441
Description CPT-4 Base Price Schedule Fine needle aspiration of first lesion using ultrasound guidance 10005 836 Fine needle aspiration of additional lesion using ultrasound guidance 10006 527 Fine needle aspiration of first lesion using fluoroscopice guidance 10007 750 Fine needle aspiration of additional lesion using fluoroscopice guidance 10008 816 Fine needle aspiration of first lesion using CT guidance 10009 1008 Fine needle aspiration of additional lesion using CT guidance 10010 483 Fine needle aspiration of first lesion using MR guidance 10011 743 Fine needle aspiration of additional lesion using MR guidance 10012 372 Fine needle aspiration of first lesion 10021 276 Fluid collection drainage by catheter using imaging guidance, accessed through t 10030 850 Drainage of abscess 10060 382 Drainage of multiple abscess 10061 382 Removal of foreign body from tissue, accessed beneath the skin 10120 329 Drainage of blood or fluid accumulation 10140 2078 Aspiration of abscess, blood accumulation, blister, or cyst 10160 267 Drainage of wound infection after surgery 10180 3160 Removal of skin and tissue first 20 sq cm or less 11042 1217 Removal of skin and/or muscle first 20 sq cm or less 11043 1498 Removal of skin and bone first 20 sq cm or less 11044 3259 Removal of skin and tissue 11045 671 Removal of skin and/or muscle 11046 832 Removal of skin and bone 11047 1627 Removal of single thickened skin growth 11055 211 Removal of 2 to 4 thickened skin growths 11056 218 Removal of more than 4 thickened skin growths 11057 273 Tangential biopsy of single skin lesion 11102 267 Tangential biopsy of additional skin lesion 11103 170 Punch biopsy of single skin lesion 11104 265 Punch biopsy of additional skin lesion 11105 170 Incisional biopsy of single skin lesion 11106 470 Incisional biopsy of additional skin lesion 11107 303 Trimming of fingernails or toenails 11719 88 Removal of tissue from 1 to 5 finger or toe nails 11720 107 Removal of tissue from 6 or more finger or toe nails 11721 121 Separation of nail plate from nail bed 11730 252 Separation of nail plate from nail bed 11732 175 Removal of drug delivery implant from tissue 11982 287 Repair of separation of wound closure with insertion of packing 12021 437 Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or 15271 1765 Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or 15272 741 Application of skin substitute (wound surface greater or equal to 100 sq cm) to tr 15273 3256 Application of skin substitute (wound surface greater or equal to 100 sq cm) to tr 15274 1592 Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eye 15275 1765 Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eye 15276 831 Application of skin substitute (wound surface great than or equal to 100 sq cm) t 15277 2071 Application of skin substitute (wound surface great than or equal to 100 sq cm) t 15278 1038 Dressing change and/or removal of burn tissue (less than 5% total body surface) 16020 205

Description CPT-4 Base Price Schedule

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Page 1: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Fine needle aspiration of first lesion using ultrasound guidance 10005 836

Fine needle aspiration of additional lesion using ultrasound guidance 10006 527

Fine needle aspiration of first lesion using fluoroscopice guidance 10007 750

Fine needle aspiration of additional lesion using fluoroscopice guidance 10008 816

Fine needle aspiration of first lesion using CT guidance 10009 1008

Fine needle aspiration of additional lesion using CT guidance 10010 483

Fine needle aspiration of first lesion using MR guidance 10011 743

Fine needle aspiration of additional lesion using MR guidance 10012 372

Fine needle aspiration of first lesion 10021 276

Fluid collection drainage by catheter using imaging guidance, accessed through th 10030 850

Drainage of abscess 10060 382

Drainage of multiple abscess 10061 382

Removal of foreign body from tissue, accessed beneath the skin 10120 329

Drainage of blood or fluid accumulation 10140 2078

Aspiration of abscess, blood accumulation, blister, or cyst 10160 267

Drainage of wound infection after surgery 10180 3160

Removal of skin and tissue first 20 sq cm or less 11042 1217

Removal of skin and/or muscle first 20 sq cm or less 11043 1498

Removal of skin and bone first 20 sq cm or less 11044 3259

Removal of skin and tissue 11045 671

Removal of skin and/or muscle 11046 832

Removal of skin and bone 11047 1627

Removal of single thickened skin growth 11055 211

Removal of 2 to 4 thickened skin growths 11056 218

Removal of more than 4 thickened skin growths 11057 273

Tangential biopsy of single skin lesion 11102 267

Tangential biopsy of additional skin lesion 11103 170

Punch biopsy of single skin lesion 11104 265

Punch biopsy of additional skin lesion 11105 170

Incisional biopsy of single skin lesion 11106 470

Incisional biopsy of additional skin lesion 11107 303

Trimming of fingernails or toenails 11719 88

Removal of tissue from 1 to 5 finger or toe nails 11720 107

Removal of tissue from 6 or more finger or toe nails 11721 121

Separation of nail plate from nail bed 11730 252

Separation of nail plate from nail bed 11732 175

Removal of drug delivery implant from tissue 11982 287

Repair of separation of wound closure with insertion of packing 12021 437

Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or l 15271 1765

Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or l 15272 741

Application of skin substitute (wound surface greater or equal to 100 sq cm) to tru 15273 3256

Application of skin substitute (wound surface greater or equal to 100 sq cm) to tru 15274 1592

Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyeli 15275 1765

Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyeli 15276 831

Application of skin substitute (wound surface great than or equal to 100 sq cm) to 15277 2071

Application of skin substitute (wound surface great than or equal to 100 sq cm) to 15278 1038

Dressing change and/or removal of burn tissue (less than 5% total body surface) 16020 205

Page 2: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Dressing change and/or removal of burn tissue (5% to 10% total body surface) 16025 265

Dressing change and/or removal of burn tissue (greater than 10% total body surfa 16030 317

Application of chemical agent to excessive wound tissue 17250 221

Aspiration of breast cyst 19000 491

Puncture aspiration of breast cyst 19001 227

Injection for X-ray imaging of breast duct 19030 345

Biopsy of breast accessed through the skin with stereotactic guidance 19081 4313

Biopsy of breast accessed through the skin with stereotactic guidance 19082 1077

Biopsy of breast accessed through the skin with ultrasound guidance 19083 1755

Biopsy of breast accessed through the skin with ultrasound guidance 19083 2632

Biopsy of breast accessed through the skin with ultrasound guidance 19084 1104

Biopsy of breast accessed through the skin with MRI guidance 19085 2243

Biopsy of breast accessed through the skin with MRI guidance 19086 1122

Placement of breast localization devices accessed through the skin with mammog 19281 163

Placement of breast localization devices accessed through the skin with mammog 19282 81

Placement of breast localization devices accessed through the skin with ultrasoun 19285 914

Placement of breast localization devices accessed through the skin with ultrasoun 19285 1371

Placement of breast localization devices accessed through the skin with ultrasoun 19286 541

Breast procedure 19499 2878

Needle biopsy of muscle, accessed through the skin 20206 889

Biopsy of bone using needle or trocar 20220 927

Deep biopsy of bone using needle or trocar 20225 1316

Injection for repair of abnormal muscle drainage tract 20500 1143

Injection of abnormal muscle drainage tract for X-ray study 20501 229

Removal of foreign body in muscle or tendon 20520 554

Injections of tendon sheath, ligament, or muscle membrane 20550 666

Injections of tendon sheath, ligament, or muscle membrane 20550 1000

Injections of trigger points in 1 or 2 muscles 20552 698

Injections of trigger points in 3 or more muscles 20553 831

Aspiration and/or injection of small joint or joint capsule 20600 691

Aspiration and/or injection of small joint or joint capsule 20600 1037

Aspiration and/or injection of small joint or joint capsule with recording and report 20604 542

Aspiration and/or injection of medium joint or joint capsule 20605 689

Aspiration and/or injection of medium joint or joint capsule 20605 1034

Aspiration and/or injection of intermediate joint or joint capsule with recording an 20606 585

Aspiration and/or injection of large joint or joint capsule 20610 810

Aspiration and/or injection of large joint or joint capsule 20610 1214

Aspiration and/or injection of major joint or joint capsule with recording and repo 20611 670

Aspiration and/or injection of cysts 20612 226

Destruction of 1 or more bone growths accessed through the skin 20982 9193

Muscle and bone procedure 20999 2200

Musculoskeletal procedure on head 21499 155

Incision and drainage of abscess or blood accumulation in soft tissues of neck or c 21501 2038

Biopsy of soft tissue of neck or chest 21550 1307

Neck or chest procedure 21899 624

Biopsy of tissue of back or flank 21920 1350

Biopsy of tissue of back or flank 21925 2189

Page 3: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Injection of bone cement into body of middle spine bone accessed through the sk 22510 4695

Injection of bone cement into body of middle spine bone accessed through the sk 22511 4695

Injection of bone cement into body of middle or lower spine accessed through the 22512 2164

Injection of bone cement into body of middle spine bone accessed through the sk 22513 8181

Injection of bone cement into body of lower spine bone accessed through the skin 22514 8420

Injection of bone cement into body of middle or lower spine bone accessed throug 22515 4452

Spine procedure 22899 324

Procedure on abdomen, muscle or bone 22999 79

Incision to repair joints between shoulder, chest and collar bones 23101 2873

Injection of dye for X-ray imaging of shoulder joint 23350 394

Shoulder procedure 23929 404

Biopsy of soft tissue of upper arm or elbow 24065 1957

Injection of dye for X-ray imaging of elbow joint 24220 302

Incision of tendon to repair elbow joint, accessed through the skin 24357 4141

Incision of tendon to repair elbow joint, accessed through the skin 24357 6211

Biopsy of tissue of forearm and/or wrist 25065 796

Injection of dye for X-ray imaging of wrist joint 25246 353

Drainage of abscess or blood accumulation in pelvis or hip joint 26990 1535

Biopsy of tissue of pelvis and hip 27040 1131

Biopsy of tissue of pelvis and hip 27041 1334

Injection of dye for X-ray imaging of hip joint 27093 380

Injection procedure into sacroiliac joint for anesthetic or steroid 27096 1566

Injection procedure into sacroiliac joint for anesthetic or steroid 27096 2349

Pelvis or hip joint procedure 27299 179

Biopsy of thigh or knee region tissue 27323 1652

Biopsy of thigh or knee region tissue 27324 2543

Injection of contrast for imaging of knee joint 27369 294

Injection of contrast for imaging of knee joint 27369 441

Incision of Achilles tendon, accessed through the skin using local anesthetic 27605 3016

Incision of Achilles tendon, accessed through the skin using local anesthetic 27605 4524

Injection for X-ray imaging of ankle 27648 311

Incision of tissues of muscle compartment of foot and/or toe 28008 4178

Incision of tissues of muscle compartment of foot and/or toe 28008 6267

Removal of foreign body of foot tissue 28192 1530

Removal of foreign body of foot tissue 28193 1402

Application of rigid total contact leg cast 29445 356

Strapping, Unna boot 29580 251

Strapping, Unna boot 29580 377

Application of vein wound compression system lower leg below knee including an 29581 251

Application of vein wound compression system lower leg below knee including an 29581 377

Emergent insertion of breathing tube into windpipe cartilage using an endoscope 31500 721

Diagnostic examination of voice box using flexible endoscope 31575 642

Voice box procedure 31599 155

Insertion of stents into windpipe using an endoscope 31631 3245

Insertion of catheter for suction of secretions 31720 108

Windpipe or lung airway procedure 31899 1351

Needle biopsy of lining of lung, accessed through the skin 32400 961

Page 4: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Needle biopsy of lung or chest tissue, accessed through the skin 32405 1142

Insertion of permanent catheter for drainage of lung fluid 32550 2876

Removal of fluid from between lung and chest cavity, open procedure 32551 754

Removal of tunneled catheter in lung lining 32552 661

Removal of fluid from chest cavity 32554 1306

Removal of fluid from chest cavity with imaging guidance 32555 1863

Removal of fluid from chest cavity with imaging guidance 32555 2795

Removal of fluid from chest cavity with insertion of indwelling catheter, accessed 32556 1392

Removal of fluid from chest cavity with insertion of indwelling catheter, accessed 32556 2088

Removal of fluid from chest cavity with insertion of indwelling catheter and imagin 32557 2288

Removal of fluid from chest cavity with insertion of indwelling catheter and imagin 32557 3431

Catheter instillation of agent onto lung surface 32560 590

Catheter instillations of agent onto lung lining to break up scar tissue 32561 1102

Destruction of growths in one lung, accessed through the skin 32998 6140

Lung and lung lining procedure 32999 146

#N/A 33016 4436

#N/A 33017 4436

#N/A 33018 4436

#N/A 33019 4436

Insertion or replacement of permanent pacemaker and upper chamber electrodes 33206 7733

Insertion or replacement of permanent pacemaker and lower chamber electrodes 33207 7214

Insertion of new or replacement of permanent pacemaker including upper and low 33208 10724

Placement of temporary pacemaker leads 33210 5511

Conversion to two chamber pacemaker system 33214 7764

Repositioning of implanted pacemaker or defibrillator device 33215 2691

Insertion of electrode for permanent pacemaker or pacing defibrillator device 33216 4159

Insertion of electrodes for permanent pacemaker or pacing defibrillator device 33217 4559

Repair of electrode for permanent pacemaker or defibrillator device 33218 5582

Relocation of pacemaker generator skin pocket 33222 2060

Relocation of defibrillator device skin pocket 33223 2138

Insertion of left heart electrode with attachment to pacemaker or pacing defibrilla 33224 8722

Insertion of left heart electrode for pacing defibrillator device 33225 10243

Repositioning of implanted left heart electrode 33226 2790

Removal and replacement of single lead permanent pacemaker pulse generator 33227 10542

Removal and replacement of dual lead permanent pacemaker pulse generator 33228 11973

Removal and replacement of multiple lead permanent pacemaker pulse generator 33229 18422

Removal of permanent pacemaker pulse generator 33233 3294

Removal of electrode from right heart 33234 2398

Removal of electrodes from right heart 33235 2693

Removal of defibrillator pulse generator 33241 3180

Removal of defibrillator electrodes 33244 3203

Insertion or replacement of single or dual chamber pacing defibrillator leads 33249 31186

Removal and replacement of defibrillator pulse generator 33262 20565

Removal and replacement of defibrillator pulse generator 33263 21052

Removal and replacement of defibrillator pulse generator 33264 30765

Insertion or replacement of defibrillator with electrode 33270 25157

Insertion of defibrillator electrode 33271 5234

Page 5: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Removal of defibrillator electrode 33272 3199

Repositioning of previously implanted defibrillator electrode 33273 3201

Insertion or replacement of permanent leadless pacemaker into lower right cham 33274 21474

Removal of permanent leadless pacemaker into lower right chamber of heart via c 33275 3695

Insertion of heart rhythm monitor under skin 33285 10355

Removal of heart rhythm monitor from under skin 33286 1249

Insertion of assistive heart blood flow device into aorta, accessed through the skin 33967 3234

Removal of blood flow assist device in aorta, accessed through the skin 33968 1729

Insertion of lower heart chamber blood flow assist device through the skin includi 33990 6384

Removal of lower heart chamber blood flow assist device, accessed through the sk 33992 5150

Repositioning of lower heart chamber blood flow assist device with imaging guida 33993 5665

Heart surgery procedure 33999 424

Insertion of prosthesis for repair of abdominal or groin artery including radiologica 34709 3120

Insertion of needle or catheter into a vein 36000 113

Injection to cause blood clot in a diseased or bulging vessel of arm or leg, accessed 36002 625

Injection for X-ray imaging procedure on veins of arm or leg 36005 447

Injection for X-ray imaging procedure on veins of arm or leg 36005 671

Introduction of catheter into the upper or lower major vein (vena cava) 36010 721

Insertion of catheter into vein 36011 783

Insertion of catheter into vein 36011 1174

Insertion of catheter into vein 36012 1222

Insertion of catheter into vein 36012 1831

Insertion of catheter into right heart or main pulmonary (lung) artery 36013 586

Insertion of catheter into left or right pulmonary (lung) artery 36014 739

Insertion of catheter into left or right pulmonary (lung) artery 36014 1108

Insertion of catheter into an artery of a lobe of the lung 36015 798

Insertion of catheter into an artery of a lobe of the lung 36015 1197

Insertion of needle or catheter into the carotid (neck) or vertebral (brain) artery 36100 371

Insertion of needle or catheter into an artery of arm or leg 36140 1214

Insertion of needle or catheter into aorta 36160 781

Insertion of catheter into aorta 36200 1158

Insertion of catheter into aorta 36200 1737

Insertion of catheter into chest or arm artery 36215 980

Insertion of catheter into chest or arm artery 36215 1470

Insertion of catheter into chest or arm artery 36216 1144

Insertion of catheter into chest or arm artery 36216 1716

Insertion of catheter into chest or arm artery 36217 1395

Insertion of catheter into chest or arm artery 36217 2092

Insertion of catheter into chest or arm artery 36218 514

Insertion of catheter into chest or arm artery 36218 771

Insertion of catheter into chest aorta for diagnosis or treatment including radiolog 36221 5137

Insertion of catheter into artery on one side of neck for diagnosis or treatment inc 36222 6093

Insertion of catheter into artery on one side of neck for diagnosis or treatment inc 36222 9140

Insertion of catheter into artery on one side of neck for diagnosis or treatment inc 36223 6093

Insertion of catheter into artery on one side of neck for diagnosis or treatment inc 36223 8662

Insertion of catheter into artery on one side of neck for diagnosis or treatment inc 36224 5775

Insertion of catheter into artery on one side of neck for diagnosis or treatment inc 36224 11217

Page 6: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Insertion of catheter into artery on one side of chest for diagnosis or treatment in 36225 6093

Insertion of catheter into artery on one side of chest for diagnosis or treatment in 36225 9140

Insertion of catheter into chest artery for diagnosis or treatment including radiolo 36226 5608

Insertion of catheter into chest artery for diagnosis or treatment including radiolo 36226 11217

Insertion of catheter into artery on one side of neck for diagnosis or treatment inc 36227 3159

Insertion of catheter into artery on one side of neck for diagnosis or treatment inc 36227 4738

Insertion of catheter into artery on one side of neck or chest for diagnosis or treat 36228 2375

Insertion of catheter into artery on one side of neck or chest for diagnosis or treat 36228 3562

Insertion of catheter into abdominal pelvic or leg artery 36245 1739

Insertion of catheter into abdominal pelvic or leg artery 36245 2375

Insertion of catheter into abdominal pelvic or leg artery 36246 1869

Insertion of catheter into abdominal pelvic or leg artery 36246 2804

Insertion of catheter into abdominal pelvic or leg artery 36247 2073

Insertion of catheter into abdominal pelvic or leg artery 36247 3109

Insertion of catheter into each additional abdominal, pelvic or leg artery 36248 507

Insertion of catheter into each additional abdominal, pelvic or leg artery 36248 760

Insertion of catheters into main and accessory arteries of one kidney for imaging i 36251 4432

Insertion of catheters into main and accessory arteries of both kidneys for imaging 36252 5126

Insertion of catheters into main and accessory arteries of one kidney for imaging i 36253 3674

Insertion of catheters into main and accessory arteries of both kidneys for imaging 36254 5511

Insertion of needle into vein for collection of blood sample 36415 36

Transfusion of blood or blood products 36430 540

Intrauterine fetal transfusion 36460 736

Injection of chemical agent into single incompetent vein of leg using ultrasound gu 36465 5675

Injection of chemical agent into single incompetent vein 36470 311

Mechanochemical destruction of insufficient vein of arm or leg, accessed through 36473 3656

Mechanochemical destruction of insufficient vein of arm or leg, accessed through 36473 5484

Mechanochemical destruction of insufficient vein of arm or leg, accessed through 36474 2067

Mechanochemical destruction of insufficient vein of arm or leg, accessed through 36474 3101

Laser destruction of incompetent vein of arm or leg using imaging guidance, acces 36478 2680

Laser destruction of insufficient vein of arm or leg, accessed through the skin using 36479 3187

Insertion of catheter into portal vein of liver, accessed through the skin 36481 1148

Insertion of catheter into vein with collection of blood sample 36500 690

Mechanical separation of plasma from opening blood 36514 3117

Mechanical separation of plasma and abnormal antibodies from blood 36516 5320

Insertion of central venous catheter for infusion, patient younger than 5 years 36555 1615

Insertion of central venous catheter for infusion, patient 5 years or older 36556 1372

Insertion of central venous catheter for infusion, patient younger than 5 years 36557 2378

Insertion of central venous catheter for infusion, patient 5 years or older 36558 2342

Insertion of central venous catheter and implanted device for infusion beneath th 36561 4557

Insertion of central venous catheter for infusion, patient younger than 5 years 36568 1202

Insertion of central venous catheter for infusion, patient 5 years or older 36569 1467

Insertion of central venous catheter for infusion with port beneath the skin, patien 36571 2676

Insertion of central venous catheter for infusion using imaging guidance, patient y 36572 1315

Insertion of central venous catheter for infusion using imaging guidance, patient 5 36573 1518

Repair of central venous catheter for infusion 36575 863

Repair of central venous catheter for infusion 36576 1191

Page 7: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Catheter replacement of central venous access device 36578 1509

Replacement of central venous catheter 36580 1228

Replacement of central venous catheter 36581 3377

Replacement of central venous catheter 36582 2596

Replacement of catheter in peripheral vein accessed through same vein 36584 1211

Removal of central venous catheter for infusion 36589 1557

Removal of peripheral venous catheter for infusion 36590 1229

Collection of blood specimen from a completely implantable venous access device 36591 229

Collection of blood specimen from central or peripheral venous catheter 36592 93

Declotting infusion of implanted central venous access device or catheter 36593 615

Mechanical removal of obstructive material from central venous catheter 36595 1635

Mechanical removal of tissue or obstructive material in central venous catheter 36596 793

Repositioning of central venous catheter using fluoroscopic guidance 36597 765

Contrast injections for X-ray imaging procedure to evaluate central venous access 36598 520

Arterial puncture withdrawal of blood for diagnosis 36600 122

Insertion of arterial catheter for blood sampling or infusion, accessed through the 36620 313

Insertion of needle for infusion into bone 36680 285

Insertion of needle and/or catheter into dialysis circuit, with imaging including rad 36901 1141

Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dial 36902 6543

Insertion of needle and/or catheter into dialysis circuit and insertion of stent in dia 36903 13598

Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and b 36904 6543

Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and b 36905 13598

Excision of blood clot and/or infusion to dissolve blood clot and balloon dilation of 36906 20611

Balloon dilation of dialysis segment, accessed through the skin, with imaging inclu 36907 7792

Insertion of stent in dialysis segment, with imaging including radiological supervisi 36908 12694

Permanent blockage of dialysis circuit, with imaging including radiological supervis 36909 8793

Insertion of shunts to bypass blood flow to liver using imaging guidance 37182 7772

Revision of shunts to bypass blood flow to liver using imaging guidance 37183 6668

Removal of blood clot and injections to dissolve blood clot from artery or arterial g 37184 6360

Removal of blood clot and injections to dissolve blood clot from artery or arterial g 37185 3181

Removal of blood clot and injections to dissolve blood clot from artery or arterial g 37186 4409

Removal of blood clot and injections (accessed through the skin) to dissolve blood 37187 8099

Removal of blood clot and injections (accessed through the skin) to dissolve blood 37188 5037

Insertion of vena cava filter by endovascular approach, including radiological supe 37191 8610

Repositioning of vena cava filter by endovascular approach, including radiological 37192 4287

Removal of vena cava filter by endovascular approach, including radiological supe 37193 6137

Retrieval of foreign body of blood vessels, accessed through the skin including rad 37197 4697

Biopsy of blood vessel via catheter 37200 2132

Insertion of catheter into artery for drug infusion for blood clot including radiologi 37211 2993

Insertion of catheter into vein for drug infusion for blood clot including radiologica 37212 2635

Insertion of catheter into artery or vein for drug infusion for blood clot including ra 37213 2811

Removal of catheter in artery or vein including radiological supervision and interpre 37214 5200

Insertion of stents and blood clot protection device in neck artery, open or accesse 37215 10929

Insertion of stents in neck artery, open or accessed through the skin 37216 8182

Balloon dilation of artery in one side of groin, endovascular, accessed through the 37220 8998

Balloon dilation of artery in one side of groin, endovascular, accessed through the 37220 13085

Insertion of stents in artery in one side of groin, endovascular, accessed through t 37221 18685

Page 8: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Insertion of stents in artery in one side of groin, endovascular, accessed through t 37221 28027

Balloon dilation of groin artery, endovascular, open, or percutaneous approach 37222 5063

Balloon dilation of groin artery, endovascular, open, or percutaneous approach 37222 7594

Insertion of stents into groin artery, endovascular, accessed through the skin or op 37223 7174

Insertion of stents into groin artery, endovascular, accessed through the skin or op 37223 14349

Balloon dilation of arteries in one leg, endovascular, accessed through the skin or 37224 12882

Balloon dilation of arteries in one leg, endovascular, accessed through the skin or 37224 19323

Removal of plaque in arteries in one leg, endovascular, accessed through the skin 37225 21165

Removal of plaque in arteries in one leg, endovascular, accessed through the skin 37225 31748

Insertion of stents into arteries in one leg, endovascular, accessed through the ski 37226 24213

Insertion of stents into arteries in one leg, endovascular, accessed through the ski 37226 36320

Removal of plaque and insertion of stents into arteries in one leg, endovascular, a 37227 29974

Removal of plaque and insertion of stents into arteries in one leg, endovascular, a 37227 44962

Balloon dilation of artery of one leg, endovascular, accessed through the skin or o 37228 12265

Balloon dilation of artery of one leg, endovascular, accessed through the skin or o 37228 18398

Removal of plaque in artery in one leg, endovascular, accessed through the skin or 37229 18132

Removal of plaque in artery in one leg, endovascular, accessed through the skin or 37229 27198

Insertion of stents into artery in one leg, endovascular, accessed through the skin 37230 22678

Insertion of stents into artery in one leg, endovascular, accessed through the skin 37230 34017

Removal of plaque and insertion of stents into artery in one leg, endovascular, acc 37231 21774

Removal of plaque and insertion of stents into artery in one leg, endovascular, acc 37231 32661

Balloon dilation of artery in one leg, endovascular, accessed through the skin or op 37232 8415

Balloon dilation of artery in one leg, endovascular, accessed through the skin or op 37232 12623

Removal of plaque in artery in one leg, endovascular, accessed through the skin or 37233 8588

Removal of plaque in artery in one leg, endovascular, accessed through the skin or 37233 12882

Insertion of stents into artery in one leg, endovascular, accessed through the skin 37234 8232

Insertion of stents into artery in one leg, endovascular, accessed through the skin 37234 12348

Removal of plaque and insertion of stents into artery in one leg, endovascular, acc 37235 11112

Removal of plaque and insertion of stents into artery in one leg, endovascular, acc 37235 22224

Insertion of intravascular stents in artery (except lower extremity, cervical carotid 37236 19704

Insertion of intravascular stents in artery (except lower extremity, cervical carotid 37237 9874

Insertion of intravascular stents in vein, open or accessed through the skin, with ra 37238 19734

Insertion of intravascular stents in vein, open or accessed through the skin, with ra 37239 9828

Occlusion of venous malformations (other than hemorrhage) with radiological sup 37241 12554

Occlusion of artery (other than hemorrhage or tumor) with radiological supervisio 37242 12554

Occlusion of tumors or obstructed blood vessel with radiological supervision and i 37243 12554

Occlusion of arterial or venous hemorrhage with radiological supervision and interp 37244 13661

Balloon dilation of artery, accessed through the skin or by open procedure, with im 37246 6543

Balloon dilation of artery, accessed through the skin or by open procedure, with im 37246 9814

Balloon dilation of artery, accessed through the skin or by open procedure, with im 37247 4897

Balloon dilation of first vein, accessed through the skin or by open procedure, with 37248 6543

Balloon dilation of first vein, accessed through the skin or by open procedure, with 37248 9814

Balloon dilation of additional vein, accessed through the skin or by open procedure 37249 4897

Ultrasound evaluation of blood vessel during diagnosis or treatment 37252 2216

Ultrasound evaluation of blood vessel during diagnosis or treatment 37253 1450

Multiple incisions for removal of varicose veins of arm or leg 37765 2920

Multiple incisions for removal of varicose veins of arm or leg 37766 3727

Page 9: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Blood vessel procedure 37799 1497

Bone marrow biopsy 38221 1279

Bone marrow biopsy and aspiration 38222 1328

Needle biopsy or removal of lymph nodes 38505 1063

Injection of radioactive dye for X-ray identification of lymph node 38792 392

Lymph node procedure 38999 1071

Incision of tissue connecting tongue and floor of mouth 41010 1924

Insertion of needles, catheters, or devices into head and/or neck for radiation deli 41019 2360

Drainage of abscess of salivary gland 42300 1867

Needle biopsy of salivary gland 42400 725

Insertion of stomach tube using an endoscope 43246 1778

Dilation of esophagus 43453 956

Esophagus procedure 43499 338

Insertion of nasal or oral stomach tube using fluoroscopic guidance 43752 383

Repositioning of stomach feeding tube 43761 707

Replacement of stomach stoma tube accessed through skin 43762 436

Replacement of stomach stoma tube accessed through skin with revision of stoma 43763 597

Oral introduction of long drainage tube into small bowel 44500 495

Assessment and overseeing preparation of donor fecal specimen 44705 562

Small bowel procedure 44799 1854

Dilation of rectum and large bowel using an endoscope 45303 1318

Large bowel procedure 45399 1041

Dilation of rectal scar tissue under anesthesia 45910 2115

Needle biopsy of liver, accessed through the skin 47000 1457

Destruction of 1 or more growths in liver, accessed through the skin 47382 2955

Liver procedure 47399 488

Insertion of catheter (accessed through the skin) into gallbladder using imaging gu 47490 2257

Injection of bile duct for X-ray imaging procedure accessed through the skin using 47531 1474

Injection of bile duct for X-ray imaging procedure accessed through the skin using 47532 3364

Placement of drainage catheter of biliary duct, accessed through the skin with ima 47533 3364

Placement of drainage catheter of biliary duct, accessed through the skin with ima 47534 3364

Conversion of external biliary drainage catheter to internal-external biliary drainag 47535 3364

Replacement of liver duct drainage catheter accessed through the skin with imagi 47536 3364

Removal of biliary drainage catheter, accessed through the skin using imaging guid 47537 848

Placement of stent of biliary duct, accessed through the skin with imaging includin 47538 6362

Placement of stent of biliary duct, accessed through the skin with imaging includin 47539 6362

Placement of stent and drainage catheter of biliary duct, accessed through the ski 47540 6362

Placement of access device into biliary tract, accessed through the skin with imagi 47541 3364

Balloon dilation of bile duct accessed through the skin using imaging guidance incl 47542 1322

Biopsy of bile duct or liver duct accessed through the skin using imaging guidance 47543 1854

Removal of biliary duct or gallbladder stone, accessed through the skin using imag 47544 1948

Biopsy of bile ducts using an endoscope, accessed through the skin 47553 2161

Dilation of bile ducts using an endoscope, accessed through the skin 47555 1998

Dilation of bile ducts with stent insertion using an endoscope, accessed through th 47556 2244

Insertion of stent into bile duct 47801 245

Bile duct procedure 47999 233

Needle biopsy of pancreas, accessed through the skin 48102 999

Page 10: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Drainage of fluid from abdominal cavity 49082 1249

Drainage of fluid from abdominal cavity using imaging guidance 49083 1761

Irrigation of abdominal cavity 49084 939

Needle biopsy of abdominal cavity growth, accessed through the skin 49180 1058

Injection of abnormal fluid accumulation using imaging guidance with radiological 49185 2622

Injection of air or X-ray contrast material into abdominal cavity 49400 278

Fluid collection drainage by catheter using imaging guidance, accessed through th 49405 3076

Fluid collection drainage by catheter using imaging guidance, accessed through th 49406 3076

Fluid collection drainage by catheter using imaging guidance, accessed through va 49407 1812

Insertion of abdominal catheter through the skin using imaging guidance including 49418 3448

Insertion of abdominal cavity catheter for drainage or dialysis, open procedure 49421 2954

Removal of abdominal cavity catheter 49422 2394

Exchange of abdominal cavity drainage catheter using imaging guidance 49423 1403

Injection of contrast through abdominal cavity catheter for X-ray study 49424 358

Insertion of shunt from jugular vein to abdominal cavity 49425 5954

Revision of shunt from jugular vein to abdominal cavity 49426 4516

Removal of shunt from jugular vein to abdominal cavity 49429 3045

Insertion of stomach tube (accessed through the skin) using fluoroscopic guidance 49440 1190

Percutaneous insertion of small bowel tube (accessed through the skin) using fluo 49441 1484

Insertion of large bowel tube (accessed through the skin) using fluoroscopic guida 49442 3870

Conversion of stomach tube to small bowel tube using fluoroscopic guidance with 49446 1339

Replacement of stomach or large bowel tube using fluoroscopic guidance with con 49450 750

Replacement of small bowel tube using fluoroscopic guidance with contrast, acces 49451 770

Replacement of stomach to small bowel tube using fluoroscopic guidance with co 49452 839

Mechanical removal of obstructive material in stomach, large, or small bowel tube 49460 1075

Contrast injections for x-ray imaging through existing tube in stomach, small bowe 49465 286

Abdominal procedure 49999 2089

Removal of kidney stone 50060 1740

Needle biopsy of kidney, accessed through the skin 50200 1348

Removal and replacement of indwelling stent in urinary duct (ureter) including rad 50382 2776

Removal of indwelling stent in urinary duct (ureter) including radiological supervis 50384 2485

Removal and replacement of indwelling stent in urinary duct (ureter) including rad 50385 3505

Removal of indwelling stent in urinary duct (ureter) including radiological supervis 50386 908

Removal and replacement of stent in kidney and urinary duct (ureter) using fluoro 50387 1323

Removal of kidney drainage tube (ureter) using fluoroscopic guidance 50389 1151

Aspiration and/or injection kidney cyst, accessed through the skin 50390 1141

Injection procedure for x-ray imaging of kidney and urinary duct (ureter) using ima 50430 947

Injection procedure for x-ray imaging of kidney and urinary duct (ureter) using ima 50430 1420

Injection procedure for x-ray imaging of kidney and urinary duct (ureter) using ima 50431 811

Injection procedure for x-ray imaging of kidney and urinary duct (ureter) using ima 50431 1216

Placement of catheter of kidney, accessed through the skin using imaging guidanc 50432 2328

Placement of catheter of kidney, accessed through the skin using imaging guidanc 50432 3492

Placement of catheter of kidney and urinary tube (ureter), accessed through the s 50433 2403

Placement of catheter of kidney and urinary tube (ureter), accessed through the s 50433 3604

Conversion of nephrostomy catheter to nephroureteral catheter accessed through 50434 1376

Conversion of nephrostomy catheter to nephroureteral catheter accessed through 50434 2064

Replacement of kidney drainage catheter accessed through the skin with imaging 50435 1429

Page 11: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Replacement of kidney drainage catheter accessed through the skin with imaging 50435 2143

Enlargement of existing opening into urinary tract accessed through skin using ima 50436 2433

Enlargement of existing opening into urinary tract accessed through skin and crea 50437 4093

Removal of kidney foreign body or stone using an endoscopy which is inserted thro 50561 1463

Destruction of 1 or more growths in one kidney, accessed through the skin 50592 1742

Destruction of growths in one kidney, accessed through the skin 50593 9380

Destruction of growths in one kidney, accessed through the skin 50593 14070

Injection of urinary duct (ureter) for X-ray imaging 50684 481

Change of tube or stent in urinary duct (ureter) 50688 1188

Injection of bladder and urinary duct (ureter) for X-ray imaging 50690 443

Placement of stent of urinary duct (ureter), accessed through the skin with imagin 50693 3466

Placement of stent of urinary duct (ureter), accessed through the skin with imagin 50693 5199

Placement of stent of urinary duct (ureter), accessed through the skin with imagin 50694 3466

Placement of stent of urinary duct (ureter), accessed through the skin with imagin 50694 5199

Placement of stent of urinary duct (ureter), accessed through the skin with imagin 50695 3466

Placement of stent of urinary duct (ureter), accessed through the skin with imagin 50695 5199

Occlusion of urinary duct (ureter) using imaging guidance with radiological superv 50705 3588

Occlusion of urinary duct (ureter) using imaging guidance with radiological superv 50705 5382

Balloon dilation treatment of stricture of urinary duct (ureter) using imaging guida 50706 1418

Aspiration of bladder with insertion of bladder tube to skin surface 51102 1706

Injection procedure for X-ray imaging of the bladder or during voiding 51600 361

Injection procedure through the bladder and bladder canal (urethra) for X-ray ima 51610 269

Bladder irrigation and/or instillation 51700 259

Insertion of temporary bladder catheter 51701 111

Insertion of indwelling bladder catheter 51702 124

Insertion of indwelling bladder catheter 51703 290

Removal of skin suture with change of bladder tube 51705 282

Bladder instillation of cancer preventive, inhibiting, or suppressive agent 51720 730

Needle measurement and recording of electrical activity of muscles at bladder and 51785 676

Ultrasound measurement of bladder capacity after voiding 51798 100

Urinary system procedure 53899 217

Biopsy of vaginal mucous membrane 57100 594

Insertion of radiation therapy devices in vagina for radiation therapy 57156 578

Biopsy of uterine lining 58100 280

Introduction of saline or X-ray contrast material for X-ray imaging of the uterus an 58340 398

Insertion of catheter through the cervix into fallopian tube 58345 2077

Insertion of catheter through the cervix into fallopian tube 58345 3115

Vaginal or abdominal biopsy of ovaries 58900 2616

Female genital system (nonobstetric) procedure 58999 28

Fetal contraction stress test 59020 309

Fetal non-stress test 59025 369

Needle biopsy of thyroid, accessed through the skin 60100 542

Aspiration and/or injection of thyroid cyst 60300 497

Endocrine system procedure 60699 283

Aspiration or injection of cerebrospinal fluid shunt tubing or reservoir 61070 742

Occlusion of abnormal artery, accessed through the skin 61624 5401

Occlusion of head or neck artery, accessed through the skin 61626 5913

Page 12: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Balloon dilation of blood vessel in head, accessed through the skin 61630 6030

Removal of blood clot and injection to dissolve blood clot from head artery using f 61645 8034

Infusion of chemical agent into the artery of brain with insertion of catheter and im 61650 2648

Infusion of chemical agent into the artery of brain with insertion of catheter and im 61651 1488

Diagnostic aspiration of spinal disc or tissue, accessed through the skin 62267 1207

Aspiration of spinal cord cyst or fluid-filled cavity, accessed through the skin 62268 738

Spinal tap for diagnosis 62270 1039

Spinal tap with drainage of spinal fluid 62272 1039

Injection of blood or blood clot into spinal canal 62273 1806

Injection of dye for X-ray imaging and/or CT of lower spinal canal 62284 679

Aspiration of lower spine disc, accessed through the skin 62287 3623

Injection of dye for X-ray imaging of spine disc 62290 664

X-ray of upper spinal canal with radiological supervision and interpretation 62302 1350

X-ray of middle spinal canal with radiological supervision and interpretation 62303 1312

Injection of substance into spinal canal of upper or middle back 62320 1906

Injection of substance into spinal canal of upper or middle back using imaging guid 62321 2369

Injection of substance into spinal canal of upper or middle back using imaging guid 62321 3553

Injection of substance into spinal canal of lower back or sacrum 62322 1906

Injection of substance into spinal canal of lower back or sacrum using imaging guid 62323 2373

Injection of substance into spinal canal of lower back or sacrum using imaging guid 62323 3559

Insertion of indwelling catheter and administration of substance into spinal canal 62324 2276

Insertion of indwelling catheter and administration of substance into spinal canal 62325 2305

Insertion of indwelling catheter and administration of substance into spinal canal 62325 3457

Insertion of indwelling catheter and administration of substance into spinal canal 62326 2276

Insertion of indwelling catheter and administration of substance into spinal canal 62327 2347

Insertion of indwelling catheter and administration of substance into spinal canal 62327 3520

#N/A 62328 1700

#N/A 62329 1700

Injection of anesthetic agent, trigeminal nerve 64400 813

Injection of anesthetic agent, trigeminal nerve 64400 1219

Injection of anesthetic agent, greater occipital nerve 64405 996

Injection of anesthetic agent, greater occipital nerve 64405 1494

Injection of anesthetic agent, brachial (arm) nerve bundle 64415 1212

Injection of anesthetic agent, brachial (arm) nerve bundle 64415 1819

Injection by continuous infusion of anesthetic agent, brachial (arm) nerve bundle 64416 1948

Injection by continuous infusion of anesthetic agent, brachial (arm) nerve bundle 64416 2921

Injection of anesthetic agent underarm (axillary) nerve 64417 1145

Injection of anesthetic agent underarm (axillary) nerve 64417 1718

Injection of anesthetic agent, collar bone nerve 64418 1174

Injection of anesthetic agent, collar bone nerve 64418 1761

Injection of anesthetic agent, of rib nerve 64420 1470

Injection of anesthetic agent, of rib nerve 64420 2205

Injection of anesthetic agent of multiple rib nerves 64421 1906

Injection of anesthetic agent of multiple rib nerves 64421 2859

Injection of anesthetic agent, groin nerves 64425 1196

Injection of anesthetic agent, groin nerves 64425 1794

Injection of anesthetic agent, pudendal (external genital) nerve 64430 808

Page 13: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Injection of anesthetic agent, sciatic nerve 64445 1797

Injection of anesthetic agent, sciatic nerve 64445 2695

Injection by continuous infusion of anesthetic agent, sciatic nerve 64446 1955

Injection by continuous infusion of anesthetic agent, sciatic nerve 64446 2932

Injection of anesthetic agent, thigh nerve 64447 1105

Injection of anesthetic agent, thigh nerve 64447 1658

Injection by continuous infusion of anesthetic agent, thigh nerve 64448 1947

Injection by continuous infusion of anesthetic agent, thigh nerve 64448 2920

Injection of anesthetic agent, other peripheral nerve or branch 64450 1017

Injection of anesthetic agent, other peripheral nerve or branch 64450 1525

#N/A 64451 1700

Injection of anesthetic agent, thoracic vertebra 64461 904

Injection of anesthetic agent, thoracic vertebra 64462 452

Injection of anesthetic agent, thoracic vertebra 64463 1198

Injections of anesthetic and/or steroid drug into upper or middle spine nerve root 64479 1440

Injections of anesthetic and/or steroid drug into upper or middle spine nerve root 64480 1285

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root u 64483 1906

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root u 64483 2858

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root u 64484 953

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root u 64484 1430

Injections of upper or middle spine facet joint using imaging guidance 64490 1906

Injections of upper or middle spine facet joint using imaging guidance 64490 2858

Injections of upper or middle spine facet joint using imaging guidance 64491 953

Injections of upper or middle spine facet joint using imaging guidance 64491 1430

Injections of upper or middle spine facet joint using imaging guidance 64492 953

Injections of upper or middle spine facet joint using imaging guidance 64492 1430

Injections of lower or sacral spine facet joint using imaging guidance 64493 1906

Injections of lower or sacral spine facet joint using imaging guidance 64493 2858

Injections of lower or sacral spine facet joint using imaging guidance 64494 953

Injections of lower or sacral spine facet joint using imaging guidance 64494 1430

Injections of lower or sacral spine facet joint using imaging guidance 64495 953

Injections of lower or sacral spine facet joint using imaging guidance 64495 1430

Injection of anesthetic agent, trigeminal nerve bundle 64505 917

Injection of anesthetic agent, trigeminal nerve bundle 64505 1486

Injection of anesthetic agent, sympathetic nerve bundle 64510 1906

Injection of anesthetic agent, sympathetic nerve bundle 64510 2858

Injection of anesthetic agent, middle or lower spine sympathetic nerves 64520 1625

Injection of anesthetic agent, abdominal sympathetic nerve bundle 64530 1906

Injection of anesthetic agent, abdominal sympathetic nerve bundle 64530 2859

Injection of agent to destroy rib nerve 64620 1840

Destruction of pudendal (external genital) nerve 64630 947

Destruction of pudendal (external genital) nerve 64630 1420

Destruction of upper or middle spinal facet joint nerves using imaging guidance 64633 2570

Destruction of upper or middle spinal facet joint nerves using imaging guidance 64633 3855

Destruction of upper or middle spinal facet joint nerves with imaging guidance 64634 953

Destruction of upper or middle spinal facet joint nerves with imaging guidance 64634 1430

Destruction of lower or sacral spinal facet joint nerves using imaging guidance 64635 4124

Page 14: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Destruction of lower or sacral spinal facet joint nerves using imaging guidance 64635 6186

Destruction of lower or sacral spinal facet joint nerves with imaging guidance 64636 1011

Destruction of lower or sacral spinal facet joint nerves with imaging guidance 64636 1516

Injection of agent to destroy abdominal sympathetic nerve bundle 64680 1286

Nervous system procedure 64999 266

Fine needle aspiration of orbital contents 67415 2114

Removal of impacted ear wax by washing 69209 117

X-ray of eye 70030 105

X-ray of eye 70030 211

X-ray of mandible, less than 4 views 70100 162

X-ray of mandible, minimum of 4 views 70110 194

X-ray of mastoid, less than 3 views per side 70120 177

X-ray of internal ear canal 70134 460

X-ray of bones of face, less than 3 views 70140 102

X-ray of bones of face, minimum of 3 views 70150 197

X-ray of bones of nose, minimum of 3 views 70160 149

X-ray of eye bones, minimum of 4 views 70200 164

X-ray of paranasal sinus, less than 3 views 70210 254

X-ray of paranasal sinus, complete, minimum of 3 views 70220 447

X-ray of bone at base of skull 70240 132

X-ray of skull, less than 4 views 70250 133

X-ray of skull, complete, minimum of 4 views 70260 282

X-ray of jaw joint on one side of the face 70328 246

X-ray of jaw joints on both sides of the face 70330 384

MRI scan of jaw joints 70336 645

X-ray imaging of teeth 70355 255

X-ray of soft tissue of neck 70360 282

CT scan head or brain 70450 337

CT scan head or brain with contrast 70460 351

CT scan head or brain before and after contrast 70470 351

CT scan of cranial cavity 70480 337

CT scan of cranial cavity with contrast 70481 536

CT scan of cranial cavity before and after contrast 70482 591

CT scan of face 70486 337

CT scan of face with contrast 70487 351

CT scan of face before and after contrast 70488 365

CT scan of neck 70490 337

CT scan of neck with contrast 70491 351

CT scan of neck before and after contrast 70492 424

CT scan of blood vessel of head with contrast 70496 533

CT scan of neck blood vessels with contrast 70498 530

MRI scan bones of the eye, face, and/or neck 70540 528

MRI scan bones of the eye, face, and/or neck with contrast 70542 624

MRI scan bones of the eye, face, and/or neck before and after contrast 70543 771

MRA scan of head blood vessels 70544 691

MRA scan of head blood vessels with contrast 70545 687

MRA scan of head blood vessels before and after contrast 70546 1065

Page 15: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

MRA scan of neck blood vessels 70547 691

MRA scan of neck blood vessels with contrast 70548 739

MRA scan of neck blood vessels before and after contrast 70549 1072

MRI scan brain 70551 508

MRI scan of brain with contrast 70552 600

MRI scan of brain before and after contrast 70553 685

X-ray of chest, 1 view 71045 316

X-ray of chest, 2 views 71046 388

X-ray of chest, 3 views 71047 406

X-ray of chest, minimum of 4 views 71048 438

X-ray of ribs of one side of body, 2 views 71100 152

X-ray of ribs on one side of body including the chest, minimum of 3 views 71101 244

X-ray of both sides of the ribs, 3 views 71110 255

X-ray of both sides of the ribs including the chest, minimum of 4 views 71111 273

X-ray of breast bone, minimum of 2 views 71120 143

X-ray of junction of breast and collar bones, minimum of 2 views 71130 85

CT scan chest 71250 337

CT scan chest with contrast 71260 351

CT scan chest before and after contrast 71270 431

CT scan of blood vessels in chest with contrast 71275 542

MRI scan of chest 71550 691

MRI scan of chest with contrast 71551 963

MRI scan of chest before and after contrast 71552 1156

MRI scan of blood vessels of chest 71555 691

MRI scan of blood vessels of chest 71555 805

X-ray of spine, 1 view 72020 196

X-ray of spine of neck, 2 or 3 views 72040 273

X-ray of upper spine, 4 or 5 views 72050 381

X-ray of upper spine, 6 or more views 72052 429

X-ray of middle spine, 3 views 72070 287

X-ray of middle spine, 3 views 72072 324

X-ray of middle and lower spine, 2 views 72080 269

X-ray of spine, 2 or 3 views 72082 305

X-ray of spine, 4 or 5 views 72083 350

X-ray of spine, minimum of 6 views 72084 382

X-ray of lower and sacral spine, 2 or 3 views 72100 491

X-ray of lower and sacral spine, minimum of 4 views 72110 702

X-ray lower and sacral spine including bending views minimum 6 views 72114 776

X-ray lower and sacral spine including bending views 2 or 3 views 72120 544

CT scan of upper spine 72125 337

CT scan of upper spine with contrast 72126 433

CT scan of upper spine before and after contrast 72127 537

CT scan of middle spine 72128 337

CT scan of middle spine with contrast 72129 435

CT scan of lower spine 72131 337

CT scan of lower spine with contrast 72132 433

CT scan of lower spine before and after contrast 72133 534

Page 16: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

MRI scan of upper spinal canal 72141 508

MRI scan of upper spinal canal with contrast 72142 615

MRI scan of middle spinal canal 72146 508

MRI scan of middle spinal canal with contrast 72147 610

MRI scan of lower spinal canal 72148 508

MRI scan of lower spinal canal with contrast 72149 604

MRI scan of upper spinal canal before and after contrast 72156 690

MRI scan of middle spinal canal before and after contrast 72157 692

MRI scan of lower spinal canal before and after contrast 72158 687

X-ray of pelvis, 1 or 2 views 72170 206

X-ray of pelvis, minimum of 3 views 72190 270

CT scan of pelvic blood vessels with contrast 72191 558

CT scan pelvis 72192 337

CT scan pelvis with contrast 72193 435

CT scan of pelvis before and after contrast 72194 516

MRI scan of pelvis 72195 632

MRI scan of pelvis with contrast 72196 678

MRI scan of pelvis before and after contrast 72197 821

MRA scan of pelvic blood vessels 72198 691

MRA scan of pelvic blood vessels 72198 810

X-ray of sacroiliac joints, less than 3 views 72200 140

X-ray of pelvis, minimum of 2 views 72220 309

Radiological supervision and interpretation X-ray of upper spinal canal 72240 1311

Radiological supervision and interpretation X-ray of middle spinal canal 72255 1235

Radiological supervision and interpretation X-ray of lower spinal canal 72265 1243

Radiological supervision and interpretation X-ray of spinal canal, 2 or more spinal 72270 1547

Radiological supervision and interpretation X-ray of disc of vertebra, upper or mid 72285 1714

Radiological supervision and interpretation X-ray of disc of vertebra, lower spine 72295 1604

Radiological supervision and interpretation X-ray of disc of vertebra, lower spine 72295 1652

X-ray of collar bone 73000 137

X-ray of collar bone 73000 274

X-ray of shoulder blade 73010 125

X-ray of shoulder blade 73010 249

X-ray of shoulder, 1 view 73020 237

X-ray of shoulder, 1 view 73020 474

X-ray of shoulder, minimum of 2 views 73030 320

X-ray of shoulder, minimum of 2 views 73030 640

Radiological supervision and interpretation X-ray of shoulder joint 73040 736

Radiological supervision and interpretation X-ray of shoulder joint 73040 1472

X-ray of both collar bones 73050 130

X-ray of upper arm, minimum of 2 views 73060 132

X-ray of upper arm, minimum of 2 views 73060 264

X-ray of elbow, 2 views 73070 96

X-ray of elbow, 2 views 73070 192

Radiological supervision and interpretation X-ray of elbow 73085 233

X-ray of forearm, 2 views 73090 286

X-ray of forearm, 2 views 73090 571

Page 17: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

X-ray of arm in infant minimum of 2 views 73092 102

X-ray of arm in infant minimum of 2 views 73092 204

X-ray of wrist, 2 views 73100 140

X-ray of wrist, 2 views 73100 280

X-ray of wrist, minimum of 3 views 73110 160

X-ray of wrist, minimum of 3 views 73110 320

Radiological supervision and interpretation X-ray of wrist joint 73115 468

Radiological supervision and interpretation X-ray of wrist joint 73115 936

X-ray of hand, 2 views 73120 226

X-ray of hand, 2 views 73120 452

X-ray of hand, minimum of 3 views 73130 281

X-ray of hand, minimum of 3 views 73130 561

X-ray of fingers, minimum of 2 views 73140 219

CT scan of arm 73200 337

CT scan of arm with contrast 73201 426

CT scan of arm before and after contrast 73202 562

CT scan of arm blood vessels with contrast 73206 618

MRI scan of arm 73218 691

MRI scan of arm 73218 1382

MRI scan of arm with contrast 73219 836

MRI scan of arm with contrast 73219 1673

MRI scan of arm before and after contrast 73220 1019

MRI scan of arm before and after contrast 73220 2037

MRI scan of arm joint 73221 508

MRI scan of arm joint 73221 1016

MRI scan of arm joint with contrast 73222 774

MRI scan of arm joint with contrast 73222 1547

MRI scan of arm joint before and after contrast 73223 942

MRI scan of arm joint before and after contrast 73223 1885

MRA scan of arm blood vessels 73225 691

MRA scan of arm blood vessels 73225 837

MRA scan of arm blood vessels 73225 1382

MRA scan of arm blood vessels 73225 1675

X-ray of hip with pelvis, 1 view 73501 170

X-ray of hip with pelvis, 2-3 views 73502 326

X-ray of both hips with pelvis, 2 views 73521 387

X-ray of both hips with pelvis, 3-4 views 73522 314

Radiological supervision and interpretation X-ray of hip joint 73525 699

Radiological supervision and interpretation X-ray of hip joint 73525 1398

X-ray of femur, minimum 2 views 73552 132

X-ray of femur, minimum 2 views 73552 264

X-ray of knee, 1 or 2 views 73560 150

X-ray of knee, 1 or 2 views 73560 300

X-ray of knee, 3 views 73562 167

X-ray of knee, 3 views 73562 334

X-ray of knee, 4 or more views 73564 204

X-ray of knee, 4 or more views 73564 408

Page 18: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Radiological supervision and interpretation X-ray of knee joint 73580 498

X-ray of lower leg, 2 views 73590 167

X-ray of lower leg, 2 views 73590 334

X-ray of leg in infant minimum of 2 views 73592 167

X-ray of leg in infant minimum of 2 views 73592 334

X-ray of ankle, 2 views 73600 242

X-ray of ankle, 2 views 73600 484

X-ray of ankle, minimum of 3 views 73610 294

X-ray of ankle, minimum of 3 views 73610 587

Radiological supervision and interpretation X-ray of ankle joint 73615 647

X-ray of foot, 2 views 73620 130

X-ray of foot, 2 views 73620 260

X-ray of foot, minimum of 3 views 73630 167

X-ray of foot, minimum of 3 views 73630 334

X-ray of heel, minimum of 2 views 73650 139

X-ray of heel, minimum of 2 views 73650 278

X-ray of toes, minimum of 2 views 73660 211

CT scan leg 73700 337

CT scan leg with contrast injection 73701 435

CT scan of leg before and after contrast injection 73702 553

MRI scan of leg 73718 621

MRI scan of leg 73718 1242

MRI scan of leg with contrast 73719 678

MRI scan of leg with contrast 73719 1355

MRI scan of leg before and after contrast 73720 826

MRI scan of leg before and after contrast 73720 1652

MRI scan of leg joint 73721 508

MRI scan of leg joint 73721 1016

MRI scan of leg joint with contrast 73722 780

MRI scan of leg joint with contrast 73722 1559

MRI scan of leg joint before and after contrast 73723 941

MRI scan of leg joint before and after contrast 73723 1883

MRA scan of leg blood vessels 73725 808

MRA scan of leg blood vessels 73725 1382

MRA scan of leg blood vessels 73725 1615

X-ray of abdomen, 1 view 74018 354

X-ray of abdomen, 2 views 74019 448

X-ray of abdomen, minimum of 3 views 74021 453

Imaging of abdomen and chest 74022 604

CT scan abdomen 74150 337

CT scan abdomen with contrast 74160 434

CT scan abdomen before and after contrast 74170 499

CT scan of abdominal and pelvic blood vessels with contrast 74174 2290

CT scan of abdominal blood vessels with contrast 74175 561

CT scan of abdomen and pelvis 74176 351

CT scan of abdomen and pelvis with contrast 74177 571

CT scan of abdomen and pelvis before and after contrast 74178 655

Page 19: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

MRI scan of abdomen 74181 544

MRI scan of abdomen with contrast 74182 769

MRI scan of abdomen before and after contrast 74183 823

MRI scan of blood vessels of abdomen 74185 691

MRI scan of blood vessels of abdomen 74185 815

Radiological supervision and interpretation X-ray of lower abdominal and genital re 74190 689

X-ray of esophagus 74220 539

Imaging for evaluation of swallowing function 74230 535

Radiological supervision and interpretation of removal of foreign bodies in esopha 74235 515

X-ray of upper digestive tract 74240 624

X-ray of upper digestive tract with contrast 74246 706

#N/A 74248 441

X-ray of small intestine 74250 616

X-ray of small intestine by small bowel tube 74251 780

X-ray of large bowel with contrast 74270 774

X-ray of large bowel with contrast 74280 1006

Radiological supervision and interpretation X-ray of bile and/or pancreatic ducts d 74300 255

Radiological supervision and interpretation of insertion of catheter into biliary duc 74328 934

Radiological supervision and interpretation of placement of long small bowel tube 74340 488

Radiological supervision and interpretation of placement (accessed through the sk 74355 207

Radiological supervision and interpretation of opening of digestive tract procedure 74360 248

Radiological supervision and interpretation of dilation of biliary duct (accessed thro 74363 492

Imaging of urinary tract using infusion technique 74410 598

Imaging of urinary tract using infusion technique with kidney section filming 74415 558

Imaging of urinary tract 74420 501

Radiological supervision and interpretation X-ray of urinary tract 74425 501

Radiological supervision and interpretation X-ray of urinary tract 74425 1003

Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 74430 564

Radiological supervision and interpretation X-ray of urinary bladder and urethra 74450 532

Radiological supervision and interpretation X-ray of urinary bladder and urethra 74455 676

Radiological supervision and interpretation X-ray of kidney cyst, lower back contra 74470 597

Radiological supervision and interpretation of dilation of urinary ducts (ureters) or 74485 1669

Radiological supervision and interpretation of dilation of urinary ducts (ureters) or 74485 1821

Radiological supervision and interpretation X-ray of uterine tubes and ovaries 74740 695

Radiological supervision and interpretation of placement of catheter of uterine tu 74742 324

Radiological supervision and interpretation of placement of catheter of uterine tu 74742 648

MRI of heart 75557 554

MRI of heart before and after contrast 75561 795

CT scan of heart with evaluation of blood vessel calcium 75571 186

CT scan of heart blood vessels and grafts with contrast dye 75574 605

Radiological supervision and interpretation X-ray of chest aorta 75605 4524

Radiological supervision and interpretation X-ray of abdominal aorta 75625 2523

Radiological supervision and interpretation X-ray of abdominal aorta and both leg 75630 4264

CT scan of abdominal aorta and both leg arteries with contrast 75635 605

Radiological supervision and interpretation of imaging of spinal artery 75705 5096

Radiological supervision and interpretation of imaging of artery of one arm or leg 75710 3883

Radiological supervision and interpretation of imaging of arteries of both arms or 75716 4627

Page 20: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Radiological supervision and interpretation of imaging of abdominal artery 75726 5562

Radiological supervision and interpretation of imaging of artery of one adrenal gla 75731 4070

Radiological supervision and interpretation of imaging of artery of pelvis 75736 4170

Radiological supervision and interpretation of imaging of artery of one lung 75741 3337

Radiological supervision and interpretation of imaging of arteries of both lungs 75743 4773

Radiological supervision and interpretation of imaging of lung artery, contrast inse 75746 2320

Radiological supervision and interpretation of imaging of artery of breast 75756 2589

Radiological supervision and interpretation of imaging of artery 75774 1952

Radiological supervision and interpretation of imaging of artery 75774 2590

Radiological supervision and interpretation of imaging of previous placed shunt 75809 538

Radiological supervision and interpretation X-ray of vein of spleen and liver 75810 1456

Radiological supervision and interpretation of imaging of vein of one arm or leg 75820 974

Radiological supervision and interpretation of imaging of veins of both arms or leg 75822 1988

Radiological supervision and interpretation of imaging of major abdominal vein 75825 2252

Radiological supervision and interpretation of imaging of major chest vein 75827 2318

Radiological supervision and interpretation of imaging of vein of one kidney 75831 2810

Radiological supervision and interpretation of imaging of vein of both kidneys 75833 3300

Radiological supervision and interpretation of imaging of vein system in head or n 75860 2672

Radiological supervision and interpretation of imaging of vein system in head or n 75860 2939

Radiological supervision and interpretation of imaging of liver vein with assessmen 75885 3443

Radiological supervision and interpretation of imaging of liver vein, injection of co 75887 1506

Radiological supervision and interpretation of imaging of liver vein with assessmen 75889 2944

Radiological supervision and interpretation of imaging of liver vein 75891 3145

Radiological supervision and interpretation of drawing blood via catheter procedu 75893 4351

Radiological supervision and interpretation of obstruction of blood vessel via cath 75894 2507

Imaging of blood vessel 75898 1195

Imaging of blood vessel 75898 1495

Radiological supervision and interpretation of removal of obstructive material in c 75901 296

Radiological supervision and interpretation of removal of obstructive material from 75902 476

Radiological supervision and interpretation of repair of chest aorta with graft 75956 2357

Radiological supervision and interpretation of repair of chest aorta with graft 75957 2392

Radiological supervision and interpretation of placement of blood vessel prosthes 75958 1611

Radiological supervision and interpretation of biopsy procedure 75970 1967

Radiological supervision and interpretation of change of tube (accessed through th 75984 309

Radiological supervision and interpretation of change of tube (accessed through th 75984 616

Radiological supervision and interpretation of placement of catheter with drainag 75989 535

Imaging guidance for procedure, up to 1 hour 76000 498

Imaging from nose to rectum, single view, child 76010 338

Imaging for abscess or abnormal drainage tract procedure 76080 649

Imaging of surgical specimen 76098 668

Single plane imaging procedure 76100 323

CT scan limited or follow-up study 76380 186

CT scan 76497 1017

MRI scan 76498 186

Ultrasound of brain 76506 185

Ultrasound of head and neck 76536 620

Ultrasound of chest 76604 464

Page 21: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Ultrasound of one breast 76641 688

Ultrasound of one breast 76641 1023

Ultrasound of one breast 76642 602

Ultrasound of one breast 76642 888

Ultrasound of abdomen 76700 1102

Ultrasound of abdomen 76705 812

Ultrasound evaluation of abdominal aorta to detect bulging (aneurysm) 76706 528

Ultrasound behind abdominal cavity 76770 900

Ultrasound behind abdominal cavity, limited 76775 742

Ultrasound of transplanted kidney 76776 209

Ultrasound of spinal canal 76800 162

Abdominal ultrasound of pregnant uterus (less than 14 weeks 0 days) single or firs 76801 215

Abdominal ultrasound of pregnant uterus (less than 14 weeks 0 days) 76802 215

Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) sin 76805 294

Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) 76810 256

Ultrasound of pregnant uterus, 1 or more fetus(es) 76815 175

Vaginal ultrasound of pregnant uterus 76817 192

Ultrasound of fetus 76819 220

Ultrasound pelvis through vagina 76830 793

Ultrasound of pelvis 76856 704

Ultrasound of pelvis 76857 561

Ultrasound of scrotum 76870 561

Partial ultrasound of joint or other non-blood vessel structure of arm or leg 76882 222

Ultrasound of hips with manipulation, infant 76885 527

Ultrasound guidance for repair of blood vessel 76936 881

Ultrasound guidance for accessing into blood vessel 76937 613

Ultrasound guidance for tissue destruction 76940 552

Ultrasonic guidance imaging supervision and interpretation for insertion of needle 76942 900

Ultrasonic guidance imaging supervision and interpretation for insertion of needle 76942 1800

Ultrasonic guidance imaging supervision and interpretation for amniocentesis 76946 488

Ultrasound follow-up study 76970 217

Ultrasonic guidance during surgery 76998 429

Fluoroscopic guidance for insertion, replacement or removal of central venous acc 77001 655

Fluoroscopic guidance for insertion of needle 77002 492

Fluoroscopic guidance for insertion of needle 77002 739

Fluoroscopic guidance for injection into spine or muscle next to spine 77003 768

CT scan guidance for stereotactic localization 77011 425

Radiological supervision and interpretation of CT guidance for needle insertion 77012 351

CT scan guidance for and monitoring of tissue destruction 77013 766

CT scan guidance for insertion of radiation therapy fields 77014 351

Radiological supervision and interpretation of MRI guidance for insertion of needl 77021 1323

MRI of one breast 77046 691

MRI of both breasts 77047 691

MRI of one breast with and without contrast 77048 1156

MRI of both breasts with and without contrast 77049 1156

Radiological supervision and interpretation of imaging of breast duct 77053 228

Radiological supervision and interpretation of imaging of breast duct 77053 455

Page 22: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Radiological supervision and interpretation of imaging of breast ducts 77054 409

Screening digital tomography of both breasts 77063 75

Mammography of one breast 77065 206

Mammography of both breasts 77066 263

Mammography of both breasts 77067 217

Imaging for bone age assessment 77072 158

Imaging for bone length assessment 77073 346

X-ray of bones 77074 232

X-ray survey of forearm or wrist bone density 77075 332

X-ray survey of bones, infant 77076 274

Imaging of 2 or more joints, single view 77077 294

Bone density measurement using dedicated X-ray machine 77080 454

Bone density measurement using dedicated X-ray machine 77081 242

Management of radiation therapy simulation, simple 77280 659

Management of radiation therapy, simulation, intermediate 77285 982

Management of radiation therapy, simulation, complex 77290 1294

Respiratory motion management simulation 77293 1451

Management of radiation therapy, 3D 77295 4118

Calculation of radiation therapy dose 77300 449

Management of modulation radiotherapy planning 77301 4323

Radiation therapy plan 77306 658

Radiation therapy plan 77307 1082

Radiation therapy plan 77316 457

Radiation therapy plan 77317 388

Radiation therapy total body port plan 77321 1019

Special radiation therapy planning 77331 451

Radiation treatment devices, design and construction, simple 77332 425

Radiation treatment devices, design and construction, intermediate 77333 520

Radiation treatment devices, design and construction, complex 77334 1078

Radiation therapy consultation per week 77336 555

Design and construction of device for radiation therapy 77338 1150

Radiation therapy consultation 77370 523

Radiation therapy delivery, stereotactic radiosurgery (SRS) for cranial growths, per 77372 7931

Stereotactic body radiation therapy 1 or more lesions using imaging guidance 77373 9676

Radiation therapy delivery 77385 1499

Radiation therapy delivery 77386 2355

Guidance for localization of target delivery of radiation treatment 77387 726

Radiation treatment delivery, superficial 77401 310

Radiation treatment delivery 77402 435

Radiation treatment delivery 77407 559

Radiation treatment delivery 77412 885

Therapeutic radiology port films 77417 214

Special radiation treatment procedure 77470 1969

Application of organ cavity radiation source, simple 77761 489

Application of organ cavity radiation source, intermediate 77762 489

High dose brachytherapy , 1 channel 77770 3476

High dose brachytherapy , 2- 12 channels 77771 3826

Page 23: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Application of radiation source, complex 77778 2706

Supervision, handling, loading of radiation 77790 372

Nuclear medicine imaging of thyroid 78013 513

Nuclear medicine imaging for thyroid uptake measurements 78014 725

Nuclear medicine whole body study for thyroid cancer 78018 1738

Imaging of parathyroid 78070 1228

Imaging of parathyroid with nuclear medicine study 78071 1228

Imaging of parathyroid with CT and nuclear medicine study 78072 1228

Imaging of bone marrow limited area 78102 1035

Imaging of lymphatic tissue and lymph node 78195 970

Imaging of liver and spleen 78215 1417

Imaging of liver and bile duct system 78226 1580

Imaging of liver and bile duct system with use of drugs 78227 1580

Imaging of esophagus using radioisotopes 78258 619

Stomach and esophagus regurgitation study 78262 2148

Stomach emptying study 78264 1402

Acute digestive tract blood loss imaging 78278 814

Intestine imaging 78290 737

Peritoneal-venous shunt patency test 78291 600

Bone and/or joint imaging 78300 1370

Bone and/or joint imaging, whole body 78306 2084

Bone and/or joint imaging, 3 phase study 78315 2197

Cardiac shunt detection 78428 1826

Nuclear medicine study of vessels of heart using drugs or exercise single study 78451 3339

Nuclear medicine study of vessels of heart using drugs or exercise multiple studies 78452 4546

Nuclear medicine study of heart wall motion at rest or stress with evaluation of bl 78472 1058

Nuclear medicine study of blood circulation in the lungs 78580 1451

Nuclear medicine study of lung ventilation and blood circulation in the lungs 78582 1925

Nuclear medicine study with measurement of blood circulation in the lungs and ve 78598 2269

Imaging of brain with blood flow, less than 4 static views 78601 763

Imaging of brain, blood flow 78610 626

Imaging of brain and spinal cord fluid flow at base of brain 78630 926

Nuclear medicine study of kidney with assessment of blood flow and function 78707 1025

Nuclear medicine study of kidney with assessment of blood flow and function 78708 1062

Nuclear medicine study of kidney with assessment of blood flow and function 78709 2403

Nuclear medicine study of radioactive material distribution at tumor location 78800 1031

Nuclear medicine study of radioactive material distribution at multiple tumor loca 78801 1591

Nuclear medicine study of radioactive material distribution at tumor locations in w 78802 3564

Nuclear medicine study of radioactive material distribution 78803 1803

Nuclear medicine study of radioactive material distribution of whole body, requiri 78804 3655

Injection of radioactive contrast material into a vein for non-imaging gamma prob 78808 509

Nuclear medicine study with CT imaging skull base to mid-thigh 78815 2952

Nuclear medicine study with CT imaging whole body 78816 2952

#N/A 78830 3460

#N/A 78832 3925

Oral administration of radioactive material therapy agent 79005 1302

Oral administration of radioactive material therapy agent 79005 1341

Page 24: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Radioactive material therapy into vein 79101 655

Radioactive material therapy into artery 79445 1144

Blood test, basic group of blood chemicals 80048 96

Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) 80051 68

Blood test, comprehensive group of blood chemicals 80053 140

Blood test, lipids (cholesterol and triglycerides) 80061 106

Kidney function blood test panel 80069 104

Acute hepatitis panel 80074 330

Liver function blood test panel 80076 99

Amikacin (antibiotic) level 80150 73

Caffeine level 80155 146

Carbamazepine level 80156 102

Carbamazepine level 80157 79

Cyclosporine level 80158 117

Clozapine level 80159 121

Digoxin level 80162 77

Valproic acid level 80164 118

Ethosuximide level 80168 138

Everolimus level 80169 95

Gentamicin (antibiotic) level 80170 131

Gabapentin level 80171 95

Haloperidol level 80173 76

Lamotrigine level 80175 114

Lidocaine level 80176 81

Levetiracetam level 80177 95

Lithium level 80178 72

Oxcarbazepine level 80183 100

Phenobarbital level 80184 91

Phenytoin level 80185 81

Phenytoin level 80186 59

Primidone level 80188 108

Sirolimus level 80195 87

Tacrolimus level 80197 136

Theophylline level 80198 77

Tobramycin (antibiotic) level 80200 98

Topiramate level 80201 87

Vancomycin (antibiotic) level 80202 96

Zonisamide level 80203 95

Quantitation of therapeutic drug 80299 95

Testing for presence of drug 80307 156

Alkaloids levels 80323 143

Amphetamines levels 80324 138

Analgesics levels 80329 143

Antidepressants levels 80335 143

Barbiturates levels 80345 143

Benzodiazepines levels 80346 143

Buprenorphine level 80348 127

Page 25: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Cocaine level 80353 143

Methadone level 80358 143

Opiates levels 80361 143

Oxycodone levels 80365 138

Propoxyphene level 80367 143

Skeletal muscle relaxants levels 80369 143

Thyrotropin releasing hormone (TRH) (hypothalamus hormone) stimulation panel 80438 153

Manual urinalysis test with examination using microscope 81001 79

Automated urinalysis test 81003 27

Urine pregnancy test 81025 102

Gene analysis (cystic fibrosis transmembrane conductance regular) common varia 81220 406

Gene analysis (prothrombin, coagulation factor II) A variant 81240 154

Gene analysis (coagulation factor V) Leiden variant 81241 156

Gene analysis (fragile X mental retardation) abnormal alleles 81243 434

Gene analysis (hemochromatosis) common variants 81256 382

Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants 81291 296

Gene analysis (serpin peptidase inhibitor, clade A, alpha-1 antiproteinase, antitryp 81332 198

Gene rearrangement analysis detection abnormal clonal population (T cell antigen 81342 430

HLA class I typing, low resolution one antigen equivalent 81374 252

HLA class II typing low resolution one locus 81376 386

HLA class II typing high resolution one locus 81382 529

Molecular pathology procedure level 2 81401 414

Molecular pathology procedure level 3 81402 425

Molecular pathology procedure 81479 627

Ketone bodies analysis 82009 39

Ketone bodies analysis 82010 67

Adrenocorticotropic hormone (ACTH) level 82024 149

Albumin (protein) level 82040 30

Cerebrospinal fluid, or amniotic fluid albumin (protein) level 82042 30

Urine microalbumin (protein) level 82043 62

Aldolase (enzyme) level 82085 57

Aldosterone hormone level 82088 144

Alpha-1-antitrypsin (protein) blood test 82103 88

Alpha-1-antitrypsin (protein) blood test 82104 91

Alpha-fetoprotein (AFP) level, serum 82105 94

Alpha-fetoprotein (AFP) analysis 82107 196

Aluminum level 82108 98

Amino acid analysis 82131 129

Amino acid level, multiple amino acids 82139 286

Ammonia level 82140 88

Amylase (enzyme) level 82150 77

Androstenedione (hormone) level 82157 105

Angiotensin l - converting enzyme (ACE) level 82164 82

Arsenic level 82175 84

Beta-2 microglobulin (protein) level 82232 80

Bile acids level 82239 76

Bilirubin level 82247 72

Page 26: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Bilirubin level 82248 66

Specimen analysis for blood 82271 25

Stool analysis for blood 82272 24

Stool analysis for blood 82274 88

Cadmium level 82300 70

Vitamin D-3 level 82306 128

Calcitonin (hormone) level 82308 113

Calcium level 82310 35

Calcium level 82330 73

Urine calcium level 82340 53

Chemical analysis of stone 82360 77

Carbon dioxide (bicarbonate) level 82374 52

Carboxyhemoglobin (protein) level 82375 71

Carcinoembryonic antigen (CEA) protein level 82378 126

Catecholamines (organic nitrogen) level 82384 139

Ceruloplasmin (protein) level 82390 70

Analysis using chemiluminescent technique (light and chemical )reaction 82397 129

Blood chloride level 82435 44

Urine chloride level 82436 50

Chloride level 82438 55

Screening test for chlorinated hydrocarbons 82441 239

Cholesterol level 82465 33

Cholinesterase (enzyme) level, to test for exposure to chemical or liver disease 82480 54

Chromium level to test for poisoning or deficiency 82495 84

Citrate level 82507 107

Collagen cross links test, (urine test to evaluate bone health) 82523 84

Copper level 82525 61

Cortisol (hormone) measurement 82530 96

Cortisol (hormone) measurement 82533 98

Chemical analysis using chromatography technique 82542 143

Creatine kinase (cardiac enzyme) level 82550 47

Creatine kinase (cardiac enzyme) level 82552 84

Creatine kinase (cardiac enzyme) level 82553 77

Blood creatinine level 82565 57

Creatinine level to test for kidney function or muscle injury 82570 60

Creatinine clearance measurement to test for kidney function 82575 106

Cryofibrinogen (protein) level 82585 48

Cryoglobulin (protein) measurement 82595 54

Cyanocobalamin (vitamin B-12) level 82607 77

Cystatin C (enzyme inhibitor) level 82610 60

Dehydroepiandrosterone (DHEA) hormone level 82626 100

Dehydroepiandrosterone (DHEA-S) hormone level 82627 122

Desoxycorticosterone, 11 (hormone) level 82633 168

Dihydroxyvitamin D, 1, 25 level 82652 191

Pancreatic elastase (enzyme) measurement 82656 262

Erythropoietin (protein) level 82668 107

Estradiol (hormone) level 82670 132

Page 27: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Estrogen analysis 82671 157

Estrogen analysis 82672 137

Estriol (hormone) level 82677 94

Estrone (hormone) level 82679 99

Ethylene glycol (antifreeze) measurement 82693 150

Stool fat analysis 82705 33

Ferritin (blood protein) level 82728 77

Fetal fibronectin (protein) analysis 82731 323

Fluoride level 82735 123

Folic acid level 82746 80

Folic acid level 82747 75

Gammaglobulin (immune system protein) measurement 82784 56

IgE (immune system protein) level 82785 89

Gammaglobulin (immune system protein) measurement 82787 49

Blood pH level 82800 83

Blood gases measurement 82803 137

Blood gas, oxygen saturation measurement 82810 62

Gastrin (GI tract hormone) level 82941 92

Glucose (sugar) level on body fluid 82945 53

Blood glucose (sugar) level 82947 31

Blood glucose (sugar) level after receiving dose of glucose 82950 59

Blood glucose (sugar) tolerance test 82951 88

Blood glucose (sugar) tolerance test 82952 23

G6PD (enzyme) level 82955 73

Blood glucose (sugar) test performed by hand-held instrument 82962 45

Glutamyltransferase (liver enzyme) level 82977 74

Gonadotropin, follicle stimulating (reproductive hormone) level 83001 114

Gonadotropin, luteinizing (reproductive hormone) level 83002 117

Human growth hormone level 83003 72

Haptoglobin (serum protein) level 83010 89

Heavy metal level 83018 102

Hemoglobin analysis and measurement 83020 77

Hemoglobin analysis and measurement 83021 58

Fetal hemoglobin analysis 83033 49

Hemoglobin A1C level 83036 60

Methemoglobin (hemoglobin) analysis 83050 55

Sulfhemoglobin (hemoglobin) level 83060 34

Hemosiderin (hemoglobin breakdown product) analysis 83070 44

Homocysteine (amino acid) level 83090 134

Homovanillic acid (organic acid) level 83150 66

Hydroxyindolacetic acid (product of metabolism) level 83497 79

Hydroxyprogesterone, 17-D (synthetic hormone) level 83498 116

Analysis of substance using immunoassay technique 83516 77

Measurement of substance using immunoassay technique 83519 138

Measurement of substance using immunoassay technique 83520 129

Insulin measurement 83525 63

Insulin measurement 83527 80

Page 28: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Iron level 83540 46

Iron binding capacity 83550 48

Lactic acid level 83605 72

Lactate dehydrogenase (enzyme) level 83615 63

Stool lactoferrin (immune system protein) analysis 83630 77

Lead level 83655 61

Fetal lung maturity assessment 83664 76

Lipase (fat enzyme) level 83690 90

Lipoprotein level 83700 87

Lipoprotein measurement 83701 75

HDL cholesterol level 83718 48

Magnesium level 83735 50

Manganese (heavy metal) level 83785 77

Mass spectrometry (laboratory testing method) 83789 143

Mercury level 83825 70

Metanephrines level 83835 98

Myoglobin (muscle protein) level 83874 77

Myeloperoxidase (white blood cell enzyme) measurement 83876 83

Natriuretic peptide (heart and blood vessel protein) level 83880 126

Nephelometry, test method using light 83883 60

Measurement of immune substance (oligoclonal bands) 83916 104

Organic acid level 83921 112

Blood osmolality (concentration) measurement 83930 55

Urine osmolality (concentration) measurement 83935 52

Oxalate level 83945 62

Parathormone (parathyroid hormone) level 83970 167

Body fluid pH level 83986 39

PCP drug level 83992 102

Stool calprotectin (protein) level 83993 256

Phenylalanine, PKU (amino acid) level 84030 112

Phosphatase (enzyme) level 84075 66

Phosphatase (enzyme) level 84078 126

Phosphatase (enzyme) measurement 84080 78

Phosphate level 84100 35

Urine phosphate level 84105 49

Urine porphobilinogen (metabolism substance) level 84110 52

Cervicovaginal secretion of placenta protein 84112 180

Urine porphyrins (metabolism substance) measurement 84120 88

Blood potassium level 84132 32

Urine potassium level 84133 48

Prealbumin (protein) level 84134 69

Pregnenolone (reproductive hormone) level 84140 126

17-hydroxypregnenolone (hormone) level 84143 137

Progesterone (reproductive hormone) level 84144 98

Procalcitonin (hormone) level 84145 233

Prolactin (milk producing hormone) level 84146 131

PSA (prostate specific antigen) measurement 84153 123

Page 29: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

PSA (prostate specific antigen) measurement 84154 70

Total protein level, blood 84155 56

Total protein level, urine 84156 60

Total protein level, body fluid 84157 60

Pregnancy-associated plasma protein-A level 84163 74

Protein measurement, serum 84165 66

Protein measurement, body fluid 84166 98

Protein measurement 84182 191

Protoporphyrin (metabolism substance) level 84202 62

Proinsulin (pancreatic hormone) level 84206 145

Vitamin B-6 level 84207 127

Pyruvate (organic acid) level 84210 71

Quinine (drug) level 84228 48

Chemical receptor analysis 84238 176

Renin (kidney enzyme) level 84244 104

Vitamin B-2 (riboflavin) level 84252 175

Selenium (vitamin) level 84255 84

Serotonin (hormone) level 84260 107

Sex hormone binding globulin (protein) level 84270 75

Blood sodium level 84295 44

Urine sodium level 84300 57

Sodium level 84302 40

Somatomedin (growth factor) level 84305 108

Specific gravity (liquid weight) measurement 84315 19

Carbohydrate analysis 84376 40

Testosterone (hormone) level 84402 110

Testosterone (hormone) level 84403 129

Vitamin B-1 (thiamine) level 84425 123

Thyroglobulin (thyroid related hormone) level 84432 73

Thyroxine (thyroid chemical) measurement 84436 56

Thyroxine (thyroid chemical) measurement 84439 68

Thyroxine binding globulin (thyroid related protein) level 84442 65

Blood test, thyroid stimulating hormone (TSH) 84443 81

Thyroid stimulating immune globulins (thyroid related protein) level 84445 188

Vitamin E level 84446 79

Liver enzyme (SGOT), level 84450 69

Liver enzyme (SGPT), level 84460 72

Transferrin (iron binding protein) level 84466 66

Triglycerides level 84478 37

Thyroid hormone evaluation 84479 55

Thyroid hormone, T3 measurement 84480 92

Thyroid hormone, T3 measurement 84481 102

Thyroid hormone, T3 measurement 84482 111

Troponin (protein) analysis 84484 90

Tyrosine (amino acid) level 84510 48

Urea nitrogen level to assess kidney function 84520 56

Urea nitrogen level to assess kidney function 84540 53

Page 30: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Urea nitrogen level to assess kidney function 84545 60

