUZUMAB, 10 MG 7/1/2019 594.00$ VINBLASTINE SULFATE INJ 1 MG 7/1/2019 24.00$ VINCRISTINE SULFATE 1MG INJ 7/1/2019 35.00$ FULVESTRANT 250MG/5ML 7/1/2019 4,295.00$ LEUCOVORIN 100 MG INJ 7/1/2019 128.00$ MITOMYCIN 5 MG INJ 7/1/2019 731.00$ GOSERELIN ACETATE IMPLANT 7/1/2019 7,033.00$ IFOSFAMIDE 1 GM 7/1/2019 173.00$ VINORELBINE 10 MG/ML 7/1/2019 192.00$ ARSENIC TRIOXIDE 1 MG 7/1/2019 505.00$ DACARBAZINE 100 MG INJ 7/1/2019 53.00$ PEGFILGRASTIM 6 MG/0.6ML INJ 7/1/2019 18,319.00$ MESNA 200 MG/2 ML INJ 7/1/2019 10.00$ FLUDARABINE 50 MG INJ 7/1/2019 592.00$ BEVACIZUMAB 10 MG/ML INJ 7/1/2019 494.00$ CETUXIMAB 10 MG INJ 7/1/2019 353.00$ LEUCOVORIN 350 MG/50 ML INJ 7/1/2019 103.00$ BORTEZOMIB 0.1 MG INJ 7/1/2019 312.00$ PEMETREXED 10 MG INJ 7/1/2019 402.00$ PACLITAXEL PROTEIN BOUND 1 MG 7/1/2019 88.00$ DACTINOMYCIN 0.5 MG INJ 7/1/2019 6,547.00$ THYROTROPIN ALPHA 1.1 MG VIAL 7/1/2019 6,423.00$ STREPTOZOCIN 1 GM INJ 7/1/2019 1,645.00$ CARBOPLATIN 50 MG INJ 7/1/2019 22.00$ MITOXANTRONE 5 MG INJ 7/1/2019 315.00$ RASBURICASE 0.5 MG INJ 7/1/2019 1,532.00$ DEXRAZOXANE 250 MG INJECTION 7/1/2019 1,476.00$ PROCRIT 10,000 UNIT VIAL 7/1/2019 709.00$ PROCRIT 20,000 UNIT VIAL 7/1/2019 1,495.00$ PROCRIT 40,000 UNIT VIAL 7/1/2019 2,640.00$ ARANESP 25 MCG SYRINGE 7/1/2019 1,000.00$ ARANESP 40 MCG SYRINGE 7/1/2019 1,599.00$ ARANESP 60 MCG SYRINGE 7/1/2019 2,224.00$ ARANESP 100 MCG SYRINGE 7/1/2019 3,341.00$ ARANESP 150 MCG SYRINGE 7/1/2019 4,063.00$ ARANESP 200 MCG SYRINGE 7/1/2019 5,418.00$ ARANESP 300 MCG SYRINGE 7/1/2019 8,087.00$ VECTIBIX 10 MG INJ 7/1/2019 665.00$ ORENCIA 10 MG DOSE 7/1/2019 268.00$ EPIRUBICIN 2 MG/ML 7/1/2019 9.00$

IRINOTECAN 20 MG/ML 7/1/2019 48.00$ CYCLOPHOSPHAMIDE 100 MG INJ 7/1/2019 329.00$ ECULIZUMAB 10 MG INJECTION 7/1/2019 1,244.00$ IXEMPRA 1 MG INJECTION 7/1/2019 528.00$ LUPRON DEPOT 3.75 MG KIT 7/1/2019 4,464.00$ RECLAST 5 MG/100 ML VIAL 7/1/2019 3,932.00$ OXALIPLATIN 0.5 MG DOSE 7/1/2019 9.00$ TREANDA 1 MG DOSE 7/1/2019 151.00$ NPLATE 10 MCG DOSE 7/1/2019 447.00$ ELIGARD 30 MG KIT 7/1/2019 2,345.00$ ELIGARD 7.5 MG KIT 7/1/2019 630.00$ TAXOTERE 1 MG DOSE 7/1/2019 185.00$ ARZERRA 10 MG DOSE 7/1/2019 331.00$ IDARUBICIN 5 MG/5 ML DOSE 7/1/2019 340.00$ GEMCITABINE 200 MG VIAL 7/1/2019 28.00$ TOPOTECAN 0.1 MG DOSE 7/1/2019 13.00$ TRELSTAR LA 11.25 MG SYRINGE 7/1/2019 7,115.00$ LEUKIN 50 MCG DOSE 7/1/2019 330.00$ ACTEMRA 1 MG DOSE 7/1/2019 35.00$ BENLYSTA 10 MG DOSE 7/1/2019 290.00$ DOCETAXEL 1 MG DOSE 7/1/2019 7.00$ TYSABRI 300 MG VIAL 7/1/2019 24,786.00$ ELIGARD 22.5 MG SYRINGE 7/1/2019 1,758.00$ YERVOY 1 MG DOSE 7/1/2019 821.00$ XGEVA 1MG DOSE 7/1/2019 118.00$ ADCETRIS 1 MG 7/1/2019 844.00$ HALAVEN 0.1 MG DOSE 7/1/2019 651.00$ JEVTANA 1 MG DOSE 7/1/2019 940.00$ ELIGARD 45 MG SYRINGE 7/1/2019 3,157.00$ TRELSTAR DEPO 3.75 MG 7/1/2019 2,926.00$ PROLIA 60MG/ML SYRINGE 7/1/2019 4,315.00$ AVONEX 30 MCG SYRINGE (IM ADM) 7/1/2019 6,188.00$ FIRMAGON 120 MG VIAL 7/1/2019 3,427.00$ HUMIRA 20 MG DOSE 7/1/2019 4,440.00$ PERJETA 420 MG 7/1/2019 19,424.00$ ZALTRAP 100 MG / 4ML VIAL 7/1/2019 3,824.00$ SANDOSTATIN LAR 30 MG SYRINGE 7/1/2019 22,279.00$ SANDOSTATIN LAR 20 MG SYRINGE 7/1/2019 14,878.00$ SANDOSTATIN LAR 10 MG SYRINGE 7/1/2019 11,356.00$ PAMIDRONATE 90 MG VIAL 7/1/2019 183.00$ FIRMAGON 80 MG VIAL 7/1/2019 2,447.00$ INTRON A 10MM IU VIAL 7/1/2019 1,654.00$ INTRON A 18MM IU VIAL 7/1/2019 2,488.00$ INTRON A 50MM IU VIAL 7/1/2019 5,601.00$ XOLAIR 5 MG DOSE 7/1/2019 246.00$ ZOLEDRONIC ACID 1 MG DOSE 7/1/2019 11.00$ ZOLEDRONIC AC/MANN 5 MG/100 ML 7/1/2019 592.00$

DECITABINE 1 MG DOSE 7/1/2019 42.00$ AZACITIDINE 1 MG DOSE 7/1/2019 6.00$ LEUCOVORIN 500 MG VIAL 7/1/2019 348.00$ LEUCOVORIN 200MG VIAL 7/1/2019 113.00$ GAZYVA 100MG DOSE 7/1/2019 3,085.00$ KADCYLA 1 MG DOSE 7/1/2019 204.00$ KYPROLIS 1MG DOSE 7/1/2019 256.00$ PACLITAXEL 1 MG DOSE 7/1/2019 9.00$ IBANDRONATE 3MG/3 ML SYRINGE 7/1/2019 420.00$ TORISEL 1 MG DOSE 7/1/2019 413.00$ CYRAMZA 5 MG DOSE 7/1/2019 349.00$ GRANIX 300 MCG/0.5 ML SYRINGE 7/1/2019 890.00$ GRANIX 480 MCG/0.8 ML SYRINGE 7/1/2019 1,417.00$ SIMPONI ARIA 1 MG DOSE 7/1/2019 222.00$ OPDIVO 1 MG DOSE 7/1/2019 179.00$ ENTYVIO 300 MG VIAL 7/1/2019 24,337.00$ DARZALEX 400 MG VIAL 7/1/2019 7,350.00$ EMPLICITI 300 MG VIAL 7/1/2019 6,985.00$ EMPLICITI 400 MG VIAL 7/1/2019 9,176.00$ PORTRAZZA 800 MG VIAL 7/1/2019 16,778.00$ BENDEKA 1 MG DOSE 7/1/2019 158.00$ INJ, TRELSTAR 22.5 MG SYRINGE 7/1/2019 14,231.00$ TECENTRIQ 1200 MG/20 ML VIAL 7/1/2019 34,412.00$ KEYTRUDA 1 MG, INJ 7/1/2019 322.00$ INJ,LARTRUVO 500 MG/50 ML VIAL 7/1/2019 9,517.00$ STELARA IV 130 MG VIAL 7/1/2019 6,200.00$ DARZALEX 10 MG DOSE 7/1/2019 314.00$ EMPLICITI 1 MG DOSE, INJECTION 7/1/2019 42.00$ INFLIXIMAB, BIOSIM, 10MG INJ 7/1/2019 351.00$ ZALTRAP 1 MG DOSE 7/1/2019 55.00$ IMFINZI 10 MG DOSE 7/1/2019 434.00$ INJ, STELARA 90MG SUBQ SYRINGE 7/1/2019 75,042.00$ NEULASTA DELIVERY KIT 6 MG 7/1/2019 18,319.00$ KRYSTEXXA 8 MG VIAL 7/1/2019 79,139.00$ ZARXIO,BIOSIM,300MCG/0.5mL,INJ 7/1/2019 1,483.00$ ZARXIO,BIOSIM,480MCG/0.8mL,INJ 7/1/2019 2,199.00$ DOXORUBICIN LIPOSOME 10 MG 7/1/2019 1,631.00$ METHOTREXATE 50 MG VIAL 7/1/2019 25.00$ OCREVUS 300 MG/10ML VIAL, INJ 7/1/2019 63,000.00$ PANHEMATIN 350 MG VIAL 7/1/2019 29,767.00$ TEMSIROLIMUS 1 MG DOSE 7/1/2019 215.00$ ONIVYDE 1 MG DOSE 7/1/2019 349.00$ RETACRIT 10000 UN/ML VIAL 7/1/2019 613.00$ UDENYCA 6 MG/0.6 ML SYRINGE 7/1/2019 17,639.00$ TENECTEPLASE PER 50MG/VIAL 7/1/2019 25,148.00$ INTEGRILIN 2 MG/ML INJ 10 ML 7/1/2019 573.00$ ACETAMINOPHEN 120 MG SUPP 7/1/2019 3.00$

ACETAMINOPHEN 160MG/5ML SOLN 7/1/2019 8.00$ ACETAMINOPHEN 325MG SUPP 7/1/2019 4.00$ ACETAMINOPHEN 650 MG SUPP 7/1/2019 2.00$ AMERICAINE 20% OINTMENT 30GM 7/1/2019 25.00$ ANBESOL COOL MINT GEL 7.1 GM 7/1/2019 30.00$ ASPIRIN 300MG SUPP 7/1/2019 8.00$ BISACODYL 10 MG SUPPOSITORY 7/1/2019 1.00$ BISACODYL 5MG TABLET 7/1/2019 1.00$ CALCIUM 500MG/VIT D TAB 7/1/2019 1.00$ CALCIUM CARBONATE 500MG CH TAB 7/1/2019 1.00$ CALCIUM W/VIT D 250MG TAB 7/1/2019 1.00$ CARBAMIDE PEROXIDE 6.5% OTIC 7/1/2019 7.00$ CEPACOL LOZENGE 7/1/2019 1.00$ CERTAGEN TABLET 7/1/2019 1.00$ CITATE OF MAGNESIA LIQ 296ML 7/1/2019 7.00$ DERMOPLAST ANESTHETIC SPRAY 7/1/2019 28.00$ DOCUSATE SODIUM 100MG/10ML 7/1/2019 3.00$ EPSOM SALTS CRYSTALS 16 OZ. 7/1/2019 6.00$ EYE STREAM IRRIGATING SOLUTION 7/1/2019 118.00$ FER-IN-SOL GEQ DROPS 50ML 7/1/2019 21.00$ FERROUS SULFATE 325 MG TAB 7/1/2019 1.00$ FIXODENT DENTURE ADHESIVE CRM 7/1/2019 20.00$ FLEET ENEMA MINERAL OIL 7/1/2019 11.00$ FLEET ENEMA PEDIATRIC 7/1/2019 8.00$ GLYCERIN PEDIATRIC SUPP 7/1/2019 2.00$ GUAIFENESIN 200 MG/10ML SYRUP 7/1/2019 3.00$ HYDROGEN PEROXIDE 3% LIQ 7/1/2019 3.00$ IBUPROFEN 200 MG TABLET 7/1/2019 1.00$ JOHNSON'S BABY OIL 4 OZ 7/1/2019 10.00$ MAGNESIUM 64MG TAB D.R. 7/1/2019 1.00$ METHYLSALICYLATE/MENTHOL/CAMPH 7/1/2019 7.00$ MINERAL OIL 30 ML 7/1/2019 5.00$ MINERAL OIL TOPICAL 10ML 7/1/2019 90.00$ MOM 30ML CUP U.D. 7/1/2019 13.00$ MULTIVITAMIN DROPS 50ML 7/1/2019 46.00$ MULTIVITAMIN TABLET 7/1/2019 1.00$ MULTIVITAMIN W/IRON DROP 50ML 7/1/2019 46.00$ NACL 1GM TAB UD 7/1/2019 1.00$ NEO SYNEPHRINE 0.5% NS SPRAY 7/1/2019 21.00$ OXYMETAZOLINE 0.05% 30ML NASAL 7/1/2019 6.00$ POLYCARBOPHIL 500 MG CHEW TAB 7/1/2019 1.00$ PSEUDOEPHEDRINE 30MG TAB UD 7/1/2019 1.00$ PYRIDOXINE 50 MG TABLET 7/1/2019 1.00$ SAFFLOWER OIL 7/1/2019 41.00$ SENOKOT S TABLET 7/1/2019 1.00$ SIMETHICONE 125MG CHEW TAB 7/1/2019 1.00$ SIMETHICONE 40MG/0.6ML DROPS 7/1/2019 12.00$