Uric acid level, blood 84550 62

Uric acid level 84560 62

Urine vanillylmandelic acid 84585 81

Vasoactive intestinal peptide (intestinal hormone) level 84586 136

Vitamin A level 84590 72

Vitamin K level 84597 91

Volatile chemical measurement 84600 70

Zinc level 84630 68

C-peptide (protein) level 84681 112

Gonadotropin, chorionic (reproductive hormone) level 84702 141

Gonadotropin (reproductive hormone) analysis 84703 113

Chemistry procedures 84999 142

White blood cell count 85004 30

Red blood cell hemoglobin concentration 85013 29

Red blood cell concentration measurement 85014 23

Hemoglobin measurement 85018 27

Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 147

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027 54

Red blood cell count, automated test 85041 22

Red blood count, automated test 85045 36

Automated white blood cell count 85048 30

Platelet count, automated test 85049 45

Bone marrow, smear interpretation 85097 247

Clotting factor II prothrombin, measurement 85210 148

Clotting factor V (AcG or proaccelerin) measurement 85220 163

Clotting factor VII (proconvertin, stable factor) 85230 163

Clotting factor VIII (AHG) measurement 85240 158

Clotting factor VIII related antigen measurement 85244 220

Clotting factor VIII (VW factor) measurement 85245 121

Clotting factor VIII (VW factor) antigen 85246 133

Clotting factor IX (PTC or Christmas) measurement 85250 185

Clotting factor XIII (fibrin stabilizing) measurement 85290 180

Fletcher factor (clotting factor) measurement 85292 158

Fitzgerald factor (clotting factor) measurement 85293 172

Antithrombin III antigen (clotting inhibitor) activity 85300 131

Protein C antigen (clotting inhibitor) measurement 85303 190

Protein S (clotting inhibitor) level 85305 180

Activated protein resistance assay 85307 119

Clotting factor inhibitor test 85335 155

Coagulation time measurement 85347 60

Coagulation function measurement 85379 134

Fibrinogen (factor 1) activity measurement 85384 68

Coagulation function screening test with interpretation and report 85390 57

Measurement of blood coagulation and fibrinolysis (clot dissolving) function 85397 209

Plasminogen (fibrinolytic factor) measurement 85420 107

Fetal hemoglobin or red blood cells measurement for assessment of fetal-materna 85460 94

Page 31: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Fetal hemoglobin or red blood cells measurement for assessment of fetal-materna 85461 53

Heparin assay 85520 124

Platelet function test 85576 135

Phospholipid test 85598 113

Blood test, clotting time 85610 39

Blood test, clotting time 85611 39

Clotting factor X assessment test 85613 68

Red blood cell sedimentation rate, to detect inflammation 85652 35

Red blood cell sickling measurement 85660 49

Thrombin time, fibrinogen screening test 85670 55

Coagulation assessment blood test 85730 50

Coagulation assessment blood test 85732 46

Measurement of antibody to infectious organism 86000 61

Measurement of antibody (IgG) to allergic substance 86001 29

Measurement of antibody (IgE) to allergic substance 86003 30

Antibody identification test for platelet antibodies 86022 146

Screening test for autoimmune disorder 86038 68

Measurement of antibody for assessment of autoimmune disorder 86039 91

Measurement for Strep antibody (strep throat) 86060 80

Blood bank physician services for investigation of transfusion reaction with written 86078 157

Measurement C-reactive protein for detection of infection or inflammation 86140 55

Measurement C-reactive protein for detection of infection or inflammation 86141 67

Beta 2 glycoprotein 1 antibody (autoantibody) measurement 86146 100

Cardiolipin antibody (tissue antibody) measurement 86147 110

Phospholipid antibody (autoimmune antibody) measurement 86148 77

Measurement of cold agglutinin (protein) to screen for infection or disease 86156 66

Measurement of cold agglutinin (protein) to detect infection or disease 86157 85

Measurement of complement (immune system proteins) 86160 109

Measurement of complement function (immune system proteins) 86161 128

Measurement of complement (immune system proteins) 86162 123

Measurement of antibody for rheumatoid arthritis assessment 86200 75

Measurement of DNA antibody 86225 99

Measurement of antibody for assessment of autoimmune disorder 86235 110

Screening test for antibody to noninfectious agent 86255 166

Measurement of antibody to noninfectious agent 86256 116

Immunologic analysis for detection of tumor antigen 86300 112

Immunologic analysis for detection of tumor antigen 86301 116

Immunologic analysis for detection of tumor antigen 86304 104

Screening test for mononucleosis (mono) 86308 73

Analysis for detection of tumor marker 86316 146

Detection of infectious agent antibody 86317 79

Immunologic analysis technique on serum 86334 100

Immunologic analysis technique on body fluid 86335 111

Inhibin A (reproductive organ hormone) measurement 86336 89

Intrinsic factor (stomach protein) antibody measurement 86340 88

Islet cell (pancreas) antibody measurement 86341 115

Analysis of cell function and analysis for genetic marker 86352 317

Page 32: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Total cell count for B cells (white blood cells) 86355 164

White blood cell antigen measurement 86356 143

Total cell count for natural killer cells (white blood cell) 86357 171

T cells count, total 86359 185

T cell count and ratio 86360 233

T cell count and ratio 86361 155

Microsomal antibodies (autoantibody) measurement 86376 106

Viral neutralization test to detect viral antibody level 86382 93

Nitroblue tetrazolium dye test to measure white blood cell function 86384 178

Rheumatoid factor level 86431 80

Tuberculosis test 86480 188

Syphilis detection test 86592 67

Syphilis test 86593 76

Analysis for antibody to aspergillus (fungus) 86606 96

Analysis for antibody bacteria 86609 65

Analysis for antibody to Bartonella (bacteria) 86611 48

Analysis for antibody to blastomyces (fungus) 86612 90

Analysis for antibody bordetella (respiratory bacteria) 86615 88

Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria) 86617 80

Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) 86618 107

Analysis for antibody to Brucella (bacteria) 86622 52

Analysis for antibody to Candida (yeast) 86628 60

Analysis for antibody to Chlamydia (bacteria) 86631 44

Analysis for antibody (IgM) to Chlamydia (bacteria) 86632 43

Analysis for antibody to Coccidioides (bacteria) 86635 82

Analysis for antibody to Coxiella burnetii (Q fever bacteria) 86638 61

Analysis for antibody to Cytomegalovirus (CMV) 86644 88

Analysis for antibody (IgM) to Cytomegalovirus (CMV) 86645 70

Analysis for antibody to Diphtheria (bacteria) 86648 109

Analysis for antibody to La crosse (California) virus (encephalitis causing virus) 86651 55

Analysis for antibody to Eastern equine virus (viral encephalitis) 86652 55

Analysis for antibody to St. Louis virus (viral encephalitis) 86653 55

Analysis for antibody to Western equine virus (viral encephalitis) 86654 55

Analysis for antibody to Enterovirus (gastrointestinal virus) 86658 85

Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 86663 67

Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 86664 69

Analysis for antibody to Epstein-Barr virus (mononucleosis virus) 86665 85

Analysis for antibody to Ehrlichia (bacteria transmitted by ticks) 86666 111

Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) 86677 128

Analysis for antibody to helminth (intestinal worm) 86682 130

Confirmation test for antibody to Human T-cell lymphotropic virus (HTLV) or HIV 86689 140

Analysis for antibody to Hepatitis D virus 86692 100

Analysis for antibody to Herpes simplex virus 86694 68

Analysis for antibody to Herpes simplex virus, type 1 86695 77

Analysis for antibody to Herpes simplex virus, type 2 86696 87

Analysis for antibody to histoplasma (fungus) 86698 90

Analysis for antibody to HIV -1 virus 86701 113

Page 33: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Analysis for antibody to HIV-2 virus 86702 100

Hepatitis B core antibody measurement 86704 61

Hepatitis B core antibody (IgM) measurement 86705 84

Hepatitis B surface antibody measurement 86706 93

Hepatitis Be antibody measurement 86707 65

Measurement of Hepatitis A antibody 86708 77

Measurement of Hepatitis A antibody (IgM) 86709 80

Analysis for antibody to Influenza virus 86710 61

Analysis for antibody to lymphocytic choriomeningitis virus (viral meningitis) 86727 54

Analysis for antibody to mumps virus 86735 66

Analysis for antibody to Mycoplasma (bacteria) 86738 100

Analysis for antibody to parvovirus 86747 73

Analysis for antibody to Plasmodium (malaria parasite) 86750 75

Analysis for antibody to respiratory syncytial virus (RSV) 86756 90

Analysis for antibody to Rickettsia (bacteria) 86757 111

Analysis for antibody to Rubella (German measles virus) 86762 80

Analysis for antibody to Rubeola (measles virus) 86765 64

Analysis for antibody to Salmonella (intestinal bacteria) 86768 41

#N/A 86769 186

Analysis for antibody to Toxoplasma (parasite) 86777 87

Analysis for antibody (IgM) to Toxoplasma (parasite) 86778 92

Analysis for antibody, Treponema pallidum 86780 69

Analysis for antibody to varicella-zoster virus (chicken pox) 86787 82

Analysis for antibody (IgM) to West Nile virus 86788 107

Analysis for antibody to West Nile virus 86789 104

Analysis for antibody to virus 86790 98

Thyroglobulin (thyroid protein) antibody measurement 86800 80

Hepatitis C antibody measurement 86803 103

Immunologic analysis for autoimmune disease 86812 165

Screening test for red blood cell antibodies 86850 69

Removal of antibodies from surface of red blood cell 86860 102

Identification of red blood cell antibodies 86870 148

Red blood cell antibody detection test 86880 77

Red blood cell antibody level 86886 85

Processing and storage of blood unit or component 86890 197

Blood group typing (ABO) 86900 48

Blood typing for Rh (D) antigen 86901 41

Screening test for compatible blood unit 86902 85

Blood typing for red blood cell antigens 86905 77

Blood typing for Rh (D) antigen 86906 125

Blood unit compatibility test 86920 100

Blood unit compatibility test 86921 73

Blood unit compatibility test 86922 106

Blood unit compatibility test 86923 124

Pooling of platelets or other blood products 86965 81

Pretreatment of red blood cells for use in red blood cells antibody analysis and me 86970 76

Pretreatment of serum for use in red blood cell antibody analysis and measureme 86976 48

Page 34: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Pretreatment of serum for use in red blood cell antibody analysis and measureme 86977 88

Pretreatment of serum for use in red blood cell antibody analysis and measureme 86978 96

Splitting of blood or blood products 86985 75

Concentration of specimen for infectious agents 87015 48

Bacterial blood culture 87040 109

Stool culture 87046 57

Bacterial culture 87070 104

Bacterial culture 87075 164

Bacterial culture for anaerobic isolates 87076 94

Bacterial culture for aerobic isolates 87077 46

Screening test for pathogenic organisms 87081 51

Bacterial colony count, urine 87086 63

Fungal culture (mold or yeast) of skin, hair, or nail 87101 74

Fungal culture (mold or yeast) 87102 84

Fungal blood culture (mold or yeast) 87103 74

Fungal culture, yeast 87106 50

Culture for identification of yeast 87107 54

Culture for acid-fast bacilli 87116 84

Identification of mycobacteria (TB or TB like organism) 87118 67

Identification of organisms by immunologic analysis 87140 41

Identification of organisms by immunologic analysis 87147 45

Identification of organisms by genetic analysis 87153 328

Macroscopic examination (visual inspection) of insect 87168 43

Macroscopic examination (visual inspection) of parasite 87169 43

Pinworm test 87172 40

Tissue preparation for culture 87176 58

Smear for parasites 87177 60

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) 87181 53

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) 87184 91

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) 87185 46

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) 87186 130

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) 87186 156

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) 87188 50

Antimicrobial study, mycobacteria (TB organism family) 87190 33

Special stain for microorganism 87205 39

Special stain for microorganism 87206 62

Special stain for microorganism 87207 78

Special stain for parasites 87209 80

Smear for infectious agents 87210 55

Tissue fungi or parasites 87220 32

Microbial toxin or antitoxin assay 87230 78

Tissue culture inoculation for virus isolation 87252 130

Tissue culture for virus isolation 87253 103

Virus isolation 87254 116

Virus isolation 87255 187

Detection test for legionella pneumophila (water borne bacteria) 87278 83

Detection test for aspergillus (fungus) 87305 96

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Description CPT-4 Base Price Schedule

Detection test for clostridium difficile toxins (stool pathogen) 87324 65

Detection test for cryptosporidium (parasite) 87328 68

Detection test for giardia (intestinal parasite) 87329 81

Qualitative or semiquantitative detection test for helicobacter pylori in stool, mult 87338 112

Detection test for Hepatitis B surface antigen 87340 62

Detection test for Hepatitis Be surface antigen 87350 56

Detection test for histoplasma capsulatum (parasite) 87385 99

Detection test for HIV-1 and HIV-2 87389 132

Detection test for Rotavirus 87425 82

Detection test for Strep (Streptococcus, group A) 87430 72

Immunologic analysis for detection of organism 87449 161

Test for detecting nucleic acid of organism causing infection of central nervous sys 87483 884

Detection test for Chlamydia pneumoniae 87486 130

Detection test for chlamydia 87491 150

Detection test for clostridium difficile 87493 205

Detection test for Cytomegalovirus (CMV) 87496 152

Detection test for cytomegalovirus, quantification 87497 275

Detection test for enterovirus (intestinal virus) 87498 195

Detection test for digestive tract pathogen 87505 209

Detection test for Hepatitis B virus 87517 187

Detection test for Hepatitis C virus 87522 252

Detection test for herpes simplex virus 87529 206

Detection test for HIV-1 virus 87535 242

Detection test for HIV-1 virus 87536 259

Detection test for Mycobacteria species (bacteria) 87550 72

Detection test for Mycoplasma pneumoniae (bacteria) 87581 146

Detection test for Neisseria gonorrhoeae (gonorrhoeae bacteria) 87591 145

Detection test for human papillomavirus (hpv) 87624 107

Detection test for human papillomavirus (hpv) 87625 214

Detection test for multiple types of respiratory virus 87631 491

Detection test for multiple types of respiratory virus 87633 1087

#N/A 87635 154

Detection test for Staphylococcus aureus, methicillin resistant (MRSA bacteria) 87641 204

Detection test for Strep (Streptococcus, group B) 87653 218

Detection test for Trichomonas vaginalis (genital parasite) 87661 160

Detection test for organism 87798 206

Detection test for organism 87799 238

Detection test for multiple organisms 87801 204

Detection test for influenza virus 87804 77

Detection test for respiratory syncytial virus (RSV) 87807 90

Detection test for identification of organism 87899 74

Infectious agent drug susceptibility analysis 87900 508

Analysis test for Hepatitis C virus 87902 630

Analysis test for HIV-1 virus 87903 939

Analysis test for HIV-1 virus 87904 131

Cell examination of body fluid 88104 88

Cell examination of specimen 88108 117

Page 36: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Cell examination of specimen 88112 113

Pap test (Pap smear) 88142 71

Examination of cervical or vaginal slide for hormonal evaluation 88155 21

Screening examination of specimen cells 88161 81

Pap test (Pap smear) 88164 33

Evaluation of fine needle aspirate 88172 129

Evaluation of fine needle aspirate with interpretation and report 88173 143

Pap test 88175 147

Flow cytometry technique for DNA or cell analysis 88184 150

Flow cytometry technique for DNA or cell analysis 88185 94

Tissue culture to identify white blood cell disorders 88230 354

Tissue culture for disorders of amniotic fluid or placenta cells 88235 448

Cryopreservation, freezing and storage of cells 88240 103

Chromosome analysis of amniotic fluid or placenta for genetic defects 88267 547

Chromosome analysis of amniotic fluid for genetic defects 88269 507

DNA testing for genetic defects 88271 181

Chromosome analysis for genetic defects 88273 177

Genetic testing 88274 186

Genetic testing 88275 190

Chromosome analysis for genetic defects 88280 151

Genetic studies 88299 52

Pathology examination of tissue using a microscope, limited examination 88300 70

Pathology examination of tissue using a microscope 88302 121

Pathology examination of tissue using a microscope, moderately low complexity 88304 163

Pathology examination of tissue using a microscope, intermediate complexity 88305 229

Pathology examination of tissue using a microscope, moderately high complexity 88307 335

Pathology examination of tissue using a microscope, high complexity 88309 416

Preparation of tissue for examination by removing any calcium present 88311 50

Special stained specimen slides to identify organisms including interpretation and 88312 142

Special stained specimen slides to examine tissue including interpretation and rep 88313 135

Special stained specimen slides to examine tissue and frozen preparation of specim 88314 138

Evaluation of specimen enzymes 88319 206

Surgical pathology consultation and report 88321 152

Comprehensive surgical pathology consultation and report 88325 414

Pathology examination of specimen during surgery 88329 63

Pathology examination of tissue during surgery 88331 178

Pathology examination of specimen during surgery 88332 80

Special stained specimen slides to examine tissue 88341 207

Tissue or cell analysis by immunologic technique 88342 207

Special stained specimen slides to examine tissue 88344 215

Antibody evaluation 88346 167

Microscopic genetic analysis of tumor 88360 191

Microscopic genetic analysis of tumor 88361 270

Analysis of genetic material 88365 302

Body fluid cell count 89050 81

Body fluid cell count with cell identification 89051 93

White blood cell measure, stool specimen 89055 37

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Description CPT-4 Base Price Schedule

Crystal identification from tissue or body fluid 89060 57

Fat stain of stool, urine, or respiratory secretions 89125 37

Examination of stool for meat fibers 89160 29

Nasal smear for eosinophils (allergy related white blood cells) 89190 45

Sputum specimen collection 89220 74

Sweat collection 89230 153

Semen evaluation volume, sperm count, motility and analysis 89320 100

Semen analysis for sperm presence 89321 57

Administration of 1 vaccine 90471 56

Administration of vaccine 90472 33

Psychotherapy, 30 minutes 90832 219

Psychotherapy, 60 minutes 90837 397

Group psychotherapy 90853 244

Hemodialysis procedure with one physician evaluation 90935 917

Dialysis procedure including one evaluation 90945 549

Measurement of esophageal swallowing movement 91010 1576

Monitoring and recording of gastroesophageal reflux with pH electrode insertion i 91035 1524

Imaging of digestive tract done from the inside of the digestive tract 91110 3245

Study of anorectal pressure generated by muscles surrounding anus (sphincter) 91122 1432

Measuring the stiffness in the liver via elastography 91200 202

Treatment of speech, language, voice, communication, and/or hearing processing 92507 308

Group treatment of speech, language, voice, communication, and/or hearing proc 92508 78

Examination of the nose and throat using an endoscope 92511 205

Evaluation of speech fluency 92521 235

Evaluation of speech sound production 92522 235

Evaluation of speech sound production with evaluation of language comprehensio 92523 242

Behavioral and qualitative analysis of voice and resonance 92524 235

Treatment of swallowing and/or oral feeding function 92526 312

Placement of scalp electrodes for assessment and recording of responses from sev 92586 381

Evaluation of patient with prescription of speech-generating and alternative comm 92607 362

Evaluation and prescription of speech-generating and alternative communication 92608 203

Therapeutic services for use of speech-generating device with programming 92609 239

Evaluation of swallowing function 92610 216

Fluoroscopic and video recorded motion evaluation of swallowing function 92611 299

Balloon dilation of narrowed or blocked major coronary artery or branch (accesse 92920 12441

Balloon dilation of narrowed or blocked major coronary artery or branch (accesse 92921 5745

Removal of plaque of major coronary artery or branch, accessed through the skin 92924 16601

Removal of plaque of major coronary artery or branch, accessed through the skin 92925 8709

Catheter insertion of stents in major coronary artery or branch, accessed through 92928 17483

Catheter insertion of stents in major coronary artery or branch, accessed through 92928 18913

Catheter placement of stents in major coronary artery or branch, accessed throug 92929 8153

Catheter placement of stents in major coronary artery or branch, accessed throug 92929 9412

Removal of plaque and insertion of stent in major coronary artery or branch, acce 92933 19067

Removal of plaque and insertion of stent in major coronary artery or branch, acce 92933 20427

Removal of plaque and insertion of stent in major coronary artery or branch, acce 92934 8255

Removal of plaque and insertion of stent in major coronary artery or branch, acce 92934 9422

Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, ac 92937 18750

Page 38: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, ac 92937 19110

Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, ac 92938 8969

Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, ac 92938 10234

Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel du 92941 18708

Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel du 92941 19500

Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, ac 92943 18795

Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, ac 92943 19398

Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, ac 92944 8672

Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, ac 92944 10258

Attempt to restart heart and lungs 92950 876

Temporary pacemaker to regulate heart beat 92953 500

External shock to heart to regulate heart beat 92960 1082

Removal of blood clot in heart artery, accessed through the skin 92973 3380

Infusion of drug into vein to dissolve coronary blood clot 92977 901

Ultrasound evaluation of heart blood vessel or graft 92978 3137

Ultrasound evaluation of heart blood vessel or graft 92979 2137

Catheter based repair of left lower heart (aortic) valve, accessed through the skin 92986 11631

Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 366

Exercise or drug-induced heart and blood vessel stress test with EKG tracing and m 93017 656

Heart rhythm tracing of 48-hour EKG 93225 310

Heart rhythm analysis, interpretation and report of 48-hour EKG 93226 390

Ultrasound examination of congenital heart defect 93303 1491

Ultrasound examination of congenital heart defect 93303 2082

Follow-up or limited ultrasound examination of congenital heart defect 93304 1288

Ultrasound examination of heart including color-depicted blood flow rate, directio 93306 3116

Follow-up or limited ultrasound examination of heart 93308 857

Insertion of probe in esophagus for heart ultrasound examination including interp 93312 2486

Insertion of probe in esophagus for heart ultrasound examination 93313 1088

Ultrasound examination of the heart performed during rest, exercise, and/or drug 93350 1855

Injection of X-ray contrast material for ultrasound examination of the heart 93352 155

Insertion of catheter for diagnostic evaluation of right heart structures 93451 5974

Insertion of catheter into left heart for diagnosis 93452 7175

Insertion of catheter into right and left heart for diagnosis 93453 7910

Insertion of catheter for imaging of heart blood vessels or grafts 93454 10347

Insertion of catheter for imaging of heart blood vessels or grafts 93455 9028

Insertion of catheter in right heart for X-ray imaging of blood vessels or grafts 93456 11490

Insertion of catheter in right heart for imaging of blood vessels or grafts 93457 12627

Insertion of catheter in left heart for imaging of blood vessels or grafts and left low 93458 18433

Insertion of catheter in left heart for imaging of blood vessels or grafts and left low 93459 16523

Insertion of catheter in right and left heart for imaging of blood vessels or grafts a 93460 17883

Insertion of catheter in right and left heart for imaging of blood vessels or grafts a 93461 17837

Insertion of catheter into left heart for diagnosis 93462 7232

Drug infusion during cardiac catheterization 93463 733

Insertion of catheter into right upper heart chamber and pulmonary (lung) artery 93503 1580

Biopsy of the wall dividing the left and right heart 93505 6075

Injection for X-ray imaging of aorta above heart valve 93567 924

Injection for X-ray imaging of pulmonary (lung) artery from heart 93568 1317

Page 39: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Ultrasound evaluation of heart blood vessel during diagnosis or treatment 93571 3308

Ultrasound evaluation of heart blood vessel during diagnosis or treatment 93572 1510

Catheter based closure of congenital heart defect with implant, accessed through 93580 16790

Insertion of catheter for recording upper heart rhythm 93600 2518

Insertion of catheter for recording upper heart rhythm 93602 2406

Insertion of catheter for recording of right lower heart chamber rhythm 93603 3306

Insertion of catheter for recording to identify origin of abnormal heart rhythm 93609 4569

Insertion of temporary pacemaker electrode for diagnostic upper heart pacing 93610 2657

Insertion of temporary pacemaker electrode for diagnostic lower heart pacing 93612 3129

Insertion of catheters for 3D mapping of electrical impulses to heart muscles 93613 6818

Insertion of catheters for recording and pacing right upper and lower heart rhythm 93619 5955

Insertion of catheters for recording, pacing, and attempted induction of abnormal 93620 10939

Insertion of catheters for recording, pacing, and attempted induction of abnormal 93621 7234

Insertion of catheters for recording, pacing, and attempted induction of abnormal 93622 6892

Programmed heart rhythm stimulation after drug infusion into a vein 93623 4603

Insertion of catheters for assessment of heart pacing, recording, or attempted ind 93624 5057

Intra-operative heart pacing and mapping of abnormal heart rhythm for surgical c 93631 3912

Evaluation of single or dual chamber pacing cardioverter-defibrillator and generat 93641 2560

Evaluation of single or dual chamber pacing cardioverter-defibrillator with program 93642 2722

Evaluation implantable defibrillator 93644 1648

Insertion of catheters for creation of complete heart block 93650 9401

Evaluation and insertion of catheters for creation of complete heart block 93653 23886

Evaluation and insertion of catheters for recording, pacing, and attempted inducti 93654 25648

Insertion of catheters for treatment of abnormal heart rhythm 93655 8928

Evaluation and insertion of catheters for recording, pacing, and treatment of abno 93656 30852

Destruction of tissue of right or left upper heart chamber via catheter for treatme 93657 9007

Evaluation of heart function using tilt table 93660 1688

Ultrasound evaluation of heart blood vessel 93662 4077

Physician services for outpatient heart cardiac rehabilitation per session 93797 237

Physician services for outpatient heart rehabilitation with continuous EKG monito 93798 259

Ultrasound scanning of blood flow (outside the brain) on both sides of head and n 93880 1323

Ultrasound study of arteries of both arms and legs 93922 279

Ultrasound study of arteries of both arms and legs 93923 477

Ultrasound study of arteries and arterial grafts of both legs 93925 609

Ultrasound study of arteries and arterial grafts of one leg or limited 93926 373

Ultrasound study of arteries and arterial grafts of both arms 93930 609

Ultrasound study of arteries and arterial grafts of one arm or limited 93931 373

Ultrasound scan of veins of both arms or legs including assessment of compressio 93970 1449

Ultrasound scan of veins of one arm or leg or limited including assessment of com 93971 966

Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and ve 93976 668

Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of th 93979 560

#N/A 93985 634

#N/A 93986 305

Ultrasound of dialysis access 93990 382

Ventilation assistance and management, hospital inpatient or observation 94002 1052

Ventilation assistance and management, hospital inpatient or observation 94003 896

Measurement and graphic recording of total and timed exhaled air capacity 94010 180

Page 40: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Measurement and graphic recording of the amount and speed of breathed air, be 94060 347

Multiple measurements and graphic recordings of the amount and speed of breat 94070 518

Measurement of largest amount of air exhaled from lungs 94150 89

Single measurement of remaining air or lung capacity after exhalation 94250 104

Administration of medication through breathing tube 94610 155

Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruct 94640 220

Inhaled pneumonia treatment 94642 340

Initiation and management of continued pressured respiratory assistance by mask 94660 370

Demonstration and/or evaluation of patient use of aerosol generator, nebulizer, m 94664 108

Demonstration and/or evaluation of manual maneuvers to chest wall to assist mo 94667 168

Manual maneuvers to chest wall to assist movement of lung secretions 94668 76

Determination of lung volumes using plethysmography 94726 252

Determination of lung volumes using gas dilution or washout 94727 200

Measurement of lung diffusing capacity 94729 247

Overnight measurement of oxygen saturation in blood using ear or finger device 94762 200

Measurement of exhaled carbon dioxide gas 94770 191

Rapid desensitization procedure, each hour 95180 265

#N/A 95711 734

#N/A 95714 1321

Study of sleep and wake patterns including interpretation and report, minimum o 95803 297

Diagnostic test for sleep disorder 95805 3268

Unattended sleep study with recording of heart rate, oxygen, respiratory airflow a 95806 959

Sleep monitoring of patient (6 years or older) in sleep lab 95810 5306

Sleep monitoring of patient (6 years or older) in sleep lab with continued pressure 95811 5718

Measurement of brain wave (EEG) activity, 41-60 minutes 95812 656

Measurement of brain wave (EEG) activity greater than 1 hour 95813 794

Measurement and recording of brain wave (EEG) activity, awake and drowsy 95816 529

Measurement and recording of brain wave (EEG) activity, awake and asleep 95819 602

Measurement and recording of brain wave (EEG) activity, in coma or asleep 95822 635

Measurement and recording of brain wave (EEG) activity, cerebral death evaluatio 95824 587

Needle measurement and recording of electrical activity of muscles of arm or leg 95860 246

Needle measurement and recording of electrical activity of muscles of arms or leg 95861 436

Needle measurement and recording of electrical activity of muscles in arms or legs 95863 625

Needle measurement and recording of electrical activity of muscles in arms or legs 95864 815

Needle measurement and recording of electrical activity of middle spine muscles 95869 167

Needle measurement and recording of electrical activity of muscles in arm or leg o 95870 150

Needle measurement and recording electrical activity of muscles including jitter b 95872 567

Needle measurement and recording of electrical activity of muscles of arm or leg l 95885 179

Needle measurement and recording of electrical activity of muscles of arm or leg c 95886 205

Needle measurement and recording of electrical activity of head or trunk muscles 95887 141

Nerve transmission studies, 1-2 studies 95907 200

Nerve transmission studies, 3-4 studies 95908 363

Nerve transmission studies, 5-6 studies 95909 437

Nerve transmission studies, 7-8 studies 95910 558

Nerve transmission studies, 9-10 studies 95911 759

Nerve transmission studies, 11-12 studies 95912 929

Nerve transmission studies, 13 or more studies 95913 935

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Description CPT-4 Base Price Schedule

Measurement of nerve conduction patterns of eye blink reflex 95933 162

Testing with stimulation for assessment of function at muscle-nerve junction 95937 218

Repositioning maneuvers for treatment of vertigo, per day 95992 161

Developmental test administration by qualified health care professional with interp 96112 247

Developmental test administration by qualified health care professional with interp 96113 103

Standardized thought processing testing, interpretation, and report per hour 96125 319

Hydration infusion into a vein 31 minutes to 1 hour 96360 262

Hydration infusion into a vein 96361 95

Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour 96365 309

Infusion into a vein for therapy, prevention, or diagnosis 96366 104

Infusion into a vein for therapy prevention or diagnosis additional sequential infus 96367 128

Infusion into a vein for therapy, prevention, or diagnosis, concurrent with another 96368 107

Infusion into tissue for therapy or prevention up to 1 hour 96369 300

Infusion into tissue for therapy or prevention, beneath the skin 96370 132

Infusion for therapy or prevention, beneath the skin 96371 155

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention 96372 110

Injection of drug or substance into a vein for therapy, diagnosis, or prevention 96374 196

Injection of different drug or substance into a vein for therapy, diagnosis, or preve 96375 102

Injection of drug or substance into a vein for therapy, diagnosis, or prevention, in 96376 152

Application of on-body injector for injection under skin 96377 110

Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle 96401 202

Hormonal anti-neoplastic chemotherapy administration beneath the skin or into m 96402 192

Infusion of chemotherapy into a vein using push technique 96409 285

Infusion of different chemotherapy drug or substance into a vein 96411 205

Infusion of chemotherapy into a vein up to 1 hour 96413 453

Infusion of chemotherapy into a vein 96415 158

Prolonged chemotherapy infusion into a vein by portable or implanted pump more 96416 465

Infusion of different chemotherapy drug or substance into a vein up to 1 hour 96417 210

Injection of chemotherapy using push technique into an artery 96420 375

Chemotherapy infusion into abdominal cavity 96446 620

Chemotherapy administration into spinal canal requiring spinal tap 96450 1031

Refilling and maintenance of portable pump 96521 279

Irrigation of implanted venous access drug delivery device 96523 97

Chemotherapy injection into brain through reservoir beneath the skin 96542 300

Application of ultraviolet light to skin 96900 142

Application of mechanical traction to 1 or more areas 97012 62

Application of electrical stimulation to 1 or more areas, unattended by physical th 97014 80

Application of blood vessel compression or decompression device to 1 or more are 97016 104

Application of hot wax bath to 1 or more areas 97018 49

Application of whirlpool therapy to 1 or more areas 97022 94

Application of low energy heat (infrared) to 1 or more areas 97026 10

Application of electrical stimulation to 1 or more areas, each 15 minutes 97032 82

Application of medication through skin using electrical current, each 15 minutes 97033 94

Therapeutic hot and cold baths to 1 or more areas, each 15 minutes 97034 53

Application of ultrasound to 1 or more areas, each 15 minutes 97035 101

Physical therapy treatment to 1 or more areas, Hubbard tank, each 15 minutes 97036 94

Therapeutic exercise to develop strength, endurance, range of motion, and flexibi 97110 95

Page 42: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 m 97112 77

Water pool therapy with therapeutic exercises to 1 or more areas, each 15 minute 97113 124

Walking training to 1 or more areas, each 15 minutes 97116 80

#N/A 97129 69

#N/A 97130 67

Manual (physical) therapy techniques to 1 or more regions, each 15 minutes 97140 100

Therapeutic procedures in a group setting 97150 58

Evaluation of physical therapy, typically 20 minutes 97161 206

Evaluation of physical therapy, typically 30 minutes 97162 227

Evaluation of physical therapy, typically 45 minutes 97163 247

Re-evaluation of physical therapy, typically 20 minutes 97164 107

Evaluation of occupational therapy, typically 30 minutes 97165 206

Evaluation of occupational therapy, typically 45 minutes 97166 227

Evaluation of occupational therapy established plan of care, typically 60 minutes 97167 247

Re-evaluation of occupational therapy established plan of care, typically 30 minut 97168 107

Therapeutic activities to improve function, with one-on-one contact between pati 97530 118

Self-care or home management training, each 15 minutes 97535 69

Community or work reintegration training, each 15 minutes 97537 63

Wheelchair management, each 15 minutes 97542 61

Work hardening or conditioning, first 2 hours 97545 253

Work hardening or conditioning 97546 102

Removal of tissue from wounds per session 97597 256

Removal of tissue from wounds per session 97598 195

Removal of tissue from wounds per session 97602 199

Negative pressure wound therapy, surface area less than or equal to 50 square ce 97605 231

Negative pressure wound therapy, surface area greater than 50 square centimete 97606 319

Negative pressure wound therapy surface area less than or equal to 50 square cen 97607 602

Negative pressure wound therapy surface area greater than 50 square centimeters 97608 737

Physical performance test or measurement with report, each 15 minutes 97750 89

Assistive technology assessment to enhance functional performance, each 15 min 97755 73

Training in use of orthotics (supports, braces, or splints) for arms, legs and/or trun 97760 90

Training in use of prosthesis for arms and/or legs, per 15 minutes 97761 104

Management and/or training in use of orthotics (supports, braces, or splints) for a 97763 82

Medical nutrition therapy, assessment and intervention, each 15 minutes 97802 52

Medical nutrition therapy re-assessment and intervention, each 15 minutes 97803 52

Education and training for patient self-management, each 30 minutes 98960 180

Moderate sedation services by physician also performing a procedure, patient you 99151 150

Moderate sedation services by physician also performing a procedure, patient 5 ye 99152 153

Moderate sedation services by physician also performing a procedure, additional 1 99153 85

Moderate sedation services by physician not performing a procedure, patient 5 ye 99155 158

Moderate sedation services by physician not performing a procedure, patient 5 ye 99156 152

Moderate sedation services by physician not performing a procedure, each additio 99157 89

Management and supervision of oxygen chamber therapy per session 99183 1842

Therapeutic removal of whole blood to correct blood level imbalance 99195 157

New patient office or other outpatient visit, typically 10 minutes 99201 119

New patient office or other outpatient visit, typically 20 minutes 99202 160

New patient office or other outpatient visit, typically 30 minutes 99203 198

Page 43: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

New patient office or other outpatient visit, typically 45 minutes 99204 274

Established patient office or other outpatient visit, typically 5 minutes 99211 115

Established patient office or other outpatient visit, typically 10 minutes 99212 124

Established patient office or other outpatient visit, typically 15 minutes 99213 144

Established patient office or other outpatient, visit typically 25 minutes 99214 174

Established patient office or other outpatient, visit typically 40 minutes 99215 221

Emergency department visit, self limited or minor problem 99281 304

Emergency department visit, low to moderately severe problem 99282 527

Emergency department visit, moderately severe problem 99283 877

Emergency department visit, problem of high severity 99284 1429

Emergency department visit, problem with significant threat to life or function 99285 2759

Critical care delivery critically ill or injured patient, first 30-74 minutes 99291 3068

Critical care delivery critically ill or injured patient 99292 463

Insertion of stents into vertebral artery via catheter, open or accessed through the0075T 4862

Injections of one side of sacrum for enlargement, 1 or more needles, accessed thro0200T 3558

Injections of both sides of sacrum for enlargement, 2 or more needles, accessed th0201T 7116

Catheter removal of plaque from kidney artery, accessed through the skin or open0234T 7241

Catheter removal of plaque from kidney artery, accessed through the skin or open0234T 14482

Catheter removal of plaque from organ artery, accessed through the skin or open 0235T 7983

Catheter removal of plaque from organ artery, accessed through the skin or open 0235T 15966

Open or percutaneous catheter removal of plaque from abdominal aorta including0236T 8053

Catheter removal of plaque from upper arm artery, accessed through the skin or o0237T 8053

Catheter removal of plaque from upper arm artery, accessed through the skin or o0237T 16106

Catheter removal of plaque from groin artery, accessed through the skin or open p0238T 8137

Catheter removal of plaque from groin artery, accessed through the skin or open p0238T 16274

External EKG recording for more than 48 hours up to 21 days 0296T 503

Destruction of nerves of arteries of both kidneys accessed through the skin with fl0338T 3658

Destruction of nerves of arteries of one kidney accessed through the skin with fluo0339T 7316

CT Head, Facial Bones, C-Spine, Without Contrast 70450<and> 1010

CT Head without Contrast, Chest with Contrast 70450<and> 688

CT Head without Contrast, Chest, Abdomen, Pelvis with Contrast 70450<and> 1259

CT Head with and without Contrast, Orbits with Contrast 70470<and> 887

CT Head with and without Contrast, Soft Tissue Neck with Contrast 70470<and> 702

CTA Head/Neck Perfusion Stroke Analysis with and/or without Contrast 70496<and> 1063

MRA Head without Contrast, MRA Neck without Contrast 70544<and> 1382

MRI Head without Contrast, MRA Head without Contrast 70551<and> 1199

MRI Head without Contrast MRA Head and Neck 70551<and> 1890

MRI Head/Cspine without Contrast 70551<and> 1016

MRI Head with and without Contrast MRA Head and Neck 70553<and> 2067

MRI Head/CSpine with and without Contrast 70553<and> 1375

CT Chest, Abdomen without Contrast 71250<and> 674

CT Chest, Abdomen and Pelvis without Contrast 71250<and> 688

CT Chest with Contrast, Head with and without Contrast 71260<and> 702

CT Chest, Abdomen with Contrast 71260<and> 785

CT Chest, Abdomen, with Contrast, Head with and without 71260<and> 1136

CT Chest, Abdomen and Pelvis with Contrast 71260<and> 922

CTA Angiography Chest, Abdomen with and/or without Contrast 71275<and> 1103

Page 44: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

MRI CSpine TSpine without Contrast 72141<and> 1016

MRI Complete Spine without Contrast 72141<and> 1523

MRI TSpine LSpine without Contrast 72146<and> 1016

MRI LSpine without Contrast Pelvis 72148<and> 1140

MRI LSpine without Contrast Left Hip 72148<and> 1016

MRI LSpine without Contrast Right Hip 72148<and> 1016

MRI CSpine TSpine with and without Contrast 72156<and> 1382

MRI TSpine LSpine with and without Contrast 72157<and> 1379

MRI LSpine with and without Contrast Pelvis 72158<and> 1319

MRI LSpine with and without Contrast Left Hip 72158<and> 1195

MRI LSpine with and without Contrast Rt Hip 72158<and> 1195

CTA Angiography Chest Abdomen Pelvis with and/or without ContrastTAVR 74174<and> 999

MRI Abdomen and Pelvis without Contrast 74181<and> 1176

MRI Abdomen without,MRA Abdomen with Contrast 74181<and> 1359

MRI Abdomen with Contrast, MRA Abdomen with Contrast 74182<and> 1584

MRI Abdomen and Pelvis without and with Contrast 74183<and> 1644

MRI Abdomen without and with Contrast, MRA Abdomen with Contrast 74183<and> 1638

MRA Abdomen Lower Extemity with Contrast 74185<and> 1622

206 206

PROSTHESIS, SHOULDER ACROM XL 44-41 STD +3 HMRL BRG XL-115367 2262

SELF-DRILLING 6.0mm SCHANZ 80mm 250mm^294.798 395

$ 10 LGT Quantity 102

$ 4 CFN Quantity 102

$ 4 CFS Quantity 102

$ 4 DCFN Quantity 102

$ 4 DCFS Quantity 102

$ 4 DCT Quantity 102

$ 4 DFEN Quantity 102

$ 6 CFN Quantity 102

$ 6 CFS Quantity 102

$ 6 DCFN Quantity 102

$ 6 DCFS Quantity 102

$ 6 DCT Quantity 102

$ 6 DFEN Quantity 102

$ 6 LGT Quantity 102

$ 6XLTCD Quantity 102

$ 6XLTCP Quantity 102

$ 6XLTUD Quantity 102

$ 6XLTUP Quantity 102

$ 7XLTCD Quantity 102

$ 7XLTCP Quantity 102

$ 7XLTUD Quantity 102

$ 7XLTUP Quantity 102

$ 8 CFN Quantity 102

$ 8 CFS Quantity 102

$ 8 DCFN Quantity 102

$ 8 DCFS Quantity 102

Page 45: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

$ 8 DCT Quantity 102

$ 8 DFEN Quantity 102

$ 8 LGT Quantity 102

$ 8XLTCD Quantity 102

$ 8XLTCP Quantity 102

$ 8XLTUD Quantity 102

$ 8XLTUP Quantity 102

$ Art Line 290

$ Axillary Block 1590

$ BedsideProcedure CentralLine ChestTube 736

$ Block Biceps Tendon 1590

$ Block Celiac Plexus 1590

$ Block Cervical 1590

$ Block Coccyx 1590

$ Block Depodur 1590

$ Block Femoral 1590

$ Block Hip 1590

$ Block Knee 1590

$ Block LESI 1590

$ Block Lumbar Facet 1590

$ Block Occipital 1048

$ Block Peripheral w/Radiofrequency 1552

$ Block Piriformis 1590

$ Block Sacroiliac Joint 1590

$ Block Selective Nerve/Transforaminal 1590

$ Block Stellat Ganglion 1590

$ Block Suprascapular Nerve 1590

$ Block Thoracic 1590

$ Caudal Epidural Block 1590

$ Central Line Placement PAU 736

$ Epidural Procedure 736

$ ER Limited Ultrasound 180

$ For each additonal 5 minutes 416

$ Heliox - $ Heliox: 288

$ Hemodialysis Unscheduled 903

$ Ilioinguinal Nerve Block 1196

$ Injection Large Joint 858

$ Insertion Neurostimulator Trial Leads 8912

$ Intercostal Nerve Block 1590

$ Intra-Articular Knee Injection 1590

$ Intra-Articular Shoulder Injection 1590

$ Intrathecal Baclofen Trial 708

$ JMCGH PACU each Additional 15 minutes 228

$ Kyphoplasty 8420

$ Lead Neurostimulator SC-2316-80E 2000

$ Lumbar Drain Placement 736

$ Marker Delivery Kit 153

Page 46: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

$ Medial Branch Nerve Block/Cervical 1590

$ Medial Branch Nerve Block/Lumbar 1590

$ Medial Branch Nerve Block/Thoracic 1590

$ Nerve Block 1590

$ Prolact CR 10

$ Prolact+4 H2MF-10ML Bottle 13

$ Prolact+4 H2MF-20ML Bottle 9.65

$ Prolact+6 H2MF-30ML Bottle 9.67

$ Prolact+8 H2MF-40ML Bottle 9.65

$ Sciatic Block 1590

$ Shiley 8 Single Cannula Quantity 102

$ Speaking valve with O2 port - $ Speaking Valve 112

$ Speaking valve without O2 port - $ Speaking Valve 112

$ Superlock Cobra 300

$ Swanz Ganz Placement 736

$ Trach 2.5 Quantity 102

$ Trach 3.0 Quantity 102

$ Trach 3.5 Quantity 102

$ Trach 4.0 Quantity 102

$ Trach 4.5 Quantity 102

$ Trach 5.0 Quantity 102

$ WTSC PACU each additional 15 minutes 228

2.7MM/3.5MM VA-LCP OLECRANON PL 2H/LT/90MM^02.107.302S 2289

23 Hr OBS Admit - L&D Charges 195

5X180 APEX S/D HALF PIN 50 THR 5018-6-180 184

ABS TIGHTROPE W/ FIBERTAG AR-1588TNT 593

AC TIGHTROPE REPAIR KIT^AR-2257 797

ACC 250MM TITANIUM PLATE 71346200 2175

ACCUFIL SUBCHONDRO 5CC^402.202 7300

ACL GRAFT TIBIALIS TENDON POST^430343 3392

ACL TIGHTROPE W/ FIBERTAG AR-1588RTT 929

ACUCISE STENT B3301- ALSO CHRG ITEM 35711 B3301 222

ACUMED ACU-LOC2 PROCEDURE 1555 ACULOK 2 PROC 3110

ADAPTER POCKET 1X4^74001 990

ADAPTER POCKET 2X4^74002 1980

ADAPTER PRECISION S8 15CM^M365SC9208150 1000

ADAPTER TRIATH OFFSET 2MM^5570-S-020 2494

ADAPTER TRIATH OFFSET 4MM^5570-S-040 2494

ADAPTER TRIATH OFFSET 6MM^5570-S-060 2494

ADAPTER TRIATH OFFSET 8MM -MFRCAT# 5570-S-080^5570-S-080 2494

ADAPTER VERSA DIAL TAPER COMP STD^118001 429

ADAPTER VERSA-DIAL 25MM 118000 429

ADIANA BIRTH CONTROL SYSTEM^A1000 1300

adm vac ea add'l chg - AMB vaccine adm CHG 31

ADREVIEWI-123 327 3300

ADVANTAGE FIT SYSTEM 5/BOX^M0068502110 1716

ADVANTAGE FIT SYSTEM SINGLE UNIT---use item #72370^M0068502110 1593

Page 47: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Air - $ Medical Gasses 164

Alcohol, Urine (Sendout) 143

ALL POLY PEGGED GLENOID, E-PLUS 42, E-Pius 521-07242 3000

ALL POLY PEGGED GLENOID, E-PLUS 46MM, E-PLUS 521-07-246 3000

ALLODERM 2X4CM .79-1.78MM THICK/CHG 8 SQ CM^102012 1274

ALLOGRAFT 15mm FLOWERAMNIOPATCH^FBP015 250

ALLOGRAFT 2cm X 2cm FLOWERAMNIOPATCH^FBP212 398

ALLOGRAFT 4cm X 4cm FLOWERAMNIOPATCH^FBP414 125

ALLOGRAFT ACHILLES TENDON -MFRCAT 430250^430250 3895

ALLOGRAFT ACHILLES TENDON-MFRCAT 430200^430200 3895

ALLOGRAFT ACHILLES TENDON-MFRCAT 430521^430521 3895

ALLOGRAFT AFLEX 101 4 X 7 CM^AFLEX101 4324

ALLOGRAFT AFLEX 301^AFLEX301 6986

ALLOGRAFT AFLEX100 3.5 X 3.5CM^AFLEX100 3637

ALLOGRAFT AFLEX401 40mm x 70mm AFLEX401 4080

ALLOGRAFT AMNIO BIOD RESTORE LG^AM-010125 2400

ALLOGRAFT AMNIOFIX 4x6^AAS-5460 3600

ALLOGRAFT AMNIOFIX 6X16^APS-5616 6590

ALLOGRAFT AMNIOFIX 9X20^APS-5920 16348

ALLOGRAFT BONE ALLOSYNC DBM CUBE 12X12X12MMABS-2005-03 1345

ALLOGRAFT DEMAPURE DECELLULARIZED DERMAL 7CM X 10CM..Chrg x70^071000HD 70

ALLOGRAFT EPIFIX 14mm^GS-5140 330

ALLOGRAFT EPIFIX 2x3cm - chrg x 6^GS-5230 381

ALLOGRAFT EPIFIX 3.5cm X 3.5cm ES-3300 299

ALLOGRAFT EPIFIX 4X10 - CHARGE X40^XL-5410 330

ALLOGRAFT EPIFIX 4x4cm-charge x16^GS-5440 362

ALLOGRAFT EPIFIX 6X10 - CHRG X 60^XL-5610 330

ALLOGRAFT EPIFIX 9X15-CHRG X 135^XL-5915 330

ALLOGRAFT EPIFIX 9X9-CHRG X81^XL-5990 330

ALLOGRAFT EPIFIX FEN 4X10 - CHARGE X40^EH-5410 330

ALLOGRAFT EPIFIX MESHED 4x4.5cm - CHRG X 18^ES-4400 330

ALLOGRAFT FEM PART CONDYLE RT^268020 13100

ALLOGRAFT FEM VEIN <11CM^FV200 3000

ALLOGRAFT GRAFIX CORE 2x3cm = chrg x6^PS12023 348

ALLOGRAFT GRAFIX CORE 3x4cm-CHRG X 12^PS12034 280

ALLOGRAFT GRAFIX CORE 5x5cm-CHRG X 25^PS12055 280

ALLOGRAFT GRAFIX PRIME 1.5x2- chrg x3 -MFRCAT# PS11015^PS11015 554

ALLOGRAFT GRAFIX PRIME 2x3cm = chrg x6^PS11023 348

ALLOGRAFT GRAFIX PRIME 3X4cm - CHRG X12^PS11034 280

ALLOGRAFT GRAFIX PRIME 5x5cm-CHRG X 25 PS13055 219

ALLOGRAFT GRAFIX PRIME 5x5cm-CHRG X 25^PS11055 280

ALLOGRAFT GRAFIX XC 7.5x15cm-CHRG X 112^PS24075 280

ALLOGRAFT MED FEMORAL CONDYLE RT 32247001 21900

ALLOGRAFT NEOX CORD 1K 2.5 x 2.5cm^NX-10-2525 362

ALLOGRAFT PATELLA TENDON HEMI^4001303 2730

ALLOGRAFT PRE-FILLED DIVERTED TUBE 3/4 FILLED^227005 506

ALLOGRAFT PRE-FILLED STRAIGHT TUBE 1/2 FILLED^227010 344

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Description CPT-4 Base Price Schedule

ALLOGRAFT SAPHENOUS VEIN <39CM^V010 (30-39cm) 11600

ALLOGRAFT SAPHENOUS VEIN 40-49CM^V010 (40-49cm) 13200

ALLOGRAFT SAPHENOUS VEIN 60 - 69CM^V010 (60-69cm) 14800

ALLOGRAFT SAPHENOUS VEIN 70-79CM^V010 (70-79cm) 15800

ALLOGRAFT SAPHENOUS VEIN 80-89CM^V010 (80-89cm) 17000

ALLOGRAFT STRAVIX 2x4CM- chargex8^PS60005 404

ALLOGRAFT STRAVIX 3X6CM- chargex18^PS60008 285

AMB 24/48 Hour Holter 82

Ambien Level (Zolpidem) 143

Amniocentesis - L&D Charges 536

AMNIOCORD 3X5CM AC-5350 3590

AMNIOTIC FLUID INNOVACELL 2ML INV-02ML-01 1400

AMPLATZER CRIBRIFORM OCCLUDER 9-ASD-MF-018^9-ASD-MF-018 13246

AMPLATZER CRIBRIFORM OCCLUDER 9-ASD-MF-030^9-ASD-MF-030 13246

AMPLATZER CRIBRIFORM OCCLUDER 9-ASD-MF-035^9-ASD-MF-035 13246

AMPLATZER PFO OCCLUDER 18MM^9-PFO-018 19990

AMPLATZER PFO OCCLUDER 25MM^9-PFO-025 19990

AMPLATZER PFO OCCLUDER 35MM^9-PFO-035 19990

AMPLATZER SEPTAL OCCLUDER 9-ASD-004^9-ASD-004 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-005^9-ASD-005 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-006^9-ASD-006 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-007^9-ASD-007 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-008^9-ASD-008 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-009^9-ASD-009 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-010^9-ASD-010 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-011^9-ASD-011 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-013^9-ASD-013 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-015^9-ASD-015 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-016^9-ASD-016 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-017^9-ASD-017 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-018^9-ASD-018 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-019^9-ASD-019 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-020^9-ASD-020 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-022^9-ASD-022 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-024^9-ASD-024 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-026^9-ASD-026 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-028^9-ASD-028 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-030^9-ASD-030 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-032^9-ASD-032 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-034^9-ASD-034 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-036^9-ASD-036 13246

AMPLATZER SEPTAL OCCLUDER 9-ASD-038^9-ASD-038 13246

ANAL FISTULA PLUG .06X9.5^C-AFP-0.6X9.5 1700

ANAL FISTULA PLUG 0.4^G54613 2090

ANAL FISTULA PLUG 0.7^G54614 2090

ANCHOR 3.9mm X 10.2mm KNOTLESS CORKSCREW FT, PEEK^AR-1941PS 681

ANCHOR 4.5 HEALICOIL PK W/ 2 SUTURE^72203378 600

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Description CPT-4 Base Price Schedule

ANCHOR 5.5 HEALICOIL PK W/ 2 SUTURE^72203379 600

ANCHOR 5.5 HEALICOIL PK W/ 3 SUTURE^72203380 760

ANCHOR ANCHOR GLENOID SHOULDER SZ 52^1136-43-026 1600

ANCHOR BIOCOMP 5.5 W/3 #2 FIBERWIRE^AR-1927BCF-3 602

ANCHOR BIOCOMPOSITE 3.5X15.8^AR-2325BCC 673

ANCHOR BIOCOMPOSITE 4.75^AR-2324BCC 673

ANCHOR BIOCOMPOSITE 5.5-MFRCAT AR-1927BCF^AR-1927BCF 575

ANCHOR BIOCOMPOSITE 5.5-MFRCAT AR-2323BCC^AR-2323BCC 673

ANCHOR BIOCOMPOSITE 6.5^AR-1927BCF-65 593

ANCHOR BIOCORKSCREW 5.5mm***use item 76030***^AR-1927BF 504

ANCHOR CLIK SC-4316^M365SC43160 675

ANCHOR CLIK SC-4318^M365SC43180 675

ANCHOR FIBERTAK 2.6 SOFT DOUBLE LOADED WITH TWO 1.3mm SUTURE TAPE^AR-3632 655

ANCHOR FIBERTAK 2.6 SOFT DOUBLE LOADED WITH TWO #2 BLUE/WHITE, BLACK/WHITE AR- 602

ANCHOR FIBERTAK 2.6 SOFT TRIPLE LOADED WITH TWO #2 BLUE/WHITE, BLACK/WHITE WHI 628

ANCHOR FIBERTAK 2.6 TRIPLE AR-3633 681

ANCHOR FIBERTAK DOUBLE LOADED WITH 1.3 mm SUTURE TAPE WHITE AND WHITE/BLUE^ 655

ANCHOR FIBERTAK DX 1.3MM AR-8990ST 823

ANCHOR FIBERTAK TIGERTAIL 2.6 SOFT DOUBLE LOADED WITH TWO #2 AR-3603-2 602

ANCHOR FIBERTAK WITH SUTURE TAPE AR-3602 126

ANCHOR KNOTLESS PEEK 4.5mm DFX0030 640

ANCHOR MULTIFIX P^OM-1300 640

ANCHOR MULTIFIX S PEEK 6.5MM^OM-2365 640

ANCHOR MULTIFIX S ULTRA 5.5 KNOTLESS^72290001 640

ANCHOR MULTIFIX S^OM2300 640

ANCHOR PEEK 3.0mm PUNCHTAC^DFX0027A 620

ANCHOR PEG GLENOID SHOULDER SZ 44^1136-41-025 1600

ANCHOR PEG GLENOID SHOULDER SZ 48MM^1136-42-026 1600

ANCHOR PEG GLENOID SHOULDER^1136-41-026 1600

ANCHOR PEG GLENOID SZ 54^1136-44-026 1600

ANCHOR QFIX 1.8 MINI SUTURE^72290123 590

ANCHOR QUATTRO 5.5X3^CM-9255X3 600

ANCHOR QUATTRO GL SUT 2.9MM IMPLANT^CM-9329 422

ANCHOR QUATTRO GL2 2.9 IMPLANT^CM-9329GL2 474

ANCHOR QUATTRO KNOTLESS 4.5MM IMPLANT^CM-9145 604

ANCHOR QUATTRO KNOTLSS 5.5MM IMPLANT^CM-9155 604

ANCHOR QUATTRO SP KNOTLSS 4.5MM IMPLANT^CM-9145SP 604

ANCHOR QUATTRO X SUT 5.5MM IMPLANT^CM-9255 504

ANCHOR QUATTRO X SUT 6.5MM IMPLANT^CM-9265 504

ANCHOR SURELOCK 2.2 W/FLEX INSERT^CM-9622F 624

ANCHOR SURE-LOCK 2.2^CM-9622 624

ANCHOR SUTURE BIO-SWIVELOCK DOUBLE 5.5 AR-2323BCT-2 752

ANCHOR THREADED PEEK W FORCE SUTURE 4.5mm^DFX0030A 672

ANCHOR THREADED PEEK W FORCE SUTURE 5.5mm DFX0036 710

ANCHOR THREADED PEEK W FORCE SUTURE 5.5mm^DFX0036A 736

ANCHOR THREADED PEEK W TENSILE TAPE 5.5mm DFX0035 690

ANCHOR THREADED PEEK W TENSILE TAPE 5.5mm^DFX0035A 714

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Description CPT-4 Base Price Schedule

ANCHOR TITAN MEDTRONIC^3550-39 300

ANCHOR TWINFIX 5.5 HA SUTURE^72202602 561

ANEURX AAADVANTAGE PROCEDURE^ANEURX AAADVANTAGE CASE 25600

ANEURX BIF STENT GRAFT 16.5CM-MFRCAT BFXC2213165^BFXC2213165 15600

ANEURX BIF STENT GRAFT 16.5CM-MFRCAT BFXC2414165^BFXC2414165 15600

ANEURX BIF STENT GRAFT 16.5CM-MFRCAT BFXCH2816165^BFXCH2816165 15600

ANEURX BIF STENT GRAFT 16.5CM-MFRCAT YRBRHXC2414165^BFXC2414165 15600

ANEURX BIF STENT GRAFT 26X15^BFXC2615165 15600

ANEURX ILIAC EXT CUFF 16X20^IEXCH162085 6500

ANEURX ILIAC EXT CUFF 18X18^IEXCH181855 6500

ANEURX ILIAC EXT CUFF 18X22^IEXC182285 6500

ANEURX ILIAC EXT CUFF 18X24 FLARED - MFRCAT IEXCH182485^IEXCH182485 6500

ANEURX ILIAC EXT CUFF 18X24 FLARED-MFRCAT IEXC182485^IEXC182485 6500

ANEURX ILIAC EXT CUFF 18X24^IEXC182485 6500

ANEURX ILIAC EXT CUFF 5.5CM^YRECHXC1455 4050

ANEURX ILIAC LEGS 11.5CM GRAFT-MFRCAT ILXC1616115^ILXC1616115 5650

ANEURX ILIAC LEGS 11.5CM GRAFT-MFRCAT YRIRHXC14115^YRIRHXC14115 4850

ANEURX ILIAC LEGS 13.5CM GRAFT-MFRCAT ILXC1616135^ILXC1616135 6200

ANEURX ILIAC LEGS 13.5CM GRAFT-MFRCATILXC1414135^ILXC1414135 6200

ANEURX ILIAC LEGS 13.5X15 GRFT^ILXCH1515135 6200

ANEURX ILIAC LEGS 15X15X115^ILXCH1515115 6100

ANEURX ILIAC LEGS 15X15X85^ILXCH151585 5350

ANEURX ILIAC LIMB 11.5CM GRAFT-MFRCAT ILXC1822115^ILXC1822115 6900

ANEURX ILIAC LIMB 11.5CM GRAFT-MFRCAT ILXCH1818115^ILXCH1818115 6900

ANEURX ILIAC LIMB 11.5CM X24^ILXC1824115 6900

ANEURX ILIAC LIMB 13.5CM GRAFT-MFRCATILXC1822135^ILXC1822135 7300

ANEURX ILIAC LIMB 13.5CM GRAFT-MFRCATILXCH1824135^ILXCH1824135 7300

ANEURX ILIAC LIMB 13X13X85^ILXCH131385 4450

ANEURX LIIAC LEGS 13.5X18 GRFT^ILXC1818135 6400

ANGLED POST 30DEGREE^4922-2-140 210

AORTIC VALVE EVOLUT PRO+ TRANSCATHERTER 26MM EVPROPLUS-26US 60000

APEX PIN 1.65 LENGTH 45 THRD^5080-1-620 147

Aph ARBC ACDA AS1 LR 530

Aph ARBC ACDA AS1 LR 1 530

Aph ARBC ACDA AS1 LR 2 530

Aph ARBC ACDA AS3 1 LR 530

Aph ARBC ACDA AS3 2 LR 530

Aph ARBC CP2D AS3 LR 530

Aph ARBC CP2D AS3 LR 1 530

Aph ARBC CP2D AS3 LR 2 530

Aph DPlt ACDA 866

Aph DPlt ACDA <3 X log 11 866

Aph DPlt ACDA <3 X log 11 1 866

Aph DPlt ACDA 1 866

Aph DPlt ACDA 2 866

Aph DPlt ACDA LR 894

Aph DPlt ACDA LR <3 X log 11 894

Page 51: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Aph DPlt ACDA LR <3 X log 11 1 894

Aph DPlt ACDA LR 1 894

Aph DPlt ACDA LR 2 894

Aph DPlt ACDA LR 2 Dv 177

Aph DPlt ACDA LR 3 894

Aph DPlt ACDA LR 3 Dv 177

Aph DPlt ACDA LR Irr 924

Aph DPlt ACDA LR Irr 1 924

Aph DPlt ACDA LR Irr 1 Dv 177

Aph DPlt ACDA LR Irr 2 924

Aph DPlt ACDA LR Irr 2 Dv 177

Aph DPlt ACDA LR Irr 3 924

Aph DPlt ACDA LR Irr 3 Dv 177

Aph DPlt ACDA LR Irr Dv 177

Aph DPlt ACDA LR Irr PlasRed 924

Aph DPlt ACDA LR Irr PlasRed 1 924

Aph DPlt ACDA LR Irr PlasRed 2 924

Aph DPlt ACDA LR Irr PlasRed 3 924

Aph DPlt ACDA LR PlasRed 894

Aph DPlt ACDA LR PlasRed 1 894

Aph DPlt ACDA LR PlasRed 2 894

Aph DPlt ACDA LR PlasRed 3 894

Aph DPlts ACDA LR Irr <3 X log 11 924

Aph DPlts ACDA LR Irr <3 X log 11 1 924

Aph DPlts ACDA LR Irr <3 X log 11 2 924

Aph DRBC ACDA AS1 LR 530

Aph DRBC ACDA AS1 LR 1 530

Aph DRBC ACDA AS1 LR 2 530

Aph DRBC ACDA AS1 LR Irr 650

Aph DRBC ACDA AS1 LR Irr 1 650

Aph DRBC ACDA AS3 LR 1 530

Aph DRBC ACDA AS3 LR 2 530

Aph DRBC ACDA AS3 LR Irr 1 650

Aph DRBC ACDA AS3 LR Irr 2 650

Aph DRBC CP2D AS3 LR 530

Aph DRBC CP2D AS3 LR 1 530

Aph DRBC CP2D AS3 LR 2 530

Aph Plt 2 866

Aph Plt ACDA 866

Aph Plt ACDA <3 X log 11 866

Aph Plt ACDA <3 X log 11 1 866

Aph Plt ACDA <3 X log 11 1 Dv 177

Aph Plt ACDA <3 X log 11 Dv 177

Aph Plt ACDA 1 866

Aph Plt ACDA 1 Dv 177

Aph Plt ACDA 2 866

Aph Plt ACDA 2 Dv 177

Page 52: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Aph Plt ACDA Dv 177

Aph Plt ACDA Irr 1 1151

Aph Plt ACDA Irr 2 1151

Aph Plt ACDA LR 894

Aph Plt ACDA LR <3 X log 11 894

Aph Plt ACDA LR <3 X log 11 1 894

Aph Plt ACDA LR <3 X log 11 1 Dv 177

Aph Plt ACDA LR <3 X log 11 2 894

Aph Plt ACDA LR <3 X log 11 2 Dv 177

Aph Plt ACDA LR <3 X log 11 3 894

Aph Plt ACDA LR <3 X log 11 3 Dv 177

Aph Plt ACDA LR <3 X log 11 Dv 177

Aph Plt ACDA LR 1 894

Aph Plt ACDA LR 1 Dv 177

Aph Plt ACDA LR 2 894

Aph Plt ACDA LR 2 Dv 177

Aph Plt ACDA LR 3 894

Aph Plt ACDA LR 3 Dv 177

Aph Plt ACDA LR 4 894

Aph Plt ACDA LR 4 Dv 177

Aph Plt ACDA LR Dv 177

Aph Plt ACDA LR Irr 924

Aph Plt ACDA LR Irr 1 924

Aph Plt ACDA LR Irr 1 Dv 177

Aph Plt ACDA LR Irr 2 924

Aph Plt ACDA LR Irr 2 Dv 177

Aph Plt ACDA LR Irr 3 924

Aph Plt ACDA LR Irr 3 Dv 177

Aph Plt ACDA LR Irr 4 924

Aph Plt ACDA LR Irr 4 Dv 177

Aph Plt ACDA LR Irr Dv 177

Aph Plt ACDA LR Irr PlasRed 924

Aph Plt ACDA LR Irr PlasRed 1 924

Aph Plt ACDA LR Irr PlasRed 2 924

Aph Plt ACDA LR Irr PlasRed 3 924

Aph Plt ACDA LR PlasRed 894

Aph Plt ACDA LR PlasRed 1 894

Aph Plt ACDA LR PlasRed 2 894

Aph Plt ACDA LR PlasRed 3 894

Aph Plt LR 5BT 894

Aph Plt LR 5BT 1 894

Aph Plt LR 5BT 2 894

Aph Plt LR 5BT 3 894

Aph Plt LR 5BT Irr 924

Aph Plt LR 5BT Irr 1 924

Aph Plt LR 5BT Irr 1 Dv 924

Aph Plt LR 5BT Irr 2 924

Page 53: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Aph Plt LR 5BT Irr 2 Dv 924

Aph Plt LR 5BT Irr 3 924

Aph Plt LR 5BT Irr 3 Dv 924

Aph Plt LR 5BT Irr Dv 924

Aph Plt LR 6BT 894

Aph Plt LR 6BT 1 894

Aph Plt LR 6BT 2 894

Aph Plt LR 6BT 3 894

Aph Plt LR 6BT Irr 924

Aph Plt LR 6BT Irr 1 924

Aph Plt LR 6BT Irr 2 924

Aph Plt LR 6BT Irr 3 924

Aph Plt LR 6BT Irr Dv 924

Aph Plt LR 6BT Irr Dv 1 924

Aph Plt LR 6BT Irr Dv 2 924

Aph Plt LR 6BT Irr Dv 3 924

Aph Plt LR 7BT 894

Aph Plt LR 7BT 1 894

Aph Plt LR 7BT 2 894

Aph Plt LR 7BT 3 894

Aph Plt LR 7BT Irr 924

Aph Plt LR 7BT Irr 1 924

Aph Plt LR 7BT Irr 2 924

Aph Plt LR 7BT Irr 3 924

Aph Plt LR 7BT Irr Dv 924

Aph Plt LR 7BT Irr Dv 1 924

Aph Plt LR 7BT Irr Dv 2 924

Aph Plt LR 7BT Irr Dv 3 924

Aph Plt LR PAS 894

Aph Plt LR PAS <3E11 894

Aph Plt LR PAS 1 894

Aph Plt LR PAS 2 894

Aph Plt LR PAS 3 894

Aph Plt LR PAS Irr 884

Aph Plt LR PAS Irr <3E11 884

Aph Plt LR PAS Irr <3E11 Dv 177

Aph Plt LR PAS Irr 1 884

Aph Plt LR PAS Irr 1 Dv 177

Aph Plt LR PAS Irr 2 884

Aph Plt LR PAS Irr 2 Dv 177

Aph Plt LR PAS Irr 3 884

Aph Plt LR PAS Irr 3 Dv 177

Aph Plt LR PAS Irr Dv 177

Aph Plt LR Washed 1 894

Aph Plts ACDA LR Irr <3 X log 11 924

Aph Plts ACDA LR Irr <3 X log 11 1 924

Aph Plts ACDA LR Irr <3 X log 11 1 Dv 177

Page 54: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Aph Plts ACDA LR Irr <3 X log 11 2 924

Aph Plts ACDA LR Irr <3 X log 11 2 Dv 177

Aph Plts ACDA LR Irr <3 X log 11 3 924

Aph Plts ACDA LR Irr <3 X log 11 3 Dv 177

Aph Plts ACDA LR Irr <3 X log 11 Dv 177

Aph RBC ACDA AS1 LR 530

Aph RBC ACDA AS1 LR 1 530

Aph RBC ACDA AS1 LR 1 Dv 177

Aph RBC ACDA AS1 LR 2 530

Aph RBC ACDA AS1 LR 2 Dv 177

Aph RBC ACDA AS1 LR Dv 177

Aph RBC ACDA AS1 LR Irr 650

Aph RBC ACDA AS1 LR Irr 1 650

Aph RBC ACDA AS1 LR Irr 1 Dv 177

Aph RBC ACDA AS1 LR Irr 2 650

Aph RBC ACDA AS1 LR Irr 2 Dv 177

Aph RBC ACDA AS1 LR Irr Dv 177

Aph RBC ACDA AS3 LR 530

Aph RBC ACDA AS3 LR 1 530

Aph RBC ACDA AS3 LR 1 Dv 177

Aph RBC ACDA AS3 LR 2 530

Aph RBC ACDA AS3 LR 2 Dv 177

Aph RBC ACDA AS3 LR Irr 1 650

Aph RBC ACDA AS3 LR Irr 1 Dv 177

Aph RBC ACDA AS3 LR Irr 2 650

Aph RBC ACDA AS3 LR Irr 2 Dv 177

Aph RBC CP2D AS3 LR 530

Aph RBC CP2D AS3 LR 1 530

Aph RBC CP2D AS3 LR 1 Dv 177

Aph RBC CP2D AS3 LR 2 530

Aph RBC CP2D AS3 LR 2 Dv 177

Aph RBC CP2D AS3 LR Dv 177

Apply cranial tongs, caliper, or stereotactic frame, w/ removal 789

ARBC CP2D AS3 500 LR 530

ARBC CPD 500 LR Dv 177

ARBC CPD AS1 500 LR 530

ARBC CPD AS5 450 LR 530

ARBC CPD AS5 500 LR 530

ARBC CPDA1 500 LR 530

ARH SLIDE LOC HEAD 22mm LEFT^5001-0222L-S 5374

ARH SOLUTIONS HEAD 20mm RIGHT^5001-0220R-S 5152

ARTEGRAFT 6mm X 16cm^AG 715 1820

ARTEGRAFT 6X30^AG 730 2380

ARTEGRAFT 6x35cm^AG 735 2480

Artegraft Bovine Carotid Artery Vascular Graft 7mm X 40cm^AG 840 2118

Arteriovenous Dialysis Fistula Procedure 27012

ARTHROPLASTY REVERS TOTAL SHOULDER^AR-REVERS 15998

Page 55: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

ARTHROPLASTY UNIVERS APEX HUMERAL^AR-APEX 10650

ARTIC KIT NEXEL ELBOW SZ 5-6^00-8400-095-00 1600

ARTIC KIT NEXEL TOTAL ELBOW^00-8400-094-00 1600

ARTICULAR INSERT JRNY II BCS XLPE ART ISRT SZ 7-8 RT 18mm^74027277 1800

ARTICULAR INSERT KNEE LGN POROUS CR FEM SZ 5R 71423255 3935

ARTICULAR SHOULDER 40mm 8.0 x 8.0^8402-8080-W 8086

ARTICULAR SURFACE SIZE 3 10mm^5842-02-310 3420

ARTICULAR SURFACE SIZE 4 10mm^5842-02-410 3420

ARTICULAR SURFACE SIZE 4 8mm^5842-02-408 3420

ARTICULAR SURFACE SIZE 4 9mm^5842-02-409 3840

ARTICULAR SURFACE SIZE 4 9mm^5842-24-09 1200

ARTICULAR SURFACE SIZE 6 9mm^5842-02-609 797

ASCENT CONST BEARING 12X7175^RD179271 2176

ATRICLIP FLEX LT APPEND 45MM^ACH245 2400

ATRICLIP FLEX LT ATRIAL APPEND 35MM^ACH235 2400

ATRICLIP FLEX LT ATRIAL APPEND 40MM^ACH240 2400

ATRICLIP FLEX LT ATRIAL APPEND 50MM^ACH250 2400

ATRICLIP LAA EXCLUS SYS 35MM CLIP - MFRCAT# PRO235^PRO235 7600

ATRICLIP LAA EXCLUS SYS 40MM CLIP -MFRCAT# PRO240^PRO240 7600

ATRICLIP LAA EXCLUS SYS 45MM CLIP -MFRCAT# PRO245^PRO245 7600

ATRICLIP LAA EXCLUS SYS 50MM CLIP -MFRCAT# PRO250^PRO250 7600

ATRICLIP PRO-V LAA SYS 35MM - MFRCAT# PROV35^PROV35 11000

ATRICLIP PRO-V LAA SYS 40MM -MFRCAT# PROV40^PROV40 11000

ATRICLIP PRO-V LAA SYS 45MM - MFRCAT# PROV45^PROV45 11000

ATRICLIP PRO-V LAA SYS 50MM -MFRCAT# PROV50^PROV50 11000

ATTACHMENT ROD F/G PIN CLAMP^390.003 890

AUG FEM POST 5X60^184142 2233

AUG FEM POST 5X70^184146 2233

AUGMENT FEM 3.5MM AUT FLANGE^150452 1520

AUGMENT FEM POST VANGUARD 10X65 LL/RM^184244 920

AUGMENT FEMORAL ANTERIOR 3.5MM^153924 1360

AXLE MOD ROT HINGE KNEE^6481-2-120 2032

AXLE OSS^150480 862

BALL CATH 16X4X120 14-553 14-553 213

BALL COYOTE ES OTW 1.5 X 20 X 142CM^39134-15201 315

BALL COYOTE ES OTW 2 X 20 X 142CM 39134-20201 315

BALL COYOTE ES OTW 2 X 40 X 144CM 39134-20401 315

BALL COYOTE ES OTW 2.5 X 20 X 143CM^39134-25201 315

BALL COYOTE ES OTW 2.5 X 40 X 145CM 39134-25401 315

BALL COYOTE ES OTW 3 X 20 X 143CM^39134-30201 315

BALL COYOTE ES OTW 3 X 40 X 145CM 39134-30401 315

BALL COYOTE ES OTW 3.5 X 20 X 143CM^39134-35201 315

BALL COYOTE ES OTW 3.5 X 40 X 145CM^39134-35401 315

BALL STERLING MR 3.0X20/135^39031-30201 315

BALL STERLING MR 3.0X30/135^39031-30301 315

BALL STERLING MR 3.0X40/135^39031-30401 315

BALL STERLING MR 3.0X60/135^39031-30601 315

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Description CPT-4 Base Price Schedule

BALL STERLING MR 4.0X15/80^39031-40158 315

BALL STERLING MR 4.0X20/135^39031-40201 315

BALL STERLING MR 4.0X20/80^39031-40208 315

BALL STERLING MR 4.0X30/135^39031-40301 315

BALL STERLING MR 4.0X40/135^39031-40401 315

BALL STERLING MR 4.0X60/135^39031-40601 315

BALL STERLING MR 5.0X15/80^39031-50158 315

BALL STERLING MR 5.0X20/135^39031-50201 315

BALL STERLING MR 5.0X20/80^39031-50208 315

BALL STERLING MR 5.0X30/135 39031-50301 315

BALL STERLING MR 5.0X40/135^39031-50401 315

BALL STERLING MR 5.0X40/80^39031-50408 315

BALL STERLING MR 5.0X60/135^39031-50601 315

BALL STERLING MR 6.0X15/80^39031-60158 315

BALL STERLING MR 6.0X20/135^39031-60201 315

BALL STERLING MR 6.0X20/80^39031-60208 315

BALL STERLING MR 6.0X30/135^39031-60301 315

BALL STERLING MR 6.0X40/135^39031-60401 315

BALL STERLING MR 6.0X40/80^39031-60408 315

BALL STERLING MR 6.0X6.0/135 39031-60601 315

BALL STERLING MR 7.0X15/80^39031-70158 315

BALL STERLING MR 7.0X20/135^39031-70201 315

BALL STERLING MR 7.0X20/80^39031-70208 315

BALL STERLING MR 7.0X30/135^39031-70301 315

BALL STERLING MR 7.0X40/135^39031-70401 315

BALL STERLING MR 7.0X40/80^39031-70408 315

BALL STERLING MR 7.0X60/135^39031-70601 315

BALL STERLING MR 8.0X20/80^39031-80208 315

BALL STERLING MR 8.0X40/80^39031-80408 315

BALL STERLING OTW 10.0X2.0/80-MFRCAT 39032-10208 39032-10208 315

BALL STERLING OTW 10.0X2.0/80-MFRCAT 39032-90408 39032-90408 315

BALL STERLING OTW 10.0X4.0/80 39032-10408 315

BALL STERLING OTW 4.0 X 4.0/80 39032-40408 315

BALL STERLING OTW 4.0X10.0/135 39032-40101 315

BALL STERLING OTW 4.0X2.0/135 39032-40201 315

BALL STERLING OTW 4.0X2.0/80 39032-40208 315

BALL STERLING OTW 4.0X4.0/135 39032-40401 315

BALL STERLING OTW 4.0X6.0/135 39032-40601 315

BALL STERLING OTW 4.0X6.0/80 39032-40608 315

BALL STERLING OTW 4.0X8.0/135 39032-40801 315

BALL STERLING OTW 5.0X10.0/135 39032-50101 315

BALL STERLING OTW 5.0X2.0/135 39032-50201 315

BALL STERLING OTW 5.0X2.0/80 39032-50208 315

BALL STERLING OTW 5.0X4.0/135 39032-50401 315

BALL STERLING OTW 5.0X4.0/80 39032-50408 315

BALL STERLING OTW 5.0X6.0/135 39032-50601 315

BALL STERLING OTW 5.0X6.0/80 39032-50608 315

Page 57: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

BALL STERLING OTW 5.0X8.0/135 39032-50801 315

BALL STERLING OTW 6.0X10.0/135 39032-60101 315

BALL STERLING OTW 6.0X2.0/135 39032-60201 315

BALL STERLING OTW 6.0X2.0/80 39032-60208 315

BALL STERLING OTW 6.0X4.0 39032-60408 315

BALL STERLING OTW 6.0X4.0/135 39032-60401 315

BALL STERLING OTW 6.0X6.0/135 39032-60601 315

BALL STERLING OTW 6.0X6.0/80 39032-60608 315

BALL STERLING OTW 7.0X2.0/80 39032-70208 315

BALL STERLING OTW 7.0X4.0/80 39032-70408 315

BALL STERLING OTW 8.0X2.0/80 39032-80208 315

BALL STERLING OTW 8.0X4.0/80 39032-80408 315

BALL STERLING OTW 9.0X2.0/80 39032-90208 315

Balloon Aortic Valvuloplasty Nucleus X 18x5^612021 1281

Balloon Aortic Valvuloplasty Nucleus X 20x5^612024 1281

Balloon Aortic Valvuloplasty Nucleus X 22x5^612027 1281

Balloon Aortic Valvuloplasty Nucleus X 25x4^612029 1281

BALLOON APEX MONORAIL 40X2.0 MM H7493895940200 188

BALLOON APEX MONORAIL 40X2.50 MM H7493895940250 188

BALLOON CATHETER TRUE 035 OTW PTV 23mm X 45mm X 110cm^0234512 1350

BALLOON CATHETER TRUE 035 OTW PTV 24mm X 45mm X 110cm^0244512 1350

BALLOON CATHETER TRUE 035 OTW PTV 25mm X 45mm X 110cm^0254513 1350

BALLOON CATHETER TRUE 035 OTW PTV 26mm X 45mm X 110CM^0264513 1350

BALLOON CATHETER TRUE 035 OTW PTV 28mm X 45mm X 110cm^0284514 1350

BALLOON COYOTE OTW 2.5 X 60 x 150^H74939186250610 392

BALLOON CUTTING WOLVERINE 10mm 2.00^H74939 40110200 0 1125

BALLOON CUTTING WOLVERINE 10mm 2.25 H74939 40110225 0 1125

BALLOON CUTTING WOLVERINE 10mm 2.75 H74939 40110275 0 1125

BALLOON CUTTING WOLVERINE 10mm 3.00^H74939 40110300 0 1125

BALLOON CUTTING WOLVERINE 10mm 3.25^H74939 40110325 0 1125

BALLOON CUTTING WOLVERINE 10mm 3.50 H74939 40110350 0 1125

BALLOON CUTTING WOLVERINE 10mm 3.75^H74939 40110375 0 1125

BALLOON CUTTING WOLVERINE 10mm 4.00^H74939 40110400 0 1125

BALLOON CUTTING WOLVERINE 15mm 2.00^H74939 40115200 0 1125

BALLOON CUTTING WOLVERINE 15mm 2.25 H74939 40115225 0 1125

BALLOON CUTTING WOLVERINE 15mm 2.50 H74939 40115250 0 1125

BALLOON CUTTING WOLVERINE 15mm 2.75^H74939 40115275 0 1125

BALLOON CUTTING WOLVERINE 15mm 3.00 H74939 40115300 0 1125

BALLOON CUTTING WOLVERINE 15mm 3.25^H74939 40115325 0 1125

BALLOON CUTTING WOLVERINE 15mm 3.50^H74939 40115350 0 1125

BALLOON CUTTING WOLVERINE 15mm 3.75^H74939 40115375 0 1125

BALLOON CUTTING WOLVERINE 15mm 4.00^H74939 40115400 0 1125

BALLOON CUTTING WOLVERINE 2.5x10mm H74939 40110250 0 1125

BALLOON CUTTING WOLVERINE 6mm 2.00 H749 3940106200 0 1125

BALLOON CUTTING WOLVERINE 6mm 2.25 H749 3940106225 0 1125

BALLOON CUTTING WOLVERINE 6mm 2.50 H749 3940106250 0 1125

BALLOON CUTTING WOLVERINE 6mm 2.75 H749 3940106275 0 1125

Page 58: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

BALLOON CUTTING WOLVERINE 6mm 3.00 H749 3940106300 0 1125

BALLOON CUTTING WOLVERINE 6mm 3.25 H749 3940106325 0 1125

BALLOON CUTTING WOLVERINE 6mm 3.50 H749 3940106350 0 1125

BALLOON CUTTING WOLVERINE 6mm 3.75 H749 3940106375 0 1125

BALLOON CUTTING WOLVERINE 6mm 4.00^H749 3940106400 0 1125

BALLOON DILATATION COYOTE 2 X 100 150 CM MONORAIL^H74939185201010 392

BALLOON DILATATION COYOTE 2 X 100 150 CM OTW H74939186201010 395

BALLOON DILATATION COYOTE 2 X 150 150 CM MONORAIL^H74939185201510 494

BALLOON DILATATION COYOTE 2 X 150 150 CM OTW H74939186201510 493

BALLOON DILATATION COYOTE 2 X 220 150 CM MONORAIL H74939185202210 494

BALLOON DILATATION COYOTE 2 X 220 150 CM OTW H74939186202210 493

BALLOON DILATATION COYOTE 2 X 60 150 CM MONORAIL H74939185200610 392

BALLOON DILATATION COYOTE 2 X 60 150 CM OTW H74939186200610 395

Balloon Dilatation Coyote 2.5 X 150 X150 cm OTW^H7493918621510 493

BALLOON DILATATION COYOTE 3 X 100 150 CM MONORAIL^H74939185301010 392

BALLOON DILATATION COYOTE 3 X 100 150 CM OTW H74939186301010 395

BALLOON DILATATION COYOTE 3 X 220 150 CM MONORAIL^H74939185302210 494

BALLOON DILATATION COYOTE 3 X 220 150 CM OTW H74939186302210 493

BALLOON DILATATION COYOTE 3 X 60 150 CM MONORAIL H74939185300610 392

BALLOON DILATOR RX HURRICAN 10mmX4cm M00545960 523

BALLOON EMERGE 1.2 X 12 H7493918912120 210

BALLOON EMERGE 1.2 X 15 H7493918915120 210

BALLOON EMERGE 1.2 X 20 H7493918920120 210

BALLOON EMERGE 1.20mm X 8mm 39189-0812 210

BALLOON EMERGE 1.5 X 12 H7493918912150 210

BALLOON EMERGE 1.5 X 15 H7493918915150 210

BALLOON EMERGE 1.5 X 20 H7493918920150 210

BALLOON EMERGE 1.5 X 8 H7493918908150 210

BALLOON EMERGE 1.5x12mm OTW (PUSH) 39192-1215 210

BALLOON EMERGE 2.0 X 12 H7493918912200 210

BALLOON EMERGE 2.0 X 15 H7493918915200 210

BALLOON EMERGE 2.0 X 20 H7493918920200 210

BALLOON EMERGE 2.0 X 8 H7493918908200 210

BALLOON EMERGE 2.25 X 12 H7493918912220 210

BALLOON EMERGE 2.25 X 15 H7493918915220 210

BALLOON EMERGE 2.25 X 20 H7493918920220 210

BALLOON EMERGE 2.25 X 8 H7493918908220 210

BALLOON EMERGE 2.5 X 12 H7493918912250 210

BALLOON EMERGE 2.5 X 15 H7493918915250 210

BALLOON EMERGE 2.5 X 20 H7493918920250 210

BALLOON EMERGE 2.5 x 30 H7493918930250 273

BALLOON EMERGE 2.5 X 8 H7493918908250 210

BALLOON EMERGE 2.75 X 12 H7493918912270 210

BALLOON EMERGE 2.75 X 15 H7493918915270 210

BALLOON EMERGE 2.75 X 20 H7493918920270 210

BALLOON EMERGE 2.75 X 8 H7493918908270 210

BALLOON EMERGE 3.0 X 12 H7493918912300 210

Page 59: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

BALLOON EMERGE 3.0 X 15 H7493918915300 210

BALLOON EMERGE 3.0 X 20 H7493918920300 210

BALLOON EMERGE 3.0 x 30 H7493918930300 210

BALLOON EMERGE 3.0 X 8 H7493918908300 210

BALLOON EMERGE 3.25 X 12 H7493918912320 210

BALLOON EMERGE 3.25 X 15 H7493918915320 210

BALLOON EMERGE 3.25 X 20 H7493918920320 210

BALLOON EMERGE 3.5 X 12 H7493918912350 210

BALLOON EMERGE 3.5 X 15 H7493918915350 210

BALLOON EMERGE 3.5 X 20 H7493918920350 210

BALLOON EMERGE 3.5 x 30 H7493918930350 210

BALLOON EMERGE 3.5 X 8 H7493918908350 210

BALLOON EMERGE 3.75 X 12 H7493918912370 210

BALLOON EMERGE 3.75 X 20^H7493918920370 210

BALLOON EMERGE 3.75 X 8^H7493918908370 210

BALLOON EMERGE 4.0 X 15 H7493918915400 210

BALLOON EMERGE 4.0 X 8 H7493918908400 210

BALLOON Emerge OTW 1.20 X 8 H749391910812 188

BALLOON Emerge OTW 1.50 X 8 H749391910815 188

BALLOON Emerge OTW 2.0 X 12 H749391911220 188

BALLOON EMERGE OTW 2.00x15mm^H749391911520 210

BALLOON EMERGE OTW 2.00x20mm^H749391912020 210

BALLOON EMERGE OTW 2.50x15mm H749391911525 210

BALLOON EMERGE OTW 2.50x20mm^H749391912025 210

BALLOON Emerge OTW 3.0 X12 H749391911230 188

BALLOON Emerge OTW 3.0 X20 H749391912030 188

BALLOON Emerge OTW 3.0 X8 H749391910830 188

BALLOON Emerge OTW 3.0X 15 H749391911530 188

BALLOON Emerge OTW 3.5 X 8 H749391910835 188

BALLOON Emerge OTW 3.5 X20 H749391912035 188

BALLOON EMERGE PUSH 1.2 X 12 H7493919012120 210

BALLOON EMERGE PUSH 1.5 X 12 H7493919012150 210

BALLOON EMERGE PUSH 1.5 X 15 H7493919015150 210

BALLOON EMERGE PUSH 1.5 X 20 H7493919020150 210

BALLOON EMERGE PUSH 1.5 X 8 H7493919008150 210

BALLOON INPACT ADMIRAL DRUG COATED 120mm 4mm ADM 040 120 13P 2100

BALLOON INPACT ADMIRAL DRUG COATED 120mm 5mm^ADM 050 120 13P 2100

BALLOON INPACT ADMIRAL DRUG COATED 120mm 6mm^ADM 060 120 13P 2100

BALLOON INPACT ADMIRAL DRUG COATED 150mm 4mm^ADM 040 150 13P 2325

BALLOON INPACT ADMIRAL DRUG COATED 150mm 5mm^ADM 050 150 13P 2325

BALLOON INPACT ADMIRAL DRUG COATED 150MM 6MM^ADM 060 150 13P 2325

BALLOON INPACT ADMIRAL DRUG COATED 200mm 4mm ADM 040 200 13P 2918

BALLOON INPACT ADMIRAL DRUG COATED 200mm 5mm^ADM 050 200 13P 2918

BALLOON INPACT ADMIRAL DRUG COATED 200MM 6MM^ADM 060 200 13P 2918

BALLOON INPACT ADMIRAL DRUG COATED 250mm 4mm^ADM 040 250 13P 3210

BALLOON INPACT ADMIRAL DRUG COATED 250mm 5mm^ADM 050 250 13P 3210

BALLOON INPACT ADMIRAL DRUG COATED 250mm 6mm^ADM 060 250 13P 3210

Page 60: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

BALLOON INPACT ADMIRAL DRUG COATED 40mm 4mm^ADM 040 040 13P 1875

BALLOON INPACT ADMIRAL DRUG COATED 40mm 5mm^ADM 050 040 13P 1875

BALLOON INPACT ADMIRAL DRUG COATED 40mm 6mm^ADM 060 040 13P 1875

BALLOON INPACT ADMIRAL DRUG COATED 40mm 7mm^ADM 070 040 13P 1875

BALLOON INPACT ADMIRAL DRUG COATED 60mm 5mm^ADM 050 060 13P 1875

BALLOON INPACT ADMIRAL DRUG COATED 60mm 6mm^ADM 060 060 13P 1875

BALLOON INPACT ADMIRAL DRUG COATED 60mm 7mm^ADM 070 060 13P 1875

BALLOON INPACT ADMIRAL DRUG COATED 80mm 4mm^ADM 040 080 13P 1875

BALLOON INPACT ADMIRAL DRUG COATED 80mm 5mm^ADM 050 080 13P 1875

BALLOON INPACT ADMIRAL DRUG COATED 80mm 6mm^ADM 060 080 13P 1875

BALLOON INPACT ADMIRAL DRUG COATED 80mm 7mm ADM 070 080 13P 1875

BALLOON LUTONIX 4mm x 150 mm^BSCLX351304150 2475

BALLOON LUTONIX 5mm x 150 mm^BSCLX351305150 2475

BALLOON LUTONIX 6mm x 150 mm^BSLX351306150F 2475

BALLOON LUTONIX 7mm x 100 mm^BSCLX351307100 2475

BALLOON LUTONIX 7mm x 150mm^BSCLX351307150 2475

BALLOON LUTONIX 7mm x 80 mm^BSCLX35130780 2475

BALLOON LUTONIX DCB 4.0 x 100 130cm^BSLX3513041005F 1800

BALLOON LUTONIX DCB 4.0 x 120 130cm ^BSLX3513041205F 2475

BALLOON LUTONIX DCB 4.0 x 150 130cm^BSLX3513041505F 799

BALLOON LUTONIX DCB 4.0 x 40 130cm ^BSLX351304405F 1800

BALLOON LUTONIX DCB 4.0 x 60 130cm ^BSLX351304605F 1800

BALLOON LUTONIX DCB 4.0 x 80 130cm^BSLX351304805F 1800

BALLOON LUTONIX DCB 5.0 x 100 130cm^BSLX3513051005F 1800

BALLOON LUTONIX DCB 5.0 x 120 130cm ^BSLX3513051205F 2475

BALLOON LUTONIX DCB 5.0 x 150 130cm^BSLX3513051505F 1950

BALLOON LUTONIX DCB 5.0 x 40 130cm ^BSLX351305405F 2250

BALLOON LUTONIX DCB 5.0 x 60 130cm^BSLX351305605F 1800

BALLOON LUTONIX DCB 5.0 x 80 130cm ^BSLX351305805F 1800

BALLOON LUTONIX DCB 6.0 x 100 130cm^BSLX3513061005F 1800

BALLOON LUTONIX DCB 6.0 x 120 130cm ^BSLX3513061205F 2475

BALLOON LUTONIX DCB 6.0 x 150 130cm^BSLX3513061505F 1950

BALLOON LUTONIX DCB 6.0 x 40 130cm^BSLX351306405F 1800

BALLOON LUTONIX DCB 6.0 x 60 130cm^BSLX351306605F 2250

BALLOON LUTONIX DCB 6.0 x 80 130cm^BSLX351306805F 1800

BALLOON LUTONIX DCB 7.0 x 40 x 130cm^BSLX351307405F 1800

BALLOON LUTONIX DCB 7.0 x 60 x130cm^BSLX351307605F 1800

BALLOON LUTONIX DRUG COATED 4.0 X 100 X 130CM^BSCLX351304100 2475

BALLOON LUTONIX DRUG COATED 4.0 X 60 X 130CM^BSCLX35130460 383

BALLOON LUTONIX DRUG COATED 4.0 X 80 X 130 CM^BSCLX35130480 2475

BALLOON LUTONIX DRUG COATED 5.0 X 100 X 130CM BSCLX351305100 2475

BALLOON LUTONIX DRUG COATED 5.0 X 60 X 130 CM BSCLX351305060 2475

BALLOON LUTONIX DRUG COATED 5.0 x 80 x 130cm BSLX351305805F 2475

BALLOON LUTONIX DRUG COATED 6.0 X 100 X 130 CM BSCLX351306100 2475

BALLOON LUTONIX DRUG COATED 6.0 X 60 X 130 CM BSCLX35130660 2475

BALLOON LUTONIX DRUG COATED 6.0 X 80 X 130CM BSCLX35130680 2475

BALLOON MAV OTW 1.5/15MM 20620-1515 188

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Description CPT-4 Base Price Schedule

BALLOON MAV OTW 1.5/20MM 20620-2015 188

BALLOON MAV OTW 1.5/9MM 20620-0915 188

BALLOON MAV OTW 2.0/15MM^20620-1520 188

BALLOON MAV OTW 2.0/20MM 20620-2020 188

BALLOON MAV OTW 2.0/9MM 20620-0920 188

BALLOON MAV OTW 2.5/15MM 20620-1525 188

BALLOON MAV OTW 2.5/20MM 20620-2025 188

BALLOON MAV OTW 2.5/30MM 20620-3025 188

BALLOON MAV OTW 2.75/15MM 20620-1527 188

BALLOON MAV OTW 2.75/20MM 20620-2027 188

BALLOON MAV OTW 3.0/15MM 20620-1530 188

BALLOON MAV OTW 3.0/20MM 20620-2030 188

BALLOON MAV OTW 3.5/30MM 20620-3035 188

BALLOON MAV OTW 4.0/30MM 20620-3040 188

BALLOON MAVERICK 2.5 30MM 38928-3025 188

BALLOON MAVERICK 2.5 30MM^30275-30-25 233

BALLOON MAVERICK 4.0 20MM 38928-2040 188

BALLOON MAVERICK2 1.5 15MM 38928-1515 188

BALLOON MAVERICK2 1.5 20MM 38928-2015 188

BALLOON MAVERICK2 2.0 12MM 38928-1220 188

BALLOON MAVERICK2 2.0 15MM 38928-1520 188

BALLOON MAVERICK2 2.0 20MM 38928-2020 188

BALLOON MAVERICK2 2.0 30MM 38928-3020 188

BALLOON MAVERICK2 2.25 12MM 38928-1222 188

BALLOON MAVERICK2 2.25 15MM 38928-1522 188

BALLOON MAVERICK2 2.25 20MM 38928-2022 188

BALLOON MAVERICK2 2.5 12MM 38928-1225 188

BALLOON MAVERICK2 2.5 15MM 38928-1525 188

BALLOON MAVERICK2 2.5 20MM 38928-2025 188

BALLOON MAVERICK2 2.75 12MM 38928-1227 188

BALLOON MAVERICK2 2.75 15MM 38928-1527 188

BALLOON MAVERICK2 2.75 20MM 38928-2027 188

BALLOON MAVERICK2 3.0 12MM 38928-1230 188

BALLOON MAVERICK2 3.0 15MM 38928-1530 188

BALLOON MAVERICK2 3.0 20MM 38928-2030 188

BALLOON MAVERICK2 3.0 30MM 38928-3030 188

BALLOON MAVERICK2 3.25 15MM 38928-1532 188

BALLOON MAVERICK2 3.25 20MM 38928-2032 188

BALLOON MAVERICK2 3.5 12MM 38928-1235 188

BALLOON MAVERICK2 3.5 15MM 38928-1535 188

BALLOON MAVERICK2 3.5 20MM 38928-2035 188

BALLOON MAVERICK2 3.75 15MM 38928-1537 188

BALLOON MAVERICK2 4.0 12MM 38928-1240 188

BALLOON MAVERICK2 4.0 15MM 38928-1540 188

BALLOON MAVERICK2 5.0 15MM 37909-5015 188

BALLOON MAVERICK2 5.5 15MM 37909-5515 188

BALLOON MUSTANG DILATATION 7.0 X 100 135CM H74939171071010 255

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Description CPT-4 Base Price Schedule

BALLOON MUSTANG DILATATION 7.0 X 80 135CM H74939171070810 255

BALLOON MUSTANG DILATATION CATHETER 7.0 X 80 75CM H74939171070870 255

BALLOON MUSTANG DILATATION CATHETER 8.0 X 80 75CM^H74939171080870 255

BALLOON NC QUANTUM APEX MR 12mmX2.00mm H7493912412200 188

BALLOON NC QUANTUM APEX MR 12mmX2.25mm H7493912412220 188

BALLOON NC QUANTUM APEX MR 12mmX2.50mm H7493912412250 188

BALLOON NC QUANTUM APEX MR 12mmX2.75mm H7493912412270 188

BALLOON NC QUANTUM APEX MR 12mmX3.00mm H7493912412300 188

BALLOON NC QUANTUM APEX MR 12mmX3.25mm H7493912412320 188

BALLOON NC QUANTUM APEX MR 12mmX3.50mm H7493912412350 188

BALLOON NC QUANTUM APEX MR 12mmX3.75mm H7493912412370 188

BALLOON NC QUANTUM APEX MR 12mmX4.00mm H7493912412400 188

BALLOON NC QUANTUM APEX MR 12mmX4.50mm H7493912412450 188

BALLOON NC QUANTUM APEX MR 12mmX5.00mm H7493912412500 188

BALLOON NC QUANTUM APEX MR 15mmX2.0mm H7493912415200 188

BALLOON NC QUANTUM APEX MR 15mmX2.25mm H7493912415220 188

BALLOON NC QUANTUM APEX MR 15mmX2.50mm H7493912415250 188

BALLOON NC QUANTUM APEX MR 15mmX2.75mm H7493912415270 188

BALLOON NC QUANTUM APEX MR 15mmX3.00mm H7493912415300 188

BALLOON NC QUANTUM APEX MR 15mmX3.25mm H7493912415320 188

BALLOON NC QUANTUM APEX MR 15mmX3.50mm H7493912415350 188

BALLOON NC QUANTUM APEX MR 15mmX3.75mm H7493912415370 188

BALLOON NC QUANTUM APEX MR 15mmX4.00mm H7493912415400 188

BALLOON NC QUANTUM APEX MR 15mmX4.50mm H7493912415450 188

BALLOON NC QUANTUM APEX MR 15mmX5.00mm H7493912415500 188

BALLOON NC QUANTUM APEX MR 20mmX2.0mm H7493912420200 188

BALLOON NC QUANTUM APEX MR 20mmX2.25mm H7493912420220 188

BALLOON NC QUANTUM APEX MR 20mmX2.5MM H7493912420250 188

BALLOON NC QUANTUM APEX MR 20mmX2.75mm H7493912420270 188

BALLOON NC QUANTUM APEX MR 20mmX3.00mm H7493912420300 188

BALLOON NC QUANTUM APEX MR 20mmX3.25mm H7493912420320 188

BALLOON NC QUANTUM APEX MR 20mmX3.50mm H7493912420350 188

BALLOON NC QUANTUM APEX MR 20mmX3.75mm H7493912420370 188

BALLOON NC QUANTUM APEX MR 20mmX4.00mm H7493912420400 188

BALLOON NC QUANTUM APEX MR 20mmX4.50mm H7493912420450 188

BALLOON NC QUANTUM APEX MR 20mmX5.00mm H7493912420500 188

BALLOON NC QUANTUM APEX MR 30mmX2.50mm H7493912430250 188

BALLOON NC QUANTUM APEX MR 30mmX2.75mm^H7493912430270 188

BALLOON NC QUANTUM APEX MR 30mmX3.00mm H7493912430300 188

BALLOON NC QUANTUM APEX MR 30mmX3.50mm H7493912430350 188

BALLOON NC QUANTUM APEX MR 6mmX2.50mm H7493912406250 188

BALLOON NC QUANTUM APEX MR 6mmX3.25mm H7493912406320 188

BALLOON NC QUANTUM APEX MR 6mmX3.50mm H7493912406350 188

BALLOON NC QUANTUM APEX MR 8mmX2.00mm H7493912408200 188

BALLOON NC QUANTUM APEX MR 8mmX2.25mm H7493912408220 188

BALLOON NC QUANTUM APEX MR 8mmX2.50mm H7493912408250 189

BALLOON NC QUANTUM APEX MR 8mmX2.75mm H7493912408270 188

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Description CPT-4 Base Price Schedule

BALLOON NC QUANTUM APEX MR 8mmX3.00mm H7493912408300 188

BALLOON NC QUANTUM APEX MR 8mmX3.25mm H7493912408320 188

BALLOON NC QUANTUM APEX MR 8mmX3.50mm H7493912408350 188

BALLOON NC QUANTUM APEX MR 8mmX3.75mm H7493912408370 188

BALLOON NC QUANTUM APEX MR 8mmX4.00 H7493912408400 188

BALLOON NC QUANTUM APEX MR 8mmX4.50mm H7493912408450 188

BALLOON OCCLUSION^17-103 271

BALLOON PTA ATLAS 12 X 4^AT75124 376

BALLOON PTA ATLAS 14 X 4 AT75144 376

BALLOON PTA ATLAS 16 X 2 AT75162 394

BALLOON PTA ATLAS 18 X 2^AT75182 433

BALLOON PTA ATLAS 20 X 2^AT75202 433

BALLOON SHEATH EXPANDABLE SR-2425 SR-2425 1155

BALLOON SOLOPATH SHEATH EXPAND SR-1925^SR-1925 1155

BALLOON SOLOPATH SHEATH EXPANDABLE 15fr/26fr 8.67mm^SR-2225 1155

BALLOON STERLING 2.0 X 220^H74939032202210 362

BALLOON STERLING O.T.W. 7.0 X 40 X 135 39032-7040 315

BALLOON Sterling OTW 5.0 x 120mm x 150cm 39032-50121 362

BALLOON Sterling OTW 5.0 x 150mm x 150cm 39032-50151 362

BALLOON Sterling OTW 6.0 x 120mm x 150cm 39032-60121 362

BALLOON Sterling OTW 6.0 x 150mm x 150cm 39032-60151 362

BALLOON Sterling OTW 7.0 x 120mm x 150cm 39032-70121 362

BALLOON Sterling OTW 7.0 x 150mm x 150cm 39032-70151 362

BALLOON STERLING SL OTW 2.0 X 100 X 150 39148-20101 362

BALLOON STERLING SL OTW 2.0 X 120 X 150 39148-20121 362

BALLOON STERLING SL OTW 2.0 X 150 X 150 39148-20151 362

BALLOON STERLING SL OTW 2.0 X 80 X 150 39148-20801 362

BALLOON STERLING SL OTW 2.5 X 100 X 150^39148-25101 362

BALLOON STERLING SL OTW 2.5 X 120 X 150 39148-25121 362

BALLOON STERLING SL OTW 2.5 X 150 X 150 39148-25151 288

BALLOON STERLING SL OTW 2.5 X 80 X 150^39148-25801 362

BALLOON STERLING SL OTW 3.0 X 100 X 150 39148-30101 362

BALLOON STERLING SL OTW 3.0 X 120 X 150^39148-30121 362

BALLOON STERLING SL OTW 3.0 X 150 X 150 39148-30151 362

BALLOON STERLING SL OTW 3.0 X 80 X 150 39148-30801 362

BALLOON STERLING SL OTW 4.0 X 100 X 150 39148-40101 362

BALLOON STERLING SL OTW 4.0 X 120 X 150^39148-40121 362

BALLOON STERLING SL OTW 4.0 X 150 X 150 39148-40151 362

BALLOON STERLING SL OTW 4.0 X 80 X 150 39148-40801 362

BALLOON URINARY PRES REG 51-60 72400023 4843

BALLOON URINARY PRES REG 61-70 72400024 5036

BALLOON URINARY PRES REG 71-80 72400025 4843

BALLOON UROMAX 6MM X 10CM 225-137 861

BALLOON XPRESS LoProfile 6 mm x 18 mm^LPLF-106 2025

BALLOON XXL 12X4X120 14-511 14-511 213

BALLOON XXL 14X4X120 14-515^14-515 213

BALLOON ZMED 2 18x4 611753 1281

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Description CPT-4 Base Price Schedule

BALLOON ZMED 2 28x4 611660 1281

BALLOON ZMED 2 30x4 611661 1281

BALLOON ZMED 2x20x4 618737 1281

BALLOON ZMED 2x23x4 618745 1281

BALLOON ZMED 2x25x4 618749 1281

BALLOON ZMED II 20x4x100 610470 935

BAND AND SCLERAL BUCKLE SET 41 26

BAND FUTURE MITRAL 26MM 638B-26MM 3500

BAND FUTURE MITRAL 28MM 638B-28MM 3500

BAND FUTURE MITRAL 30MM 638B-30MM 3500

BAND FUTURE MITRAL 32MM 638B-32MM 3500

BAND FUTURE MITRAL 34MM 638B-34MM 3500

BAND FUTURE MITRAL 36MM 638B-36MM 3500

BAND FUTURE MITRAL 38MM 638B-38MM 3500

BAND TYPE 240 SLEEVES 240 26

BAR BARMESH ARCH 12.5CM 5 in 01-1154 62

BAR CONNECT 100 X 4.0MM 395.72 65

BAR CONNECT 100 X 5.0MM 393.90 59

BAR CONNECT 120 X 4.0MM 395.73 65

BAR CONNECT 140 X 4.0MM 395.74 84

BAR CONNECT 150 X 5.0MM 393.91 59

BAR CONNECT 180 X 4.0MM 395.76 84

BAR CONNECT 200 X 5.0MM 393.92 59

BAR CONNECT 250 X 5.0MM 393.93 59

BAR CONNECT 300 X 5.0MM 393.94 59

BAR CONNECT 4.0 160MM 395.75 84

BAR CONNECT 60 X 4.0MM 395.7 53

BAR CONNECT 80 X 4.0MM 395.71 65

BAR E/F 150MM 71062150 380

BAR E/F 200MM 71062200 380

BAR E/F 250MM 71062250 409

BAR E/F 300MM 71062300 409

BAR E/F 350MM 71062350 409

BAR E/F 400MM 71062400 451

BAR E/F HEX 203MM 71112743 1162

BAR E/F HEX-FIT MEDIUM 406MM 112733 682

BAR E/F HEX-FIX HEX 508MM 112703 1507

BAR E/F HEX-FIX HEX LONG 508MM 112734 2457

BAR E/F HEX-FIX HEX SHORT 305M 112701 1785

BAR METAPHYSEAL 180MM 14255 296

BAR MODULAR TIBIAL LOCKING 141205 245

BASE FINN ROTATING TIBIAL 79MM 154078 4354

BASE GLENOID HYBRID 4MM MED 113954 3458

BASE GLENOID SMALL 4MM 113952 3458

BASE JOURNEY TIB NP LT SZ 8 74022228 1800

BASE JOURNEY TIB NP RT SZ 8 74022218 1800

BASE JOURNEY TIB RT SZ 7 74022217 1800

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Description CPT-4 Base Price Schedule

BASE JOURNEY TIB SZ 7 LT 74022227 1800

BASE JOURNEY TIBIA NP RT SZ 1 74022211 1800

BASE JOURNEY UNI TIB RM/LL SZ 4 71422434 2610

BASE JOURNEY UNI TIB RM/LL SZ 6 71422436 2610

BASE JOURNEY UNI TIB SZ 5 71422435 2610

BASE JOURNEYII NP LT SZ4 74022224 1800

BASE JOURNEYII TIBIA NP RT SZ2 74022212 1800

BASE MODULAR TIBIAL 67MM 150421 6723

BASE MODULAR TIBIAL 71MM 150422 6723

BASE MODULAR TIBIAL 75MM 150423 6723

BASE MODULAR TIBIAL 79MM 150424 6723

BASE TIB JOURNEY LM/RL SZ 6 71422426 2610

BASE TIB JOURNEY NP LT SZ 5 74022225 1800

BASE TIB JOURNEY NP RT SZ 4 74022214 1800

BASE TIB JOURNEY NP RT SZ 5 74022215 1800

BASE TIB JOURNEY NP RT SZ6 74022216 1800

BASE TIB JOURNEY SZ 6 LT 74022226 1800

BASE TIB JOURNEYII NP LT SZ 2 74022222 1800

BASE TIB JOURNEYII NP LT SZ 3 74022223 1800

BASE TIB JOURNEYII NP RT SZ 3 74022213 1800

BASE TIBIAL GEN UNI LT X-SM 726100 2472

BASE TIBIAL GEN UNI RT X-SM 727100 2472

BASE TIBIAL GENESIS UNI LRG 726203 2472

BASE TIBIAL GENESIS UNI MED-MFRCAT 726202 726202 2472

BASE TIBIAL GENESIS UNI MED-MFRCAT 726305 726305 2472

BASE TIBIAL GENESIS UNI MED-MFRCAT 727202 727202 2472

BASE TIBIAL GENESIS UNI SM 726101 2472

BASE TIBIAL LEGION HK SZ 3 RT 71421903 7607

BASE UNI TIB JOURNEY LM/RL SZ 2 71422422 2610

BASE UNI TIB JOURNEY LM/RL SZ 3-MFRCAT 71422423 71422423 2610

BASE UNI TIB JOURNEY LM/RL SZ 4 71422424 2610

BASE UNI TIB JOURNEY LM/RL SZ 5 71422425 2610

BASE UNI TIB JOURNEY RM/LL SZ 3-4 10MM 71422433 2610

BASE/INSERT GENESIS UNI TIBIAL-MFRCAT 71243218 71243218 2472

BASE/INSERT GENESIS UNI TIBIAL-MFRCAT 71243408 71243408 2472

BASEPLATE AUGMENTED COMPREHENSIVE W/ ADP LG^110032430 4810

BASEPLATE AUGMENTED COMPREHENSIVE W/ ADP MD^110032420 4810

BASEPLATE GEN TIBIAL SZ 1 LT 71420160 1800

BASEPLATE GEN TIBIAL SZ 1 RT 71420176 1800

BASEPLATE GEN TIBIAL SZ 2 LT 71420162 1800

BASEPLATE GEN TIBIAL SZ 2 RT 71420180 1800

BASEPLATE GEN TIBIAL SZ 3 LT 71420164 1800

BASEPLATE GEN TIBIAL SZ 3 RT 71420182 1800

BASEPLATE GEN TIBIAL SZ 4 LT 71420166 1800

BASEPLATE GEN TIBIAL SZ 4 RT 71420184 1800

BASEPLATE GEN TIBIAL SZ 5 3750-0005 998

BASEPLATE GEN TIBIAL SZ 5 LT 71420168 1800

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Description CPT-4 Base Price Schedule

BASEPLATE GEN TIBIAL SZ 5 RT 71420186 1800

BASEPLATE GEN TIBIAL SZ 6 LT 71420170 1800

BASEPLATE GEN TIBIAL SZ 6 RT 71420188 1800

BASEPLATE GEN TIBIAL SZ 7 LT 71420172 1800

BASEPLATE GEN TIBIAL SZ 7 RT 71420190 1800

BASEPLATE GEN TIBIAL SZ 8 LT 71420174 1800

BASEPLATE GEN TIBIAL SZ 8 RT 71420191 1800

BASEPLATE GLENOID HA-COAT RSP 6.5mm X 30mm 508-32-204 2500

BASEPLATE GLENOID REUNION 28MM^5572-2800 2500

BASEPLATE JRNY II ISRT XLPE DD LT SZ 1-2 12MM 74025724 1800

BASEPLATE JRNY II XR SIZ 2 RT^74022292 2977

BASEPLATE JRNY II XR SZ 6 LT 74022206 2977

BASEPLATE LEG TIBIAL SZ 2 LT^71424002 4932

BASEPLATE LEG TIBIAL SZ 3 LT^71424003 4932

BASEPLATE LEG TIBIAL SZ 4 LT REV^71424004 4932

BASEPLATE LEG TIBIAL SZ 5 LT^71424005 4932

BASEPLATE LEGION REVISION W/JOURNEY LOCK SZ 3 L71933569 5579

BASEPLATE LEGION REV TIBIA SZ 1 RT 71424011 4932

BASEPLATE LEGION REV TIBIA SZ 2 RT^71424012 4932

BASEPLATE LEGION REVISION TIBIAL SZ 8 RT 71424018 4932

BASEPLATE LGN REV TIB SZ 6 LT^71424006 4932

BASEPLATE LNG REV TIB SZ 7 LT^71424007 4932

BASEPLATE LNG REV TIB SZ 8 LT -MFRCAT 71424008^71424008 4932

BASEPLATE MOD OSS TIBIAL 63mm^161088 6723

BASEPLATE SMALL AUGMENTED COMPREHENSIVE W/ MINI TAPER ADAPTER^110032410 4810

BASEPLATE TIBIA STRIDE SIZE 2 RM/LL^PFSI00003 3640

BASEPLATE TIBIA Stride Size 3 LM/RL^PFSI00006 3640

BASEPLATE TIBIA STRIDE SIZE 8 LM/RL PFSI00016 3640

BASEPLATE TIBIAL #2 TRIATHLON^5520-B-200 2470

BASEPLATE TIBIAL #3 TRIATHLON^5520-B-300 2470

BASEPLATE TIBIAL #4 TRIATHLON^5520-B-400 2470

BASEPLATE TIBIAL #5 TRIATHLON^5520-B-500 2470

BASEPLATE TIBIAL #6 TRIATHLON^5520-B-600 2470

BASEPLATE TIBIAL #7 TRIATHLON-MFRCAT 5520-B-700^5520-B-700 2470

BASEPLATE TIBIAL #7 TRIATHLON-MFRCAT 5526-B-700^5526-B-700 2600

BASEPLATE TIBIAL #8 TRIATHLON^5520-B-800 2470

BASEPLATE TIBIAL LEGION REV SZ 3 RT^71424013 4932

BASEPLATE TIBIAL LEGION REV SZ 4 RT^71424014 4932

BASEPLATE TIBIAL LEGION REV SZ 5 RT^71424015 4932

BASEPLATE TIBIAL LEGION REV SZ 6 RT^71424016 4932

BASEPLATE TIBIAL LEGION REV SZ 7 RT^71424017 4932

BASEPLATE TIBIAL TRIATHLON^5520-B-100 2470

BASEPLATE TIBIAL UNIV TRIATH #2^5521-B-200 2470

BASEPLATE TIBIAL UNIV TRIATH #4^5521-B-400 2470

BASEPLATE TIBIAL UNIV TRIATH #5^5521-B-500 2470

BASEPLATE TIBIAL UNIV TRIATH SZ 3^5521-B-300 2470

BASEPLATE TIBIAL UNIV TRIATH SZ 6^5521-B-600 2470

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Description CPT-4 Base Price Schedule

BASEPLATE TIBIAL UNIV TRIATH SZ 7^5521-B-700 2470

BASEPLATE TIBIAL UNIV TRIATH SZ 8^5521-B-800 2470

BASEPLATE UNIV GLENOID SM - MFRCAT# AR-9120-01^AR-9120-01 3036

Bead 13 1.5T LINX System Qty. 2 LXMC13 11000

Bead 14 1.5T LINX System Qty. 2 LXMC14 11000

Bead 15 1.5T LINX System Qty. 2 LXMC15 11000

Bead 16 1.5T LINX System Qty. 2 LXMC16 11000

Bead 17 1.5T LINX System Qty. 2 LXMC17 11000

BEAD BLOCK 100-300 YELLOW LABEL COLOR EB2S103 300

BEAD BLOCK 300-500 BLUE LABEL COLOR EB2S305 300

BEAD BLOCK 500-700 RED LABEL COLOR EB2S507 300

BEAD BLOCK 700-900 GREEN LABEL COLOR EB2S709 300

BEAD BLOCK 900-1200 PURPLE LABEL COLOR EB2S912 300

BEAD LC 70-150 BLACK LABEL COLOR VE020GS 3000

BEADS ANTIBIOTIC 10cc STIMULAN RAPIDCURE^620-010 2500

BEADS ANTIBIOTIC 12cc STIMULAN RAPIDCURE^620-005 1910

BEADS ANTIBIOTIC 20cc STIMULAN RAPIDCURE^620-020 4800

BEADS ANTIBIOTIC SYNTHECURE 10CC -MFRCAT# 20-125^20-125 2250

BEADS ANTIBIOTIC SYNTHECURE 20CC -MFRCAT# 20-150^20-150 4320

BEADS ANTIBIOTIC SYNTHECURE 5CC - MFRCAT# 20-112^20-112 1790

BEADS LC 100-300^VE220GS 4200

BEADS LC 300-500 BLUE LABLE COLOR^VE420GS 4200

BEARING 16X79/83 - MFRCAT 179233^179233 1862

BEARING 16X79/83 - MFRCAT 179234^179234 1862

BEARING AGC TIBIAL TRAD 16X71/75^151013 2236

BEARING HUMERAL 44X36MM +3^XL-115364 2262

BEARING HUMERAL REV 44X36^XL-115363 2262

BEARING HUMERAL REV SHLDR 44-41MM^XL-115366 2262

BEARING HUMERAL VARCOM XL 44-36 RTNV+3 HMRL BRG^XL-115365 2262

BEARING MAXIM TIB 14X71/75^146754 1920

BEARING MAXIM TIBIAL 12X71/75^146752 1920

BEARING MAXIM TIBIAL 14X79/83^146774 1584

BEARING MAXIM TIBIAL 18X79/83^146778 1526

BEARING MAXIM TIBIAL 20X71/75^146760 2282

BEARING MAXIM TIBIAL 20X79/83^146780 1587

BEARING MAXIM TIBIAL 22X71/75^146762 1668

BEARING MENISCAL OXFORD MED LT^159459 2942

BEARING TIB AGC 20X63/67^151116 2236

BEARING TIB OSS 18MM^150413 2152

BEARING TIB OXFORD 8MM^159559 2327

BEARING TIB POLY CON 20X79/83^11-146780 2764

BEARING TIBIAL 10X63/67MM^183420 1252

BEARING TIBIAL 12X63/67MM - MFRCAT 183422^183422 1252

BEARING TIBIAL 12X63/67MM - MFRCAT183424^183424 1252

BEARING TIBIAL 12X71/75MM^183442 1252

BEARING TIBIAL 14X71/85MM^183444 1252

BEARING TIBIAL 18X71/75MM^183448 1252

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Description CPT-4 Base Price Schedule

BEARING TIBIAL 71MM^183440 1252

BEARING TIBIAL ACROM 12MM^150410 2152

BEARING TIBIAL ACROM 14MM^150411 2152

BEARING TIBIAL ACROM 16MM^150412 1935

BEARING TIBIAL ACROM 20MM^150414 2152

BEARING TIBIAL ACROM 22MM^150415 2152

BEARING TIBIAL AGC 14MM^151007 2236

BEARING TIBIAL AGC 16MM^151008 2236

BEARING TIBIAL CONSTRAIN 16MM^11-146756 1700

BEARING TIBIAL PS 12MM^11-146572 2694

BEARING TIBIAL VANGUARD 14X63/67^183864 4355

BEARING TIBIAL VANGUARD 14X79/83^183904 4355

BEARING TIBIAL VANGUARD 22X71/75^183892 3628

BEARING TIBIAL VANGUARD 24X71/75^183854 4355

Bedside Procedure 736

Bedside Procedure Minor 736

Bedside Procedure Surgery 736

Benadryl Level 143

BICEPS BUTTON 2.6X12^AR-2261 522

BICEPTOR KIT BIOTENODESIS 7X25MM^72202357 700

BICEPTOR KIT BIOTENODESIS 8X25MM^72202358 700

BICEPTOR KIT BIOTENODESIS 9X15MM^72202301 700

BIO DBM BOAT 10CC - MFRCAT# 65305001^65305001 1370

BIO DBM BOAT 20CC - MFRCAT# 653050^653050 2400

BIO DBM BOAT 40CC -MFRCAT# 653100^653100 4200

BIO DBM GEL 1CC - MFRCAT# 7776001/7775001^7775001 240

BIO DBM PUTTY 10CC - MFRCAT# 7775010^7775010 1700

BIO DBM PUTTY 5CC - MFRCAT# 7775005^7775005 1000

BIO-COMPOSIT CORKSCREW FT, 2 SUT TAPE 4.75MM^AR-1927BCT-475 628

BIO-GIDE 40 X 50^20153 990

BIO-PUSH LOCK MINI 2.5MM X 8MM^AR-8825B 602

BIO-PUSHLOCK 4.5MM X 18.5MM^AR-1922B 602

BIO-SWIVELOCK SUT ANCHOR 5.5X15MM^AR-2323BSLC 664

BIRTH CONTROL SYSTEM ESSURE PERMANENT^ESS305 1850

BI-V VENOUS LEAD 01 1.02

BLADE HELICAL 11.0 X 75MM^456.300S 1387

BLADE HELICAL 11X100 NONS^456.305 1260

BLADE HELICAL TFN 85MM STERILE^04.038.285S 1387

BLADE HELICAL TFNA 100MM STERILE^04.038.300S 1387

BLADE HELICAL TFNA 100mm STERILE^04.038.400S 1387

BLADE HELICAL TFNA 105MM STERILE^04.038.305S 1387

BLADE HELICAL TFNA 105mm STERILE^04.038.405S 1387

BLADE HELICAL TFNA 115mm STER^04.038.315S 1387

BLADE HELICAL TFNA 115mm STERILE^04.038.415S 1387

BLADE HELICAL TFNA 120mm STERILE^04.038.420S 1387

BLADE HELICAL TFNA 65mm STERILE^04.038.385S 1387

BLADE HELICAL TFNA 75MM STERILE^04.038.275S 1387

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Description CPT-4 Base Price Schedule

BLADE HELICAL TFNA 75mm STERILE^04.038.375S 1387

BLADE HELICAL TFNA 80MM STER^04.038.280S 1387

BLADE HELICAL TFNA 80mm STERILE^04.038.380S 1387

BLADE HELICAL TFNA 90MM STERILE^04.038.290S 1387

BLADE HELICAL TFNA 90MM STERILE^04.038.390S 1387

BLADE HELICAL TFNA 95MM STERILE^04.038.295S 1387

BLADE HELICAL TFNA 95MM STERILE^04.038.395S 1387

BLADE HELICAL TIT 11X100^456.305S 1387

BLADE HELICAL TIT 11X105 - MFRCAT 456.306^456.306 1260

BLADE HELICAL TIT 11X105-STER - MFRCAT 456.306S^456.306S 1387

BLADE HELICAL TIT 11X110^456.307 1260

BLADE HELICAL TIT 11X115^456.308 1260

BLADE HELICAL TIT 11X120^456.309S 1387

BLADE HELICAL TIT 11X80^456.301 1387

BLADE HELICAL TIT 11X855^456.302 1260

BLADE HELICAL TIT 11X90 NONSTER^456.303 1260

BLADE HELICAL TIT 11X90^456.303S 1387

BLADE HELICAL TIT 11X95^456.304 1260

BLADE HELICAL TITAN 11X95 STERILE^456.304S 1387

BLADE SPIRAL F/RETRO FEM NAIL 75MM^04.013.047 1067

BLADE SPIRAL F/RETRO FEM NAIL 80MM^04.013.048 1067

BLADE SPIRAL HELICAL 40MM F/NAILS^462.640 1058

BLADE SPIRAL TIT 55MM^04.013.043S 1178

BLADE SPIRAL TIT 60MM^04.013.044S 1178

BLADE SPIRAL TIT 70MM^04.013.046S 1178

BLADE SPIRAL TIT 75MM^04.013.047S 1178

BLADE SPIRAL TIT 80MM^04.013.048S 1178

BLADE SPIRAL TIT 85MM^04.013.049S 1178

BLADE SPIRAL TITAN 100MM^04.013.052S 1178

BLADE SPIRAL TITAN 34MM^462.634S 1165

BLADE SPIRAL TITAN 36MM^462.636S 1165

BLADE SPIRAL TITAN 40MM^462.640S 1165

BLADE SPIRAL TITAN 42MM NON STERILE^462.642 1058

BLADE SPIRAL TITAN 42MM^462.642S 1165

BLADE SPIRAL TITAN 44MM^462.644S 1165

BLADE SPIRAL TITAN 46MM^462.646S 1165

BLADE SPIRAL TITAN 48MM^462.648S 1165

BLADE SPIRAL TITAN 50MM-MFRCAT 04.013.042S^04.013.042S 1178

BLADE SPIRAL TITAN 50MM-MFRCAT 462.650S^462.650S 1165

BLADE SPIRAL TITAN 52MM^462.652S 1165

BLADE SPIRAL TITAN 65MM NONSTERILE^04.013.045 1067

BLADE SPIRAL TITAN 65MM^04.013.045S 1178

BLADE SPIRAL TITAN 90MM^04.013.050S 1178

BLADE SPIRAL TITAN 95MM^04.013.051S 1178

BLADE TI SPIRAL 70MM FORTI RETROGRAE FEMORAL NAILS-EX 04.013.046 1067

BLOCK CORTICAL BONE 7X14X11^200741 1794

BLOCK CORTICAL BONE SR 5X14^200541 1794

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Description CPT-4 Base Price Schedule

BLOCK CORTICAL BONE SR 6X14^200641 1794

BLOCK CORTICAL BONE SR 8X14^200841 1794

BLOCK CORTICAL BONE SR 9X14^200941 1794

BLOCK DISTAL FEM #9 8MM^7910-1908L 755

BLOCK DISTAL FEM AUG #5 10MM^75-1-0510 2196

BLOCK DISTAL FEM AUG #5 5MM - MFRCAT 75-1-0505^75-1-0505 2196

BLOCK DISTAL FEM AUG #5 5MM - MFRCAT 75-2-0505^75-2-0505 2196

BLOCK DISTAL FEM AUG #7 10MM^75-1-0710 2196

BLOCK DISTAL FEM AUG #7 4MM^7910-1704R 755

BLOCK DISTAL FEM AUG #7 8MM^7910-1708R 755

BLOCK DISTAL FEM AUG #9 8MM^7910-1908R 755

BLOCK DISTAL FEMORAL #11 4M RT^7910-1104R 632

BLOCK DISTAL FEMORAL #5 4MM^7910-1504R 710

BLOCK DISTAL FEMORAL #7 4MM^7910-1704L 670

BLOCK DISTAL FEMORAL AUG#5 4MM^7910-1504L 710

BLOCK MAX MOD TIBIAL 6X75^141744 1982

BLOCK POST FEMORAL #11 8MM^7910-2118 632

BLOCK POST FEMORAL #5 8MM^7910-2518 792

BLOCK POSTERIOR FEM AUG #7 4MM^7910-2714 670

BLOCK TIBIAL #7^7915-5708 711

BLOCK TIBIAL #9^7915-5908 755

BLOCK TIBIAL AUG HALF #2 10MM 5546-A-202^5546-A-202 2233

BLOCK TIBIAL AUG HALF #2 10MM^5546-A-201 2233

BLOCK TIBIAL AUG HALF #3 5MM^5545-A-302 2286

BLOCK TIBIAL AUG HALF #5 10MM LT^5546-A-502 2233

BLOCK TIBIAL AUG HALF SZ 6 10MM^5546-A-602 2233

BLOCK TIBIAL AUG HALF SZ 7 10MM^5546-A-702 2233

BLOCK TIBIAL AUG HALF TRIATH #5 10MM^5546-A-501 2233

BLOCK TIBIAL AUG TRIATH #4 10MM^5546-A-401 2233

BLOCK TIBIAL AUG TRIATH #4^5546-A-402 2233

BLOCK TIBIAL FULL 10MM #5^75-4-0510 3434

BLOCK TIBIAL FULL 10MM #7^75-4-0710 3434

BLOCK TIBIAL FULL 5MM #11^75-3-1105 2368

Blood Alcohol Level 143

BLOOD CRYOPRECIPITATED AHF ^HCPCS-P9012 86

Blood Patch - L&D Charges 1806

Blood Patch - OB ED Charges 1806

BLOOD PLATELETPHERESIS^HCPCS-P9035 689

Blood Split Unit 177

BODY GLOBAL UNITE 135DEG SZ 10^1100-30-000 2600

BODY GLOBAL UNITE 135DEG SZ 12^1100-40-000 2600

BODY GLOBAL UNITE 135DEG SZ 14^1100-50-000 2600

BODY PROX GLOBAL UNITE 135D SZ 16^1100-60-000 2600

BODY REVERSE PLUS PROMOS 42/15MM^75003715 5000

BOLT FOR FEMORAL NECK SYSTEM 90mm 04.168.290S 713

BOLT FOR FEMORAL NECK SYSTEM 95mm^04.168.295S 713

BOLT LOCKING 4.9 X 42MM^459.42 353

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Description CPT-4 Base Price Schedule

BOLT LOCKING 4.9 X 48MM^459.48 353

BOLT VANTAGE 8.0X30^9338030 3017

BOLT VANTAGE 8.0X40^9338040 3017

BOLT VANTAGE 8.0X50^9338050 3017

BOLT VANTAGE 9.0X40^9338940 3017

BOLT VANTAGE SPINAL 45MM^9338045 3017

BONE BLOCK LORDOTIC SR 5X14^400541 1600

BONE BLOCK LORDOTIC SR 7X14X11^400741 1600

BONE BLOCK LORDOTIC SR 8X14^400841 1600

BONE BLOCK LORDOTIC SR 9X14^400941 1600

BONE BLOCK LORDOTIC SR CORT 6X14X11^400641 1600

BONE CARTILAGE 1CC - MFRCAT ABS1010BC^ABS-1010-BC 1735

BONE CEMENT GENTAMICIN - MFRCAT# 5450-32-500^5450-32-500 400

BONE CEMENT PALACOS 1X40 W/GENT^5036964 637

BONE CHIPS CANCELLOUS 1/2OZ 15^910110 450

BONE CHIPS CANCELLOUS 15CC 4-10mm LYO^400120 1168

BONE CHIPS CANCELLOUS 15CC^400145 533

BONE CHIPS CANCELLOUS 30CC - MFRCAT 400115^400115 682

BONE CHIPS CANCELLOUS 30CC - MFRCAT 400150^400150 908

BONE CHIPS CANCELLOUS 4-10MM 15CC^100415 634

BONE CHIPS CANCELLOUS 4-10MM 30CC^100430S 952

BONE DOWEL 10MM SHORT^PRD10 2070

BONE DOWEL 10MM^PRDXL10 2430

BONE DOWEL 12MM^PRDXL12 2430

BONE DOWEL 13MM^PRDXL13 2430

BONE DOWEL 14MM^PRDXL14 2430

BONE DOWELL 11MM^PRDXL11 2430

BONE FILLER ALLOSYNC DBM GEL 5CC^ABS-2013-05 1416

BONE FILLER BETA-BSM PASTE 5.0CC^76-6016 3137

BONE FILLER DBM GEL 1CC^ABS-2002-01 354

BONE FILLER DEV KYPHON ELEMENT^7480703T 828

BONE FILLER EQUIVABONE 10.0CC^76-6022 4998

BONE FILLER EQUIVABONE 2.5CC^76-6027 2157

BONE FILLER EQUIVABONE 5.0CC^76-6021 3333

BONE FILLER HYDROSET 10CC^397010 5634

BONE FILLER HYDROSET 15CC^397015 8100

BONE FILLER HYDROSET 3CC^397003 1827

BONE FILLER HYDROSET 5CC^897005 2934

BONE FILLER NORIAN DRILLABLE 10CC^07.704.010S 5301

BONE FILLER NORIAN DRILLABLE 5CC^07.704.005S 2697

BONE FILLER NUCELL^NC-1001 1950

BONE FILLER QUICKSET 5CC -MFRCAT# ABS-3005^ABS-3005 2726

BONE FILLER STIMUBLAST 5CC -MFRCAT# ABS-2002-05^ABS-2002-05 1416

BONE GRAFT CHIPS SKELITE 10CC^9040 1013

BONE GRAFT IGNITE ICS PWR MIX^860T2000 5590

BONE GRAFT IGNITE PWR MIX 20CC^876P2000 5024

BONE GRAFT SUBSTITUTE 10CC; 5cc foam pack^2102-1405 1380

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Description CPT-4 Base Price Schedule

BONE GRAFT SUBSTITUTE 20CC; 10cc foam pack^2102-1410 2740

BONE GRAFT SUBSTITUTE 5CC; 2.5cc foam pack^2102-1402 690

BONE GRAFT SUBTITUTE PROSTIM 15CC^86SRCK15 12776

BONE GRAFT VIVIGEN 1CC^BL-1500-001 1018

BONE MATRIX DBX PASTE 1CC^028010 428

BONE MATRIX DBX PASTE 5CC^028050 1754

BONE MATRIX DBX PUTTY 0.5CC^038005 241

BONE MATRIX DBX PUTTY 10CC^038100 2697

BONE MATRIX DBX PUTTY 5CC^038050 1754

BONE MATRIX VIABLE B104 1CC 3102-2101 895

BONE PLUG INTRAMEDULLARY 22MM^130613 122

BONE PLUG WHITE SZ 10-11^013562 58

BONE PLUG WHITE SZ 9-10^013561 58

BONE PUTTY 2.5CC^ABS-2001-02 779

BONE SCREW 2.7X18^53-27218E 175

BONE SCREW NON-LCK 3.5X22^614822 147

BONE SCREW NON-LCK 3.5X24^614824 147

BONE SPIKES^110088 225

BONE STRUCTURE SUBSTITUTE CALCIUM PHOSPHATE 10.0CC^717808 4038

BONE STRUCTURE SUBSTITUTE CALCIUM PHOSPHATE 5.0CC^717805 3282

BONE VOID FILLER FAST SET 10CC^SRS-010-FSP 5544

BONE VOID FILLER NORIAN 10CC^SRS-010-RMS 5544

BONE VOID FILLER NORIAN 3CC^SRS-003-RMS 1718

BONE VOID FILLER NORIAN 5CC FS^SRS-005-FSP 2821

BONE VOID FILLER NORIAN 5CC^SRS-005-RMS 2821

BONEPLAST FILLER IMPLANT 20CC^BP020 1054

BRACE POST OP ECONOMY SHORT^09360 152

BRACE REHAB POSTOP T-SCOPE ROM^08814 152

BREAST TISSUE EXPANDER ARTOURA HIGH PROFILE 475CC^SMXP130RH 4160

BREAST TISSUE EXPANDER ARTOURA HIGH PROFILE 500CC SMXP135RH 4160

BRIDGE BALLOON^590-001 1275

BRIDGE PLATE^BRGP 2790

Brodifacoum Serum 143

Bronch Each add 5 min 416

Bronch First 10 min 1829

BUSHING FEMORAL^150477 794

BUSHING TIBIAL^150476 568

BUTTON ARCOM POLY PATELLA 31MM^11-150826 2015

BUTTON ARCOM POLY PATELLA 34MM^11-150828 2015

BUTTON ARCOM POLY PATELLA 37MM^11-150830 2015

BUTTON ARCOM POLY PATELLAR 34M^11-150842 2015

BUTTON CLAVICLE AR-2257-01^AR-2257-01 620

BUTTON CORACOID AR-2257-02^AR-2257-02 620

BUTTON ENDO FIXATION 4MM X 12^013186 328

BUTTON POLY PATELLAR 3P 31MM^11-150840 2015

BUTTON POLY PATELLAR 3P 37MM^11-150844 2015

BUTTRESS PIN LOCKING 1.8 - 2mm^02.210.092 266

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Description CPT-4 Base Price Schedule

CABLE 1.0MM W/CRIMP SYNTHES^298.800.01S 974

CABLE 1.0MM W/CRIMP TIT SYNTHES^498.800.01S 974

CABLE 1.0MM W/CRIMP TITAN 750MM^498.821S 1092

CABLE 1.7MM COCR W/TI CRIMP^611.105.01S 975

CABLE 1.7MM W/CRIMP SYNTHES^298.801.01S 974

CABLE 2.0MM W/CLAMP^71340007 1003

CABLE ACCORD SS 2.0mm W/CLAMP^71340008 1023

CABLE CO-CR 2.0MM ACCORD^71340020 618

CABLE DOUBLE W/INTEGRAL CRIMP^826-211 800

CABLE GRIP TROCHANTERIC 265MM^71340013 6800

CABLE PLATE ACCORD 250MM TIT^71346250 2662

CABLE PLATE/GRIP TROCHANTERIC - MFRCAT 71340003^71340003 3246

CABLE PLATE/GRIP TROCHANTERIC - MFRCAT 71340010^71340010 3246

CABLE PLATE/GRIP TROCHANTERIC - MFRCAT 71340011^71340011 4058

CABLE PLATE/GRIP TROCHANTERIC - MFRCAT71340004^71340004 4058

CABLE PLATE/GRIP TROCHANTERIC - MFRCAT71340012^71340012 5445

CABLE SADDLE TALL PERI-LOC T25^73801014 764

CAGE AFFINITY 10X12MM^6390210 3612

CAGE ALTITUDE 13X22^9391322 7975

CAGE ALTITUDE 13X32-46^9391332 9000

CAGE ALTITUDE 16MM^9391620 7975

CAGE ALTITUDE 16X17^9391617 7975

CAGE ALTITUDE 16X23^9391623 7975

CAGE ALTITUDE 16X41^9391641 9000

CAGE ALTITUDE 19X19^9391919 9000

CAGE ALTITUDE 19X23^9391923 9000

CAGE ALTITUDE 19X36^9391936 9000

CAGE ALTITUDE 19X47^9391947 10725

CAGE ALTITUDE 22X31^9392231 9000

CAGE ALTITUDE 22X48^9392248 10725

CAGE ALTITUDE 25X21^9392521 9000

CAGE ALTITUDE 25X31^9392531 9000

CAGE ALTITUDE 25X33^9392525 9000

CAGE ALTITUDE 25X48-75^9392548 10725

CAGE CLYDESDALE 10 X 45^2968045 6820

CAGE CLYDESDALE 10 X 50^2968050 6820

CAGE CLYDESDALE 10 X 55^2968055 6820

CAGE CLYDESDALE 12 X 50^2968250 6820

CAGE CLYDESDALE 12 X 60^2968260 6820

CAGE CLYDESDALE 12X45 -MFRCAT# 2968245^2968245 6820

CAGE CLYDESDALE 12X55^2968255 6820

CAGE CLYDESDALE 14X55 - MFRCAT# 2968455^2968455 6820

CAGE CLYDESDALE 8 X 50^2968850 6820

CAGE CLYDESDALE 8 X 55 MFRCAT 2968855^2968855 6820

CAGE CORNERSTONE END CAP 14X11X5^ 6287541 1600

CAGE CORNERSTONE END CAP 14X11X6^ 6287641 1600

CAGE CORNERSTONE END CAP 14X11X7^ 6287741 1600

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Description CPT-4 Base Price Schedule

CAGE CORNERSTONE END CAP 14X11X8^ 6287841 1600

CAGE CORNERSTONE END CAP 14X11X9^ 6287941 1600

CAGE CRESCENT PEEK SPACER 14X30^293014 9915

CAGE DIVERGENCE 9X15X9.4^G7736529 1800

CAGE DIVERGENCE INTERBODY 8MM^G7736528 1800

CAGE ELEVATE 11X28^7771128 4527

CAGE ELEVATE 23x10x10^7771025 9000

CAGE ELEVATE 23X9X10^7770923 4527

CAGE ELEVATE 7X23^7770723 4527

CAGE ELEVATE 7X28x10^7770728 4527

CAGE ELEVATE 8X23 - MFRCAT 7770823^7770823 4527

CAGE ELEVATE 8X23 - MFRCAT 8880823^8880823 4527

CAGE ELEVATE 8X28^7770828 4527

CAGE ELEVATE 9X23^8880923 4527

CAGE ELEVATE 9X28^7770928 4527

CAGE GLENOID EQUINOXE SMALL^314-13-02 1500

CAGE INTERFIX RP 20 X 23 MM^9012023 5730

CAGE L.T. 14MM X 17.5MM X 23MM^8941423 5781

CAGE L.T. 14MM X 20MM^8941420 5781

CAGE L.T. 16mm X 19.5mm X 20mm^8941620 5781

CAGE L.T. 16MM X 26MM^8941626 5781

CAGE L.T. 18MM X 22MM X 26MM^8941826 5781

CAGE LT PEEK 14 X 23MM^8941423P 6292

CAGE LT PEEK 16 X 23MM^8941623P 6292

CAGE LUMBAR I/F 11X11MM^6000-2011 3120

CAGE LUMBAR I/F 11X13X25MM SS^6000-2012 3572

CAGE LUMBAR I/F 13X13X25MM SS^6000-2013 3572

CAGE LUMBAR I/F 9X11X25MM SS^6000-2010 3572

CAGE LUMBAR I/F 9X9MM^6000-2009 3120

CAGE PSR CORNERSTONE 10MM^6277041 1600

CAGE PSR CORNERSTONE 10X11X11^6276011 1600

CAGE PSR CORNERSTONE 11X11X11^6276111 1600

CAGE PSR CORNERSTONE 11X11X5^6276511 1600

CAGE PSR CORNERSTONE 11X11X6^6276611 1600

CAGE PSR CORNERSTONE 11X11X7^6276711 1600

CAGE PSR CORNERSTONE 14X11X11^6277141 1600

CAGE PSR CORNERSTONE 14X11X12^6277241 1600

CAGE PSR CORNERSTONE 14X11X3^6277341 1600

CAGE PSR CORNERSTONE 14X11X4^6277441 1600

CAGE PSR CORNERSTONE 14X11X5^6277541 1600

CAGE PSR CORNERSTONE 14X11X6^6277641 1600

CAGE PSR CORNERSTONE 14X11X7^6277741 1600

CAGE PSR CORNERSTONE 14X11X8^6277841 1600

CAGE PSR CORNERSTONE 14X11X9^6277941 1600

CAGE R.P. 16 X 23MM^9011623 5730

CAGE RAY THRD FUSION 12 X 21MM^8-7221 3990

CAGE RAY THRD FUSION 12 X 26MM^8-7226 3990

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Description CPT-4 Base Price Schedule

CAGE RAY THRD FUSION 14 X 21MM - MFRCAT 71421^71421 4988

CAGE RAY THRD FUSION 14 X 21MM - MFRCAT 8-7421^8-7421 3990

CAGE RAY THRD FUSION 14 X 26MM^8-7426 3990

CAGE RAY THRD FUSION 14X26MM^71221 3990

CAGE RAY THRD FUSION 16 X 21MM^8-7621 3990

CAGE RAY THRD FUSION 16 X 26MM^8-7626 3990

CAGE SPACER DIVERGENCE 10MM^G7736520 1800

CAGE SPACER DIVERGENCE 5MM^G7736525 1800

CAGE SPACER DIVERGENCE 6MM^G7736526 1800

CAGE SPACER DIVERGENCE 7MM^G7736527 1800

CAGE SPACER DIVERGENCE 9X17X11^G7736749 1800

CAGE T2 ALTITUDE CENTERPIECE 22X37^9392237 9000

CAGE TIT CEM RESTRICTOR 10X22^1401022 2468

CAGE TIT CEM RESTRICTOR 12X22^1401222 2468

CAGE TIT CEM RESTRICTOR 8X22^1400822 2468

CAGE TIT CEM RESTRICTOR 8X26^1400826 2468

CAGE TITANIUM TRAXIX 9X9X21MM^2602-090921 6000

CAGE ZERO P 6MM^04.617.116S 5618

CAGE ZERO P 6MM^04.617.126S 5454

CAGE ZERO P 7MM - MFRCAT 04.617.117S^04.617.117S 5454

CAGE ZERO P 7MM - MFRCAT 04.617.127S^04.617.127S 5454

CAGE ZERO P 7MM - MFRCAT 04.617.137S^04.617.137S 5454

CAGE ZERO P 8MM^04.617.118S 5454

CAGE/SPACER DANEK^736527 1993

CAGE/SPACER DIVERGENCE 10MM SA^G6626520 4000

CAGE/SPACER DIVERGENCE 16MM 12DEG - MFRCAT# 2152116^2152116 6000

CAGE/SPACER DIVERGENCE 5MM SA^G6626525 4000

CAGE/SPACER DIVERGENCE 6mm SA^G6626526 4000

CAGE/SPACER DIVERGENCE 7mm SA^G6626527 4000

CAGE/SPACER DIVERGENCE 8MM SA^G6626528 4000

CAGE/SPACER DIVERGENCE 9mm SA G6626529 4000

CAGE/SPACER DIVERGENCE SM 10MM -MFRCAT# 2152110^2152110 6000

CAGE/SPACER DIVERGENCE SM 12DEG 12MM^2152112 6000

CAGE/SPACER DIVERGENCE SM L 14MM^2152114 6000

CAGE/SPACER SPINALGRAFT^736525 1993

CALCAR MALLORY/HEAD MOD BIOMET^108132 6754

CANCELLOUS 1-4MM 15CC^00500618 552

CANCELLOUS 1-4MM 30CC^00500718 926

CANCELLOUS 4-10MM 15CC^00600618 552

CANCELLOUS 4-10MM 30CC^00600718 926

CANCELLOUS CUBES 4-10MM 15CC LYO^6300618 736

CANCELLOUS CUBES 4-10MM 30CC LYO^06300718/06300721 1380

CANCELLOUS CUBES 6-10MM 15.0CC^100315 634

CANCELLOUS GRAFT ASSEM CORT 6X15X9^736526 1993

CanGaroo Pouch XXL CMCV-009-XXL 2300

Cannabinoid Client Confirmation 143

Cannabinoid Confirmation, Toxicology 143

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Description CPT-4 Base Price Schedule

Cannabinoid Confirmation, Zero Tolerance 143

Cannabinoid, Confirmation 143

CAP PROTECTIVE CARBON FIB ROD^394.97 62

CAP PROTECTIVE F/4.0 PIN^394.991 122

CAP PROTECTIVE F/5.0 PIN^394.993 114

CAPIO PUSH \T\ CATCH SUTURE SYSTEM 25C^M0068311251 869

CAPSTONE SPACER 10X22 DANEK^2961022 4400

CAPSTONE SPACER 10X22^2991022 4400

CAPSTONE SPACER 10X26 DANEK^2961026 6120

CAPSTONE SPACER 10X26^2991026 6120

CAPSTONE SPACER 11XX22^2991122 4400

CAPSTONE SPACER 11XX26 -MFRCAT# 2991126^2991126 6120

CAPSTONE SPACER 12X22 DANEK^2961222 4400

CAPSTONE SPACER 12X22^2991222 4400

CAPSTONE SPACER 12X26 DANEK^2961226 6120

CAPSTONE SPACER 12X26^2991226 6120

CAPSTONE SPACER 14X22 DANEK^2961422 4400

CAPSTONE SPACER 8x22 - MFRCAT 2990822^2990822 4400

CAPSTONE SPACER 8x26 - MFRCAT 2990826^2990826 6120

CAPSTONE SPACER 8X26 DANEK^2960826 6120

CAPSTONE SPACER 9X22^2990922 4400

CAPSTONE SPACER 9X26 - MFRCAT# 2990926^2990926 6120

CARD REHAB PH 3 3DAY/WK 30

CARD REHAB PH 3 5DAY/WK 50

CARDIOBLATE PROBE 10CM^60SF2-002 4200

CARDIOBLATE PROBE 10-S^60SF3 4200

CARTRIDGE 2-0 NOVOSTITCH PLUS^CTX-R001 850

CATH 150 CM RENEGADE 18-253^18-253 515

CATH 4F COBRA 2 BRAID 10707702^H787107077025 101

CATH 5F COBRA 2 BRAID 10709102^H787107091025 101

CATH 5F100CM BERENSTN 10722101^H787107221015 101

CATH ADVANTAGE 5.0 FR SIM1^G08584 101

CATH ARTERIAL EMBOLECTOMY 2FR^A4F01 284

CATH ARTERIAL EMBOLECTOMY 3FR^A4F03 284

CATH ARTERIAL EMBOLECTOMY 4FR^A4F05 284

CATH ARTERIAL EMBOLECTOMY 5FR^A4F06 284

CATH ARTERIAL EMBOLECTOMY 6FR^A4F07 284

CATH ASCENDA 114CM^8780 1800

CATH ASCENDA 140CM^8781 1800

CATH ATLANTIS .018 IVUS^M001FG000240 1500

CATH ATLANTIS PV IMS^36456 1500

CATH BALL 100CM 33MM 17-110^17-110 300

CATH BALL 18X4X120 14-558 ^14-558 213

CATH BALL 65CM 27MM 17-107^17-107 300

CATH BALL 65CM 33MM 17-109^17-109 300

CATH BALL CHARGER 10x2x135^3920610021 213

CATH BALL CHARGER 10X2X75^3920610027 180

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CATH BALL CHARGER 10X4X135^3920610041 180

CATH BALL CHARGER 10X4X75^3920610047 180

CATH BALL CHARGER 4X2X135^3920604021 180

CATH BALL CHARGER 4X2X75^39206-04027 180

CATH BALL CHARGER 4X4X135^3920604041 180

CATH BALL CHARGER 4X4X75^3920604047 180

CATH BALL CHARGER 4X8X135^3920604081 180

CATH BALL CHARGER 4X8X75^3920604087 180

CATH BALL CHARGER 5X2X135^3920605021 180

CATH BALL CHARGER 5X2X75^3920605027 180

CATH BALL CHARGER 5X4X135^3920605041 180

CATH BALL CHARGER 5X4X75^3920605047 180

CATH BALL CHARGER 5X8X135^3920605081 180

CATH BALL CHARGER 5X8X75^3920605087 180

CATH BALL CHARGER 6X2X135^3920606021 180

CATH BALL CHARGER 6X2X75^3920606027 180

CATH BALL CHARGER 6X4X135^3920606041 180

CATH BALL CHARGER 6X4X75^3920606047 180

CATH BALL CHARGER 6X8X135^3920606081 180

CATH BALL CHARGER 6X8X75^3920606087 180

CATH BALL CHARGER 7X2X135^3920607021 180

CATH BALL CHARGER 7X2X75^3920607027 180

CATH BALL CHARGER 7X4X135^3920607041 180

CATH BALL CHARGER 7X4X75^3920607047 180

CATH BALL CHARGER 8x2x135^3920608021 213

CATH BALL CHARGER 8X2X75^3920608027 180

CATH BALL CHARGER 8x4x135^3920608041 180

CATH BALL CHARGER 8x4x75^3920608047 180

CATH BALL CHARGER 9x2x135^3920609021 180

CATH BALL CHARGER 9X2X75^3920609027 180

CATH BALL CHARGER 9X4X135^3920609041 180

CATH BALL CHARGER 9X4X75^3920609047 180

CATH BALL PERCT TAUT 6MM^50640 300

CATH BALL PERIPH CUT 5X2X50^PCB502050 1200

CATH BALL PERIPH CUT 6X2X50^PCB602050 1200

CATH BALL PERIPH CUT 7X2X50^PCB702050 1055

CATH BALL PERIPH CUT 8X2X50^PCB802050 1200

CATH BALL XXL 12X4X75 14-510^14-510 213

CATH BALL XXL 14X4/5.8/75^14-514 213

CATH BALL XXL 14X4X75 14-514^M001145140 213

CATH BALL XXL 16X4X75 14-552^14-552 213

CATH BALL XXL 18X4X75 14-557^14-557 213

CATH BALLOON CHARGER 10 X 80 X 75 ^39206-10087 180

CATH BALLOON CHARGER 7 X 80 X 75 ^39206-07087 180

CATH BALLOON CHARGER 8 X 80 X 75 ^39206-08087 180

CATH BALLOON CHARGER 9 X 80 X 75 ^39206-09087 180

CATH BALLOON CONQUEST 10X4^CQ75104 268

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Cath Balloon Conquest 6mx8cm 75cm CQ7568 268

CATH BALLOON CONQUEST 7MMX4CM^CQ7574 268

Cath Balloon Conquest 7mx8cm 75cm CQ7578 268

Cath Balloon Conquest 8mx8cm 75cm CQ7588 268

CATH BALLOON CONQUEST CQ-75124^CQ75124 268

CATH BALLOON CONQUEST CQ-7564^CQ7564 268

CATH BALLOON CONQUEST CQ-7584^CQ7584 268

CATH BALLOON CONQUEST CT7594^CQ7594 268

CATH BALLOON COYOTE 1.5 X 40 X 150 ^39186-15041 395

CATH BALLOON COYOTE 2.5 X 220 X 150^39186-25221 493

CATH BALLOON UROMAX 7MM X 4CM^225-123 861

CATH BENTSON 2 5FR X 100CM^H787107202025 101

CATH BERENSTEIN 40CM^31-407 101

CATH BERENSTEIN 4FR 40CM ^H787107235035 95

CATH BERENSTEIN 5FR 40CM^H787107221055 101

CATH BERENSTEIN 65CM^31-410 101

CATH BILIARY DRAIN 27-261 ^27-261 388

CATH BILIARY DRAIN 27-262 ^27-262 388

CATH BILIARY DRAIN 27-263 ^27-263 388

CATH CLEAR BACTISEAL EVD 1.9MM INNER LUMEN^50318 1444

CATH CONE TIP 10FR^038010 59

CATH CONE TIP CATH OD 5FR X 70 TIP OD 8FR^M0064002111 59

CATH CSF VENTRICULAR 23CM^41101 388

CATH DEPLOY MICROFLOW SPACER FRONTAL^GC090RS 439

CATH DIAL 14.5X19 (145057)^8888145057P 1030

CATH DIAL LONGTRM 32CM 3012035^H787103012035 500

CATH DIAMONDBACK ROTAT ATHEREC 2.00 MM^DBP-200SOLID145 5429

CATH DIRECTIONAL HAWKONE LS 7FR^H1-LS 4718

CATH DIRECTIONAL HAWKONE LX 7FR^H1-LX 4800

CATH EMB PYTHON A4E01^A4E01 284

CATH EMBDOLECTOY A4F04^A4F04 284

CATH EMBOLECTOMY IRRIGATION 4F^IRR-080-4F 113

CATH EMBOLECTOMY IRRIGATION 6fr^IRR-080-6F 113

CATH EMBOLECTOMY PYTHON 11MM^A4E06 284

CATH EMBOLECTOMY PYTHON 13MM^A4E08 284

CATH EMBOLECTOMY PYTHON 14MM^A4E09 284

CATH EMBOLECTOMY PYTHON 5MM^A4E02 284

CATH EMBOLECTOMY PYTHON 9MM^A4E04 158

CATH GROSHONG DUAL 7726950^7726950 548

CATH GROSHONG SINGLE 77118^7711804 499

CATH GUIDE MAXILLARY SMALL^GC110S 439

CATH GUIDE SINUS 2-0 RELIEVA^GC000 439

CATH GUIDE SINUS F-70 RELIEVA FLEX^GC070CRF 439

CATH GUIDE SINUS M-110 RELIEVA FLEX^GC110RF 439

CATH GUIDE SINUS M-90 RELIEVA FLEX^GC090RF 439

CATH GUIDE SINUS S-0 RELIEVA FLEX^GC000RF 439

CATH HICKMAN HEMODIALSIS 36CM 600662^0600662 650

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CATH HICKMAN HEMODIALSIS 40CM 600692^600692 634

CATH HOLTER VENTRICULAR 6CM^821658 398

CATH HOLTER VENTRICULAR 8CM^821662 398

CATH HSG H/S ELLIPTOSPHERE-replaces 8845^61-4005 143

CATH IE 8/24CM 22-137 ^22-137 267

CATH IE URETERAL STENT 22-136 ^22-136 267

CATH IE URETERAL STENT 22-139 ^22-139 267

CATH JOS OMNI SEL 5FR 10720402^H787107204025 101

CATH LOCK LOOP 10F 27-135^M001271350 342

CATH LOCK LOOP 12F 27-138^27-138 342

CATH LOCK LOOP 14F 27-139^27-139 388

CATH LOCK LOOP 8F 27-132^M001271320 388

CATH LUMBAR-PERITONEAL 50CM^826201 1164

CATH LUTONIX DCB 100CM 10X40 -MFRCAT LX351001040V^LX351001040V 2550

CATH LUTONIX DCB 100CM 10X60 -MFRCAT LX351001060V^LX351001060V 2550

CATH LUTONIX DCB 100CM 12X40 -MFRCAT LX351001240V^ LX351001240V 2550

CATH LUTONIX DCB 100CM 8X40 -MFRCAT LX35100840V^LX35100840V 2550

CATH LUTONIX DCB 100CM 8X60 -MFRCAT LX35100860V^LX35100860V 2550

CATH LUTONIX DCB 100CM 9X40 -MFRCAT LX35100940V^LX35100940V 2550

CATH LUTONIX DCB 100CM 9X60 -MFRCAT LX35100960V^LX35100960V 2550

CATH LUTONIX DCB 40CM 5X100 -MFRCAT LX35405100V^LX35405100V 2100

CATH LUTONIX DCB 40CM 5X40 -MFRCAT LX3540540V^LX3540540V 2100

CATH LUTONIX DCB 40CM 5X60 -MFRCAT LX3540560V^LX3540560V 2100

CATH LUTONIX DCB 40CM 5X80 -MFRCAT LX3540580V^ LX3540580V 2100

CATH LUTONIX DCB 40CM 6X100 -MFRCAT LX35406100V^ LX35406100V 2100

CATH LUTONIX DCB 40CM 6X40 -MFRCAT LX3540640V^ LX3540640V 2100

CATH LUTONIX DCB 40CM 6X60 -MFRCAT LX3540660V^ LX3540660V 2100

CATH LUTONIX DCB 40CM 6X80 -MFRCAT LX3540680V^LX3540680V 2100

CATH LUTONIX DCB 40CM 7X40 -MFRCAT LX3540740V^ LX3540740V 2100

CATH LUTONIX DCB 40CM 7X60 -MFRCAT LX3540760V^LX3540760V 2100

CATH LUTONIX DCB 40CM 8X40 -MFRCAT LX3540840V^LX3540840V 2550

CATH LUTONIX DCB 40CM 8X60 -MFRCAT LX3540860V^LX3540860V 2550

CATH LUTONIX DCB 75CM 10X40 -MFRCAT LX35751040V^LX35751040V 2550

CATH LUTONIX DCB 75CM 10X60 -MFRCAT LX35751060V^LX35751060V 2550

CATH LUTONIX DCB 75CM 12X40 -MFRCAT LX35751240V^LX35751240V 2550

CATH LUTONIX DCB 75CM 4X100 -MFRCAT LX3575100V^LX35754100V 2100

CATH LUTONIX DCB 75CM 4X40 -MFRCAT LX3575440V^LX3575440V 2100

CATH LUTONIX DCB 75CM 4X60 -MFRCAT LX3575460V^LX3575460V 2100

CATH LUTONIX DCB 75CM 4X80 -MFRCAT LX3575480V^LX3575480V 2100

CATH LUTONIX DCB 75CM 5X100 -MFRCAT LX35755100V^LX35755100V 2100

CATH LUTONIX DCB 75CM 5X40 -MFRCAT LX3575540V^LX3575540V 2100

CATH LUTONIX DCB 75CM 5X60 -MFRCAT LX3575560V^ LX3575560V 2100

CATH LUTONIX DCB 75CM 5X80 -MFRCAT LX3575580V^LX3575580V 2100

CATH LUTONIX DCB 75CM 6X100 -MFRCAT LX35756100V^LX35756100V 2100

CATH LUTONIX DCB 75CM 6X40 -MFRCAT LX3575640V^LX3575640V 2100

CATH LUTONIX DCB 75CM 6X60 -MFRCAT LX3575660V^LX3575660V 2100

CATH LUTONIX DCB 75CM 6X80 -MFRCAT LX3575680V^LX3575680V 2100

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CATH LUTONIX DCB 75CM 7X40 -MFRCAT LX3575740V^LX3575740V 2100

CATH LUTONIX DCB 75CM 7X60 - MFRCAT LX3575760V^LX3575760V 2100

CATH LUTONIX DCB 75CM 8X40 -MFRCAT LX3575840V^LX3575840V 2550

CATH LUTONIX DCB 75CM 8X60 -MFRCAT LX3575860V^LX3575860V 2550

CATH LUTONIX DCB 75CM 9X40 -MFRCAT LX3575940V^LX3575940V 2550

CATH LUTONIX DCB 75CM 9X60 -MFRCAT LX3575960V^LX3575960V 2550

CATH OLIVE TIP 4FR^M0064002301 46

CATH OLIVE TIP 5FR^400-231 46

CATH OPEN END CATH W/SLIT^43522 376

Cath Palindrome Precision with Venatrac insertion Stylets, 23 cm Sport Pack^8888123404P 408

Cath Palindrome Precision with Venatrac insertion Stylets, 28 cm Sport Pack^8888128454P 408

Cath Palindrome Precision with Venatrac insertion Stylets, 33 cm Sport Pack^8888133504P 408