SIMETHICONE 80 MG TABLET 7/1/2019 1.00$ SODIUM CHLORIDE NASAL SPRAY 7/1/2019 4.00$ SURFAK GEQ 240MG CAP UD 7/1/2019 2.00$ TETRAHYDROZOLINE 0.05% OP SOLN 7/1/2019 8.00$ THIAMINE 100MG TABLET 7/1/2019 1.00$ VITAMIN A & D 2 OZ TUBE 7/1/2019 10.00$ VITAMIN E 400 I.U.CAPSULES 7/1/2019 1.00$ ZINC OXIDE OINT 30 GM 7/1/2019 17.00$ GLYCERIN ADULT SUPPOSITORY 7/1/2019 2.00$ GUAIFENESIN DM SYRUP 5 ML 7/1/2019 10.00$ ASPIRIN 81 MG EC TABLET 7/1/2019 1.00$ NEOMYCIN/BACITRA/POLYMYX OINT 7/1/2019 13.00$ ACETAMINOPHEN 80 MG SUPP 7/1/2019 5.00$ MAG HYDR/ALUM/SIMETH 30 ML 7/1/2019 12.00$ DIAPER RELIEF OINTMENT 4 OZ 7/1/2019 23.00$ DOCUSATE SODIUM 100 MG CAPSULE 7/1/2019 1.00$ ASCORBIC ACID 500 MG TABLET 7/1/2019 1.00$ SENNOSIDES TABLET 7/1/2019 1.00$ ZINC SULFATE 220 MG CAPSULE 7/1/2019 1.00$ MAGNESIUM OXIDE 400 MG TABLET 7/1/2019 1.00$ ALUM/MAG HYDROXIDE/SIMETH 30ML 7/1/2019 8.00$ NEOSYNEPHRINE 0.125% NASAL DRP 7/1/2019 25.00$ FOLIC ACID 400 MCG TABLET 7/1/2019 1.00$ MICONAZOLE 7 2% VAGINAL CREAM 7/1/2019 27.00$ FLORASTOR 250 MG CAPSULE 7/1/2019 4.00$ OPTI-GEN TABLET 7/1/2019 1.00$ VITAMIN B-12 1000 MCG TABLET 7/1/2019 1.00$ PHENASEPTIC 1.4% SPRAY BOTTLE 7/1/2019 14.00$ VITAMIN D 400 IU TABLET 7/1/2019 1.00$ PHOS-NAK POWDER CONCENTRATE 7/1/2019 3.00$ MUCINEX DM 600/30 MG TABLET 7/1/2019 2.00$ RISAQUAD30 MG CAPSULES 7/1/2019 5.00$ CETIRIZINE 10 MG TABLET 7/1/2019 1.00$ CETIRIZINE/PSEUDOEPHEDRINE TAB 7/1/2019 5.00$ CETIRIZINE 5 MG TABLET 7/1/2019 1.00$ HYDROCORTISONE 0.5% CREAM 7/1/2019 16.00$ PSEUDOEPHEDRINE 120 MG TABCR 7/1/2019 2.00$ LUBRI-SKIN LOTION 237 ML 7/1/2019 10.00$ POLYETHYLENE GLYCOL 17 GM PKT 7/1/2019 7.00$ GLUCOSE 4 GM CHEWABLE TABLET 7/1/2019 1.00$ INSTA GLUCOSE 40% GEL 31 GM 7/1/2019 24.00$ SODIUM CHLORIDE 10% 15ML AMP 7/1/2019 5.00$ LMX4 4% CREAM 5 GM TUBE 7/1/2019 20.00$ PRO-STAT 64 15 GM LIQ 30 ML 7/1/2019 6.00$ VASELINE JELLY 16.8 GM TUBE 7/1/2019 2.00$ ASPIRIN/APAP/CAFFEINE TABLET 7/1/2019 1.00$ SLOW RELEASE IRON 45 MG TABLET 7/1/2019 1.00$

PERMETHRIN 1% LOTION 60ML 7/1/2019 55.00$ CYNOCOBALMIN 500 MCG TABLET 7/1/2019 1.00$ KONSYL 6 GM PACKET 7/1/2019 3.00$ BIOTENE MOISTURIZING MOUTH SPR 7/1/2019 29.00$ NAC (N-ACETYL-CYSTEINE) 600 MG 7/1/2019 1.00$ SOD PHOSPHATE/SOD BIPHOS ENEMA 7/1/2019 5.00$ WITCH HAZEL 50% PADS 100/JAR 7/1/2019 22.00$ DESENEX 2% POWDER 45 GM BOTTLE 7/1/2019 21.00$ CALAMINE LOTION 177 ML 7/1/2019 9.00$ LAN-O-SOOTHE OINTMENT 7 GM 7/1/2019 9.00$ REMEDY/PHYTOPLEX Z-GUARD PASTE 7/1/2019 29.00$ REMEDY ANTIFUNGAL CREAM 118ML 7/1/2019 42.00$ REMEDY ANTIFUNGAL OINTMENT 7/1/2019 26.00$ BISMUTH SUBSAL 262 MG CHEW TAB 7/1/2019 1.00$ KETOTIFEN FUM 0.25% 5ML BOTTLE 7/1/2019 41.00$ DAKIN'S SOLUTION 0.125% 473 ML 7/1/2019 68.00$ DAKIN'S SOLUTION 0.25% 473 ML 7/1/2019 61.00$ OXYMETAZOLINE 0.05% 15ML NASAL 7/1/2019 5.00$ HYSEPT 0.25% 473 ML BOTTLE 7/1/2019 65.00$ DEX4 GEL 15 GM PACKET 7/1/2019 11.00$ GLUTOSE 15 GM LEMON GEL TUBE 7/1/2019 19.00$ NEXT CHOICE 1.5 MG TABLET 7/1/2019 159.00$ NATURAL BALANCE TEARS OPTH SOL 7/1/2019 12.00$ NIACIN 250 MG TR CAPSULE 7/1/2019 1.00$ SENNA 528 MG / 15 ML SYRUP 7/1/2019 18.00$ GUAIFENESIN / COD SYRUP 5ML 7/1/2019 3.00$ LOPERAMIDE 2 MG / 10 ML SOLN 7/1/2019 10.00$ FERROUS SULFATE 300 MG / 5ML 7/1/2019 9.00$ H-CHLOR 12 0.125% 473 BOTTLE 7/1/2019 57.00$ LOTRIMIN AF POWDER 90 GM BOTTL 7/1/2019 34.00$ HYDROCERIN CREAM 113 GM JAR 7/1/2019 24.00$ FISH OIL 1000 MG CAPSULE 7/1/2019 1.00$ ZOSTRIX CREAM 0.1% 60 GM TUBE 7/1/2019 72.00$ LUGOLS SOLN 5% 8 ML BOTTLE 7/1/2019 59.00$ HYSEPT 0.5% SOLN 480ML BTL 7/1/2019 65.00$ MELATONIN 5 MG TABLET 7/1/2019 1.00$ HYDROPHOR OINTMENT 100 GM JAR 7/1/2019 28.00$ CENTRUM ADULT CHEWABLE TABLET 7/1/2019 1.00$ VITAMIN D3 2000 IU CAPSULE 7/1/2019 1.00$ RID LICE CONTROL SPRAY 5 OZ 7/1/2019 28.00$ PETROLEUM JELLY 1 OZ TUBE 7/1/2019 5.00$ PHOSPHORUS POWDER 1.5 GM PKT 7/1/2019 2.00$ NICOTINE GUM 4 MG 7/1/2019 2.00$ NICOTINE LOZENGE 2 MG 7/1/2019 62.00$ NICOTINE 4MG LOZENGE 7/1/2019 62.00$ NICOTINE GUM 2 MG 7/1/2019 1.00$ VITAMIN A&D OINTMNT 113GM 7/1/2019 13.00$

CALMOSEPTINE OINT 71 GM TUBE 7/1/2019 22.00$ MENTHOL/METHYL SALIC CRM 85 GM 7/1/2019 10.00$ NIX ULTRA SOLN 102 ML BTL 7/1/2019 92.00$ VITAMIN D3 DROPS 400 IU/ML BTL 7/1/2019 16.00$ H-CHLOR 0.125% 473 ML BOTTLE 7/1/2019 65.00$ PROBIOTIC 250 MG CAPSULE 7/1/2019 2.00$ AQUATIC THERAPY 15 MIN 7/1/2019 128.00$ DIATHERMY 7/1/2019 20.00$ ELECTRICAL STIM-UNATTENDED 7/1/2019 98.00$ GAIT TRAINING 15 MIN 7/1/2019 82.00$ IONTOPHORESIS 15 MIN 7/1/2019 106.00$ MANUAL THERAPY 15 MINUTES 7/1/2019 127.00$ MASSAGE 15 MIN 7/1/2019 100.00$ NEUROMUSCULAR RE-ED 15 MIN 7/1/2019 100.00$ ORTHO FIT/TRAIN 15 MIN,INITIAL 7/1/2019 126.00$ PARAFFIN BATH 7/1/2019 50.00$ PHYSICAL PERF TEST/MEAS 15 MIN 7/1/2019 107.00$ PT EVAL 20 MIN LC 7/1/2019 228.00$ PT EVAL 30 MIN MC 7/1/2019 276.00$ PT EVAL 45 MIN HC 7/1/2019 226.00$ PT EVAL 60 MIN HC 7/1/2019 226.00$ PT GROUP-THERAPEUTIC 0-15 MIN 7/1/2019 53.00$ PT GROUP-THERAPEUTIC 16-30 MIN 7/1/2019 53.00$ PT GROUP-THERAPEUTIC 31-45 MIN 7/1/2019 53.00$ PT GROUP-THERAPEUTIC 46-60 MIN 7/1/2019 53.00$ PT RE-EVAL 20 MIN 7/1/2019 159.00$ PT RE-EVAL 30 MIN 7/1/2019 159.00$ PT RE-EVAL 45 MIN 7/1/2019 159.00$ PT RE-EVAL 60 MIN 7/1/2019 159.00$ STRAPPING, ANKLE/FOOT 7/1/2019 192.00$ STRAPPING, KNEE 7/1/2019 140.00$ STRAPPING, SHOULDER 7/1/2019 143.00$ THERAPEUTIC ACTIVITIES 15 MIN 7/1/2019 108.00$ THERAPEUTIC EXERCISE 15 MIN 7/1/2019 209.00$ TRACTION, MECHANICAL 7/1/2019 123.00$ ULTRASOUND 15 MIN 7/1/2019 123.00$ ULTRASOUND W/E-STIM 15 MIN 7/1/2019 123.00$ ULTRASOUND(PHONOPHORES) 15 MIN 7/1/2019 123.00$ VASOPNEUMATIC DEVICES 7/1/2019 45.00$ WHEELCHAIR MANAGEMENT 15 MIN 7/1/2019 141.00$ WHIRLPOOL 7/1/2019 147.00$ FLUIDOTHERAPY 7/1/2019 147.00$ STRAPPING, LOW BACK 7/1/2019 192.00$ STRAPPING, UNNA BOOT 7/1/2019 200.00$ ELECTRICAL STIM-ATTNDED 15 MIN 7/1/2019 136.00$ CANALITH REPOSITIONING PROC 7/1/2019 123.00$ SELF CARE HOME MGT TRN 15 MIN 7/1/2019 93.00$

ORTHO/PROST MGMT SBQ ENC/15MIN 7/1/2019 132.00$ HOT/COLD THERAPY, 1+ AREAS 7/1/2019 15.00$ AMBUCARE: PT LIFT ASSESSMENT 7/1/2019 43.00$ NEUROSTIMULATOR 1+ AREAS 7/1/2019 200.00$ AFO SPLINT 7/1/2019 90.00$ AOA HOME CT UNIT 7/1/2019 75.00$ BRACE-LUMBOSACRAL BACK SUPPORT 7/1/2019 130.00$ FELCO EX. PULLEY SET 7/1/2019 18.00$ TLSO-FLEX T SUPPORT + FIT/ADJ 7/1/2019 390.00$ AE-RIGID LEG LIFTER 7/1/2019 6.00$ COMM WORK REINTEG TRAIN 15 MIN 7/1/2019 95.00$ DEVELOP COGNITIVE SKILL 15 MIN 7/1/2019 77.00$ ELECTRICAL STIM-MANUAL 15 MIN 7/1/2019 136.00$ OCCUP THER. RE-EVAL 30 MIN 7/1/2019 169.00$ OCCUP THER. RE-EVAL 45 MIN 7/1/2019 168.00$ OCCUP THER. RE-EVAL 60 MIN 7/1/2019 169.00$ OCCUP THERAPY EVAL 30 MIN LC 7/1/2019 243.00$ OCCUP THERAPY EVAL 45 MIN MC 7/1/2019 243.00$ OCCUP THERAPY EVAL 60 MIN HC 7/1/2019 243.00$ OCCUP TREAT GROUP 0-15 MIN 7/1/2019 53.00$ OCCUP TREAT GROUP 16-30 MIN 7/1/2019 53.00$ OCCUP TREAT GROUP 31-45 MIN 7/1/2019 53.00$ OCCUP TREAT GROUP 46-60 MIN 7/1/2019 53.00$ SENSORY INTEGRATION 15 MIN 7/1/2019 92.00$ ULTRASOUND, 15 MIN 7/1/2019 123.00$ ULTROSOUND(PHONEPHORES) 15 MIN 7/1/2019 123.00$ STRAPPING, ELBOW/WRIST 7/1/2019 45.00$ STRAPPING, HAND/FINGER 7/1/2019 45.00$ TECHNOLOGY ASSESSMNT/15 MINS 7/1/2019 112.00$ HOT/COLD THERAPY 1+ AREAS 7/1/2019 15.00$ AMBUCARE: OT LIFT ASSESSMENT 7/1/2019 43.00$ AE-BUTTON HOOK (RUBBER) 7/1/2019 4.00$ AE-CYLINDRICAL FOAM 3 IN. 7/1/2019 7.00$ AE-DRESSING STICK 7/1/2019 10.00$ AE-FITS ALL SLING 7/1/2019 29.00$ AE-HARRIS HEMI SLING 7/1/2019 120.00$ AE-HIP KIT, ADAPTIVE EQUIPMENT 7/1/2019 28.00$ AE-ISOTONER GLOVE 7/1/2019 34.00$ AE-REACHER 7/1/2019 12.00$ AE-SHOEHORN 7/1/2019 7.00$ AE-SHOELACES 2 PR. ELASTIC 7/1/2019 4.00$ AE-SPONGE (LONG HANDLE) 7/1/2019 5.00$ AE-SOCK AID (FLEXIBLE) 7/1/2019 10.00$ EA-HAND HELPER 7/1/2019 17.00$ EA-SLO FOAM EXER. X-SOFT 7/1/2019 35.00$ ORTHOSIS-FINGER,KNUCKLE BENDER 7/1/2019 163.00$ SPLINT DORSAL BLOCKING WHFO 7/1/2019 178.00$

SPLINT EXTEN SAFETY PIN FO 7/1/2019 78.00$ SPLINT PALMAR BASED WHFO 7/1/2019 178.00$ SPLINT PREFAB DIGIT 7/1/2019 78.00$ SPLINT SAFETY PIN SPRNG WIRE 7/1/2019 78.00$ SPLINT WRIST EXTEN COCK UP WHO 7/1/2019 54.00$ SPLINT-ELBOW-UPB EXTREM FRACT 7/1/2019 43.00$ SPLINT-HAND-NEUT POSITION WHFO 7/1/2019 6.00$ GLOVE-FINGER FLEXION 7/1/2019 38.00$ AE-EDEMA 2 GLOVE 7/1/2019 16.00$ AE-SLING GIVEMOHR MEDIUM 7/1/2019 142.00$ SLING HEMI SHOULDER 7/1/2019 120.00$ SLING CVA LATEX FREE 7/1/2019 39.00$ WHFO,DEVIATION FINGER EXTENDER 7/1/2019 140.00$ APHASIA ASSESSMENT/HR. 7/1/2019 291.00$ EVAL OF SWALLOW & O, 0-15 MIN 7/1/2019 296.00$ EVAL OF SWALLOW & O, 16-30 MIN 7/1/2019 296.00$ EVAL OF SWALLOW & O, 31-45 MIN 7/1/2019 296.00$ EVAL OF SWALLOW & O, 46-60 MIN 7/1/2019 296.00$ EVAL SWALLOW, FLURO 0-15 MINS 7/1/2019 534.00$ EVAL SWALLOW, FLURO 16-30 MIN 7/1/2019 534.00$ EVAL SWALLOW, FLURO 31-45 MINS 7/1/2019 534.00$ EVAL SWALLOW, FLURO 46-60 MINS 7/1/2019 534.00$ SPEECH TREAT GROUP 0-15 MIN 7/1/2019 66.00$ SPEECH TREAT GROUP 16-30 MIN 7/1/2019 66.00$ SPEECH TREAT GROUP 31-45 MIN 7/1/2019 66.00$ SPEECH TREAT GROUP 46-60 MIN 7/1/2019 66.00$ SPEECH TREAT INDIVID 0-15 MIN 7/1/2019 243.00$ SPEECH TREAT INDIVID 16-30 MIN 7/1/2019 243.00$ SPEECH TREAT INDIVID 31-45 MIN 7/1/2019 243.00$ SPEECH TREAT INDIVID 46-60 MIN 7/1/2019 243.00$ TREAT SWALLOW DYSFUN 0-15 MIN 7/1/2019 230.00$ TREAT SWALLOW DYSFUN 16-30 MIN 7/1/2019 230.00$ TREAT SWALLOW DYSFUN 31-45 MIN 7/1/2019 230.00$ TREAT SWALLOW DYSFUN 46-60 MIN 7/1/2019 230.00$ COGNITIVE TEST BY HC PRO 7/1/2019 319.00$ EVALUATION OF SPEECH FLUENCY 7/1/2019 306.00$ EVALUATE SPEECH PRODUCTION 7/1/2019 245.00$ SPEECH SOUND LANG COMPREHEN 7/1/2019 326.00$ BEHAVORAL QLTY ANALYSIS VOICE 7/1/2019 238.00$ MOTION FLUORO SWALLOW FCN 7/1/2019 380.00$ FEES W CINE OR VIDEO 7/1/2019 426.00$ CTA ABDOMEN W RUNOFF 7/1/2019 2,584.00$ CTA ABDOMEN W&WO CONTRAST 7/1/2019 2,058.00$ CTA CHEST W&W/O CONTRAST 7/1/2019 2,185.00$ CTA HEAD W&W/O CONTRAST 7/1/2019 1,587.00$ CTA NECK W&W/O CONTRAST 7/1/2019 2,185.00$ CTA PELVIS W & W/O CONTRAST 7/1/2019 1,500.00$