Cath Palindrome Precision, 44 cm, Kit^8888146044P 449

Cath Palindrome Precision, 55 cm, Kit^8888145018P 449

CATH PERIPHERAL HAWK H1-M 6FR^H1-M 4800

CATH PERIPHERAL HAWK H1-S 6fr^H1-S 4800

CATH PERIPHERAL SILVERHAWK DS^P4028 4343

CATH PERIPHERAL SILVERHAWK LS^P4012 LS 4615

CATH PERIPHERAL SILVERHAWK LX^P4015 LX 4615

CATH PERIPHERAL SILVERHAWK P4014 LS-F^P4014 LS-F 4615

CATH PERIPHERAL SILVERHAWK SS^P4030 SS 4615

CATH PERIPHERAL SILVERHAWK SX^P4023 SX 4615

CATH PERIPHERAL TURBOHAWK LS-C SURG^THS-LS-C 5429

CATH PERIPHERAL TURBOHAWK LX-C SURG^THS-LX-C 4800

CATH PERIPHERAL TURBOHAWK LX-M ENDO ^TH-LX-M 4800

CATH PERIPHERAL TURBOHAWK SS-C^THS-SS-C 4800

CATH PERIPHERAL TURBOHAWK SX-C^THS-SX-C 4800

CATH PERITONEAL STD W/SLITS 120CM^23047 402

CATH PIG 5FX110CM 10708506^10708506 35

CATH PIGTAIL AUROUS CM SZ 5.0^N5.035100P10SPIG 101

CATH POLARIS IVUS OPTICROSS ^H749518110 1500

CATH PORTACATH 8FR 1708062^1708062 1370

CATH PREDATOR ROTAT ATHEREC 1.25 MM^DBP-125SOLID145 5429

CATH PREDATOR ROTAT ATHEREC 1.50 MM^DPB-150SOLID145 5429

CATH PREDATOR ROTAT ATHEREC 1.75 MM ^DBG-SCT30-175 5429

CATH PUMP SEG 8784^8784 1000

CATH QUICK CROSS ANGLED 135 CM^518-081 296

CATH QUICK CROSS ANGLED 150CM^518-083 975

CATH QUICK CROSS ANGLED 90CM^518-079 975

CATH RENEGADE HI FLO 135/10CM^M001183020 680

CATH RENEGADE STC ANGLED TIP^M001181390 507

CATH RENEGADE STC STRAIGHT TIP^M001181370 484

CATH SET H/S ACKRAD 7 FR^61-5007 143

CATH SOS OMNI I 5FR 80CM .038^H787107120055 101

CATH SOS OMNI II 5FR 80CM .038^H787107120065 101

CATH SPINAL SEG 8782^8782 1100

CATH STEALTH 1.25MM^DBP-125MICRO145 5429

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CATH SWAN NECK COIL LEFT^8888413807 278

CATH SWAN NECK COIL MISSOURI - MFRCAT 8888413401^8888413401 350

CATH SWAN NECK COIL MISSOURI - MFRCAT 8888413419^8888413419 350

CATH SWAN NECK COIL RIGHT^8888413815 278

CATH SWAN NECK PRESTERNAL 2 CUFFS^8888414011 927

CATH SWAN NECK TENCKHOFF LEFT^8888412007 181

CATH SWAN NECK TENCKHOFF RIGHT^8888412015 214

CATH TRAY SUPRAPUBIC 12fr^143112 340

CATH TURBO ELITE OTW 1.4mm x 150cm^414-151 4343

CATH TURBO ELITE OTW 1.7mm x 150cm^417-152 4343

CATH TURBO ELITE OTW 2.0mm x 150cm^420-006 4343

CATH TURBO ELITE OTW 2.3mm x 0.035cm^423-135-01 2897

CATH TURBO ELITE OTW 2.5mm x 0.035cm ^425-135-01 4615

CATH URETERAL 3FR OLIVE TIP^036503 46

CATH URETERAL AXXCESS 6FR 2.0mm^M0064051160 30

CATH URETERAL AXXCESS 6FR^M0064001161 23

CATH URETERAL CONETIP 5FR^24605 59

CATH UROMAX II 15 FR. 4MM BAL^M0062251010 861

CATH UROMAX II 18 FR. 10MM BAL^225-117 861

CATH UROMAX II 21 FR 10CM BAL^M0062251180 861

CATH UROMAX II 6 FR. 4MM BAL^M0062251000 861

CATH UROMAX II 6 FR. 6MM BAL.^M0062251020 861

CATH VENTRICULAR 35CM^INS8220 175

CATH VENTRICULAR ARTERIAL 46CM^9MZ100 388

CATH VENTRICULAR W/ADAPTER 20^901302 175

CATHETER 90 RFA FOCAL BARRX^90-9100 2235

CATHETER AVX THROMBECTOMY SET ULTRA^105039-001 938

Catheter AXS Catalyst 6 Distal Access0.060in x 132cm^M003IC0601320 4312

CATHETER BALLOON BRXX EXPRESS RFA ^64082 3563

CATHETER BALLOON DILATATION COYOTE 3 X 60 150 CM OTW^H74939186300610 395

CATHETER BALLOON DILATATION COYOTE 3 X150 150 CM MONORAIL^H74939185301510 494

CATHETER BALLOON DILATATION COYOTE 4 X 100 150 CM MONORAIL^H74939185401010 392

CATHETER BALLOON DILATATION COYOTE 4 X 100 150 CM OTW^H74939186401010 395

CATHETER BALLOON DILATATION COYOTE 4 X 150 150 CM MONORAIL^H74939185401510 494

CATHETER BALLOON DILATATION COYOTE 4 X 150 150 CM OTW^H74939186401510 493

CATHETER BALLOON DILATATION COYOTE 4 X 220 150 CM MONORAIL^H74939185402210 494

CATHETER BALLOON DILATATION COYOTE 4 X 220 150 CM OTW^H74939186402210 493

CATHETER BALLOON DILATATION COYOTE 4 X 60 150 CM MONORAIL^H74939185400610 502

CATHETER BALLOON DILATATION COYOTE 4 X 60 150 CM OTW^H74939186400610 395

CATHETER BALLOON GUIDE CELLO ^1610590 1200

CATHETER BRONCHIAL THERMALPLASTY ALAIR 1.5mm^M005ATS25010 3750

CATHETER CLASSIC CROWN CSI DIAMONDBACK 1.5mm^DBP-150CLASS145 5429

CATHETER CLASSIC CROWN CSI DIAMONDBACK 2.0mm^DBP-200CLASS145 5429

CATHETER CROSSBOSS^M-2000 1313

CATHETER CROSSER 14P PERIPHERAL CTO RECANALIZATION^CRUO14PA 2798

CATHETER CROSSER 14S PERIPHERAL CTO RECANALIZATION^CRUO14SA 2798

CATHETER CROSSER CTO RECANALIZATION^CRUS6A 2798

Page 82: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Catheter CVC Dual Lumen 6fr Full Kit Powerline^0700615 300

CATHETER DESTINO -MFRCAT# DST0655507D2 DST0655507D2 1499

CATHETER DIAMONDBACK CLASSIC 360 1.25^DBEC-125 5429

CATHETER DIREXION SINGLE 021 BERN 1RO 155^M001195250 750

CATHETER DRAINAGE SKATER ALL PURPOSE 16fr X 25cm^756516025 168

CATHETER DUAL URETERAL 10FR^M0064051000 139

CATHETER ELLIPSYS VASCULAR ACCESS AMI-6005 9000

CATHETER FINECROSS 130cm^35-1430 675

CATHETER FINECROSS 150cm^35-1450 675

CATHETER FIRM BILARY 8 FR 35CM ^M001272650 388

CATHETER FLOWONIX 11823 1400

CATHETER FRONTRUNNER CTO 140CM^FBP39140 2798

Catheter Habib EndoHPB Bipolar RF Ablation M00500070 2393

CATHETER HAKIM PERITONEAL^23092 449

CATHETER HEMODIALYSIS KIT PALINDROME 23/40KT VT^88145048P 1030

CATHETER IMAGING OPTICROSS 18 ^H7493932800180 1500

CATHETER INDIGO 3 3.4fr DISTAL OD 150cm^CAT3 1745

CATHETER INDIGO 5 5fr DISTAL OD 132cm^CAT5 1745

CATHETER INDIGO 8 STRAIGHT TIP 85 CM^CAT8STR85 4335

CATHETER INDIGO 8 TORQ 8 CM^CAT8TORQ85 4335

CATHETER INDIGO 8 XTORQ TIP 115 CM^CAT8TORQ115 4335

CATHETER INDIGO STR TIP 135CM^CAT6 1935

CATHETER INDURA INTRATHECAL F/ SYNCHROMED PUMP^8709SC 1320

CATHETER INTRATHECAL -MFRCAT# 8731SC^8731SC 1320

CATHETER JET STREAM G3 SF^112262-001 5429

CATHETER JETSTREAM G3 NXT 7 FRENCH^PV31300 5429

CATHETER JETSTREAM NAVITUS L^112266-001 5429

CATHETER KITTYCAT 140cm^W500 1800

CATHETER KITTYCAT 2^W550 1800

CATHETER Langston Dual Lumen 6f Pigtail^5540 218

CATHETER MAXID DUAL LUMEN SPORT PACK 19CM^8888119362 216

CATHETER MAXID DUAL LUMEN SPORT PACK 23CM^8888123402 216

CATHETER MAXID DUAL LUMEN SPORT PACK 28CM^8888128452 216

CATHETER MAXID DUAL LUMEN SPORT PACK 33CM ^8888133502 216

CATHETER MICROCATHETER 2.8F 2.4^28MC24130SN 1073

CATHETER MUSTANG BALLOON DILATATION 10.0 X 20 135CM^H74939171100210 255

CATHETER MUSTANG BALLOON DILATATION 10.0 X 40 75CM^H74939171100470 255

CATHETER MUSTANG BALLOON DILATATION 10.0 X 60 75CM^H74939171100670 255

CATHETER MUSTANG BALLOON DILATATION 10.0 X 80 75CM^H74939171100870 255

CATHETER MUSTANG BALLOON DILATATION 12.0 X 40 75CM^H74939171120470 255

CATHETER MUSTANG BALLOON DILATATION 12.0 X 60 75CM^H74939171120670 255

CATHETER MUSTANG BALLOON DILATATION 12.0 X 80 75CM^H74939171120870 255

CATHETER MUSTANG BALLOON DILATATION 4.0 X 150 135CM^H74939171041510 288

CATHETER MUSTANG BALLOON DILATATION 4.0 X 20 135CM^H74939171040210 255

CATHETER MUSTANG BALLOON DILATATION 4.0 X 200 135CM^H74939171042010 288

CATHETER MUSTANG BALLOON DILATATION 4.0 X 40 135CM^H74939171040410 255

CATHETER MUSTANG BALLOON DILATATION 4.0 X 40 75CM^H74939171040470 255

Page 83: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

CATHETER MUSTANG BALLOON DILATATION 4.0 X 80 135CM^H74939171040810 255

CATHETER MUSTANG BALLOON DILATATION 4.0 X 80 75CM^H74939171040870 255

CATHETER MUSTANG BALLOON DILATATION 5.0 X 100 135CM^H74939171051010 255

CATHETER MUSTANG BALLOON DILATATION 5.0 X 150 135cm^H74939171051510 288

CATHETER MUSTANG BALLOON DILATATION 5.0 X 20 75CM^H74939171050270 255

CATHETER MUSTANG BALLOON DILATATION 5.0 X 200 135CM^H74939171052010 288

CATHETER MUSTANG BALLOON DILATATION 5.0 X 40 135CM^H74939171050410 255

CATHETER MUSTANG BALLOON DILATATION 5.0 X 40 75CM^H74939171050470 255

CATHETER MUSTANG BALLOON DILATATION 5.0 X 60 135CM^H74939171050610 255

CATHETER MUSTANG BALLOON DILATATION 6.0 X 100 135CM^H74939171061010 255

CATHETER MUSTANG BALLOON DILATATION 6.0 X 150 135CM^H74939171061510 288

CATHETER MUSTANG BALLOON DILATATION 6.0 X 20 135CM^H74939171060210 255

CATHETER MUSTANG BALLOON DILATATION 6.0 X 200 135CM^H74939171062010 288

CATHETER MUSTANG BALLOON DILATATION 6.0 X 40 135CM^H74939171060410 255

CATHETER MUSTANG BALLOON DILATATION 6.0 X 40 75CM^H74939171060470 255

CATHETER MUSTANG BALLOON DILATATION 6.0 X 80 135CM^H74939171060810 255

CATHETER MUSTANG BALLOON DILATATION 7.0 X 150 135CM^H74939171071510 345

CATHETER MUSTANG BALLOON DILATATION 7.0 X 20 135CM^H74939171070210 255

CATHETER MUSTANG BALLOON DILATATION 7.0 X 20 75CM H74939171070270 255

CATHETER MUSTANG BALLOON DILATATION 7.0 X 200 135CM^H74939171072010 288

CATHETER MUSTANG BALLOON DILATATION 7.0 X 40 135CM^H74939171070410 255

CATHETER MUSTANG BALLOON DILATATION 7.0 X 40 75CM^H74939171070470 255

CATHETER MUSTANG BALLOON DILATATION 7.0 X 60 75CM^H74939171070670 340

CATHETER MUSTANG BALLOON DILATATION 8.0 X 150 75CM^H74939171081570 288

CATHETER MUSTANG BALLOON DILATATION 8.0 X 20 75CM^H74939171080270 255

CATHETER MUSTANG BALLOON DILATATION 8.0 X 40 135CM^H74939171080410 255

CATHETER MUSTANG BALLOON DILATATION 8.0 X 40 75CM^H74939171080470 255

CATHETER MUSTANG BALLOON DILATATION 8.0 X 60 135CM^H74939171080610 255

CATHETER MUSTANG BALLOON DILATATION 9.0 X 40 75CM^H74939171090470 255

CATHETER MUSTANG BALLOON DILATATION 9.0 X 60 75CM^H74939171090670 255

CATHETER MUSTANG BALLOON DILATATION 9.0 X 80 75CM^H74939171090870 255

CATHETER MUSTANG BALLOON DILATION 7.0x80 75cm^H74939171070870 255

CATHETER NEPHROSTOMY MALECOT RE-ENTRY 20frX35cm^410-106 148

CATHETER NEPHROSTOMY MALECOT RE-ENTRY 24frX30cm^410-107 109

CATHETER OUTBACK LTD RE-ENTRY^OTB59120A 2310

CATHETER Pronto V4 Extraction 5.5f^4005 638

CATHETER Pronto V4 Extraction 6f^4006 638

CATHETER REPERFUSION 5MAX ACE^5MAXACE132 1830

CATHETER REPERFUSION ACE68 ^5MAXACE068 1830

CATHETER REPERFUSION JET7^5MAXJET7 3585

CATHETER REPERFUSION JETD^5MAXJETD 3585

CATHETER RUBICON .014 150cm^H74939212014151 219

CATHETER RUBICON SUPPORT 0.014 in x 135 CM^H74939212014131 219

CATHETER RUBICON SUPPORT 0.018 in x 135 CM^H74939239018131 219

CATHETER RUBICON SUPPORT 0.018 in x 150 CM^H74939239018151 219

CATHETER SHUTTLE SELECT^G31138 317

CATHETER SIDEKICK^SD110AT 675

Page 84: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

CATHETER SOLID CROWN 1.50mm DBP-150SOLID145 5093

CATHETER SPIROFLEX VG THROMBECTOMY SET ULTRA^106608-001 2580

CATHETER STINGRAY^H749393120SR0 1725

CATHETER SuperCross Catheter .014in 150cm 45 Angled Tip^5303 675

CATHETER SYNCHROMED PUMP^8709 1074

CATHETER TRAPLINER 6fr^5566 675

CATHETER TRUE FLOW 18x3.5 ^TF0183511 2993

CATHETER TRUE FLOW 20x3.5 ^TF0203511 2993

CATHETER TRUE FLOW 22x3.5 ^TF0223512 2993

CATHETER TRUE FLOW 24x3.5 ^TF0243514 2993

CATHETER TRUE FLOW 26x3.5 ^TF0263516 2993

CATHETER TURBO ELITE RX 0.9MM^410-154 4343

CATHETER TURBO ELITE RX 2.0MM^420-159 4343

CATHETER TURBO POWER ^420-050 5993

CATHETER TURN PIKE 135cm^5642 675

CATHETER TURN PIKE 150cm^5643 675

CATHETER TURN PIKE LP^5639 675

CATHETER TURN PIKE SPIRAL^5640 675

Catheter WavelinQ 4 Fr^WQ4300 10500

CATHETER WILDCAT 110cm^W400 1800

CATHETER XMI THROMBECTOMY SET ULTRA^105041-001 1334

CATHETER ZELANTE DVT^08714729904724 4275

CATHETERSPIROFLEX THROMBECTOMY SET ULTRA^106553-001 2580

CEMENT BONE CMW2 GENTAMICIN 20G^545032500 400

CEMENT BONE COBALT HV 40/20 402283^402283 818

CEMENT BONE DEPUY 2 20GA^3322020 244

CEMENT BONE DOUGH-TYPE R/PAQUE^00-1102-022-00 211

CEMENT BONE SIMPLEX P BX/10-single cat# 6192-1-001^6192-1-010 120

CEMENT BONE SIMPLEX P FULL DOSE^6191-1-001 120

CEMENT BONE SMARTSET GHV 40G^545035500 650

CEMENT BONE TRAUMACEM(TM) V+ INJECTABLE - STERILE^07.702.040S 778

CEMENT BONE XPEDE W MIXER US^CX01B 410

CEMENT HYDROSET/10CC INJECTABLE^7943910 6003

CEMENT HYDROSET/5CC INJECTABLE^7943905 3124

CEMENT PALACOS R 1X40 SINGLE^5036963 134

CEMENT RALLY BONE (SIMILAR PALACOS)^7127-1560 118

CEMENT RALLY BONE (SIMILAR SIMPLEX)^7127-1580 118

CEMENT RESTRICT W/PLUG 16X25^32-8105-038-00 494

CEMENT RESTRICTOR 16/25MM^32-8105-38 612

CEMENT SMARTSET GMV BONE 40G^545050501 1076

CEMENT SPACER MOLD FEMORAL 60MM^432160 3848

CEMENT SPACER MOLD FEMORAL 65MM^432165 3848

CEMENT SPACER MOLD FEMORAL 70MM^432170 3848

CEMENT SPACER MOLD FEMORAL 75MM^432175 3848

CEMENT SPACER MOLD SHLDR STAGEONE^431406 6540

CEMENT SPACER MOLD TIBIAL 70MM^433170 1840

CEMENT SPACER MOLD TIBIAL 75MM^433175 1840

Page 85: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

CEMENT SPACER MOLD TIBIAL 80MM^433180 1840

CEMENT VERTAPLEX HV TWIN PACK (1/2 DOSE)^0407-622-000 300

CEMENTED PLATEAU POSTERIOR STABLIZIED^62-2167 7332

CENTRALIZER CEMENTRA DISTAL 13^MH0013C 113

CENTRALIZER CEMENTRA DISTAL 14^MH0014C 103

CENTRALIZER DISTAL POST 10MM^71313210 103

CENTRALIZER DISTAL POST 11MM^71313211 103

CENTRALIZER DISTAL POST 12MM^71313212 103

CENTRALIZER DISTAL POST 13MM^71313213 103

CENTRALIZER DISTAL POST 14MM^71313214 103

CENTRALIZER DISTAL POST 19MM^71313219 103

CENTRALIZER DISTAL POST 8MM^71313208 103

CENTRALIZER DISTAL POST 9MM^71313209 103

CENTRALIZER MATRIX DISTAL 10MM^MH0010C 113

CENTRALIZER MATRIX DISTAL 12MM^MH0012C 103

CENTRALIZER MATRIX DISTAL 15MM^MH0015C 103

CENTRALIZER MISC SIZES^INVIS DIS 103

CENTRALIZER SPECTRON DISTAL 10^71313110 100

CENTRALIZER SPECTRON DISTAL 11^71313111 100

CENTRALIZER SPECTRON DISTAL 12^71313112 100

CENTRALIZER SPECTRON DISTAL 13^71313113 100

CENTRALIZER SPECTRON DISTAL 14^71313114 100

CENTRALIZER SPECTRON DISTAL 15^71313115 100

CENTRALIZER SPECTRON DISTAL 16^71313116 103

CENTRALIZER SPECTRON DISTAL 18^71313118 103

CENTRALIZER SPECTRON DISTAL 8^71313108 100

CENTRALIZER SPECTRON DISTAL 9^71313109 100

CERAMIC ON CERAMIC HIGH DEMAND^CERAMIC/CERAMIC 11024

CERAMIC ZIRC SPHERICAL CMC 10^8530010 4394

CERAMIC ZIRC SPHERICAL CMC 11^8530011 4394

CERAMIC ZIRC SPHERICAL CMC 12^8530012 4394

CERAMIC ZIRC SPHERICAL CMC 13^8530013 4394

CERAMIC ZIRC SPHERICAL CMC 14^8530014 4394

CERCLAGE POSITION THRD TI PIN 4.5MM^498.803S 364

CERCLAGE POSITION TI PIN 4.5MM^498.839S 364

CERCLAGE POSITIONING PIN 3.5MM^298.838S 364

CERCLAGE POSITIONING PIN 4.5MM - MFRCAT 298.803S^298.803S 364

CERCLAGE POSITIONING PIN 4.5MM - MFRCAT 298.839S^298.839S 364

Chlorpropamide Diabinese 143

Cholangiopancreatography Endoscopy Retrograde 3605

Cholangiopancreatography Endoscopy Retrograde with Balloon Dilation 3605

Cholangiopancreatography Endoscopy Retrograde with Biopsy 3605

Cholangiopancreatography Endoscopy Retrograde with Brushing/Cytology 3605

Cholangiopancreatography Endoscopy Retrograde with Sphincterotomy 3605

Cholangiopancreatography Endoscopy Retrograde with Spyglass 3605

Cholangiopancreatography Endoscopy Retrograde with Stent Placement 3605

Cholangiopancreatography Endoscopy Retrograde with Stent Removal 3605

Page 86: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

Cholangiopancreatography Endoscopy Retrograde with Stone Removal 3605

CHRONDRAL DART ABSB ARTHEX^AR-4005B-18 214

Citalopram Level (Celexa) 143

CLAMP 4.0/2.5 SM EXT FIXATOR^395.54 686

CLAMP 4.0/4.0 SM EXT FIXATOR^395.55 686

CLAMP 6HL PIN^71067376 1004

CLAMP ADJUST 4.0^390.051 1633

CLAMP ADJUSTABLE MED^390.035 932

CLAMP ANKLE STRAIGHT^71051045 1715

CLAMP ANKLE TRANS TRAUMA^71051054 5142

CLAMP BAR MULTI PIN JETX^71064005 771

CLAMP COMBO 8.0 X 111MM^390.037 1299

CLAMP COMBO LARGE^390.005 1389

CLAMP CONNECTING 3.0/3.0MM^395.133 1392

CLAMP E/F BAR TO BAR JETX^71064002 1119

CLAMP E/F BAR TO BAR^71062002 1006

CLAMP E/F BAR TO PIN JETX^71064001 1119

CLAMP E/F BAR TO PIN^71062001 1006

CLAMP E/F DOUBLE SWIVEL HEX^71031019 2489

CLAMP E/F HEX-FIX DOUBLE PIN^71031017 2489

CLAMP E/F MULTIPLE PIN^71062005 842

CLAMP E/F SINGLE SWIVEL HEX^71031018 2489

CLAMP EXT FIXATOR 4.0MM^395.57 639

CLAMP FREEDOM ANKLE MULTI CLAMP^71062721 2022

CLAMP G POSITION LARGE^390.002 1588

CLAMP HOLDING 1.25MM^395.125 1498

CLAMP HOLDING 1.6MM^395.126 1498

CLAMP LARGE 6 PIN ADJ^390.010 989

CLAMP LARGE OPEN ADJUSTABLE^390.008 1150

CLAMP MEDIUM COMBO^390.031 1130

CLAMP MULTI PIN 90 DEG^4960-2-030 1026

CLAMP MULTI PIN^4960-2-020 1026

CLAMP SMALL COMBI^390.041 726

CLAMP SMALL EXTERNAL FIXATOR^395.56 639

CLARIX CORD 1.5X1.5^CR-10-1515 2160

CLARIX CORD 4X3^CR-10-4030 4632

CLIP FILSHIE (10 PR per box)^AVM-851J 191

CLIP HIMAX 18MM X 14MM X 14MM^7118-1414KT 1356

CLIP HULKA^4986.90 42

CLIP RESOLUTION 11mm 235cm^M00522610 332

CLIP RESOLUTION 360 235CM ***use item 88685***^M00521231 438

CLIP RESOLUTION 360 235CM BX/10^M00521231 438

CLOSED DOMINO SIDE LOADING^779125555 1716

CLOSURE DEVICE ANGIO SEAL VIP 6FR 610130 330

CLOSURE DEVICE GREEN MYNX GRIP 6/7 FR----MIN ORDER QTY10^MX6721 340

CLOSURE DEVICE GREY MYNX GRIP 5FR----MIN ORDER QTY10^MX5021 444

CLOTTRIEVER CATHETER FIXED LENGTH 16 MM 105 CM 40-102 8250

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Description CPT-4 Base Price Schedule

Cocaine Client Confirmation 143

Cocaine Confirmation, Toxicology 143

Cocaine Confirmation, Zero Tolerance 143

COIL .035 INTERLOCK 2D 4MM X 10CM^M001363520 936

COIL .035 INTERLOCK 2D 6MM X 10CM^M001363540 754

COIL .035 INTERLOCK 2D 6MM X 20CM^M001363550 1404

COIL .035 INTERLOCK 2D 8MM X 20CM^M001363580 1404

COIL .035 INTERLOCK 2D 8MM X 40CM^M001363590 1872

COIL .035 INTERLOCK 2D 10MM X 20CM^M001363600 1404

COIL .035 INTERLOCK 2D 10MM X 40CM^M001363610 1872

COIL .035 INTERLOCK 2D 12MM X 20CM^M001363620 1404

COIL .035 INTERLOCK 2D 15MM X 20CM^M001363640 1404

COIL .035 INTERLOCK DIAMOND 8MM^M001363930 936

COIL CONCERTO HELIX 10mm X 30cm^PV-12-30-HELIX 934

COIL CONCERTO HELIX 12mm X 40cm^PV-12-40-HELIX 934

COIL CONCERTO HELIX 14mm X 30cm^PV-14-30-HELIX 934

COIL CONCERTO HELIX 16mm X 40cm^PV-16-40-HELIX 934

COIL CONCERTO HELIX 18mm X 40cm^PV-18-40-HELIX 934

COIL CONCERTO HELIX 20mm X 50cm^PV-20-50-HELIX 934

Coil Concerto Helix 2mm x 4cm^NV-2-4-HELIX 934

Coil Concerto Helix 2mm x 6cm^NV-2-6-HELIX 934

Coil Concerto Helix 2mm x 8cm^NV-2-8-HELIX 934

Coil Concerto Helix 3mm x 4cm^NV-3-4-HELIX 934

Coil Concerto Helix 4mm x 10cm^NV-4-10-HELIX 934

Coil Concerto Helix 4mm x 8 cm^NV-4-8-HELIX 934

Coil Concerto Helix 5mm x 15cm^NV-5-15-HELIX 934

Coil Concerto Helix 5mm x 20cm^NV-5-20-HELIX 934

Coil Concerto Helix 6mm x 20cm^NV-6-20-HELIX 934

Coil Concerto Helix 7mm x 30cm^NV-7-30-HELIX 934

Coil Concerto Helix 8mm x 30cm^NV-8-30-HELIX 934

COIL CONCERTO HELIX 9mm X 30cm^PV-9-30-HELIX 934

COIL EMBOLIZATION 10X14 .035^G47345 216

COIL EMBOLIZATION 12X14 .035^G47346 188

COIL EMBOLIZATION 18 DIAMOND 5x5.5mm^G42408 162

COIL EMBOLIZATION 18-0.5-0^G47498 198

COIL EMBOLIZATION 5.5mm ^382205 190

COIL EMBOLIZATION MWCE18S-10-4 ^G09217 216

COIL EMBOLIZATION MWCE18S-10-5^G09216 360

COIL EMBOLIZATION MWCE-18S-6-2 ^G08259 216

COIL EMBOLIZATION MWCE-18S-7-2^G47420 360

COIL EMBOLIZATION MWCE-18S-7-3^G47420 188

COIL EMBOLIZATION MWCE-18S-8-4^G47421 216

COIL EMBOLIZATION MWCE-35-10-4^G10428 188

COIL EMBOLIZATION MWCE-35-10-5^G47518 188

COIL EMBOLIZATION MWCE-35-3-2^G47900 162

COIL EMBOLIZATION MWCE-35-5/3^G47520 188

COIL EMBOLIZATION MWCE-35-5-8 ^G42423 162

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Description CPT-4 Base Price Schedule

COIL EMBOLIZATION MWCE-35-6-3-TORNADO^G47521 221

COIL EMBOLIZATION MWCE-35-8-4^G47524 188

COIL EMBOLIZATION MWCE-35-8-5^G47524 188

COIL EMOBILIZATION MWCE 18-2-2^G47505 100

COIL FIGURE-8 PUSHABLE^M0013120211 118

COIL G36405 ^G36405 162

COIL IDC Soft 2 x 4^M0013612040 794

COIL IDC Soft 3 X 10^M0013613100 794

COIL IDC Soft 3 x 6^M0013613060 794

COIL IDC Soft 4 X 12^M0013614120 794

COIL IDC Soft 4 x 4 ^M0013614040 794

COIL IDC Soft 4 x 8^M0013614080 794

COIL IDC Soft 5 x 12^M0013615120 794

COIL IDC Soft 5 x 8 ^M0013615080 794

COIL IMWCE-35-15-15^G20055 162

COIL INTERLOCK .018 F-IDC 2D 10mm x 50cm^M001361920 1470

COIL INTERLOCK .018 F-IDC 2D 14mm x 50cm^M001361930 1470

COIL INTERLOCK .018 F-IDC 2D 18mm x 50cm^M001361940 1470

COIL INTERLOCK .018 F-IDC 2D 20mm x 50cm^M001361950 1470

COIL INTERLOCK .018 F-IDC 2D 22mm x 60cm^M001361960 1470

COIL INTERLOCK .018 F-IDC 2D 2mm x 4cm^M001361480 794

COIL INTERLOCK .018 F-IDC 2D 2mm x 6cm^M001361490 794

COIL MREYE EMBOLIZATION .038 5CM X 5MM^G42460 162

COIL RUBY 32X60 PENUMBRA^RBY2C3260 2580

COIL STRAIGHT PUSHABLE^M0013120021 81

COIL TORNADO EMBOLIZATION .018 3-2 DIA^G47416 188

COIL TORNADO EMBOLIZATION .018 4-2 DIA^G08357 188

COIL TORNADO EMBOLIZATION .035 4-3 DIA^G10414 188

COIL VORTEX MWCE-35-4/3 ^373204 103

COIL VORTX-35 3MM.7MM 5/BX ^M0013733071 134

COILS INCONEL 5X12MM IMWCE-38-5-12^G42466 162

COILS MWCE-35-2-3^G42406 162

COILS MWCE-35-4-3^G42414 162

COILS MWCE-38-4-3^G42454 162

COILS VORTX-18 DIAMOND 3MM/3 3M^M0013822031 145

COILS VORTX-18 DIAMOND 4MM 3.7MM ^M0013822041 145

COLLAR ASPEN ADULT REGULAR^983110 88

COLLAR ASPEN ADULT SHORT^983108 77

COLLAR ASPEN ADULT TALL^983112 88

COLLAR BUTTON PC SI 1.27MM (1/pack)^510-133C 16

COLLAR BUTTON PC SI 1.27MM (2/pack)^510-136C 21

COLLAR BUTTON SHEEHY TYPE 2/PK^510-456 17

COLLAR MIAMI J MJ200^79-83202 88

COLLAR MIAMI J MJ200L^79-83208 88

COLLAR MIAMI J MJ400 MEDIUM^79-83205 88

Colonoscopy Biopsy 1778

Colonoscopy Control Bleeding 1778

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Description CPT-4 Base Price Schedule

Colonoscopy Decompression 1831

Colonoscopy Endoscopic Ultrasound 1778

Colonoscopy Excision of Lesion\Polypectomy 1778

Colonoscopy Excision of Lesion\Polypectomy by Biopsy Forceps 1778

Colonoscopy Excision of Lesion\Polypectomy by Snare 1778

Colonoscopy Foreign Body Removal 1778

Colonoscopy GI Lab 1778

Colonoscopy Screening 1778

Colonoscopy Surgery 1778

Colonoscopy with Balloon Dilatation 1778

Colonoscopy with Hemorrhoid Banding 1778

Colonoscopy with Stent Placement 3605

Colonoscopy with Submucosal Injection 1778

COMET PRESSURE WIRE^H7495551110 938

COMP AFX FEM 10X24^CM-2410AP 1500

COMP BIMETRIC FEMORAL 12.0X140^162253 4000

COMP FEM 10X24^CM-2410 1500

COMP FEM AUG DIST SZ 4 15MM LT^5542-A-401 2628

COMP FEM AUG DIST SZ5 15MM LT^5542-A-501 2628

COMP FEM CR W/POST SZ 11 LT^70-5211L 3242

COMP FEM CR W/POST SZ 11 RT^70-5211R 3242

COMP FEM CR W/POST SZ 13 RT^70-5213R 3242

COMP FEM DIST AUG #3 10MM LT^5541-A-301 2506

COMP FEM DIST AUG #3 10MM^5541-A-302 2506

COMP FEM DIST AUG #3 15MM^5542-A-302 2628

COMP FEM DIST AUG #4 15MM^5542-A-402 2628

COMP FEM DIST AUG #5 10MM LT^5541-A-501 2506

COMP FEM DIST AUG #5 X 10MM^5541-A-502 2506

COMP FEM DIST AUG #5 X 15MM^5542-A-502 2628

COMP FEM DIST AUG SZ 6 10MM LT^5541-A-601 2506

COMP FEM DIST AUG SZ 6 15MM^5542-A-601 2628

COMP FEM DIST AUG SZ6 10MM RT^5541-A-602 2506

COMP FEM DIST AUG TRIATH #7 5MM RT^5540-A-702 2385

COMP FEM ECH STR SZ 14 +15 CALCAR - MFRCAT# 71927991^71927991 17682

COMP FEM GEN II SZ 9 LT^71930008 4600

COMP FEM GEN II SZ 9 RT^71930010 4600

COMP FEM JUNI OXIN FB SZ 6 LM RL^71422346 3400

COMP FEM KNEE OXFORD LG^154602 4170

COMP FEM KNEE OXFORD MED^154601 4170

COMP FEM KNEE OXFORD SMALL^154600 7423

COMP FEM LEGION NARROW PS SZ 5N RT^71421275 4600

COMP FEM LEGION NARROW PS SZ 6N LT^71421266 4600

COMP FEM LEGION NARROW PS SZ 6N RT^71421276 4600

COMP FEM LEGION NARROW PS SZ4N RT^71421274 4600

COMP FEM LEGION NARROW PS SZ5N LT^71421265 4600

COMP FEM LEGION NP SZ 3 RT^71423213 3200

COMP FEM LEGION NP SZ 4 LT^71423204 3200

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Description CPT-4 Base Price Schedule

COMP FEM LEGION NP SZ 5 LT^71423205 3200

COMP FEM LEGION NP SZ 5 RT^71423215 3200

COMP FEM LEGION PS NP SZ 4 LT^71423224 3200

COMP FEM LEGION PS NP SZ 5 LT^71423225 3200

COMP FEM LEGION PS NP SZ 6 LT^71423226 3200

COMP FEM LEGION PS NP SZ 7 RT^71423237 3200

COMP FEM LEGION PS NP SZ 8 RT^71423238 3200

COMP FEM LEGION PS NP SZ3 RT^71423233 3200

COMP FEM LEGION PS NP SZ4 RT^71423234 3200

COMP FEM LEGION PS NP SZ5 RT^71423235 3200

COMP FEM LEGION PS OXIN SZ3 LT^71421213 4600

COMP FEM LEGION PS OXIN SZ3 RT^71421203 4600

COMP FEM LEGION PS OXIN SZ8 RT^71421208 4600

COMP FEM LEGION PS SZ 2 LT^71421212 4600

COMP FEM LEGION PS SZ 6 RT^71423236 3200

COMP FEM LEGION PS SZ 7 LT^71423227 3200

COMP FEM OXFORD TWIN PEG LG^161470 7423

COMP FEM OXFORD TWIN PEGGED # 161468^161468 7423

COMP FEM OXFORD TWIN PEGGED MED^161469 4000

COMP FEM OXIN FB SZ 5 LM RL^71422345 3400

COMP FEM OXIN JUNI FB SZ 5 RM LL^71422355 3400

COMP FEM OXINIUM JOURNEY SZ 3 LT^71422343 3400

COMP FEM OXINIUM JOURNEY SZ 4 LM RL^71422344 3400

COMP FEM OXINIUM JUNI FB SZ 2 LM RL^71422342 3400

COMP FEM OXINIUM JUNI FB SZ 2 RM LL 71422352 3400

COMP FEM OXINIUM JUNI FB SZ3 RM LL^71422353 3400

COMP FEM OXINIUM JUNI FB SZ4 RM LL^71422354 3400

COMP FEM POROUS CR SZ 5L -MFRCAT 71423245^71423245 3935

COMP FEM POST AUG #3 5MM^5543-A-300 2506

COMP FEM POST AUG #4 10MM^5544-A-400 2506

COMP FEM POST AUG #4 5MM^5543-A-400 2506

COMP FEM POST AUG #5 X 10MM^5544-A-500 2506

COMP FEM POST AUG #7 10MM^5544-A-700 2506

COMP FEM POST AUG SZ 6 10MM^5544-A-600 2506

COMP FEM POST AUG SZ 6 5MM^5543-A-600 2506

COMP FEM POST AUG SZ5 5MM^5543-A-500 2506

COMP FEM POST AUG TRIATH #7 5MM^5543-A-700 2506

COMP FEM PS OXIN LEGION SZ 6 LT^71421216 4600

COMP FEM RESURF 5CM LT^150353 13603

COMP FEM SLEEVE READAPT MED SZ 14-15^71354042 4234

COMP FEM SLEEVE READAPT MED SZ 16-17 STIKTITE W/HA^71354043 4234

COMP FEM SLEEVE STEM 300MM SZ 15^71354377 19600

COMP FEM TRIATH PS SZ 5 RT^5516-F-502 5000

COMP FEM TRIATH PS SZ 6 RT -MFRCAT 5516-F-602^5516-F-602 5000

COMP FEM TRIATH TS SZ 7 RT^5512-F-702 13869

COMP FEMORAL 10X29^CM-2910 1500

COMP FEMORAL 11 X 29^CM-2911 1320

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Description CPT-4 Base Price Schedule

COMP FEMORAL 11 X 35^CM-3511 1490

COMP FEMORAL 9 X 29^CM-2909 1500

COMP FEMORAL AM 9X24^CM-2409 1500

COMP FEMORAL TRIATHLON DISTAL AUGMENT 5MM - SIZE 5 LEFT^5540-A-501 2385

COMP FINN ROTATING FEMORAL LT^153802 9124

COMP GEN BICONVEX PATELLA 23MM^71420566 600

COMP GEN BICONVEX PATELLA 26MM^71420568 600

COMP GEN BICONVEX PATELLA 29MM^71420570 600

COMP GEN BICONVEX PATELLA 32MM^71420572 600

COMP GEN II RESURFACE PATELLA 35MM^71932637 600

COMP GEN MAGNUM FEM LT 74/78^124422 3179

COMP GEN MAGNUM TIBIAL BASE RT^724840 2384

COMP GEN RESURFACE PATELLA 26^71420580 600

COMP GEN RESURFACE PATELLA 29^71420574 600

COMP GEN RESURFACE PATELLA 32^71420576 600

COMP GEN RESURFACE PATELLA 35^71420578 600

COMP GENESIS MAGNUM+ FEM RIGHT^124421 3179

COMP GENESIS TIB BASE LG LT^724821 2384

COMP GENESIS TIB BASE LRG RT^724820 2384

COMP GENESIS TIB BASE MD LT^724811 2384

COMP GENESIS TIB BASE MED LEFT^724841 2384

COMP GENESIS TIB BASE MED RT^724810 2384

COMP GENESIS TIB BASE SM RT^724800 2384

COMP GENESIS TIB BASE XLG RT^724830 2384

COMP GENII RESURFACE PATELLA 26MM^71932634 600

COMP GENII RESURFACE PATELLA 29MM^71932635 600

COMP GENII RESURFACE PATELLA 32MM^71932636 600

COMP GLENO PEGGED SOLAR #11^5361-6111 2782

COMP GLENOID 7MM LG^113854 2392

COMP GLENOID SHLDR KEELED #11^5361-6211 2782

COMP GLENOID SHLDR KEELED #5^5361-6205 2782

COMP GLENOID SHLDR KEELED #7^5361-6207 2782

COMP GLENOID SHLDR KEELED #9^5361-6209 2782

COMP GLENOSPHERE DELTA 42MM^130760042 2600

COMP GLENOSPHERE REUNION 36MM^5573-2E-3602 2500

COMP HEAD EVOLVE +2 20MM^496H220 3874

COMP HEAD EVOLVE 26MM^496H026 3874

COMP HEAD HUM DUAL RAD REUN 45X21^R5350-4521 3196

COMP HEAD HUM DUAL RAD REUN 45X24^R5350-4524 3196

COMP HEAD RAD EVOLVE SZ 20MM +2^496-H220 3874

COMP HEAD RAD EVOLVE SZ 22mm^496-H422 3874

COMP HEAD RAD EVOLVE SZ 24MM +2^496-H224 3874

COMP HIP RESTOR SZ 21 +10 v40^6276-1-121 9112

COMP HIP RESTOR SZ 23MM HT +0 TPR V40 6276-1-023 9112

COMP HIP RESTORATION CONE BODY 21MM 0+^6276-1-021 9112

COMP HUM DELTA XTEND EPIPH SZ 1 RT^130720103 8000

COMP HUM DELTA XTEND EPIPH SZ1 LT^130720102 8000

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Description CPT-4 Base Price Schedule

COMP HUM DELTA XTEND EPIPHYSE SZ 1/CENT^130720101 8000

COMP HUM DELTA XTEND EPIPHYSE SZ2/RT^130720203 8000

COMP HUM DELTA XTEND SZ 2 LT^130720202 8000

COMP HUM DELTA XTEND SZ 2 RT^130720201 8000

COMP HUM STEM 6MM^11-113556 4160

COMP HUM STEM 8MM^11-113558 4160

COMP HUM STEM PRIMARY 11MM^113651 8242

COMP HUMERAL CUP DELTA 42MM +9^130742209 2000

COMP LEGION TIB BASE W JOURNEY LOCK SIZE 5 R^71933579 5579

COMP LEGION TIB BASE W JOURNEY LOCK SIZE 6 L^71933572 5579

COMP MINI BASEPLATE GLENOSPHERE^010000589 4225

COMP MINI BASEPLATE W/TAPER ADAPT^010000588 3000

COMP PATELLA RESURF GENII 32MM^71421032 600

COMP PATELLA RESURF OVAL GENII 35MM^71421035 600

COMP PATELLA VANGUARD 3PEGS CAT# 184766^184766 2015

COMP SCORPIO TIBIAL AUG HALF BLOCK SZ 5^75-3-0510 2368

COMP SHRT ST/COMP RVS GLN XL/AB^98B00900123 18500

COMP SHRT ST/COMP RVS GLN/E1^98B00901602 16800

COMP SPEC FEM EF HI OFS SZ 1H^71313021 2850

COMP SPEC FEM EF HI OFS SZ 2H^71313022 2850

COMP SPEC FEM EF HI OFS SZ 3H^71313023 2850

COMP SPEC FEM EF HI OFS SZ 4H^71313024 2850

COMP SPEC FEM EF HI OFS SZ 5H^71313025 2850

COMP ST/COMP RVS GLN/E1/AB^98B00900128 19500

COMP STEM 13X122^113653 8242

COMP STEM HUMERAL 10MM^113650 8242

COMP STEM MINI PRIMARY 16mm^113636 9204

COMP STEM POROUS 13X83 LONG^113633 9204

COMP STEM POROUS 15MM X 83MM LONG^113635 9204

COMP STEM POROUS 17MM^113637 9204

COMP STEM POROUS 7X123^113647 8242

COMP STEM POROUS 8MM X 122^113648 8242

COMP STEM POROUS 9MM^113649 8242

COMP STEM POROUS 9X83 LNG^113629 9204

COMP SYNERGY FEM HI OFS SZ 10^71306110 5253

COMP SYNERGY FEM HI OFS SZ 11^71306111 5253

COMP SYNERGY FEM HI OFS SZ 12^71306112 5253

COMP SYNERGY FEM HI OFS SZ 13^71306113 5253

COMP SYNERGY FEM HI OFS SZ 14^71306114 5253

COMP SYNERGY FEM HI OFS SZ 15^71306115 5253

COMP SYNERGY FEM HI OFS SZ 16^71306116 5253

COMP SYNERGY FEM HI OFS SZ 17^71306117 5253

COMP SYNERGY FEM HI OFS SZ 18^71306118 5253

COMP SYNERGY FEM HI OFS SZ 9^71306109 5253

COMP TIBIAL 10 X 305^CM-3010 676

COMP TIBIAL 11X30^CM-3011 676

COMP TIBIAL 8 X 30^CM-3008 676

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Description CPT-4 Base Price Schedule

COMP TIBIAL 9 X 30 MM^CM-3009 676

COMP TIBIAL APERFIX II 10X30^CM-3010C 676

COMP TIBIAL APERFIX II 11X30^CM-3011C 676

COMP TIBIAL APERFIX II 9X30^CM-3009C 676

COMP TIBIAL AUG HALF #2 5MM^5545-A-202 2286

COMP TIBIAL AUG HALF #5 5MM -MFRCAT# 5545-A-501^5545-A-501 2286

COMP TIBIAL AUG HALF BLOCK SZ 3 5MM^5545-A-301 2286

COMP TIBIAL AUG HALF BLOCK SZ 6 5MM^5545-A-602 2286

COMP TIBIAL AUG HALF SZ 2 5MM^5545-A-201 2286

COMP TIBIAL AUG HALF^5545-A-502 2286

COMP TIBIAL OXFORD SZ A LT^154718 4953

COMP TIBIAL OXFORD SZ A^154719 4953

COMP TIBIAL OXFORD SZ B LT^154720 4953

COMP TIBIAL OXFORD SZ B^154721 4953

COMP TIBIAL OXFORD SZ C LT^154722 4953

COMP TIBIAL OXFORD SZ C^154723 2600

COMP TIBIAL OXFORD SZ D - MFRCAT 154724^154724 4953

COMP TIBIAL OXFORD SZ D - MFRCAT 154725^154725 4953

COMP TIBIAL OXFORD SZ E LT^154726 4953

COMP TIBIAL OXFORD SZ E RT^154727 4953

COMP TIBIAL OXFORD SZ F^154775 4953

COMP TIBIAL OXFORD SZ G^154776 4953

COMP TIBIAL TRIATH AUG HALF #4 5MM - MFRCAT 5545-A-401^5545-A-401 2286

COMP TIBIAL TRIATH AUG HALF #4 5MM - MFRCAT 5545-A-402^5545-A-402 2286

COMP TITAN GLENOSPHERE 36MM^TI-115310 5551

COMP VERSA DIAL MOD HEAD 38X19X39^TI-113022 5252

COMPONENT ACET HGPII 32MM SZ F^32-6732-006-01 4460

COMPONENT AGC FEMORAL 55MM RT^152830 6357

COMPONENT AGC FEMORAL 60MM LT^152842 6357

COMPONENT AGC FEMORAL 60MM RT^152832 6357

COMPONENT AGC FEMORAL 62.5MM LT^152963 6357

COMPONENT AGC FEMORAL 62.5MM RT^152953 6357

COMPONENT AGC FEMORAL 65MM LT^152844 6357

COMPONENT AGC FEMORAL 65MM RT^152834 6357

COMPONENT AGC FEMORAL 67.5MM LT^152965 6357

COMPONENT AGC FEMORAL 67.5MM RT^152955 6357

COMPONENT AGC FEMORAL 70MM LT^152846 6357

COMPONENT AGC FEMORAL 70MM RT^152836 6357

COMPONENT AGC FEMORAL 75MM LT^152848 6357

COMPONENT AGC FEMORAL 75MM RT^152838 6357

COMPONENT AGC FEMORAL 80MM LT^152849 6357

COMPONENT AGC FEMORAL 80MM RT^152839 6357

COMPONENT AGC TIBIAL 10 X 65^155308 5005

COMPONENT AGC TIBIAL 10 X 70^155326 5005

COMPONENT AGC TIBIAL 10 X 75^155344 5005

COMPONENT AGC TIBIAL 10 X 80^155362 5005

COMPONENT AGC TIBIAL 10 X 85MM^155380 5005

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Description CPT-4 Base Price Schedule

COMPONENT AGC TIBIAL 12 X 70MM^155328 5005

COMPONENT AGC TIBIAL 12 X 75^155346 5005

COMPONENT AGC TIBIAL 12 X 85MM^155382 5005

COMPONENT AGC TIBIAL 12X65^155310 5005

COMPONENT AGC TIBIAL 12X80^155364 5005

COMPONENT AGC TIBIAL 14 X 70MM^155330 5005

COMPONENT AGC TIBIAL 14 X 85mm^155384 5005

COMPONENT AGC TIBIAL 14X75^155348 5005

COMPONENT AGC TIBIAL 14X80^155366 5005

COMPONENT AGC TIBIAL 16 X 80MM^155368 5005

COMPONENT AGC TIBIAL 16X75^155350 5005

COMPONENT AGC TIBIAL 20 X 80MM REVISION^155372 5005

COMPONENT AGC TIBIAL 20X70^155336 5005

COMPONENT AGC TIBIAL 8 X 65^155306 5005

COMPONENT AGC TIBIAL 8 X 70^155324 5005

COMPONENT AGC TIBIAL 8 X 75^155342 5005

COMPONENT AGC TIBIAL 8 X 80MM^155360 5005

COMPONENT AGC TIBIAL 8 X 85MM REVISION^155378 5005

COMPONENT ARTERIAL GRAFT^HeRO 1002 2220

COMPONENT BI-METRIC FEM 10X130^162252 4576

COMPONENT BI-METRIC FEM 13X145^162313 4000

COMPONENT BI-METRIC FEM 14X150^162254 4000

COMPONENT BI-METRIC FEM 15.0^162314 4000

COMPONENT BI-METRIC FEM 17X165^162315 4000

COMPONENT BI-METRIC FEM 8X120^162251 4000

COMPONENT CEMENTRA FEM 12MM LG^71311299 2850

COMPONENT CEMENTRA FEMORAL 12M^71311298 2850

COMPONENT COFIELD GLENOID SM^121086 1626

COMPONENT CONQUEST FX FEM SZ10^71316510 1700

COMPONENT CONQUEST FX FEM SZ11^71316511 1700

COMPONENT CONQUEST FX FEM SZ12^71316512 1700

COMPONENT CONQUEST FX FEM SZ13^71316513 1700

COMPONENT CONQUEST FX FEM SZ14^71316514 1700

COMPONENT CONQUEST FX FEM SZ15^71316515 1700

COMPONENT CONQUEST FX FEM SZ16^71316516 1700

COMPONENT CONQUEST FX FEM SZ9^71316509 1700

COMPONENT DIST FEM AUG #5 5MM RT -MFRCAT# 5540-A-502^5540-A-502 2385

COMPONENT DIST FEM AUG #6 5MM LT^5540-A-601 2385

COMPONENT DIST FEM AUG SZ 6 5MM RT^5540-A-602 2385

COMPONENT DIST FEM AUG SZ7 5MM LT^5540-A-701 2385

COMPONENT ECHELON FEM SZ 12^71310312 9517

COMPONENT ECHELON FEM SZ 14 - MFRCAT 71310314^71310314 9517

COMPONENT ECHELON FEM SZ 14 - MFRCAT 71310414^71310414 9517

COMPONENT ECHELON FEM SZ 14L 300MM^71314114 9517

COMPONENT ECHELON FEM SZ12 225 - MFRCAT 71310212^71310212 9517

COMPONENT ECHELON FEM SZ12 225 -MFRCAT 71310412^71310412 9517

COMPONENT ECHELON FEM SZ14 175^71310114 9517

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Description CPT-4 Base Price Schedule

COMPONENT ECHELON FEM SZ14 225^71310214 9517

COMPONENT ECHELON FEM SZ16 175 - MFRCAT 71310116^71310116 9517

COMPONENT ECHELON FEM SZ16 175 - MFRCAT 71310316^71310316 9517

COMPONENT ECHELON FEM SZ16 225 - MFRCAT 71310216^71310216 9517

COMPONENT ECHELON FEM SZ16 225 - MFRCAT 71310416^71310416 9517

COMPONENT ECHELON SZ12 175^71310112 9517

COMPONENT FEM 45 PROXIMAL REV^CP155888 10652

COMPONENT FEM AGC TRADITION 65MM^155443 6500

COMPONENT FEM AGC UNIV 60MM^155442 6500

COMPONENT FEM AGC UNIV 70MM^155444 6500

COMPONENT FEM AGC UNIV 75MM^155445 6500

COMPONENT FEM CR OXIN SZ 4 LT^71421234 4600

COMPONENT FEM CR OXIN SZ 5 LT^71421235 4600

COMPONENT FEM CR OXIN SZ6 LT^71421236 4600

COMPONENT FEM CR OXIN SZ7 LT^71421237 4600

COMPONENT FEM DIST AUG #3 5MM LT^5540-A-301 2385

COMPONENT FEM DIST AUG #3 5MM RT^5540-A-302 2385

COMPONENT FEM DIST AUG #4 10MM LT^5541-A-401 2506

COMPONENT FEM DIST AUG #4 5MM LT^5540-A-401 2385

COMPONENT FEM ECHELON SO SZ 11^71341011 5253

COMPONENT FEM ECHELON SZ 11 - MFRCAT 71340111^71340111 10259

COMPONENT FEM ECHELON SZ 12 - MFRCAT 71340112^71340112 10259

COMPONENT FEM ECHELON SZ 12 - MFRCAT 71341012^71341012 5253

COMPONENT FEM ECHELON SZ 13 - MFRCAT 71340113^71340113 10259

COMPONENT FEM ECHELON SZ 13 - MFRCAT 71341013^71341013 5253

COMPONENT FEM ECHELON SZ 13 -MFRCAT 71340213^71340213 11742

COMPONENT FEM ECHELON SZ 13 RT BW^71340913 12978

COMPONENT FEM ECHELON SZ 14 BW -MFRCAT 71340514^71340514 12978

COMPONENT FEM ECHELON SZ 14 BW -MFRCAT 71340614^71340614 12978

COMPONENT FEM ECHELON SZ 14^71340114 10259

COMPONENT FEM ECHELON SZ 15^71340115 10259

COMPONENT FEM ECHELON SZ 16 BW - MFRCAT 71340516^71340516 12978

COMPONENT FEM ECHELON SZ 16^71340116 10259

COMPONENT FEM ECHELON SZ 17 BW^71340417 12978

COMPONENT FEM ECHELON SZ 17 -MFRCAT 71340117^71340117 10259

COMPONENT FEM ECHELON SZ 17 -MFRCAT 71340217^71340217 11742

COMPONENT FEM ECHELON SZ 18 BW^71340518 12978

COMPONENT FEM ECHELON SZ 18^71340118 10259

COMPONENT FEM ECHELON SZ 19^71340119 10259

COMPONENT FEM ECHELON SZ 20^71340220 11742

COMPONENT FEM GEN II 2 RT^71421112 4600

COMPONENT FEM GEN II 3 RT^71421113 4600

COMPONENT FEM GEN II 4 RT^71421114 4600

COMPONENT FEM GEN II 5 RT^71421115 4600

COMPONENT FEM GEN II 6 RT^71421116 4600

COMPONENT FEM GEN II 7 RT^71421117 4600

COMPONENT FEM GEN II 8 RT^71421118 4600

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Description CPT-4 Base Price Schedule

COMPONENT FEM GEN II OXINIUM SZ 2LT^71420130 4600

COMPONENT FEM GEN II SZ 2 LT^71421012 4600

COMPONENT FEM GEN II SZ 3 LT^71421013 4600

COMPONENT FEM GEN II SZ 3 RT^71420948 11767

COMPONENT FEM GEN II SZ 3^71420932 11767

COMPONENT FEM GEN II SZ 4 LF^71420934 11767

COMPONENT FEM GEN II SZ 4 LT - MFRCAT 71420134^71420134 4600

COMPONENT FEM GEN II SZ 4 LT -MFRCAT 71421014^71421014 4600

COMPONENT FEM GEN II SZ 4 RT^71420950 11767

COMPONENT FEM GEN II SZ 5 LT -MFRCAT 71420936^71420936 11767

COMPONENT FEM GEN II SZ 5 LT -MFRCAT 71421015^71421015 4600

COMPONENT FEM GEN II SZ 5 RT^71420952 11767

COMPONENT FEM GEN II SZ 6 LT -MFRCAT 71420938^71420938 11767

COMPONENT FEM GEN II SZ 6 LT -MFRCAT 71421016^71421016 4600

COMPONENT FEM GEN II SZ 6 RT^71420954 11767

COMPONENT FEM GEN II SZ 7 LT -MFRCAT 71420940^71420940 11767

COMPONENT FEM GEN II SZ 7 LT -MFRCAT 71421017^71421017 4600

COMPONENT FEM GEN II SZ 7 RT -MFRCAT 71420956^71420956 11767

COMPONENT FEM GEN II SZ 7 RT -MFRCAT 71420958^71420958 11766

COMPONENT FEM GEN II SZ 8 LT^71421018 4600

COMPONENT FEM LEGION CR SZ 4 RT^71421224 4600

COMPONENT FEM LEGION CR SZ 4N LT^71421244 4600

COMPONENT FEM LEGION CR SZ5 RT^71421225 4600

COMPONENT FEM LEGION NP SZ 7 RT^71423217 3200

COMPONENT FEM LEGION OX 3 RT^71421173 11272

COMPONENT FEM LEGION OXIN SZ 7 RT^71421177 11272

COMPONENT FEM LEGION PS OXIN SZ 4 LT^71421214 4600

COMPONENT FEM LEGION PS OXIN SZ 6 RT^71421206 4600

COMPONENT FEM LEGION PS OXIN SZ4 RT^71421204 4600

COMPONENT FEM LEGION PS SZ 2 RT^71421202 4600

COMPONENT FEM LEGION PS SZ 5 LT^71421215 4600

COMPONENT FEM LEGION PS SZ 5 RT^71421205 4600

COMPONENT FEM LEGION PS SZ 7 LT^71421217 4600

COMPONENT FEM LEGION PS SZ 7 RT^71421207 4600

COMPONENT FEM LEGION PS SZ 8 LT^71421218 4600

COMPONENT FEM LGN OX 3 LT^71421163 11272

COMPONENT FEM LGN OX 4 LT^71421164 11272

COMPONENT FEM LGN OX 4 RT^71421174 11272

COMPONENT FEM LGN OX 5 LT^71421165 11272

COMPONENT FEM LGN OX 5 RT^71421175 11272

COMPONENT FEM LGN OX 6 RT^71421176 11272

COMPONENT FEM LGN OX 7 LT^71421167 11272

COMPONENT FEM LGN OX 8 LT^71421168 11272

COMPONENT FEM PKR TRIATHLON #3^5610-F-301 3200

COMPONENT FEM PKR TRIATHLON #4^5610-F-402 3200

COMPONENT FEM PS TRIATH #2 RT^5515-F-202 3600

COMPONENT FEM PS TRIATH #3 LT^5515-F-301 3600

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COMPONENT FEM PS TRIATH #6 RT^5515-F-602 3600

COMPONENT FEM PS TRIATH #7 LT^5515-F-701 3600

COMPONENT FEM PS TRIATH #7 RT^5515-F-702 3600

COMPONENT FEM PS TRIATH -MFRCAT 5515-F-102^5515-F-102 3600

COMPONENT FEM PS TRIATH -MFRCAT 5515-F-201^5515-F-201 3600

COMPONENT FEM PS TRIATH -MFRCAT 5515-F-801^5515-F-801 3600

COMPONENT FEM PS TRIATH -MFRCAT 5515-F-802^5515-F-802 3600

COMPONENT FEM PS TRIATH^5515-F-101 3600

COMPONENT FEM PS TRIATHLON #3^5515-F-302 3600

COMPONENT FEM PS TRIATHLON #4 - MFRCAT 5515-F-402^5515-F-402 3600

COMPONENT FEM PS TRIATHLON #4 -MFRCAT 5515-F-401^5515-F-401 3600

COMPONENT FEM PS TRIATHLON #5 -MFRCAT 5515-F-501^5515-F-501 3600

COMPONENT FEM PS TRIATHLON #5 -MFRCAT 5515-F-502^5515-F-502 3600

COMPONENT FEM PS TRIATHLON #6^5515-F-601 3600

COMPONENT FEM SCORPIO #11 LEFT^70-5111L 3502

COMPONENT FEM SCORPIO #11 LT -MFRCAT 70-4111L^70-4111L 2000

COMPONENT FEM SCORPIO #11 LT -MFRCAT 71-5111L^71-5111L 3502

COMPONENT FEM SCORPIO #11 LT -MFRCAT 76-4111L^76-4111L 11611

COMPONENT FEM SCORPIO #11 RT -MFRCAT 70-4111R^70-4111R 2000

COMPONENT FEM SCORPIO #11 RT -MFRCAT 70-5111R^70-5111R 3502

COMPONENT FEM SCORPIO #11 RT -MFRCAT 71-5111R^71-5111R 3502

COMPONENT FEM SCORPIO #13 LEFT^70-5113L 3502

COMPONENT FEM SCORPIO #13 LT - MFRCAT 70-4113L^70-4113L 2000

COMPONENT FEM SCORPIO #13 LT -MFRCAT 71-5113L^71-5113L 3502

COMPONENT FEM SCORPIO #13 RT -MFRCAT 70-4113R^70-4113R 2000

COMPONENT FEM SCORPIO #13 RT -MFRCAT 70-5113R^70-5113R 3502

COMPONENT FEM SCORPIO #13 RT -MFRCAT 71-5113R^71-5113R 3502

COMPONENT FEM SCORPIO #3 LEFT^71-5103L 3502

COMPONENT FEM SCORPIO #3 RIGHT^71-5103R 3502

COMPONENT FEM SCORPIO #5 LEFT - MFRCAT 70-5105L^70-5105L 3502

COMPONENT FEM SCORPIO #5 LEFT -MFRCAT 71-5105L^71-5105L 3502

COMPONENT FEM SCORPIO #5 LT^70-4105L 2000

COMPONENT FEM SCORPIO #5 RIGHT -MFRCAT 70-4105R^70-4105R 2000

COMPONENT FEM SCORPIO #5 RIGHT -MFRCAT 70-5105R^70-5105R 3502

COMPONENT FEM SCORPIO #5 RIGHT -MFRCAT 71-5105R^71-5105R 3502

COMPONENT FEM SCORPIO #5 RT^76-4105R 11611

COMPONENT FEM SCORPIO #7 LEFT - MFRCAT 70-5107L^70-5107L 3502

COMPONENT FEM SCORPIO #7 LEFT -MFRCAT 71-5107L^71-5107L 3502

COMPONENT FEM SCORPIO #7 LEFT -MFRCAT 70-4107L^70-4107L 2000

COMPONENT FEM SCORPIO #7 LT^76-4107L 11611

COMPONENT FEM SCORPIO #7 RIGHT -MFRCAT 70-4107R^70-4107R 2000

COMPONENT FEM SCORPIO #7 RIGHT -MFRCAT 70-5107R^70-5107R 3502

COMPONENT FEM SCORPIO #7 RT -MFRCAT 71-5107R^71-5107R 3502

COMPONENT FEM SCORPIO #7 RT -MFRCAT 76-4107R^76-4107R 11611

COMPONENT FEM SCORPIO #9 LEFT -MFRCAT 70-4109L^70-4109L 2000

COMPONENT FEM SCORPIO #9 LEFT -MFRCAT 70-5109L^70-5109L 3502

COMPONENT FEM SCORPIO #9 LEFT -MFRCAT 71-5109L^71-5109L 3502

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Description CPT-4 Base Price Schedule

COMPONENT FEM SCORPIO #9 RIGHT -MFRCAT 70-5109R^70-5109R 3502

COMPONENT FEM SCORPIO #9 RIGHT -MFRCAT 71-5109R^71-5109R 3502

COMPONENT FEM SCORPIO #9 RT^70-4109R 2000

COMPONENT FEM SCORPIO P/S #7RT^71-4107R 2472

COMPONENT FEM SCORPIO P/S 11LT^71-4511L 2000

COMPONENT FEM SCORPIO P/S 11RT^71-4511R 2000

COMPONENT FEM SCORPIO P/S 13LT^71-4513L 2000

COMPONENT FEM SCORPIO P/S 13RT^71-4513R 2000

COMPONENT FEM SCORPIO P/S 3LT^71-4503L 2000

COMPONENT FEM SCORPIO P/S 3RT^71-4503R 2000

COMPONENT FEM SCORPIO P/S 5LT^71-4505L 2000

COMPONENT FEM SCORPIO P/S 5RT^71-4505R 2000

COMPONENT FEM SCORPIO P/S 7LT^71-4507L 2000

COMPONENT FEM SCORPIO P/S 7RT^71-4507R 2000

COMPONENT FEM SCORPIO P/S 9LT^71-4509L 2000

COMPONENT FEM SCORPIO P/S 9RT^71-4509R 2000

COMPONENT FEM SCORPIO SZ 9 RT^70-5209R 3242

COMPONENT FEM SCORPIO W/POST SZ 5 LT -MFRCAT# 70-5205L^70-5205L 3242

COMPONENT FEM SCORPIO W/POST SZ 7 LT^70-5207L 3242

COMPONENT FEM SCORPIO W/POST SZ9 LT^70-5209L 3242

COMPONENT FEM STEM CALCAR 14^71310614 9518

COMPONENT FEM STEM CALCAR 16^71310616 9518

COMPONENT FEM TRIATH PKR 3 SZ 5^5610-F-501 3200

COMPONENT FEM TRIATH SZ6 RT^5512-F-602 13869

COMPONENT FEM TRIATH TS #3 LT^5512-F-301 13869

COMPONENT FEM TRIATH TS #3 RT^5512-F-302 13869

COMPONENT FEM TRIATH TS #4 LT^5512-F-401 13869

COMPONENT FEM TRIATH TS #4 RT^5512-F-402 13869

COMPONENT FEM TRIATH TS SZ 6 LT^5512-F-601 13869

COMPONENT FEM TS #5 LT^5512-F-501 13869

COMPONENT FEM TS #5 RT^5512-F-502 13869

COMPONENT FEM VANGUARD 60MM^183322 13320

COMPONENT FEM VANGUARD 70MM^183326 13320

COMPONENT FEMORAL COMTRIATHLON CR - BEADED w/PA^5517-F-301 5000

COMPONENT FEMORAL CR #3 LT^5510-F-301 3935

COMPONENT FEMORAL CR #3 RT^5510-F-302 3600

COMPONENT FEMORAL CR #4 LT^5510-F-401 3600

COMPONENT FEMORAL CR #4 RT^5510-F-402 3600

COMPONENT FEMORAL CR #5 LT^5510-F-501 3600

COMPONENT FEMORAL CR TRIATH #1 LT^5517-F-101 5000

COMPONENT FEMORAL CR TRIATH #4 RT^5517-F-402 5000

COMPONENT FEMORAL CR TRIATH #5 LT^5517-F-501 5000

COMPONENT FEMORAL CR TRIATH #6 LT^5517-F-601 5000

COMPONENT FEMORAL CR TRIATH #6 RT^5517-F-602 5000

COMPONENT FEMORAL CR TRIATH #7 LT^5517-F-701 5000

COMPONENT FEMORAL CR TRIATH #7 RT^5517-F-702 5000

COMPONENT FEMORAL CR TRIATH -MFRCAT 5510-F-201^5510-F-201 3600

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COMPONENT FEMORAL CR TRIATH -MFRCAT 5510-F-202^5510-F-202 3600

COMPONENT FEMORAL CR TRIATH -MFRCAT 5510-F-802^5510-F-802 3600

COMPONENT FEMORAL EIUS UNI MED -MFRCAT 6636-2-003^6636-2-003 4170

COMPONENT FEMORAL EIUS UNI MED -MFRCAT 6636-2-013^6636-2-013 4049

COMPONENT FEMORAL EIUS UNI XLG^6636-2-005 4127

COMPONENT FEMORAL ELLIPTICAL^150357 13314

COMPONENT FEMORAL GENESIS UNI -MFRCAT 725002^725002 3935

COMPONENT FEMORAL GENESIS UNI -MFRCAT 725003^725003 3935

COMPONENT FEMORAL GENESIS UNI -MFRCAT 725004^725004 3935

COMPONENT FEMORAL KNEE #11 LT^7120-0011L 3526

COMPONENT FEMORAL LG RT^178044 6774

COMPONENT FEMORAL LGN POR CR HA FEM SZ 2 RT^71425212 3935

COMPONENT FEMORAL OXI UNI XL^71245034 3935

COMPONENT FEMORAL OXINIUM UNI -MFRCAT 71245033^71245033 3935

COMPONENT FEMORAL OXINIUM UNI -MFRCAT 71245032^71245032 3935

COMPONENT FEMORAL OXINIUM UNI -MFRCAT 71245035^71245035 3935

COMPONENT FEMORAL PROX LT 3CM^150805 12919

COMPONENT FEMORAL PROX LT 7CM^150458 9791

COMPONENT FEMORAL RESURF OSS^150351 13603

COMPONENT FEMORAL RESURFACING^150350 13603

COMPONENT FEMORAL REVISION SZE^00-5994-015-92 11056

COMPONENT FEMORAL SCK 60 LT^RD142041 11016

COMPONENT FEMORAL SCK 70 RT^RD142033 9572

COMPONENT FEMORAL SZ15^71927982 17682

COMPONENT FEMORAL SZ19^71926107 5253

COMPONENT FEMORAL WICHITA 18MM^6647-1-018 5487

COMPONENT GEN CRUC FEM SZ 2 LT^71420002 3200

COMPONENT GEN CRUC FEM SZ 2 LT^71420034 3935

COMPONENT GEN CRUC FEM SZ 2 RT^71420018 3200

COMPONENT GEN CRUC FEM SZ 2 RT^71420050 3935

COMPONENT GEN CRUC FEM SZ 3 LT^71420004 3200

COMPONENT GEN CRUC FEM SZ 3 LT^71420036 3935

COMPONENT GEN CRUC FEM SZ 3 RT^71420020 3200

COMPONENT GEN CRUC FEM SZ 3 RT^71420052 3935

COMPONENT GEN CRUC FEM SZ 4 LT^71420006 3200

COMPONENT GEN CRUC FEM SZ 4 LT^71420038 3935

COMPONENT GEN CRUC FEM SZ 4 RT^71420022 3200

COMPONENT GEN CRUC FEM SZ 4 RT^71420054 3935

COMPONENT GEN CRUC FEM SZ 5 LT^71420008 3200

COMPONENT GEN CRUC FEM SZ 5 LT^71420040 3935

COMPONENT GEN CRUC FEM SZ 5 RT^71420024 3200

COMPONENT GEN CRUC FEM SZ 5 RT^71420056 3935

COMPONENT GEN CRUC FEM SZ 6 LT^71420010 3200

COMPONENT GEN CRUC FEM SZ 6 LT^71420042 3935

COMPONENT GEN CRUC FEM SZ 6 RT^71420026 3200

COMPONENT GEN CRUC FEM SZ 6 RT^71420058 3935

COMPONENT GEN CRUC FEM SZ 7 LT^71420012 3200

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COMPONENT GEN CRUC FEM SZ 7 LT^71420044 3935

COMPONENT GEN CRUC FEM SZ 7 RT^71420028 3200

COMPONENT GEN CRUC FEM SZ 7 RT^71420060 3935

COMPONENT GEN CRUC FEM SZ 8 LT^71420014 3200

COMPONENT GEN CRUC FEM SZ 8 LT^71420046 3935

COMPONENT GEN CRUC FEM SZ 8 RT^71420030 3200

COMPONENT GEN CRUC FEM SZ 8 RT^71420062 3935

COMPONENT GEN MAGNUM FEM LEFT^124420 3179

COMPONENT GEN PS FEM SZ 2 LT^71420098 3200

COMPONENT GEN PS FEM SZ 2 RT^71420114 3200

COMPONENT GEN PS FEM SZ 3 LT^71420100 3200

COMPONENT GEN PS FEM SZ 3 RT^71420116 3200

COMPONENT GEN PS FEM SZ 4 LT^71420102 3200

COMPONENT GEN PS FEM SZ 4 RT^71420118 3200

COMPONENT GEN PS FEM SZ 5 LT^71420104 3200

COMPONENT GEN PS FEM SZ 5 RT^71420120 3200

COMPONENT GEN PS FEM SZ 6 LT^71420106 3200

COMPONENT GEN PS FEM SZ 6 RT^71420122 3200

COMPONENT GEN PS FEM SZ 7 LT^71420108 3200

COMPONENT GEN PS FEM SZ 7 RT^71420124 3200

COMPONENT GEN PS FEM SZ 8 LT^71420110 3200

COMPONENT GEN PS FEM SZ 8 RT^71420126 3200

COMPONENT GEN TIB BASE X-LG LT^724831 2384

COMPONENT GENESIS FEM 71/74 LT^724420 3935

COMPONENT GENESIS FEM LRG LT^124416 3179

COMPONENT GENESIS FEM LRG RT^124415 3179

COMPONENT GENESIS FEM LRG RT^724415 3935

COMPONENT GENESIS FEM MED LFT^124414 3179

COMPONENT GENESIS FEM MED LT^724414 3935

COMPONENT GENESIS FEM MED RT^124413 3179

COMPONENT GENESIS FEM X-LRG LT^124418 3179

COMPONENT GENESIS FEM X-LRG LT^724418 3935

COMPONENT GENESIS FEMORAL 54MM^724411 3935

COMPONENT GENESIS FEMORAL 63MM^724416 3935

COMPONENT GENESIS PATELLAR 29M^71204434 721

COMPONENT GLENOID SHLDR SZ 7^5361-6107 2782

COMPONENT GLENOID SHLDR SZ 9^5361-6109 2782

COMPONENT GLENOSPHERE SHLD 38MM STD^130760138 2600

COMPONENT GLENOSPHERE SHLD 42MM^130760142 2600

COMPONENT HEAD +0 20MM MOD RAD^496H020 3874

COMPONENT HEAD +0 22MM MOD RAD^496-H022 3874

COMPONENT HEAD +0 24MM MOD RAD^496-H024 3874

COMPONENT HEAD +2 22MM MOD RAD^496-H222 3874

COMPONENT HEAD +2 24MM MOD RAD^496H224 3874

COMPONENT HEAD +2 26MM MOD RAD^496H226 3874

COMPONENT HEAD +4 20MM MOD RAD^496H420 3874

COMPONENT HEAD +4 22MM MOD RAD^496H422 3874

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COMPONENT HEAD +4 24MM MOD RAD^496H424 3874

COMPONENT HEAD +4 26MM MOD RAD^496H426 3874

COMPONENT HEAD EVOLVE +2 22MM^496H222 3874

COMPONENT HEAD EVOLVE 22MM^496H022 3874

COMPONENT HIP RESTORATION MOD SYS^6276-4-123 9502

COMPONENT HUM HA FRAC STEM REUNION 11MM^R5351-4511 7031

COMPONENT HUM HEAD DUAL RAD 50X28^R5350-5028 3196

COMPONENT HUM HEAD RAD DIA 45 15MM^R5350-4515 3196

COMPONENT HUM HEAD REUNION 50X21^R5350-5021 3196

COMPONENT HUM HEAD REUNION 50X24^R5350-5024 3196

COMPONENT HUMERAL #10^5351-4110 5000

COMPONENT HUMERAL #11^5351-4111 5000

COMPONENT HUMERAL #12^5351-4112 5000

COMPONENT HUMERAL #13^5351-4113 5000

COMPONENT HUMERAL #3 115MM^5351-4103 5000

COMPONENT HUMERAL #4 8MM^5351-4104 5000

COMPONENT HUMERAL #5 120MM^5351-4105 5000

COMPONENT HUMERAL #5 200MM^5351-4205 5000

COMPONENT HUMERAL #6 10MM^5351-4106 5000

COMPONENT HUMERAL #7 125MM^5351-4107 5000

COMPONENT HUMERAL #8 12MM^5351-4108 5000

COMPONENT HUMERAL #9 130MM^5351-4109 5000

COMPONENT HUMERAL #9 200MM^5351-4209 5000

COMPONENT HUMERAL DUAL RAD REUN 40X18^R5350-4018 3196

COMPONENT HUMERAL HA FRAC STEM REUNION 7MM^R5351-4507 7031

COMPONENT HUMERAL HA FRAC STEM REUNION 8MM^R5351-4508 7031

COMPONENT HUMERAL HEAD DUAL RAD 40X15^R5350-4015 3196

COMPONENT HUMERAL HEAD DUAL RAD 40X21^R5350-4021 3196

COMPONENT JOURNEY PF MED LT^71461014 8350

COMPONENT JOURNEY PF SM RT^71461013 8350

COMPONENT JOURNEY PFG MED RT^71461015 8350

COMPONENT JOURNEY PFJ SM LT^71461012 8350

COMPONENT KNEE FEMORAL #13 LT^7120-0013R 3526

COMPONENT KNEE FEMORAL #5 LEFT^7120-0005L 3526

COMPONENT KNEE FEMORAL #5 RT^7380-0005R 4893

COMPONENT KNEE FEMORAL #7 LT^7120-0007L 3526

COMPONENT KNEE FEMORAL #7 LT^7380-0007L 4893

COMPONENT KNEE FEMORAL #7 RT^7120-0007R 3526

COMPONENT KNEE FEMORAL #9 LEFT^7120-0009L 3606

COMPONENT KNEE FEMORAL #9 LT^7110-0009L 2868

COMPONENT KNEE FEMORAL #9 RT^7120-0009R 3526

COMPONENT KNEE FEMORAL 60MM LT^183064 4140

COMPONENT KNEE FEMORAL 60MM^183044 4140

COMPONENT KNEE FEMORAL 62.5MM^183006 3340

COMPONENT KNEE FEMORAL 65MM RT^183048 4140

COMPONENT KNEE FEMORAL 65MM^183008 3340

COMPONENT KNEE FEMORAL 67.5MM^183010 3340

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Description CPT-4 Base Price Schedule

COMPONENT MAL HD 11.0 X 170MM^11-104903 6774

COMPONENT MAL HD 13MM X 170MM^11-104904 6774

COMPONENT MAL HD PROX FEM 55^108155 5676

COMPONENT MAL HD PROX FEM 55A^108150 5676

COMPONENT MAL HD PROX FEM 55D^108157 5676

COMPONENT MATRIX FEMORAL 12L^MH1215A 1650

COMPONENT MATRIX FEMORAL 14L^MH1417A 1650

COMPONENT MATRIX FEMORAL 8MM^71310899 6490

COMPONENT MATRIX FEMORAL SZ 8S^71310898 6490

COMPONENT MAXIM CON FEM 65 RT^145212 9798

COMPONENT MAXIM PS FEM 60MM LT^145131 2944

COMPONENT MAXIM PS FEM 60MM RT^145111 2858

COMPONENT MAXIM PS FEM 65MM LT^145132 2944

COMPONENT MAXIM PS FEM 65MM RT^145112 2856

COMPONENT MAXIM PS FEM 70MM LT^145133 2944

COMPONENT MAXIM PS FEM 75MM LT^145134 2944

COMPONENT MAXIM PS FEM 80MM LT^145135 2944

COMPONENT NON-P OXIN FEM 2RT^71420146 4600

COMPONENT NON-P ZIRC FEM 3LT^71420132 4600

COMPONENT NON-P ZIRC FEM 3RT^71420148 4600

COMPONENT NON-P ZIRC FEM 8L^71420142 4600

COMPONENT NON-P ZIRC FEM 8R^71420158 4600

COMPONENT OUTFLOW VENOUS^HeRO 1001 4820

COMPONENT OX FEMORAL 4R^71420150 4600

COMPONENT OX ZIRCN FEM 5L^71420136 4600

COMPONENT OX ZIRCN FEM 5R^71420152 4600

COMPONENT OX ZIRCN FEM 6L^71420138 4600

COMPONENT OX ZIRCN FEM 6R^71420154 4600

COMPONENT OX ZIRCN FEM 7L^71420140 4600

COMPONENT OX ZIRCN FEM 7R^71420156 4600

COMPONENT PATELLA ASYM TRIATH 38X11^5554-L-381 700

COMPONENT PATELLA ASYM TRIATH 40X11^5554-L-401 700

COMPONENT PATELLA FEM JNT MED^6430-0-030 2080

COMPONENT PATELLA FEM JNT SML^6430-0-020 2080

COMPONENT PATELLAR #5^7610-0505 884

COMPONENT PATELLAR #9^7610-0509 920

COMPONENT PATELLAR ASYM 10MM^5551-G-320 700

COMPONENT PATELLAR ASYM 10MM^5551-G-350 700

COMPONENT PATELLAR ASYM 10MM^5551-L-320 400

COMPONENT PATELLAR ASYM 11MM^5551-G-401 700

COMPONENT PATELLAR ASYM 11X38MM^5551-G-381 700

COMPONENT PATELLAR ASYM 29X9MM^5551-L-299 721

COMPONENT PATELLAR ASYM 35X10^5551-L-350 721

COMPONENT PATELLAR ASYM 38X11^5551-L-381 721

COMPONENT PATELLAR ASYM 40X11^5551-L-401 721

COMPONENT PATELLAR ASYM 9MM^5551-G-299 700

COMPONENT PATELLAR ASYM TRIATH^5551-L-299 721

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Description CPT-4 Base Price Schedule

COMPONENT PATELLAR ASYM TRIATH^5551-L-350 721

COMPONENT PATELLAR ASYM TRIATH^5551-L-381 721

COMPONENT PATELLAR ASYM TRIATH^5551-L-401 721

COMPONENT PATELLAR RESURF 29MM^71421029 600

COMPONENT POLY PATELLAR #11^7610-0511 690

COMPONENT RADIAL HEAD SZ 20 LT^TR-H200L-S 5474

COMPONENT RADIAL HEAD SZ 22 LT^TR-H220L-S 5474

COMPONENT RADIAL HEAD SZ 22 RT^TR-H220R-S 5474

COMPONENT RADIAL HEAD SZ 24 LT^TR-H240L-S 5474

COMPONENT RADIAL HEAD SZ 24 RT^TR-H240R-S 5474

COMPONENT RADIAL HEAD SZ 26 LT^TR-H260L-S 5474

COMPONENT RADIAL HEAD SZ 26 RT^TR-H260R-S 5474

COMPONENT RECESSED PATELLAR 26^3044-0026 400

COMPONENT RECESSED PATELLAR 28^3044-0028 400

COMPONENT RECESSED PATELLAR 30^3044-0030 400

COMPONENT REFL ACET CEMENTED 28X46^71358023 1648

COMPONENT REFL ACET CEMENTED 32X52^71358035 1648

COMPONENT REFL ACET CEMENTED^71352852 1648

COMPONENT REFL ACET CEMENTED^71353252 1648

COMPONENT REPICCI KNEE FEM 48^102111 2722

COMPONENT REPICCI KNEE FEM 54^102121 2522

COMPONENT REPICCI TIB 37 X 7.5^102152 914

COMPONENT RESRUF PATELLAR #5^73-20-0510 700

COMPONENT RESURF PATELLAR #11^73-20-0110 700

COMPONENT RESURF PATELLAR #7^73-20-0710 700

COMPONENT RESURF PATELLAR #7^7610-0507 690

COMPONENT RESURF PATELLAR #9^73-20-0910 700

COMPONENT SCORPIO PATELLAR #11^73-0110 400

COMPONENT SCORPIO PATELLAR #5^73-0510 400

COMPONENT SCORPIO PATELLAR #7^73-0710 400

COMPONENT SCORPIO PATELLAR #9^73-0910 400

COMPONENT SPECTRON FEM SM 135^129000 4370

COMPONENT SPECTRON FEMORAL SZ1^71313001 2850

COMPONENT SPECTRON FEMORAL SZ2^71313002 4153

COMPONENT SPECTRON FEMORAL SZ3^71313003 2850

COMPONENT SPECTRON FEMORAL SZ4^71313004 2850

COMPONENT STEM RADIAL 8.0X6.0^TR-S0806-S 3334

COMPONENT STEM RADIAL HEAD 5.5^496S055 4604

COMPONENT STEM RADIAL HEAD 6.5^496S065 4604

COMPONENT STEM RADIAL HEAD 6.5^496S465 4604

COMPONENT STEM RADIAL HEAD 7.5^496S075 4604

COMPONENT STEM RADIAL HEAD 7.5^496S475 4604

COMPONENT STEM RADIAL HEAD 8.5^496S085 4604

COMPONENT STEM RADIAL HEAD SZ 7.0 X 4.0MM^TR-S0704-S 3334

COMPONENT STEM RADIAL HEAD SZ 8.0 X 4.0MM^TR-S0804-S 3334

COMPONENT STEM RADIAL HEAD SZ 9.0 X 0.0MM^TR-S0900-S 3334

COMPONENT STEM RADIAL HEAD SZ 9.0 X 2.0MM^TR-S0902-S 3334

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Description CPT-4 Base Price Schedule

COMPONENT STEM RADIAL HEAD SZ 9.0X4.0^TR-S0904-S 3334

COMPONENT STEM RADIAL SZ 8X2^TR-S0802-S 3334

COMPONENT SYNERGY FEM SZ 10^71306610 5253

COMPONENT SYNERGY FEM SZ 11^71306611 5253

COMPONENT SYNERGY FEM SZ 12^71306612 5253

COMPONENT SYNERGY FEM SZ 13^71306613 5253

COMPONENT SYNERGY FEM SZ 13^71306813 5253

COMPONENT SYNERGY FEM SZ 14^71306614 5253

COMPONENT SYNERGY FEM SZ 15^71306615 5253

COMPONENT SYNERGY FEM SZ 16^71306616 5253

COMPONENT SYNERGY FEM SZ 17^71306617 5253

COMPONENT SYNERGY FEM SZ 18^71306618 5253

COMPONENT SYNERGY FEM SZ 9^71306609 5253

COMPONENT SYNERGY FEMORAL SZ10^71316010 2781

COMPONENT SYNERGY FEMORAL SZ11^71316011 2781

COMPONENT SYNERGY FEMORAL SZ12^71316012 2781

COMPONENT SYNERGY FEMORAL SZ9^71316009 2781

COMPONENT SYNERGY OFFSET SZ10^71316210 2781

COMPONENT SYNERGY OFFSET SZ11^71316211 2781

COMPONENT SYNERGY OFFSET SZ12^71316212 2781

COMPONENT SYNERGY OFFSET SZ13^71316013 2781

COMPONENT SYNERGY OFFSET SZ13^71316213 2781

COMPONENT SYNERGY OFFSET SZ14^71316014 2781

COMPONENT SYNERGY OFFSET SZ14^71316214 2781

COMPONENT SYNERGY OFFSET SZ15^71316015 2781

COMPONENT SYNERGY OFFSET SZ15^71316215 2781

COMPONENT SYNERGY OFFSET SZ16^71316016 2781

COMPONENT SYNERGY OFFSET SZ16^71316216 2781

COMPONENT SYNERGY OFFSET SZ17^71316017 2781

COMPONENT SYNERGY OFFSET SZ17^71316217 2781

COMPONENT SYNERGY OFFSET SZ9^71316209 2781

COMPONENT TIB BASE SIZE 2 LM/RL^5842-02-01 8000

COMPONENT TIB BASE SIZE 3 RM/LL^5842-00-302 8000

COMPONENT TIB BASE SIZE 4 LM/RL^5842-00-401 8990

COMPONENT TIB BASE SIZE 4 RM/LL^5842-00-402 8000

COMPONENT TIB BASE SIZE 6 LM/RL^5842-00-601 1863

COMPONENT TIBIAL SIZE 2 RM/LL 00584200202 2610

COMPONENT TIBIAL SIZE 3 LM/RL^5842-03-01 2610

COMPONENT TIBIAL UNI KNEE 10MM^6636-2-510 2679

COMPONENT TIBIAL UNI KNEE 10MM^6636-2-520 2760

COMPONENT TIBIAL UNI KNEE 12MM^6636-2-712 2814

COMPONENT TIBIAL UNI KNEE 8MM^6636-2-508 2843

COMPONENT TIBIAL UNI KNEE 8mm^6636-2-518 2760

COMPONENT TIBIAL WICHITA 12MM^6647-2-012 3804

COMPONENT TOTAL KNEE FEM #11 R^7110-0011R 2868

COMPONENT TOTAL KNEE FEM #7 RT^7110-0007R 2868

COMPREHENSIVE SHOULDER SYSTEM ST/VRSDL HD^98B000901702 9200

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Description CPT-4 Base Price Schedule

CONDUIT AORTIC VALVED GRAFT OPEN PIVOT^502AG21 8100

CONDUIT AORTIC VALVED GRAFT OPEN PIVOT^502AG23 8100

CONDUIT AORTIC VALVED GRAFT OPEN PIVOT^502AG25 8100

CONDUIT AORTIC VALVED GRAFT OPEN PIVOT^502AG27 8100

CONDUIT AORTIC VALVED GRAFT OPEN PIVOT^502AG29 8100

CONN ROD OFFSET 3.2-3.5 -MFRCAT# 7750443^7750443 972

CONN ROD OFFSET 5.5-3.5 -MFRCAT# 7750445^7750445 972

CONNECT ROD ILIAC 10MM^5564110 1508

CONNECTOR 10MM^6955960 647

CONNECTOR AXOGUARD NERVE 2MM X 10MM^AGX210 2300

CONNECTOR AXOGUARD NERVE 2mm X 15mm^AGX215 3560

CONNECTOR AXOGUARD NERVE 3MMX15MM^AGX315 3100

CONNECTOR AXOGUARD NERVE 4mm X 15mm^AGX415 3100

CONNECTOR AXOGUARD NERVE 6MM X 10MM^AGX610 2300

CONNECTOR AXOGUARD NERVE 6x15^AGX615 3100

CONNECTOR AXOGUARD NERVE^AGX115 3100

CONNECTOR AXOGUARD NERVE^AGX515 3100

CONNECTOR AXOGUARD NERVE^AGX715 3100

CONNECTOR CLOSED LAT 19MM^7753919 679

CONNECTOR CROSSLINK MAS SM^7752525 1763

CONNECTOR E/F BAR^71031026 2559

CONNECTOR ILIAC^7041310 1224

CONNECTOR OC LG^7755327 902

CONNECTOR OC SM^7755325 902

CONNECTOR OFFSET 5.5^778167055 1518

CONNECTOR OFFSET^7756064 679

CONNECTOR OFFSET^7756067 679

CONNECTOR SPECTRA M 8 SC-9218-15^M365SC9218150 1000

CONRAY 43 PCT 50ML^318305 2.25

CONRAY 60 PCT 25x30ML VIAL 25/CASE^0019-0953-23 2.25

Consult to Cardiac Rehabilitation 103

CONTRALATERAL GORE EXCLUDER 16MM X 20MM X 11.5CM AAA ENDOPROSTHESIS PLC2012 9478

CONTRALATERAL GORE EXCLUDER 27MM X 12MM AAA ENDOPROSTHESIS PLC271200 9478

CONTROLLER PATIENT THERAPY PTC^12860 1050

CORKSCREW FT SUT ANCHOR 4.5^AR-1928SF-45 407

CORKSCREW FT SUT ANCHOR 4.5X14MM AR-8927BC 575

CORKSCREW FT SUT ANCHOR 5.5X14^AR-1928SF-2 407

CORKSCREW FT W/SUTURETAPE 5.5mm^AR-1927BCT 628

CORKSCREW SUTURE 6.5^AR-1925SF 345

CORMATRIX CANGAROO ENVELOPE LG^CMCV-009-LRG 1900

CORMATRIX CANGAROO MED^CMCV-009-MED 2590

CORMATRIX ECM 7X15^CMCV-003-402 2590

CORTICAL RING SMALL 10MM W/CASTLING^9404686 946

CORTICAL RING SMALL 8MM W/CASTLING^9404586 946

CORTICAL STRUT TIBIAL 2EA 15-20CM HALVES FROZEN^450540 2988

CORTICAL-CANCELLOUS BLOCK ASR 8X14X11 245841 1899

CORTICAL-CANCELLOUS BLOCK ASR 9X14X11 245941 3798

Page 106: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

COTTON HUIBERGTSE STENT 10-5 ^G21455 276

COTTON HUIBERGTSE STENT 10-7 ^G21457 276

COTTON HUIBERGTSE STENT 10-9 ^G21459 276

COTTON HUIBERGTSE STENT 11.5-5 ^G21541 276

COTTON HUIBERGTSE STENT 7-7 ^G21832 276

COTTON HUIBERGTSE STENT 7-9 ^G21834 276

COTTON HUIBREGTSE STENT 11.5-9 ^G21545 276

COUPLER FEM OFFSET LEGION 2MM^71424223 2336

COUPLER FEM OFFSET LEGION 4MM^71424225 2336

COUPLER FEM OFFSET LEGION 6MM^71424227 2336

COUPLER MINI OFFSET LEGION 2MM^71933693 5200

COUPLER MINI OFFSET LEGION 4MM^71933694 6060

COUPLER MINI OFFSET LEGION 6MM -MFRCAT# 71933695^71933695 6060

COUPLING PIN TO ROD^4960-1-020 744

COUPLING ROD TO ROD 3.0/3.0^4960-1-010 744

COUPLING ROD TO ROD^4960-1-060 1026

COVER REFLECTION TAPERED HOLE^71332500 195

COVER REFLECTION THREADED HOLE^71330001 103

COVER REFLECTION THREADED HOLE^71336500 103

COVER SCREW HOLE^71369894 103

CRANIAL HEMISPHERE RT MEDPOR #82000^82000 8397

CRNA PROF FEE 70

CROSSFIX DISPOSABLE KIT^CM-8000 200

CROSSLINK 10-34MM DANEK^8115534 2083

CROSSLINK 10-58MM DANEK^8115558 2083

CROSSLINK 28MM^5442028 1887

CROSSLINK 30-34MM DANEK^8115530 2083

CROSSLINK 31MM^5442031 1887

CROSSLINK 36-10MM DANEK^8115536 2083

CROSSLINK 38MM^5442138 2188

CROSSLINK 39-10MM DANEK^8115539 2083

CROSSLINK 39-45mm X 10 DANEK^8116439 2083

CROSSLINK 45-58MM DANEK^8115545 2083

CROSSLINK 47MM^5442147 2188

CROSSLINK DANEK LO PROFILE -MFRCAT# 811-307^811-307 1649

CROSSLINK DANEK^811.302 1649

CROSSLINK DOMINO SIDE LOADING^779145555 1716

CROSSLINK MULTISPAN^811-322 1901

CROSSLINK SMALL^7752526 1763

CROSSLINK THORACIC^811.303 1649

CROSSLINK TITANIUM 1.55^811-321 1901

CROSSLINK^3602536 1612

CROSSLINKED HMRL BEARING 40 MM +3 VITE 110031428 3432

CROSSLINKED POLYETHYLENE BEARING STANDARD 36mm^110031424 3432

Cryo Pooled 5 110

Cryo Product Charge 110

CT Low Dose Screening Lung/Chest 186

Page 107: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

CUFF URINARY W/INHIBIZONE 3.5CM^720157-01 11012

CUFF URINARY W/INHIBIZONE 4.0CM^72404130 11012

CUP HUM DELTA XTEND DIA 38 +9^130738209 2000

CUP HUMERAL REUNION 32X4^5570-3204 2500

CUP HUMERAL REUNION 36X4^5570-3604 2500

CUP HUMERAL SHOULDER DIA 42/+6^130742206 2000

CUP HUMERAL SHOULDER DIA38/+3MM STD^130738203 2000

CUP HUMERAL SHOULDER DIA38/+6MM STD^1307-38-206 2000

CUP HUMERAL SHOULDER DIA42/+3MM^130742203 2000

CUP UNIV RVRS SUTURE 36 +2 LT - MFRCAT# AR-9502F-36LCPC^AR-9502F-36LCPC 3159

CUP UNIV RVRS SUTURE 36 NEUTRAL -MFRCAT# AR-9502F-36CPC^AR-9502F-36CPC 3159

CUP UNIV RVRS SUTURE 36 NEUTRAL -MFRCAT# AR-9502F-36RCPC^AR-9502F-36RCPC 3159

CUP UNIV RVRS SUTURE 39 +2 LT - MFRCAT# AR-9502F-39LCPC^AR-9502F-39LCPC 3159

CUP UNIV RVRS SUTURE 42 (+2 RIGHT) -MFRCAT# AR-9503L-42RCPC^AR-9502F-42RCPC 3159

CUP UNIVERS REVERS SUTURE 42 NEUTRAL^AR-9502F-42CPC 3159

Custody Drug Screen Collection 26

Cystoscopy Lithotripsy Extracorporeal Shock Wave 6937

Cystoscopy Lithotripsy Extracorporeal Shock Wave Stent 6937

Cystoscopy Lithotripsy Extracorporeal Shock Wave Stent Removal 6937

DACRON DOUBLE VELOUR 4X4 5/BX^007826 163

DBX PUTTY 1CC^038010 428

DEFGRAF DBM T44150 10CC ORTHOBLEND SMALL^T44150 2579

DEGRAFT DBM T44145 5CC ORTHOBLEND SMALL^T44145 1790

DELIVERY MICRO CATHETER^VEL160STR 1568

Delivery of placenta - L&D Charges 2686

DES BTK study 0.01

DEV TROCHAN REATTACH W/CABLES^498.806S 3852

DEVICE 3D REVASCULARIZATION^PSR3D 4485

DEVICE THROMBECTOMY 135CM 6FR CLEANER XT^700109XT 1148

DEVICE THROMBECTOMY 135CM 7FR CLEANER 15^700115 1448

DEVICE THROMBECTOMY CLEANER ROTATIONAL^700009XT 2740

DEVICE TRUEPATH CTO ^H74939208181650Z 2775

DEVICE TruePath CTO^H74939208181650 2775

Dextromethorphan Urine Level1 143

DIAGNOSTIC CAPSULE I131^420 33

DIGIT WIDGET^DWD-232 3100

DILATATION COYOTE 3 X 150 CM OTW^H74939186301510 493

DILATOR FASCIAL SET 8 FR - 24 FR 37CM^G14214 440

DILATOR STIMULATED DANEK^945NSD2750 319

DILATOR URETERAL 6FR^M0062401100 440

DILATOR URETERAL 8FR^240-111 440

DILATOR URETERAL SET HYDROPLUS^M0062401000 440

Direct Admit to Observation 195

DISC MTP 19 X 10mm^PMTP-19010 3675

Disimpaction Feces 1604

DISTAL AUGMENT COMBO SIZE 2.5 16mm RT^96-0852 1859

DISTAL BICEPS REPAIR IMPLANT SYSTEM BC^AR-2260BC 1947

Page 108: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

DISTAL BICEPS REPAIR IMPLANT SYSTEM^AR-2260 1505

DIVIDED PLASMA NEONATE ^HCPCS-P9011 172

DOWEL CLOWARD 1030-12^1030-12 1430

DOWEL CLOWARD 1030-14^1030-14 1430

DRAINAGE KIT PLEURX 1000ML BOTTLES (10)^50-7510 312

DRBC CP2D AS3 500 LR 530

DRBC CPD 500 LR 530

DRBC CPD 500 LR Irr 650

DRBC CPD AS1 500 LR 530

DRBC CPD AS1 500 LR Irr 650

DRBC CPD AS5 450 LR 530

DRBC CPD AS5 500 LR 530

DRBC CPD AS5 500 LR Irr 650

DRBC CPDA1 500 LR 530

DRBC CPDA1 500 LR Irr 650

DRBC CPDA1 500 LR Irr Dv 177

DRBC LR CPDA IRR PL Added 650

DRBC LR Super Red Irr Pl Added 650

DRBC LR Supernatant Red 530

DRBC LR Supernatant Red Irr 650

DRESSING ANTIMICROBIAL WOUND MATRIX PURAPLY 2cm X 2cm^PURAPLYAM-COM 2X2 296

DRESSING ANTIMICROBIAL WOUND MATRIX PURAPLY 2cm X 4cm^PURAPLYAM-COM 2X4 224

DRESSING CALCIUM ALGINATE HIGH GEL 4X 4IN^9236 15

DRILL TIP WIRE 1.6MM 150MM 71101502 97

Drug/SBST Def Qual or Quan 143

DRY NEEDLING 30 MIN SESS 46

DTPA In111 Pentetate In111^352 933

DUOVISC 1.05ML^8065183150 162

DURAGEN PLUS GRAFT MATRIX 1x1 DP1011^DP1011 583

DURAGEN PLUS GRAFT MATRIX 1X1-charge 74223^DP5011 506

DURAGEN PLUS GRAFT MATRIX 1X3^DP5013 869

DURAGEN PLUS GRAFT MATRIX 3X3^DP1033 1758

DURAGEN PLUS GRAFT MATRIX 4X5^DP1045 2956

DURAGUARD 2CM X 9CM^DG0209SN 554

DURAMATRIX - ONLAY 1X3^CDSLM13 1001

DURAMATRIX - ONLAY 2X2^CDSLM22 1206

DURAMATRIX - ONLAY 3X3^CDSLM33 1812

DURAMATRIX - ONLAY 4X5^CDSLM45 2661

DUREPAIR 10.0CM X 12.5CM -MFRCAT# 62110^62110 2601

DUREPAIR 5.0CM X5.0CM -MFRCAT# 62100^62100 740

DynaClip 20x22x22mm Staple^3000-00-202222 2400

EASYANCHOR ARTHRO GII SIZE 2^212450 904

EASYCLIP 8X8X8MM^EZM08-08-08 1360

ECHELON PRIMARY FEM COMP SO SZ 14 71341014 5253

ECHELON PRIMARY FEM COMP SO SZ 17 71341017 5253

Echo Complete with Contrast - Echo Charges 3307

Echo Stress with Contrast - Echo Charges 2062

Page 109: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

ELITE COMPRESSION IMPLANT KIT 15X15X15mm 2 LEGS^EL-1515S2 2834

ELITE COMPRESSION IMPLANT KIT 18X18X18mm 2 LEGS^EL-1818S2 2834

ENCORE REVERSE SHOULDER HUMERAL STEM, STD, SZ14X108mm^530-14-108 8200

END CAP 0MM^04.008.000S 494

END CAP 15DEG^9401615 605

END CAP 22MM 15DEG^9402215 605

END CAP 22MM 8DEG^9402208 605

END CAP F/NAIL T25 NONSTERILE^04.008.000 388

END CAP FEMORAL NAIL 0MM^04.003.000S 488

END CAP FEMORAL NAIL 10MM^04.003.002S 488

END CAP FEMORAL NAIL 10X16MM^04.003.007S 488

END CAP FEMORAL NAIL 15X12MM^04.003.003S 488

END CAP FEMORAL NAIL 20MM^04.003.004S 488

END CAP FEMORAL NAIL 5MM^04.003.001S 488

END CAP GAMMA 3 STD TIT^3005-1100S 368

END CAP META NAIL 0MM^71656000 362

END CAP STANDARD 6X9MM^1830-0003S 342

END CAP T2 SCN^1826-0003S 368

END CAP T25 NON STERILE^04.001.000 278

END CAP TI T25^04.008.001S 494

END CAP TIBIAL NAIL 0MM^04.004.008S 443

END CAP TIBIAL NAIL 10MM^04.004.010S 541

END CAP TIBIAL NAIL 15MM^04.004.011S 541

END CAP TIBIAL NAIL 5MM^04.004.009S 541

END CAP TIT T40^04.013.000S 488

END CAP W/T40 STARDRIVE F/TIB NAIL^04.004.000 345

ENDCAP 0MM TIT^04.004.000S 443

ENDCAP 0MM TITAN^04.001.000S 376

ENDCAP 10MM TIT^04.004.002S 541

ENDCAP 10MM TITAN^04.001.002S 376

ENDCAP 15MM TIT^04.004.003S 541

ENDCAP 15MM TITAN^04.001.003S 376

ENDCAP 19MM DANEK^9050719 572

ENDCAP 5MM TIT^04.004.001S 541

ENDCAP 5MM TITAN^04.001.001S 376

ENDCAP F/MULTILOC NAIL 0MM EXT^04.019.000S 450

ENDCAP F/MULTILOC NAIL 2MM EXT^04.019.002S 450

ENDOANCHOR CASSETTE \T\ APPLIER HELI-FX^HA-18-114 11498

ENDOBUTTON CL FIXATION 15MM^72200146 480

ENDOBUTTON CL FIXATION 20MM^72200147 624

ENDOBUTTON CL FIXATION 25MM^72200148 624

ENDOBUTTON CL FIXATION 30MM^72200149 665

ENDOBUTTON CL FIXATION 35MM^72200150 624

ENDOBUTTON CL FIXATION 40MM^72200151 624

ENDOBUTTON CL FIXATION 45MM^72200152 624

ENDOBUTTON CL FIXATION 50MM^72200153 624

ENDOLOGIX AFX ENDOVASCULAR AAA SYSTEM^AFX ENDOVASCULAR AAA 32000

Page 110: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

ENDOLOGIX OVATION IX AAA SYSTEM^ENDOL OVATION IX 36500

ENDOLOGIX POWERLINK AAA PROCEDURE^POWERLINK AAA 24000

Endoscopic Ultrasound (EUS) 1778

Endoscopic Ultrasound (EUS) Biopsy 1778

Endoscopic Ultrasound (EUS) Cytology/Brushing 3605

Endoscopic Ultrasound (EUS) Pseudocyst Drainage 3605

Endoscopic Ultrasound (EUS) Stent Placement 3605

ENDURANT AAA PROC 14000^ENDUR PROC 14000 28000

ENDURANT AAA PROC 16000^ENDUR AAA 32000

Enteroscopy Biopsy 3605

Enteroscopy GI Lab 3605

Enteroscopy with PEG Placement 3605

Enteroscopy with PEJ Placement 3605

Envelope Cormatrix Cangaroo XL^CMCV-009-XLG 1900

ENVEO PRO DEL SYS 14 FR - MFRCAT# ENVPRO-14-US^ENVPRO-14-US 4220

ENVEO PRO DEL SYS 16 FR - MFRCAT# ENVPRO-16-US^ENVPRO-16-US 4220

ENVEO PRO LOADING SYS 23/26/29 EVOLUTR^L-ENVPRO-14-US 780

ENVEO PRO LOADING SYS 23MM EVOLUT PRO^L-ENVPRO-1623US 780

ENVEO PRO LOADING SYS 23MM EVOLUTR^LS-ENVEOR23US 780

ENVEO PRO LOADING SYS 26-29 EVOLUTPRO \T\ 34 EVOLUTR^L-ENVPRO-16-US 780

ENVEO R CATH DELIVERY SYSTEM F/34^ENVEOR-N-US 4220

ENVEO R CATH DELIVERY SYSTEM^ENVEOR-US 4220

ENVEO R LOADING SYS F/34^LS-ENVEOR-34-US 780

ENVEO R LOADING SYS F/MDT2 23^LS-MDT2-23-US 780

ENVEO R LOADING SYS F/MDT2 2629^LS-MDT2-2629-US 780

ENVEO R LOADING SYS^LS-ENVEOR2629US 780

EO RIGID WO JOINTS PREFAB 115

EO W/O JOINTS CUSTOM 308

EOVIST 10ml case/5 50419-0320-05 38

EP 8.5 FR DIREX STEERABLE SHEATH MEDIUM CURVE ^M004DS200 1568

EP 8.5 FR DIREX STEERABLE SHEATH SMALL CURVE ^M004DS100 1568

EP ABLATION BIOSENSE EZ STEER 4mm DF CURVE^BN7TCDF4L 3332

EP ABLATION BIOSENSE EZ STEER 4mm FJ CURVE^BN7TCFJ4L 3332

EP ABLATION BIOSENSE EZ STEER 8mm DF CURVE^BN7TCDF8L 3885

EP ABLATION BIOSENSE EZ STEER 8mm FJ CURVE^BN7TCFJ8L 3885

EP ABLATION BIOSENSE THERMOCOOL SMART TOUCH DF CURVE^D134805 4967

EP ABLATION BIOSENSE THERMOCOOL SMART TOUCH FJ CURVE^D134804 4967

EP AGILIS NXT 8.5F STEER 71CM MED CRL^408310 1425

EP CATH ABLATION SOUNDSTAR US ECO GE 8FR^10439236 3885

EP CATHETER AFOCUS 4fr 15mm 10 POLE ^D087023 1350

EP CATHETER BI-D IRRIGATED D-D CURVE FLEXABILITY ^A701124 2309

EP CATHETER BI-D IRRIGATED D-F CURVE FLEXABILITY ^A701125 2309

EP CATHETER BI-D IRRIGATED F-F CURVE FLEXABILITY ^A701127 2309

EP CATHETER BI-D IRRIGATED F-J CURVE FLEXABILITY ^A701128 2309

EP CATHETER BLAZER HTD ABLATION 4MM^M0045031TH0 960

EP CATHETER BLAZER HTD ABLATION 4MM^M0045031THK20 960

EP CATHETER BLAZER XP ABLATION 8MM^M0044500TH0 1883

Page 111: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

EP CATHETER BLAZER XP ABLATION 8MM^M0044500THK20 1883

EP CATHETER CryoAblation ARTIC FRONT ADVANCE 2AF234^2AF234 6750

EP CATHETER CryoAblation ARTIC FRONT ADVANCE 2AF284^2AF284 6750

EP CATHETER LIVEWIRE DECA 5fr^401940 765

EP CATHETER LIVEWIRE DUODECA 2-5-2^401914 1416

EP CATHETER MAP BIOSENSE ESOPHASTAR^F8ENNNNHSB 626

EP CATHETER MAPPING ACHIEVE 990063-015^990063-15 1313

EP CATHETER MAPPING ACHIEVE 990063-020^990063-020 1313

EP CATHETER MAPPING INQUIRY OPTIMA^81683 1932

EP CATHETER SOUNDSTAR US ^10439011 3885

EP CATHETER UNI-D IRRIGATED D CURVE FLEXABILITY ^A701157 2309

EP CATHETER UNI-D IRRIGATED F CURVE FLEXABILITY ^A701158 2309

EP CATHETER UNI-D IRRIGATED J CURVE FLEXABILITY ^A701159 2309

EP CATHETER UNI-D IRRIGATED J-J CURVE FLEXABILITY ^A701129 2309

EP DIAG BIOSENSE CS DF CURVE^BD710DF282CT 833

EP DIAG BIOSENSE CS FJ CURVE^BD710FJ282CT 833

EP DIAG BIOSENSE JSN QUAD 5F^D1085413 269

EP INQUIRY STEER 6F DEC 1110-6-25-L^81104 675

EP INQUIRY STEER QUAD^81404 570

EP LIVEWIRE MEDIUM 6 FR^401575 804

EP MAPPING BIOSENSE LASSO^D134301 2499

EP MAPPING BIOSENSE PENTARAY D4-4-4^D128210 2772

EP MAPPING BIOSENSE PENTARAY F4-4-4^D128207 2772

EP REP AGILIS NXT 8.5F STEER 71CM MED CRL ^408310 1568

EP REP CATHETER LIVEWIRE DECA 5fr ^401940 804

EP REP CATHETER LIVEWIRE DUODECA 2-5-2 ^401914 1932

EP REP INQUIRY STEER 6F DEC 1110-6-25-L ^81104 743

EP REP INQUIRY STEER QUAD ^81404 743

EP REP LIVEWIRE MEDIUM 6 FR ^401575 804

EP REPROCESSED AGILIS NXT MED CRL 8.5F STEER 71CM 408310 678

EP REPROCESSED CATHETER ABLATION SOUNDSTAR US ECO 8FR 10439236 1902

EP REPROCESSED CATHETER LIVEWIRE DECA 5FR 401940 186

EP REPROCESSED CATHETER LIVEWIRE DUODECA 2-5-2 401914 225

EP REPROCESSED DIAG BIOSENSE CS DF CURVE BD710DF282CT 384

EP REPROCESSED INQUIRY STEER DEC 6FR 81104 238

EP REPROCESSED INQUIRY STEER QUAD 81404 178

EP REPROCESSED LIVEWIRE 6FR MEDIUM 401575 186

EP REPROCESSED MAPPING LASSO BIOSENSE D134301 1431

EP SHEATH 12fr DIREX LARGE^MOO4DS50S0 1200

Ephedrine, Urine 143

Epidural 984

EPIPHYSIS BODY GLOBAL SZ 10 +0^1100-30-110 2600

EPIPHYSIS BODY GLOBAL SZ 10 -5^1100-30-100 2600

EPIPHYSIS BODY GLOBAL UNITE SZ 12 +0^1100-40-110 2600

EPIPHYSIS BODY GLOBAL UNITE SZ 12-5^1100-40-100 2600

EPIPHYSIS GLOBAL UNITE BODY 135D SZ 6/8^1100-20-000 3840

epoetin alfa 10,000 units/mL preservative-free Sol 4.4

Page 112: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

ER procedure performed 1-30 min - $ ED EDP/PA/MD Procedure Time 376

ER Procedure Performed 1-30 minutes 376

ER procedure performed 31-60 min - $ ED EDP/PA/MD Procedure Time 495

ER Procedure Performed 31-60 minutes 481

ER procedure performed 61-90 min - $ ED EDP/PA/MD Procedure Time 662

ER Procedure Performed 61-90 minutes 643

ER procedure performed 91-121 min - $ ED EDP/PA/MD Procedure Time 827

ER Procedure Performed 91-121 minutes 827

ER PROCEDURE TIME 1-30 MN 349

ER TRIAGE 130

Esophagogastroduodenoscopy Balloon Dilation 1778

Esophagogastroduodenoscopy Biopsy 1778

Esophagogastroduodenoscopy Control Bleeding 1778

Esophagogastroduodenoscopy Dilatation 1778

Esophagogastroduodenoscopy Dilatation with Guidewire 1778

Esophagogastroduodenoscopy Dilatation with Stent Placement 3605

Esophagogastroduodenoscopy Excision Lesion 1778

Esophagogastroduodenoscopy Foreign Body Removal 1778

Esophagogastroduodenoscopy GI Lab 1778

Esophagogastroduodenoscopy Injection Therapeutic Agent 1778

Esophagogastroduodenoscopy with Bravo 1831

Esophagogastroduodenoscopy with PEG Placement 1778

Esophagogastroduodenoscopy with PEG Removal 1831

Esophagogastroduodenoscopy with PEJ Placement 1778

Esophagogastroduodenoscopy with placement of Endoscopic Stent GI Lab 3605

Esophagogastroduodenoscopy with Radiofrequency (Halo) 3605

Esophagogastroduodenoscopy with Submucosal Injection 1778

Esophagogastroduodenoscopy with Variceal Banding 1778

Esophagoscopy GI Lab 1831

ESRD epoetin alfa >/= 10.000 units/mL Sol 4.4

EVOLUT PRO+ LOADING SYSTEM 23 26 29 MM L-EVPROP2329US 780

EVOLUT PRO+ LOADING SYSTEM 34 MM L-EVPROP34US 780

EVOS 3.5MM L-P TIBIA PL 6H L 91MM 72463106 3032

EVOS 3.5MM X 60MM LCK SCR S-T 72413560 220

EVOULT PRO+ DELIVERY SYSTEM 34 MM D-EVPROP34US 4220

EWHO RIGID W/O JNTS CUSTM 848

EXCLUDER 27mmX10cm^PLC271000 9478

EXPANDER ARTOURA HIGH PROFILE 300CC^SMXP110RH 4160

EXPANDER ARTOURA HIGH PROFILE 375CC^SMXP120RH 4160

EXPANDER ARTOURA ULTRA HIGH PROFILE 455CC SMXP110RUH 4160

EXPANDER ARTOURA ULTRA HIGH PROFILE 535CC^SMXP120RUH 4160

EXPANDER ARTOURA ULTRA HIGH PROFILE 700CC^SMXP135RUH 4160

EXPANDER TISSUE 150CC 133LV11^133LV-11 2390

EXPANDER TISSUE 200CC 133LV12^133LV-12 2390

EXPANDER TISSUE 250CC 133MV11^133MV-11 2390

EXPANDER TISSUE 250CC SHORT HEIGHT VARIABLE PROJECTION WITH ALLIGN TABS^133SV-T 2900

EXPANDER TISSUE 300CC 133LV13^133LV-13 2390

Page 113: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

EXPANDER TISSUE 300CC 133MV12^133MV-12 2390

EXPANDER TISSUE 375CC SHORT HEIGHT VARIABLE PROJECTION WITH ALLIGN TABS^133SV-1 2950

EXPANDER TISSUE 400CC W/TAB^133MX-12T 2950

EXPANDER TISSUE 450CC SHORT HEIGHT VARIABLE PROJECTION WITH ALLIGN TABS^133SV-1 2950

EXPANDER TISSUE 500CC 133MV14^133MV-14 2390

EXPANDER TISSUE 500CC W/TAB^133MX-13T 2950

EXPANDER TISSUE 600CC 133MV15^133MV-15 2390

EXPANDER TISSUE 600CC TAB^133MX14T 2950

EXPANDER TISSUE 700CC 133MV16^133MV-16 2390

EXPANDER TISSUE 700CC TAB^133MX15T 2950

EXPANDER TISSUE 700CC^133MX15 2390

EXPANDER TISSUE 850CC W/TABS^133MX16T 2950

EXPANDER TISSUE AEROFORM LRG - MFRCAT BR155-800^BR155-800 4882

EXPANDER TISSUE AEROFORM MED - MFRCAT BR140-600^BR140-600 4882

EXPANDER TISSUE AEROFORM SMALL - MFRCAT BR125-400^BR125-400 4882

EXPANDER TISSUE ARTOURA 300CC^TEXP110RH 4160

EXPANDER TISSUE ARTOURA 375CC^TEXP120RH 4160

EXPANDER TISSUE ARTOURA 455CC^TEXP110RUH 4160

EXPANDER TISSUE ARTOURA 475CC^TEXP130RH 4160

EXPANDER TISSUE ARTOURA 500CC^TEXP135RH 4160

EXPANDER TISSUE ARTOURA 535CC^TEXP120RUH 4160

EXPANDER TISSUE ARTOURA 600CC^TEXP140RH 4160

EXPANDER TISSUE ARTOURA 650CC^TEXP130RUH 4160

EXPANDER TISSUE ARTOURA 700CC^TEXP135RUH 4160

EXPANDER TISSUE ARTOURA 750cc^TEXP150RH 4160

EXPANDER TISSUE ARTOURA 850CC^TEXP140RUH 4160

EXPANDER TISSUE ARTOURA 850CC^TEXP155RH 4160

EXPANDER TISSUE CPX3 MED HEIGHT 650CC^354-9215 3300

EXPANDER TISSUE CPX3 MED HEIGHT 800CC^354-9216 3300

EXPANDER TISSUE EXPANDER 300CC 133MX11^133MX11 2390

EXPANDER TISSUE EXPANDER 350CC 133LV14^133LV-14 2390

EXPANDER TISSUE EXPANDER 400CC 133LV15^133LV-15 2390

EXPANDER TISSUE EXPANDER 400CC 133MV13^133MV-13 2390

EXPANDER TISSUE EXPANDER 400CC 133MX12^133MX12 2390

EXPANDER TISSUE EXPANDER 500CC 133LV16^133LV-16 2390

EXPANDER TISSUE EXPANDER 500CC 133MX13^133MX13 2390

EXPANDER TISSUE EXPANDER 600CC 133MX14^133MX14 2390

EXPANDER TISSUE EXPANDER 850CC^133MX16 2390

EXPANDER TISSUE LOW HEIGHT 450CC^354-9113 3300

EXPANDER TISSUE LOW HEIGHT 550CC^354-9114 3300

EXPANDER TISSUE LOW HEIGHT 650CC^354-9115 3300

EXPANDER TISSUE LOW HEIGHT 750CC^354-9116 3300

EXPANDER TISSUE MED HEIGHT 350CC^354-8212 3040

EXPANDER TISSUE MED HEIGHT 450CC^354-8213 3040

EXPANDER TISSUE MED HEIGHT 550CC^354-8214 3040

EXPANDER TISSUE MED HEIGHT 650CC^354-8215 3040

EXPANDER TISSUE MEMORY SHAPE MM 120CC^354-0908 2730

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EXPANDER TISSUE MEMORY SHAPE MM 135CC^354-0958 2730

EXPANDER TISSUE MEMORY SHAPE MM 155CC^354-1008 2730

EXPANDER TISSUE MEMORY SHAPE MM 180CC^354-1058 2730

EXPANDER TISSUE MEMORY SHAPE MM 215CC^354-1108 2730

EXPANDER TISSUE MEMORY SHAPE MM 245CC^354-1158 2730

EXPANDER TISSUE MEMORY SHAPE MM 280CC^354-1208 2730

EXPANDER TISSUE MEMORY SHAPE MM 315CC^354-1258 2730

EXPANDER TISSUE MOD HEIGHT W/TABS 400CC^133MV-13T 2950

EXPANDER TISSUE MOD/EXTRA PROJ 500ML^133-MX-13-T 2950

EXPANDER TISSUE MOD/EXTRA PROJ 600ML^133-MX-14-T 2950

EXPANDER TISSUE MOD/VAR PROJ 400ML^133-MV-13-T 2950

EXPANDER TISSUE MOD/VAR PROJ 500ML^133-MV-14-T 2950

EXPANDER TISSUE MODERATE HEIGHT VARIABLE PROJECTION 500CC W/TABS^133MV-14T 2950

EXPANDER TISSUE MODERATE HEIGHT VARIABLE PROJECTION 600CC W/TABS^133MV-15-T 2950

EXPANDER TISSUE MODERATE HEIGHT VARIABLE PROJECTION 700CC W/TABS^133MV-16-T 2950

EXPANDER TISSUE SHORT HEIGHT EXTRA PROJECTION 400CC^133SX-13 2390

EXPANDER TISSUE SHORT HEIGHT EXTRA PROJECTION 500CC^133SX-14 2390

EXPANDER TISSUE SHORT WIDTH HIGH PROFILE W/TABS 250CC^133SX-11T 2950

EXPANDER TISSUE SHORT WIDTH HIGH PROFILE W/TABS 350CC^133SX-12T 2950

EXPANDER TISSUE300CC SHORT HEIGHT VARIABLE PROJECTION WITH ALLIGN TABS^133SV-T1 2900

EXT FIX DIST RAD 220MM^03.390.053S 5451

EXT FIX DIST RAD 240mm SCREW STERILE^03.390.057S 5822

EXT FIX DIST RAD 240mm^03.390.054S 5451

EXT FIXATOR ARTIC DJD II BODY^5195-0-010 6282

EXT FIXATOR HINGE^394.055 3034

EXTENDER KNEE STEM 11X155MM^6478-6-436 1833

EXTENDER KNEE STEM 13X155MM^6478-6-438 1833

EXTENDER KNEE STEM 15X80MM^6478-6-400 1833

EXTENDER KNEE STEM 16X80MM^6478-6-405 1833

EXTENDER KNEE STEM 18X80MM^6478-6-415 1833

EXTENSION 25CM 7489^7489 1320

EXTENSION 25CM 7495^7495LZ 990

EXTENSION ILIAC 16X16X55^I16-16/C55F SA 6998

EXTENSION ILIAC 16X16X88^I16-16/C88 SA 6998

EXTENSION ILIAC^I20-13/C88F SA 6998

EXTENSION INFRARENAL AFX 25X95^A25-25/C95V 10598

EXTENSION INFRARENAL AORTIC ENDOLOGIX^A25-25/C55 10598

EXTENSION INFRARENAL AORTIC ENDOLOGIX^A25-25/C75 7860

EXTENSION INFRARENAL AORTIC ENDOLOGIX^A28-28/C55 10598

EXTENSION INFRARENAL AORTIC ENDOLOGIX^A28-28/C75 7860

EXTENSION INFRARENAL AORTIC ENDOLOGIX^A28-28/C95 8070

EXTENSION INFRARENAL AORTIC ENDOLOGIX^A34-34/C100V 10598

EXTENSION INFRARENAL AORTIC ENDOLOGIX^A34-34/C80 8890

EXTENSION LEAD 60CM^3386 1522

EXTENSION LEAD^37083-40 1510

EXTENSION LIMB ENDOLOGIX^I16-16/C55 5390

EXTENSION LIMB ENDOLOGIX^I16-16/C55F 5390

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EXTENSION LIMB ENDOLOGIX^I16-16/C88 6390

EXTENSION LIMB ENDOLOGIX^I20-20/C55 5390

EXTENSION LIMB ENDOLOGIX^I20-20/C55F 5390

EXTENSION LIMB ENDOLOGIX^IS20-25/C55 6590

EXTENSION MAXIM REV STEM 14X80^141614 2526

EXTENSION MAXIM REV STEM 16X80^141616 3242

EXTENSION MAXIM RV STEM 14X120^141656 2799

EXTENSION STRAIGHT NO SPINE LIMB ENDOLOGIX 20mm X 20mm X 55mm^I20-20/C55F SA 6998

EXTENSION SUPRARENAL AORTIC ENDOLOGIX^A25-25/C75-O20 8070

EXTENSION SUPRARENAL AORTIC ENDOLOGIX^A25-25/C95-O20 8480

EXTENSION SUPRARENAL AORTIC ENDOLOGIX^A28-28/C75-O20 9110

EXTENSION SUPRARENAL AORTIC ENDOLOGIX^A28-28/C95-O20 7590

EXTENSION SUPRARENAL AORTIC ENDOLOGIX^A34-34/C100/O20 10530

EXTENSION SUPRARENAL AORTIC ENDOLOGIX^A34-34/C100-O20 V 10598

EXTENSION SUPRARENAL AORTIC ENDOLOGIX^A34-34/C80-O20 9910

External Version - L&D Charges 1439

FASCIA LATA 101-150CM2^2702501 1156

FASCIA LATA 151-200CM2^2702601 956

FASCIA LATA 201CM2 OR >^2702701 1920

FASCIA LATA 25CM2 OR <^2705301 526

FASCIA LATA 26-50CM2^2702301 830

FASCIA LATA 51-100CM2^2702401 956

FEM COMP ASSMBLY LEGION HK SZ 5 RT^71421365 15213

FEM COMP JOURNEY SZ 7 LM RL^71422347 3400

FEM JOURNEYII BCS COCR LT SZ3 - MFRCAT# 74024923^74024923 3740

FEM JOURNEYII BCS OXIN LT SZ 10^74022120 5000

FEM JOURNEYII BCS OXIN LT SZ 9^74022129 5000

FEM JOURNEYII BCS OXIN LT SZ25 - MFRCAT# 74024925^74024925 4400

FEM JOURNEYII BCS OXIN RT SZ 4^74022114 5000

FEM JOURNEYII BCS OXIN RT SZ 5^74022115 5000

FEM JOURNEYII BCS OXIN RT SZ 8^74022118 5000

FEM JOURNEYII BCS OXIN RT SZ 9^74022119 5000

FEM JOURNEYII BCS OXIN RT SZ2^74022112 5000

FEM JOURNEYII BCS OXIN RT SZ3^74022113 5000

FEM JOURNEYII BCS SZ 6 RT^74022116 5000

FEM JOURNEYII CR OX NP LT SZ 3^74021163 5000

FEM JOURNEYII CR OX NP LT SZ 4^74021164 5000

FEM JOURNEYII CR OX NP LT SZ 5^74021165 5000

FEM JOURNEYII CR OX NP LT SZ 6^74021166 5000

FEM JOURNEYII CR OX NP LT SZ 7^74021167 5000

FEM JOURNEYII CR OX NP LT SZ 8^74021168 5000

FEM JOURNEYII CR OX NP RT SZ 5^74021155 5000

FEM JOURNEYII CR OX NP RT SZ 6^74021156 5000

FEM JOURNEYII CR OX NP RT SZ 7^74021157 5000

FEM JOURNEYII CR OX NP RT SZ 8^74021158 5000

FEM JOURNEYII CR OX NP RT SZ 9^74021159 5000

FEM JOURNEYII XR BASEPLATE RT SZ 7^74022297 2977

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FEM JOURNEYII XR LATERAL ARTICULAR INSERT RT SZ 7-8 9mm^74023871 810

FEM JOURNEYII XR MEDIAL ARTICULAR INSERT RT SZ 7-8 9mm^74023771 900

FEM JRNY II CR OX NP LT SZ 5 74025747 1800

FEM JRNY II CR OX NP LT SZ 9 74021169 5000

FEM MOD SLEEVE SZ 14-15 XS GRIT^71354215 4802

FEM OXIN JOURNEY II BCS RT SZ 7^74022117 5000

FEM OXIN JOURNEYII BCS LT SZ 2^74022122 5000

FEM OXIN JOURNEYII BCS LT SZ 3^74022123 5000

FEM OXIN JOURNEYII BCS LT SZ4^74022124 5000

FEM OXIN JOURNEYII BCS SZ 5 LT^74022125 5000

FEM OXIN JOURNEYII BCS SZ 7 LT^74022127 5000

FEM OXIN JOURNEYII BCS SZ 8 LT^74022128 5000

FEM OXIN JOURNEYII SZ 6 LT^74022126 5000

FEM READAPT MOD SLEEVE 18-19 XS GRIT^71354219 4802

FEMORA COMP BI-CRUCIATE RETAINING JRNY TIB BPLT LT SIZ 9^71933634 1530

FEMORAL ADAPTER 5 DEGREE^96-0781 3691

FEMORAL ADAPTER BOLT+2/-2^96-0784 557

FEMORAL ARTERY >30CM (T0348...)^FA303/T0348 10000

FEMORAL ARTICULAR SURFACE SIZE 2 12mm^5842-22-12 3420

FEMORAL ARTICULAR SURFACE SIZE 2 9mm^00584202209 1200

FEMORAL ARTICULAR SURFACE SIZE 3 11mm^5842-23-11 3420

FEMORAL COMP CEMENT FREE ABGII NO 8 CEMENTLESS RIGHT V40^4845-0108 4600

FEMORAL COMP LEGION OXINIUM 6 LT^71421166 11272

FEMORAL COMPONENT KNEE LGN POROUS CR FEM SZ 6L^71423246 3935

FEMORAL COMPONENT KNEE LGN POROUS CR FEM SZ 7L^71423247 3935

FEMORAL COMPONENT LG RT^6481-1-131 10703

FEMORAL COMPONENT MED LT^6481-1-120 10703

FEMORAL DIST COMP STD RT 65MM^6495-2-040 14156

FEMORAL DISTAL BLOCK 10MM^6481-1-220 1395

FEMORAL DISTAL COMP STD LT 65MM^6495-2-030 14156

FEMORAL HEAD FRESH FROZEN 44MM^450100 2543

FEMORAL HEAD FRESH FROZEN^920429 1740

FEMORAL HEAD SPIERINGS CHIPS 45CC^451780 2766

FEMORAL NECK SYSTEM PLATE 2 HOLE^04.268.000S 1442

FEMORAL PROX COMP GMRS^6495-1-001 9913

FEMORAL TC3 CEMENTED SIZE 2.5 RIGHT^96-0092 10948

FEMORAL WEDGE LEGION SZ 6 10mm^71421668 2114

FEMORAL WEDGE LEGION SZ 6 5MM^71421667 2114

FEMUR LEGION OXINIUM CONSTRAINED FEM 8 RT 71421178 11272

FEMUR NAIL 10mm/ TI CANN GT 340mm RT STERILE^04.033.064S 3650

FEMUR NAIL 11mm/130 DEG TI CANN TFNA 320MM/RIGHT - STERILE^04.037.152S 4424

FEMUR SHAFT HEMI FROZEN^2301319 1524

Femur Stride Size 2 LM/RL^PFSI00053 8310

FEMUR STRIDE SIZE 3 LM/RL^PFSI00055 8310

FEMUR Stride Size 5 LM/RL^PFSI00059 8310

FEMUR Stride Size 6 LM/RL^PFSI00061 8310

FEMUR STRIDE SIZE 2 RM/LL^PFSI00054 8310

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FEMUR STRIDE SIZE 3 RM/LL^PFSI00056 8310

FEMUR Stride Size 4 LM/RL^PFSI00057 8310

FEMUR Stride Size 5 RM/LL^PFSI00060 8310

FEMUR STRIDE SIZE 6 RM/LL^PFSI00062 8310

FEMUR STRIDE SIZE 7 RM/LL^PFSI00064 8310

FG STERLING OTW 4.0X220X150 (4F)^H74939032402210 362

FG STERLING OTW 5.0X220X150-HYBRID^H74939032502210 362

FG STERLING OTW 6.0X220X150-HYBRID^H74939032602210 362

FG STERLING OTW 7.0X220150-HYBRID^H74939032702210 362

FG STERLING OTW, 2.5X220X150 (4F)^H74939032252210 362

FG STERLING OTW, 3.0X220X150 (4F)^H74939032302210 362

FG STERLING OTW, 3.5X220X150 (4F)^H74939032352210 362

FIBERSTITCH IMPLANT, CURVED W/TWO POLYESTER IMPLANTS \T\ 2-0 FIBERWIRE^AR-4570 876

FIBERTAK DR LBRITAPE WHITE \T\ TT BL/BLK^AR-3651 797

FIBERTAK KNOTLESS 1.8mm^AR-3638 743

FIBULA 2.7MM VA-LCP LATERAL DISTAL PL/6 HOLES/RT-STERILE^02.118.406S 1791

FIBULA 2.7MM VA-LCP LATERAL DISTAL PL/5 HOLES/LT-STERILE^02.118.405S 1704

FIBULA SEGMENT FRESH FROZEN 10^42103 900

FIBULA SHAFT 2.5 X 14-18MM^400716 1144

FIBULA SHAFT FREEZE DRIED 6CM^400731 1301

FIBULA SHAFT FRESH FROZEN 10CM^45203 840

FIBULA SHAFT FRESH FROZEN 6CM^850610 1068

FIBULA SHAFT FROZEN^450636 2020

FIBULA STRUT 5MM^450655 2050

FIBULAR SHAFT L60MM LONG^910810 620

FIBULAR WEDGE 10MM SBS^400880 1578

FIBULAR WEDGE 10MM^400421 714

FIBULAR WEDGE 10MM^910835 400

FIBULAR WEDGE 6MM FREEZE DRIED^400384 1246

FIBULAR WEDGE 8MM SBS SERRATED^400878 1578

FIBULAR WEDGE SPECIAL^310850 800

FIBULAR WEDGES 8MM^400420 714

FILTER OPTEASE VENA CAVA^466F200A 2130

FILTER SPIDER FX 4mm X 190/320cm^SPD2-US-040-320 1875

FILTER SPIDER FX 5mm X 190/320cm^SPD2-US-050-320 1875

FILTER SPIDER FX 6mm X 190/320cm^SPD2-US-060-320 1875

FILTER SPIDER FX 7mm X 190/320cm^SPD2-US-070-320 1875

FILTER VENA CAVA 100cm POPLITEAL OPTION ELITE^352506100E 1500

FILTER VENA CAVA 6.5frX70cm OPTION ELITE^352506070E 1500

FILTER VENA CAVA FEMORAL DENALI^DL900F 2300

FILTER VENA CAVA JUGULAR DENALI^DL900J 2300

FINE DNL ASP SUPER 136

FIXATION PEG FEMORAL DISTAL^5575-X-000 920

Fixation System Small Bone^SBFS062 1200

FIXATOR DFS SMALL RAIL KIT 250^6530 5210

FIXATOR DFS STANDARD^1001 3679

FIXATOR EXT WRIST MINI DISTAL JET-X^71064701 3757

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FIXATOR EXTERNAL DISTAL COMP^09610 4124

FIXATOR LOW PROFILE WRISTFIX 220MM ROD^03.304.322S 2758

FIXATOR MINI MEDIUM COMPLETE^7010 2814

FIXATOR SHORT CENTRAL BODY^71051041 4339

FIXATOR SMALL DFS^2001 3262

FIXATOR STANDARD CENTRAL BODY^71051042 4568

FIXATOR WRISTFIX LOW PROFILE^03.304.320S 2758

FLEX HD STRUCT THCK 6X8-chrg x 48^471608 50

FLEX HD STRUCTURAL THCK 20X20 - chrg x 400^471202 49

FLEX HD STRUCTURAL ULTRA THIN 2CM W X 4CM L X 0.2-0.4MM THICK CHARGE X 8^479204 42

FLEX HD ULTRA THICK 20X20 SQCM = chg x 400^472202 49

FLEXHD PLIABLE MAX 8X16 - CHARGEX128^FN0816 60

FLUENCY GRAPH FEL07080 ^FEL07080 3804

FLUENCY GRAPHS FEM07060 ^FEM07060 3804

FLUENCY GRAPHS FEM08040^FEM08040 3800

FLUENCY GRAPHS FEM08060^FEM08060 3800

FLUENCY GRAPHS FEM10040^FEM10040 3804

FLUTED STEM EX 14X100^5565-S-014 2657

FLUTED STEM EXT 10X155^6478-6-680 2242

FLUTED STEM EXT 12X100^5565-S-012 2657

FLUTED STEM EXT 15X100^5565-S-015 2657

FLUTED STEM EXT 16X100^5565-S-016 2657

FLUTED STEM EXT TRIATH TS 17X100^5565-S-017 2657

FLUTED STEM EXTENDER 11X80^6478-6-605 2242

FLUTED STEM EXTENDER 12X155^6478-6-690 2242

FLUTED STEM EXTENDER 12X80^6478-6-610 2242

FLUTED STEM EXTENDER 13X155^6478-6-695 2242

FLUTED STEM EXTENDER 14X155^6478-6-705 2242

FLUTED STEM EXTENDER 17X80^6478-6-635 2242

FLUTED STEM EXTENDER 21X80^6478-6-655 2242

FLUTED STEM TRIATH 12X150 TS^5566-S-012 2747

FLUTED STEM TRIATH 13X150 TS^5566-S-013 2747

FLUTED STEM TRIATH 14X150^5566-S-014 2747

FLUTED STEM TRIATH 18X100 TS^5565-S-018 2657

FLUTED STEM TRIATH TS 10X150^5566-S-010 2747

FLUTED STEM TRIATH TS 11X150^5566-S-011 2747

FLUTED STEM TRIATH TS 13X100^5565-S-013 2657

FLUTED STEM TRIATH TS 15MM 150MM^5566-S-015 2747

FLUTED STEM TRIATH TS 16X150^5566-S-016 2747

FLUTED STEM TRIATH TS 17X150^5566-S-017 2747

FLUTED STEM TRIATH TS 19X100^5565-S-019 2657

FLUTED STEM TRIATH TS 19X150^5566-S-019 2747

FLUTED STEM TRIATH TS 21X100^5565-S-021 2657

FLUTED STEM TRIATH TS 22X100^5565-S-022 2657

FLUTED STEM TRIATHLON TS 10X100^5565-S-010 2657

FLUTED STEM TRIATHLON TS 11X100^5565-S-011 2657

Fluvoxamine Level 143

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FO PIP/DIP NONTORSION JNT 56

FO PIP/DIP PREFAB 37

FO, W/O JTS 228

FOOT ARCH 180 MM 4934-6-180 1788

FOOT RING LONG DIA 180 MM ALUMINUM 4934-2-180 1565

FULL RING DIA 180 MM ALUMINUM 4933-2-180 1354

Ga68 Dotatate/Netspot 177

Gadavist 10ML^NDC 50419-325-02 3

Gallium Citrate Ga67 UD^305-mCi 21

Gastrografin 37% 139

GEL GRAFTON DBM GEL 1CC^T41120 300

GEL GRAFTON DBM GEL 5CC^T41130 1250

GEN PRECISION IPG \T\ CHARGER (SC-1110-02 IMPL)^SC-1010C 24530

GENERATOR \T\ CHRG KIT WAVE WRITER - MFRCAT# M365SC1060B0^M365SC1060B0 34600

GENERATOR NEUROSTIM PROCLAIM 5 ELITE^3660 29000

GENERATOR NEUROSTIMULATOR ITREL 4^37703 13988

GENERATOR PRECISION MONTAGE MRI^SC-1200/SC-1210A 34600

GENERATOR PULSE IMPL BIONICS^SC-1110 29151

GENERATOR PULSE PRECISION SPECTRA^M365SC11320 34600

GENERATOR PULSE SPECTRA \T\ CHARGING KIT^M365SC1032B0 34600

GENERATOR PULSE SPECTRA \T\ PROGRAMMING KIT^NM000SC1033A0 33000

GENERATOR RESTORE ULTRA -MFRCAT# 97715^97715 32000

GENERATOR SURESCAN PRIM ADVANCED^97702 26000

GENERATOR SURESCAN RESTORE ULTRA^97712 28000

GENERATOR WAVE WRITER IPG - MFRCAT# M365SC11600^M365SC11600 34600

GENERATOR WAVE WRITER IPG AND CHARGER^M365SC-1060A 34600

GLENO UNIVER RVRS 36 +4 LAT -MFRCAT# AR-9504S-04^AR-9504S-04 3717

GLENO UNIVERS REVERS 39 + 4 LAT MFCAT# AR-9504M-04^AR-9504M-04 3717

GLENO UNIVERS REVERS 42 + 4 LAT MFCAT# AR-9504L-04^AR-9504L-04 3717

GLENOID BASE PLATE PLUS PROMOS PLUS^75003712 3400

GLENOID BIO-MODULAR POLY SM 4M^113849 1860

GLENOID CAGE EQUINOX MED BETA^314-13-13 1500

GLENOID CAGE EQUINOX MED^314-13-03 1500

GLENOID COFIELD 2 SMALL^71259501 2443

GLENOID COFIELD MOD POLY MED^71259522 2443

GLENOID COFIELD POLY LARGE^71259503 2443

GLENOID COFIELD POLY MEDIUM^71259502 1700

GLENOID COFIELD2 PEGGED ALL POLY MED^71259602 1751

GLENOID COFIELD2 PEGGED ALL POLY SM^71259601 1751

GLENOID GLOBAL SHOULDER 44MM^1137-95-025 2355

GLENOID GLOBAL SHOULDER 52MM^1137-97-025 2040

GLENOID HEAD W/RETAINING SCREW RSP 32mm/-4mm^508-32-103 2400

GLENOID HYBRID 4MM LG^113956 3458

GLENOID PEG SHOULDER SZ 40^1137-84-025 2389

GLENOID PEGGED EQUINOXE SM ALPHA CURV^314-02-02 2250

GLENOID PEGGED EQUINOXE SM BETA CURV^314-02-12 2250

GLENOID PEGGED SZ 38^520-01-238 2250

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GLENOID PEGGED SZ 42^520-01-242 2250

GLENOID PEGGED SZ 46^520-01-246 2250

GLENOID PEGGED SZ 50^520-01-250 2250

GLENOID PLUS PROMOS 1-26^75006696 1700

GLENOID REUNION TSA SZ 40^5542-P-0040 2782

GLENOID REUNION TSA SZ 44^5542-P-0044 2782

GLENOID REUNION TSA SZ 48^5542-P-0048 2782

GLENOID REUNION TSA SZ 52^5542-P-0052 2782

GLENOID REUNION TSA SZ 56^5542-P-0056 2782

GLENOID UNIVERS VAULTLOCK, XLARGE AR-9106-04 2788

GLENOID VAULT LOCK - MFRCAT# AR-9106-01^AR-9106-01 2788

GLENOID VAULT LOCK - MFRCAT# AR-9106-02^AR-9106-02 2788

GLENOID VAULT LOCK - MFRCAT# AR-9106-03^AR-9106-03 2788

GLENOSPHERE 33 +4 LAT/24^AR-9564-2433-LAT 4070

GLENOSPHERE 33/24^AR-9564-2433 4071

GLENOSPHERE 36/24 AR-9564-2436 4071

GLENOSPHERE 40MM VERSA-DIAL GLEN STD 110030776 3315

GLENOSPHERE BASE PLATE HA^115330 3523

GLENOSPHERE COMP REV SHLDR 41MM +6 -MFRCAT# 115326^115326 3315

GLENOSPHERE ECC PLUS PROMOS 42/+5^75003709 2600

GLENOSPHERE F/REV SHLDR 41MM +3 -MFRCAT# 115323^115323 3315

GLENOSPHERE HUMERAL BEARING +6 36mm F/REVERSE SHLDR -^115316 3315

GLENOSPHERE REUNION TSA DIA 36MM - MFRCAT# 5573-C-3602^5573-C-3602 2500

GLENOSPHERE STD 36MM F/REVERSE SHLDR^115310 3315

GLENOSPHERE STD F/REV SHLDR 41MM^115320 3315

GRAFT 10MM STR. H/SHIELD KNIT^M002020954100 913

GRAFT 12 X 20 STRETCH^S1202 776

GRAFT 12MM STR. H/SHIELD KNIT^M002020954120 913

GRAFT 12X6 BIF H/SHIELD KNIT^M002020851260 1351

GRAFT 14 X 20 STRETCH^SA1402 776

GRAFT 14-7X40CM BIFUR STRETCH^SBT1401D 1676

GRAFT 14MM STR. H/SHIELD KNIT^M002020952140 945

GRAFT 14MM STR. KNITTED^92214 708

GRAFT 14X7 BIF. H/SHIELD KNIT^M002020851470 1351

GRAFT 16 X 20 STRETCH^SA1602 776

GRAFT 16-8X40CM BIFUR STRETCH^SBT1601D 1676

GRAFT 16MM STR. H/SHIELD KNIT^M002020952160 945

GRAFT 16MM STR. KNITTED^92216 708

GRAFT 16X8 BIF. H/SHIELD KNIT^M002020851680 1351

GRAFT 18 X 30 STRETCH^SA1803 1106

GRAFT 18MM STR. H/SHIELD KNIT^M002020952180 945

GRAFT 18MM STR. H/SHIELD WOVEN^M00202175418P0 1056

GRAFT 18X9 BIF. H/SHIELD KNIT^M002020851890 1351

GRAFT 20 X 30 STRETCH^SA2003 1106

GRAFT 20MM STR. H/SHIELD KNIT^M002020952200 945

GRAFT 20MM STR. H/SHIELD WOVEN^M00202175420P0 1056

GRAFT 20X10 BIF. H/SHIELD KNIT^M002020852010 1351

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Description CPT-4 Base Price Schedule

GRAFT 22 X 30 STRETCH^SA2203 1106

GRAFT 22MM STR. H/SHIELD KNIT^M002020952220 945

GRAFT 22MM STR. H/SHIELD WOVEN^175422 1056

GRAFT 22X11 BIF. H/SHIELD KNIT^M002020852210 1351

GRAFT 24 X 30 STRETCH^SA2403 1106

GRAFT 24MM STR. H/SHIELD KNIT^M002020952240 945

GRAFT 24MM STR. H/SHIELD WOVEN^M00202175424P0 1056

GRAFT 24X12 BIF. H/SHIELD KNIT^M002020852410 1351

GRAFT 26MM STR. H/SHIELD WOVEN^M00202175426P0 1098

GRAFT 28MM STR. H/SHIELD WOVEN^M00202175428P0 1098

GRAFT 30MM STR. H/SHIELD WOVEN^M00202175430P0 1098

GRAFT 32MM STR. H/SHIELD WOVEN^M00202175432P0 1098

GRAFT 4-7MM TAPERED VASCULAR^V47040L 824

GRAFT 4-7X45 TAPRD STRETCH VAS^S47045 1154

GRAFT 5mm X 34cm ARTEGRAFT^AG 630 2600

GRAFT 5mm X 38cm ARTEGRAFT^AG 636 2740

GRAFT 6 X 40 STRETCH TW (30CM)^SRRT06030040L 1524

GRAFT 6 X 40 STRETCH VASCULAR^S0604 986

GRAFT 6 X 70 RINGED THIN WALL^RRT06070070L 2224

GRAFT 6 X 70 STRETCH THIN WALL^ST0607 1866

GRAFT 6 X 80 STRETCH TW (60CM)^SRRT06060080L 2638

GRAFT 8 X 40 STRETCH TW (30CM)^SRRT08030040L 1524

GRAFT 8 X 70 STRETCH VASCULAR^S0807 1618

GRAFT 8 X 80 RINGED THIN WALL^RRT08070080L 2446

GRAFT 8 X 80 STRETCH TW (70CM)^SRRT08070080L 2748

GRAFT 8MM STR. H/SHIELD KNIT^M002020954080 913

GRAFT ACL TIBIALIS TENDON POST FROZEN W/SPECS^430343 3432

GRAFT ACUSEAL VG 4-7MM X 45CM TAPERED^ECH470045A 2998

GRAFT ANCHOR IMPLANT SYS^AR-8826DS 2213

GRAFT AORTIC PROSTHESIS 19mm W VASCUTEK GELWEAVE VALSALVA^ONXAAP-19 9990

GRAFT AORTIC PROSTHESIS 21mm W VASCUTEK GELWEAVE VALSALVA^ONXAAP-21 9990

GRAFT AORTIC PROSTHESIS 23mm W VASCUTEK GELWEAVE VALSALVA^ONXAAP-23 9990

GRAFT AORTIC PROSTHESIS 25mm W VASCUTEK GELWEAVE VALSALVA^ONXAAP-25 9990

GRAFT AORTIC PROSTHESIS 27/29mm W VASCUTEK GELWEAVE VALSALVA^ONXAAP-27/29 9990

GRAFT AVANCE NERVE 1-2MM X 15MM^111215 4300

GRAFT AVANCE NERVE 1-2MM X 30MM^111230 7100

GRAFT AVANCE NERVE 2-3MM X 15MM^211215 4300

GRAFT AVANCE NERVE 2-3MM X 30MM^211230 6100

GRAFT AVANCE NERVE 2-3MM X 50MM^211250 8650

GRAFT AVANCE NERVE 3-4MM X 30MM^311230 6100

GRAFT AVANCE NERVE 3-4MM X 50MM^311250 9200

GRAFT AVANCE NERVE 4-5MM X 50MM^411250 9200

GRAFT AX-BI FEM R/RING 8MM X 70CM/8MM X 40CM^SAX01D 4192

GRAFT BIFUR ENDOLOG 28X140^BA28-100/I16-40 23160

GRAFT BIFURCATED 22-11mm x 40cm^SB2201D 1676

GRAFT BIFURCATED 24-12mm x 40cm^SB2401D 1676

GRAFT BIFURCATED STENT ENDOLOGIX^BA22-70/I16-30 23160

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Description CPT-4 Base Price Schedule

GRAFT BIFURCATED STENT ENDOLOGIX^BA22-80/I13-40 23160

GRAFT BIFURCATED STENT ENDOLOGIX^BA22-80/I16-40 23160

GRAFT BIFURCATED STENT ENDOLOGIX^BA22-90/I116-30 23160

GRAFT BIFURCATED STENT ENDOLOGIX^BA25-100/I16-40 23160

GRAFT BIFURCATED STENT ENDOLOGIX^BA25-60/I16-40 23160

GRAFT BIFURCATED STENT ENDOLOGIX^BA25-70/I16-30 23160

GRAFT BIFURCATED STENT ENDOLOGIX^BA25-80/I13-40 23160

GRAFT BIFURCATED STENT ENDOLOGIX^BA25-80/I16-40 23160

GRAFT BIFURCATED STENT ENDOLOGIX^BA25-80/I16-55 23160

GRAFT BIFURCATED STENT ENDOLOGIX^BA25-90/I16-30 23160

GRAFT BIFURCATED STENT ENDOLOGIX^BA28-60I16-40 23160

GRAFT BIFURCATED STENT ENDOLOGIX^BA28-70/I16-30 23160

GRAFT BIFURCATED STENT ENDOLOGIX^BA28-80/I16-40 23160

GRAFT BIFURCATED STENT ENDOLOGIX^BA28-90/I16-30 23160

GRAFT COLLAGNE VASCULAR 6mm X 44cm ARTERGRAFT^AG 740 2560

GRAFT FEXHD PLIABLE SHAPED PERF 10cmX17cm -chrg x170^SF1500 42

GRAFT FLEX HD 10cmX16cm -CHRG X 160^472016 49

GRAFT FLEX HD PLIABLE 2X4 - CHRG X8 - MFRCAT HP1204^HP1204 44

GRAFT FLEX HD PLIABLE 8X16 FEN BILATERAL MAX KIT-chrgx256^NK0816 60

GRAFT FLEX HD PLIABLE PERF KIT 8X16-CHRG 128 - MFRCAT RK1816^RK1816 114

GRAFT FLEX HD PLIABLE THICK 4CM X 12CM/CHG 48 SQ CM^HP1412 52

GRAFT FLEX HD STRUCTURAL THIN 2x4=chg x8^470204 42

GRAFT FLEX HD STRUCTURAL THIN 4CM X 12CM/CHG 48 SQ CM^470412 29

GRAFT FLEX HD THICK 16CM X 20CM/CHG 320 SQ CM^471620 51

GRAFT FLEX HD THICK 2CM X 4CM/CHG 8 SQ CM^471204 44

GRAFT FLEX HD THICK 4CM X 16CM/CHG 64 SQ CM^471416 53

GRAFT FLEX HD THICK 6CM X 16CM/CHG 96 SQ CM^471616 54

GRAFT FLEX HD THICK 8CM X 16CM/CHG 128 SQ CM^471816 57

GRAFT FLEX HD ULTRA TCK 16X20 - CHG 320SQCM^472620 51

GRAFT FLEX HD XLTK 23-25CMX34.5-36-CHRG 782^4D1335 36

GRAFT FLEXHD 8cmX16cm THICK-chg x 128^HP1816 57

GRAFT FLEXHD PLIAB PERF BILAT KIT 15X24 - CHRG 720 FOR 2 PIECES^SF4400 42

GRAFT FLEXHD PLIABLE 20X20 -charge 400^HP1202 61

GRAFT FLEXHD PLIABLE PERF 16x20 - charge x320^PF1620 58

GRAFT FLEXHD PLIABLE PERF 8X16-CHRG 128^PF1816 57

GRAFT FLEXHD PLIABLE PERF BILATERAL KIT 10x17 - chrg x340 for 2pc^SF1515 38

GRAFT FLEXHD PLIABLE THCK 8X16 KIT -charge x128 - MFRCAT PK1816^PK1816 114

GRAFT FLEXHD STRUCTURAL THCK 10x16 -CHRG 160^471016 49

GRAFT FLEXHD XL TK 23-25cmx34.5-36-chgx782^4D2335 36

GRAFT GELWEAVE ANTE FLO 28MM^735028/8RM 3400

GRAFT GELWEAVE ANTE FLO 30MM^735030/8RM 3400

GRAFT GELWEAVE STRAIGHT 10mmX30cm^733010 810

GRAFT GELWEAVE STRAIGHT 24mmX30cm^733024 918

GRAFT GELWEAVE STRAIGHT 26mmX30cm^733026 918

GRAFT GELWEAVE STRAIGHT 28mmX30cm^733028 918

GRAFT GELWEAVE STRAIGHT 30mmx30cm^733030 918

GRAFT GELWEAVE STRAIGHT 32mmX30cm^733032 918

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GRAFT GELWEAVE STRAIGHT 34mmX30cm^733034 918

GRAFT GELWEAVE STRATIGHT 8mmX30cm^733008 810

GRAFT GELWEAVE TRIFURCATE W SIDE BRANCH 10x8x8x10mm 16mm BORE^731608/10/10R 3866

GRAFT H/SHIELD WOVEN STR 16MM^M00202175416P0 1056

GRAFT HEMAGARD 10X40 KNITTED^HGK0010-40 855

GRAFT HEMAGARD 12X6 KNITTED BIFUR^HGK1206 1267

GRAFT HEMAGARD 14X40 KNITTED^HGK0014-40 855

GRAFT HEMAGARD 14X7 KNITTED BIFUR^HGK1407 1267

GRAFT HEMAGARD 16X8 KNITTED BIFUR^HGK1608 1267

GRAFT HEMAGARD 18X9 KNITTED BIFUR^HGK1809 1266

GRAFT HEMAGARD 20X10 KNITTED BIFUR^HGK2010 1267

GRAFT HEMAGARD 22X11 KNITTED BIFUR^HGK2211 1267

GRAFT HEMAGARD 24X12 KNITTED BIFUR^HGK2412 1267

GRAFT HEMAGARD 8X40 KNITTED^HGK0008-40 855

GRAFT HEMASHIELD 1 BR 26X50^M00202175826P0 2414

GRAFT HEMASHIELD 1 BR 28X50^M00202175828P0 2414

GRAFT HEMASHIELD 1 BR 30X50^M00202175830P0 2414

GRAFT HEMASHIELD 32X50^M00202175832P0 2414

GRAFT HEP SRR 8mm X 70cm/8mm 40cm^HAX01A 7308

GRAFT JACKET TISS MATRIX 4X7 THK/CHG 28 SQ CM^86UM4X07 213

GRAFT LATERAL RT FEMORAL HEMI CONDYLE^32147001 21900

GRAFT MAGNIFUSE 2.5X10cm^7509510 8272

GRAFT MAGNIFUSE 2.5x5CM^7509505 5500

GRAFT MAGNIFUSE 5CM - SUB FOR 78520^7509145 4800

GRAFT MAIN BODY 22X40^BA22-40/I13-40 23160

GRAFT MAIN BODY 22X60^BA22-60/I13-40 23160

GRAFT MAIN BODY AFX 28X80^BA28-80/I20-40 23160

GRAFT MAIN BODY AFX 28X90^BA28-90/I20-30 23160

GRAFT MAIN BODY BA25-110/I20-30^BA25-110/I20-30 23160

GRAFT MAIN BODY BA25-90/I20-30^BA25-90/I20-30 23160

GRAFT MAIN BODY^BA25-110/I16-30 23160

GRAFT MEDIAL HEMI CONDYLE^32247002 23340

GRAFT MICROVEL DBL VELOUR 7X40^M002020953070 913

GRAFT PELVICOL 2 X 7^482027 1060

GRAFT PELVICOL 4 X 7^482047 1400

GRAFT PLIABLE 6cMX16CM THICK CHARGE X96^HP1616 54

GRAFT PRO-DENSE INJ 10CC^87SR0410 6692

GRAFT PRO-DENSE INJ 20CC^87SR0420 9510

GRAFT PROPATEN 4-7mm X 45cm^H470045A 2466

GRAFT RADIAL PROXIMAL ULNA^990217 8230

GRAFT SERI SCAFFOLDING 10cm X 25cm^94675 7100

GRAFT TAG THORACIC ENDO CONFORM 40mm X 20CM 24FR^TGU404020 32858

GRAFT TENDON FROZEN^430300 2375

GRAFT TIBIALIS TENDON ANTERIOR^430336 3392

GRAFT VALSALVA 24MM X 24MM^730024ADP 4998

GRAFT VALSALVA 26MM X 26MM^730026ADP 4998

GRAFT VALSALVA 28MM X 28MM^730028ADP 4998

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GRAFT VALSALVA 30MM X 30MM^730030ADP 5000

GRAFT VALSALVA 32MM X 32MM^730032ADP 4998

GRAFT VALSALVA 34MM X 34MM^730034ADP 4998

GRAFT VALSALVA GELWEAVE 14X10X10^732014/10X2 3500

GRAFT VASCULAR 18 X 9^SBT1801D 1676

GRAFT VASCULAR 6mm X 80cm^V06080L 1362

GRAFT VASCULAR 8mm X 30cm AG1030^AG 1030 4058

GRAFT VASCULAR ACUSEAL 6mm X 40cm^ECH060040A 2560

GRAFT VASCULAR INTER RING 6X40^IRST06040040L 1534

GRAFT VASCULAR INTER RING 6X60^IRST06060060L 2256

GRAFT VASCULAR INTER RING 6X80^IRST06080080L 2808

GRAFT VASCULAR INTER RING 8X40^IRST08040040L 1534

GRAFT VASCULAR INTER RING 8X60^IRST08060060L 2256

GRAFT VASCULAR INTER RING 8X80^IRST08080080L 2808

GRAFT VASCULAR PROPATEN 6X40^H060040A 2078

GRAFT VASCULAR PROPATEN 6X50^HT064050A 3548

GRAFT VASCULAR PROPATEN 6X70^HT066070A 4990

GRAFT VASCULAR PROPATEN 6X80^HT066080A 5454

GRAFT VASCULAR PROPATEN 7X40 THINWALL^HT070040A 2424

GRAFT VASCULAR PROPATEN 7X80 THINWALL^HT070080A 4660

GRAFT VASCULAR PROPATEN 8X80^HT087080A 5618

GRAFT VASCULAR STR 6 X 40^V06040L 724

GRAFT VASCULAR STR 6 X 50^V06050L 936

GRAFT VASCULAR STR 6 X 70^V06070L 1208

GRAFT VASCULAR STR 8 X 40^V08040L 740

GRAFT VASCULAR STR 8 X 50^V08050L 936

GRAFT VASCULAR STR 8 X 70^V08070L 1208

GRAFT VASCULAR^RRT06080100L 2916

GRAFT WOVEN HEMASHIELD 34X30^M00202175434P0 1098

GRAFT WOVEN HEMASHIELD 38X30^M00202175438P0 1098

GRAFT XENFORM 4 X 7^M0068302430 1055

GRAFT XENFORM 8 X 12 CM^M0068302470 3295

GRAFTBOLT 10MM^AR-5100-10 699

GRAFTBOLT 8MM^AR-5100-08 699

GRAFTBOLT 9MM^AR-5100-09 699

GRAFTBOLT TIB 7MM^AR-5100-07 699

GRAFTBOLT TIBIAL 9MM^AR-5100-9 699

GRAFTON BONE MATRIX 1X10CM^T42275 2300

GRAFTON BONE MATRIX 1X20CM^T42280 4000

GRAFTON BONE MATRIX 2.5X10CM^T42200 4400

GRAFTON BONE MATRIX 2.5X5CM^T42210 2800

GRAFTROPE ASSEMBLY TITAN^AR-2258 1231

GRIP TROCHANTERIC DALL MILES MED^6704-3-081 2528

GRIP TROCHANTERIC W/ 2CABLES DALL MILES^6704-3-070 2528

GUIDE CATH ATTAIN SELECT^6238TEL 380

GUIDE CATH TIP MAXILLARY SINUPLASTY^RSM110Z 480

GUIDE NEEDLE VASCULAR VWING 10mm X 7mm^00146 1700

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GUIDE NEEDLE VASCULAR VWING 4mm X 7mm^00153 1700

GUIDE NEEDLE VASCULAR VWING 6mm X 7mm^00144 1700

GUIDE NEEDLE VASCULAR VWING 8mm X 7mm^1100145 1700

GUIDE PIN^AR-8737-05 35

GUIDE ROD BALL TIP 600M^71665026 300

GUIDE WIRE 1.6X150 THRD SPADE PT^292.721 80

GUIDE WIRE ROTAWIRE EX SUPP^23239-001 180

GUIDELINER COAXIAL GUIDE EXT 6fr^5571 593

GUIDELINER COAXIAL GUIDE EXT 7fr^5572 593

GUIDELINER COAXIAL GUIDE EXT 8fr^5573 593

GUIDEWIRE 2.4X70 STERILE^47-2255-008-00 358

GUIDEWIRE ASAHI CONFIANZA PRO 12 180cm^AGH143091 180

GUIDEWIRE ASAHI CONFIANZA PRO 12 300cm^AGH143391 180

GUIDEWIRE ASAHI RG3 330cm^AHW10S302S 180

GUIDEWIRE ASAHI SION BLUE 300cm^AHW14R304S 180

GUIDEWIRE ENROUTE^SR-014-GW 263

GUIDEWIRE ENTEER STIFF^ENW-SF-014-300 522

GUIDEWIRE FIELDER XT 180cm^AGP140002 180

GUIDEWIRE HYPROCURE^HYP-GUIDEWIRE 23

GUIDEWIRE MIRACLE BROS 12 300cm^AG14M370 180

GUIDEWIRE NOVA GOLD .018 ^5200 293

GUIDEWIRE SAFARI2 EXTRA SMALL PRESHAPED TAVA ^H47939406XS1 450

GUIDEWIRE SAFARI2 SMALL PRESHAPED TAVA^H74939406S1 450

GUIDEWIRE SION 300cm STRAIGHT TIP^AHW14R301S 180

GUIDEWIRE STINGRAY HPC 185cm^M-3012 460

GUIDEWIRE STINGRAY HPC 300cm^M-3004 460

GUIDEZILLA II^H7493933515060 653

Haemophilus (PRP-T) Admin 56

HAMMERLOCK 2 IMPL KIT 12X5/0 DEG SM^HL2S 1620

HAMMERLOCK SCREW/NAIL LG 22MM^HL2L 1620

HAMMERLOCK SCREW/NAIL MED 15X5^HL2M 1620

HAND/WRIST INTERNALBRACE LIGAMENT AUGMENTATION REPAIR^AR-8978-CP 2646

HANDLE SHARP SHOOTER^4700 688

HEAD ARH SLIDE -LOC 24MM RT^5001-0224R-S 5374

HEAD BIOLOX CERAMIC 28MM x +4^6570-0-228 1700

HEAD BIOLOX CERAMIC 28MM x 0^6570-0-128 1700

HEAD BIOLOX CERAMIC 28MM x -2.7^6570-0-328 1700

HEAD BIOLOX CERAMIC 28MM x -4^6570-0-028 1700

HEAD BIOLOX CERAMIC 32MM x -4^6570-0-032 1700

HEAD BIOLOX CERAMIC 32MM^6570-0-132 1700

HEAD BIOLOX CERAMIC 36MM x +2.5^6570-0-536 1700

HEAD BIOLOX CERAMIC 36MM x +5^6570-0-236 1700

HEAD BIOLOX CERAMIC 36MM x +7.5^6570-0-736 1700

HEAD BIOLOX CERAMIC 36MM x 0^6570-0-136 1700

HEAD BIOLOX CERAMIC 36MM x -2.5^6570-0-436 1700

HEAD BIOLOX CERAMIC 36MM x -5^6570-0-036 1700

HEAD BIOLOX CERAMIC V40 32MM^6570-0-232 1700

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HEAD BIOLOX UNIV TAPER 28MM^6519-1-028 1700