CT-CERVICAL SPINE LIMITED 7/1/2019 500.00$ CT-GUIDANCE FOR NEEDLE BIOPSY 7/1/2019 1,119.00$ CT GUIDANCE, DRAINAGE CATH 7/1/2019 1,450.00$ CT-INNER EAR W&WO CONTRAST 7/1/2019 2,185.00$ CT-3D RECONSTRUCTION 7/1/2019 300.00$ CT-ABDOMEN W&W/O CONTRAST 7/1/2019 2,645.00$ CT-ABDOMEN W/CONTRAST 7/1/2019 2,381.00$ CT-ABDOMEN W/O CONTRAST 7/1/2019 1,582.00$ CT-ADRENAL W&W/O CONTRAST 7/1/2019 2,645.00$ CT-ADRENAL W/CONTRAST 7/1/2019 2,381.00$ CT-ADRENAL W/O CONTRAST 7/1/2019 1,582.00$ CT-CHEST W/CONTRAST 7/1/2019 1,984.00$ CT-CHEST W/O CONTRAST 7/1/2019 1,131.00$ CT-CHEST W&W/O CONTRAST 7/1/2019 1,967.00$ CT-CERVICAL SPINE W&W/O CONT 7/1/2019 2,400.00$ CT-CERVICAL SPINE W/CONTRAST 7/1/2019 2,256.00$ CT-CERVICAL SPINE W/O CONTRAST 7/1/2019 1,967.00$ CT-DRAINAGE SUBDIAPHRAGM ABCES 7/1/2019 2,637.00$ CT-FACIAL BONES W&W/O CONT 7/1/2019 994.00$ CT-FACIAL BONES W/CONTRAST 7/1/2019 1,445.00$ CT-FACIAL BONES W/O CONTRAST 7/1/2019 1,210.00$ CT-HEAD W&W/O CONTRAST 7/1/2019 1,311.00$ CT-HEAD W/CONTRAST 7/1/2019 1,173.00$ CT-HEAD W/O CONTRAST 7/1/2019 969.00$ CT-INNER EAR W/O CONTRAST 7/1/2019 1,639.00$ CT-INNER EAR W/CONTRAST 7/1/2019 1,615.00$ CT-KIDNEYS W&W/O CONTRAST 7/1/2019 2,645.00$ CT-KIDNEYS W/CONTRAST 7/1/2019 2,381.00$ CT-KIDNEYS W/O CONTRAST 7/1/2019 1,582.00$ CT-LIVER W&W/O CONTRAST 7/1/2019 2,645.00$ CT-LIVER W/CONTRAST 7/1/2019 2,381.00$ CT-LIVER W/O CONTRAST 7/1/2019 1,582.00$ CT-LUMBAR SPINE LIMITED 7/1/2019 500.00$ CT-LUMBAR SPINE W&W/O CONTRAST 7/1/2019 2,248.00$ CT-LUMBAR SPINE W/CONTRAST 7/1/2019 2,076.00$ CT-LUMBAR SPINE W/O CONTRAST 7/1/2019 1,292.00$ CT-NASOPHARYNX W&W/O CONT 7/1/2019 994.00$ CT-NASOPHARYNX W/CONTRAST 7/1/2019 1,445.00$ CT-NASOPHARYNX W/O CONTRAST 7/1/2019 1,210.00$ CT-NECK W&W/O CONTRAST 7/1/2019 2,777.00$ CT-NECK W/CONTRAST 7/1/2019 1,639.00$ CT-NECK W/O CONTRAST 7/1/2019 1,119.00$ CT-ORBITS W&W/O CONTRAST 7/1/2019 2,185.00$ CT-ORBITS(EYE SOCKET) W/CONT 7/1/2019 1,615.00$ CT-ORBITS(EYE SOCKET) W/O CONT 7/1/2019 1,639.00$ CT-PANCREAS W&W/O CONTRAST 7/1/2019 2,645.00$ CT-PANCREAS W/CONTRAST 7/1/2019 2,381.00$

CT-PANCREAS W/O CONTRAST 7/1/2019 1,582.00$ CT-PELVIS W&W/O CONTRAST 7/1/2019 2,753.00$ CT-PELVIS W/CONTRAST 7/1/2019 1,647.00$ CT-PELVIS W/O CONTRAST 7/1/2019 1,226.00$ CT-SINUSES W/O CONTRAST 7/1/2019 1,210.00$ CT-THORACIC SPINE LIMITED 7/1/2019 500.00$ CT-THORACIC SPINE W&W/O CONT 7/1/2019 2,760.00$ CT-THORACIC SPINE W/CONTRAST 7/1/2019 2,594.00$ CT-THORACIC SPINE W/O CONTRAST 7/1/2019 1,967.00$ PERC NEEDLE BIOPSY ABD/RETRO 7/1/2019 1,460.00$ MUSCLE BIOPSY, PERC NEEDLE 7/1/2019 1,600.00$ PERC NEEDLE BIOPSY, LIVER 7/1/2019 1,826.00$ PERC NEEDLE BIOPSY OF LUNG 7/1/2019 1,460.00$ PERC NEEDLE BIOPSY OF PANCREAS 7/1/2019 1,600.00$ PERC NEEDLE BIOPSY OF PLEURA 7/1/2019 1,600.00$ PERC NDL BX KIDNEY LEFT 7/1/2019 1,460.00$ PERC NDL BX KIDNEY RIGHT 7/1/2019 1,460.00$ PERC ASP RENAL CYST LEFT 7/1/2019 830.00$ PERC ASP RENAL CYST RIGHT 7/1/2019 830.00$ CT-UPPER EXT W/O CONTRAST LT 7/1/2019 1,840.00$ CT-UPPER EXT W/O CONTRAST RT 7/1/2019 1,840.00$ CT-UPPER EXT W/CONTRAST LT 7/1/2019 2,070.00$ CT-UPPER EXT W/CONTRAST RT 7/1/2019 2,070.00$ CT-UPPER EXT W&W/O LEFT 7/1/2019 2,070.00$ CT-UPPER EXT W&W/O RIGHT 7/1/2019 2,381.00$ CTA UPPER EXT W&W/O RIGHT 7/1/2019 2,360.00$ CTA UPPER EXT W&W/O LEFT 7/1/2019 2,360.00$ CTA LOWER EXT W&W/O LEFT 7/1/2019 2,210.00$ CTA LOWER EXT W&W/O RIGHT 7/1/2019 2,210.00$ ARTHROCENT SM JT/BURSA BILAT 7/1/2019 1,900.00$ ARTHROCENT SM JT/BURSA LEFT 7/1/2019 1,900.00$ ARTHROCENT SM JT/BURSA RIGHT 7/1/2019 1,900.00$ ARTHROCENT INT JT/BURSA BILAT 7/1/2019 1,050.00$ ARTHROCENT INT JT/BURSA LEFT 7/1/2019 1,050.00$ ARTHROCENT INT JT/BURSA RIGHT 7/1/2019 1,050.00$ ARTHROCENT MAJOR JT/BURSA BILA 7/1/2019 1,265.00$ ARTHROCENT MAJOR JT/BURSA LEFT 7/1/2019 1,214.00$ ARTHROCENT MAJOR JT/BURSA RIGH 7/1/2019 1,214.00$ BONE MARROW ASPIRATION BILAT 7/1/2019 2,556.00$ BONE MARROW ASPIRATION LEFT 7/1/2019 2,556.00$ BONE MARROW ASPIRATION RIGHT 7/1/2019 2,556.00$ BONE MARROW BIOPSY BILAT 7/1/2019 2,556.00$ BONE MARROW BIOPSY LEFT 7/1/2019 2,556.00$ BONE MARROW BIOPSY RIGHT 7/1/2019 2,556.00$ BX/EXC LYMPH NODE BILAT 7/1/2019 1,826.00$ BX/EXC LYNPH NODE RIGHT 7/1/2019 1,826.00$ INT REN PEL DRN/INJ PER BILAT 7/1/2019 1,728.00$

INT REN PEL DRN/INJ PER LEFT 7/1/2019 1,728.00$ INT REN PEL DRN/INJ PER RIGHT 7/1/2019 1,728.00$ CT-UPPER EXT W/O CONTRAST BIL 7/1/2019 1,858.00$ CT-UPPER EXT W/CONTRAST BIL 7/1/2019 2,091.00$ CT-UPPER EXT W&W/O BILAT 7/1/2019 2,710.00$ PERC ASP RENAL CYST BILAT 7/1/2019 1,400.00$ CT-ASP BLADDER W INSERT CATH 7/1/2019 3,775.00$ BONE BIOPSY, SUPERFICIAL 7/1/2019 1,460.00$ BONE BIOPSY TRCR/NDL DEEP 7/1/2019 1,972.00$ FNA BX W/FLUOR GDNC 1ST LESION 7/1/2019 1,150.00$ ASPIRATION/INJ, THYROID CYST 7/1/2019 1,230.00$ CCTA W/WO, STRXR QUAN CALC 7/1/2019 2,000.00$ CT-COLONOGRAPHY SCREENING 7/1/2019 1,518.00$ CT-COLONOGRAPHY DIAGNOSTIC 7/1/2019 1,518.00$ PERC DRAINAGE, GUIDED VISCERAL 7/1/2019 1,500.00$ THORACENTESIS, w/IMAGING, LT 7/1/2019 1,646.00$ THORACENTESIS, w/IMAGING, RT 7/1/2019 1,646.00$ CT-LOWER EXT W/O CONTRAST BIL 7/1/2019 1,271.00$ CT-LOWER EXT W/CONTRAST LEFT 7/1/2019 1,520.00$ CT-LOWER EXT W/CONTRAST RIGHT 7/1/2019 1,520.00$ CT-LOWER EXT W/O CONTRAST LEFT 7/1/2019 1,271.00$ CT-LOWER EXT W/O CONTRAST RT 7/1/2019 1,271.00$ CT-LOWER EXT W&W/O LEFT 7/1/2019 1,568.00$ CT-LOWER EXT W&W/O RIGHT 7/1/2019 1,568.00$ CT-ABD&PELVIS W/O CONTRAST 7/1/2019 2,404.00$ CT-ABD&PELVIS W/CONTRAST 7/1/2019 2,404.00$ CT-ABD&PELVIS W&W/O CONTRAST 7/1/2019 2,884.00$ CT-GUIDANCE FOR TISSUE ABLATN 7/1/2019 1,316.00$ PERC RF ABLATE 1+RENAL TMR BIL 7/1/2019 6,588.00$ PERC RF ABLATE 1+ RENAL TMR RT 7/1/2019 5,300.00$ PERC RF ABLATE 1+ RENAL TMR LT 7/1/2019 5,300.00$ CTA ABD&PELVIS W&WO CONTRAST 7/1/2019 2,176.00$ CT-LOWER EXT W&W/O BILAT 7/1/2019 1,803.00$ CT-SCAN FOR LOCALIZATION 7/1/2019 500.00$ CT-3D RENDER W/INTRP POSTPRCSS 7/1/2019 775.00$ THORACENTESIS, w/IMAGING, BIL 7/1/2019 1,683.00$ CT-INSERT PLEURAL CATH RT 7/1/2019 2,592.00$ CT-INSERT PLEURAL CATH LT 7/1/2019 2,592.00$ CT-INSERT PLEURAL CATH BIL 7/1/2019 4,050.00$ PERC RF ABLATE 1+ LIVER TMR 7/1/2019 6,526.00$ CT LOW DOSE LUNG SCREEN MDCR 7/1/2019 25.00$ CT-SIM/RESP GATE RAD THERAPY 7/1/2019 337.00$ CT-LOWER EXT W/CONTRAST BIL 7/1/2019 1,748.00$ CT-PLANNING RADIATION THERAPY 7/1/2019 85.00$ FNA BX W/FLUOR GDNC/ADD LESION 7/1/2019 1,104.00$ ABDOMEN (KUB) 1V 7/1/2019 141.00$ ABDOMEN FLAT & UPRIGHT 7/1/2019 189.00$

A-C JOINTS BILATERAL 7/1/2019 231.00$ ACUTE ABDOMINAL SERIES 7/1/2019 241.00$ BARIUM ENEMA AIR CONT (ACBE) 7/1/2019 460.00$ ARTHRITIS SURVEY 7/1/2019 232.00$ BILAT RIBS W/PA CHEST 7/1/2019 348.00$ BILATERAL RIBS 7/1/2019 231.00$ BONE AGE 7/1/2019 124.00$ BONE LENGTH STUDIES 7/1/2019 178.00$ BONE SURVEY 7/1/2019 232.00$ BONE SURVEY-INFANT 7/1/2019 201.00$ BOTH KNEES STANDING AP (ONLY) 7/1/2019 141.00$ MYELOGRAM, CERVICAL 7/1/2019 1,177.00$ CERVICAL SPINE AP-LAT 7/1/2019 189.00$ CERVICAL SPINE MIN 4V 7/1/2019 348.00$ CHEST 2 VIEW W/APICAL LORDOTIC 7/1/2019 231.00$ CHEST X-RAY 1 VIEW, FRONTAL 7/1/2019 141.00$ CHEST W/FLUORO 7/1/2019 330.00$ CHEST X-RAY 2 VIEWS FR&LAT 7/1/2019 189.00$ CHEST 2 VIEW W/OBLIQUES 7/1/2019 348.00$ COLON BARIUM ENEMA 7/1/2019 280.00$ C-SPINE COMP W/FLEX &/OR EXTEN 7/1/2019 348.00$ CYSTOGRAM 7/1/2019 687.00$ MODIFIED BARIUM SWALLOW STUDY 7/1/2019 248.00$ ESOPHAGUS 7/1/2019 409.00$ FACIAL BONES 3+ VIEWS 7/1/2019 241.00$ FLUORO GUIDED NEEDLE PLACEMENT 7/1/2019 526.00$ FOREIGN BODY,CHILD,NOSE TO REC 7/1/2019 192.00$ HIPS BILATERAL INC PELVIS 2V 7/1/2019 348.00$ INJ PROC-VCUG 7/1/2019 550.00$ INTRO PROC LONG GI TUBE 7/1/2019 844.00$ IVP - W TOMOGRAPHY 7/1/2019 1,477.00$ IVP - W/O TOMOGRAPHY 7/1/2019 514.00$ SINGLE VIEW SPINE, CERVICAL 7/1/2019 141.00$ SINGLE VIEW SPINE, LUMBAR 7/1/2019 141.00$ L-SPINE,w/BENDING, MIN 6 VIEWS 7/1/2019 348.00$ L-SPINE FLEX & EXT VIEWS ONLY 7/1/2019 231.00$ L-SPINE WITH OBL MIN 4V 7/1/2019 348.00$ MYELOGRAM, LUMBAR 7/1/2019 1,780.00$ LUMBAR SPINE AP-LAT 7/1/2019 231.00$ MANDIBLE 4+ VIEWS 7/1/2019 348.00$ MANDIBLE <4 VIEWS 7/1/2019 231.00$ METASTATIC BONE SURVEY 7/1/2019 204.00$ MYELOGRAM, SPINE 2+ REGIONS 7/1/2019 1,354.00$ PLCMNT LONG GI TUBE 7/1/2019 484.00$ NASAL BONES 3+ VIEWS 7/1/2019 241.00$ NECK SOFT TISSUE X-RAY 7/1/2019 141.00$ OPERATIVE CHOLANGIOGRAM FILMS 7/1/2019 1,471.00$