HEAD BIOLOX UNIV TAPER 36MM^6519-1-036 1700

HEAD BIOLOX UNIV TAPER 40MM^6519-1-040 1700

HEAD BIOLOX UNIV TAPER 44MM^6519-1-044 1700

HEAD BIOLOX UNIV TAPER OD 32MM^6519-1-032 1700

HEAD BIO-MOD HUMERAL 40 X 22MM^113757 1326

HEAD BIO-MOD HUMERAL 44 X 15MM^113763 2194

HEAD BIO-MOD HUMERAL 44 X 17MM^113764 1756

HEAD BIO-MOD HUMERAL 44 X 22MM^113766 2540

HEAD BIO-MOD HUMERAL 44 X 27MM^113768 892

HEAD BIO-MOD HUMERAL 48 X 24MM^113770 892

HEAD BIO-MOD HUMERAL 48 X 27MM^113771 1106

HEAD BIO-MOD HUMERAL 50MM X 24MM^113055 4043

HEAD BIO-MOD HUMERAL 50MM X 27MM^113057 4043

HEAD BIO-MODULAR HUMERAL 40X20^113762 1106

HEAD BIO-POLAR MODULAR^5080-2200 1546

HEAD BIPOLAR HUMERAL MODULAR^5081-4000 1546

HEAD BIPOLAR HUMERAL SOLAR^5081-5000 1546

HEAD C TAPER FEM COCR 40MM +10^06-4010 1700

HEAD C TAPER FEM COCR 40MM +2.5^06-4025 1700

HEAD C TAPER FEM COCR 40MM +5^06-4005 1700

HEAD C TAPER FEM COCR 40MM +7.5^06-4075 1700

HEAD C TAPER FEM COCR 40MM -2.5^06-4097 1700

HEAD C TAPER FEM COCR 40MM -5^06-4099 1700

HEAD C TAPER FEM COCR 44MM +5^06-4405 1700

HEAD C TAPER FEM COCR 44MM -5^06-4499 1700

HEAD C TAPER FEM LFIT 36 +2.5MM^06-3625 800

HEAD CERAMIC C-TAPER 32MM^18-3200 1700

HEAD CERAMIC C-TAPER 32MM^18-3205 1700

HEAD CERAMIC C-TAPER 32MM^18-32-3 1700

HEAD CERAMIC C-TAPER 36MM +0^18-3600 1700

HEAD CERAMIC C-TAPER 36MM +25 18-3625 1700

HEAD CERAMIC C-TAPER 36MM^18-3605 1700

HEAD CERAMIC C-TAPER 36MM^18-36-3 1700

HEAD CERAMIC C-TAPER BIOLOX 32MM^18-3225 1700

HEAD CERAMIC C-TAPER BIOLOX 36MM^18-3675 1700

HEAD CERAMIC FEMORAL 28MM +0^427818 1855

HEAD CERAMIC FEMORAL 28MM +4^427819 1855

HEAD CO-CR 12/14 FEM 36MM +8^71303608 824

HEAD COCR HUMERAL 40/15^5331-40/15 4719

HEAD COCR HUMERAL SHOULDER 44MM/16.5MM^5331-44/16 4719

HEAD COCR HUMERAL SHOULDER 46MM/17MM^5331-46/17 4719

HEAD COCR HUMERAL SHOULDER 48MM/18.00MM^5331-48/18 4719

HEAD COCR HUMERAL SHOULDER 50MM/18.75MM^5331-50/18 4719

HEAD COCR HUMERAL SHOULDER 52MM/19.5MM^5331-52/19 4719

HEAD CO-CR MOD FEM 28MM +12^71302812 824

HEAD CO-CR MOD FEM 28MM +16^71302816 824

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HEAD CO-CR MOD FEM 32MM +12^71303212 824

HEAD CO-CR MOD FEM 32MM +16^71303216 824

HEAD CO-CR MOD FEM 32MM +4^71303204 824

HEAD CO-CR MOD FEM 32MM +8^71303208 824

HEAD CO-CR MOD FEM 32MM -3^71303203 824

HEAD CO-CR MOD FEM 36MM +0^71303600 824

HEAD CO-CR MOD FEM 36MM +12^71303612 824

HEAD CO-CR MOD FEM 36MM +4^71303604 824

HEAD CO-CR MOD FEM 36MM -3^71303603 824

HEAD CO-CR MOD FEMORAL 26MM +0^71302600 824

HEAD CO-CR MOD FEMORAL 26MM +4^71302604 824

HEAD CO-CR MOD FEMORAL 26MM +8^71302608 824

HEAD CO-CR MOD FEMORAL 26MM 12^71302612 824

HEAD CO-CR MOD FEMORAL 28MM +0^71302800 824

HEAD CO-CR MOD FEMORAL 28MM +4^71302804 824

HEAD CO-CR MOD FEMORAL 28MM +8^71302808 824

HEAD CO-CR MOD FEMORAL 28MM -3^71302803 824

HEAD CO-CR MOD FEMORAL 32MM +0^71303200 824

HEAD CO-CR TPR FEMORAL 22MM +0^71302200 824

HEAD CO-CR TPR FEMORAL 22MM +4^71302204 824

HEAD CO-CR TPR FEMORAL 22mm +8 71302208 824

HEAD CO-CR UNIPOLAR 51MM^126651 721

HEAD CO-CR UNIPOLAR 55MM^126655 721

HEAD CO-CR UNIV FEMORAL 32MM +16^71323216 824

HEAD COFIELD 2 HUMERAL 14 X 36^71259314 2465

HEAD COFIELD 2 HUMERAL 16 X 38^71259316 2163

HEAD COFIELD 2 HUMERAL 16 X 38^71259616 2163

HEAD COFIELD 2 HUMERAL 18 X 40^71259618 2465

HEAD COFIELD 2 HUMERAL 20 X 42^71259320 2163

HEAD COFIELD 2 HUMERAL 20 X 42^71259620 2163

HEAD COFIELD 2 HUMERAL 22 X 40^71259722 2472

HEAD COFIELD 2 HUMERAL 22 X 44^71259622 2465

HEAD COFIELD 2 HUMERAL 24 X 42^71259724 2465

HEAD COFIELD 2 HUMERAL 24 X 46^71259324 2465

HEAD COFIELD 2 HUMERAL 24 X 46^71259624 2163

HEAD COFIELD 2 HUMERAL 26 X 44^71259726 3600

HEAD COFIELD 2 HUMERAL 26 X 48^71259326 2163

HEAD COFIELD 2 HUMERAL 26 X 48^71259626 2563

HEAD COFIELD 2 HUMERAL 28 X 46^71259728 2465

HEAD COFIELD 2 HUMERAL 28 X 50^71259328 2163

HEAD COFIELD 2 HUMERAL 31 X 48^71259731 2472

HEAD COFIELD 2 HUMERAL 32 X 54^71259332 2163

HEAD COFIELD 2 LAT OFFSET 33X50^71259733 2472

HEAD COFIELD HUMERAL 18 X 40^71259318 2163

HEAD COFIELD HUMERAL 22 X 44^71259322 2163

HEAD COMPONENT UNITRAX 38MM^6942-5-038 800

HEAD COMPONENT UNITRAX 40MM^6942-5-040 800

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HEAD COMPONENT UNITRAX 41MM^6942-5-041 800

HEAD COMPONENT UNITRAX 42MM^6942-5-042 800

HEAD COMPONENT UNITRAX 43MM^6942-5-043 800

HEAD COMPONENT UNITRAX 44MM^6942-5-044 800

HEAD COMPONENT UNITRAX 45MM^6942-5-045 800

HEAD COMPONENT UNITRAX 46MM^6942-5-046 800

HEAD COMPONENT UNITRAX 47MM^6942-5-047 800

HEAD COMPONENT UNITRAX 48MM^6942-5-048 800

HEAD COMPONENT UNITRAX 49MM^6942-5-049 800

HEAD COMPONENT UNITRAX 50MM^6942-5-050 800

HEAD COMPONENT UNITRAX 51MM^6942-5-051 800

HEAD COMPONENT UNITRAX 52MM^6942-5-052 800

HEAD COMPONENT UNITRAX 53MM 6942-5-053 800

HEAD COMPONENT UNITRAX 54MM 6942-5-054 800

HEAD COMPONENT UNITRAX 55MM^6942-5-055 800

HEAD COMPONENT UNITRAX 56MM^6942-5-056 800

HEAD COMPONENT UNITRAX 58MM^6942-5-058 800

HEAD COMPONENT UNITRAX 61MM^6942-5-061 800

HEAD C-TAPER (HIP) 22MM +0^06-2200 800

HEAD C-TAPER (HIP) 22MM +10^06-2210 800

HEAD C-TAPER (HIP) 22mm +5^06-2205 800

HEAD C-TAPER 14MM +0^S-1400-HH84 800

HEAD C-TAPER 26MM +10^06-2610 800

HEAD C-TAPER 26MM +5^06-2605 800

HEAD C-TAPER 28MM +0^06-2800 800

HEAD C-TAPER 28MM +10^06-2810 800

HEAD C-TAPER 28MM +2.5^S-1400-HH82 800

HEAD C-TAPER 28MM +5^06-2805 800

HEAD C-TAPER 28MM -3^06-2898 800

HEAD C-TAPER 32MM +0^06-3200 800

HEAD C-TAPER 32MM^06-3299 800

HEAD C-TAPER ALUMINA 32MM/+5^17-3205E 1700

HEAD C-TAPER ALUMINA CER 28MM -2.5^17-28-3E 1700

HEAD C-TAPER ALUMINA CER 36MM -5^17-36-5E 1700

HEAD C-TAPER ALUMINA CERAMIC^17-2800E 1700

HEAD C-TAPER ALUMINA CERAMIC^17-2805E 1700

HEAD C-TAPER ALUMINA CERAMIC^17-3200E 1700

HEAD C-TAPER ALUMINA CERAMIC^17-32-3E 1700

HEAD C-TAPER ALUMINA CERAMIC^17-3600E 1700

HEAD C-TAPER ALUMINA CERAMIC^17-3605E 1700

HEAD C-TAPER COCR 32MM +10^06-3210 800

HEAD C-TAPER COCR 36MM +10^06-3610 800

HEAD C-TAPER COCR LFIT 32MM +5^06-3205 800

HEAD C-TAPER COCR LFIT 36MM +0^06-3600 800

HEAD C-TAPER COCR LFIT 36MM +5^06-3605 800

HEAD C-TAPER FEM LOW 36MM^06-3699 800

HEAD C-TAPER LFIT 32MM +2.5^S-1400-HH32 800

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HEAD C-TAPER LFIT 32MM +7.5^S-1400-HH34 800

HEAD C-TAPER LFIT 32MM -2.5^S-1400-HH31 800

HEAD C-TAPER LFIT FEM 36MM +7.5MM^06-3675 800

HEAD C-TAPER LFIT FEM 36MM -2.5MM^06-3697 800

HEAD CUFF TEAR ARTHROPATHY 56X23MM^1128-65-080 2400

HEAD CUFF TEAR ARTHROPATHY^1128-65-010 2400

HEAD CUFF TEAR ARTHROPATHY^1128-65-020 2400

HEAD DELTA CERAMIC FEMORAL C-TAPER 36MM -5 18-36-5 1700

HEAD ECCENTRIC HUMERAL 44X21MM^1128-44-120 2000

HEAD ECCENTRIC HUMERAL 48 X 21MM^1128-48-120 2000

HEAD ECCENTRIC HUMERAL 52X21MM^1128-52-120 2000

HEAD ECCENTRIC HUMERAL 56X18MM^1128-56-110 2000

HEAD ECCENTRIC HUMERAL 56X21MM^1128-56-120 2000

HEAD FEM ARTICUL/EZE 32MM +9 12/14 TAPER^1365-23-000 2230

HEAD FEM COCR 6DEG 28MM +14 (L)^00-9026-030-00 2408

HEAD FEM OXIN 12/14 22MM +0^71342200 1751

HEAD FEM OXIN 12/14 26MM +0^71342600 1751

HEAD FEM OXIN 12/14 26MM +4^71342604 1751

HEAD FEM OXINIUM 32MM +16^71343216 1751

HEAD FEM OXINIUM 36MM +12^71343612 1751

HEAD FEM OXINIUM 36MM +4^71343604 1751

HEAD FEM OXINIUM 36MM -3^71343603 1751

HEAD FEM OXINIUM TAPER 14/16 32MM +8^71342328 1751

HEAD FEM TPR OXINIUM 36MM +0 14/16^71342360 1751

HEAD FEM UNIV COCR 14/16 32MM +8^129966 824

HEAD FEMORAL 28MM +15 14/16 TAPER^1018-75-000 3300

HEAD FEMORAL 28MM X +10MM^6280-0-328 1610

HEAD FEMORAL 28MM X +12MM^6260-9-428 800

HEAD FEMORAL 28MM X +4MM^6260-9-228 800

HEAD FEMORAL 28MM X +8MM^6260-9-328 800

HEAD FEMORAL 28MM X 0MM^6260-9-128 800

HEAD FEMORAL 28MM X -4MM^6260-9-028 800

HEAD FEMORAL 32MM X +10MM^6280-0-332 1610

HEAD FEMORAL 32MM X +12MM^6260-9-432 800

HEAD FEMORAL 32MM X +4MM^6260-9-232 800

HEAD FEMORAL 32MM X +4MM^6565-0-232 1700

HEAD FEMORAL 32MM X +8MM^6260-9-332 800

HEAD FEMORAL 32MM X 0MM^6260-9-132 800

HEAD FEMORAL 32MM X -4MM^6260-9-032 800

HEAD FEMORAL 36MM X +10MM^6260-9-336 800

HEAD FEMORAL 36MM X +5MM^6260-9-236 800

HEAD FEMORAL 36MM X 0MM^6260-9-136 800

HEAD FEMORAL 36MM X -5MM^6260-9-036 800

HEAD FEMORAL LFIT V40 22.2 +0^6260-9-122 800

HEAD FEMORAL LFIT V40 26 +0 -MFRCAT 6260-9-126^6260-9-126 800

HEAD FEMORAL LONG NECK 28MM^9026-30 692

HEAD FEMORAL M-SPEC OFFSET +11^1018-36-511 4176

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HEAD FRM OXINIUM 36MM +8^71343608 1751

HEAD GLOBAL CAP SZ 44X18mm^1230-44-015 8630

HEAD GLOBAL HUMERAL 40 X 15MM^1128-40-000 2000

HEAD GLOBAL HUMERAL 40 X 18MM^1128-40-010 2000

HEAD GLOBAL HUMERAL 40 X 21MM^1128-40-020 2000

HEAD GLOBAL HUMERAL 44 X 15MM^1128-44-000 2000

HEAD GLOBAL HUMERAL 44 X 18MM^1128-44-010 2000

HEAD GLOBAL HUMERAL 44 X 18MM^1128-44-110 2000

HEAD GLOBAL HUMERAL 44 X 21MM^1128-44-020 2000

HEAD GLOBAL HUMERAL 48 X 15MM^1128-48-000 2000

HEAD GLOBAL HUMERAL 48 X 18MM^1128-48-010 2000

HEAD GLOBAL HUMERAL 48 X 18MM^1128-48-110 2000

HEAD GLOBAL HUMERAL 48 X 21MM^1128-48-020 2000

HEAD GLOBAL HUMERAL 52 X 15MM^1128-52-000 2000

HEAD GLOBAL HUMERAL 52 X 18MM^1128-52-010 2000

HEAD GLOBAL HUMERAL 52 X 18MM^1128-52-110 2000

HEAD GLOBAL HUMERAL 52 X 21MM^1128-52-020 2000

HEAD GLOBAL HUMERAL 56 X 15MM^1128-56-000 2000

HEAD GLOBAL HUMERAL 56 X 18MM^1128-56-010 2000

HEAD GLOBAL HUMERAL 56 X 21MM^1128-56-020 2000

HEAD HUM 26MM THCK 50MM DIA^520-50-026 2000

HEAD HUM 42X20 THCK^520-42-120 2000

HEAD HUM 46MM 20MM THCK^520-46-120 2000

HEAD HUM 50 DIA 26MM THCK^520-50-126 2000

HEAD HUM 50X18^520-50-018 2000

HEAD HUM 54 DIA^520-54-018 2000

HEAD HUM DELTA XTEND DIA 38/+6R^130738106 2000

HEAD HUM EQUINOXE SHORT 41MMX16MM^310-01-41 1976

HEAD HUM EQUINOXE SHORT 44X17^310-01-44 1976

HEAD HUM GLOBAL UNITE SZ 40X15 -MFRCAT# 1100-40-600^1100-40-600 2000

HEAD HUM GLOBAL UNITE SZ 40X15^1100-40-500 2000

HEAD HUM GLOBAL UNITE SZ 40X18^1100-40-510 2000

HEAD HUM GLOBAL UNITE SZ 44X15^1100-44-500 2000

HEAD HUM GLOBAL UNITE SZ 44X15^1100-44-600 2000

HEAD HUM GLOBAL UNITE SZ 44X18- MFRCAT# 1100-44-610^1100-44-610 2000

HEAD HUM GLOBAL UNITE SZ 44X18^1100-44-510 2000

HEAD HUM GLOBAL UNITE SZ 44X21^1100-44-520 2636

HEAD HUM GLOBAL UNITE SZ 48 15MM^1100-48-500 2000

HEAD HUM GLOBAL UNITE SZ 48 18mm^1100-48-510 2000

HEAD HUM GLOBAL UNITE SZ 48X15^1100-48-600 2000

HEAD HUM GLOBAL UNITE SZ 48X18 -MFRCAT# 1100-48-610^1100-48-610 2000

HEAD HUM GLOBAL UNITE SZ 52 18MM^1100-52-510 2000

HEAD HUM GLOBAL UNITE SZ 52 X 21mm^1100-52-520 2000

HEAD HUM GLOBAL UNITE SZ 52X15^1100-52-600 2000

HEAD HUM NEUTRAL 38X18^520-38-018 2000

HEAD HUM NEUTRAL 42MM 16MM THCK^520-42-016 2000

HEAD HUM NEUTRAL 42MM^520-42-020 2000

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HEAD HUM NEUTRAL 46DIA X 24 THICK^520-46-024 2000

HEAD HUM NEUTRAL 46MM^520-46-016 2000

HEAD HUM NEUTRAL 46MMX20MM^520-46-020 2000

HEAD HUM PLUS PROMOS R25/H20+4^75006711 1400

HEAD HUM REUNION SGL RAD TSA SZ 48 18MM^5552-E-4818 1546

HEAD HUM REUNION TSA SGL RAD SZ44 19MM^5552-S-4419 1546

HEAD HUM REUNION TSA SZ 48 24MM^5552-S-4824 1546

HEAD HUM SGL RAD REUNION TSA SZ40 17MM^5552-S-4017 1546

HEAD HUM SGL RADIUS REUNION TSA SZ 44^5552-S-4422 1546

HEAD HUM SNGL RAD REUNION SZ 40 14MM^5552-S-4014 1546

HEAD HUMERAL 45MM^5350-4521 1546

HEAD HUMERAL BEARING 40MM^5350-4018 1546

HEAD HUMERAL BEARING 45MM^5350-4518 1546

HEAD HUMERAL -MFRCAT# AR-9146-18P^AR-9146-18P 3098

HEAD HUMERAL -MFRCAT# AR-9148-21P^AR-9148-21P 3098

HEAD HUMERAL OFFSET 50 X 18 520-50-318 1800

HEAD HUMERAL RESURF COPELAND SZ 7^11-114647 9724

HEAD HUMERAL SHOULDER 40MM^5350-4015 1546

HEAD HUMERAL SHOULDER 55X18MM^5350-5518 1546

HEAD HUMERAL SHOULDER 55X21MM^5350-5521 1546

HEAD HUMERAL SHOULDER 55X24MM^5350-5524 1546

HEAD HUMERAL SHOULDER 55X34MM^5350-5534 1546

HEAD HUMERAL SHOULDER SOLAR SYS 45 OFFSET^5352-4515 1546

HEAD HUMERAL SOLAR 40X12^5350-4012 1546

HEAD HUMERAL USP II - 54/21 AR-9154-21P 3098

HEAD HUMERAL USP II 42/17^AR-9142-17P 3098

HEAD HUMERAL USP II 48/19 AR-9148-19P 3098

HEAD HUMERAL USP II HUMERAL 40/17^AR-9140-17P 3098

HEAD HUMERAL USP II -MFRCAT# AR-9148-23P^AR-9154-23P 3098

HEAD HUMERAL^5350-4515 1546

HEAD HUMERAL^5350-5018 1546

HEAD HUMERAL^5350-5024 1546

HEAD HUMERAL^5350-5028 1546

HEAD METAL UNIVERS FRACTURE 51/22^AR-9151-22F 2213

HEAD MOD FEM OXINIUM 28MM +0^71342800 1751

HEAD MOD FEM OXINIUM 28MM +12^71342812 1751

HEAD MOD FEM OXINIUM 28MM +16^71342816 1751

HEAD MOD FEM OXINIUM 28MM +4^71342804 1751

HEAD MOD FEM OXINIUM 28MM +8^71342808 1751

HEAD MOD FEM OXINIUM 28MM -3^71342803 1751

HEAD MOD FEM OXINIUM 40MM^71342340 1648

HEAD MOD OXINIUM 32MM +0^71343200 1751

HEAD MOD OXINIUM 32MM +12^71343212 1751

HEAD MOD OXINIUM 32MM +4^71343204 1751

HEAD MOD OXINIUM 32MM +8^71343208 1751

HEAD MOD OXINIUM 32MM -3^71343203 1751

HEAD MOD OXINIUM 36MM +0^71343600 1751

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HEAD MOD STD 36MM^11-363662 3466

HEAD MODULAR COCR 32MM +3^163670 1350

HEAD MODULAR COCR 32MM +6^163674 1350

HEAD MODULAR ENDO 46MM^22-0046 364

HEAD MODULAR ENDO 47MM^22-0047 364

HEAD MODULAR ENDO 52MM^22-0052 364

HEAD OXINIUM UNIPOLAR 48MM^71321048 1751

HEAD OXINIUM UNIPOLAR 54mm^71321054 1751

HEAD RAD EXPLORE 10X22^11-210031 4000

HEAD RADIAL 12X24^11-210042 4000

HEAD RADIAL 14X24^11-210043 2622

HEAD RADIAL 16.5 COCR 22MM STER^09.402.422S 3283

HEAD RADIAL 22MM - STERILE^09.402.022S 3283

HEAD RADIAL 24MM STERILE^09.402.024S 3283

HEAD RADIAL EXPLOR 10X20^11-210022 4000

HEAD RADIAL EXPLORE 12X22^11-210032 4000

HEAD RADIAL EXT 14.5 22MM STERILE^09.402.222S 3283

HEAD RADIAL HT EXT 20MMX14MM STER^09.402.220S 3283

HEAD RADIAL HT EXT 28mmX16mm STER^09.402.228S 3283

HEAD RADIAL LONG 20MM^MRH-350-20L 4968

HEAD RADIAL STD 20MM COCR 16.0 STER^09.402.420S 3283

HEAD RADIAL STD 20MM^MRH-350-20S 4338

HEAD RADIAL STD 20X12.0 STERILE^09.402.020S 3283

HEAD REUNION SGL RAD HUMERAL SZ 48 15mm^5552-S-4815 1546

HEAD REUNION SGL RAD HUMERAL SZ 48 18MM^5552-S-4818 1546

HEAD REUNION TSA HUMERAL SZ 56 22MM^5552-S-5622 1546

HEAD REUNION TSA HUMERAL SZ52 17MM^5552-S-5217 1546

HEAD REUNION TSA HUMERAL SZ52 20mm^5552-S-5220 1546

HEAD REUNION TSA SGL RAD HUMERAL SZ 48 21MM^5552-S-4821 1546

HEAD SHOULDER HUMERAL 45/12^5350-4512 1546

HEAD SHOULDER HUMERAL^5350-5015 1546

HEAD SHOULDER HUMERAL^5350-5021 1546

HEAD UHR UNIVERSAL 26/41MM^UH1-41-26 1050

HEAD UHR UNIVERSAL 26/42MM^UH1-42-26 1050

HEAD UHR UNIVERSAL 26/43MM^UH1-43-26 1050

HEAD UHR UNIVERSAL 26/44MM^UH1-44-26 1050

HEAD UHR UNIVERSAL 26/45MM^UH1-45-26 1050

HEAD UHR UNIVERSAL 26/46MM^UH1-46-26 1050

HEAD UHR UNIVERSAL 26/48MM^UH1-48-26 1050

HEAD UHR UNIVERSAL 26/49MM^UH1-49-26 1050

HEAD UHR UNIVERSAL 26/50MM^UH1-50-26 1050

HEAD UHR UNIVERSAL 26/53MM^UH1-53-26 1050

HEAD UHR UNIVERSAL 26/55MM^UH1-55-26 1050

HEAD UHR UNIVERSAL 26MM/47MM^UH1-47-26 1050

HEAD UHR UNIVERSAL 26MM/51MM^UH1-51-26 1050

HEAD UHR UNIVERSAL 28/44MM^UH1-44-28 1050

HEAD UHR UNIVERSAL 28/45MM^UH1-45-28 1050

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HEAD UHR UNIVERSAL 28/46MM^UH1-46-28 1050

HEAD UHR UNIVERSAL 28/48MM^UH1-48-28 1050

HEAD UHR UNIVERSAL 28/49MM^UH1-49-28 1050

HEAD UHR UNIVERSAL 28/50MM^UH1-50-28 1050

HEAD UHR UNIVERSAL 28/51MM^UH1-51-28 1050

HEAD UHR UNIVERSAL 28/53MM^UH1-53-28 1050

HEAD UHR UNIVERSAL 28/54MM^UH1-54-28 1050

HEAD UHR UNIVERSAL 28/55MM^UH1-55-28 1050

HEAD UHR UNIVERSAL 28/56MM^UH1-56-28 1082

HEAD UHR UNIVERSAL 28/58MM^UH1-58-28 1050

HEAD UHR UNIVERSAL 28/61MM^UH1-61-28 1050

HEAD UHR UNIVERSAL 28MM/47MM^UH1-47-28 1050

HEAD UHR UNIVERSAL 52MM/26MM^UH1-52-26 1050

HEAD UHR UNIVERSAL 52MM/28MM^UH1-52-28 1050

HEAD UHR UNIVERSAL 54/26MM^UH1-54-26 1050

HEAD UHR UNIVERSAL 56/26MM^UH1-56-26 1050

HEAD UHR UNIVERSAL 56/28MM^UH1-56-28 1082

HEAD UHR UNIVERSAL 58/26MM^UH1-58-26 1050

HEAD UNIPOLAR 41MM +5^23-4105 562

HEAD UNIPOLAR 42MM^126642 721

HEAD UNIPOLAR 43MM +0^23-4300 562

HEAD UNIPOLAR 43MM^126643 721

HEAD UNIPOLAR 44MM +0^23-4400 562

HEAD UNIPOLAR 44MM +5^23-4405 562

HEAD UNIPOLAR 45MM^126645 721

HEAD UNIPOLAR 47MM^126647 721

HEAD UNIPOLAR 48MM +5^23-4805 562

HEAD UNIPOLAR 48MM^126648 721

HEAD UNIPOLAR 49MM +0^23-4900 562

HEAD UNIPOLAR 49MM +5^23-4905 562

HEAD UNIPOLAR 49MM^126649 721

HEAD UNIPOLAR 50MM +0^23-5000 562

HEAD UNIPOLAR 51 +5^23-5105 562

HEAD UNIPOLAR 51^23-5100 562

HEAD UNIPOLAR 52^23-5200 562

HEAD UNIPOLAR 52MM +5^23-5205 562

HEAD UNIPOLAR 53MM +0^23-5300 562

HEAD UNIPOLAR 55MM +5^23-5505 562

HEAD UNIPOLAR 55MM^23-5500 562

HEAD UNIPOLAR 56MM +0^23-5600 713

HEAD UNIPOLAR 56MM +05^23-5605 562

HEAD UNIPOLAR CO-CR 40MM^126640 721

HEAD UNIPOLAR CO-CR 41MM^126641 721

HEAD UNIPOLAR CO-CR 44MM^126644 721

HEAD UNIPOLAR CO-CR 46MM^126646 721

HEAD UNIPOLAR CO-CR 50MM^126650 721

HEAD UNIPOLAR CO-CR 53MM^126653 721

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HEAD UNIPOLAR CO-CR 54MM^126654 721

HEAD UNIPOLAR CO-CR 57MM^126657 721

HEAD UNIPOLAR COCR 59MM^126659 721

HEAD UNIPOLAR CO-CR 61MM^126661 721

HEAD UNIPOLAR SZ 5 46MM 0MM^576-05-146 2967

HEAD UNIPOLAR TAPER +0^126652 721

HEAD UNIV FEMORAL 26MM^129933 824

HEAD UNIV FEMORAL 28mm +0^129935 824

HEAD UNIV FEMORAL 28mm +12^71322812 824

HEAD UNIV FEMORAL 28MM +16^71322816 824

HEAD UNIV FEMORAL 28MM +4^129936 824

HEAD UNIV FEMORAL 28MM +8^129937 824

HEAD UNIV FEMORAL 32MM +4^129965 824

HEAD UNIVERS II HUMERAL 56/22 AR-9156-22P 3098

HEAD UNIVERS II HUMERAL 56/24 AR-9156-24P 3098

HEAD VERSA DIAL 42 X 18^113032 4043

HEAD VERSA DIAL 42 X 21^113034 4043

HEAD VERSA DIAL 42X24^113036 4043

HEAD VERSA DIAL 46MM^113042 4043

HEAD VERSA DIAL 46X21X50^113044 4043

HEAD VERSA DIAL 46X24X47^113046 4043

HEAD VERSA DIAL 50X57^113053 4043

HEAD VERSA DIAL 54X24X58^113065 4043

HEAD VERSA DIAL 54X27X55^113067 4043

HEAD VERSA DIAL 54X64^113063 4043

HEAD VERSA DIAL 58X24X64^113075 4043

HEAD ZIRCONIA FEMORAL 28MM +0^71320028 1751

HEAD ZIRCONIA FEMORAL 28MM +4^71320428 1751

HEAD ZIRCONIA FEMORAL 28MM +8^427820 1855

HEAD ZIRCONIA FEMORAL 28MM +8^71320828 1751

HEAD/NECK BI-METRIC FEMORAL 40^162381 3990

HEALICOIL ANCHOR 5.5 W/2 UB-BL BLK^72203706 600

HEALICOIL PK 5.5 W/UB2-BL^72203984 640

HEALICOIL PK 5.5 W/UB2-CBR^72203983 640

HEALICOIL RG SA 5.5MM W/3 BLK - MFRCAT# 72203707^72203707 630

HEALICOIL RSB SA 4.75MM W/1 UT \T\ 1 UB BL^72203697 660

HEALICOIL RSB SA 4.75MM W/1 UT \T\ 1 UB BLK^72203705 660

HEALICOIL RSB SA 5.5mm W/1 UT \T\ 1 UB BL^72203801 660

HEALICOIL RSB SA 5.5mm W/1 UT \T\ 1 UB BLK^72203708 660

HELICAL BLADE TFNA 110MM STERILE^04.038.310S 1387

HELIFX APPLIER W/ENDOANCHORS^SA-85 8800

Heliox - $ Medical Gasses 288

Hemodialysis Unscheduled Emergency - Dialysis Charges 903

Hemorrhoid Banding GI Lab 1401

Heparin 10 ml 18

Hepatitis B Admin 43

Hepatitis B vaccine administration 43

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HFO FLEX GLOVE PREFAB 103

HFO NONTORSION JT W/BANDS 90

HFO W/O JNTS PREFAB CST 96

HFO W/O JTS CUSTOM 289

HINDFOOT TI ARTHRODESIS CANN NAIL-EX 13MM 180MM/RT 04.008.316S 3578

HINGE TOE SWANSON SIZE 3-0^4260030 2294

HIP COMP REST MOD PROX CONE BODY 27mm +10^6276-1-127 9112

HIP COMP REST MOD CONICAL DISTAL STEM 16mmX155mm^6276-7-016 6529

HIP PORFEM W/OXIHD, R3 XLPE \T\ R3 MULTI^71705318 9400

HIP POROUSFEM W/OXINIUMHD \T\ XLPELINER^71701018 9400

Hip Resurfacing^Hip Resurfacing S-N 15600

Hip Resurfacing^Hip Resurfacing STRYKER 16068

HIP STEM ANATO SIZE 6^4845-7-116 5000

HIP STEM ANATO SIZE 7^4845-7-117 5000

HIP TANDEM BIPOLAR POROUS FEM W/COCRHD^71701450 7159

HIP TOTAL CMTD FEM W/COCR HEAD \T\ XLPE LINER^71701012 6600

HIP TOTAL CMTD FEM W/OXINIUMHD \T\ XLPE LINER^71701016 7000

HIP TOTAL UNIPOLAR MEDIUM DMD^71701030 3605

HIP TOTAL UNIPOLOAR HIGH DMD^71701035 6077

HIP UNIPOLAR CEMENTED^71701025 2524

HMRL BEARING 36 MM +3 VITE 110031425 3432

HMRL BEARING 38mm STD PRRLING^110031418 2262

HMRL BEARING 40 MM STD VITE 110031427 3432

HMRL BEARING 40mm STD PRRLING^110031421 2262

HMRL TRAY STD +5^110031400 3874

HMRL TRAY STD^110031399 3874

HO WO JOINTS CUSTOM 289

HOLE COVER THR Hybrid Metal Head^HC THR HMH 103

HOLE COVER THR Hybrid Metal Premium Head^HC THR HM PREM 103

HOLE COVER THR Premium Metal^HC THR PM PREM 103

Home Sleep Test 527

HUM COMP STEM SZ 5 150MM -MFRCAT# 00-8400-045-15^00-8400-045-15 8500

HUM COMP STEM SZ 6 100MM^00-8400-046-10 8500

HUM HEAD GLOBAL UNITE SZ 56mm X 18mm^1100-56-510 2000

HUM HEAD GLOBAL UNITE SZ56MMX21MM^1100-56-520 2000

HUMERAL BEARING STD 44/41^EP-115396 3432

HUMERAL COMP NEXEL ELBOW SZ 5^00-8400-045-10 8500

HUMERAL COMP NEXEL ELBOW SZ4^00-8400-044-10 8500

HUMERAL COMPONENT ELBOW SOLAR^5005-002R 8126

HUMERAL CONSTRND COMBO INSERT 36 +6 / 33 AR-9503-3633-6C 1797

HUMERAL HEAD REUNION TSA - SR STANDARD HUMERAL HEAD 40X20^5552-S-4020 1546

HUMERAL HEAD UNIVERS USP II 52/20 AR-9152-20P 3098

HUMERAL HEAD USP II 44/17^AR-9144-17P 3098

HUMERAL HEAD USP II 50/21 AR-9150-21P 3098

HUMERAL HEAD USP II HUMERAL 44/19^AR-9144-19P 3098

HUMERAL HEAL UNIVERS SHOULDER^AR-9152-22P 3098

HUMERAL INSERT COMBO 36 +3 / 33^AR-9503-3633-3 1797

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HUMERAL INSERT COMBO 36 +6 / 33 AR-9503-3633-6 1797

HUMERAL INSERT M/39 +6 TO FIT IN 39 CUP^AR-9503M-06 1797

HUMERAL INTERCH ASSY REG 4 in COONRAD/MORREY^32-8105-26-04 12360

HUMERAL INTERCHANGEABLE ASSY EXTRA SML 4 in^32-8105-027-04 7000

HUMERAL INTERCHANGEABLE ASSY SM 4 in^32-8105-025-04 7000

HUMERAL INTERCHANGEABLE ASSY SML 8 in^32-8105-035-08 7000

HUMERAL NECK NEUTRAL 520-07-000 800

HUMERAL UNIVERS REVERS STEM, SIZE 12 AR-9501-12P 4398

HYDROXYAPATITE SPHERE /PEG 16^16MMP 1300

HYDROXYAPATITE SPHERE /PEG 18^18MMP 1300

HYDROXYAPATITE SPHERE /PEG 22^22MMP 1300

HYDROXYAPATITE SPHERE /PEG 24^24MMP 1300

HYPERBARIC O2 PER 30MIN 460

I-123 Capsule 100 uCi^102337 200

I-123 USP NaI 200 uCi CAP^102338 200

I-131 DIAGNOSTIC CAP^102367 159

I-131 USP NaI TX CAP 1-6 mCi^102372 A 100

I-131 USP NaI TX CAP ADDL^102372 B 90

IBC 23X10X10 FA^CEB231010A 22588

IBE AAA CAPPED PRICING CASE^IBE CAPPED PRICE 25000

Ileoscopy 1604

ILIAC ANGIO W CARDIAC BIL 1645

ILIAC ANGIO W CARDIAC RT 1097

ILIAC CREST WEDGE 13-15MM FROZEN^400405 1814

ILIAC EXT OVATION IX 22X45 -MFRCAT# TV-EX222245-J^TV-EX222245-J 8998

ILIAC LEG CONTRALATERAL 12MM^TFLE-12-105 5400

ILIAC LEG CONTRALATERAL 22mm^TFLE-22-88 5400

ILIAC LEG EXTENSION^ESLE-12-55 3000

ILIAC LEG LPSILATERAL 14MM^TFLE-14-54 5400

ILIAC LEG LPSILATERAL 16mm^TFLE-16-37 5400

ILIAC LEG LPSILATERAL 18mm^TFLE-18-37 5400

ILIAC LEG LPSILATERAL 24mm^TFLE-24-71 5728

IMMOBILIZER ELBOW \T\ WRIST PED^50-5004 25

IMMOBILIZER SHOULDER LARGE^9008-03 32

IMMOBILIZER SHOULDER MEDIUM^9008-02 32

IMMOBILIZER SHOULDER SMALL^9008-01 32

IMMOBILIZER SHOULDER XLARGE^9008-04 32

IMPELLA RP US PUMP SET^004334 50000

IMPLANKIT ELITE COMPRESS 20X20X20 - MFRCAT# EL-2020S2^EL-2020S2 3100

IMPLANT ANATOEMIC 21.5MM^AR-9500-215 1230

IMPLANT BIO-INDUCTIVE LARGE W/ARTH DEL 4566 4800

IMPLANT BIO-INDUCTIVE LARGE^2169-3 4800

IMPLANT BIO-INDUCTIVE MEDIUM^2169-2 5200

IMPLANT BREAST MEMORY SHAPE MED HGHT MOD PLUS PROJE SILICONE 585CC^334-1455 2730

IMPLANT BREAST MEMORY SHAPE MEDIUM HEIGHT MODERATE PLUS PROJECTION SILICONE 2730

IMPLANT BREAST MEMORY SHAPE MEDIUM HEIGHT MODERATE PLUS PROJECTION SILICONE 2730

IMPLANT BREAST MEMORY SHAPE MEDIUM HEIGHT MODERATE PLUS PROJECTION SILICONE 2730

Page 137: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

IMPLANT BREAST MEMORY SHAPE SIZE 495CC^334-1302 2730

IMPLANT BREAST MEMORY SHAPE SZ 555CC^334-1352 2730

IMPLANT BREAST MEMORY SHAPE SZ 620CC^334-1402 2730

IMPLANT BREAST MEMORY SHAPE SZ 680CC^334-1509 2730

IMPLANT BREAST MEMORY SHAPE SZ 685CC^334-1452 2730

IMPLANT BREAST MEMORYSHAPE MM SZ355CC^354-1308 2730

IMPLANT BREAST MEMORYSHAPE MM SZ395CC^354-1358 2730

IMPLANT BREAST MEMORYSHAPE TM+ SZ395cc^334-1259 2730

IMPLANT BREAST MEMORYSHAPE TM+ SZ495CC^334-1359 2730

IMPLANT BREAST MEMORYSHAPE TM+ SZ555CC^334-1409 2730

IMPLANT BREAST MEMORYSHAPE TM+ SZ615CC^334-1459 2730

IMPLANT BREAST MOD CLASSIC 235CC^350-7235MC 1750

IMPLANT BREAST MOD CLASSIC 275CC^350-7275MC 1750

IMPLANT BREAST SMOOTH MODERATE PLUS XTRA 440CC SMPX-440 2160

IMPLANT BREAST SMOOTH MODERATE PLUS XTRA 465cc SMPX-465 2160

IMPLANT CIRCLING BAND 240STYLE^240 29

IMPLANT CONTROL 360 ANATOMIC BIPLANAR^SK12 7000

IMPLANT DOGBONE BUTTON^AR-2270 620

IMPLANT ENVELOPE NEURO TYRX ABSORB LG NMRM6133 1790

IMPLANT EXTRA SMOOTH FULL COHESIVE 495CC^SCX-495 2250

IMPLANT EXTRA SMOOTH FULL COHESIVE 525CC^SCX-525 2250

IMPLANT EXTRA SMOOTH FULL COHESIVE 545CC^SCX-545 2250

IMPLANT FLEXIBLE HINGE TOE^G4260101 2294

IMPLANT GLENOSPHERE - 32mm DIA X 2mm THK CONCENTRIC^5573-C-3202 2500

IMPLANT IFUSE 7X35^7035-90 7000

IMPLANT IFUSE 7X40^7040-90 7000

IMPLANT IFUSE 7X45^7045-90 7000

IMPLANT IFUSE 7X50^7050-90 7000

IMPLANT IFUSE 7X55^7055-90 7000

IMPLANT IFUSE 7X60^7060-90 7000

IMPLANT IFUSE M 7X35 -MFRCAT 7035M-90^7035M-90 9000

IMPLANT IFUSE M 7X40 -MFRCAT 7040M-90^7040M-90 9000

IMPLANT IFUSE M 7X45 - MFRCAT 7045M-90^7045M-90 9000

IMPLANT IFUSE-3D 7X50 - MFRCAT 7050M-90^7050M-90 9000

IMPLANT KIT ELITE COMPRESS 25X20X20X20X20MM 4 LEGS - MFRCAT# EL-2520S4^EL-2520S4 3159

IMPLANT KIT PARS SUTURE^AR-8860DS 1328

IMPLANT LOW HEIGHT FULL EXTENSION ANATOMICAL STYLE 410 365CC^LX-410365 2250

IMPLANT LOW HEIGHT FULL EXTENSION ANATOMICAL STYLE 410 405CC^LX-410405 2250

IMPLANT LOW HEIGHT FULL PROJECTION SILICONE 440CC^LF-410440 2250

IMPLANT LOW HEIGHT FULL PROJECTION SILICONE 490CC^LF-410490 2250

IMPLANT LOW HEIGHT FULL PROJECTION SILICONE 540CC^LF-410540 2250

IMPLANT MEMORY GEL SMTH RND ULTRAHI 700CC^350-5700BC 1910

IMPLANT MEMORY GEL SMTH RND ULTRAHI 750CC^350-5750BC 1910

IMPLANT MEMORY GEL SMTH RND ULTRAHI 800CC^350-5800BC 1910

IMPLANT MEMORYGEL SMOOTH ROUND ULTRA HIGH BREAST 430cc^3505430 BC 1910

IMPLANT MEMORYGEL SMOOTH ROUND ULTRA HIGH BREAST 455cc^3505455 BC 1910

IMPLANT MEMORYGEL SMOOTH ROUND ULTRA HIGH BREAST 480cc^3505480 BC 1910

Page 138: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

IMPLANT MEMORYGEL SMOOTH ROUND ULTRA HIGH PROFILE 400CC^350-5400BC 1910

IMPLANT MEMORYGEL SMOOTH ROUND ULTRA HIGH PROFILE 430CC^350-5430BC 1910

IMPLANT MEMORYGEL SMOOTH ROUND ULTRA HIGH PROFILE 455CC^350-5455BC 1910

IMPLANT MEMORYGEL SMOOTH ROUND ULTRA HIGH PROFILE 480CC^350-5480BC 1910

IMPLANT MEMORYGEL SMTH RND ULTRAHIGH 650CC^350-5650BC 1910

IMPLANT MOD CLASSIC 130CC^350-7130MC 1750

IMPLANT MOD CLASSIC 150cc^350-7150MC 1750

IMPLANT MOD CLASSIC 170CC^350-7170MC 1750

IMPLANT MOD CLASSIC 190cc^350-7190MC 1750

IMPLANT MOD CLASSIC GEL 215CC^350-7215MC 1750

IMPLANT MOD CLASSIC GEL 255CC^350-7255MC 1750

IMPLANT MOD CLASSIC GEL 300CC^350-7300MC 1750

IMPLANT MOD HEIGHT FULL EXTENSION ANATOMICAL STYLE 410 325CC^MX-410325 2250

IMPLANT MOD HEIGHT FULL EXTENSION ANATOMICAL STYLE 410 370CC^MX-410370 2250

IMPLANT MOD HEIGHT FULL EXTENSION ANATOMICAL STYLE 410 410CC^MX-410410 2250

IMPLANT MOD HEIGHT FULL EXTENSION ANATOMICAL STYLE 410 445CC^MX-410445 2250

IMPLANT NATRELLE FULL SMOOTH COHESIVE 325cc SCF-325 2190

IMPLANT NATRELLE FULL SMOOTH COHESIVE 415CC^SCF-415 2250

IMPLANT NATRELLE FULL SMOOTH COHESIVE 450CC^SCF-450 2250

IMPLANT NATRELLE FULL SMOOTH COHESIVE 485CC^SCF-485 2250

IMPLANT NATRELLE FULL SMOOTH COHESIVE 520CC SCF-520 2190

IMPLANT NATURELLE SMOOTH ROUND COHESIVE 560^SCX-560 2250

IMPLANT NATURELLE SMOOTH ROUND COHESIVE 580^SCX-580 2250

IMPLANT NATURELLE SMOOTH ROUND COHESIVE 615^SCX-615 2250

IMPLANT NATURELLE SMOOTH ROUND COHESIVE 650^SCX-650 2250

IMPLANT NATURELLE SMOOTH ROUND COHESIVE 700^SCX-700 2250

IMPLANT NATURELLE SMOOTH ROUND COHESIVE 750^SCX-750 2250

IMPLANT PROPEL 8mm CONTOUR MOMETASONE FUROATE^50011 1500

IMPLANT PROS MEDIUM HEIGHT MODERATE PROJECTION GEL 400CC^MM-410400 2250

IMPLANT RETINAL 276 STYLE^276 39

IMPLANT SACROILIAC FUSION 12X40 -MFRCAT# 74200001240^74200001240 4400

IMPLANT SACROILIAC FUSION RIALTO 12X50 -MFRCAT# 74200001250^74200001250 4400

IMPLANT SACROILIAC FUSION RIALTO 12X60 -MFRCAT# 74200001260^74200001260 4400

IMPLANT SCELERA STRIP^220 32

IMPLANT SCP KNEE 5CC KIT^414.503 8150

IMPLANT SET W BONE AND TENDON STAPLES^2516-1 2000

IMPLANT SILICONE MCP SZ 00^MCP-00 3314

IMPLANT SILICONE MCP SZ 10^MCP-10 2104

IMPLANT SILICONE MCP SZ 20^MCP-20 1949

IMPLANT SILICONE MCP SZ 30^MCP-30 1949

IMPLANT SILICONE MCP SZ 40^MCP-40 1949

IMPLANT SILICONE MCP SZ 50^MCP-50 1949

IMPLANT SILICONE SLEEVE 70^270 23

IMPLANT SILICONE SLEEVE^70 22

IMPLANT SILICONE STRIP 5/BX^41 31

IMPLANT SMART TOE XS^ST0XS-13 1463

IMPLANT SMART-TOE ANGLED 10 DEGREES SZ 16^ST0A-16P 1463

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Description CPT-4 Base Price Schedule

IMPLANT SMART-TOE ANGLED 10 DEGREES SZ 19^ST0A-19P 1463

IMPLANT SMART-TOE ANGLED 10DEG SZ 15^ST0A-15P 1463

IMPLANT SMART-TOE STRAIGHT SZ 16^ST0-16P 1463

IMPLANT SMART-TOE STRAIGHT SZ 19^ST0-19P 1463

IMPLANT SMOOTH MOD PLUS GEL 300CC^350-3001BC 1030

IMPLANT SMOOTH MOD PLUS GEL 325CC^350-3251BC 1030

IMPLANT SMOOTH MOD PLUS GEL 350CC^350-3501BC 1030

IMPLANT SMOOTH MOD PLUS GEL 375CC^350-3751BC 1030

IMPLANT SMOOTH MOD PLUS GEL 400CC^350-4001BC 1910

IMPLANT SMOOTH MOD PLUS GEL 425CC^350-4251BC 1910

IMPLANT SMOOTH MOD PLUS GEL 450CC^350-4501BC 1910

IMPLANT SMOOTH MOD PLUS GEL 475CC^350-4751BC 1910

IMPLANT SMOOTH MOD PLUS GEL 500CC^350-5001BC 1800

IMPLANT SMOOTH MOD PLUS GEL 525CC^350-5251BC 1800

IMPLANT SMOOTH MOD PLUS GEL 550CC^350-5501BC 1800

IMPLANT SMOOTH MOD PLUS GEL 600CC^350-6001 BC 1800

IMPLANT SMOOTH ROUND HIGH PROFILE 380CC SHPX-380 2160

IMPLANT SMOOTH ROUND HIGH PROFILE 490CC^SHPX490 2100

IMPLANT SMOOTH ROUND HIGH PROFILE 535CC^SHPX535 2100

IMPLANT SMOOTH ROUND HIGH PROFILE 560CC^SHPX560 2100

IMPLANT SMOOTH ROUND HIGH PROFILE 595CC^SHPX-595 2100

IMPLANT SMOOTH ROUND HIGH PROFILE 650CC^SHPX-650 2100

IMPLANT SMOOTH ROUND HIGH PROFILE 700CC^SHPX-700 2100

IMPLANT SMOOTH ROUND HIGH PROFILE 755CC^SHPX-755 2100

IMPLANT SMOOTH ROUND HIGH PROFILE 790CC^SHPX-790 2100

IMPLANT SMOOTH ROUND MODERATE PLUS XTRA 525cc SMPX-525 2160

IMPLANT SMOOTH ROUND MODERATE PLUS XTRA 560cc^SMPX-560 2160

IMPLANT SMOOTH ROUND SPECTRUM 225cc^350-1430 1730

IMPLANT SPEED STAPLE 9X10X10^SE-0910 1555

IMPLANT STAR SLIDING CORE 6MM^400-140 3208

IMPLANT STAR TALAR SZ SM RT^400-254 10071

IMPLANT STYLE 410 GEL SZ 310^FM-410310 2250

IMPLANT STYLE 410 GEL SZ 350^FM-410350 2250

IMPLANT STYLE 410 GEL SZ 360CC^FX-410360 2250

IMPLANT STYLE 410 GEL SZ 395^FM-410395 2250

IMPLANT STYLE 410 GEL SZ 410CC^FX-410410 2250

IMPLANT STYLE 410 GEL SZ 450CC^FX-410450 2250

IMPLANT STYLE 410 GEL SZ 495CC^FX-410495 2250

IMPLANT STYLE 410 SILICONE 595CC^FF-410595 2250

IMPLANT STYLE 410 SILICONE 655CC^FF-410655 2250

IMPLANT STYLE 410 SILICONE 740CC^FF-410740 2250

IMPLANT STYLE 410 SILICONE FILLED FULL HEIGHT FULL PROJECTION 425CC^FF-410425 2250

IMPLANT STYLE 410 SILICONE FILLED FULL HEIGHT FULL PROJECTION 475CC^FF-410475 2250

IMPLANT STYLE 410 SILICONE FILLED FULL HEIGHT FULL PROJECTION 535CC^FF-410535 2250

IMPLANT STYLE 410 SILICONE FULL HEIGHT FULL PROJECTION 375CC^FF-410375 2250

IMPLANT SYS ACUTE AC REPAIR^AR-2271 1991

IMPLANT SYS CPR MINI SCORPION^AR-8690DS 1900

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Description CPT-4 Base Price Schedule

IMPLANT SYS INTERNAL BRACE KNEE LIG AUG^AR-5511-CP 2115

IMPLANT SYS INTERNALBRACE ARTHRX^AR-1688-CP 1903

IMPLANT SYS UCL INTERNALBRACE^AR-7715 2087

IMPLANT TESTICULAR LARGE 2.9CM/4.5CM^450-1329 3820

IMPLANT TESTICULAR MEDIUM 2.7CM/4.0CM^450-1327 3820

IMPLANT TIRE^287 39

IMPLANT TRANSFIX 3MM X 40MM^AR-1351 280

IMPLANT TRANSFIX 3MM X 50MM^AR-1351L 280

IMPLANT TRANSFIX PLLA 5MM X 40MM^AR-1351B 512

IMPLANT TRANSFIX PLLA 5MM X 50MM^AR-1351LB 512

IMPLANT ULTRA HIGH SILICONE 480CC^350-5480 1910

IMPLANT ULTRA HIGH SILICONE 535CC^350-5535 1910

IMPLANT ULTRA HIGH SILICONE 590CC^350-5590 1910

IMPLANTED PROSTHETIC IPB**OR ONLY**^JMCGH 0.01

Incision of lingual frenum (frenotomy) 1909

Influenza Admin 43

influenza Vaccine Administration 43

INFUSE BONE GRAFT LARGE II^7510800 11470

INFUSE BONE GRAFT LARGE^7510600 11470

INFUSE BONE GRAFT MEDIUM^7510400 10290

INFUSE BONE GRAFT SMALL^7510200 7390

INFUSE BONE GRAFT X SMALL^7510100 3700

INFUSE BONE GRAFT XX SMALL^7510050 1850

Initial Nursing Assessment - L&D Charges 195

INJ ANES EPID CRV/THRC ADL W ULTRASOUND 1285

INJ ANES EPID CRV/THRC SGL W ULTRASOUND 1440

INJ ANES EPID LUM/SAC ADL W ULTRASOUND 805

INJ ANES EPID LUM/SAC SGL W ULTRASOUND 1602

INJ ARTH SI JNT W/IM GUID 652

INJ CONTINUOUS INFUSION 874

INJ DELIVERY EPIDURAL 984

INJ INTERLAM CRV/THRC W IMAG 987

INJ INTERLAM CRV/THRC WO IMAG 1089

Inj interlam lmbr/sac w image - ANES 989

Inj interlam lumb/sac wo image - ANES 1089

INJ SI THER AG W/WO ARTH 1689

Injection Sacroiliac Joint Therapeutic Agent - Bilateral G0260 2534

Injection Sacroiliac Joint Therapeutic Agent - Left G0260 1689

Injection Sacroiliac Joint Therapeutic Agent - Right G0260 1689

INSERT 0 DEG TRIDENT ALUMINA^625-0T-28D 2000

INSERT 0 DEG TRIDENT ALUMINA^625-0T-32E 2000

INSERT 0 DEG TRIDENT ALUMINA^625-0T-32F 2000

INSERT 0 DEG TRIDENT ALUMINA^625-0T-36G 2000

INSERT 0 DEG TRIDENT ALUMINA^625-0T-36H 2000

INSERT 0 DEG TRIDENT ALUMINA^625-0T-36I 2000

INSERT 0 DEG TRIDENT POLY 28mm^621-00-28D 1000

INSERT 0 DEG TRIDENT POLY 28MM^621-00-28E 1236

Page 141: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

INSERT 0 DEG TRIDENT POLY 28MM^621-00-28G 1236

INSERT 0 DEG TRIDENT POLY 28MM^621-00-28H 1236

INSERT 0 DEG TRIDENT POLY 28MM^621-00-28I 1236

INSERT 0 DEG TRIDENT POLY 28MM^621-00-28J 1236

INSERT 0 DEG TRIDENT POLY 32MM^621-00-32E 1000

INSERT 0 DEG TRIDENT POLY 32MM^621-00-32F 1000

INSERT 0 DEG TRIDENT POLY 32MM^621-00-32G 1000

INSERT 0 DEG TRIDENT POLY 32MM^621-00-32H 1000

INSERT 0 DEG TRIDENT POLY 32MM^621-00-32I 1000

INSERT 0 DEG TRIDENT POLY 32MM^621-00-32J 1000

INSERT 0 DEG TRIDENT POLY 36MM^621-00-36E 1000

INSERT 0 DEG TRIDENT POLY 36MM^621-00-36F 1000

INSERT 0 DEG TRIDENT POLY 36MM^621-00-36G 1000

INSERT 0 DEG TRIDENT POLY 36MM^621-00-36H 1000

INSERT 0 DEG TRIDENT POLY 36MM^621-00-36I 1000

INSERT 0 DEG TRIDENT POLY 36MM^621-00-36J 1000

INSERT 0 DEG TRIDENT POLY 36MM^623-00-32E 1200

INSERT 0 DEG TRIDENT POLY^621-00-28F 1236

INSERT 0 DEG TRIDENT X 3 40MM E^623-00-40E 1200

INSERT 0 DEG TRIDENT x3 28MM^623-00-28D 1200

INSERT 0 DEG TRIDENT x3 28MM^623-00-28E 1200

INSERT 0 DEG TRIDENT x3 28MM^623-00-28F 1200

INSERT 0 DEG TRIDENT x3 28MM^623-00-28G 1200

INSERT 0 DEG TRIDENT x3 28MM^623-00-28H 1200

INSERT 0 DEG TRIDENT x3 28MM^623-00-28I 1200

INSERT 0 DEG TRIDENT x3 28MM^623-00-28J 1200

INSERT 0 DEG TRIDENT x3 32MM^623-00-32D 1200

INSERT 0 DEG TRIDENT x3 32MM^623-00-32F 1200

INSERT 0 DEG TRIDENT x3 32MM^623-00-32G 1200

INSERT 0 DEG TRIDENT x3 32MM^623-00-32H 1200

INSERT 0 DEG TRIDENT x3 32MM^623-00-32I 1200

INSERT 0 DEG TRIDENT x3 32MM^623-00-32J 1200

INSERT 0 DEG TRIDENT X3 36MM^623-00-36E 1200

INSERT 0 DEG TRIDENT X3 36MM^623-00-36F 1200

INSERT 0 DEG TRIDENT X3 36MM^623-00-36H 1200

INSERT 0 DEG TRIDENT X3 36MM^623-00-36I 1200

INSERT 0 DEG TRIDENT X3 36MM^623-00-36J 1200

INSERT 0 DEG TRIDENT X3 40MM^623-00-40F 1200

INSERT 0 DEG TRIDENT X3 40MM^623-00-40G 1200

INSERT 0 DEG TRIDENT X3 40MM^623-00-40H 1200

INSERT 0 DEG TRIDENT X3 40MM^623-00-40I 1200

INSERT 0 DEG TRIDENT X3 40MM^623-00-40J 1200

INSERT 0 DEG TRIDENT X3 44MM F^623-00-44F 1200

INSERT 0 DEG TRIDENT X3 44MM G^623-00-44G 1200

INSERT 0 DEG TRIDENT X3 44MM^623-00-44H 1200

INSERT 0 DEG TRIDENT X3 44MM^623-00-44I 1200

INSERT 0 DEG TRIDENT X3 44MM^623-00-44J 1200

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Description CPT-4 Base Price Schedule

INSERT 0 DEG TRIDENT X3 POLY 36MM^623-00-36G 1200

INSERT 0 DEG TRIDENTX3 36MM D^623-00-36D 1200

INSERT 0DEG TRIDENT X3 28MM C^623-00-28C 1200

INSERT 10 DEG TRIDENT X3 28F^623-10-28F 1200

INSERT 10 DEG TRIDENT X3 28G^623-10-28G 1200

INSERT 10 DEG TRIDENT X3 28H^623-10-28H 1200

INSERT 10 DEG TRIDENT X3 28I^623-10-28I 1200

INSERT 10 DEG TRIDENT X3 28J^623-10-28J 1200

INSERT 10 DEG TRIDENT X3 32D^623-10-32D 1200

INSERT 10 DEG TRIDENT X3 32E^623-10-32E 1200

INSERT 10 DEG TRIDENT X3 32F^623-10-32F 1200

INSERT 10 DEG TRIDENT X3 32G^623-10-32G 1200

INSERT 10 DEG TRIDENT X3 32H^623-10-32H 1200

INSERT 10 DEG TRIDENT X3 32I^623-10-32I 1200

INSERT 10 DEG TRIDENT X3 32J^623-10-32J 1200

INSERT 10DEG TRIDENT POLY 28MM^621-10-28D 1000

INSERT 10DEG TRIDENT POLY 28MM^621-10-28E 1236

INSERT 10DEG TRIDENT POLY 28MM^621-10-28F 1236

INSERT 10DEG TRIDENT POLY 28MM^621-10-28G 1000

INSERT 10DEG TRIDENT POLY 28MM^621-10-28H 1236

INSERT 10DEG TRIDENT POLY 28MM^621-10-28I 1236

INSERT 10DEG TRIDENT POLY 28MM^621-10-28J 1236

INSERT 10DEG TRIDENT POLY 32MM^621-10-32E 1000

INSERT 10DEG TRIDENT POLY 32MM^621-10-32F 1000

INSERT 10DEG TRIDENT POLY 32MM^621-10-32G 1000

INSERT 10DEG TRIDENT POLY 32MM^621-10-32H 1000

INSERT 10DEG TRIDENT POLY 32MM^621-10-32I 1000

INSERT 10DEG TRIDENT POLY 32MM^621-10-32J 1000

INSERT 10DEG TRIDENT POLY 36MM^621-10-36E 1000

INSERT 10DEG TRIDENT POLY 36MM^621-10-36F 1000

INSERT 10DEG TRIDENT POLY 36MM^621-10-36G 1000

INSERT 10DEG TRIDENT POLY 36MM^621-10-36H 1000

INSERT 10DEG TRIDENT POLY 36MM^621-10-36I 1000

INSERT 10DEG TRIDENT POLY 36MM^621-10-36J 1000

INSERT 10DEG TRIDENT x3 28D^623-10-28D 1200

INSERT 10DEG TRIDENT x3 28E^623-10-28E 1200

INSERT 10DEG TRIDENT X3 36E^623-10-36E 1200

INSERT 10DEG TRIDENT X3 36F^623-10-36F 1200

INSERT 10DEG TRIDENT X3 36G^623-10-36G 1200

INSERT 10DEG TRIDENT X3 36H^623-10-36H 1200

INSERT 10DEG TRIDENT X3 36I^623-10-36I 1200

INSERT 10DEG TRIDENT X3 36J^623-10-36J 1200

INSERT ACETABULAR CONSTRAINED^2099-2858 6334

INSERT ACETABULAR CONSTRAINED^690-10-28G 6373

INSERT ARTICULAR IKNEE LGN POROUS CR FEM SZ 7R^71423257 3935

INSERT ARTICULAR KNEE LGN POROUS CR FEM SZ 6R^71423256 3935

INSERT CR DEEP FLEX 3-4 18MM^71421541 1800

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Description CPT-4 Base Price Schedule

INSERT CR DEEP FLEX 5-6 15MM^71421545 1800

INSERT CR DEEP FLEX 5-6 18MM^71421546 1800

INSERT CR DEEP FLEX 7-8 9MM^71421547 1800

INSERT CR DEEP FLEXION 5-6 11M^71421543 1800

INSERT CR DEEP FLEXION 5-6 13M^71421544 1800

INSERT CR DEEP FLEXION 5-6 9MM^71421542 1800

INSERT CR DEEP FLEXION 7-8 11M^71421548 1800

INSERT CR DEEP FLEXION 7-8 13M^71421549 1800

INSERT CR DEEP FLEXION 7-8 15M^71421551 1800

INSERT CR DEEP FLEXION SZ 7-8 18MM^71421552 1800

INSERT CR HI FLEX LEGION SZ 1-2 11MM^71453102 1800

INSERT CR HI FLEX LEGION SZ 1-2 13MM^71453103 1800

INSERT CR HI FLEX LEGION SZ 1-2 15MM^71453104 1800

INSERT CR HI FLEX LEGION SZ 1-2 9MM^71453101 1800

INSERT CR HI FLEX LEGION SZ 3-4 11MM^71453112 1800

INSERT CR HI FLEX LEGION SZ 3-4 13MM^71453113 1800

INSERT CR HI FLEX LEGION SZ 3-4 15MM^71453114 1800

INSERT CR HI FLEX LEGION SZ 5-6 11MM^71453122 1800

INSERT CR HI FLEX LEGION SZ 5-6 13MM^71453123 1800

INSERT CR HI FLEX LEGION SZ 5-6 15MM^71453124 1800

INSERT CR HI FLEX LEGION SZ 5-6 9MM^71453121 1800

INSERT CR HI FLEX LEGION SZ 7-8 11MM^71453132 1800

INSERT CR HI FLEX LEGION SZ 7-8 13MM^71453133 1800

INSERT CR HI FLEX LEGION SZ 7-8 15MM^71453134 1800

INSERT CR HI FLEX SZ 708 9MM^71453131 1800

INSERT CRUCIATE RETAINING TIBIAL SIZE 09 10mm^72-16-0910 1000

INSERT CRUCIATE RETAINING TIBIAL SIZE 11 10mm^72-16-1110 1000

INSERT DEEP DISH ROT SZ LG THCK 15.0^1278-68-025 6074

INSERT FEMORAL CR LEFT #7^5510-F-701 3600

INSERT FEMORAL CR LEFT #8^5510-F-801 3600

INSERT FEMORAL CR RIGHT #5^5510-F-502 3600

INSERT FEMORAL CR RIGHT #6 LT^5510-F-601 3600

INSERT FEMORAL CR RIGHT #6^5510-F-602 3600

INSERT FEMORAL CR RIGHT #7^5510-F-702 3600

INSERT FEMORAL CR TRIATH^5510-F-101 3935

INSERT FEMORAL CR TRIATH^5510-F-102 3600

INSERT GEN ARTIC SZ 1-2 11MM^71420482 1800

INSERT GEN ARTIC SZ 1-2 13MM^71420484 1800

INSERT GEN ARTIC SZ 1-2 15MM^71420486 1800

INSERT GEN ARTIC SZ 1-2 18MM^71420488 1800

INSERT GEN ARTIC SZ 1-2 9MM^71420480 1800

INSERT GEN ARTIC SZ 3-4 11MM^71420492 1800

INSERT GEN ARTIC SZ 3-4 13MM^71420494 1800

INSERT GEN ARTIC SZ 3-4 15MM^71420496 1800

INSERT GEN ARTIC SZ 3-4 15MM^71420528 3584

INSERT GEN ARTIC SZ 3-4 18MM^71420498 1800

INSERT GEN ARTIC SZ 3-4 18MM^71420530 3584

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Description CPT-4 Base Price Schedule

INSERT GEN ARTIC SZ 3-4 21^71420532 3584

INSERT GEN ARTIC SZ 3-4 25MM^71420534 3584

INSERT GEN ARTIC SZ 3-4 9MM^71420490 1800

INSERT GEN ARTIC SZ 5-6 11MM^71420502 1800

INSERT GEN ARTIC SZ 5-6 13MM^71420504 1800

INSERT GEN ARTIC SZ 5-6 15MM^71420506 1800

INSERT GEN ARTIC SZ 5-6 18MM^71420508 1800

INSERT GEN ARTIC SZ 5-6 25MM^71420548 3584

INSERT GEN ARTIC SZ 5-6 30MM^71420550 3584

INSERT GEN ARTIC SZ 5-6 9MM^71420500 1800

INSERT GEN ARTIC SZ 7-8 11MM^71420512 1800

INSERT GEN ARTIC SZ 7-8 13MM^71420514 1800

INSERT GEN ARTIC SZ 7-8 15MM^71420516 1800

INSERT GEN ARTIC SZ 7-8 18MM^71420518 1800

INSERT GEN ARTIC SZ 7-8 18MM^71420558 3584

INSERT GEN ARTIC SZ 7-8 9MM^71420510 1800

INSERT GEN ARTIC X-LRG LT 10MM^71204535 824

INSERT GEN ARTIC X-LRG LT 12MM^71204537 824

INSERT GEN ARTIC X-LRG RT 10MM^71204534 824

INSERT GEN ARTIC X-LRG RT 12MM^71204536 824

INSERT GEN ARTIC X-LRG RT 8MM^71204532 824

INSERT GEN DI ARTIC SZ 1-2 11M^71420756 1800

INSERT GEN DI ARTIC SZ 1-2 13M^71420758 1800

INSERT GEN DI ARTIC SZ 1-2 15M^71420760 1800

INSERT GEN DI ARTIC SZ 1-2 18M^71420762 1800

INSERT GEN DI ARTIC SZ 1-2 21MM^71420764 1800

INSERT GEN DI ARTIC SZ 1-2 9MM^71420754 1800

INSERT GEN DI ARTIC SZ 3-4 11M^71420768 1800

INSERT GEN DI ARTIC SZ 3-4 13M^71420770 1800

INSERT GEN DI ARTIC SZ 3-4 15M^71420772 1800

INSERT GEN DI ARTIC SZ 3-4 18M^71420774 1800

INSERT GEN DI ARTIC SZ 3-4 21M^71420776 1800

INSERT GEN DI ARTIC SZ 3-4 9MM^71420766 1800

INSERT GEN DI ARTIC SZ 5-6 11M^71420780 1800

INSERT GEN DI ARTIC SZ 5-6 13M^71420782 1800

INSERT GEN DI ARTIC SZ 5-6 15M^71420784 1800

INSERT GEN DI ARTIC SZ 5-6 18M^71420786 1800

INSERT GEN DI ARTIC SZ 5-6 21M^71420788 1800

INSERT GEN DI ARTIC SZ 5-6 9MM^71420778 1800

INSERT GEN DI ARTIC SZ 7-8 11M^71420792 1800

INSERT GEN DI ARTIC SZ 7-8 13M^71420794 1800

INSERT GEN DI ARTIC SZ 7-8 15M^71420796 1800

INSERT GEN DI ARTIC SZ 7-8 18M^71420798 1800

INSERT GEN DI ARTIC SZ 7-8 21M^71420800 1800

INSERT GEN DI ARTIC SZ 7-8 9MM^71420790 1800

INSERT GEN II ARTIC SZ 5-6 13MM^71420540 3584

INSERT GEN II ARTIC SZ 5-6 21MM^71420546 3584

Page 145: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

INSERT GEN II CON SZ 3-4 11MM^71420524 3584

INSERT GEN II CON SZ 3-4 13MM^71420526 3584

INSERT GEN II CONSTRAIN SZ 5-6 15MM^71420542 3584

INSERT GEN PS ARTIC MED LT 10M^71204751 824

INSERT GEN PS ARTIC SZ 1-2 15MM^71421504 1800

INSERT GEN PS ARTIC SZ1-2 11MM^71421502 1800

INSERT GEN PS ARTIC SZ1-2 13MM^71421503 1800

INSERT GEN PS ARTIC SZ1-2 18MM^71421505 1800

INSERT GEN PS ARTIC SZ1-2 9MM^71421501 1800

INSERT GEN PS ARTIC SZ3-4 11MM^71420818 1800

INSERT GEN PS ARTIC SZ3-4 11MM^71421509 1800

INSERT GEN PS ARTIC SZ3-4 13MM^71420820 1800

INSERT GEN PS ARTIC SZ3-4 13MM^71421510 1800

INSERT GEN PS ARTIC SZ3-4 15MM^71420822 1800

INSERT GEN PS ARTIC SZ3-4 15MM^71421511 1800

INSERT GEN PS ARTIC SZ3-4 18MM^71420824 1800

INSERT GEN PS ARTIC SZ3-4 18MM^71421512 1800

INSERT GEN PS ARTIC SZ3-4 21MM^71420826 1800

INSERT GEN PS ARTIC SZ3-4 21MM^71421513 1800

INSERT GEN PS ARTIC SZ3-4 25MM^71420828 1800

INSERT GEN PS ARTIC SZ3-4 9MM^71420816 1800

INSERT GEN PS ARTIC SZ3-4 9MM^71421508 1800

INSERT GEN PS ARTIC SZ5-6 11MM^71420832 1800

INSERT GEN PS ARTIC SZ5-6 11MM^71421516 1800

INSERT GEN PS ARTIC SZ5-6 13MM^71420834 1800

INSERT GEN PS ARTIC SZ5-6 13MM^71421517 1800

INSERT GEN PS ARTIC SZ5-6 15MM^71420836 1800

INSERT GEN PS ARTIC SZ5-6 15MM^71421518 1800

INSERT GEN PS ARTIC SZ5-6 18MM^71420838 1800

INSERT GEN PS ARTIC SZ5-6 21MM^71420840 1800

INSERT GEN PS ARTIC SZ5-6 25MM^71420842 1800

INSERT GEN PS ARTIC SZ5-6 9MM^71420830 1800

INSERT GEN PS ARTIC SZ5-6 9MM^71421515 1800

INSERT GEN PS ARTIC SZ7-8 11MM^71420846 1800

INSERT GEN PS ARTIC SZ7-8 11MM^71421523 1800

INSERT GEN PS ARTIC SZ7-8 13MM^71420848 1800

INSERT GEN PS ARTIC SZ7-8 13MM^71421524 1800

INSERT GEN PS ARTIC SZ7-8 15MM^71420850 1800

INSERT GEN PS ARTIC SZ7-8 15MM^71421525 1800

INSERT GEN PS ARTIC SZ7-8 18MM^71420852 1800

INSERT GEN PS ARTIC SZ7-8 18MM^71421526 1800

INSERT GEN PS ARTIC SZ7-8 21MM^71420854 1800

INSERT GEN PS ARTIC SZ7-8 21MM^71421527 1800

INSERT GEN PS ARTIC SZ7-8 25MM^71420856 1800

INSERT GEN PS ARTIC SZ7-8 9MM^71420844 1800

INSERT GEN PS FLEXION 1-2 11MM^71421532 1800

INSERT GEN PS FLEXION 1-2 13MM^71421533 1800

Page 146: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

INSERT GEN PS FLEXION 1-2 9MM^71421531 1800

INSERT GEN PS FLEXION 3-4 11MM^71421537 1800

INSERT GEN PS FLEXION 3-4 13MM^71421538 1800

INSERT GEN PS FLEXION 3-4 15MM^71421539 1800

INSERT GEN PS FLEXION 3-4 9MM^71421536 1800

INSERT GEN PS FLEXION 5-6 0MM^71421520 1800

INSERT GEN PS FLEXION 5-6 18MM^71421519 1800

INSERT GEN PS FLEXION 5-6 9MM^71421522 1800

INSERT GEN PS FLEXION SZ 5-6 25MM^71421521 1800

INSERT GEN PS HI FLEX SZ 3-4 25^71421514 1800

INSERT GEN PS SZ 1-2 21MM^71421506 1800

INSERT GENESIS ART MED RT 8MM^71204512 824

INSERT GENESIS ARTIC LG LT 10M^71204525 824

INSERT GENESIS ARTIC LG LT 12M^71204527 824

INSERT GENESIS ARTIC LG LT 15M^71204529 824

INSERT GENESIS ARTIC LG RT 10M^71204524 824

INSERT GENESIS ARTIC LG RT 12M^71204526 824

INSERT GENESIS ARTIC LG RT 8MM^71204522 824

INSERT GENESIS ARTIC LRG LT 8M^71204523 824

INSERT GENESIS ARTIC LRG RT 15^71204528 824

INSERT GENESIS ARTIC MD LT 8MM^71204513 824

INSERT GENESIS ARTIC MED LT 12^71204517 824

INSERT GENESIS ARTIC MED RT 10^71204514 824

INSERT GENESIS ARTIC MED RT 12^71204516 824

INSERT GENESIS ARTIC SM RT 12M^71204506 824

INSERT GENESIS ARTIC X-LG LT 8^71204533 824

INSERT GENESIS II CON SZ 5-6 11MM^71420538 3584

INSERT GENESISII SZ 1-2 11MM^71420960 3584

INSERT GENESISII SZ 1-2 13MM^71420962 3584

INSERT GII ARTIC SZ 1-2 15MM^71420964 3584

INSERT GII ARTIC SZ 1-2 18MM^71420966 3584

INSERT GII ARTIC SZ 1-2 21MM^71420968 3584

INSERT GII ARTIC SZ 1-2 25MM^71420970 3584

INSERT GII HIFLEX PS SZ 1-2 15 - MFR 71934434^71934434 7020

INSERT HUM REUNION 32X4 -MFRCAT# 5571-S-3204^5571-S-3204 2500

INSERT HUM REUNION 36X4^5571-S-3604 2500

INSERT HUM S/36 +3 TO FIT 36 CUP -MFRCAT# AR-9503S-03^AR-9503S-03 1797

INSERT HUMERAL CUP S/36 +6 -MFRCAT# AR-9503S-06^AR-9503S-06 1797

INSERT HUMERAL L/42 +3 TO FIT IN 42 CUP^AR-9503L-03 1797

INSERT HUMERAL M/39 +3 TO FIT IN 39 CUP^AR-9503M-03 1797

INSERT JOURNEY II BCS SZ 7-8 12MM RT^74027274 1800

INSERT JOURNEY UNI TIB S5-6RM/LL9MM^71422266 1200

INSERT JOURNEYII BCS CNST SZ 3-4 RT 12mm^74029234 4577

INSERT JOURNEYII BCS CNST SZ 3-4 RT 13mm^74029235 4577

INSERT JOURNEYII BCS CNST SZ 3-4 RT 15mm^74029236 4577

INSERT JOURNEYII BCS CNST SZ 5-6 LT 13MM -MFRCAT# 74029265^74029265 4577

INSERT JOURNEYII BCS CNSTRD ART INRT SZ 1-2 LT 15M^74029226 4577

Page 147: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

INSERT JOURNEYII BCS CNSTRD ART INRT SZ 5-6 LT 15M^74029266 4577

INSERT JOURNEYII BCS SZ 1-2 LT 10MM^74027222 1800

INSERT JOURNEYII BCS SZ 1-2 LT 13MM^74027225 1800

INSERT JOURNEYII BCS SZ 1-2 LT 9MM^74027221 1800

INSERT JOURNEYII BCS SZ 1-2 RT 10MM^74027212 1800

INSERT JOURNEYII BCS SZ 1-2 RT 11mm^74027213 1800

INSERT JOURNEYII BCS SZ 1-2 RT 12MM^74027214 1800

INSERT JOURNEYII BCS SZ 1-2 RT 13MM^74027215 1800

INSERT JOURNEYII BCS SZ 1-2 RT 15MM^74027216 1800

INSERT JOURNEYII BCS SZ 1-2 RT 21MM^74027218 1800

INSERT JOURNEYII BCS SZ 1-2 RT 9MM^74027211 1800

INSERT JOURNEYII BCS SZ 3-4 LT 10MM^74027242 1800

INSERT JOURNEYII BCS SZ 3-4 LT 11MM^74027243 1800

INSERT JOURNEYII BCS SZ 3-4 LT 12mm^74027244 1800

INSERT JOURNEYII BCS SZ 3-4 LT 15MM^74027246 1800

INSERT JOURNEYII BCS SZ 3-4 RT 10MM^74027232 1800

INSERT JOURNEYII BCS SZ 3-4 RT 11MM^74027233 1800

INSERT JOURNEYII BCS SZ 3-4 RT 12MM^74027234 1800

INSERT JOURNEYII BCS SZ 3-4 RT 13MM^74027235 1800

INSERT JOURNEYII BCS SZ 3-4 RT 15mm^74027236 1800

INSERT JOURNEYII BCS SZ 3-4 RT 18mm^74027237 1800

INSERT JOURNEYII BCS SZ 3-4 RT 21mm^74027238 1800

INSERT JOURNEYII BCS SZ 3-4 RT 9MM^74027231 1800

INSERT JOURNEYII BCS SZ 5-6 10MM LT^74027262 1800

INSERT JOURNEYII BCS SZ 5-6 LT 12MM^74027264 1800

INSERT JOURNEYII BCS SZ 5-6 LT 13MM -MFRCAT 74027265^74027265 1800

INSERT JOURNEYII BCS SZ 5-6 LT 15mm^74027266 1800

INSERT JOURNEYII BCS SZ 5-6 LT 9MM^74027261 1800

INSERT JOURNEYII BCS SZ 5-6 RT 10MM^74027252 1800

INSERT JOURNEYII BCS SZ 5-6 RT 11MM^74027253 1800

INSERT JOURNEYII BCS SZ 5-6 RT 12MM^74027254 1800

INSERT JOURNEYII BCS SZ 5-6 RT 9MM^74027251 1800

INSERT JOURNEYII BCS SZ 7-8 13MM LT^74027285 1800

INSERT JOURNEYII BCS SZ 7-8 18MM LT^74027287 1800

INSERT JOURNEYII BCS SZ 7-8 LT 10MM^74027282 1800

INSERT JOURNEYII BCS SZ 7-8 LT 11MM^74027283 1800

INSERT JOURNEYII BCS SZ 7-8 LT 12MM^74027284 1800

INSERT JOURNEYII BCS SZ 7-8 LT 9MM^74027281 1800

INSERT JOURNEYII BCS SZ 7-8 RT 10MM^74027272 1800

INSERT JOURNEYII BCS SZ 7-8 RT 9MM^74027271 1800

INSERT JOURNEYII BCS SZ 7-8 RT^74027273 1800

INSERT JOURNEYII BCS SZ1-2 LT 11mm^74027223 1800

INSERT JOURNEYII BCS SZ1-2 LT 12MM^74027224 1800

INSERT JOURNEYII BCS XLPE ART ISRT SZ 1-2 RT 18MM^74027217 1800

INSERT JOURNEYII BCS XLPE SZ 3-4 LT 13MM^74027245 1800

INSERT JOURNEYII BCS XLPE SZ 3-4 LT 9MM^74027241 1800

INSERT JOURNEYII BCS XLPE SZ 5-6 LT 11MM^74027263 1800

Page 148: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

INSERT JOURNEYII BCS XLPE SZ 5-6 RT 13MM^74027255 1800

INSERT JOURNEYII BCS XLPE SZ 5-6 RT 15MM^74027256 1800

INSERT JOURNEYII BCS XLPE SZ 7-8 13MM RT^74027275 1800

INSERT JOURNEYII BCS XLPE SZ 7-8 RT 15MM^74027276 1800

INSERT JOURNEYII CR ISRT XLPE LT SZ 5-6 11mm^74025663 1800

INSERT JOURNEYII CR ISRT XLPE LT SZ 5-6 12mm^74025664 1800

INSERT JOURNEYII CR ISRT XLPE LT SZ 5-6 9MM^74025651 1800

INSERT JOURNEYII CR XLPE LT SZ 3-4 12mm^74025644 1800

INSERT JOURNEYII CR XLPE LT SZ 5-6 13MM^74025665 1800

INSERT JOURNEYII CR XLPE LT SZ 5-6 15MM^74025666 1800

INSERT JOURNEYII CR XLPE LT SZ 5-6 9mm^74025661 1800

INSERT JOURNEYII CR XLPE LT SZ 7-8 10mm^74025682 1800

INSERT JOURNEYII CR XLPE LT SZ 7-8 11mm^74025683 1800

INSERT JOURNEYII CR XLPE LT SZ 7-8 18mm^74025687 1800

INSERT JOURNEYII CR XLPE LT SZ 7-8 9mm^74025681 1800

INSERT JOURNEYII CR XLPE RT SZ 3-4 10mm^74025642 1800

INSERT JOURNEYII CR XLPE RT SZ 3-4 11mm^74025643 1800

INSERT JOURNEYII CR XLPE RT SZ 3-4 13mm^74025635 1800

INSERT JOURNEYII CR XLPE RT SZ 3-4 13mm^74025645 1800

INSERT JOURNEYII CR XLPE RT SZ 3-4 9mm^74025631 1800

INSERT JOURNEYII CR XLPE RT SZ 3-4 9mm^74025641 1800

INSERT JOURNEYII CR XLPE RT SZ 5-6 12MM 74025654 1800

INSERT JOURNEYII CR XLPE RT SZ 7-8 10mm^74025672 1800

INSERT JOURNEYII CR XLPE RT SZ 7-8 11MM^74025673 1800

INSERT JOURNEYII CR XLPE RT SZ 7-8 13MM^74025675 1800

INSERT JOURNEYII CR XLPE RT SZ 7-8 9mm^74025671 1800

INSERT JOURNEYII XLPE DD SZ 1-2 LT 9mm^74025721 1800

INSERT JOURNEYII XLPE DD SZ 3-4 RT 10mm^74025732 1800

INSERT JOURNEYII XLPE DD SZ 5-6 RT 10mm^74025752 1800

INSERT JOURNEYII XLPE DD SZ 5-6 RT 9mm^74025751 1800

INSERT JOURNY II XLPE DD LT SZ 5-6 9MM 74025761 1530

INSERT JRNY II BCS CNSTRD ART ISRT RT 7-8 10M^74029282 4577

INSERT JRNY II ISRT XLPE DD RT SZ 5-6 18MM 74025757 1800

INSERT JRNY II UNI MED XLPE SZ 7-8 9MM 74026179 1200

INSERT JRNY II XR XLPE LAT 1-2 RT 9mm^74023811 900

INSERT JRNY II XR XLPE MED 1-2 RT 9mm^74023711 900

INSERT JRNY UNI MED XLPE SZ 7-8 8MM 74026178 1200

INSERT LEGION ARTIC SZ 3-4 9MM^71420523 3584

INSERT LEGION CON ART SZ 7-8 9MM^71420551 3584

INSERT LEGION CR SZ 3-4 15MM^71453149 1800

INSERT LEGION CR XLPE SZ 1-2 12mm^71453182 1800

INSERT LEGION CR XLPE SZ 3-4 10MM^71453183 1800

INSERT LEGION CR XLPE SZ 3-4 12MM^71453184 1800

INSERT LEGION CR XLPE SZ 5-6 10MM^71453185 1800

INSERT LEGION CR XLPE SZ 7-8 10mm^71453187 1800

INSERT LEGION HK GD MOTION 18MM SZ 2-3 RT^71423348 3993

INSERT LEGION PS HIGH FLEX SZ 1-2 10mm^71453171 1800

Page 149: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

INSERT LEGION PS HIGH FLEX SZ 1-2 12MM^71453172 1800

INSERT LEGION PS SZ 3-4 10MM^71453173 1800

INSERT LEGION PS SZ 3-4 12MM^71453174 1800

INSERT LEGION PS SZ 3-4 13MM^71453248 1800

INSERT LEGION PS SZ 5-6 10MM^71453175 1800

INSERT LEGION PS SZ 5-6 12MM^71453176 1800

INSERT LEGION PS SZ 7-8 10MM^71453177 1800

INSERT LEGION PS SZ 7-8 12MM^71453178 1800

INSERT LEGION XLPE CR SZ 5-6 9mm^71453152 1800

INSERT LEGION XLPE CR SZ 3-4 13MM^71453148 1800

INSERT LEGION XLPE DISHED SZ 7-8 11MM^71453292 1800

INSERT LEGION XLPE DISHED SZ 7-8 9MM^71453291 1800

INSERT LEGION XLPE PS SZ 1-2 15MM^71453244 1800

INSERT LEGION XLPE PS SZ 1-2 9MM^71453241 1800

INSERT LEGION XLPE PS SZ 5-6 15MM^71453255 1800

INSERT LEGION XLPE PS SZ 7-8 11MM^71453258 1800

INSERT LEGION XLPE SZ 3-4 9MM^71453277 1800

INSERT LEGION XLPE SZ 7-8 13MM^71453293 1800

INSERT LGN CONST ARTIC SZ 1-2 9MM^71420959 3584

INSERT LGN CONSTRAIN SZ 5-6 9MM^71420537 3584

INSERT LGN GII CR HYBRID STANDARD^71704520 8000

INSERT LGN XLPE CR INSERT SZ 5-6 13MM 71453154 1800

INSERT LOCKING HOLE 4.5 PERI-LOC^74800605 195

INSERT MRH TIBIAL 13MM^6481-3-313 2286

INSERT OMNIFIT 10 DEG. CUP^2041-2654 1236

INSERT OMNIFIT 20DEG SERIES 32MM^2006-3256 1938

INSERT OMNIFIT CUP 0 DEG 28/46^2043C-2846 1236

INSERT OMNIFIT CUP 0 DEG 28/50^2043C-2850 1236

INSERT OMNIFIT CUP 0 DEG 28/54^2043C-2854 1236

INSERT OMNIFIT CUP 0 DEG 28/58^2043C-2858 1236

INSERT OMNIFIT CUP 10 D 26/56^2001-2656 1236

INSERT OMNIFIT CUP 10 DEG 26MM^2041-2646 1236

INSERT OMNIFIT CUP 10 DEG 26MM^2041-2650 1236

INSERT OMNIFIT CUP 10 DEG 26MM^2041-2658 1236

INSERT OMNIFIT CUP 10 DEG 26MM^2041-2662 1236

INSERT OMNIFIT CUP 10 DEG 28MM^2041-2862 1236

INSERT OMNIFIT CUP 10 DEG 28MM^2041C-2858 1236

INSERT OMNIFIT CUP 10 DEG 32mm^2041C-3250 2631

INSERT OMNIFIT CUP 10 DEG 32MM^2041C-3254 2631

INSERT OMNIFIT CUP 10 DEG 32MM^2041C-3258 2631

INSERT OMNIFIT CUP 10 DEG 46MM^2041-2846 2631

INSERT OMNIFIT CUP 10 DEG 50MM^2041-2850 1236

INSERT OMNIFIT CUP 10 DEG 54MM^2041C-2854 1236

INSERT OMNIFIT CUP 10 DEG 58MM^2041-2858 1236

INSERT OMNIFIT CUP 20 D 50-52M^2042-2850 1236

INSERT OMNIFIT CUP 20 D 54-56M^2042-2654 1236

INSERT OMNIFIT CUP 20 D 54-56M^2042-2854 1236

Page 150: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

INSERT OMNIFIT CUP 20 D 58-60M^2042-2858 1236

INSERT OMNIFIT CUP 20 DEG 28MM ID^2042-2846 1236

INSERT OMNIFIT CUP 26/58-60MM^2042-2658 1236

INSERT P/S SZ 1-2 11MM^71420804 1800

INSERT P/S SZ 1-2 13MM^71420806 1800

INSERT P/S SZ 1-2 15MM^71420808 1800

INSERT P/S SZ 1-2 18MM^71420810 1800

INSERT P/S SZ 1-2 21MM^71420812 1800

INSERT P/S SZ 1-2 25MM^71420814 1800

INSERT P/S SZ 1-2 9MM^71420802 1800

INSERT PFC TIBIAL 8MM^96-0240 893

INSERT PLUS PROMOS PE 42/12MM^75003707 2480

INSERT PS HI FLEX LEGION SZ 1-2 11MM^71453202 1800

INSERT PS HI FLEX LEGION SZ 1-2 13MM^71453203 1800

INSERT PS HI FLEX LEGION SZ 1-2 9MM^71453201 1800

INSERT PS HI FLEX LEGION SZ 1-3 15MM^71453204 1800

INSERT PS HI FLEX LEGION SZ 3-4 11MM^71453212 1800

INSERT PS HI FLEX LEGION SZ 3-4 13MM^71453213 1800

INSERT PS HI FLEX LEGION SZ 3-4 15MM^71453214 1800

INSERT PS HI FLEX LEGION SZ 3-4 9MM^71453111 1800

INSERT PS HI FLEX LEGION SZ 3-4 9MM^71453211 1800

INSERT PS HI FLEX LEGION SZ 5-6 11MM^71453222 1800

INSERT PS HI FLEX LEGION SZ 5-6 13MM^71453223 1800

INSERT PS HI FLEX LEGION SZ 5-6 15MM^71453224 1800

INSERT PS HI FLEX LEGION SZ 5-6 9MM^71453221 1800

INSERT PS HI FLEX LEGION SZ 7-8 11MM^71453232 1800

INSERT PS HI FLEX LEGION SZ 7-8 13MM^71453233 1800

INSERT PS HI FLEX LEGION SZ 7-8 15MM^71453234 1800

INSERT PS HI FLEX LEGION SZ 7-8 9MM^71453231 1800

INSERT RESTOR ADM 28/48^1236-2-848 2000

INSERT RESTOR ADM 28/56^1236-2-856 2000

INSERT SLIDING CORE H=8MM^400-142F 3208

INSERT STRIDE POLY SIZE B 8mm^PFSI00027 1832

INSERT STRIDE POLY SIZE A 8mm^PFSI00021 1832

INSERT STRIDE POLY SIZE B 10mm^PFSI00029 1832

INSERT Stride Poly Size B 9mm^PFSI00028 1832

INSERT Stride Poly Size C 8mm^PFSI00033 1832

INSERT Stride Poly Size C 9mm^PFSI00034 1832

INSERT STRIDE POLY SIZE D 11mm^PFSI00042 1832

INSERT STRIDE POLY SIZE D 8mm^PFSI00039 1832

INSERT STRIDE POLY SIZE D 9mm^PFSI00040 1832

INSERT STRIDE POLY SIZE E 8mm^PFSI00045 1832

INSERT STRIDE POLY SIZE E 10mm^PFSI00047 1832

INSERT STRIDE POLY SIZE E 9mm^PFSI00046 1832

INSERT TIB BEAR TRIATH CS SZ 3 11MM^5531-G-311 1230

INSERT TIB BEAR TRIATH X3 CS SZ 4 9MM^5531-G-409 1230

INSERT TIB BEAR TRIATHX3 CS SZ 4 11MM^5531-G-411 1230

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Description CPT-4 Base Price Schedule

INSERT TIB BEAR TRIATHX3 CS SZ 4 19MM^5531-G-419 1230

INSERT TIB BEAR TRIATHX3 SZ 5 CS 16MM^5531-G-516 1230

INSERT TIB BEAR TRIATHX3 SZ5 CS 13MM^5531-G-513 1230

INSERT TIB IPOLY CR LATERAL LT^RCR010000A 1984

INSERT TIB IPOLY CR MEDIAL 6MM LT^RCR0100600 1984

INSERT TIB JOURNEY LT SZ 5-6 9MM^71422262 1200

INSERT TIB TRIATHX3 TS SZ 4 28MM^5537-G-428 5071

INSERT TIBIAL #11/13 18MM^3052-1118 1973

INSERT TIBIAL #7 8MM^3051-0708 928

INSERT TIBIAL #9 8MM^3052-0908 1973

INSERT TIBIAL #9^3051-0908 690

INSERT TIBIAL ARTICULAR^5110-53-09 2540

INSERT TIBIAL BEAR TRIATHX3 SZ5 CS 11MM^5531-G-511 1230

INSERT TIBIAL BEARING # 6 9MM^5531-G-609 1230

INSERT TIBIAL BEARING #1 11MM^5530-G-111 1230

INSERT TIBIAL BEARING #1 13MM^5530-G-113 1230

INSERT TIBIAL BEARING #1 16MM^5530-G-116 1230

INSERT TIBIAL BEARING #1 19MM^5530-G-119 1230

INSERT TIBIAL BEARING #1 9MM^5530-G-109 1230

INSERT TIBIAL BEARING #11 24MM^72-4-1124 3343

INSERT TIBIAL BEARING #11 8MM^3052-1108 1973

INSERT TIBIAL BEARING #11/13 8^3051-1108 928

INSERT TIBIAL BEARING #2 11MM^5530-G-211 1230

INSERT TIBIAL BEARING #2 13MM^5530-G-213 1230

INSERT TIBIAL BEARING #2 16MM^5530-G-216 1230

INSERT TIBIAL BEARING #2 19MM^5530-G-219 1230

INSERT TIBIAL BEARING #2 9MM^5530-G-209 1230

INSERT TIBIAL BEARING #3 11MM^5530-G-311 1230

INSERT TIBIAL BEARING #3 13MM^5530-G-313 1230

INSERT TIBIAL BEARING #3 16MM^5530-G-316 1230

INSERT TIBIAL BEARING #3 19MM^5530-G-319 1230

INSERT TIBIAL BEARING #3 9MM^5530-G-309 1230

INSERT TIBIAL BEARING #4 11MM^5530-G-411 1230

INSERT TIBIAL BEARING #4 13MM^5530-G-413 1230

INSERT TIBIAL BEARING #4 16MM^5530-G-416 1230

INSERT TIBIAL BEARING #4 19MM^5530-G-419 1230

INSERT TIBIAL BEARING #4 9MM^5530-G-409 1230

INSERT TIBIAL BEARING #5 10MM^3051-0510 928

INSERT TIBIAL BEARING #5 10MM^3052-0510 1973

INSERT TIBIAL BEARING #5 11MM^5530-G-511 1230

INSERT TIBIAL BEARING #5 13MM^5530-G-513 1230

INSERT TIBIAL BEARING #5 14MM^72-4-0514 3343

INSERT TIBIAL BEARING #5 16MM^5530-G-516 1230

INSERT TIBIAL BEARING #5 16MM^72-4-0516 3343

INSERT TIBIAL BEARING #5 19MM^5530-G-519 1230

INSERT TIBIAL BEARING #5 19MM^5531-G-519 1230

INSERT TIBIAL BEARING #5 8MM^3051-0508 928

Page 152: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

INSERT TIBIAL BEARING #5 8mm^3052-0508 1973

INSERT TIBIAL BEARING #5 9MM^5530-G-509 1230

INSERT TIBIAL BEARING #5 9MM^5531-G-509 1230

INSERT TIBIAL BEARING #6 11MM^5530-G-611 1230

INSERT TIBIAL BEARING #6 13MM^5530-G-613 1230

INSERT TIBIAL BEARING #6 16MM^5530-G-616 1230

INSERT TIBIAL BEARING #6 19MM^5530-G-619 1230

INSERT TIBIAL BEARING #6 22MM^5531-G-622 1230

INSERT TIBIAL BEARING #6 25MM^5531-G-625 1236

INSERT TIBIAL BEARING #6 9MM^5530-G-609 1230

INSERT TIBIAL BEARING #7 10MM^3051-0710 928

INSERT TIBIAL BEARING #7 10MM^3052-0710 1973

INSERT TIBIAL BEARING #7 10MM^72-6-0710A 2837

INSERT TIBIAL BEARING #7 11MM^5530-G-711 1230

INSERT TIBIAL BEARING #7 12MM^3051-0712 928

INSERT TIBIAL BEARING #7 12MM^3052-0712 1973

INSERT TIBIAL BEARING #7 12MM^72-6-0712A 2837

INSERT TIBIAL BEARING #7 13MM^5530-G-713 1230

INSERT TIBIAL BEARING #7 16MM^5530-G-716 1230

INSERT TIBIAL BEARING #7 18MM^3052-0718 1973

INSERT TIBIAL BEARING #7 19MM^5530-G-719 1230

INSERT TIBIAL BEARING #7 8MM^3052-0708 1973

INSERT TIBIAL BEARING #7 9MM^5530-G-709 1230

INSERT TIBIAL BEARING #7 CS 16MM^5531-G-716 1230

INSERT TIBIAL BEARING #8 11MM^5530-G-811 1230

INSERT TIBIAL BEARING #8 13MM^5530-G-813 1230

INSERT TIBIAL BEARING #8 16MM^5530-G-816 1230

INSERT TIBIAL BEARING #8 19MM^5530-G-819 1230

INSERT TIBIAL BEARING #8 9MM^5530-G-809 1230

INSERT TIBIAL BEARING #9 10MM^3051-0910 928

INSERT TIBIAL BEARING #9 12MM^3051-0912 928

INSERT TIBIAL BEARING #9 12MM^3052-0912 1973

INSERT TIBIAL BEARING 11/13 10^3051-1110 928

INSERT TIBIAL BEARING SZ 6 13MM^5531-G-613 1230

INSERT TIBIAL CR #1 11MM^5530-P-111 1000

INSERT TIBIAL CR #1 13MM^5530-P-113 1000

INSERT TIBIAL CR #1 16MM^5530-P-116 1000

INSERT TIBIAL CR #1 9MM^5530-P-109 1000

INSERT TIBIAL CR #2 11MM^5530-P-211 1000

INSERT TIBIAL CR #2 13MM^5530-P-213 1000

INSERT TIBIAL CR #2 16MM^5530-P-216 1000

INSERT TIBIAL CR #2 19MM^5530-P-219 1000

INSERT TIBIAL CR #2 9MM^5530-P-209 1000

INSERT TIBIAL CR #3 11MM^5530-P-311 1000

INSERT TIBIAL CR #3 13MM^5530-P-313 1000

INSERT TIBIAL CR #3 16MM^5530-P-316 1000

INSERT TIBIAL CR #3 19MM^5530-P-319 1000

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INSERT TIBIAL CR #3 9MM^5530-P-309 1000

INSERT TIBIAL CR #4 11MM^5530-P-411 1000

INSERT TIBIAL CR #4 13MM^5530-P-413 1000

INSERT TIBIAL CR #4 16MM^5530-P-416 1000

INSERT TIBIAL CR #4 19MM^5530-P-419 1000

INSERT TIBIAL CR #4 9MM^5530-P-409 1000

INSERT TIBIAL CR #5 11MM^5530-P-511 1000

INSERT TIBIAL CR #5 13MM^5530-P-513 1000

INSERT TIBIAL CR #5 16MM^5530-P-516 1236

INSERT TIBIAL CR #5 19MM^5530-P-516 1236

INSERT TIBIAL CR #5 9MM^5530-P-509 1000

INSERT TIBIAL CR #6 11MM^5530-P-611 1000

INSERT TIBIAL CR #6 13MM^5530-P-613 1000

INSERT TIBIAL CR #6 16MM^5530-P-616 1000

INSERT TIBIAL CR #6 19MM^5530-P-619 1000

INSERT TIBIAL CR #6 9MM^5530-P-609 1000

INSERT TIBIAL CR #7 11MM^5530-P-711 1000

INSERT TIBIAL CR #7 13MM^5530-P-713 1000

INSERT TIBIAL CR #7 16MM^5530-P-716 1000

INSERT TIBIAL CR #7 19MM^5530-P-719 1000

INSERT TIBIAL CR #7 9MM^5530-P-709 1000

INSERT TIBIAL CR #8 11MM^5530-P-811 1000

INSERT TIBIAL CR #8 13MM^5530-P-813 1000

INSERT TIBIAL CR #8 16MM^5530-P-816 1000

INSERT TIBIAL CR #8 19MM^5530-P-819 1000

INSERT TIBIAL CR #8 9MM^5530-P-809 1000

INSERT TIBIAL IPOLY G2+ MED/LAT^RCR0100900 1430

INSERT TIBIAL KNEE EVOLUT MP CS SZ 6 LT^EIS6S10L 5750

INSERT TIBIAL PKR X 3 #3 8MM^5630-G-308 2000

INSERT TIBIAL PKR X 3 #4 12MM TRIATHLON^5630-G-412 2000

INSERT TIBIAL PKR X3 #2 8MM TRIATHLON^5630-G-208 2000

INSERT TIBIAL PKR X3 #5 8MM TRIATHLON^5630-G-528 2000

INSERT TIBIAL PS #1 11MM^5532-P-111 1000

INSERT TIBIAL PS #1 13MM^5532-P-113 1000

INSERT TIBIAL PS #1 16MM^5532-P-116 1000

INSERT TIBIAL PS #1 19MM^5532-P-119 1000

INSERT TIBIAL PS #1 9MM^5532-P-109 1000

INSERT TIBIAL PS #2 11MM^5532-P-211 1000

INSERT TIBIAL PS #2 13MM^5532-P-213 1000

INSERT TIBIAL PS #2 16MM^5532-P-216 1000

INSERT TIBIAL PS #2 19MM^5532-P-219 1000

INSERT TIBIAL PS #2 22MM^5532-P-222 1000

INSERT TIBIAL PS #2 25MM^5532-P-225 1236

INSERT TIBIAL PS #2 9MM^5532-P-209 1000

INSERT TIBIAL PS #3 11MM^5532-P-311 1000

INSERT TIBIAL PS #3 13MM^5532-P-313 1000

INSERT TIBIAL PS #3 16MM^5532-P-316 1000

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INSERT TIBIAL PS #3 19MM^5532-P-319 1000

INSERT TIBIAL PS #3 22MM^5532-P-322 1000

INSERT TIBIAL PS #3 25MM^5532-P-325 1236

INSERT TIBIAL PS #3 9MM^5532-P-309 1000

INSERT TIBIAL PS #4 11MM^5532-P-411 1000

INSERT TIBIAL PS #4 13MM^5532-P-413 1000

INSERT TIBIAL PS #4 16MM^5532-P-416 1000

INSERT TIBIAL PS #4 19MM^5532-P-419 1000

INSERT TIBIAL PS #4 22MM^5532-P-422 1000

INSERT TIBIAL PS #4 25MM^5532-P-425 1236

INSERT TIBIAL PS #4 9MM^5532-P-409 1000

INSERT TIBIAL PS #5 11MM^5532-P-511 1000

INSERT TIBIAL PS #5 13MM^5532-P-513 1000

INSERT TIBIAL PS #5 16MM^5532-P-516 1000

INSERT TIBIAL PS #5 19MM^5532-P-519 1000

INSERT TIBIAL PS #5 22MM^5532-P-522 1000

INSERT TIBIAL PS #5 25MM^5532-P-525 1236

INSERT TIBIAL PS #5 9MM^5532-P-509 1000

INSERT TIBIAL PS #6 11MM^5532-P-611 1000

INSERT TIBIAL PS #6 13MM^5532-P-613 1000

INSERT TIBIAL PS #6 16MM^5532-P-616 1000

INSERT TIBIAL PS #6 19MM^5532-P-619 1000

INSERT TIBIAL PS #6 22MM^5532-P-622 1000

INSERT TIBIAL PS #6 25MM^5532-P-625 1236

INSERT TIBIAL PS #6 9MM^5532-P-609 1000

INSERT TIBIAL PS #7 11MM^5532-P-711 1000

INSERT TIBIAL PS #7 13MM^5532-P-713 1000

INSERT TIBIAL PS #7 16MM^5532-P-716 1000

INSERT TIBIAL PS #7 19MM^5532-P-719 1000

INSERT TIBIAL PS #7 22MM^5532-P-722 1000

INSERT TIBIAL PS #7 25MM^5532-P-725 1236

INSERT TIBIAL PS #7 9MM^5532-P-709 1000

INSERT TIBIAL PS #8 11MM^5532-P-811 1000

INSERT TIBIAL PS #8 13MM^5532-P-813 1000

INSERT TIBIAL PS #8 16MM^5532-P-816 1000

INSERT TIBIAL PS #8 19MM^5532-P-819 1000

INSERT TIBIAL PS #8 9MM^5532-P-809 1000

INSERT TIBIAL PS TRIATH #1 11MM^5532-G-111 1230

INSERT TIBIAL PS TRIATH #1 13MM^5532-G-113 1230

INSERT TIBIAL PS TRIATH #1 16MM^5532-G-116 1230

INSERT TIBIAL PS TRIATH #1 19MM^5532-G-119 1230

INSERT TIBIAL PS TRIATH #1 22MM^5532-G-122 1230

INSERT TIBIAL PS TRIATH #1 25MM^5532-G-125 1236

INSERT TIBIAL PS TRIATH #1 9MM^5532-G-109 1230

INSERT TIBIAL PS TRIATH #2 11MM^5532-G-211 1230

INSERT TIBIAL PS TRIATH #2 13MM^5532-G-213 1230

INSERT TIBIAL PS TRIATH #2 16MM^5532-G-216 1230

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INSERT TIBIAL PS TRIATH #2 19MM^5532-G-219 1230

INSERT TIBIAL PS TRIATH #2 22MM^5532-G-222 1230

INSERT TIBIAL PS TRIATH #2 25MM^5532-G-225 1236

INSERT TIBIAL PS TRIATH #2 9MM^5532-G-209 1230

INSERT TIBIAL PS TRIATH #3 11MM^5532-G-311 1230

INSERT TIBIAL PS TRIATH #3 13MM^5532-G-313 1230

INSERT TIBIAL PS TRIATH #3 16MM^5532-G-316 1230

INSERT TIBIAL PS TRIATH #3 19MM^5532-G-319 1230

INSERT TIBIAL PS TRIATH #3 22MM^5532-G-322 1230

INSERT TIBIAL PS TRIATH #3 25MM^5532-G-325 1236

INSERT TIBIAL PS TRIATH #3 9MM^5532-G-309 1230

INSERT TIBIAL PS TRIATH #4 11MM^5532-G-411 1230

INSERT TIBIAL PS TRIATH #4 13MM^5532-G-413 1230

INSERT TIBIAL PS TRIATH #4 16MM^5532-G-416 1230

INSERT TIBIAL PS TRIATH #4 19MM^5532-G-419 1230

INSERT TIBIAL PS TRIATH #4 22MM^5532-G-422 1230

INSERT TIBIAL PS TRIATH #4 25MM^5532-G-425 1230

INSERT TIBIAL PS TRIATH #4 9MM^5532-G-409 1230

INSERT TIBIAL PS TRIATH #5 11MM^5532-G-511 1230

INSERT TIBIAL PS TRIATH #5 13MM^5532-G-513 1230

INSERT TIBIAL PS TRIATH #5 16MM^5532-G-516 1230

INSERT TIBIAL PS TRIATH #5 19MM^5532-G-519 1230

INSERT TIBIAL PS TRIATH #5 22MM^5532-G-522 1230

INSERT TIBIAL PS TRIATH #5 25MM^5532-G-525 1230

INSERT TIBIAL PS TRIATH #5 9MM^5532-G-509 1230

INSERT TIBIAL PS TRIATH #6 11MM^5532-G-611 1230

INSERT TIBIAL PS TRIATH #6 13MM^5532-G-613 1230

INSERT TIBIAL PS TRIATH #6 16MM^5532-G-616 1230

INSERT TIBIAL PS TRIATH #6 19MM^5532-G-619 1230

INSERT TIBIAL PS TRIATH #6 22MM^5532-G-622 1230

INSERT TIBIAL PS TRIATH #6 25MM^5532-G-625 1230

INSERT TIBIAL PS TRIATH #6 9MM^5532-G-609 1230

INSERT TIBIAL PS TRIATH #7 11MM^5532-G-711 1230

INSERT TIBIAL PS TRIATH #7 13MM^5532-G-713 1230

INSERT TIBIAL PS TRIATH #7 16MM^5532-G-716 1230

INSERT TIBIAL PS TRIATH #7 19MM^5532-G-719 1230

INSERT TIBIAL PS TRIATH #7 22MM^5532-G-722 1230

INSERT TIBIAL PS TRIATH #7 25MM^5532-G-725 1236

INSERT TIBIAL PS TRIATH #7 9MM^5532-G-709 1230

INSERT TIBIAL PS TRIATH #8 11MM^5532-G-811 1230

INSERT TIBIAL PS TRIATH #8 13MM^5532-G-813 1230

INSERT TIBIAL PS TRIATH #8 16MM^5532-G-816 1230

INSERT TIBIAL PS TRIATH #8 19MM^5532-G-819 1230

INSERT TIBIAL PS TRIATH #8 22MM^5532-G-822 1230

INSERT TIBIAL PS TRIATH #8 25MM^5532-G-825 1236

INSERT TIBIAL PS TRIATH #8 9MM^5532-G-809 1230

INSERT TIBIAL PS/III #7 18MM^7493-0718 2251

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INSERT TIBIAL SCORPIO #11 10MM^72-26-1110 1230

INSERT TIBIAL SCORPIO #11 12MM^72-26-1112 1230

INSERT TIBIAL SCORPIO #11 12mm^72-3-1112 928

INSERT TIBIAL SCORPIO #11 15MM^72-26-1115 1230

INSERT TIBIAL SCORPIO #11 15MM^72-3-1115 928

INSERT TIBIAL SCORPIO #11 18MM^72-26-1118 1230

INSERT TIBIAL SCORPIO #11 21MM^72-26-1121 1230

INSERT TIBIAL SCORPIO #11 24MM^72-26-1124 1230

INSERT TIBIAL SCORPIO #11 8MM^72-26-1108 1230

INSERT TIBIAL SCORPIO #11/13^72-12-1110 1000

INSERT TIBIAL SCORPIO #11/13^72-12-1112 1000

INSERT TIBIAL SCORPIO #11/13^72-12-1115 1000

INSERT TIBIAL SCORPIO #11/13MM^72-3-1110 928

INSERT TIBIAL SCORPIO #3 10MM^72-26-0310 1230

INSERT TIBIAL SCORPIO #3 12MM^72-26-0312 1230

INSERT TIBIAL SCORPIO #3 15MM^72-26-0315 1230

INSERT TIBIAL SCORPIO #3 18MM^72-26-0318 1230

INSERT TIBIAL SCORPIO #3 21MM^72-26-0321 1230

INSERT TIBIAL SCORPIO #3 24MM^72-26-0324 1230

INSERT TIBIAL SCORPIO #3 8MM^72-26-0308 1230

INSERT TIBIAL SCORPIO #5 10MM^72-12-0510 1000

INSERT TIBIAL SCORPIO #5 10MM^72-2-0510 1722

INSERT TIBIAL SCORPIO #5 10MM^72-26-0510 1230

INSERT TIBIAL SCORPIO #5 12MM^72-2-0512 1722

INSERT TIBIAL SCORPIO #5 12MM^72-26-0512 1230

INSERT TIBIAL SCORPIO #5 15MM^72-2-0515 1722

INSERT TIBIAL SCORPIO #5 15MM^72-26-0515 1230

INSERT TIBIAL SCORPIO #5 15MM^72-3-0515 928

INSERT TIBIAL SCORPIO #5 18MM^72-2-0518 1722

INSERT TIBIAL SCORPIO #5 18MM^72-26-0518 1230

INSERT TIBIAL SCORPIO #5 21MM^72-26-0521 1230

INSERT TIBIAL SCORPIO #5 24MM^72-26-0524 1230

INSERT TIBIAL SCORPIO #5 8MM^72-2-0508 1722

INSERT TIBIAL SCORPIO #5 8MM^72-26-0508 1230

INSERT TIBIAL SCORPIO #7 10MM^72-12-0710 1000

INSERT TIBIAL SCORPIO #7 10MM^72-16-0710 1000

INSERT TIBIAL SCORPIO #7 10MM^72-2-0710 1722

INSERT TIBIAL SCORPIO #7 10MM^72-26-0710 1230

INSERT TIBIAL SCORPIO #7 12MM^72-12-0712 1000

INSERT TIBIAL SCORPIO #7 12MM^72-2-0712 1722

INSERT TIBIAL SCORPIO #7 12MM^72-26-0712 1230

INSERT TIBIAL SCORPIO #7 12MM^72-3-0712 1256

INSERT TIBIAL SCORPIO #7 15MM^72-12-0715 1000

INSERT TIBIAL SCORPIO #7 15MM^72-2-0715 1722

INSERT TIBIAL SCORPIO #7 15MM^72-26-0715 1230

INSERT TIBIAL SCORPIO #7 15MM^72-3-0715 1256

INSERT TIBIAL SCORPIO #7 18MM^72-2-0718 1722

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INSERT TIBIAL SCORPIO #7 18MM^72-26-0718 1230

INSERT TIBIAL SCORPIO #7 18MM^72-3-0718 1551

INSERT TIBIAL SCORPIO #7 21MM^72-26-0721 1230

INSERT TIBIAL SCORPIO #7 24MM^72-26-0724 1230

INSERT TIBIAL SCORPIO #7 8MM^72-2-0708 1722

INSERT TIBIAL SCORPIO #7 8MM^72-26-0708 1230

INSERT TIBIAL SCORPIO #9 10MM^72-12-0910 1000

INSERT TIBIAL SCORPIO #9 10MM^72-2-0910 1166

INSERT TIBIAL SCORPIO #9 10MM^72-26-0910 1230

INSERT TIBIAL SCORPIO #9 10MM^72-3-0910 1256

INSERT TIBIAL SCORPIO #9 12MM^72-12-0912 1000

INSERT TIBIAL SCORPIO #9 12MM^72-2-0912 1722

INSERT TIBIAL SCORPIO #9 12MM^72-26-0912 1230

INSERT TIBIAL SCORPIO #9 12MM^72-3-0912 1256

INSERT TIBIAL SCORPIO #9 15MM^72-12-0915 1000

INSERT TIBIAL SCORPIO #9 15MM^72-2-0915 1722

INSERT TIBIAL SCORPIO #9 15MM^72-26-0915 1230

INSERT TIBIAL SCORPIO #9 18MM^72-2-0918 1722

INSERT TIBIAL SCORPIO #9 18MM^72-26-0918 1230

INSERT TIBIAL SCORPIO #9 18MM^72-3-0918 1802

INSERT TIBIAL SCORPIO #9 21MM^72-2-0921 1722

INSERT TIBIAL SCORPIO #9 21MM^72-26-0921 1230

INSERT TIBIAL SCORPIO #9 24MM^72-26-0924 1230

INSERT TIBIAL SCORPIO #9 8MM^72-2-0908 1722

INSERT TIBIAL SCORPIO #9 8MM^72-26-0908 1230

INSERT TIBIAL SCORPIO 11/13 10^72-2-1110 1722

INSERT TIBIAL SCORPIO 11/13 12^72-2-1112 1722

INSERT TIBIAL SCORPIO 11/13 15^72-2-1115 1722

INSERT TIBIAL SCORPIO 11/13 18^72-2-1118 1722

INSERT TIBIAL SCORPIO 11/13 21^72-2-1121 1722

INSERT TIBIAL SCORPIO 11/13 8^72-2-1108 1722

INSERT TIBIAL SCORPIO PS #11 10MM^72-25-1110 1230

INSERT TIBIAL SCORPIO PS #11 12MM^72-25-1112 1230

INSERT TIBIAL SCORPIO PS #11 15MM^72-25-1115 1230

INSERT TIBIAL SCORPIO PS #11 18MM^72-25-1118 1230

INSERT TIBIAL SCORPIO PS #11 18MM^72-3-1118 1874

INSERT TIBIAL SCORPIO PS #11 21MM^72-25-1121 1230

INSERT TIBIAL SCORPIO PS #11 24MM^72-25-1124 1230

INSERT TIBIAL SCORPIO PS #11 8MM^72-25-1108 1230

INSERT TIBIAL SCORPIO PS #11 8MM^72-3-1108 1802

INSERT TIBIAL SCORPIO PS #3 10MM^72-25-0310 1230

INSERT TIBIAL SCORPIO PS #3 12MM^72-25-0312 1230

INSERT TIBIAL SCORPIO PS #3 15MM^72-25-0315 1230

INSERT TIBIAL SCORPIO PS #3 18MM^72-25-0318 1230

INSERT TIBIAL SCORPIO PS #3 21MM^72-25-0321 1230

INSERT TIBIAL SCORPIO PS #3 24MM^72-25-0324 1230

INSERT TIBIAL SCORPIO PS #3 8MM^72-25-0308 1230

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INSERT TIBIAL SCORPIO PS #5 10MM^72-25-0510 1230

INSERT TIBIAL SCORPIO PS #5 10MM^72-3-0510 1802

INSERT TIBIAL SCORPIO PS #5 12MM^72-25-0512 1230

INSERT TIBIAL SCORPIO PS #5 12MM^72-3-0512 1802

INSERT TIBIAL SCORPIO PS #5 15MM^72-25-0515 1230

INSERT TIBIAL SCORPIO PS #5 18MM^72-25-0518 1230

INSERT TIBIAL SCORPIO PS #5 18MM^72-3-0518 1802

INSERT TIBIAL SCORPIO PS #5 21MM^72-25-0521 1230

INSERT TIBIAL SCORPIO PS #5 24MM^72-25-0524 1230

INSERT TIBIAL SCORPIO PS #5 8MM^72-25-0508 1230

INSERT TIBIAL SCORPIO PS #7 10MM^72-25-0710 1230

INSERT TIBIAL SCORPIO PS #7 10MM^72-3-0710 1802

INSERT TIBIAL SCORPIO PS #7 12MM^72-13-0712 1000

INSERT TIBIAL SCORPIO PS #7 12MM^72-25-0712 1230

INSERT TIBIAL SCORPIO PS #7 15MM^72-13-0715 1000

INSERT TIBIAL SCORPIO PS #7 15MM^72-25-0715 1230

INSERT TIBIAL SCORPIO PS #7 18MM^72-25-0718 1230

INSERT TIBIAL SCORPIO PS #7 21MM^72-25-0721 1230

INSERT TIBIAL SCORPIO PS #7 24MM^72-25-0724 1230

INSERT TIBIAL SCORPIO PS #7 8MM^72-25-0708 1230

INSERT TIBIAL SCORPIO PS #7 8MM^72-3-0708 1802

INSERT TIBIAL SCORPIO PS #9 10MM^72-13-0910 1000

INSERT TIBIAL SCORPIO PS #9 10MM^72-25-0910 1230

INSERT TIBIAL SCORPIO PS #9 12MM^72-25-0912 1230

INSERT TIBIAL SCORPIO PS #9 15MM^72-25-0915 1230

INSERT TIBIAL SCORPIO PS #9 15MM^72-3-0915 1802

INSERT TIBIAL SCORPIO PS #9 18MM^72-25-0918 1230

INSERT TIBIAL SCORPIO PS #9 21MM^72-25-0921 1230

INSERT TIBIAL SCORPIO PS #9 24MM^72-25-0924 1230

INSERT TIBIAL SCORPIO PS #9 8MM^72-25-0908 1230

INSERT TIBIAL SCORPIO PS #9 8MM^72-3-0908 1802

INSERT TIBIAL SCORPIO SZ 7 12MM^72-16-0712 1000

INSERT TIBIAL TRIATH #5 11MM^5537-G-511 5071

INSERT TIBIAL TRIATH #5 13MM TS -MFRCAT# 5537-G-513^5537-G-513 5071

INSERT TIBIAL TRIATH #5 16MM^5537-G-516 5071

INSERT TIBIAL TRIATH PKR X3 SZ 4 8MM^5630-G-408 2000

INSERT TIBIAL TRIATH SZ 5 28MM TS^5537-G-528 5071

INSERT TIBIAL TRIATH SZ 6 13MM TS^5537-G-613 5071

INSERT TIBIAL TRIATH TS SZ 4 16MM^5537-G-416 5071

INSERT TIBIAL TRIATH TS SZ 5 22MM^5537-G-522 5071

INSERT TIBIAL TRIATH TS SZ 6 16MM^5537-G-616 5071

INSERT TIBIAL TRIATH X3 #4 11MM^5537-G-411 5071

INSERT TIBIAL TRIATHX3 SZ 3 11MM TS^5537-G-311 5071

INSERT TIBIAL TRIATHX3 SZ 3 13mm TS^5537-G-313 5071

INSERT TIBIAL TRIATHX3 SZ 6 9MM TS^5537-G-609 5071

INSERT TIBIAL TRIATHX3 SZ 7 TS^5537-G-709 5071

INSERT TIBIAL TRIATHX3 SZ 7X 25 TS^5537-G-725 5071

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INSERT TIBIAL TRIATHX3 TS #6 11MM^5537-G-611 5071

INSERT TIBIAL TS TRIATH #2 11MM^5537-G-211 5071

INSERT TIBIAL TS TRIATH #2 13MM^5537-G-213 5071

INSERT TIBIAL TS TRIATH #2 25MM^5537-G-225 5071

INSERT TIBIAL TS TRIATH #3 22MM^5537-G-322 5071

INSERT TIBIAL TS TRIATH #4 19MM^5537-G-419 5071

INSERT TIBIAL TS TRIATH #4 9MM^5537-G-409 5071

INSERT TIBIAL TS TRIATH X3 SZ 4 22MM^5537-G-422 5071

INSERT TIBIAL X3 TRIATH #5 -MFRCAT# 5537-G-519^5537-G-519 5071

INSERT TOTAL ELBOW SYS SOLAR^5005-2035 1686

INSERT TRIDENT 0DEG SZ D^690-00-22D 6424

INSERT TRIDENT CONSTRAINED ACETABULAR^690-10-22E 6373

INSERT TRIDENT CONSTRAINED ACETABULAR^690-10-22F 6373

INSERT TRIDENT CONSTRAINED ACETABULAR^690-10-28H 6373

INSERT TRIDENT CONSTRAINED ACETABULAR^690-10-28I 6373

INSERT TRIDENT CONSTRAINED ACETABULAR^690-10-28J 6373

INSERT TRIDENT CUP POLY ACET^65C-3250 1900

INSERT TRIDENTX3 0DEG 32MM C^623-00-32C 1200

INSERT UNI JOURNEY TIB SZ 5^71422261 1200

INSERT UNI JOURNEY TIB SZ 5-6 8MM^71422265 1200

INSERT UNI TIB JOURNEY RT S5-6LM/RL10^71422263 1200

INSERT UNI TIB JOURNEY S3-4LM/RL8MM^71422251 1200

INSERT UNI TIB JOURNEY S3-4RM/LL 10MM^71422257 1200

INSERT UNI TIB JOURNEY S3-4RM/LL 8MM^71422255 1200

INSERT UNI TIB JOURNEY SZ 3-4 9MM^71422252 1200

INSERT UNI TIB JOURNEY SZ 3-4LM/RL10MM^71422253 1200

INSERT UNI TIBINRT JOURNEY S1-2LM/RL8MM 71422241 1200

INSERT XLPE DISHED LEGION SZ 1-2 13MM^71453273 1800

INSERT XLPE DISHED LEGION SZ 1-2 9MM^71453271 1800

INSERT XLPE DISHED LEGION SZ 5-6 13MM^71453286 1800

INSERT XLPE LEGION DISHED SZ 1-2 11MM^71453272 1800

INSERT XLPE LEGION DISHED SZ 3-4 11MM^71453278 1800

INSERT XLPE LEGION DISHED SZ 3-4 13MM^71453279 1800

INSERT XLPE LEGION DISHED SZ 3-4 15MM^71453281 1800

INSERT XLPE LEGION DISHED SZ 5-6 11MM^71453285 1800

INSERT XLPE LEGION DISHED SZ 5-6 9MM^71453284 1800

INSERT XLPE LEGION SZ 1-2 15MM^71453274 1800

INSERT XLPE PS LEGION SZ 3-4 11MM^71453247 1800

INSERT XLPE PS LEGION SZ 3-4 15MM^71453249 1800

INSERT XLPE PS LEGION SZ 3-4 9MM^71453246 1800

INSERT XLPE PS LEGION SZ 5-6 11mm^71453253 1800

INSERT XLPE PS LEGION SZ 5-6 13MM^71453254 1800

Insertion Percutaneous Gastrostomy Tube GI Lab 1831

INSERTION STANDARD KIT F/PERC CANNULA^96550 101

INTEGRA BILAYER MATRIX CHARGE X 40 sqin (300sqcm)^BMW4101 290

INTEGRA BILAYER MATRIX WND CHG X 125 CM^BMW4051 56

INTEGRA BILAYER MATRIX WND CHG X 25CM^BMW2021 280

Page 160: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

INTERCEED 3 X 4 4350^4350 620

INTERFIT ACETABULAR SHELL 44MM^71336044 1906

INTERFIT ACETABULAR SHELL 46MM^71336046 1906

INTERFIT ACETABULAR SHELL 48MM^71336048 1906

INTERLOCK COIL 10 X 20 HELICAL IDC^M001361590 794

INTERLOCK COIL 10 X 30 HELICAL IDC^M001361600 794

INTERLOCK COIL 12 X 20 HELICAL IDC^M001361610 794

INTERLOCK COIL 12 X 30 HELICAL IDC^M001361620 655

INTERLOCK COIL 14 X 20 HELICAL IDC^M001361630 794

INTERLOCK COIL 14 X 30 HELICAL IDC^M001361640 794

INTERLOCK COIL 2/4 DIAMOND IDC^M001361750 794

INTERLOCK COIL 2/6 DIAMOND IDC^M001361770 794

INTERLOCK COIL 3 X 6 HELICAL IDC^M001365000 794

INTERLOCK COIL 3 X12 HELICAL IDC^M001361510 655

INTERLOCK COIL 4 X 15 HELICAL IDC^M001361530 794

INTERLOCK COIL 4 X 8 HELICAL IDC^M001361520 655

INTERLOCK COIL 5 X 15 HELICAL IDC^M001361550 655

INTERLOCK COIL 5 X 8 HELICAL IDC^M001361540 655

INTERLOCK COIL 6 X 10 HELICAL IDC^M001361560 794

INTERLOCK COIL 6 X 20 HELICAL IDC^M001361570 794

INTERLOCK COIL 8 X 20 HELICAL IDC^M001361580 794

INTERNAL BRACE IMPLANT SYSTEM W/STANDARD BIOCOMPOSITE AR-1788J-CP 2646

INTERSPACE HIP SPACER 46 LONG^SPC0323 7420

INTERSPACE HIP SPACER 46SHORT^SPC0023 7420

INTERSPACE HIP SPACER 54SHORT^SPC0123 7420

INTERSPACE HIP SPACER LG SPC0522^SPC0527 7420

INTERSPACE HIP SPACER MED SPC0421^SPC0423 7420

INTERSPACE KNEE SPACER HI RELEASE^SPK0122 7420

INTERSPACE KNEE SPACER SPK0221^SPK0222 7420

INTERSPACE KNEE SPACER XL^SPK0322 7420

INTERSPACE KNEE XL HI RELEASE^SPK03Z1 7420

INTERSPACE SHOULDER SPACER W/GENTA KIT^SPS0021K 7420

INTERSTIM IMPLANT GENERATOR^3058 21776

INTERTAN 13mm X 44cm 125D RT^71675420 3826

INTRODUCER FOR ALL 10F STENTS (GI LAB) ^MAJ-1422 133

INTRODUCER FOR ALL 7F STENTS (GI LAB) ^MAJ-1416 133

INTRODUCER KIT 8FR^0607780 147

INTRODUCER LEAD 8FR DAIG^48467 108

INTRODUCER PER LEAD 8FR^6208TRK 108

INTRODUCER PERC LEAD 7FR W/BS^6207BTK-D1 108

INTRODUCER PERC LEAD 7FR W/S^6207BTK-1S 108

INTRODUCER PERC LEAD 7FR^6207TRK1 108

INTRODUCER PERC LEAD 8FR W/BS^6208BTK1 108

INTRODUCER PERC LEAD 9FR DAIG^405129 108

INTRODUCER PERC LEAD 9FR W/BS^6209BTK1 108

INTRODUCER PERC LEAD 9FR W/BS^6209BTK-1S 108

INTRODUCER PERC LEAD 9FR^6209TRK1 108

Page 161: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

INTRODUCER PERC LEAD EXT LONG^6207BTKL-1 108

INTRODUCER PERITOLEAL TAUT 12F^PI-128 147

INTRODUCER SHEATH 19FR^IS19 295

INTRODUCER SHEATH AFX^S17-45 670

INTRODUCER SUPRA-PUBIC CATH^AC01A 108

INVANCE SCREWS MALE SLING SYS^72355009 46

IPG CAPPED PERMANENT PROC 18000^IPG PERM PROC 36000

IPG CHANGE CAPPED PROC 14500^IPG CHANGE 29000

IPG- TRIAL PROCEDURE ST JUDE^IPG ST JUDE TRIAL 2400

IPG-INTERSTIM IMPLANT^3023 19800

IPRISM-MICRO TRABEC STENT^GTS100L 3950

IRRIGATION SINUS^RV02Z 233

ISOTOPE AXUMIN - PET SCAN^AXUMIN 10mCi 720

ISOTOPE FDG 15mCi 1-125 DOSE/MO^102192 1088

ISOTOPE LYMPHATIC MAPPING Tc99m Tilmanocept^103931 450

ISOVUE 370 10 X 100ML 10/BX^131635 2.25

IUD PHYSICIAN SUPPLIED - COPPER**OR ONLY**^PARAGARD 0.01

IV Infusion greater 8 hrs w Pump 402

JETSTREAM G3 1.6mm^PV3116F 5429

JOURNEY UNI TIBIAL BASE RM/LL SZ 2 71422432 2610

JOURNEY UNI TIBINRT S1-2RM/LL8MM 71422245 1200

JRNY II BCS CNSTRD ART ISRT 3-4 RT 10M 74029232 4577

JRNY II BCS CNSTRD ART ISRT RT 5-6 12M^74029254 4577

JRNY II BCS CNSTRD ART ISRT RT 5-6 18M^74029257 4577

JRNY II ISRT XLPE DD LT SZ 3-4 15MM 74025746 1800

JRNY II ISRT XLPE DD LT SZ 5-6 11MM 74025763 1800

JRNY II ISRT XLPE DD RT SZ 5-6 15MM^74025756 1800

JRNY II ISRT XLPE DD RT SZ 7-8 11MM 74025773 1800

JRNY II ISRT XLPE DD RT SZ 7-8 9MM^74025771 1800

JRNY II UNI MED XLPE INSERT SZ 9-10 9MM 74026189 1200

JRNY II UNI MEDIAL TIBIA SZ 7 LEFT 74026717 2610

JRNY II UNI MEDIAL TIBIA SZ 7 RIGHT 74026727 2610

JRNY II UNI MEDIAL TIBIA SZ 9 LEFT 74026719 2610

JRNY II UNI OX FEMORAL 5 LM/RL 74026025 3400

JRNY II UNI OX FEMORAL 6 RM/LL 74026036 3400

JRNY II UNI OX FEMORAL 7 LM/RL 74026027 3400

JRNY II XR INS XLPE LAT 5-6 LT 8MM 74023860 900

JRNY II XR INS XLPE MED 5-6 LT 8MM 74023760 900

K WIRE .045^24900091 56

K WIRE .045^AR-8933K 12

K WIRE .062^AR-8941K 27

K WIRE 1MM^AR-8708K 35

K WIRE 3.0 X 285MM^1806-0050S 232

K WIRE DOUBLE .062 X 6^316-0118 100

K WIRE TROCAR PT 1.0MM X 150MM^71161010 72

K WIRE TROCAR PT 1.25MM X 150^71161012 59

K WIRE TROCAR PT 1.4MM X 100MM 71161014 140

Page 162: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

K WIRE TROCAR PT 1.6MM X 150MM^71161016 59

K WIRE TROCAR PT 2.0^40119005 56

KIRSCHNER WIRE 1.6MM X 100MM THRD TIP^292.708 921

KIRSCHNER WIRE^1210-6450S 242

KIT 700 ULTREX PENILE ACCESS.^72401850 1441

KIT ACCESSORY LEAD TRIAL #355531^355531 400

KIT ACCESSORY SPHINCTER 800 720066-01 2194

KIT BIOCARTILAGE LG JOINT -MFRCAT# ABS-1000-L^ABS-1000-L 434

KIT BIOTENODESIS 3X8^AR-1530DS 522

KIT BIOTENODESIS AR-1676DS^AR-1676DS 345

KIT CATH MAHURKAR 13.5fr 19.5cm STRAIGHT EXT TRIAL ^8888135191 119

KIT CATH PLEURX PERITONEAL^50-9000B 643

KIT CATH SUPER HEO Hero1000 8020

KIT CATHETER 5.0 IMPELLA LD^005082 50000

KIT CATHETER BALLOON VENOGRAM^6215-80 200

KIT CATHETER IMPELLA 2.5^005042 40000

KIT CATHETER IMPELLA CP 4.0^0048-0003 50000

KIT CATHETER REPERFUSION 3MAX PLUS TUBING^3MAXCKIT 1830

KIT CATHETER REPERFUSION ACE060 PLUS TUBING ^5MAXACE132KIT 1830

KIT CATHETER REPERFUSION ACE068 PLUS TUBING ^5MAXACE068KIT 1830

KIT CODMAN BACTISEAL CATHETER^95001 1784

KIT CSF SHUNT MED. PRESSURE^46014 1320

KIT DECATHLON DF STANDARD 36CM DIALYSIS ^DF31SH36K 280

KIT DECATHLON DF STANDARD 40CM DIALYSIS^DF35SH40K 668

KIT DECATHLON DF STANDARD 55CM DIALYSIS^DF50SH55K 668

KIT DISP SUTURE PASS UCL^AR-7715-4.5 1230

KIT D-RAD SINGLE USE LT STD^71158019 1218

KIT D-RAD SINGLE USE RT WIDE^71158022 1218

KIT DRILL PIN TRIM-IT DISP AR-4151DS^AR-4151DS 560

KIT DRILL PIN TRIM-IT DISP AR-4156DS^AR-4156DS 620

KIT DUAL PLASTIC 10FR. PORT^0605930 1186

KIT DUAL PROBE (7, 10, 20mm)^OCP207 5467

KIT DUAL PROBE 10MM^OCP210 5467

KIT DUAL PROBE 20MM^OCP220 5467

KIT ELVS PROCEDURE 65CM ^H787114030020 1992

KIT GASTROSTOMY INTRODUCER 22fr W/OUT G-TUBE^98433 295

KIT IMPELLA 5.0 PUMP^005062 50000

KIT INTERMED POWERPORT DUO MRI^1829500 1592

KIT INTRODUCER 10FR^0601110 147

KIT INVISIKNOT ANKLE FX -MFRCAT# 72204834^72204834 2700

KIT LEAD COMPACT PISCES QUAD^3887 2642

KIT LEAD COMPACT PISCES QUAD^3888 2900

KIT LEAD COMPACT PISCES QUAD^3890 3212

KIT LEAD FREEDOM 4A CHANNEL A 4 ELECTRODES^S4T-1A US FRRA-TRL-A0 2000

KIT LEAD FREEDOM 4A CHANNEL B 4 ELECTRODES^S4T-1B US FR4A-TRL-B0 2000

KIT LEAD FREEDOM 8A CHANNEL A 8 ELECTRODES^S8T-1A US FR8A-TRL-A0 3000

KIT LEAD FREEDOM 8A CHANNEL B 8 ELECTRODES^S8T-1B US FR8A-TRL-B0 3000

Page 163: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

KIT LEAD LAMI 14C #3214^3214 6000

KIT LEAD LAMI 44 X 60CM #3244^3244 6000

KIT LEAD LAMI 44C #3245^3245 6000

KIT LEAD LAMI 44C #3264^3264 6000

KIT LEAD LAMI 88 # 3288^3288 6000

KIT LEAD LAMI TRIPOLE 16^3219 6000

KIT LEAD LAMI TRIPOLE 8^3208 6290

KIT LEAD PENTA 3228^3228 8000

KIT LEAD PISCES QUAD^3487A 2642

KIT LOW PROFILE TITANIUM 6 FR^0605510 350

KIT MENISCAL ROOT REPAIR^AR-4550 1761

KIT MICRO INTRO 21G 5F 4CM ENROUTE^SR-4F21G4D-MP 120

KIT MICRO INTRO 21G 5F 7CM ENROUTE^SR-4F21G7D-MP 120

KIT MINI TIGHTROPE FT^AR-8912DS 1151

KIT NAIL GAMMA LNG LCKING RT^3230-0320S 3683

KIT NAIL GAMMA TROCH^3120-1180S 2528

KIT NAIL GAMMA3 LNG LOCKING LT^3330-0300S 3683

KIT NAIL GAMMA3 LNG LOCKING RT^3225-0300S 3683

KIT NAIL GAMMA3 LNG LOCKING RT^3225-0340S 3683

KIT PN^309201 160

KIT PREP OF Tc-99m HMPAO Ceretec Nonstable 1 vial^225 2900

KIT PROBE SINGLE 10mm^OCP110 4277

KIT PROBE SINGLE 20mm^OCP120 4277

KIT PRO-DENSE CORE DECOMPRESSION PROCEDURE 15CC 87SRCK15 10396

KIT RENEGADE HI=FLO FATHOM 16 140cm RENHF 105cm 10 PRELOAD^M001184500 735

KIT RENEGADE HI=FLO FATHOM 16 140cm RENHF 105cm 20 PRELOAD^M001184510 735

KIT RENEGADE HI=FLO FATHOM 16 180cm RENHF 135cm 10 PRELOAD^M001184540 848

KIT RENEGADE HI=FLO FATHOM 16 180cm RENHF 135cm 20 PRELOAD^M001184550 848

KIT RENEGADE HI=FLO FATHOM 16 180cm RENHF 150cm 20 PRELOAD^M001184560 848

KIT RENEGADE HI=FLO FATHOM 16 180cm RENHF 150cm 20 PRELOAD^M001184570 848

KIT SCP KNEE CAT#414.502^414.502 7800

KIT SINGLE LOOP RETRIEVAL 380911120 428

KIT SINGLE PROBE 7mm^OCP107 4277

KIT SNARE RETRIEVAL SRK30 525

KIT SPINEJACK CASE 4.2 mm^0909-000-042 7497

KIT SPINEJACK CASE 5.0 mm^0909-000-050 7497

KIT SPINEJACK CASE 5.8 mm^0909-000-058 7497

KIT STENT ADVANIX PANCREATIC ^3749 340

KIT SURGICAL TANDEM CUSTOM HIP PROCEDURE BIPOLAR MEDIUM DEMAND^71701445 4687

KIT TIGHTROPE REPAIR^AR-8911DS 876

KIT UROMAX BALLOON 21FR 10CM^217-138 861

KIT UROMAX BALLOON 7FR 4CM^200-111 861

KNEE ARTICULAR INSERT JRNY II BCS CNSTRD ART ISRT 5-6 LT 12M^74029264 4577

KNEE LEFT TRI W/O PATELLA^M57250600010 12500

KNEE MEDIAL RIGHT UNI^M57220600220 12500

KNEE PSI POLY IMPLANT LT^TPS1111111 12500

KNEE RIGHT TOTAL TRI W/O PATELLA^M57250600020 12500

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Description CPT-4 Base Price Schedule

KNEE STRIDE UNI^71701850 7210

KNEE TKA JOURNEY BCS IXI W/NP TIB CONSTR INSERT^71709010 11977

KNEE TOTAL CR IPOLY IMPLANT KIT^TCR-111-1111 12500

Knee Total GII Oxinium CmtdTib w/CR Insert^71701266 8858

KNEE TOTAL J2 UNI OXI/ZUK UNI HYBRID W/INSTRUMENTS^71701841 7210

KNEE TOTAL LGN II DR VERILAST NP TIB^71704565 8000

K-WIRE .035 X 9^128022 44

K-WIRE .045 X 5 in^128040 44

K-WIRE .045 X 9^128042 44

K-WIRE .045^1642-06-045 44

K-WIRE .062 1.6MM X 127MM SS^KW062-SS 47

K-WIRE .062 X 9 THREADED F^127861 92

K-WIRE .062 X 9^128062 44

KWIRE .062^59410625 56

KWIRE .062X3^AR-2663 35

KWIRE 0.8 NON-STERILE^45-20015 42

KWIRE 0.8^45-20015S 62

KWIRE 0.8^492.08 207

KWIRE 0.9 0 - MFRCAT DSDS1009^DSDS1009 56

KWIRE 0.9X150^DSDS-1009 56

K-WIRE 1.0 W/TROCAR POINT^492.10 207

K-WIRE 1.0 W/TROCAR PT 150MM^292.10 179

KWIRE 1.0X160^07-40280 7

KWIRE 1.1^07-40281 46

KWIRE 1.1^45750001 64

KWIRE 1.1^DSDS1011 56

K-WIRE 1.1^WIRE-1.1 30

KWIRE 1.2 NON-STERILE^45-30015 46

KWIRE 1.25 F/REDUCTION PLATE^02.111.500.10 335

K-WIRE 1.25 W/TROCAR POINT^492.12 207

K-WIRE 1.25 W/TROCAR PT 150MM^292.12 179

KWIRE 1.25 W/TROCAR TIP 80MM^02.111.304.01 36

K-WIRE 1.25MM W/THRD TIP^292.600 921

KWIRE 1.25x150^292.52 212

KWIRE 1.4^390162 24

KWIRE 1.4^702459 78

KWIRE 1.6 TITAN^GP840 84

K-WIRE 1.6 W/TROCAR PTS 150MM^292.56 212

KWIRE 1.6 X 150MM^GP540 84

K-WIRE 1.6^14425-6 64

K-WIRE 1.60 W/TROCAR POINT^492.16 207

K-WIRE 1.60 W/TROCAR PT 150MM^292.16 179

KWIRE 1.6mm^390164 14

K-WIRE 150MM^44112008 68

K-WIRE 1600-945X^1600-945NS 5

K-WIRE 2.00 W/TROCAR PT 150MM^292.20 179

KWIRE 2.0MM 240MM^03.010.025 68

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Description CPT-4 Base Price Schedule

K-WIRE 2.0MM X 152MM^KW2.0-SS 64

KWIRE 2.0X150 15MM THD^292.79 346

KWIRE 2.0X150^492.20 207

KWIRE 2.0X285MM^292.21 224

K-WIRE 2.5 W/TROCAR PT 285MM^292.26 224

KWIRE 2.5X150MM^292.25 179

KWIRE 2.5X230^4418-0230 56

KWIRE 2.8X200 SPADE PT^03.108.005 72

K-WIRE 2MM X 45 MM 5101-2-450 80

KWIRE 4 in X.028^1346-026-000 31

K-WIRE 6 in TROCAR PT .035^1642-06-035 44

KWIRE 6 in X.035^1346-002-000 9

KWIRE 6 in X.045^1346-004-000 9

KWIRE 6 in X.062^1346-006-000 9

KWIRE EQUINOXE GLENOID 2.0^315-35-00 262

KWIRE F/NUVASIVE^5300012 262

KWIRE OLIVE STOP 56-40281 46

K-WIRE PERI-LOC 2.0X228^71173361 35

K-WIRE SINGLE ENDED TROCAR TIP SMOOTH 1.1 X 150mm^P99-192-1115 42

K-WIRE SINGLE ENDED TROCAR TIP SMOOTH 1.6 X 150mm^P99-192-1615 42

KWIRE SMOOTH^01-1010-007 59

KWIRE STERILE 1.8X310^0152-0218S 232

K-WIRE THREADED 2.50 X 200^292.75 368

K-WIRE THREADED 3.2MM^09595 186

K-WIRE THREADED^M20-10015 242

KWIRE TIGER 2.0X350mm^71173381 35

K-WIRE TROCAR POINT .028 X 4^47018600415 25

K-WIRE TROCAR POINT .045 X 4^128030 44

K-WIRE TROCAR PT 2.0MM X 150MM^71161020 59

K-WIRE TROCAR PT. .035 X 4^128010 44

K-WIRE TROCAR PT. .062 X 4^128050 44

K-WIRE W/ 17MM STOP***use 73259***^56-40281 46

KWIRE W/DRILL TIP 2.0X100^02.111.902.01 84

KWIRE W/DRILL TIP 2.0X150^02.111.903.01 84

KYLEENA IUD - PHYSICIAN SUPPLIED**OR ONLY**^NDC50419-424-01 0.01

LABELED WBC In111^355 3490

LAPIPLASTY SYSTEM-2 ANATOMIC BIPLANAR IMPLANT^SK14 9390

LARGE ROCKER SHOE LONG 4934-8-180 1627

LATERA IMPLANT/DELIVERY DEVICE^LATSYS01 2650

LAWRENCE SUPRAPUBIC CATHETER INTRODUCER 16FR^SFS16851 108

LC SKN SUB 1ST 25SQCM LEG 1765

LC SKN SUB 1ST100SQCM LEG 2273

LC SKN SUB 1ST100SQCMFEET 2071

LC SKN SUB 1ST25SQCM FEET 1765

LC SKN SUB ADL 25SQCM LEG 741

LC SKN SUB ADL100SQCM LEG 1592

LC SKN SUB ADL100SQCMFEET 1038

Page 166: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

LC SKN SUB ADL25SQCM FEET 840

LD PCEMKR NON-TSV 01 1.02

LEAD ARTISAN 50CM 2X8 - CAT# SC-8216-50^SC-8216-50 9000

LEAD ATTAIN PERFORMA 459888^459888 3667

LEAD CAPSURE Z PACING 45CM^5534-45 1332

LEAD CAPSURE Z PACING 53CM^5534-53 1332

LEAD CAPSURE Z PACING 58CM^5034-58 1332

LEAD CAPSURE Z PACING VDD 58CM^5038-58 1332

LEAD CAPSUREFIX ATRIAL J 45CM^4568-45 1167

LEAD EPICARDIAL 35CM 4046^4046 1000

LEAD EPICARDIAL 54CM 4047^4047 1050

LEAD EPICARDIAL CAPSURE EPI PACING 5071-35CM^5071-35M 1500

LEAD EPICARDIAL PACING^511212 1000

LEAD EVALUATION BASIC^306001 424

LEAD EXTENSION KIT CONTACT 8 25CM^SC-3138-25 1000

LEAD EXTENSION KIT CONTACT 8 35CM^SC-3138-35 1306

LEAD EXTENSION KIT CONTACT 8 55CM^SC-3138-55 1407

LEAD EXTENSION MEDTRONIC^3095-10 990

LEAD GASTRIC ENTERRA^4351-35 4400

LEAD ICD DUAL COIL 01 1.02

LEAD INTRODUCER KIT MEDTRN INT^3550-18 387

LEAD KIT 8 CONT 50 CM SC-2218-50^M365SC2218500 2800

LEAD KIT 8 CONT 70CM SC-2218-70^M365SC2218700 2800

LEAD KIT CONTACT 16 INFINION SC-2316-50^SC-2316-50 6400

LEAD KIT CONTACT 8 50CM SC-2352-50^M365SC2352500 4326

LEAD KIT CONTACT 8 50CM^SC-2138-50 3509

LEAD KIT CONTACT 8 50CM^SC-2208-50 4326

LEAD KIT CONTACT 8 70CM^SC-2208-70 4326

LEAD KIT NEURO 3778-60^3778-60 3790

LEAD KIT SC-2158-50^M365SC2158500 4326

LEAD KIT SURGICAL 2X8 50CM^SC-8120-50 9099

LEAD KIT VECTRIS COMPACT 1x8 977A260^977A260 4290

LEAD KIT W/O PERC EXT 1X8^3777-60 3790

LEAD KIT^3777-75 4780

LEAD NEUROSTIMULATION SC-2316-80E^SC-2316-50E 2000

LEAD RELIANCE DUAL COIL 59CM^0295 11000

LEAD SNS TINED MEDTRONIC 28CM^3889-28 6626

LEAD SNS TINED MEDTRONIC 33CM^3889-33 5532

LEAD TRIAL 50CM 8 CONTACT SC-2218-50E^SC-2218-50E 3630

LEAD TRIAL ELECTRODE 4 DAY^3873-60 1800

LEAD TRIAL ELECTRODE 8 CHANNEL^3086 2990

LEAD TRIAL NEUROSTIM VECTRIS 1X8^977D260 1800

LEAD UNI SILICONE VENTRICAL 5071-35^5071-35 1500

LEAD UNIPOLAR 4194-78^4194-78 3333

LEAD VENT PACING 4092-85CM^4092-85 1167

LEAD VENT/PACING 35CM^4968-35 1167

LEAD VENT/PACING 52CM^5024-52CM 1215

Page 167: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

LEAD VENT/PACING 53CM^4524-53CM 1215

LEAD VENT/PACING 58CM^5024M-58CM 1215

LEAD VENT/PACING 4074-58CM^4074-58CM 1215

LEAD VENT/PACING 45CM^4024-45 1215

LEAD VENT/PACING 5054-52CM^5054-52 1215

LEGION CRUCIATE RETAINING LGN POROUS CR FEM SZ 3L^71423253 3935

LEGION CRUCIATE RETAINING LGN POROUS CR FEM SZ 4L^71423244 3935

LEGION CRUCIATE RETAINING LGN POROUS CR FEM SZ 4R^71423254 3935

LEGION FEM CONE ID 20MM LEFT 71935401 10000

LEGION POROUS CR FEM SZ 3L^71423243 3935

LENGTHENER EXT FIX MICRO^4960-3-000 5498

LENS ACRYSOF IQ ULTRASERT^AU00T0 139

LENS ACRYSOF RESTORE SN6AD1^SN6AD1 745

LENS IOL TECNIS TONIC II 1-PIECE 13MM 6M ZCU150 173

LENS IOL TECNIS TONIC II 1-PIECE ZCU225 173

LENS IOL TECNIS TONIC II 1-PIECE ZCU300 173

LENS OPHTHALMIC AAB00^AAB00 173

LENS OPHTHALMIC ALCON MN60AC^MN60AC 173

LENS OPHTHALMIC CZ60BD^CZ60BD 105

LENS OPHTHALMIC CZ70BD^CZ70BD 75

LENS OPHTHALMIC MA60AC^MA60AC 115

LENS OPHTHALMIC MA60BM^MA60BM 105

LENS OPHTHALMIC MA60MA^MA60MA 138

LENS OPHTHALMIC MC60BD^MC60BD 105

LENS OPHTHALMIC MC60BM^MC60BM 105

LENS OPHTHALMIC MEMORYLENS U940A^U940A 105

LENS OPHTHALMIC MN30BD^MN30BD 105

LENS OPHTHALMIC MTA3UO^MTA3UO 99

LENS OPHTHALMIC MTA4UO^MTA4UO 99

LENS OPHTHALMIC MTA5UO^MTA5UO 99

LENS OPHTHALMIC MZ30BD^MZ30BD 105

LENS OPHTHALMIC MZ60MD^MZ60MD 105

LENS OPHTHALMIC SA60AT^SA60AT 155

LENS OPHTHALMIC SN60WF^SN60WF 138

LENS OPHTHALMIC SN6CWS^SN6CWS 173

LENS OPHTHALMIC TORIC SN60T3^SN60T3 345

LENS OPHTHALMIC TORIC SN6AT7^SN6AT7 246

LENS OPHTHALMIC TORIC SN6AT9^SN6AT9 345

LENS OPTHALMIC MC50BD^MC50BD 105

LENS OPTHALMIC SN60AT^SN60AT 138

LENS OPTHALMIC TORIC SN60T4^SN60T4 245

LENS OPTHALMIC TORIC SN60T5^SN60T5 245

LENS OPTHALMIC TORIC SN6AT3^SN6AT3 246

LENS OPTHALMIC TORIC SN6AT4^SN6AT4 246

LENS OPTHALMIC TORIC SN6AT6^SN6AT6 345

LENS OPTICAL TORIC AA4203TF^AA4203TF 50

LENS OPTICAL TORIC AA4203TL^AA4203TL 50

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Description CPT-4 Base Price Schedule

LENS RESTOR 2.5 IOL MULTIFOCAL DIOPTER SIZE 19.5^SV25T0 19.5 745

LENS RESTOR 2.5 IOL MULTIFOCAL DIOPTER SIZE 20.0^SV25T0 20.0 745

LENS RESTOR 2.5 IOL MULTIFOCAL DIOPTER SIZE 20.5^SV25T0 20.5 745

LENS RESTOR 2.5 IOL MULTIFOCAL DIOPTER SIZE 21.0^SV25T0 21.0 745

LENS RESTOR 2.5 IOL MULTIFOCAL DIOPTER^SV25T0 745

LENS RESTOR ACRSOF SN60AD1^SN60AD1 745

LENS RESTOR ALCON MN60D3U^MN60D3U 745

LENS RESTOR ALCON SA60D3^SA60D3 745

LENS RESTOR ASPHERIC SN6AD3^SN6AD3 745

LENS RESTOR TORIC 2.5 IOL -MFRCAT SV25T3^SV25T3 745

LENS RESTOR TORIC 2.5 IOL -MFRCAT SV25T4^SV25T4 745

LENS RESTORE SN60A1^SN60A1 745

LENS RESTORE UV MN60D3U235^MN60D3U235 745

LENS RESTORE UV MN60D3U245^MN60D3U245 745

LENS REZOOM AMO^REZOOM 745

LENS STANDARD MONOFOCAL ACRYSOF IOLS MN60MA^MN60MA 173

LENS TECNIS MONOFOCAL +22.0D 1-PIECE IOL PCB00 173

LENS TECNIS SYMFONY TORIC 150^ZXT150 700

LENS TECNIS SYMFONY TORIC 225^ZXT225 700

LENS TECNIS SYMFONY TORIC 300^ZXT300 700

LENS TECNIS SYMFONY TORIC 375 ZXT375 700

LENS TECNIS SYMFONY^ZXROO 700

LENS TORIC SN6AT5^SN6AT5 246

LENS TORIC SN6AT8^SN6AT8 345

LENS TORIC TRIFOCAL INTRAOCULAR IOL^TFNT40 845

LGN HM ST 5-6 5MM LTLA-RTMED 71421147 2120

LIDOCAINE URO-JET 10CC 25/BX^76329-3013-5 37

LIFENET GRAFTLINK ALLOGRAFT (case-by-case) FGL 4590

LIFEPORT KIT MINI TITAN STD 8FR^M001453100 380

LIFEPORT KIT STAND PLASTIC 8FR^M001453400 380

LIFEPORT KIT STAND TITAN 8FR^M001453200 380

LIFEPORT PLASTIC 8FR^H965451270 450

LIFEPORT POWERPORT SLIM 1716071 1360

LIFEPORT TITAN 8FR^H965451030 450

LIFEPORT XCELA LOW PROFILE^H965451110 450

LIGHT STRAIGHT TIP DANEK^2762-01-0004 438

LINER ACET RINGLOC SZ 24^XL-105924 3067

LINER ACETAB PINNACLE +4 NEUTRAL^1218-36-658 11897

LINER ADAPTER CUSTOM CONSTRAIN^71929288 2700

LINER ANTEVERTED R3 20 DEG 36 X 54^71934412 6510

LINER CONSTRAIN R3 54MM^71339154 5624

LINER CONSTRAIN R3 56MM -MFRCAT 71339156^71339156 5624

LINER CUSTOM CONSTRAINED 28MM^71929289 2700

LINER HIP ACETAB 28MM 10DEG 60-64MM^85-7725 4294

LINER HUM EQUINOXE 38MM +0MM^320-38-00 1470

LINER R3 XLPE 0 DEG 32X48^71336648 1236

LINER R3 XLPE 0 DEG 32X50^71336650 1236

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Description CPT-4 Base Price Schedule

LINER R3 XLPE 0 DEG 40MMX56OD^71338679 1236

LINER R3 XLPE 0DEG 28X46^71337546 1236

LINER R3 XLPE 0DEG 28X48 -MFRCAT 71337548^71337548 1236

LINER R3 XLPE 0DEG 36X54^71332754 1236

LINER R3 XLPE 0DEG 36X58^71332758 1236

LINER R3 XLPE 20 DEG 32MM X 52MM^71337652 1236

LINER R3 XLPE 20 DEG 32MM X 54MM^71337654 1236

LINER R3 XLPE 20 DEG 32MM X 56MM^71337656 1236

LINER R3 XLPE 20 DEG 32X50^71337650 1236

LINER R3 XLPE 20 DEG 36X56^71335756 1236

LINER R3 XLPE 20 DEG 36X56^71338556 1236

LINER R3 XLPE 20 DEG 36X64^71335764 1236

LINER R3 XLPE 20 DEG 36X66/68^71335766 1236

LINER R3 XLPE 20 DEG 40X58^71338688 1236

LINER R3 XLPE 20 DEG 40X66/70^71338692 1236

LINER R3 XLPE 20DEG 32X48^71337648 1236

LINER R3 XLPE 20DEG 36X62^71338562 1236

LINER R3 XLPE 20DEG 40X56^71338687 1236

LINER R3 XLPE 20DEG 40X60^71338689 1236

LINER R3 XLPE 20DEG 40X62^71338690 1236

LINER R3 XLPE 20DEG 40X64^71338691 1236

LINER R3 XLPE 36X52^71332752 1236

LINER R3 XLPE ACET 28X46 20 DEG^71334946 1236

LINER R3 XLPE ACET 28X48 20 DEG^71334948 1236

LINER R3 XLPE ACET 36X52 20 DEG^71335752 1236

LINER R43 XLPE 0DEG 36X56^71332756 1236

LINER R43 XLPE 0DEG 36X60^71332760 1236

LINER REF MICROSTABLE ACET C^71333312 1236

LINER REF MICROSTABLE ACET D^71333323 1236

LINER REF MICROSTABLE ACET D^71333423 1236

LINER REF MICROSTABLE ACET E^71332450 1236

LINER REF MICROSTABLE ACET E^71333324 1236

LINER REF MICROSTABLE ACET E^71333434 1236

LINER REF MICROSTABLE ACET F^71332454 1236

LINER REF MICROSTABLE ACET F^71333325 1236

LINER REF MICROSTABLE ACET F^71333425 1236

LINER REF MICROSTABLE ACET F^71333435 1236

LINER REF MICROSTABLE ACET F^71339254 1236

LINER REF MICROSTABLE ACET F^71921442 2100

LINER REF MICROSTABLE ACET G^71333326 1236

LINER REF MICROSTABLE ACET G^71333346 1236

LINER REF MICROSTABLE ACET G^71333436 1236

LINER REF MICROSTABLE ACET G^71333446 1236

LINER REF MICROSTABLE ACET G^71339258 1236

LINER REF MICROSTABLE ACET G^71921443 2000

LINER REF MICROSTABLE ACET H^71332462 1236

LINER REF MICROSTABLE ACET H^71333327 1236

Page 170: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

LINER REF MICROSTABLE ACET H^71333347 1236

LINER REF MICROSTABLE ACET H^71923738 1625

LINER REF MICROSTABLE ACET J^71332466 1236

LINER REF MICROSTABLE ACET J^71333348 1236

LINER REF MICROSTABLE ACET K^71332470 1236

LINER REF XLPE 36 0 LAT +4 54-56 F^71333495 1236

LINER REFLECTION ACETABULAR D^71742846 1236

LINER REFLECTION ACETABULAR E^71742850 1236

LINER REFLECTION ACETABULAR E^71743250 1236

LINER REFLECTION ACETABULAR F^71742854 1236

LINER REFLECTION ACETABULAR F^71743254 1236

LINER REFLECTION ACETABULAR G^71332458 1236

LINER REFLECTION ACETABULAR G^71742858 1236

LINER REFLECTION ACETABULAR G^71743258 1236

LINER REFLECTION ACETABULAR H^71742862 1236

LINER REFLECTION ACETABULAR H^71743262 1236

LINER REFLECTION ACETABULAR J^71742866 1236

LINER REFLECTION ACETABULAR J^71743266 1236

LINER REFLECTION ACETABULAR K^71742870 1236

LINER REFLECTION LATERALIZED D^71332446 1236

LINER RINGLOC 10DG/HIWALL SZ24^105864 760

LINER RINGLOC 28MM HIWALL SZ23^105903 760

LINER XLPE 20 DEG 36MM^71335760 1236

LINER XLPE 20 DEG 36X50^71335758 1236

LINER XLPE 20 DEG 36X54^71335754 1236

LINER XLPE 28MM 20D 46-48 +4^71339846 1236

LINER XLPE 28MM 20DEG 50-52 +4^71339850 1236

LINER XLPE 28MM 20DEG 54-56^71339854 1236

LINER XLPE 32MM 20DEG SIZE E^71333334 1236

LINER XLPE 32MM 20DEG SIZE F^71333335 1236

LINER XLPE 32MM 20DEG SIZE G^71333336 1236

LINER XLPE 32MM 20DEG SIZE H^71333337 1236

LINER XLPE 32MM 20DEG SIZE J^71333338 1236

LINER XLPE 32MM 20DEG SIZE K^71333339 1236

LINER XLPE 36MM 20DEG SIZE F^71333345 1236

LINER XLPE MICROSTABLE 0DEG 32MM SZ E^71333484 1236

LINER XLPE MICROSTABLE 20 DEG ANT +4^71333448 1236

LINER XLPE R3 0DEG 32X48^71339548 1236

LINER XLPE R3 0DEG 32X50^71339550 1236

LINER XLPE R3 0DEG 32X52 - MFRCAT 71339552^71339552 1236

LINER XLPE R3 20DEG 36X62^71335762 1236

LINER XLPE R3 32X50 20 DEG +4MM^71337950 1236

LINER XLPE REF 20 DEG LAT +4 46-48 D^71333473 1236

LINER XLPE REF 36 20DEG 70-76 K^71333349 1236

LOCKDOWN ACROMIO DEVICE 10CM^LD100 4990

LOCKDOWN ACROMIO DEVICE 10CM^LD110 4990

LOCKDOWN ACROMIO DEVICE 12CM^LD120 4990

Page 171: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

LOCKDOWN ACROMIO DEVICE 13CM^LD130 4990

LOCKDOWN ACROMIO DEVICE 14CM^LD140 4990

LOCKDOWN ACROMIO DEVICE 15CM^LD150 4990

LOCKDOWN ACROMIO DEVICE 16CM^LD160 4990

LOCKDOWN ACROMIO DEVICE 17CM^LD170 4990

LOCKDOWN ACROMIO DEVICE 18CM^LD180 4990

LOCKDOWN ACROMIO DEVICE 19CM^LD190 4990

LOCKDOWN ACROMIO DEVICE 20CM^LD200 4990

LOCKDOWN ACROMIO DEVICE 5CM^LD050 4990

LOCKDOWN ACROMIO DEVICE 6CM^LD060 4990

LOCKDOWN ACROMIO DEVICE 7CM^LD070 4990

LOCKDOWN ACROMIO DEVICE 8CM^LD080 4990

LOCKDOWN ACROMIO DEVICE 9CM^LD090 4990

LOCKING SCREW, TITANIUM 3.5mm X 36mm^AR-8935L-36 266

LOOP RECORDER REVEAL LINQ INSERTABLE^LINQSYS 9690

LUTATHERA THERAPY NUCMED^LUTATHERA 724

MA DIGITAL DIAGNOSTIC MAMMO WITH TOMO BILATERAL 75

MA DIGITAL DIAGNOSTIC MAMMO WITH TOMO LEFTITH TOMOSYNTHESIS LEFT 75

MA DIGITAL DIAGNOSTIC MAMMO WITH TOMO RIGHT 75

MALE SLING SYSTEM ADVANCE W/MESH^720088-01 12026

MAMMARY PROS MHFP GEL 255CC^MF-410255 2250

MAMMARY PROS MHFP GEL 295CC^MF-410295 2250

MAMMARY PROS MHFP GEL 525CC^MF-410525 2250

MAMMARY PROS MHFP GEL 580CC^MF-410580 2250

MAMMARY PROS MHFP GEL 640CC^MF-410640 2250

MAMMARY PROS MHFP SILICONE GEL 165cc^MF-410165 2250

MAMMARY PROS MHFP SILICONE GEL 195cc^MF-410195 2250

MAMMARY PROS MHFP SILICONE GEL 225cc^MF-410225 2250

MAMMARY SMOOTH ROUND MODERATE CLASSIC 300CC^350-7300 MC 1750

MAMMARY SMOOTH ROUND MODERATE CLASSIC 320CC^350-7320 MC 1750

MAMMARY SMOOTH ROUND MODERATE CLASSIC 340CC^350-7340 MC 1750

MAMMARY SMOOTH ROUND MODERATE CLASSIC 360CC^350-7360 MC 1750

MAMMARY SMOOTH ROUND MODERATE CLASSIC 385CC^350-7385 MC 1750

MAMMARY SMOOTH ROUND MODERATE CLASSIC 405CC^350-7405 MC 1750

MAMMARY SMOOTH ROUND MODERATE CLASSIC 425CC^350-7425 MC 1750

Manipulation Elbow 175

MARKER BREAST MARKER RIBBON 17G X 12CM^863017DL 700

MARKER DELIVERY KIT^SDMDK1000 184

MARKER KIT FIDUCIAL GOLD SOFT 17GA NEEDLE W/4 MARKERS^MT-NW-887-840 546

MARKER SUPERLOCK COBRA BX/5^SDGN447 1826

MASTERGRAFT STRIP 12CC^7800310 1600

MASTERGRAFT STRIP 24CC^7800320 2200

MASTERGRAFT STRIP 43CC^7800336 279

MATRIX BILAYER MESHED MWM2021 - charge x25 sqcm^MWM2021 195

MENISCAL CINCH AR-4500^AR-4500 504

MENISCAL CINCH II^AR-4501 699

MENISCAL REPAIR SYSTEM NOVOSTICH PLUS SIZE 2-0^CTX-A003 900

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Description CPT-4 Base Price Schedule