ORBITS (EYE SOCKETS) 4+ VIEWS 7/1/2019 348.00$ PELVIS AP & FROG LAT (INFANT) 7/1/2019 348.00$ PELVIS AP ONLY 7/1/2019 141.00$ PELVIS COMPLETE MIN 3V 7/1/2019 241.00$ SACROILIAC JOINTS 3V 7/1/2019 231.00$ SACRUM & COCCYX 7/1/2019 189.00$ SCOLIOSIS STUDY STANDING 7/1/2019 141.00$ SINUSES < 3 VIEWS 7/1/2019 189.00$ SINUSES 3+ VIEWS 7/1/2019 241.00$ SKULL COMPLETE 4+ VIEWS 7/1/2019 348.00$ SKULL AP & LAT 7/1/2019 189.00$ SMALL BOWEL 7/1/2019 178.00$ STERNOCLAVICULAR JOINTS 7/1/2019 241.00$ STERNUM 2 VIEWS 7/1/2019 189.00$ TEMPOROMANDIBULAR JOINT-BILAT 7/1/2019 231.00$ MYELOGRAM, THORACIC 7/1/2019 1,171.00$ THORACIC SPINE W/ SWIMMERS 7/1/2019 231.00$ THORACO-LUMBAR SPINE MIN OF 2V 7/1/2019 189.00$ TOMOGRAMS (ANY BODY SECTION) 7/1/2019 222.00$ T-TUBE CHOL 7/1/2019 1,010.00$ UGI W/OUT AIR CONTRAST W/KUB 7/1/2019 663.00$ UGI AIR CONTRAST ONLY 7/1/2019 889.00$ UGI W/SBS 7/1/2019 516.00$ UNILAT RIBS W/PA CHEST 7/1/2019 241.00$ UNILATERAL RIBS 7/1/2019 141.00$ URETHROCYSTOGRAM, RETROGRD 7/1/2019 868.00$ VCUG(VOIDING CYSTOURTEHROGRAM) 7/1/2019 917.00$ EYE FOREIGN BODY LEFT 7/1/2019 150.00$ EYE FOREIGN BODY RIGHT 7/1/2019 150.00$ CLAVICLE LEFT 7/1/2019 141.00$ CLAVICLE RIGHT 7/1/2019 141.00$ SCAPULA LEFT 7/1/2019 141.00$ SCAPULA RIGHT 7/1/2019 141.00$ SHOULDER 1 VIEW LEFT 7/1/2019 141.00$ SHOULDER 1 VIEW RIGHT 7/1/2019 141.00$ SHOULDER 2 VIEW LEFT 7/1/2019 189.00$ SHOULDER 2 VIEW RIGHT 7/1/2019 189.00$ HUMERUS 2 VIEW LEFT 7/1/2019 189.00$ HUMERUS 2 VIEW RIGHT 7/1/2019 189.00$ ELBOW AP & LAT LEFT 7/1/2019 189.00$ ELBOW AP & LAT RIGHT 7/1/2019 189.00$ ELBOW 3 VIEW LEFT 7/1/2019 231.00$ ELBOW 3 VIEW RIGHT 7/1/2019 231.00$ FOREARM AP & LAT LEFT 7/1/2019 189.00$ FOREARM AP & LAT RIGHT 7/1/2019 189.00$ UPPER EXT INFANT 2 VIEW LEFT 7/1/2019 189.00$ UPPER EXT INFANT 2 VIEW RIGHT 7/1/2019 189.00$

WRIST AP & LAT LEFT 7/1/2019 189.00$ WRIST AP & LAT RIGHT 7/1/2019 189.00$ WRIST 3 VIEW LEFT 7/1/2019 231.00$ WRIST 3 VIEW RIGHT 7/1/2019 231.00$ WRIST WITH NAVICULAR LEFT 7/1/2019 231.00$ WRIST WITH NAVICULAR RIGHT 7/1/2019 231.00$ HAND AP & LAT LEFT 7/1/2019 189.00$ HAND AP & LAT RIGHT 7/1/2019 189.00$ HAND 3 VIEW LEFT 7/1/2019 231.00$ HAND 3 VIEW RIGHT 7/1/2019 231.00$ FINGERS 2 VIEW LEFT 7/1/2019 189.00$ FINGERS 2 VIEW RIGHT 7/1/2019 189.00$ KNEE 1 OR 2 VIEW BILAT 7/1/2019 209.00$ STRESS VIEWS ANY JOINT BILAT 7/1/2019 227.00$ FEMUR AP & LAT BILAT 7/1/2019 209.00$ FEMUR AP & LAT LEFT 7/1/2019 189.00$ FEMUR AP & LAT RIGHT 7/1/2019 189.00$ KNEE 1 OR 2 VIEW LEFT 7/1/2019 189.00$ KNEE 1 OR 2 VIEW RIGHT 7/1/2019 189.00$ KNEE 3 VIEW LEFT 7/1/2019 231.00$ KNEE 3 VIEW RIGHT 7/1/2019 231.00$ KNEE 4 OR MORE VIEW LEFT 7/1/2019 348.00$ KNEE 4 OR MORE VIEW RIGHT 7/1/2019 348.00$ TIBIA/FIBULA AP & LAT BILAT 7/1/2019 209.00$ TIBIA/FIBULA AP & LAT LEFT 7/1/2019 189.00$ TIBIA/FIBULA AP & LAT RIGHT 7/1/2019 189.00$ LOWER EXT INFANT 2 VIEW LEFT 7/1/2019 189.00$ LOWER EXT INFANT 2 VIEW RIGHT 7/1/2019 189.00$ ANKLE AP & LAT LEFT 7/1/2019 189.00$ ANKLE AP & LAT RIGHT 7/1/2019 189.00$ ANKLE 3 VIEW LEFT 7/1/2019 231.00$ ANKLE 3 VIEW RIGHT 7/1/2019 231.00$ FOOT AP & LAT LEFT 7/1/2019 189.00$ FOOT AP & LAT RIGHT 7/1/2019 189.00$ FOOT 3 VIEW LEFT 7/1/2019 231.00$ FOOT 3 VIEW RIGHT 7/1/2019 231.00$ HEEL 2 VIEW LEFT 7/1/2019 189.00$ HEEL 2 VIEW RIGHT 7/1/2019 189.00$ TOES 2 VIEW LEFT 7/1/2019 189.00$ TOES 2 VIEW RIGHT 7/1/2019 189.00$ INJ PYELOGRAPHY TUBE/CATH LT 7/1/2019 806.00$ INJ PYELOGRAPHY TUBE/CATH RT 7/1/2019 806.00$ INJ URETERO VIA CATH LEFT 7/1/2019 443.00$ INJ URETERO VIA CATH RIGHT 7/1/2019 443.00$ STRESS VIEWS ANY JT LEFT 7/1/2019 162.00$ MASTOIDS 4 VIEW BILAT 7/1/2019 348.00$ CLAVICLE BILAT 7/1/2019 182.00$

SCAPULA BILAT 7/1/2019 182.00$ SHOULDER 1 VIEW BILAT 7/1/2019 182.00$ SHOULDER 2 VIEW BILAT 7/1/2019 209.00$ ELBOW AP & LAT BILAT 7/1/2019 209.00$ ELBOW 3 VIEW BILAT 7/1/2019 241.00$ FOREARM AP & LAT BILAT 7/1/2019 209.00$ UPPER EXT INFANT 2 VIEW BILAT 7/1/2019 209.00$ WRIST AP & LAT BILAT 7/1/2019 209.00$ WRIST 3 VIEW BILAT 7/1/2019 241.00$ WRIST WITH NAVICULAR BILAT 7/1/2019 241.00$ HAND AP & LAT BILAT 7/1/2019 209.00$ HAND 3 VIEW BILAT 7/1/2019 241.00$ FINGERS 2 VIEW BILAT 7/1/2019 209.00$ KNEE 3 VIEW BILAT 7/1/2019 241.00$ KNEE 4 OR MORE VIEW BILAT 7/1/2019 348.00$ LOWER EXT INFANT 2 VIEW BILAT 7/1/2019 209.00$ ANKLE AP & LAT BILAT 7/1/2019 209.00$ ANKLE 3 VIEW BILAT 7/1/2019 241.00$ FOOT AP & LAT BILAT 7/1/2019 209.00$ FOOT 3 VIEW BILAT 7/1/2019 241.00$ HEEL 2 VIEW BILAT 7/1/2019 209.00$ TOES 2 VIEW BILAT 7/1/2019 209.00$ INJ PYELOGRAPHY TUBE/CATH BIL 7/1/2019 806.00$ INJ URETERO VIA CATH BILAT 7/1/2019 665.00$ STRESS VIEWS ANY JT RIGHT 7/1/2019 162.00$ CHEST COMPLETE MIN 4 VIEWS 7/1/2019 348.00$ FACIAL BONES, < 3 VIEWS 7/1/2019 189.00$ HYSTEROSALPINGOGRAM 7/1/2019 1,852.00$ CATH INS/INJ PROC-HYSTEROSALGM 7/1/2019 585.00$ INJ PERC TRANSHEPATIC CHOLANGI 7/1/2019 1,010.00$ INJECT OF SINUS TRACT 7/1/2019 372.00$ SINUS TRACT/FISTULAGRAM 7/1/2019 520.00$ BILIARY DUCT DILITATION 7/1/2019 442.00$ RAD GUIDANCE, DRAINAGE CATH 7/1/2019 1,450.00$ SMALL BOWELL VIA ENTEROCLYSIS 7/1/2019 325.00$ INJ CHOLANGIOGRAM, EXSTNG CATH 7/1/2019 1,010.00$ FLUOROGUIDE FOR SPINE INJECT 7/1/2019 341.00$ FLUORO EXAM OF G/COLON TUBE 7/1/2019 330.00$ VENOGRAM EXT UNILATERAL, LEFT 7/1/2019 889.00$ VENOGRAM EXT UNILATERAL, RIGHT 7/1/2019 889.00$ PLCMT OF GASTRO TUBE W/FLUORO 7/1/2019 2,126.00$ NG TUBE PLACEMENT W/FLUORO 7/1/2019 370.00$ UROGRAPHY ANTEGRADE 7/1/2019 725.00$ INJ PROC-ANKLE ARTHROGRAM LT 7/1/2019 443.00$ INJ PROC-ANKLE ARTHROGRAM RT 7/1/2019 443.00$ INJ PROC-ANKLE ARTHROGRAM BIL 7/1/2019 503.00$ INJ PROC-HIP ARTHROGRAM LT 7/1/2019 478.00$

INJ PROC-HIP ARTHROGRAM RT 7/1/2019 478.00$ INJ PROC-HIP ARTHROGRAM BIL 7/1/2019 528.00$ INJ PROC-KNEE ARTHROGRAM LT 7/1/2019 425.00$ INJ PROC-KNEE ARTHROGRAM RT 7/1/2019 425.00$ INJ PROC-KNEE ARTHROGRAM BIL 7/1/2019 503.00$ INJ PROC-SHOULDER ARTHROGR LT 7/1/2019 767.00$ INJ PROC-SHOULDER ARTHROGR RT 7/1/2019 767.00$ INJ PROC-SHOULDER ARTHROGR BIL 7/1/2019 774.00$ INJ PROC-SIALOGRAM LT 7/1/2019 170.00$ INJ PROC-SIALOGRAM RT 7/1/2019 170.00$ INJ PROC-WRIST ARTHROGRAM LT 7/1/2019 528.00$ INJ PROC-WRIST ARTHROGRAM RT 7/1/2019 528.00$ INJ PROC-WRIST ARTHROGRAM BIL 7/1/2019 585.00$ PAROTID SIALOGRAM LT 7/1/2019 450.00$ PAROTID SIALOGRAM RT 7/1/2019 450.00$ INJ PROC-ELBOW ARTHROGRAM LT 7/1/2019 385.00$ INJ PROC-ELBOW ARTHROGRAM RT 7/1/2019 385.00$ INJ PROC-ELBOW ARTHROGRAM BIL 7/1/2019 503.00$ HIP UNILATERAL 2/3V LEFT 7/1/2019 231.00$ HIP UNILATERAL 2/3V RIGHT 7/1/2019 231.00$ HIP UNILATERAL 1V LEFT 7/1/2019 141.00$ HIP UNILATERAL 1V RIGHT 7/1/2019 141.00$ UROGRAPHY RETROGRD 7/1/2019 1,505.00$ ARTHROGRAM-ANKLE LEFT 7/1/2019 1,078.00$ ARTHROGRAM-ANKLE RIGHT 7/1/2019 1,078.00$ ARTHROGRAM-ELBOW LEFT 7/1/2019 1,078.00$ ARTHROGRAM-ELBOW RIGHT 7/1/2019 1,078.00$ ARTHROGRAM-HIP LEFT 7/1/2019 1,254.00$ ARTHROGRAM-HIP RIGHT 7/1/2019 1,254.00$ ARTHROGRAM-KNEE LEFT 7/1/2019 1,165.00$ ARTHROGRAM-KNEE RIGHT 7/1/2019 1,189.00$ ARTHROGRAM-SHOULDER LEFT 7/1/2019 1,710.00$ ARTHROGRAM-SHOULDER RIGHT 7/1/2019 1,710.00$ ARTHROGRAM-WRIST LEFT 7/1/2019 1,426.00$ ARTHROGRAM-WRIST RIGHT 7/1/2019 1,426.00$ CHG PERC TUBE/DRAINAGE CATH LT 7/1/2019 3,233.00$ CHG PERC TUBE/DRAINAGE CATH RT 7/1/2019 3,233.00$ ARTHROGRAM-SI JOINT, LT 7/1/2019 1,233.00$ ARTHROGRAM-SI JOINT, RT 7/1/2019 1,233.00$ ARTHROGRAM-SI JOINT, BIL 7/1/2019 1,850.00$ SINGLE VIEW SPINE, THORACIC 7/1/2019 141.00$ CONTRST X-RAY URINARY TRACT 7/1/2019 725.00$ INJ PROC-ANESTHETIC AGENT 7/1/2019 1,136.00$ HIPS BILATERAL INC PELVIS 3/4V 7/1/2019 241.00$ HIPS BILATERAL INC PELVIS 5+V 7/1/2019 431.00$ HIP UNILATERAL 4/>V LEFT 7/1/2019 348.00$ HIP UNILATERAL 4/>V RIGHT 7/1/2019 348.00$

EXCHANGE BILIARY DRG CATH 7/1/2019 4,597.00$ REMOVAL BILIARY DRG CATH 7/1/2019 1,020.00$ TUBE EXCHANGE GI/GU BILAT 7/1/2019 3,233.00$ G/C TUBE REPLACE/PERC W/FLUORO 7/1/2019 970.00$ OBSTRUCTION,SMALL BOWEL/SERIAL 7/1/2019 178.00$ RMV INDW TNL PLR CATH W/CUF LT 7/1/2019 1,975.00$ RMV INDW TNL PLR CATH W/CUF RT 7/1/2019 1,975.00$ DXA AXIAL SCAN 7/1/2019 387.00$ DXA PERIPHERAL SCAN 7/1/2019 214.00$ MAMMO-BREAST SPECIMEN 7/1/2019 995.00$ MAMMO-DUCTOGRAM MULTI DUCTS 7/1/2019 796.00$ MAMMO-DUCTOGRAM/GALACT 1 DUCT 7/1/2019 796.00$ MAMMO-BILAT DIAG DIGITAL W/CAD 7/1/2019 353.00$ MAMMO-UNILA DIAG DIGITAL W/CAD 7/1/2019 276.00$ MAMMO-SCREENING DIGITAL W/CAD 7/1/2019 291.00$ INJ PROC DUCTOGRAM LEFT 7/1/2019 238.00$ INJ PROC DUCTOGRAM RIGHT 7/1/2019 238.00$ BRST BX 1ST LESION, STRTCT BL 7/1/2019 4,507.00$ BRST BX 1ST LESION, STRTCT LT 7/1/2019 4,507.00$ BRST BX 1ST LESION, STRTCT RT 7/1/2019 4,507.00$ BRST BX ADD LESION, STRTCT BL 7/1/2019 300.00$ BRST BX ADD LESION, STRTCT LT 7/1/2019 300.00$ BRST BX ADD LESION, STRTCT RT 7/1/2019 300.00$ LOC DVICE ONLY 1ST LSN, MAM BL 7/1/2019 1,999.00$ LOC DVICE ONLY 1ST LSN, MAM LT 7/1/2019 1,999.00$ LOC DVICE ONLY 1ST LSN, MAM RT 7/1/2019 1,999.00$ LOC DVICE ONLY ADD LSN, MAM BL 7/1/2019 120.00$ LOC DVICE ONLY ADD LSN, MAM LT 7/1/2019 120.00$ LOC DVICE ONLY ADD LSN, MAM RT 7/1/2019 120.00$ DXA AXIAL SCAN w/VERT FX 7/1/2019 388.00$ MAMMO-BILAT DIAG DIGTL,TOMO/3D 7/1/2019 74.00$ MAMMO-UNIL DIAG DIGTL, TOMO/3D 7/1/2019 74.00$ MAMMO-SCREENING DIGTL, TOMO/3D 7/1/2019 74.00$ MAMMO-UNILA DIAG CESM W/CAD 7/1/2019 276.00$ MAMMO-BILAT DIAG CESM W/CAD 7/1/2019 353.00$ MAMMO-CESM DIAGNOSTIC INJECT 7/1/2019 300.00$ NMI-IN111 OXYQUINOLINE/0.5 MCI 7/1/2019 4,368.00$ NM-INJ PRO PREV PLMT PV SHUNT 7/1/2019 170.00$ NM-ACUTE VENOUS THROM PEPTD 7/1/2019 1,305.00$ NM-BONE/JNT IMAGING MULT AREA 7/1/2019 1,267.00$ NM-CARD BLD PL IMG SPECT W/EF 7/1/2019 969.00$ NM-CSF IMAGING SHUNT EVAL 7/1/2019 935.00$ NM-INJ FOR ID OF SENTINEL NODE 7/1/2019 2,066.00$ NM-KIDNEY IMAGING SPECT 7/1/2019 1,044.00$ NM-MUGA MULTIPLE STUDIES 7/1/2019 838.00$ NM-PV SHUNT PATENCY TEST 7/1/2019 806.00$ NM-SPLEEN IMAGING ONLY 7/1/2019 986.00$

NM-TESTICULAR SCAN W/VASC FLOW 7/1/2019 1,044.00$ NM-BONE MARROW/MULT AREA 7/1/2019 986.00$ NM-BONE SCAN (3 PHASE) 7/1/2019 2,824.00$ NM-BONE SCAN LIMITED AREA 7/1/2019 2,158.00$ NM-BONE SCAN TOMO/SPECT 7/1/2019 3,237.00$ NM-BONE SCAN WHOLE BODY 7/1/2019 3,022.00$ NM-BRAIN IMAGING/SPECT 7/1/2019 1,438.00$ NM-BRAIN IMG COMPLETE/FLOW 7/1/2019 935.00$ NM-CEREBROSPINAL FLUID FLOW IM 7/1/2019 935.00$ NM-CSF LEAKAGE DETECTION 7/1/2019 1,305.00$ NM-CYSTOGRAM 7/1/2019 1,044.00$ NM-GASTRIC EMPTYING IMAG STUDY 7/1/2019 3,082.00$ NM-GASTROESOPHAGEAL REFLUX STU 7/1/2019 806.00$ NM-GATED HEART W/EF & MOT MUGA 7/1/2019 4,052.00$ NM-GI BLEED STUDY 7/1/2019 571.00$ NM-HEPATOBILIARY SCAN W/DRUGS 7/1/2019 1,450.00$ NM-THRPY, HYPERTHYROIDISM SUBQ 7/1/2019 1,363.00$ NMI-GA67 GALLIUM PER 1 MCI 7/1/2019 126.00$ NMI-I123 THYROID UP&SCAN/100uC 7/1/2019 203.00$ NMI-INDIUM PENTETATE/0.5 MCI 7/1/2019 3,488.00$ NMI-KINEVAC,SINCALIDE INJ 5MCG 7/1/2019 179.00$ NMI-TC99M MACROAGG ALB =<10MCI 7/1/2019 260.00$ NMI-TC99M CERETEC PER DOSE 7/1/2019 2,300.00$ NMI-TC99M HDP =< 30 MCI 7/1/2019 111.00$ NMI-Tc99m MAG-3 =< 15 MCI 7/1/2019 614.00$ NMI-TC99M PENTETATE =< 25 MCI 7/1/2019 264.00$ NMI-TC99M PYROSPHOSP =< 25MCI 7/1/2019 187.00$ NMI-TC99M SESTAMIBI 7/1/2019 124.00$ NMI-TC99M SULFUR COLLOID 7/1/2019 217.00$ NMI-TC99M MEBROFENIN FOR HIDA 7/1/2019 127.00$ NMI-TC99M LABELED RBC:UltraTag 7/1/2019 221.00$ NM-KIDNEY FUNC WITH PHARMA INT 7/1/2019 1,117.00$ NM-KIDNEY IMAG W/FLOW & FUNC 7/1/2019 2,875.00$ NM-LIVER SPECT W/FLOW 7/1/2019 1,066.00$ NM-LIVER/SPLEEN W/FLOW 7/1/2019 1,576.00$ NM-LUNG PERF (PARTICULATE) 7/1/2019 741.00$ NM-LYMPHATICS & LYMPH GLANDS 7/1/2019 1,226.00$ NM-MECKELS SCAN 7/1/2019 750.00$ NM-BONE PAIN THERAPY 7/1/2019 743.00$ NM-MYOCARD INFARCT PLANAR SCAN 7/1/2019 969.00$ NM-MYOCARD PERF/SPECT SINGLE 7/1/2019 2,186.00$ NM-MYOCARDIAL PERF (SPECT)MULT 7/1/2019 7,979.00$ NM-PARATHYROID SCAN 7/1/2019 1,292.00$ NM-THRPY, HYPERTHYROIDISM INIT 7/1/2019 1,363.00$ NM-SALIVARY (PAROTID) SCAN 7/1/2019 806.00$ NM-THRPY, THYROID CANCER ABLTN 7/1/2019 1,363.00$ NM-THYROID IMAGING 1-131 WHOLE 7/1/2019 2,768.00$

NM-THYROID IMAGING ONLY 7/1/2019 542.00$ NM-THRPY, THYROID META DISEASE 7/1/2019 1,363.00$ NM-THRPY, THYROID SUPPRESSION 7/1/2019 1,363.00$ NM-THYROID UPTAKE & SCAN-SINGL 7/1/2019 1,661.00$ NM-TUMOR LOCAL (SPECT) 7/1/2019 1,202.00$ NM-TUMOR LOCALIZATION LIMITED 7/1/2019 920.00$ NM-TUMOR LOCALIZE-WHOLE BODY 7/1/2019 1,335.00$ NM-WBC LOCALIZATION, LIMITED 7/1/2019 1,305.00$ NM-WBC LOCALIZATION, SPECT 7/1/2019 1,335.00$ NM-WBC LOCALIZATION,WHOLE BODY 7/1/2019 1,305.00$ NM-TESTICULAR IMAGE ONLY 7/1/2019 1,044.00$ NMI-TC99M PERTECHNETATE /MCI 7/1/2019 2.00$ NM-LIVER/SPEEN STATIC 7/1/2019 986.00$ NM-IV INJ RN TUMOR PROBE LOC 7/1/2019 381.00$ NM-CSF FLOW VENTRICULOGRAPHY 7/1/2019 935.00$ NM-OCTREOSCAN TUMOR LOC SPECT 7/1/2019 1,202.00$ OCTREOSCAN TUMOR LOC WHOLE BDY 7/1/2019 3,413.00$ NMI-IN111 PENTETREOTIDE=<6MCI 7/1/2019 7,622.00$ NMI-I123 SOD IODIDE MIL/1 MCI 7/1/2019 676.00$ NM-HEPATOBILIARY SCAN W/O DRUG 7/1/2019 2,258.00$ NM-LUNG VENTILATE IMAGING ONLY 7/1/2019 688.00$ NM-LUNG PERF IMAGING ONLY 7/1/2019 741.00$ NM-LUNG PERF/VENT IMAGING/VQ 7/1/2019 912.00$ NM-LUNG PERF QUANT DIFFERENTL 7/1/2019 599.00$ NM-LUNG PERF/VENT QNT DIFFRNTL 7/1/2019 913.00$ NMI-THERAPUETIC I131 1mCi 7/1/2019 88.00$ NMI-THERAPUETIC I131 2mCi 7/1/2019 175.00$ NMI-THERAPUETIC I131 3mCi 7/1/2019 264.00$ NMI-THERAPUETIC I131 4mCi 7/1/2019 352.00$ NMI-THERAPUETIC I131 5mCi 7/1/2019 440.00$ NMI-THERAPUETIC I131 6mCi 7/1/2019 528.00$ NMI-THERAPUETIC I131 7mCi 7/1/2019 616.00$ NMI-THERAPUETIC I131 8mCi 7/1/2019 704.00$ NMI-THERAPUETIC I131 9mCi 7/1/2019 792.00$ NMI-THERAPUETIC I131 addl 1mCi 7/1/2019 88.00$ NMI-TC99M MEDRONATE =< 30 MCI 7/1/2019 172.00$ NM-TUMOR LOCALIZ; MULTI AREAS 7/1/2019 1,044.00$ NM-PARATHYRD PLANAR W/SPECT 7/1/2019 1,010.00$ NM-PARATHYRD PLANAR W/SPECT&CT 7/1/2019 1,010.00$ NM-TUMOR LOCALIZATION: MBI 7/1/2019 1,044.00$ NM-RADIOPH RX BY IV ADM 7/1/2019 691.00$ NMI-TC99M BICISATE=<25 MCI 7/1/2019 1,582.00$ NMI-TC99M SULF COLLD;Sentnl nd 7/1/2019 217.00$ NMI-TC99M SULF COLLD;Melenoma 7/1/2019 217.00$ NMI-TC99M TILMANOCEPT / LYMPHO 7/1/2019 679.00$ NMI-Ra223DICL 100 UNITS,XOFIGO 7/1/2019 17,484.00$ NMI-Ra223DICL 10 UNITS, XOFIGO 7/1/2019 1,748.00$

NMI-Ra223DICL 1 UNIT, XOFIGO 7/1/2019 336.00$ NMI-TC99M PENTETATE/DTPA<75MCI 7/1/2019 243.00$ NMI-DIAGNOSTIC I-131 CAP/mCI 7/1/2019 53.00$ PET FDG 7/1/2019 1,084.00$ PET METABOLIC BRAIN PRE-SURG 7/1/2019 10,128.00$ PET/CT TUMOR, LIMITED, INITIAL 7/1/2019 9,510.00$ PET/CT-TUMOR, SKULL-THIGH INIT 7/1/2019 9,622.00$ PET/CT-TUMOR,HEAD-TOE INITIAL 7/1/2019 9,928.00$ PET/CT TUMOR, LIMITED, SUBSQ 7/1/2019 9,510.00$ PET/CT-TUMOR, SKULL-THIGH SUBQ 7/1/2019 9,622.00$ PET/CT-TUMOR, HEAD-TOE SUBQ 7/1/2019 9,928.00$ PET SODIUM FLUOR F-18 =<30 MCI 7/1/2019 738.00$ PET IMAGE LTD AREA 7/1/2019 8,845.00$ PET FLORBETAPIR F18 (AMYVID) 7/1/2019 4,164.00$ US AMNIOCENTESIS ANY METHOD 7/1/2019 830.00$ US ECHOGRAPHY SPINAL CORD 7/1/2019 747.00$ US FETAL BIOPHYS. PROF W/O NST 7/1/2019 747.00$ US GUIDED AMNIOCENTESIS 7/1/2019 414.00$ US GUIDED CYST ASPIRATION 7/1/2019 414.00$ US INTRO PROC PERC THYROID BIO 7/1/2019 1,230.00$ US OB < 14 WKS SINGLE FETUS 7/1/2019 1,075.00$ US OB < 14 WKS EA ADDL FETUS 7/1/2019 275.00$ US OB TRANSVAGINAL 7/1/2019 1,224.00$ US-ABD B-SCAN LIMIT SGL ORGAN 7/1/2019 1,344.00$ US-ABD TWO (2) ORGANS 7/1/2019 1,680.00$ US-ABDOMINAL COMPLETE 7/1/2019 2,016.00$ US-AORTA 7/1/2019 747.00$ US FETAL BIOPHYS. PROF W/NST 7/1/2019 859.00$ US-CHEST/THORAX 7/1/2019 747.00$ US-GALLBLADDER 7/1/2019 1,344.00$ US-HEAD AND/OR NECK 7/1/2019 1,344.00$ US-HYSTEROSONOGRAPHY 7/1/2019 734.00$ US-LIVER 7/1/2019 1,344.00$ US-NEONATAL HEAD 7/1/2019 239.00$ US OB >= 14 WKS SINGLE FETUS 7/1/2019 1,314.00$ US OB FOLLOW UP PER FETUS 7/1/2019 1,075.00$ US OB LIMITED (SIZE,POSN,PLAC) 7/1/2019 1,075.00$ US OB >= 14 WKS EA ADDL FETUS 7/1/2019 358.00$ US-PANCREAS 7/1/2019 1,344.00$ US-PELVIS 7/1/2019 1,344.00$ US-RENAL 7/1/2019 747.00$ US-SURGICAL SPEC 7/1/2019 995.00$ US-TESTICULAR 7/1/2019 1,075.00$ US-TRANSPLANTED KIDNEY 7/1/2019 747.00$ US-TRANSVAGINAL PELVIS 7/1/2019 1,344.00$ US-URINARY BLADDER 7/1/2019 747.00$ PUNC ASP ADDL BRST CYST LEFT 7/1/2019 333.00$

PUNC ASP ADDL BRST CYST RIGHT 7/1/2019 333.00$ BX/EXC LYMPH NODE LEFT 7/1/2019 1,826.00$ BX/EXC LYMPH NODE RIGHT 7/1/2019 1,826.00$ PUNC ASP BRST CYST INITIAL LT 7/1/2019 1,230.00$ PUNC ASP BRST CYST INITIAL RT 7/1/2019 1,230.00$ FNA BX W/US GDNC 1ST LESION 7/1/2019 1,230.00$ US-AORTA MEDICARE SCREEN ONLY 7/1/2019 744.00$ US OB DETAILED SINGLE FETUS 7/1/2019 1,469.00$ PUNC ASP ABCESS/HEMA/BULLA/CYS 7/1/2019 467.00$ EXCISION OF SUBMANDIBULR GLAND 7/1/2019 1,230.00$ US INFANT HIPS BILAT; DYNAMIC 7/1/2019 265.00$ US OB DETAILED EA ADDL FETUS 7/1/2019 400.00$ US XTR NON-VASC LMTD RT 7/1/2019 747.00$ US XTR NON-VASC LMTD LT 7/1/2019 747.00$ US XTR NON-VASC COMPLETE RT 7/1/2019 1,015.00$ US XTR NON-VASC COMPLETE LT 7/1/2019 1,015.00$ ABD PARACENTESIS W/IMAGING 7/1/2019 1,415.00$ US GUIDE INTRAOP 7/1/2019 343.00$ US OB FOLLOW-UP, EA ADDL FETUS 7/1/2019 358.00$ US INSERT PLEURAL CATH RT 7/1/2019 2,592.00$ US INSERT PLEURAL CATH LT 7/1/2019 2,592.00$ US INSERT PLEURAL CATH BIL 7/1/2019 4,050.00$ US RETROPERITONEAL, COMPLETE 7/1/2019 1,210.00$ BRST BX 1ST LESION, ULTSD BL 7/1/2019 5,477.00$ BRST BX 1ST LESION, ULTSD LT 7/1/2019 4,381.00$ BRST BX 1ST LESION, ULTSD RT 7/1/2019 4,381.00$ BRST BX ADD LESION, ULTSD BL 7/1/2019 738.00$ BRST BX ADD LESION, ULTSD LT 7/1/2019 461.00$ BRST BX ADD LESION, ULTSD RT 7/1/2019 461.00$ LOC DVICE ONLY 1ST LSN, US BL 7/1/2019 1,845.00$ LOC DVICE ONLY 1ST LSN, US LT 7/1/2019 1,230.00$ LOC DVICE ONLY 1ST LSN, US RT 7/1/2019 1,230.00$ LOC DVICE ONLY ADD LSN, US BL 7/1/2019 300.00$ LOC DVICE ONLY ADD LSN, US LT 7/1/2019 200.00$ LOC DVICE ONLY ADD LSN, US RT 7/1/2019 200.00$ PUNC ASP BRST CYST INITIAL BIL 7/1/2019 1,845.00$ US BIOPSY OF NERVE 7/1/2019 3,031.00$ US TRANSRECTAL PROSTATE 7/1/2019 580.00$ US-BREAST COMPLETE, BIL 7/1/2019 1,523.00$ US-BREAST COMPLETE, LT 7/1/2019 1,015.00$ US-BREAST COMPLETE, RT 7/1/2019 1,015.00$ US-BREAST LIMITED, BIL 7/1/2019 1,371.00$ US-BREAST LIMITED, LT 7/1/2019 1,143.00$ US-BREAST LIMITED, RT 7/1/2019 1,143.00$ US PLC LOC DEVICE, NOT BREAST 7/1/2019 292.00$ US GUIDE DRAIN/INJ MAJOR JOINT 7/1/2019 1,214.00$ US-SOFT TISSUE BX NECK/THORAX 7/1/2019 4,381.00$

FNA BX W/US GDNC/ADD LESION 7/1/2019 1,230.00$ US ELASTOGRAPHY PARENCHYMA 7/1/2019 239.00$ US ELASTOGRAPHY,1ST TARGET LSN 7/1/2019 239.00$ US ELASTOGRAPHY ADD TARGET LSN 7/1/2019 45.00$ TANGNTL BX SKIN, SINGLE LESION 7/1/2019 262.00$ PUNCH BX SKIN, EA SEP/ADD 7/1/2019 113.00$ INCISIONAL BX SKIN,EA SEP/ADD 7/1/2019 201.00$ DUPLEX CAROTIDS COMPLETE BILAT 7/1/2019 1,347.00$ DUPLEX CAROTIDS LIMITED UNILAT 7/1/2019 502.00$ DUPLEX VEINS COMPLETE BILAT 7/1/2019 1,540.00$ DUPLEX VEINS LIMITED UNILAT 7/1/2019 1,588.00$ DOPPLER EXT SINGLE LEVEL BILAT 7/1/2019 363.00$ DUPLEX LOW EXT COMPLETE BILAT 7/1/2019 1,516.00$ DUPLEX LOW EXT LIMITED UNILAT 7/1/2019 869.00$ DUPLEX UP EXT COMPLETE BILAT 7/1/2019 641.00$ DUPLEX UP EXT LIMITED UNILAT 7/1/2019 448.00$ DUPLEX ARTERIAL FLOW; LIMITED 7/1/2019 1,764.00$ DUPLEX SCAN DIALYSIS PORT 7/1/2019 549.00$ DUPLEX A IVC IL/BPG; COMPL 7/1/2019 483.00$ CATH, TRANSLUM ATH DIRECTIONAL 7/1/2019 124.00$ CATH, TRANSLUM ATH ROTATIONAL 7/1/2019 124.00$ CATH, HEMODIALYSIS, LONG TERM 7/1/2019 124.00$ CATH, INFUSION CENTRAL, PICC 7/1/2019 297.00$ CATH, HEMODIALYSIS, SHORT TERM 7/1/2019 124.00$ CATH, IVUS 7/1/2019 91.00$ STENT, COATED W/DELIVERY SYST 7/1/2019 1,550.00$ STENT, NONCOATED W DELIV SYS 7/1/2019 1,248.00$ DIALYSIS ACCESS SYSTEM IMPLANT 7/1/2019 1,124.00$ CATH, OCCULSION BALLOON 7/1/2019 619.00$ INTRODUCER SHEATH, PEEL-AWAY 7/1/2019 1,651.00$ INTRODUCER SHEATH, NOT GUIDING 7/1/2019 58.00$ RF ABL CATH, SB TALON SEMIFLEX 7/1/2019 6,433.00$ RF ABL CATH, SB Xli-e SEMIFLEX 7/1/2019 7,916.00$ HAWKINS LOCALIZATION WIRE 7/1/2019 112.00$ CATH, CRYOABLATION ICEROD CX90 7/1/2019 3,492.00$ LUNG BX PLUG W/DEL SYS 7/1/2019 676.00$ MRA ABDOMEN WO CONT 7/1/2019 950.00$ MRA ABDOMEN WO&W CONT 7/1/2019 949.00$ MRA CHEST WO CONT 7/1/2019 950.00$ MRA CHEST WO&W CONT 7/1/2019 949.00$ MRA HEAD WO&W CONT 7/1/2019 949.00$ MRA HEAD W CONT 7/1/2019 949.00$ MRA HEAD WO CONT 7/1/2019 950.00$ MRA LOWER EXT WO CONT 7/1/2019 950.00$ MRA LOWER EXT WO&W CONT 7/1/2019 949.00$ MRA NECK WO&W CONT 7/1/2019 949.00$ MRA PELVIS WO&W CONT 7/1/2019 949.00$

MRA NECK WO CONT 7/1/2019 950.00$ MRI ABDOMEN WO&W CONT 7/1/2019 949.00$ MRI ABDOMEN WO CONT 7/1/2019 950.00$ MRI ABDOMEN W CONT 7/1/2019 949.00$ MRI BRAIN (INC STEM) W CONT 7/1/2019 949.00$ MRI BRAIN (INC STEM) WO CONT 7/1/2019 950.00$ MRI BRAIN (INC STEM) WO&W CONT 7/1/2019 949.00$ MRI CERVICAL SPINE W CONT 7/1/2019 949.00$ MRI CERVICAL SPINE WO CONT 7/1/2019 950.00$ MRI CERVICAL SPINE WO&W CONT 7/1/2019 949.00$ MRI CHEST WO&W CONT 7/1/2019 949.00$ MRI CHEST WO CONT 7/1/2019 950.00$ MRI CHEST W CONT 7/1/2019 949.00$ MRI FACE,NECK,ORBIT WO&W CONT 7/1/2019 949.00$ MRI FACE,NECK,ORBIT W CONT 7/1/2019 949.00$ MRI FACE,NECK,ORBIT WO CONT 7/1/2019 950.00$ MRI LUMBAR SPINE W CONT 7/1/2019 949.00$ MRI LUMBAR SPINE WO CONT 7/1/2019 950.00$ MRI LUMBAR SPINE WO&W CONT 7/1/2019 949.00$ MRI SPECTROSCOPY 7/1/2019 949.00$ MRI PELVIS WO&W CONT 7/1/2019 949.00$ MRI PELVIS W CONT 7/1/2019 949.00$ MRI PELVIS WO CONT 7/1/2019 950.00$ MRI PITUITARY W CONT 7/1/2019 949.00$ MRI PITUITARY WO CONT 7/1/2019 950.00$ MRI PITUITARY WO&W CONT 7/1/2019 949.00$ MRI IAC W/WO CONTRAST 7/1/2019 949.00$ MRI IAC W/CONTRAST 7/1/2019 949.00$ MRI IAC WITHOUT CONTRAST 7/1/2019 950.00$ MRI RECONSTRUCT (COR,SAG,MUL) 7/1/2019 300.00$ MRI THORACIC SPINE W CONT 7/1/2019 949.00$ MRI THORACIC SPINE WO CONT 7/1/2019 950.00$ MRI THORACIC SPINE WO&W CONT 7/1/2019 949.00$ MRA PELVIS WO CONT 7/1/2019 950.00$ MRI TMJ WO CONT, LEFT 7/1/2019 950.00$ MRI TMJ WO CONT, RIGHT 7/1/2019 950.00$ MRI UPPER EXT W/O CONT, LEFT 7/1/2019 950.00$ MRI UPPER EXT W/O CONT, RIGHT 7/1/2019 950.00$ MRI UPR EXT JNT WO CONT, LEFT 7/1/2019 950.00$ MRI UPR EXT JNT WO CONT, RIGHT 7/1/2019 950.00$ MRI LOWER EXT WO CONT, LEFT 7/1/2019 950.00$ MRI LOWER EXT WO CONT, RIGHT 7/1/2019 950.00$ MRI LWR EXT JNT WO CONT, LEFT 7/1/2019 950.00$ MRI LWR EXT JNT WO CONT, RIGHT 7/1/2019 950.00$ MRI TMJ WO CONT, BILAT 7/1/2019 950.00$ MRI UPR EXT JNT WO CONT, BILAT 7/1/2019 950.00$ MRI LWR EXT JNT WO CONT, BILAT 7/1/2019 950.00$

MRI UPPER EXT W/CONT, LEFT 7/1/2019 949.00$ MRI UPPER EXT W/CONT, RIGHT 7/1/2019 949.00$ MRI UPPER EXT W&W/O CONT, LEFT 7/1/2019 949.00$ MRI UPPER EXT W&W/O CONT, RT 7/1/2019 949.00$ MRI UPR EXT JNT W CONT, LEFT 7/1/2019 949.00$ MRI UPR EXT JNT W CONT, RIGHT 7/1/2019 949.00$ MRI UPR EXT JNT WO&W CONT, LT 7/1/2019 949.00$ MRI UPR EXT JNT WO&W CONT, RT 7/1/2019 949.00$ MRI LOWER EXT W CONT, LEFT 7/1/2019 949.00$ MRI LOWER EXT W CONT, RIGHT 7/1/2019 949.00$ MRI LWR EXT WO&W CONT, LEFT 7/1/2019 949.00$ MRI LWR EXT WO&W CONT, RIGHT 7/1/2019 949.00$ MRI LWR EXT JNT W CONT, LEFT 7/1/2019 949.00$ MRI LWR EXT JNT W CONT, RIGHT 7/1/2019 949.00$ MRI LWR EXT JNT WO&W CONT, BIL 7/1/2019 949.00$ MRI LWR EXT JNT WO&W CONT, LT 7/1/2019 949.00$ MRI LWR EXT JNT WO&W CONT, RT 7/1/2019 949.00$ MRA UPPER EXT WO&W CONT, LEFT 7/1/2019 949.00$ MRA UPPER EXT WO&W CONT, RIGHT 7/1/2019 949.00$ MRI BREAST WO CONT, UNLAT 7/1/2019 950.00$ MRI BREAST WO&W CONT, UNLAT 7/1/2019 949.00$ MRI BREAST WO CONT, BILAT 7/1/2019 950.00$ MRI BREAST WO&W CONT, BILAT 7/1/2019 949.00$ CAD BREAST MRI 7/1/2019 1.00$ MRI GUIDANCE, BIOPSY/DRAIN/ASP 7/1/2019 449.00$ BRST BX 1ST LESION, MRI BL 7/1/2019 3,473.00$ BRST BX 1ST LESION, MRI LT 7/1/2019 3,236.00$ BRST BX 1ST LESION, MRI RT 7/1/2019 3,236.00$ BRST BX ADD LESION, MRI BL 7/1/2019 689.00$ BRST BX ADD LESION, MRI LT 7/1/2019 689.00$ BRST BX ADD LESION, MRI RT 7/1/2019 689.00$ LOC DVICE ONLY 1ST LSN, MRI BL 7/1/2019 1,348.00$ LOC DVICE ONLY 1ST LSN, MRI LT 7/1/2019 1,324.00$ LOC DVICE ONLY 1ST LSN, MRI RT 7/1/2019 1,324.00$ LOC DVICE ONLY ADD LSN, MRI BL 7/1/2019 200.00$ LOC DVICE ONLY ADD LSN, MRI LT 7/1/2019 200.00$ LOC DVICE ONLY ADD LSN, MRI RT 7/1/2019 200.00$ ABG W/CALC O2 SATURATION 7/1/2019 45.00$ BLOOD GAS, PH ONLY 7/1/2019 17.00$ BRONCHO EVAL W/METHACHOLINE 7/1/2019 2,583.00$ CONT AEROSOL W/MED < 1 HR 7/1/2019 80.00$ CPAP/BIPAP (PER DAY) 7/1/2019 81.00$ DIFFUSED LUNG CAPACITY (DLCO) 7/1/2019 478.00$ INHAL TX(NEB,IPPB,MDI,SP) SUB 7/1/2019 69.00$ INHAL TX(NEB,IPPB,MDI,SP) INIT 7/1/2019 80.00$ PERCUSSION 1 (INITIAL) 7/1/2019 80.00$ PERCUSSION 2 (SUBSEQUENT) 7/1/2019 43.00$

PFT-SPIRO B & A BRONCHO 7/1/2019 969.00$ PFT-VENTILATORY ASSESSMENT-VC 7/1/2019 50.00$ PULMONARY STRESS TEST,BRNCSPSM 7/1/2019 368.00$ SPIROMETRY W/GRAPHIC RECORD 7/1/2019 932.00$ VENTILATION ASST/MGT SUB DAYS 7/1/2019 138.00$ VENTILATION ASST/MGT, 1ST DAY 7/1/2019 210.00$ PULSE OXIMETRY,CONT-OUTPATIENT 7/1/2019 320.00$ PULSE OXIMETRY, EXERCISE OP 7/1/2019 320.00$ ARTERIAL PUNCTURE FOR A.B.G. 7/1/2019 77.00$ EZPAP INITIAL 7/1/2019 80.00$ EZPAP SUBSEQUENT 7/1/2019 69.00$ NIF & VC INITIAL 7/1/2019 50.00$ NIF & VC SUBSEQUENT 7/1/2019 50.00$ SIMPLE STRESS TEST, 6 MIN WALK 7/1/2019 242.00$ CONT AEROSOL W/MED INIT HR 7/1/2019 83.00$ CONT AEROSOL W/MED EA ADDL HR 7/1/2019 66.00$ EVALUATE PT USE OF RESP DEVICE 7/1/2019 41.00$ OP IS INSTRUCT &/or SAO2 CHECK 7/1/2019 149.00$ TRANSCUTANEOUS CARBOXY HgB 7/1/2019 33.00$ OSCILLOMETRY/AIRWAY RESISTANCE 7/1/2019 340.00$ PULM FUNCT TST PLETHYSMOGRAPHY 7/1/2019 703.00$ IH BRONCH CHALLNGE W HISTAMINE 7/1/2019 595.00$ FLOW VOLUME LOOP 7/1/2019 523.00$ MULTIPLE SLEEP LATENCY TEST 7/1/2019 3,641.00$ POLYSOMGR, 4 OR > PARAM,W/CPAP 7/1/2019 5,754.00$ POLYSOMNOGRAPHY, 4 OR MORE 7/1/2019 5,239.00$ POLYSOMNOGRAPHY REDUCED STUDY 7/1/2019 4,799.00$ HOME SLEEP TEST / TYPE 3 PORTA 7/1/2019 590.00$ HOME SLEEP TEST < 6 HOURS /T3 7/1/2019 590.00$ NEW OP VISIT, WOUND, LEVEL 1 7/1/2019 172.00$ NEW OP VISIT, WOUND, LEVEL 2 7/1/2019 172.00$ NEW OP VISIT, WOUND, LEVEL 3 7/1/2019 172.00$ NEW OP VISIT, WOUND, LEVEL 4 7/1/2019 172.00$ NEW OP VISIT, WOUND, LEVEL 5 7/1/2019 172.00$ EST OP VISIT, WOUND, LEVEL 1 7/1/2019 172.00$ EST OP VISIT, WOUND, LEVEL 2 7/1/2019 172.00$ EST OP VISIT, WOUND, LEVEL 3 7/1/2019 172.00$ EST OP VISIT, WOUND, LEVEL 4 7/1/2019 172.00$ EST OP VISIT, WOUND, LEVEL 5 7/1/2019 172.00$ STRAPPING, UNNA BOOT UNIL 7/1/2019 200.00$ SLCTV WND DEBRIDEM 20 CM OR < 7/1/2019 262.00$ SLCTV WND DEBRIDEM ADD 20 CM/< 7/1/2019 103.00$ NONSELECTIVE DEBRIDE /SESSION 7/1/2019 262.00$ NEG PRESS WOUND TX < 50 CM 7/1/2019 262.00$ NEG PRESS WOUND TX, > 50 CM 7/1/2019 467.00$ CHEMICAL CAUTERIZATION, WOUND 7/1/2019 262.00$ STRAPPING, UNNA BOOT BIL 7/1/2019 200.00$

DEBRIDEMENT EXZ/INF SKIN,10%BS 7/1/2019 718.00$ DEBRIDE, EA ADDTL 10% SURFACE 7/1/2019 199.00$ DEBRIDE, SKIN TO SQ TISSUE 7/1/2019 467.00$ DEBRIDE, SKIN TO MUSCLE 7/1/2019 718.00$ INIT TX, BURN 1ST DEG, LOCAL 7/1/2019 262.00$ DRSG/DEBRID P-THICK BURN SM 7/1/2019 262.00$ DRSG/DEBRID P-THICK BURN MED 7/1/2019 262.00$ DRSG/DEBRID P-THICK BURN LG 7/1/2019 467.00$ NEW OP VISIT,WOUND,LVL1 W PROC 7/1/2019 172.00$ NEW OP VISIT,WOUND,LVL2 W PROC 7/1/2019 172.00$ NEW OP VISIT,WOUND,LVL3 W PROC 7/1/2019 172.00$ NEW OP VISIT,WOUND,LVL4 W PROC 7/1/2019 172.00$ NEW OP VISIT,WOUND,LVL5 W PROC 7/1/2019 172.00$ EST OP VISIT,WOUND,LVL1 W PROC 7/1/2019 172.00$ EST OP VISIT,WOUND,LVL2 W PROC 7/1/2019 172.00$ EST OP VISIT,WOUND,LVL3 W PROC 7/1/2019 172.00$ EST OP VISIT,WOUND,LVL4 W PROC 7/1/2019 172.00$ EST OP VISIT,WOUND,LVL5 W PROC 7/1/2019 172.00$ MULTLAY COMPRS LWR LEG, UNIL 7/1/2019 200.00$ MULTLAY COMPRS LWR LEG, BIL 7/1/2019 200.00$ RIGID TOTAL CONTACT LEG CAST 7/1/2019 350.00$ I&D ABSCESS, SIMPLE/SINGLE 7/1/2019 262.00$ I&D ABSCESS, COMPLEX/MULTIPLE 7/1/2019 467.00$ I&R FOREIGN BODY SUBQ/SIMPLE 7/1/2019 467.00$ I&D HEMATOMA/SEROMA/FLUID 7/1/2019 2,045.00$ I&D COMPLEX POSTOP WND INF 7/1/2019 3,535.00$ DEBRIDE BONE 1ST 20 SQ CM/< 7/1/2019 2,045.00$ DEBR SUBQ TISS EA ADDL 20SQCM 7/1/2019 199.00$ DEBR MUSC/FASC EA ADDL 20SQ CM 7/1/2019 199.00$ DEBRIDE BONE EA ADDL 20SQ CM 7/1/2019 700.00$ TRIM BENIGN LESION, SINGLE 7/1/2019 262.00$ TRIM BENIGN LESION, 2 TO 4 7/1/2019 262.00$ TRIM BENIGN LESION >4 7/1/2019 262.00$ EXC BEN LESION T/A/L,1.1-2.0CM 7/1/2019 861.00$ TRIM NONDYSTROPHIC NAILS 7/1/2019 83.00$ DEBRIDE NAIL 1-5, ANY METHOD 7/1/2019 83.00$ DEBRIDE NAIL >5, ANY METHOD 7/1/2019 83.00$ SIMPLE AVULSE NAIL PLATE/SNGLE 7/1/2019 262.00$ SIMPLE AVULSE NAIL PLATE/ADDL 7/1/2019 103.00$ PERM REMOVAL NAIL BED 7/1/2019 467.00$ INS TISSUE EXPANDER, NOT BRST 7/1/2019 4,112.00$ SREPAIR S/N/A/G/TR/E, 2.5CM/< 7/1/2019 262.00$ SREP S/N/A/G/TR/E, 2.6 - 7.5CM 7/1/2019 262.00$ SECONDARY CLOSURE SURG WND 7/1/2019 2,302.00$ WND PREP T/A/L 100SQ CM/1% BA 7/1/2019 2,302.00$ WND PREP ADDL 100SQ CM 7/1/2019 532.00$ WND PREP F/N/HF/G 100SQ/1%BA 7/1/2019 718.00$

WND PREP F/N/HF/G ADDL 100SQ 7/1/2019 532.00$ EPIDRM AUTOGRFT T/A/L 100SQCM 7/1/2019 2,302.00$ EPIDRM A-GRFT F/N/HF/G 100SQCM 7/1/2019 2,302.00$ SKIN SUB/GRFT T/A/L,1ST 25SQCM 7/1/2019 2,302.00$ SKIN SUB/GRFT T/A/L ADDL 25SQ 7/1/2019 88.00$ SKIN SUB/GRFT T/A/L CHILD 1%BA 7/1/2019 4,112.00$ SKIN SUB/GRFT T/A/L CHILD ADDL 7/1/2019 199.00$ SKIN SUB/GRFT F/N/HF/G 25SQ/< 7/1/2019 2,302.00$ SKIN SUB/GRFT F/N/HF/G ADDL 7/1/2019 88.00$ SKIN SUB/GRFT F/N/HF/G CHILD 7/1/2019 2,302.00$ SKIN SUB/GRFT F/N/HF/G CH-ADD 7/1/2019 199.00$ DESTRUCT PREMALG LESION,1ST 7/1/2019 262.00$ DESTR CUT VASC LES, 10 SQCM/< 7/1/2019 467.00$ DESTR MLES LS/N/H/F/G, >4 CM 7/1/2019 467.00$ BONE BX OPEN SUPERFICIAL 7/1/2019 3,535.00$ DRAIN/INJ MAJR JNT/BRSA W/O US 7/1/2019 368.00$ TENOTOMY PERC TOE, SINGLE 7/1/2019 1,952.00$ TENOTOMY PERC TOE, MULTIPLE 7/1/2019 1,952.00$ TENOTOMY OP FLEXOR, TOE SNGL 7/1/2019 1,952.00$ NEG PRESS WND TX<=50 SQ CM 7/1/2019 467.00$ NEG PRESS WND TX>50 SQ CM 7/1/2019 467.00$ HBOT FULL BODY CHMBER/EA 30MIN 7/1/2019 364.00$ TANGNTL BX SKIN LSN,EA SEP/ADD 7/1/2019 113.00$ PUNCH BX SKIN, SINGLE LESION 7/1/2019 262.00$ INCISIONAL BX SKIN, SINGLE LSN 7/1/2019 467.00$ APLIGRAF, PER 44 SQ CENTIMETER 7/1/2019 1,893.00$ PURAPLY AM 2X2CM 7/1/2019 1,361.00$ PURAPLY AM 2X4CM 7/1/2019 1,634.00$ PURAPLY AM 5X5CM 7/1/2019 1,813.00$ PURAPLY AM 6X9CM 7/1/2019 3,780.00$ EPIFIX 14MM DISK 7/1/2019 671.00$ EPIFIX 2X2CM 7/1/2019 1,580.00$ AFFINITY 2.25 SQCM / AF-1150 7/1/2019 1,062.00$ ARTACENT WOUND 9MM DISC 7/1/2019 520.00$ ARTACENT WOUND 15MM DISC 7/1/2019 901.00$ ARTACENT WOUND 2CMX2CM 7/1/2019 1,525.00$ OASIS TRI-LYR WND MATR 3X3.5CM 7/1/2019 286.00$ OASIS TRI-LYR WND MATR 3X7 CM 7/1/2019 468.00$ OASIS FENESTRATED WND 3X3.5 CM 7/1/2019 175.00$ OASIS FENESTRATED WND 3X7 CM 7/1/2019 351.00$ PURAPLY AM 1.6CM DISC 7/1/2019 965.00$ BACTERIAL MENINGITIS ANTIGENS 7/1/2019 120.00$ HEAVY METALS URINE 7/1/2019 232.00$ ABO & RH TYPE 7/1/2019 12.00$ GTT FOUR(4) SPECIMENS 7/1/2019 36.00$ GTT SIX(6) SPECIMENS 7/1/2019 52.00$ CAT SCRATCH AB PANEL 7/1/2019 34.00$

EPSTEIN-BARR VIRUS Ab PANEL 7/1/2019 106.00$ HERPES SIMPLEX VIRUS IgG & IgM 7/1/2019 156.00$ IgG SUBCLASSES 1-4 7/1/2019 52.00$ LUPUS COMP. PANEL 7/1/2019 225.00$ AMITRIPTYLINE/NORTRIP 7/1/2019 336.00$ LUPUS ANTICOAGULANT 7/1/2019 50.00$ CMV AB IGG/IGM 7/1/2019 59.00$ LYMPHOCYTE PANEL HIV 7/1/2019 263.00$ PRENATAL RISK TRIPLE MARKER 7/1/2019 95.00$ ANTI-MAG ANTIBODY 7/1/2019 50.00$ SULFATIDE ANTIBODY 7/1/2019 660.00$ EXPOSURE TESTING PEP 7/1/2019 61.00$ GC & CHLAMYDIA, URINE 7/1/2019 134.00$ BETA-2 GLYCOPROTEIN 1 IgG&IgM 7/1/2019 84.00$ FISH, BCR/ABL FUSION 7/1/2019 180.00$ CHROMOSOME, ONCOLOGY, BM or BL 7/1/2019 841.00$ INFLUENZA A IGG/IGM ANTIBODIES 7/1/2019 44.00$ INFLUENZA B IGG/M ANTIBODIES 7/1/2019 44.00$ SACCHAROMYCES CEREVISIAE ABS 7/1/2019 40.00$ DEAMIDATED GLIADIN IgA&IgG Ab 7/1/2019 44.00$ PARVOVIRUS B19 AB (G&M) 7/1/2019 50.00$ TORCH PANEL, IGG 7/1/2019 140.00$ TORCH PANEL, IGM 7/1/2019 137.00$ FEBRILE ANTIBODIES PANEL 7/1/2019 295.00$ HEAVY METALS BLOOD 7/1/2019 116.00$ IMMUNOGLOBULINS IgA, IgG, IgM 7/1/2019 45.00$ DIPHTHERIA & TETANUS IgG AB 7/1/2019 48.00$ CULTURE BACT, STOOL 7/1/2019 110.00$ GM1 ANTIBODY PANEL 7/1/2019 44.00$ HIV PHENOTYPE 7/1/2019 1,271.00$ PNEUMOCOCCAL AB SEROTYPES 7/1/2019 336.00$ B.PERTUSSIS IgA,IgG,IgM, ELISA 7/1/2019 74.00$ MICROSPORIDIA, STOOL 7/1/2019 22.00$ LYME ANTIBODIES WESTER BLOT 7/1/2019 50.00$ CELIAC SPRUE 7/1/2019 102.00$ PHOSPHATIDYLSERINE 7/1/2019 78.00$ HISTOPLASMA ANTIBODIES, CF 7/1/2019 40.00$ WEST NILE VIRUS Ab, SERUM 7/1/2019 52.00$ CHROMOSOME ANALYSIS AMN FLD 7/1/2019 754.00$ FUNGAL IMMUNODIFFUSION, SERUM 7/1/2019 85.00$ FWO ALLERGEN PANEL 1 7/1/2019 99.00$ FWO ALLERGEN PANEL 2 7/1/2019 108.00$ FWO ALLERGEN PANEL 3 7/1/2019 81.00$ ELECTROPHORESIS,PRO, W/IMM UR 7/1/2019 146.00$ HYPERSENS PNEUMONITIS PANEL I 7/1/2019 130.00$ TESTOSTERONE (TOT,FREE,BIO) 7/1/2019 85.00$ RICKETTSIA RICKETTSII AB 7/1/2019 64.00$

ADENOVIRUS ANTIBODIES 7/1/2019 42.00$ PRENATAL RISK QUADRUPLE MARKER 7/1/2019 120.00$ T CELLS, CD4/CD8 7/1/2019 139.00$ MYASTHENIA GRAVIS PANEL 7/1/2019 111.00$ CHIC2, 4q12 DELETION BY FISH 7/1/2019 290.00$ PML/RARA 15,17 TRANSLOCATION 7/1/2019 145.00$ HERPES SIMPLEX VIRUS CULTURE 7/1/2019 125.00$ AMYLASE ISOENZYMES 7/1/2019 24.00$ CHLAMYDIA IgM ANTIBODY PANEL 7/1/2019 63.00$ SSA (RO) & SSB (LA) PROFILE 7/1/2019 58.00$ ABG W/ CALC CO2 & ARTERIAL COL 7/1/2019 122.00$ TYPHUS FEVER AB IGG & IGM 7/1/2019 64.00$ DENGUE FEVER IgG & IgM AB 7/1/2019 42.00$ IBD PROFILE 7/1/2019 68.00$ BETA-2 TRANSFERRIN, SER & FLD 7/1/2019 84.00$ UROGENITAL UREAPLASMA & MYCOPL 7/1/2019 57.00$ AUTOIMMUNE DISEASE PANEL 7/1/2019 174.00$ INFLUENZA ANTIGENS A & B 7/1/2019 56.00$ PAROXYSMAL NOCTURNAL HB, HI R 7/1/2019 1,792.00$ MPO/PR-3 IGG ANTIBODIES 7/1/2019 44.00$ PLATELET FUNCTION ANALYSIS 7/1/2019 86.00$ GROWTH HORMONE STIMULATION 7/1/2019 136.00$ AFB CULTURE AND STAIN 7/1/2019 29.00$ ED STAT PANEL INCLUD HGB & HCT 7/1/2019 89.00$ ED STAT CHEMISTRY PANEL 7/1/2019 79.00$ CLOSTRIDIUM DIFFICLE A&B TOXIN 7/1/2019 46.00$ ZAP-70 7/1/2019 419.00$ CANDIDA IGA, IGG, IGM 7/1/2019 60.00$ PT, MIXING STUDIES 7/1/2019 15.00$ PTT, MIXING STUDIES 7/1/2019 23.00$ MSI/HNPCC, PARAFFIN BY IHC 7/1/2019 533.00$ MDS FISH 7/1/2019 580.00$ MULTIPLE MYELOMA PANEL 7/1/2019 580.00$ FWO ALLERGEN PANEL 4 7/1/2019 81.00$ RESPIRATORY ALLERGY PROFILE 7/1/2019 261.00$ CHILDHOOD ALLERGY PROFILE 7/1/2019 162.00$ FOOD ALLERGY PROFILE 7/1/2019 108.00$ MS PROFILE WITH MBP 7/1/2019 132.00$ HANTAVIRUS IgG & IgM 7/1/2019 42.00$ FREE LIGHT CHAINS, SERUM 7/1/2019 244.00$ GC & CHLAMYDIA NAA 7/1/2019 402.00$ BARTONELLA AB, IgG & IgM 7/1/2019 68.00$ SENSORIMOTOR PROFILE 7/1/2019 1,576.00$ LYMPHOCYTE MITOGEN PROFILE 7/1/2019 240.00$ CARNITINE PANEL 7/1/2019 230.00$ HEAVY METALS HAIR 7/1/2019 261.00$ HSV TYPING FROM CULTURE 7/1/2019 66.00$

CARBAMAZEPINE, FREE AND TOTAL 7/1/2019 50.00$ CRYPTO/GIARDIA AG BY EIA 7/1/2019 47.00$ ELECTROLYES, FECES 7/1/2019 68.00$ MEASLES, MUMPS, RUBELLA IgG Ab 7/1/2019 73.00$ ELECTROPHORESIS, PROTEIN, CSF 7/1/2019 98.00$ PH&REDUCING SUBSTANCES, FECES 7/1/2019 16.00$ IRON&IRON BINDING CAP, SERUM 7/1/2019 29.00$ PLATELET ANTIBODY-DIRECT 7/1/2019 68.00$ CHROMOSOME ANALYSIS,BLOOD 7/1/2019 835.00$ CHLAMYDIA TACHOMATIS CULTURE 7/1/2019 41.00$ CHROM ANALY PROD OF CONCEPTION 7/1/2019 619.00$ COXSACKIE B VIRUS ANTIBODIES 7/1/2019 126.00$ CK TOTAL AND ISOENZYMES 7/1/2019 34.00$ CYCLIC AMP, NEPHROGENOUS 7/1/2019 84.00$ ECHOVIRUS ANTIBODIES 7/1/2019 105.00$ EHRLICHIA CHAF, IgG & IgM, Ab 7/1/2019 34.00$ MIXED CONNECTIVE TISS DIS PNL 7/1/2019 87.00$ PSA, FREE AND TOTAL 7/1/2019 65.00$ IMIPRAMINE AND METABOLITE, S/P 7/1/2019 336.00$ INSULIN, FREE AND TOTAL 7/1/2019 40.00$ METANEPHRINES, URINE 7/1/2019 38.00$ WEST NILE VIRUS Ab, CSF 7/1/2019 52.00$ VON WILLEBRAND PANEL 7/1/2019 108.00$ HSV TYPE 1 & 2 IgG ANTIBODIES 7/1/2019 108.00$ B.PRTUSS&PARAPPRTUSS BY PCR 7/1/2019 114.00$ ALDOSTERNONE/RENIN ACT RATIO 7/1/2019 103.00$ EASTERN MIDWEST ALLERGY PANEL 7/1/2019 234.00$ COMBINATION ALLERGY PANEL 7/1/2019 288.00$ INHALANT RAST ALLERGY PANEL 1 7/1/2019 153.00$ INHALANT RAST ALLERGY PANEL 2 7/1/2019 216.00$ NATURAL KILLER CELL PANEL 7/1/2019 352.00$ FECES CUL W/CAMPY&SHIGA AG EIA 7/1/2019 97.00$ SALMONELLA TYPHI ANTIBODIES 7/1/2019 110.00$ OVA & PARACITES, TRAVEL HX 7/1/2019 46.00$ T-CELL LYMPHOMA, BONE/MAR 7/1/2019 220.00$ PI-LINKED ANTIGEN, BLOOD 7/1/2019 1,433.00$ 1 ADDITIONAL FISH PROBE 7/1/2019 110.00$ 2 ADDITIONAL FISH PROBES 7/1/2019 145.00$ 3 ADDITIONAL FISH PROBES 7/1/2019 180.00$ 4 ADDITIONAL FISH PROBES 7/1/2019 290.00$ 5 ADDITIONAL FISH PROBES 7/1/2019 325.00$ 6 ADDITIONAL FISH PROBES 7/1/2019 435.00$ 7 ADDITIONAL FISH PROBES 7/1/2019 470.00$ 8 ADDITIONAL FISH PROBES 7/1/2019 580.00$ 9 ADDITIONAL FISH PROBES 7/1/2019 615.00$ 10 ADDITIONAL FISH PROBES 7/1/2019 725.00$ 11 ADDITIONAL FISH PROBES 7/1/2019 760.00$

12 ADDITIONAL FISH PROBES 7/1/2019 870.00$ 13 ADDITIONAL FISH PROBES 7/1/2019 905.00$ 14 ADDITIONAL FISH PROBES 7/1/2019 1,015.00$ 15 ADDITIONAL FISH PROBES 7/1/2019 1,050.00$ 16 ADDITIONAL FISH PROBES 7/1/2019 1,160.00$ 17 ADDITIONAL FISH PROBES 7/1/2019 1,195.00$ 18 ADDITIONAL FISH PROBES 7/1/2019 1,305.00$ 19 ADDITIONAL FISH PROBES 7/1/2019 1,340.00$ 20 ADDITIONAL FISH PROBES 7/1/2019 1,450.00$ BCR/ABL, RT-PCR, QUAL 7/1/2019 44.00$ T CELL GENE REARRANGEMENT 7/1/2019 218.00$ B CELL GENE REARRANGEMENT 7/1/2019 969.00$ 26 ADDITIONAL FISH PROBES 7/1/2019 191.00$ 28 ADDITIONAL FISH PROBES 7/1/2019 46.00$ KAPPA&LAMBDA ISH 7/1/2019 306.00$ RAS/RAF TARGETED GENE PNL 7/1/2019 144.00$ HGB ELECTROPHOR CASCADE 7/1/2019 1,075.00$ MISC STUDIES, FISH 7/1/2019 805.00$ CEE49 CD49D CELL EXPRESS,V 7/1/2019 836.00$ FRAGILE X SYNDROME 7/1/2019 228.00$ CELIAC DISEASE HLA-DQ TYPING 7/1/2019 400.00$ PMS2 FULL GENE ANALYSIS 7/1/2019 1,983.00$ MLH1 FULL GENE ANALYSIS 7/1/2019 1,947.00$ MSH2 FULL GENE ANALYSIS 7/1/2019 1,908.00$ MSH6 FULL GENE ANALYSIS 7/1/2019 1,898.00$ CARDIOLIPIN IgA, IgG, IgM AB 7/1/2019 126.00$ MYOSITIS AssessR 7/1/2019 168.00$ 26 ADDITIONAL FISH PROBES 7/1/2019 1,885.00$ CD57 PANEL 7/1/2019 538.00$ ALPHA-1-ANTITYPSIN PHENOTYPE 7/1/2019 46.00$ IgG SYNTHESIS RATE 7/1/2019 52.00$ NOROVIRUS PCR, Group 1 & 2 7/1/2019 302.00$ APOLIPOPROTEIN B/A RATIO 7/1/2019 62.00$ PEMPHIGOID PANEL 7/1/2019 469.00$ HYPERCOAGULATION PROFILE 7/1/2019 336.00$ RECURRENT GI DISTRESS PROFILE 7/1/2019 205.00$ THYROID PANEL 7/1/2019 26.00$ IMMUNE SYSTEM ACTIVATION PANEL 7/1/2019 486.00$ RIBONUCLEIC PROTIEN 7/1/2019 58.00$ MOTOR&SENSORY NEUROPATHY EVAL 7/1/2019 182.00$ HIV-1 & 2 Ab DIFFERENTIATION 7/1/2019 108.00$ ANCA-ASSOC. VASCULITIS PANEL 7/1/2019 65.00$ CHROMOSOME ANALYSIS, TIS/FLUID 7/1/2019 871.00$ FARMER'S LUNG PANEL 7/1/2019 318.00$ LOEYS-DIETZ SYND. SEQ&DEL/DUP 7/1/2019 1,011.00$ ELECTROLYTE & OSMOLALITY,FECES 7/1/2019 95.00$ ANTIPHOSPHOLIPID ANTIBODY PROF 7/1/2019 330.00$

VARICELLA ZOSTER VIRUS CULTURE 7/1/2019 268.00$ STONE RISK DIAGNOSTIC PROFILE 7/1/2019 209.00$ PROPHYRINS&PORPHOBILINOGEN, UR 7/1/2019 84.00$ BABESIA MICROTI IgG & IgM 7/1/2019 40.00$ COXIELLA BRUNETII IgG PHS 1&2 7/1/2019 40.00$ PARASITOLOGY STAIN,MOD AF,FEC 7/1/2019 22.00$ 28 ADDITIONAL FISH PROBES 7/1/2019 2,030.00$ CULTURE, CSF 7/1/2019 27.00$ CHLAMYDIA IgG & IgM AB PANEL 7/1/2019 120.00$ BRUCELLA IgG and IgM ANTIBODY 7/1/2019 114.00$ HIV 1&2 AG/AB COMBO 7/1/2019 58.00$ KAPPA&LAMBDA ISH 7/1/2019 914.00$ 17-KETOSTEROIDS, URINE 7/1/2019 31.00$ B.PERTUSSIS IgG,IgM, ELISA 7/1/2019 52.00$ RUBEOLA AB, IgG AND IgM 7/1/2019 42.00$ ADALIMUMAB ACTIVITY & NEUT AB 7/1/2019 375.00$ CHIKUNGUNYA AB, IgG AND IgM 7/1/2019 42.00$ TPMT ENZYME ACTIVITY 7/1/2019 210.00$ RAS/RAF TARGETED GENE PNL 7/1/2019 2,432.00$ MUCOPOLYSACCHARIDES SCREEN 7/1/2019 132.00$ LEUKOCYTE LYSOSOMAL ENZYME SCR 7/1/2019 679.00$ S. PNEUMONIAE AB IgG, 9 SERO 7/1/2019 216.00$ PROTEIN/CREATININE RATIO,URINE 7/1/2019 18.00$ CT/NG SWAB (inhouse) 7/1/2019 268.00$ GENOSURE PRIME 7/1/2019 843.00$ WESTERN ALLERGY PROFILE 7/1/2019 233.00$ METAL-LLT ANALYSIS, PANEL 2 7/1/2019 960.00$ GENOSURE PRIME 7/1/2019 843.00$ MTB/RIF PCR TEST(IN HOUSE) 7/1/2019 276.00$ MACROPROLACTIN 7/1/2019 64.00$ TISSUE TG ANTIBODIES QNT 7/1/2019 44.00$ BORDETELLA PERTUSSIS BY PCR 7/1/2019 402.00$ HGB ELECTROPHOR CASCADE 7/1/2019 140.00$ CYTOCHROME P450 GENO PANEL 7/1/2019 2,056.00$ S2M:PARANEOPLASTCAUTO AB EVAL 7/1/2019 1,024.00$ BULLOUS PEMPHIGOID AB IGG 7/1/2019 44.00$ INFLIXIMAB ACTVTY & NEUT AB 7/1/2019 750.00$ FIBROMETER VIRUS, MAAA 7/1/2019 132.00$ CHLAMYDIA ANTIBODY PANEL IGG 7/1/2019 57.00$ HIV 1&2 AB DIFFERENTIATION 7/1/2019 108.00$ UROGENITAL UREAPLASMA & MYCOPL 7/1/2019 171.00$ IGA SUBCLASSES 1 & 2 7/1/2019 41.00$ FUNGAL ANTIBODIES BY ID, CSF 7/1/2019 85.00$ ADHD MONIT PANEL;REF CONF, UR 7/1/2019 279.00$ GBS LB NAAT 7/1/2019 89.00$ MISC STUDIES, FISH 7/1/2019 70.00$ ALLERGEN, RESP PANEL REG 8 7/1/2019 252.00$

PROTEIN C & S PANEL, TOTAL AG 7/1/2019 52.00$ BARTONELLA QUINTANA AB:IGG,IGG 7/1/2019 34.00$ S2A: CROHNS PROG PANEL, ARUP 7/1/2019 106.00$ PNEUMOCOCCAL AB IGG 23 SEROTYP 7/1/2019 552.00$ DIPH, TET, & H INF B AB; IGG 7/1/2019 72.00$ S2A:ALKP-ISOENZYMES 7/1/2019 34.00$ BACTERIA ID & MIC, AEROBE 7/1/2019 29.00$ MAG/SGPG AB, IGM 7/1/2019 44.00$ CARDIOLIPIN AB IGG & IGM 7/1/2019 84.00$ PROMETHEUS CELIAC GENETICS 7/1/2019 1,188.00$ COAG FACTOR V INHIBITOR SCREEN 7/1/2019 51.00$ HYPERSENS PNEUMONITIS PANEL II 7/1/2019 135.00$ BORD PERT AB W/REFL TO IMUBLOT 7/1/2019 52.00$ MYOSITIS PANEL 7/1/2019 58.00$ FREE LIGHT CHAINS, URINE 7/1/2019 122.00$ THYROGLOBULIN PANEL 7/1/2019 52.00$ H. PYLORI BREATH, PEDS 7/1/2019 170.00$ H. PYLORI BREATH, ADULT 7/1/2019 170.00$ POLIOVIRUS 1, 3 ANTIBODY 7/1/2019 42.00$ BETA-2 GLYCOPROTEIN 1 Ig/G,M,A 7/1/2019 126.00$ ANGIOEDEMA PROFILE 7/1/2019 150.00$ CD57NK CELLS, FLOW CYTOMETRY 7/1/2019 88.00$ ASPERGILLUS PRECIPITINS BY ID 7/1/2019 75.00$ ASPERGILLOSIS (ABPA) PANEL 7/1/2019 95.00$ ADVANCED LIPID PROFILE 7/1/2019 169.00$ LIVER FIB, FIBROMETER NAFLD 7/1/2019 53.00$ ALLERGEN, NUT PANEL #2 IGE 7/1/2019 90.00$ PROMETHEUS FIBROSPECT NASH 7/1/2019 237.00$ ALLERGEN, COMPREHNSV FOOD PNL1 7/1/2019 234.00$ ALLERGEN, COMMON FOODS PNL IGE 7/1/2019 54.00$ TSH SENSITIVE W/HAMA TREATMENT 7/1/2019 64.00$ B-CELL CD20 FLOW CYTOMETRY 7/1/2019 106.00$ CLL PROGNOSTIC PANEL, FISH 7/1/2019 325.00$ MYOSITIS EXTENDED PANEL 7/1/2019 460.00$ THYROID ANTIBODIES PROFILE 7/1/2019 50.00$ VON WILLEBRAND PANEL W/MULTIM 7/1/2019 167.00$ PROMETH MONITR CROHN'S DISEASE 7/1/2019 325.00$ DUSP22 (IRF4) (6P25.3),FISH TS 7/1/2019 746.00$ ACETYLCHOLINE RECEPTOR AB PROF 7/1/2019 83.00$ KAPPA/LAM FR LT CHN/BJ,QNT/UR 7/1/2019 128.00$ FLOW CYTO,FETAL MATERNAL BLEED 7/1/2019 306.00$ CEE49 CD49D CELL EXPRESS,V 7/1/2019 658.00$ VENOUS THOMBOSIS W/O TREAT PRF 7/1/2019 777.00$ VITAMIN B12 WITH SERUM FOLATE 7/1/2019 57.00$ BCR/ABL DETECTION PCR DX ASSAY 7/1/2019 505.00$ UR TOTAL PROTEIN CREAT RATIO 7/1/2019 528.30$ PARANEO AUTOAB W/RFX 43707 7/1/2019 704.40$

IRON TIBC IRON%SAT 7/1/2019 29.00$ ABG/CHEM NEO POC 7/1/2019 203.00$ INTERLEUKIN 28B VARIANTS 2SNPS 7/1/2019 280.00$ T-CELLS,CD4/CD8;B-CELLS/FLOW 7/1/2019 201.00$ HERPES SIMPLEX TYPE 1&2, IGM 7/1/2019 54.00$ ALLERGEN MILK COMPONENTS PANEL 7/1/2019 108.00$ CELIAC GENETICS & SEROLOGY PRO 7/1/2019 710.00$ OVA & PARASITES FECES W/SMEAR 7/1/2019 47.00$

Standard Charges - mgh.net · ep eval card-defb leads tst gn 7/1/2019 $ 652.00 ep eval pacing...

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Transcript of Standard Charges - mgh.net · ep eval card-defb leads tst gn 7/1/2019 $ 652.00 ep eval pacing...