MENISCAL REPAIR SYSTEM NOVOSTICH PLUS^CTX-A003 900

MENISCUS MEDIAL FF 3.2 X 2.8^021249007/283-25 7900

MENISCUS MEDIAL FF 4.0 X 3.0^021590004/282-25 7900

MENISCUS MEDIAL LT W/HEMI PLAT^430401 11900

MENISCUS MEDIAL RT W/HEMI PLAT^430411 11900

MENISCUS RT W/TIBIAL PLATEAU^430410 11900

MESH 12cm CIRCLE HERNIA^GKFC12 1188

MESH 12X12 VICRYL VWML^VWML 1424

MESH 3D MAX LARGE LT^0115311 495

MESH 3D MAX LARGE RT^0115321 495

MESH 3D MAX MEDIUM LT^0115310 465

MESH 3D MAX MEDIUM RT^0115320 465

MESH 6 X 6 KNITTED VICRYL VKMM^VKMM 649

MESH AIGISRx ICD^CMRM 6133 US-S 1790

MESH AIGISRx PPM^CMRM 6122 US-S 1790

MESH ALLODERM CONTOUR LG - chrg x 164^CL1520 13822

MESH ATRIUM PROLITE BX/6 ^1000306-00 59

MESH BIO-A 10 CM X30 CM FS1030 3944

MESH BIO-A 20 CM X30 CM FS2030 7906

MESH BIO-A 8 CM X 8 CM FS0808 802

MESH BIO-A 9 CM X15 CM^FS0915 1432

MESH BIO-A TISSUE REINFORCEMENT 7 CM X 10 CM^HH0710 1000

MESH CMESH-3WK CUSTOM 3WK^CMESH-3WK 15262

MESH COMPOSIX E/X 10X15CM^0123460 1005

MESH CONTOUR 1.5/0 3MM 85X55^SP-1841 772

MESH DUAL 10CM X 15CM X 2ML^1310015020 1992

MESH DULEX 18X24CM^0118241 2574

MESH FLEX HD 20x30cm- Charge x600^472230 47

MESH FLEX HD 4X12 PLIABLE^HP0412 1328

MESH FLEX HD BREAST 11X20CM-chrg x220^SF2000 41

MESH FLEX HD BREAST BILATERAL KIT 11X20CM-chrg x440^SF2200 38

MESH FLEX HD PLIABLE PERFORATED SHAPED 13X22CM - chrg x286^SF3000 40

MESH GORE SYNECOR 10X15CM^GFC1015 1480

MESH HERNIA SOFT 3X6^0117009 252

MESH HERNIS SOFT 2 x 4^0117008 238

MESH LAP INGUINAL HERNIA PARIETEX PROGRIP 15X9^TEM1509G 580

MESH LEFT SIDE MED LIGHT ^117310 577

MESH MARLEX 10 X 14^0112660 260

MESH MARLEX 2 X 4 0112650^0112650 115

MESH MARLEX 3 X 6^0112680 106

MESH MARLEX 6 X 6^0112720 147

MESH MARLEX PERFIX PLUG EX-LRG^0112780 583

MESH MARLEX PERFIX PLUG LARGE^0112770 555

MESH MARLEX PERFIX PLUG MEDIUM^0112760 550

MESH MARLEX PERFIX PLUG SMALL^0112750 545

MESH MARLEX PRESHAPED^0112700 133

MESH MERSILENE 12 in X 12 in^RML 500

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Description CPT-4 Base Price Schedule

MESH PARIETEX 10X8 PCO2520X^PCO2520X 2453

MESH PARIETEX 12X8^PCO3020X 3354

MESH PARIETEX 6 in ROUND^PCO15X 1317

MESH PARIETEX 6X4 LT W/LAT SLIT TECT1510ADP2L^TECT1510ADP2L 323

MESH PARIETEX 6X4 PCO1510^PCO1510X 1007

MESH PARIETEX 6X4 RT TECT1510AR^TECT1510AR 327

MESH PARIETEX 6X4 RT W/LAT SLIT TECT1510ASP2R^TECT1510ADP2R 323

MESH PARIETEX 8 in RND PCO20^PCO20X 1937

MESH PARIETEX 8 X 6 PCO2015^PCO2015X 1614

MESH PARIETEX ANATOMICAL 6X4LT^TECT1510AL 328

MESH PARIETEX PARASTOMAL 15HL 35MM^PCOPM15H35 1501

MESH PARIETEX PCO12^PCO12X 1007

MESH PARIETEX POLY SKIRT 15X10^PCO1510OSX 1279

MESH PARIETEX POLY SKIRT 20X15^PCO2015OSX 1971

MESH PARIETEX POLY SKIRT 25X20^PCO2520OSX 3291

MESH PARIETEX POLY SKIRT 8 ROUND^PCO8OSX 956

MESH PARIETEX PROGRIP 12X8CM TEM1208GL^TEM1208GL 616

MESH PARIETEX PROGRIP 15X15CM^TEM1515G 607

MESH PARIETEX PROGRIP FLAP ON LT TEM1409GL^TEM1409GL 635

MESH PARIETEX PROGRIP FLAP ON RT TEM1208GR^TEM1208GR 616

MESH PARIETEX PROGRIP FLAP ON RT TEM1409GR^TEM1409GR 635

MESH PERFIX PLG LG^0112970 545

MESH PERFIX PLUS X-LARGE^0112980 632

MESH PHYSIO 30 X 50^PHY3050R 3990

MESH PHYSIO OPEN 15X25^OPHY1525 2869

MESH PHYSIO OPEN 25x37.5 ^OPHY2536 4022

MESH PROCEED 12x12^PCDL1 3662

MESH PROCEED 3x6 PCDR1 515

MESH PROCEED 4.3CM X 4.3CM VENTRAL PATCH^PVPS 671

MESH PROCEED 6.4CM X 6.4CM VENTRAL PATCH^PVPM 802

MESH PROCEED SURGICAL 6 X 6 IN SQUARE 15X15CM^PCDM1 881

MESH PROLENE 35.6CMX30CM^SPMXXL 699

Mesh Prolene Hernia 4.7 x 3^UHSM 492

MESH PROLENE HERNIA^PHSE6 488

MESH PROLENE HERNIA^PHSL6 488

MESH PROLENE PMII 3 X 6 PMII 78

MESH PROLENE SOFT 25x25cm^SPMLI 711

MESH PROLENE SOFT SZ 3X6^SPMII 324

MESH PROLENE SOFT SZ 6X6^SPMH 392

MESH PROLITE 6x6 ^1000606-00 65

MESH RIGHT SIDE LARGE LIGHT ^117321 611

MESH ROUND 12MM X 8MM^176012008 2310

MESH ROUND 12MM X 9MM DEPUY^176012009 2310

MESH SKIRTED PHYSIOMESAH 15x20cm^OPHY1520 1749

MESH SKIRTED PHYSIOMESH 10cm^OPHY1010 612

MESH SKIRTED PHYSIOMESH 12x15cm^OPHY1215 954

MESH SKIRTED PHYSIOMESH 20x30cm^OPHY2030 3056

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Description CPT-4 Base Price Schedule

MESH SURGICAL 10X15 PHYSIO OVAL^PHY1015V 868

MESH SURGICAL 10X20 PROCEED^PCDD1 827

MESH SURGICAL 15X15 PHYSIO SQUARE^PHY1515Q 857

MESH SURGICAL 15X20 PHYSIO RECTANGLE^PHY1520R 1190

MESH SURGICAL 25X35 PROCEED^PCDT1 3782

MESH SURGICAL 25X35 PROCEED^PCDW1 3737

MESH SURGICAL PHYSIO 20X30^PHY2030R 2754

MESH SURGICAL PROCEED 4X6^PCDN1 872

MESH SURGICAL PROCEED 6X8^PCDG1 1543

MESH SURGICAL PROCEED 8X10^PCDH1 2496

MESH SYMBOTEX 15X10^SYM1510 1006

MESH SYMBOTEX 20X15^SYM2015 1614

MESH SYMBOTEX 9cm ROUND^SYM9 806

MESH SYMBOTEX ROUND 15^SYM15 1448

MESH SYMBOTEXROUND 12^SYM12 1106

MESH TITANIUM 10 X 30MM^17610030 4796

MESH TITANIUM 10MM DIA 15MM HT^1743-13-000 1650

MESH VICRYL VWMM^VWMM 659

MESH Y UPSYLON 831-820^M0068318200 1554

METACARPOPHALANGEAL IMPLANT SIZE 10 MCPX-10 2104

METAGLENE SHLD^130760000 3400

METAGLENE SHLDR 38MM^130760038 2600

MICRO BYPASS ISTENT INJECTOR DISPENSES^G2-M-IS 3800

MICRO BYPASS ISTENT^GTS100 3950

MICRO VASCULAR PLUG SYS MVP-3Q^MVP-3Q 3250

MICRO VASCULAR PLUG SYS MVP-5Q^MVP-5Q 3250

MICRO VASCULAR PLUG SYS MVP-7Q^MVP-7Q 3250

MICRO VASCULAR PLUG SYS MVP-9Q----REPLACED BY #88972^MVP-9Qzzzz 3250

MICROSNARE AMPLATZ 4MM SK400 840

MICROSNARE AMPLATZ 7MM SK700 840

MICROSPHERE EMBOZENE 100um 2ml ^11020-S1 310

MICROSPHERE EMBOZENE 1100um 2ml ^111020-S1 310

MICROSPHERE EMBOZENE 1300um 2ml ^113020-S1 310

MICROSPHERE EMBOZENE 250um 2ml ^12020-S1 310

MICROSPHERE EMBOZENE 400um 2ml ^14020-S1 310

MICROSPHERE EMBOZENE 500um 2ml 15020-S1 310

MICROSPHERE EMBOZENE 700um 2ml 01-0301-07002-11 310

MICROSPHERE EMBOZENE 900um 2ml^19020-S1 310

MICROSPHERE ONCOZENE 100um 2ml 11020-US1 3000

MICROSTENT HYDRUS^F00022 4000

MINI TIGHTROPE FT -MFRCAT# AR-8917DS^AR-8917DS 1062

MINI TIGHTROPE SYS 1.1MM^AR-8914DS 1160

MIRENA IUD - PHYSICIAN SUPPLIED**OR ONLY**^MIRENA 0.01

Mirtazapine Level (Remeron) 143

Misc Job Placement Assessment 15 min 39

Mitotane Level 143

MOBI-C CERVICAL DISC PROSTH 15X15 H5^MB3555 10000

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Description CPT-4 Base Price Schedule

MOBI-C CERVICAL DISC PROSTH 15X17 H5^MB3575 10000

MODULAR BASEPLATE 24mm^AR-9560-24 3894

MPFL BIOCOMPOSITE IMPLANT SYS^AR-1360C-CP 2632

MRI Breast with Contrast Bilateral 1156

MRI Breast with Contrast Unilateral 605

MWCE-18S-8/5-TORNADO ^G08939 216

NAIL 1.5 INTERTAN 10X32 125D RT^71676508 3826

NAIL 1.5 INTERTAN 10X32 130D LT^71676529 3826

NAIL 1.5 INTERTAN 10X34 125D RT^71676510 3826

NAIL 1.5 INTERTAN 10X34 CM 130D RT^71676532 3826

NAIL 1.5 INTERTAN 10X36 125D RT^71676512 3826

NAIL 1.5 INTERTAN 10X36 130D LT^71676533 3826

NAIL 1.5 INTERTAN 10X38 125D LT^71676513 3826

NAIL 1.5 INTERTAN 10X38 125D RT^71676514 3826

NAIL 1.5 INTERTAN 10X40 125D RT^71676516 3826

NAIL 1.5 INTERTAN 10X40 130D LT^71676537 3826

NAIL 1.5 INTERTAN 11.5X28 130D RT -MFRCAT# 71676570^71676570 3826

NAIL 1.5 INTERTAN 11.5X32 125D LT^71676551 3826

NAIL 1.5 INTERTAN 11.5X32 130D LT^71676573 3826

NAIL 1.5 INTERTAN 11.5X34 125D LT^71676553 3826

NAIL 1.5 INTERTAN 11.5X34 125D RT^71676554 3826

NAIL 1.5 INTERTAN 11.5X34 130D LT^71676575 3826

NAIL 1.5 INTERTAN 11.5X36 125D LT^71676555 3826

NAIL 1.5 INTERTAN 11.5X36 125D RT^71676556 3826

NAIL 1.5 INTERTAN 11.5X36 130D LT^71676577 3826

NAIL 1.5 INTERTAN 11.5X38 125D LT^71676557 3826

NAIL 1.5 INTERTAN 11.5X38 125D RT^71676558 3826

NAIL 1.5 INTERTAN 11.5X38 130D LT^71676579 3826

NAIL 1.5 INTERTAN 11.5X38 130D RT^71676578 3826

NAIL 1.5 INTERTAN 11.5X40 125D RT^71676560 3826

NAIL 1.5 INTERTAN 11.5X40 130D LT^71676559 3826

NAIL 1.5 INTERTAN 11.5X40 130D LT^71676581 3826

NAIL 1.5 INTERTAN 11.5X40 130D RT^71676582 3826

NAIL 1.5 INTERTAN 11.5X42 125D LT^71676561 3826

NAIL 1.5 INTERTAN 11.5X42 125D RT^71676562 3826

NAIL 1.5 INTERTAN 11.5X42 130D LT^71676583 3826

NAIL 1.5 INTERTAN 13X36 130D RT^71676622 3826

NAIL 1.5 INTERTAN 13X40 130D LT^71676625 3826

NAIL 1.5 INTERTAN 13X42 130D RT^71676628 3826

NAIL 1.5 INTERTAN 13X44 130D LT^71676629 3826

NAIL 1.5 INTERTAN TRIGEN 11.5X32^71676574 3826

NAIL 1.5 TRIGEN 11.5X34 130DEG RT^71676576 3826

NAIL 1.5 TRIGEN INTERTAN 10X36 125D LT^71676511 3826

NAIL 1.5 TRIGEN INTERTAN 10X38 130D LT^71676535 3826

NAIL 12MM TI CANN FRN GT420mm LEFT-STERILE^04.033.273S 3650

NAIL 2.0mm SS ELASTIC NAIL 440mm^275.920 576

NAIL 2.5mm SS ELASTIC NAIL 440mm^275.925 620

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Description CPT-4 Base Price Schedule

NAIL 5MM X 22CM^71124006 4130

NAIL 7MM TI MULTILOC HUMERAL RIGHT CANN 210MM 04.016.210S 4191

NAIL ARTHRODESIS CANNULA HINDFOOT 10mm X 240mm LT^04.008.078S 3474

NAIL ARTHRODESIS HINDFOOT 10X180MM LT^04.008.066S 3474

NAIL ARTHRODESIS HINDFOOT 10X180MM RT^04.008.016S 3474

NAIL ARTHRODESIS HINDFOOT 10X240^04.008.028S 3474

NAIL ARTHRODESIS HINDFOOT 12X150mm LT^04.008.260S 3578

NAIL ARTHRODESIS HINDFOOT 12X180MM LT^04.008.266S 3474

NAIL ARTHRODESIS HINDFOOT 12X180MM RT^04.008.216S 3474

NAIL ARTHRODESIS HINDFOOT 12X240 RT^04.008.228S 3474

NAIL ARTHRODESIS HINDFOOT 12X240MM LT^04.008.278S 3474

NAIL ARTHRODESIS HINDFOOT 13X180MM LT^04.008.366S 3578

NAIL BAILEY BONE 4.0X5/32 in^99-4603-002-10 2492

NAIL BAILEY DUBOW BONE 4.5/6^99-4603-003-18 2492

NAIL CANN 10mm/125 DEG TI CANN TFNA^04.037.029S 4424

NAIL CANN 11MM/125 DEG TI TFNA 04.037.131S 4424

NAIL CANN TFN 11MM/130DEG 400MM LT STER^04.037.161S 4424

NAIL CANN TFN 11MM/130DEG 420MM LT-STER^04.037.163S 4424

NAIL CANN TFN 11MM/130DEG 420MM RT-STER^04.037.162S 4424

NAIL CANN TFN 11mm/130DEG 440mm RT-STER^04.037.164S 4424

NAIL CANN TFNA 10MM 125DEG 340MM RT STER^04.037.024S 4424

NAIL CANN TFNA 10MM 125DEG 360MM RT STER^04.037.026S 4424

NAIL CANN TFNA 10X400 125DEG STER - MFRCAT# 04.037.030S^04.037.030S 4424

NAIL CANN TFNA 11MM 130DEG 320MM LT STER^04.037.153S 4424

NAIL CANN TFNA 11MM 130DEG 340MM RT STER^04.037.154S 4424

NAIL CANN TFNA 11mm 130DEG 440mm LT STER^04.037.165S 4424

NAIL CANN TFNA 11MM 130DEG RT STERILE^04.037.158S 4424

NAIL CANN TFNA 11mm/130DEG 340mm LT STER^04.037.155S 4424

NAIL CANN TFNA 11MM/130DEG 360MM RT STER^04.037.156S 4424

NAIL CANN TFNA 11MM/130DEG 380MM LT STER^04.037.159S 4424

NAIL CANN TFNA 11MM/130DEG 400MM RT STER^04.037.160S 4424

NAIL CANN TFNA 11MM/130DEG LT STERILE^04.037.157S 4424

NAIL CANN TFNA 11X170 125DEG STERILE^04.037.112S 3055

NAIL CANN TFNA 11X170 130DEG STERILE^04.037.142S 3055

NAIL CANN TFNA 11X340 125DEG LT STER^04.037.125S 4424

NAIL CANN TFNA 11X340 125DEG RT STER^04.037.124S 4424

NAIL CANN TFNA 11X360 125DEG LT STER^04.037.127S 4424

NAIL CANN TFNA 11X360 125DEG RT STER^04.037.126S 4424

NAIL CANN TFNA 11X400 RT STERILE^04.037.130S 4424

NAIL CANN TFNA 11X420 RT STERILE^04.037.132S 4424

NAIL CANN TFNA 125DEG 12X440 RT STER^04.037.234S 4424

NAIL CANN TFNA 12MM 130DEG RT STERILE^04.037.258S 4424

NAIL CANN TFNA 12MM/125DEG 400MM LT STER^04.037.231S 4424

NAIL CANN TFNA 12MM/125DEG 400MM RT STER^04.037.230S 4424

NAIL CANN TFNA 12MM/125DEG 420MM LT STER^04.037.233S 4424

NAIL CANN TFNA 12X360 130DEG LT STERILE^04.037.257S 4424

NAIL CANN TFNA 12X380MM 130DEG LT STER^04.037.259S 4424

Page 177: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

NAIL CANN TFNA 130 DEG 12X440 RT STERILE^04.037.264S 4424

NAIL CANN TFNA 130DEG 12X360 RT STER^04.037.256S 4424

NAIL CANN TFNA RT 10X380 125DEG STER - MFRCAT# 04.037.028S^04.037.028S 4424

NAIL CANN TI TFN 10mm 125DEG 340mm LT STER^04.037.025S 4424

NAIL CANN TIB 10X315 STERILE^04.034.443S 3043

NAIL CAP 0MM^71634000 349

NAIL CAP 10MM^71634010 349

NAIL CAP 15MM^71634015 349

NAIL CAP 20MM^71634020 349

NAIL CAP 5MM^71634005 349

NAIL DELTA FEMORAL 8MM X 24CM^121901 2840

NAIL DELTA TIBIAL RT 9 X 38CM^122218 4380

NAIL FEM ANTEGRADE 10X34CM^71635234 3572

NAIL FEM ANTEGRADE 10X36CM^71635236 3412

NAIL FEM ANTEGRADE 10X38CM^71635238 3412

NAIL FEM ANTEGRADE 10X40CM^71634240 3412

NAIL FEM ANTEGRADE 10X40CM^71635240 3412

NAIL FEM ANTEGRADE 11.5X32^71637332 4712

NAIL FEM ANTEGRADE 11.5X34CM^71635334 3572

NAIL FEM ANTEGRADE 11.5X36^71634336 3412

NAIL FEM ANTEGRADE 11.5X36CM^71635336 3412

NAIL FEM ANTEGRADE 11.5X38^71634338 3412

NAIL FEM ANTEGRADE 11.5X38^71635338 3412

NAIL FEM ANTEGRADE 11.5X38^71637338 4501

NAIL FEM ANTEGRADE 11.5X38^71638338 4501

NAIL FEM ANTEGRADE 11.5X40^71634340 3412

NAIL FEM ANTEGRADE 11.5X40^71635340 3412

NAIL FEM ANTEGRADE 11.5X40^71637340 4501

NAIL FEM ANTEGRADE 11.5X40CM^71638340 4501

NAIL FEM ANTEGRADE 11.5X42^71634342 3412

NAIL FEM ANTEGRADE 11.5X42^71635342 3412

NAIL FEM ANTEGRADE 11.5X42^71637342 4501

NAIL FEM ANTEGRADE 11.5X42CM^71638342 4501

NAIL FEM ANTEGRADE 11.5X44^71634344 3572

NAIL FEM ANTEGRADE 11.5X44^71637344 4712

NAIL FEM ANTEGRADE 11.5X44^71638344 4712

NAIL FEM ANTEGRADE 11.5X48^71637348 4712

NAIL FEM ANTEGRADE 13mmX36cm^71635436 3412

NAIL FEM ANTEGRADE 13MMX44CM^71635444 3572

NAIL FEM ANTEGRADE 13X36^71637436 4501

NAIL FEM ANTEGRADE 13X38^71638438 4501

NAIL FEM ANTEGRADE 13X40^71634440 3412

NAIL FEM ANTEGRADE 13X40^71638440 4501

NAIL FEM ANTEGRADE 13X42^71638442 4501

NAIL FEM ANTEGRADE 13X44^71638444 4712

NAIL FEM ANTEGRADE 8.5X30CM^71636130 3572

NAIL FEM ANTEGRADE 8.5X32CM^71636132 3572

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Description CPT-4 Base Price Schedule

NAIL FEM ANTEGRADE 8.5X34CM^71636134 3572

NAIL FEM KNEE FUSION 11 X 70^71921570 3200

NAIL FEM KNEE FUSION 12 X 70^71921601 6614

NAIL FEM KNEE FUSION 12 X 75^71921606 3200

NAIL FEM KNEE RETRO 10X28MM^71633228 3193

NAIL FEM KNEE RETRO 10X30MM^71633230 3193

NAIL FEM KNEE RETRO 10X32MM^71633232 3193

NAIL FEM KNEE RETRO 10X34MM^71633234 3193

NAIL FEM KNEE RETRO 10X36MM^71633236 3193

NAIL FEM KNEE RETRO 10X38MM^71633238 3193

NAIL FEM KNEE RETRO 11.5X20MM^71633320 3193

NAIL FEM KNEE RETRO 11.5X25mm^71633325 3193

NAIL FEM KNEE RETRO 11.5X26MM^71633326 3335

NAIL FEM KNEE RETRO 11.5X28MM^71633328 3193

NAIL FEM KNEE RETRO 11.5X30MM^71633330 3193

NAIL FEM KNEE RETRO 11.5X32CM^71633332 3193

NAIL FEM KNEE RETRO 11.5X34CM^71633334 3193

NAIL FEM KNEE RETRO 11.5X36MM^71633336 3193

NAIL FEM KNEE RETRO 11.5X38MM^71633338 3193

NAIL FEM KNEE RETRO 11.5X40MM^71633340 3193

NAIL FEM KNEE RETRO 11.5X42MM^71633342 3193

NAIL FEM KNEE RETRO 13 X 15CM^71633415 3193

NAIL FEM KNEE RETRO 13 X 20CM^71633420 3193

NAIL FEM KNEE RETRO 13 X 25CM^71633425 3193

NAIL FEM KNEE RETRO 13 X 28CM^71633428 3193

NAIL FEM KNEE RETRO 13 X 30CM^71633430 3193

NAIL FEM KNEE RETRO 13 X 32CM^71633432 3193

NAIL FEM KNEE RETRO 13 X 34CM^71633434 3193

NAIL FEM KNEE RETRO 13 X 36CM^71633436 3193

NAIL FEM KNEE RETRO 13 X 38CM^71633438 3193

NAIL FEM KNEE RETRO 13 X 42CM^71633442 3193

NAIL FEM KNEE RETRO 8.50X26MM^71633126 3335

NAIL FEM KNEE RETRO 8.50X30MM^71633130 3193

NAIL FEM KNEE RETRO 8.50X32MM^71633132 3193

NAIL FEM KNEE RETRO 8.50X34MM^71633134 3193

NAIL FEM KNEE RETRO 8.50X36MM^71633136 3193

NAIL FEM KNEE RETRO 8.50X38MM^71633138 3193

NAIL FEM META RETRO 10X32^71653032 3848

NAIL FEM META RETRO 11.5 x 40^71653240 3848

NAIL FEM META RETRO 11.5X36^71653236 3848

NAIL FEM META RETRO 13x30^71653430 3848

NAIL FEM META RETRO 13X32^71653432 3848

NAIL FEM RECON 12mm 380mm RT STERILE^04.003.556S 3701

NAIL FEM RETRO 14X340^04.013.848S 3520

NAIL FEM RETRO META 10MM X 34CM^71653034 3848

NAIL FEM RETRO META 10MM X 36CM^71653036 3848

NAIL FEM RETRO META 10X38^71653038 3848

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Description CPT-4 Base Price Schedule

NAIL FEM RETRO META 11.5MM X 32CM^71653232 3848

NAIL FEM RETRO META 11.5MM X 34CM^71653234 3848

NAIL FEM RETRO META 11.5X38^71653238 3848

NAIL FEM RETRO META 13MM X 36CM^71653436 3848

NAIL FEM RETRO META 13MM X 38CM^71653438 3848

NAIL FEM RETRO META 13X34^71653434 3848

NAIL FEM RETRO/ANTE 12X440^04.013.668S 3520

NAIL FEMORAL 9MM X 36CM^121917 4380

NAIL FEMORAL LAT 11X400MM^04.030.141S 3239

NAIL FEMORAL LAT 11X420MM LT^04.030.143S 3239

NAIL FEMORAL LAT 12X420 LT STER^04.030.243S 3239

NAIL FEMORAL LAT 12X420MM^04.030.242S 3239

NAIL FEMORAL LAT 12X440 RT STER^04.030.244S 3239

NAIL FEMORAL LEFT 12 X 400^04.030.241S 3239

NAIL FEMORAL T2 A/R 13X360MM^1825-1336S 2825

NAIL FEMORAL T2 A/R 15X340MM^1825-1534S 2825

NAIL GAMMA 120 DEG 11X300 LT^3320-0300S 3683

NAIL GAMMA 125 DEG 11X340 LT^3325-0340S 3683

NAIL GAMMA 125 DEG 11X360 LT^3325-0360S 3683

NAIL GAMMA 125 DEG 11X380^3325-0380S 3683

NAIL GAMMA 125 DEG 11X400^3325-0400S 3683

NAIL GAMMA 125D 11X300^3525-1300S 4529

NAIL GAMMA 125DEG 10X340 RT^3425-0340S 4529

NAIL GAMMA 125DEG 11X360 LT^3525-1360S 4529

NAIL GAMMA 130 DEG 11X300^CM640113S 2359

NAIL GAMMA 130 DEG 11X320 LT^CM640047S 2359

NAIL GAMMA 130DEG 11X380 LT^3330-0380S 3683

NAIL GAMMA 135 DEG 11X300 LT^CM640060S 2359

NAIL GAMMA 3 11X400X125DEG^3225-0400S 3683

NAIL GAMMA 3 125DEG 11X360 RT^3425-1360S 4529

NAIL GAMMA 3 125DEG 11X380 RT^3425-1380S 4529

NAIL GAMMA 3 130D 11X360 LT^3330-0360S 3683

NAIL GAMMA 3 SYS 11X34 130DEG LT^3530-1340S 4529

NAIL GAMMA LNG 120 DEG 11X360 RT^3220-0360S 3683

NAIL GAMMA LNG 120 DEG 11X380 RT^3220-0380S 3683

NAIL GAMMA LONG LT 125 11MM X 340MM^3525-1340S 4529

NAIL GAMMA3 11X300 125DEG RT^3425-1300S 4529

NAIL GAMMA3 11X340 125DEG RT^3425-1340S 4529

NAIL GAMMA3 11X380X130DEG^3230-0380S 3683

NAIL GAMMA3 11X400 125DEG^3425-1400S 4529

NAIL GAMMA3 11X400X130DEG^3230-0400S 3683

NAIL GAMMA3 125 DEG 11X180^3125-1180S 2528

NAIL GAMMA3 125D 13X400 RT^3225-3400S 3920

NAIL GAMMA3 130 DEG 11X180^3130-1180S 2528

NAIL GAMMA3 130DEG 11X380 RT^3430-1380S 4529

NAIL GAMMA3 130DEG 11X440 LT^3330-0440S 3683

NAIL GAMMA3 13X340X125DEG^3325-3340S 3920

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Description CPT-4 Base Price Schedule

NAIL HIND FOOT TRIGEN FUSION 10X16 LT^71701016L 5296

NAIL HIND FOOT TRIGEN FUSION 10X16RT^71701016R 5296

NAIL HINDFOOT 11.5MMX20CM LT^71701120L 5296

NAIL HUM CANN MULTILOC 7X180 RT STERILE^04.016.180S 4191

NAIL HUMERAL 7 X 26CM^122454 6370

NAIL HUMERAL 9 X 24^122473 6370

NAIL HUMERAL 9 X 28^122475 6370

NAIL HUMERAL CANN 7 X 210^04.001.222S 3456

NAIL HUMERAL CANN 7 X 220^04.001.224S 3456

NAIL HUMERAL CANN 7 X 230^04.001.226S 3456

NAIL HUMERAL CANN 7 X 240^04.001.228S 3456

NAIL HUMERAL CANN 7 X 250^04.001.230S 3456

NAIL HUMERAL CANN 7 X 260^04.001.232S 3456

NAIL HUMERAL CANN 7 X 270^04.001.234S 3456

NAIL HUMERAL CANN 9 X 150^04.001.410S 3354

NAIL HUMERAL CANN 9 X 210^04.001.422S 3456

NAIL HUMERAL CANN 9 X 220^04.001.424S 3456

NAIL HUMERAL CANN 9 X 230^04.001.426S 3456

NAIL HUMERAL CANN 9 X 240^04.001.428S 3456

NAIL HUMERAL CANN 9 X 250^04.001.430S 3456

NAIL HUMERAL CANN 9 X 260^04.001.432S 3456

NAIL HUMERAL CANN 9 X 270^04.001.434S 3456

NAIL HUMERAL LNG BENT 10X18^71771018 3307

NAIL HUMERAL LNG BENT 10X20^71771020 3307

NAIL HUMERAL LNG BENT 10X22^71771022 3307

NAIL HUMERAL LNG BENT 10X24^71771024 3307

NAIL HUMERAL LNG BENT 10X26^71771026 3307

NAIL HUMERAL LNG BENT 10X28^71771028 3307

NAIL HUMERAL LNG BENT 8X18^71770818 3307

NAIL HUMERAL LNG BENT 8X20^71770820 3307

NAIL HUMERAL LNG BENT 8X22^71770822 3307

NAIL HUMERAL LNG BENT 8X24^71770824 3307

NAIL HUMERAL LNG BENT 8X26^71770826 3307

NAIL HUMERAL LNG BENT 8X28^71770828 3307

NAIL HUMERAL LNG BENT 9X18^71770918 3307

NAIL HUMERAL LNG BENT 9X20^71770920 3307

NAIL HUMERAL LNG BENT 9X22^71770922 3307

NAIL HUMERAL LNG BENT 9X24^71770924 3307

NAIL HUMERAL LNG BENT 9X26^71770926 3307

NAIL HUMERAL LNG BENT 9X28^71770928 3307

NAIL HUMERAL RT CANN 160MM 8MM TI MULTILOC PROX HUMERAL^04.016.034S 4023

NAIL HUMERAL TRIGEN PROX BENT^71770816 3307

NAIL HUMERAL TRIGEN PROX STR^71760816 3307

NAIL IM 3.2MMX197MM SML BONE^FD-032(SPS)-SS 3500

NAIL IM 3.2MMX202MM LNG^FD-032(L)-SS 3500

NAIL IM 4.8MMX404MM SHORT^FD-048(S)-SS 3500

NAIL IMHS 125DEG 10MM 36CM LT^71682536L 4074

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Description CPT-4 Base Price Schedule

NAIL IMHS 125DEG 10MM 36CM RT^71682536R 4074

NAIL IMHS 125DEG 10MM 40CM LT^71682540L 4074

NAIL IMHS 125DEG 10MM 40CM RT^71682540R 4074

NAIL IMHS 125DEG 12MM 36CM LT^71682636L 4074

NAIL IMHS 125DEG 12MM 40CM LT^71682640L 4074

NAIL IMHS 125DEG 12MM 40CM RT^71682640R 4074

NAIL IMHS 125DEG 14MM 19.5CM R^71682514R 2034

NAIL IMHS 130DEG 10MM 19.5CM L^71683010L 2034

NAIL IMHS 130DEG 10MM 34CM RT^71683034R 4074

NAIL IMHS 130DEG 10MM 36CM LT^71683036L 4074

NAIL IMHS 130DEG 10MM 38CM LT^71683038L 4074

NAIL IMHS 130DEG 10MM 40CM LT^71683040L 4074

NAIL IMHS 130DEG 12MM 19.5CM R^71683012R 2034

NAIL IMHS 130DEG 12MM 36CM LT^71683136L 4074

NAIL IMHS 130DEG 12MM 38CM RT^71683138R 4074

NAIL IMHS 130DEG 12MM 40CM LT^71683140L 4074

NAIL IMHS 130DEG 12MM 40CM RT^71683140R 4074

NAIL IMHS 130DEG 12MM 42CM RT^71683142R 4074

NAIL INTERTAN 1.5 11.5mmX44cm 125D LT^71676563 3826

NAIL INTERTAN 1.5 11.5X38 130D RT^71676580 3826

NAIL INTERTAN 1.5 11.5X42 130D RT^71676584 3826

NAIL INTERTAN 1.5 13X34 130DEG LT^71676619 3826

NAIL INTERTAN 1.5 13X34 130DEG RT^71676620 3826

NAIL INTERTAN 1.5 13X36 125DEG LT^71676599 3826

NAIL INTERTAN 1.5 13X36 125DEG RT^71676600 3826

NAIL INTERTAN 1.5 13X38 125DEG LT^71676601 3826

NAIL INTERTAN 1.5 13X38 125DEG RT^71676602 3826

NAIL INTERTAN 1.5 13X38 130D LT -MFRCAT# 71676623^71676623 3826

NAIL INTERTAN 1.5 13X38 130D RT^71676624 3826

NAIL INTERTAN 1.5 13X40 125D LT^71676603 3826

NAIL INTERTAN 1.5 13X40 125DEG RT^71676604 3826

NAIL INTERTAN 1.5 13X40 130D RT -MFRCAT# 71676626^71676626 3826

NAIL INTERTAN 1.5 13X42 125 DEG RT^71676606 3826

NAIL INTERTAN 1.5 13X42 125DEG LT^71676605 3826

NAIL INTERTAN 1.5 13X42 130D LT -MFRCAT# 71676627^71676627 3826

NAIL INTERTAN 1.5 13X44 125D RT 71676608 3826

NAIL INTERTAN 1.5 13X46 125D LT 71676609 3826

NAIL INTERTAN 10S 10mm X 40cm 125D LT^71675515 3826

NAIL INTERTAN 10S 10mm X30cm 130D RT^71675528 3826

NAIL INTERTAN 10S 10MM X40CM 125D RT^71675537 3826

NAIL INTERTAN 10S 10MM X40CM 130D RT -MFRCAT# 71675538^71675538 3826

NAIL INTERTAN 10S 10MMX18CM 125D^71675383 2667

NAIL INTERTAN 10S 10mmX34cm 130D LT^71675510 3826

NAIL INTERTAN 10S 10MMX36CM 125D LT^71675511 3826

NAIL INTERTAN 10S 10MMX36CM 130D LT^71675512 3826

NAIL INTERTAN 10S 10X32 10S LT -MFRCAT 71675508^71675508 3826

NAIL INTERTAN 10S 10X32 125D LT -MFRCAT 71675507^71675507 3826

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Description CPT-4 Base Price Schedule

NAIL INTERTAN 10S 10X32 125D RT^71675529 3826

NAIL INTERTAN 10S 10X32 130D RT -MFRCAT# 71675530^71675530 3826

NAIL INTERTAN 10S 10X34 125D LT^71675509 3826

NAIL INTERTAN 10S 10X34 125D RT^71675531 3826

NAIL INTERTAN 10S 10X35 125DEG RT^71675533 3826

NAIL INTERTAN 10S 10X36 130DEG RT^71675534 3826

NAIL INTERTAN 10S 10X38 125D LT^71675513 3826

NAIL INTERTAN 10S 10X38 125DEG RT^71675535 3826

NAIL INTERTAN 10S 10X38 130D LT^71675514 3826

NAIL INTERTAN 10S 10X38 130DEG RT^71675536 3826

NAIL INTERTAN 10S 10X40 130D LT^71675516 3826

NAIL INTERTAN 10S 130DEG 20X34 RT^71675532 3826

NAIL INTERTAN 10X42 130D RT^71675274 3826

NAIL INTERTAN 11.5X44 125D LT^71675253 3826

NAIL INTERTAN 11.5X44 130D LT^71675297 3826

NAIL INTERTAN 13MMX40CM 125D RT^71675416 3826

NAIL INTERTAN 13MMX46CM 130D RT^71675444 3826

NAIL KNEE FUSION FAN 13X75^71931672 6197

NAIL KNEE FUSION FAN L 11.5MMX70CM^71931601 6197

NAIL KNEE RETRO 10X40MM^71633240 3193

NAIL LAT FEM 10X340 RT STERILE^04.003.348S 3701

NAIL LAT FEM 11X360 RT STERILE^04.003.452S 3701

NAIL LAT FEM 11X380 LT^04.003.457S 3701

NAIL LAT FEM 11X380 RT^04.003.456S 3701

NAIL LAT FEM 12X400 RT STERILE^04.003.560S 3701

NAIL LAT FEMORAL 10X340 STERILE LT^04.003.349S 3701

NAIL LAT FEMORAL 10X360 LT STERILE^04.003.353S 3701

NAIL LAT FEMORAL 10X360 RT^04.003.352S 3701

NAIL LAT FEMORAL 10X380^04.003.356S 3701

NAIL LAT FEMORAL 10X400 RT STERILE^04.003.360S 3701

NAIL LAT FEMORAL 10X420 LT STERILE^04.003.365S 3701

NAIL LAT FEMORAL 11X400 RT^04.003.460S 3701

NAIL LAT FEMORAL 12X360 LT^04.003.553S 3701

NAIL LAT FEMORAL 12X420 RT^04.003.564S 3701

NAIL LAT FEMORAL 13 X 400MM^04.003.660S 3701

NAIL LAT FEMORAL 13X420 LT^04.003.665S 3701

NAIL LATERAL FEMORAL 10mm X 380mm LT-STERILE^04.003.357S 3701

NAIL LOCKING HUMERAL 8X260^1830-0826S 2811

NAIL LOCKING LNG 125 DEG RT^3370-7-225 2837

NAIL LOCKING LNG 130 DEG RT^3370-7-030 2837

NAIL LOCKING LNG 130 DEG RT^3370-7-130 2837

NAIL LOCKING LNG 135 DEG LT^3370-6-130 2837

NAIL LOCKING LNG 135 DEG LT^3370-6-135 2837

NAIL LOCKING LNG 135 DEG RT^3370-7-335 2837

NAIL META RETRO FEM 13 x 40^71653440 3848

NAIL META RETRO FEM 13X42^71653442 3848

NAIL META TIBIAL 11.5X30CM^71655230 3637

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Description CPT-4 Base Price Schedule

NAIL META TIBIAL 11.5X31CM^71655231 3637

NAIL META TIBIAL 11.5X41 71655241 3637

NAIL META TIBIAL 11.5X42 71655242 3637

NAIL META TIBIAL 13MMX32CM^71655332 3598

NAIL META TIBIAL 8.5X32^71655032 3637

NAIL META-TAN 11X5 X 38 RT^71640738 5880

NAIL META-TAN 13X38CM RT - MFRCAT# 71640838^71640838 5880

NAIL META-TAN 13X46 LT - MFRCAT# 71649846^71649846 3691

NAIL MULTILOC CANN HUM 7X255 RT STERILE^04.016.255S 4191

NAIL MULTILOC HUM 7X210 STERILE^04.017.210S 4191

NAIL MULTILOC HUM 7X225MM RT STERILE^04.016.225S 4191

NAIL MULTILOC HUM 7X240MM RT STERILE^04.016.240S 4191

NAIL MULTILOC HUM 7X270 STER -MFRCAT# 04.016.270S^04.016.270S 4191

NAIL MULTILOC HUM 8.5X240 STERILE^04.018.240S 4191

NAIL MULTILOC HUM 8.5X255 LT-STERILE^04.019.255S 4191

NAIL MULTILOC HUM 8.5X255 STERILE^04.018.255S 4191

NAIL MULTILOC HUM 8.5X270 LT-STERILE^04.019.270S 4191

NAIL MULTILOC HUM 8.5X270 RT STERILE^04.018.270S 4191

NAIL MULTILOC HUM 8.5X300 RT STER^04.018.300S 4191

NAIL MULTILOC PROX HUM 8X160 LT STERILE^04.016.035S 4023

NAIL PROX HUM 9.5X160 LT STERILE^04.016.039S 4023

NAIL PROX MULTILOC HUM 9.5X160 RT STERILE^04.016.038S 4023

NAIL R T DELTA FEMORAL 11 X 36^12203 2383

NAIL R T FEM INTERLOCK 11 X 40^122032 4380

NAIL R T FEM INTERLOCK 11 X 42^122033 4380

NAIL R T HUMERAL 7*18^122450 6370

NAIL R T HUMERAL 7*24^122453 6370

NAIL R T HUMERAL 8*18^122460 6370

NAIL R T HUMERAL 8*24^122463 6370

NAIL R T HUMERAL 8*28^122465 6370

NAIL R T HUMERAL 9*18^122470 6370

NAIL R T HUMERAL 9*22^122472 6370

NAIL R T HUMERAL 9*26^122474 6370

NAIL R T TIBIAL 11*31.5^122186 4380

NAIL R T TIBIAL 11*38^122190 4380

NAIL R T TIBIAL DELTA 10*28.5^122178 4380

NAIL R T TIBIAL DELTA 8*34.5^122055 4380

NAIL R T TIBIAL DELTA 9*36^122176 4380

NAIL RECON 13X320^04.003.644S 3701

NAIL RECON FEM LAT 13X380 RT STERILE^04.003.656S 3701

NAIL RETROGRADE FEMORAL 10X160^04.013.412S 3520

NAIL RETROGRADE FEMORAL 10X180^04.013.416S 3520

NAIL RETROGRADE FEMORAL 10X200^04.013.420S 3520

NAIL RETROGRADE FEMORAL 10X220^04.013.424S 3520

NAIL RETROGRADE FEMORAL 10X240^04.013.428S 3520

NAIL RETROGRADE FEMORAL 10X260^04.013.432S 3520

NAIL RETROGRADE FEMORAL 10X280^04.013.436S 3520

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Description CPT-4 Base Price Schedule

NAIL RETROGRADE FEMORAL 10X300^04.013.440S 3520

NAIL RETROGRADE FEMORAL 10X320^04.013.444S 3520

NAIL RETROGRADE FEMORAL 10X340^04.013.448S 3520

NAIL RETROGRADE FEMORAL 10X360^04.013.452S 3520

NAIL RETROGRADE FEMORAL 10X380^04.013.456S 3520

NAIL RETROGRADE FEMORAL 10X400^04.013.460S 3520

NAIL RETROGRADE FEMORAL 10X420^04.013.464S 3520

NAIL RETROGRADE FEMORAL 11X160^04.013.512S 3520

NAIL RETROGRADE FEMORAL 11X180^04.013.516S 3520

NAIL RETROGRADE FEMORAL 11X200^04.013.520S 3520

NAIL RETROGRADE FEMORAL 11X220^04.013.524S 3520

NAIL RETROGRADE FEMORAL 11X240^04.013.528S 3520

NAIL RETROGRADE FEMORAL 11X260^04.013.532S 3520

NAIL RETROGRADE FEMORAL 11X280^04.013.536S 3520

NAIL RETROGRADE FEMORAL 11X300^04.013.540S 3520

NAIL RETROGRADE FEMORAL 11X320^04.013.544S 3520

NAIL RETROGRADE FEMORAL 11X340^04.013.548S 3520

NAIL RETROGRADE FEMORAL 11X360^04.013.552S 3520

NAIL RETROGRADE FEMORAL 11X380^04.013.556S 3520

NAIL RETROGRADE FEMORAL 11X400^04.013.560S 3520

NAIL RETROGRADE FEMORAL 11X420^04.013.564S 3520

NAIL RETROGRADE FEMORAL 12 x 320^04.013.644S 3520

NAIL RETROGRADE FEMORAL 12X160^04.013.612S 3520

NAIL RETROGRADE FEMORAL 12X180^04.013.616S 3520

NAIL RETROGRADE FEMORAL 12X200^04.013.620S 3520

NAIL RETROGRADE FEMORAL 12X220^04.013.624S 3520

NAIL RETROGRADE FEMORAL 12X24^343724 1476

NAIL RETROGRADE FEMORAL 12X240^04.013.628S 3520

NAIL RETROGRADE FEMORAL 12X260^04.013.632S 3520

NAIL RETROGRADE FEMORAL 12X280^04.013.636S 3520

NAIL RETROGRADE FEMORAL 12X300^04.013.640S 3520

NAIL RETROGRADE FEMORAL 12X340^04.013.648S 3520

NAIL RETROGRADE FEMORAL 12X360^04.013.652S 3520

NAIL RETROGRADE FEMORAL 12X380^04.013.656S 3520

NAIL RETROGRADE FEMORAL 12X400^04.013.660S 3520

NAIL RETROGRADE FEMORAL 12X420^04.013.664S 3520

NAIL RETROGRADE FEMORAL 13X160^04.013.712S 3628

NAIL RETROGRADE FEMORAL 13X180^04.013.716S 3628

NAIL RETROGRADE FEMORAL 13X200^04.013.720S 3520

NAIL RETROGRADE FEMORAL 13X220^04.013.724S 3520

NAIL RETROGRADE FEMORAL 13X240^04.013.728S 3520

NAIL RETROGRADE FEMORAL 13X260^04.013.732S 3520

NAIL RETROGRADE FEMORAL 13X280^04.013.736S 3520

NAIL RETROGRADE FEMORAL 13X300^04.013.740S 3520

NAIL RETROGRADE FEMORAL 13X320^04.013.744S 3520

NAIL RETROGRADE FEMORAL 13X340^04.013.748S 3520

NAIL RETROGRADE FEMORAL 13X360^04.013.752S 3520

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NAIL RETROGRADE FEMORAL 13X380^04.013.756S 3520

NAIL RETROGRADE FEMORAL 13X400^04.013.760S 3520

NAIL RETROGRADE FEMORAL 13X420^04.013.764S 3520

NAIL RT FEM INTERLOCK 11 X 48^122036 2840

NAIL SCREW TROCH 11X100^04.032.100S 1318

NAIL SCREW TROCH 11X105^04.032.105S 1318

NAIL SCREW TROCH 11X115 STERILE^04.032.115S 1318

NAIL SCREW TROCH 11X120^04.032.120S 1318

NAIL SCREW TROCH 11X75^04.032.075S 1318

NAIL SCREW TROCH 11X80 STERILE^04.032.080S 1318

NAIL SCREW TROCH 11X85^04.032.085S 1318

NAIL SCREW TROCH 11X90^04.032.090S 1318

NAIL SCREW TROCH 11X95^04.032.095S 1318

NAIL SCREW TROCH LAG 11X110^04.032.110S 1318

NAIL SUPRACONDYLAR 11X360^1826-1136S 3805

NAIL SUPRACONDYLAR 12X200^1826-1220S 3805

NAIL SUPRACONDYLAR 13X200^1826-1320S 3805

NAIL T2 ARTHRO 13X660mm RIGHT^1829-1366S 11416

NAIL TAN ADOLESCENT 8.5X34 RT^71646134 3403

NAIL TAN ANTEGRADE 11.5X36CM^71638336 4501

NAIL TAN LIME 10X32 LT^71637232 4712

NAIL TAN LIME 10X34 LT^71637234 4712

NAIL TAN LIME 10X38 LT^71637238 4501

NAIL TAN LIME 10X40 LT^71637240 4501

NAIL TAN LIME 10X42 LT^71637242 4501

NAIL TAN LIME 10X44 LT^71637244 4712

NAIL TFNA 10MM 125DEG 360MM LT STER^04.037.027S 4424

NAIL TFNA 10X360 125 DEG LT STERILE^04.037.227S 4424

NAIL TFNA 125DEG 12X360 RT STERILE^04.037.226S 4424

NAIL TFNA 12MM 125DEG 380MM RT STER^04.037.228S 4424

NAIL TFNA 12X380 125DEG STERILE LT^04.037.229S 4424

NAIL TFNA 12X400 130DEG LT STERILE^04.037.261S 4424

NAIL TFNA 12X400 130DEG RT STERILE^04.037.260S 4424

NAIL TFNA 12X420 130DEG LT STERILE^04.037.263S 4424

NAIL TFNA 130DEG 12X170 RT STERILE -MFRCAT# 04.037.242S^04.037.242S 3055

NAIL TFNA 130DEG 12X320 RT STERILE^04.037.252S 4424

NAIL TFNA 130DEG 12X340 LT STERILE^04.037.255S 4424

NAIL TFNA 130DEG 12X420 RT STERILE^04.037.262S 4424

NAIL TFNA 130DEG 12X440 LT STERILE^04.037.265S 4424

NAIL TFNA CANN 125DEG 12X130 LT STERILE^04.037.253S 4424

NAIL TFNA CANN 125DEG 12X440 LT STERILE^04.037.235S 4424

NAIL TI FEMORAL 14 X 24^RD155834 1292

NAIL TIB CANN 10X390 STERILE^04.034.458S 3043

NAIL TIB CANN 8X285 STERILE^04.034.237S 3043

NAIL TIB CANN PROX BEND 13MM 330MM STERILE^04.034.746S 3043

NAIL TIBIA DIST KNEE 8.5X30^71633530 3319

NAIL TIBIA DIST KNEE 8.5X32^71633532 3319

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NAIL TIBIA DIST TRIGEN 10X28MM^71633628 3319

NAIL TIBIA DIST TRIGEN 10X32MM^71633632 3319

NAIL TIBIA DIST TRIGEN 10X34MM^71633634 3319

NAIL TIBIA KNEE 8.5X28MM^71633128 3193

NAIL TIBIA META 11.5X33 - MFRCAT 71655233^71655233 3637

NAIL TIBIA META 11.5X35 -MFRCAT 71655235^71655235 3637

NAIL TIBIA META 11.5X36^71655236 3637

NAIL TIBIA META 11.5X38^71655238 3637

NAIL TIBIA META 11.5X40^71655240 3637

NAIL TIBIAL 10X285^1822-1028S 2817

NAIL TIBIAL 13mm TI CANN TIBIAL NAIL-EX W/PROX BEND 375MM-STERILE^04.034.755S 3043

NAIL TIBIAL 13X390 STERILE^04.034.758S 3043

NAIL TIBIAL 8.5 X 40CM 71655040 3637

NAIL TIBIAL 9X315^04.034.343S 3043

NAIL TIBIAL CANN 10 X 270MM^04.004.434S 3043

NAIL TIBIAL CANN 10 X 285MM^04.004.437S 3043

NAIL TIBIAL CANN 10 X 300MM^04.004.440S 3043

NAIL TIBIAL CANN 10 X 390MM^04.004.458S 3043

NAIL TIBIAL CANN 10X270^04.034.534S 3243

NAIL TIBIAL CANN 10X285 STERILE^04.034.437S 3043

NAIL TIBIAL CANN 10X300^04.034.440S 3043

NAIL TIBIAL CANN 10X315MM^04.004.443S 3043

NAIL TIBIAL CANN 10X330 STERILE^04.034.446S 3043

NAIL TIBIAL CANN 10X330MM^04.004.446S 3043

NAIL TIBIAL CANN 10X345 STERILE^04.034.449S 3043

NAIL TIBIAL CANN 10X345MM^04.004.449S 3043

NAIL TIBIAL CANN 10X360^04.034.452S 3043

NAIL TIBIAL CANN 10X360MM^04.004.452S 3043

NAIL TIBIAL CANN 10X375^04.034.455S 3043

NAIL TIBIAL CANN 10X375MM^04.004.455S 3043

NAIL TIBIAL CANN 11 X 345^04.034.549S 3043

NAIL TIBIAL CANN 11 X 360^04.034.552S 3043

NAIL TIBIAL CANN 11X270 STERILE^04.004.534S 3043

NAIL TIBIAL CANN 11X285^04.034.537S 3043

NAIL TIBIAL CANN 11X285MM^04.004.537S 3043

NAIL TIBIAL CANN 11X300 -STERILE^04.034.540S 3043

NAIL TIBIAL CANN 11X300MM^04.004.540S 3043

NAIL TIBIAL CANN 11X315MM^04.004.543S 3043

NAIL TIBIAL CANN 11X330^04.034.546S 3043

NAIL TIBIAL CANN 11X330MM^04.004.546S 3043

NAIL TIBIAL CANN 11X345MM^04.004.549S 3043

NAIL TIBIAL CANN 11X360MM^04.004.552S 3043

NAIL TIBIAL CANN 11X375^04.034.555S 3043

NAIL TIBIAL CANN 11X375MM^04.004.555S 3043

NAIL TIBIAL CANN 11X390MM^04.004.558S 3043

NAIL TIBIAL CANN 11X405MM^04.004.561S 3043

NAIL TIBIAL CANN 12X285MM^04.004.637S 3043

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Description CPT-4 Base Price Schedule

NAIL TIBIAL CANN 12X300MM^04.004.640S 3043

NAIL TIBIAL CANN 12X315MM^04.004.643S 3043

NAIL TIBIAL CANN 12X315MM^04.034.643S 3043

NAIL TIBIAL CANN 12X330^04.034.646S 3043

NAIL TIBIAL CANN 12X345^04.034.649S 3043

NAIL TIBIAL CANN 12X345MM^04.004.649S 3043

NAIL TIBIAL CANN 12X375^04.034.655S 3043

NAIL TIBIAL CANN 12X390MM^04.004.658S 3043

NAIL TIBIAL CANN 12X405MM^04.004.661S 3043

NAIL TIBIAL CANN 13X300^04.034.740S 3043

NAIL TIBIAL CANN 13X315^04.034.743S 3043

NAIL TIBIAL CANN 13X345 STERILE^04.034.749S 3043

NAIL TIBIAL CANN 13X360^04.034.752S 3043

NAIL TIBIAL CANN 8X270MM^04.004.234S 3043

NAIL TIBIAL CANN 8X285MM^04.004.237S 3043

NAIL TIBIAL CANN 8X300MM^04.004.240S 3043

NAIL TIBIAL CANN 8X300MM^04.034.240S 3043

NAIL TIBIAL CANN 8X315MM^04.004.243S 3043

NAIL TIBIAL CANN 8X330MM^04.004.246S 3043

NAIL TIBIAL CANN 8X330MM^04.034.246S 3043

NAIL TIBIAL CANN 8X345MM^04.004.249S 3043

NAIL TIBIAL CANN 8X375MM^04.004.255S 3043

NAIL TIBIAL CANN 8X390MM^04.004.258S 3043

NAIL TIBIAL CANN 9X270MM^04.004.334S 3043

NAIL TIBIAL CANN 9X285^04.034.337S 3043

NAIL TIBIAL CANN 9X285MM^04.004.337S 3043

NAIL TIBIAL CANN 9x300^04.034.340S 3043

NAIL TIBIAL CANN 9X300MM^04.004.340S 3043

NAIL TIBIAL CANN 9X315MM^04.004.343S 3043

NAIL TIBIAL CANN 9X330^04.034.346S 3043

NAIL TIBIAL CANN 9X330MM^04.004.346S 3043

NAIL TIBIAL CANN 9X345^04.034.349S 3043

NAIL TIBIAL CANN 9X345MM^04.004.349S 3043

NAIL TIBIAL CANN 9X360^04.034.352S 3043

NAIL TIBIAL CANN 9X375MM^04.004.355S 3043

NAIL TIBIAL CANN 9X390MM^04.004.358S 3043

NAIL TIBIAL META 10X28^71655128 3637

NAIL TIBIAL META 10X30^71655130 3637

NAIL TIBIAL META 10X31 MF# 71655131^71655131 3637

NAIL TIBIAL META 10X32^71655132 3637

NAIL TIBIAL META 10X33 MF# 71655133^71655133 3637

NAIL TIBIAL META 10X35^71655135 3637

NAIL TIBIAL META 10X39^71655139 3637

NAIL TIBIAL META 11.5X32^71655232 3637

NAIL TIBIAL META 8.5 X 36^71655036 3637

NAIL TIBIAL META 8.5X30^71655030 3637

NAIL TIBIAL META 8.5X31 -MFRCAT# 71655031^71655031 3637

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NAIL TIBIAL META 8.5X33^71655033 3637

NAIL TIBIAL META 8.5X35^71655035 3637

NAIL TIBIAL PROX BEND 10X405^04.034.461S 3043

NAIL TIBIAL PROX BEND 11X405^04.034.561S 3043

NAIL TIBIAL TITAL 8X360MM^04.004.252S 3043

NAIL TIBIAL TITAN 12X330MM^04.004.646S 3043

NAIL TIBIAL TITAN 12X360MM^04.004.652S 3043

NAIL TIBIAL TITAN 12X375MM^04.004.655S 3043

NAIL TIBIAL TITAN 9X360MM^04.004.352S 3043

NAIL TIBIAL TRIGEN 10X34^71655134 3637

NAIL TIBIAL TRIGEN 10X37^71655137 3637

NAIL TIBIAL TRIGEN META 10X36^71655136 3637

NAIL TIBIAL TRIGEN META 10X38^71655138 3637

NAIL TIT ELASTIC 2.0X440^475.920 558

NAIL TIT ELASTIC 2.0X440^475.920S 610

NAIL TIT ELASTIC 2.5X440^475.925 649

NAIL TIT ELASTIC 3.0X440 GOLD^475.930 634

NAIL TIT ELASTIC 3.5X440 GOLD^475.935 672

NAIL TIT ELASTIC 4.0X440 GOLD^475.940 720

NAIL TITAN ELASTIC 1.5X300^475.915 526

NAIL TRIGEN INTERTAN 1.5 10MMX36CM 130D RT^71676534 3826

NAIL TRIGEN INTERTAN 10MM X 34CM 125D LT^71675221 3826

NAIL TRIGEN INTERTAN 10MM X 34CM 125D RT^71675222 3826

NAIL TRIGEN INTERTAN 10MM X 44 130D RT 71675276 3826

NAIL TRIGEN INTERTAN 10MMX36CM 125D LT^71675223 3826

NAIL TRIGEN INTERTAN 10MMX36CM 130D LT^71675267 3826

NAIL TRIGEN INTERTAN 10MMX36CM 130D RT^71675268 3826

NAIL TRIGEN INTERTAN 10MMX38CM 130D LT^71675269 3826

NAIL TRIGEN INTERTAN 10MMX38CM 130D RT^71675270 3826

NAIL TRIGEN INTERTAN 10MMX40CM 125D LT^71675227 3826

NAIL TRIGEN INTERTAN 10MMX40CM 125D RT^71675228 3826

NAIL TRIGEN INTERTAN 10MMX40CM 130D LT^71675271 3826

NAIL TRIGEN INTERTAN 10X18 125D^71675201 2667

NAIL TRIGEN INTERTAN 10X18 130D^71675207 2667

NAIL TRIGEN INTERTAN 10X18 130D^71675384 2667

NAIL TRIGEN INTERTAN 10X32 125DEG LT^71675219 3826

NAIL TRIGEN INTERTAN 10X34 130D LT^71675265 3826

NAIL TRIGEN INTERTAN 10X34 130D RT^71675266 3826

NAIL TRIGEN INTERTAN 10X38 125D LT^71675225 3826

NAIL TRIGEN INTERTAN 10X38 125DEG RT^71675226 3826

NAIL TRIGEN INTERTAN 10x40 125DEG LT^71676515 3826

NAIL TRIGEN INTERTAN 10X40 130D RT^71676538 3826

NAIL TRIGEN INTERTAN 11.5MM X 34CM 125D RT^71675244 3826

NAIL TRIGEN INTERTAN 11.5MMX36CM DRT^71675290 3826

NAIL TRIGEN INTERTAN 11.5MMX38CM 130DRT^71675292 3826

NAIL TRIGEN INTERTAN 11.5MMX40CM 125D LT^71675249 3826

NAIL TRIGEN INTERTAN 11.5MX36CM 130D LT^71675289 3826

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NAIL TRIGEN INTERTAN 11.5MX40CM 130D LT^71675293 3826

NAIL TRIGEN INTERTAN 11.5X18 125D^71675202 2667

NAIL TRIGEN INTERTAN 11.5X18 130D 71675208 2667

NAIL TRIGEN INTERTAN 11.5X30 RT^71675240 3826

NAIL TRIGEN INTERTAN 11.5X32 130D LT^71675285 3826

NAIL TRIGEN INTERTAN 11.5X36 125D LT^71675245 3826

NAIL TRIGEN INTERTAN 11.5X36 125D RT^71675246 3826

NAIL TRIGEN INTERTAN 11.5X38 125 DEG RT^71675248 3826

NAIL TRIGEN INTERTAN 11.5X38 125D LT^71675247 3826

NAIL TRIGEN INTERTAN 11.5X38 130D LT^71675291 3826

NAIL TRIGEN INTERTAN 11.5X40 130D RT^71675294 3826

NAIL TRIGEN INTERTAN 11.5X42 130D LT^71675295 3826

NAIL TRIGEN INTERTAN 11.5X44 130D RT^71675298 3826

NAIL TRIGEN INTERTAN 11.5X44CM 125D RT^71675254 3826

NAIL TRIGEN INTERTAN 125D 10X36 RT^71675224 3826

NAIL TRIGEN INTERTAN 125DEG RT 11.5X40^71675250 3826

NAIL TRIGEN INTERTAN 130DEG 10X42 LT^71676539 3826

NAIL TRIGEN META TAN 9X40 LT 71649540 3691

NAIL TRIGEN META TAN ANTEGRADE 11.5X36 LT^71649736 3691

NAIL TRIGEN META TAN ANTEGRADE 11.5X40^71649740 3691

NAIL TRIGEN TIBIAL META 8.5X34^71655034 3637

NAIL TROCH 11X360 135 DEG LT STERILE^456.437S 3747

NAIL TROCH ANTE 12X44 130D RT^71648444 3691

NAIL TROCH ANTEGRADE 10X34^71638234 4712

NAIL TROCH ANTEGRADE 10X34^71647234 3691

NAIL TROCH ANTEGRADE 10X34^71648234 3691

NAIL TROCH ANTEGRADE 10X36^71638236 4501

NAIL TROCH ANTEGRADE 10X36^71647236 3691

NAIL TROCH ANTEGRADE 10X36^71648236 3691

NAIL TROCH ANTEGRADE 10X38^71638238 4501

NAIL TROCH ANTEGRADE 10X38^71647238 3691

NAIL TROCH ANTEGRADE 10X38^71648238 3691

NAIL TROCH ANTEGRADE 10X40^71638240 4501

NAIL TROCH ANTEGRADE 10X40^71647240 3691

NAIL TROCH ANTEGRADE 10X42^71647242 3691

NAIL TROCH ANTEGRADE 10X42^71648242 3691

NAIL TROCH ANTEGRADE 10X44^71638244 4712

NAIL TROCH ANTEGRADE 10X44^71647244 3691

NAIL TROCH ANTEGRADE 10X44^71648244 3691

NAIL TROCH ANTEGRADE 11.5X30^71648330 3691

NAIL TROCH ANTEGRADE 11.5X34^71647334 3691

NAIL TROCH ANTEGRADE 11.5X36^71648336 3691

NAIL TROCH ANTEGRADE 11.5X38^71647338 3691

NAIL TROCH ANTEGRADE 11.5X38^71648338 3691

NAIL TROCH ANTEGRADE 11.5X40^71647340 3691

NAIL TROCH ANTEGRADE 11.5X40^71648340 3691

NAIL TROCH ANTEGRADE 11.5X42^71647342 3691

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NAIL TROCH ANTEGRADE 11.5X42^71648342 3691

NAIL TROCH ANTEGRADE 11.5X44^71648344 3691

NAIL TROCH ANTEGRADE 11.5X46^71647346 3691

NAIL TROCH ANTEGRADE 11.5X48^71648348 3691

NAIL TROCH ANTEGRADE 115X46^71638346 4712

NAIL TROCH ANTEGRADE 13X36 130D^71648436 3691

NAIL TROCH ANTEGRADE 13X36^71647336 3691

NAIL TROCH ANTEGRADE 13X38^71647438 3691

NAIL TROCH ANTEGRADE 13X38^71648438 3691

NAIL TROCH ANTEGRADE 13X40^71637440 4501

NAIL TROCH ANTEGRADE 13X40^71647440 3691

NAIL TROCH ANTEGRADE 13X40^71648440 3691

NAIL TROCH ANTEGRADE 13X42^71637442 4501

NAIL TROCH ANTEGRADE 13X42^71648442 3691

NAIL TROCH ANTEGRADE 13X44^71637444 4712

NAIL TROCH ANTEGRADE 13X46 130D^71648446 3691

NAIL TROCH ANTEGRADE 8.5X36 RT^71646136 3403

NAIL TROCH ANTEGRADE 8.5X38^71646138 3403

NAIL TROCH FIX 11X130X300RT^456.410S 3747

NAIL TROCH FIX 11X130X320LT^456.413S 3747

NAIL TROCH FIX 11X130X360RT^456.416S 3747

NAIL TROCH FIX 11X130X400 RT^456.420S 3747

NAIL TROCH FIX 11X130X420LT^456.423S 3747

NAIL TROCH FIX 11X130X420RT^456.422S 3747

NAIL TROCH FIX 11X130X440LT^456.425S 3747

NAIL TROCH FIX 11X130X440RT^456.424S 3747

NAIL TROCH FIX 11X130X460LT^456.427S 3747

NAIL TROCH FIX 11X130X460RT^456.426S 3747

NAIL TROCH FIXATION 10MM 130DG^456.315S 2655

NAIL TROCH FIXATION 10MM 135DG^456.316S 2655

NAIL TROCH FIXATION 11MM 125DG^456.317S 2655

NAIL TROCH FIXATION 11MM 130DG^456.318S 2655

NAIL TROCH FIXATION 11MM 130DG^456.414S 3747

NAIL TROCH FIXATION 11MM 130DG^456.417S 3747

NAIL TROCH FIXATION 11MM 130DG^456.418S 3747

NAIL TROCH FIXATION 11MM 130DG^456.419S 3747

NAIL TROCH FIXATION 11MM 130DG^456.421S 3747

NAIL TROCH FIXATION 11MM 135DG^456.319S 2655

NAIL TROCH FIXATION 11X125X300 LT^456.391S 3747

NAIL TROCH FIXATION 11X125X320 LT^456.393S 3747

NAIL TROCH FIXATION 11X125X320 RT^456.392S 3747

NAIL TROCH FIXATION 11X125X340 LT^456.395S 3747

NAIL TROCH FIXATION 11X125X340 RT^456.394S 3747

NAIL TROCH FIXATION 11X125X360 LT^456.397S 3747

NAIL TROCH FIXATION 11X125X360 RT^456.396S 3747

NAIL TROCH FIXATION 11X125X380 LT^456.399S 3747

NAIL TROCH FIXATION 11X125X380 RT^456.398S 3747

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NAIL TROCH FIXATION 11X125X400 LT^456.401S 3747

NAIL TROCH FIXATION 11X125X400 RT^456.400S 3747

NAIL TROCH FIXATION 11X125X420 LT^456.403S 3747

NAIL TROCH FIXATION 11X125X420 RT^456.402S 3747

NAIL TROCH FIXATION 11X125X440 LT^456.405S 3747

NAIL TROCH FIXATION 11X125X440 RT^456.404S 3747

NAIL TROCH FIXATION 11X125X460 LT^456.407S 3747

NAIL TROCH FIXATION 11X125X460 RT^456.406S 3747

NAIL TROCH FIXATION 11X300X125^456.390S 3747

NAIL TROCH FIXATION 12mm 125DG^456.321S 2655

NAIL TROCH FIXATION 12MM 130DG^456.322S 2655

NAIL TROCH FIXATION 12MM 135DG^456.323S 2655

NAIL TROCH FIXATION 12MM 360DG^456.476S 3747

NAIL TROCH FIXATION 12X130X300 LT^456.471S 3747

NAIL TROCH FIXATION 12X130X300 RT^456.470S 3747

NAIL TROCH FIXATION 12X130X320 RT^456.472S 3747

NAIL TROCH FIXATION 12X130X340 LT^456.475S 3747

NAIL TROCH FIXATION 12X130X340 RT^456.474S 3747

NAIL TROCH FIXATION 12X130X360 LT^456.477S 3747

NAIL TROCH FIXATION 12X130X400 LT^456.481S 3747

NAIL TROCH FIXATION 12X130X420 LT^456.483S 3747

NAIL TROCH FIXATION 12X130X440 LT^456.485S 3747

NAIL TROCH FIXATION 12X130X440 RT^456.484S 3747

NAIL TROCH FIXATION 12X130X460 LT^456.487S 3747

NAIL TROCH FIXATION 12X130X460 RT^456.486S 3747

NAIL TROCH FIXATION 12X320X130^456.473S 3747

NAIL TROCH FIXATION 12X380X130^456.478S 3747

NAIL TROCH FIXATION 12X380X130^456.479S 3747

NAIL TROCH FIXATION 12X400X130^456.480S 3747

NAIL TROCH FIXATION 12X420X130^456.482S 3747

NAIL TROCH FIXATION 14X360X130^456.637S 3990

NAIL TROCH TIT 320MM 11M/130DG^456.412S 3747

NAIL TROCH TIT 340MM 11M/130DG^456.415S 3747

NASAL ENDOSCOPY DIAGNOST 299

NECK ANTEVERTED MOD LT^71352116 3983

NECK ARH SLIDE-LOC +1MM^5001-0301N-S 902

NECK HUMERAL NEUTRAL^520-00-000 650

NECK STD OFFSET NEUTRAL MOD^71352111 3983

NEEDLE BEACON SHARK CORE eus 322^DSC-22-01 696

NEEDLE DELIVERY AND REFLECTOR SCOUT 10CM 5EA/BOX^SSR10-01 1100

NEEDLE DELIVERY AND REFLECTOR SCOUT 7.5CM 5/BX^SSR75-01 1100

NEEDLE DELIVERY SCOUT 5cm AND REFLECTOR^SSR0-05 1100

NEEDLE ICEFORCE 2.0 CX 90 DEGREE ^FPRPR3602 1950

NEEDLE ICEPEARL 2.0 CX 90 DEGREE^FPRPR3601 1950

NEEDLE SCOUT DELIVERY AND REFLECTOR 7.5 CM^SSR75S-01 1100

NEEDLE SHARK CORE 19 GAUGE EUS^DSL-19-01 1044

NEEDLE/VL ICEROD CX 90 DEGREE ^FPRPR3533 1950

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NEOX CORD 1K 2X2 - CHARGE X4^NX-10-2020 478

NEOX CORD 1K 4.0X3.0cm- CHARGE X12^NX-10-4030 4216

NEOX CORD 1K 6.0X3.0CM- CHARGE X18^NX-10-6030 6232

NERVE BLOCK 1590

NERVE GUIDE NEURAGEN 2MMX2CM-CHARGE X 2^PNG220 2528

NERVE GUIDE NEURAGEN 4mmX3cm/CHG X 3^PNG430 800

NERVE GUIDE NEURAGEN 5MMX3CM/CHG X 3^PNG530 800

NERVE GUIDE NEURAGEN 6MMX2CM/CHG X 2^PNG620 2528

NEURAGEN 1.5X3 CAT# PNG130 -chrg x 4 sq cm^PNG130 600

NEURAGEN 2MMX3CM - CHARGE X3CM^PNG230 800

NEURAWRAP NERVE PROTECT 3mm X 4cm LNG - CHARGE X4^NW340 750

NEURAWRAP NERVE PROTECT 4CM LNG - CHARGE X4^NW540 750

NEURAWRAP NERVE PROTECT 7mm X 4cm LNG - CHARGE X4^NW740 750

NEUROFLEX NERVE CUFF - chgx3^CNCF2525 945

NEUROFLEX NERVE CUFF 2.0X2.5-chargex3^CNCF2025 945

NEUROFLEX NERVE CUFF 3.0X2.5-CHRG X3^CNCF3025 945

NEUROFLEX NERVE CUFF CHRG X3^CNCF4025 945

NEUROFLEX NERVE CUFF-CHRGX3^CNCF6025 945

NEUROFLEX NRVE CUFF CNCF5025 - CHRGX3^CNCF5025 945

NEUROMEND NERVE WRAP 5.0-chgx10^CNW6050 293

NEUROMEND WRAP CNW12050 - CHRG X10^CNW12050 293

NEUROMEND WRAP CNW4050 CHRG X10^CNW4050 293

NEUROSTIM NOVI NON-RECHARGEABLE^SC-1140 34600

NEUROSTIM SURESCAN SYS 19000^9771UP 38000

NEUROSTIMULATOR GASTRIC ENTERRA II^37800 17750

NEUTRAL HUMERAL HEAD 46mm X 16mm^520-46-216 1800

NEXPLANON - PHYSICIAN SUPPLIED**OR ONLY**^NEXPLANON PHY 0.01

Nicotine & Expand. Metab, Urine 143

NI-LOCK PLATE 30MM^15-2030 2700

Nitric Oxide - $ Medical Gasses 4746

NM I-131 CAP PER MCI 94

NM I-131 SOL PER MCI 71

NO COST/REDUCED COST DEVICE**OR ONLY**^56085 1

Non-Ionic Contrast 250 ml 53

Non-Ionic Contrast 500 ml 239

NUCLETRON IRIDIUM SEED 211.5

NUT LOCK TI DANEK^9330000 260

OCTREOSCAN In111^375 6680

Omnipaque 12 mg/ml 500 mg^302448 2.25

OMNIPAQUE 300 100ml PLUS PAK^Y-532 2.25

OMNIPAQUE 300MG 50ML TEST 00407-1413-61^Y-530 2.25

OMNIPAQUE 350 100ml PLUS PAK ^Y-542 2.25

Omnipaque 9 mg/ml 500 mg^30200 2.25

OMNISCAN 15ml PREFILLED SYRINGE ^J-170 10

OMNISCAN 20ml PREFILLED SYRINGE ^J-180 10

OP Misc Job Placement Assess per unit 39

OPEN TIGHTROPE ABS AR-1588TN-1^AR-1588TN-1 343

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OSTEOAMP 1CC -MFRCAT# 12600201^12600201 1330

OSTEOAMP 2.5CC -MFRCAT# 12610101^12610101 2376

OT EVAL DRIVER 1ST 2 HRS 288

OT EVAL DRIVER EA ADDL HR 144

OT SLF MGMT EDUC/TRN 30MN 288

OT TRAINING DRIVER 129

Oxygen - $ Medical Gasses 166

Pacemaker CATH LEFT HEART CS Attain Command EH^6250-EH 480

Pacemaker CRT-D CAN Amplia MRI can only^CRTMMQM CAN 38333

Pacemaker CRT-D CAN Claria MRI can only^CLARIAMRIGEN 38333

Pacemaker CRT-D CAN Dynagen can only 17500^G156/150/151/154 CAN 29167

Pacemaker CRT-D CAN Inogen can only 17000^G148/46 CAN 28333

Pacemaker CRT-D CAN Inogen DF4 can only 17000^G140/G141/GEN 28333

Pacemaker CRT-D CAN ONLY Consulta D204TRM can^D204TRM CAN 44167

Pacemaker CRT-D CAN only Energen^N140/141 30250

Pacemaker CRT-D CAN only Viva^DTBB1QQ/ DTBB1D4/ DTBB1D1 GEN 37500

PACEMAKER CRT-D DTBA1D4 VIVA DTBA1D4 37500

Pacemaker CRT-D SYS Amplia MRI^CRTMMQM 45000

Pacemaker CRT-D SYS Claria MRI sys^CLARIAMRISYS 45000

Pacemaker CRT-D SYS Compia MRI ^QDCRTMMAM SYS 45000

Pacemaker CRT-D SYS Dynagen 21500^8DAC/8C/9C/CC 35833

Pacemaker CRT-D SYS Inogen ^8FBR/FAR 3500

Pacemaker CRT-D SYS Inogen DF4 21000^8F8C/D9CD/SYS 35000

Pacemaker CRT-D SYS Viva^DTBB1QQ/ DTBB1D4/ DTBB1D1 SYS 44167

Pacemaker CRT-D SYSTEM Energen^8E4/5/C/D/E/F 39417

Pacemaker CRT-P CAN Intua CAN^V272/73/GEN 12500

Pacemaker CRT-P CAN only C4TR01^C4TR01 11333

Pacemaker CRT-P CAN only Invive^V172/73 12500

Pacemaker CRT-P CAN only^H120/125 12500

Pacemaker CRT-P CAN Valitude CAN^U128/GEN 11875

Pacemaker CRT-P SYS Intua^8V3G/J/H/SYS 15000

Pacemaker CRT-P SYS Valitude Sys 8550^U128 SYS 14250

Pacemaker CRT-P SYSTEM ^C4TR01 SYS 14792

Pacemaker CRT-P SYSTEM Invive ^8V2G/J/H 15000

Pacemaker DUAL ICD CAN Dynagen DR can only 12000^D022 /D023 CAN 20000

Pacemaker DUAL ICD CAN Dynagen EL DR can only 12500^D152/D153 20833

Pacemaker DUAL ICD CAN Evera DR MRI CAN ONLY^DDMB1D4 29167

Pacemaker DUAL ICD CAN Inogen DR EL CAN^D142/D143/GEN 20833

Pacemaker DUAL ICD CAN Inogen Mini DR CAN ^D012/D013 CAN 20000

Pacemaker DUAL ICD CAN Itrevia CAN ONLY^7DR-T DF4 20000

Pacemaker DUAL ICD CAN only Energen DR^E142/E143 21083

Pacemaker DUAL ICD CAN only Evera^DDBC3D1/D4 (DR) GEN 28333

Pacemaker DUAL ICD CAN only Maximo DR^7278 28334

Pacemaker DUAL ICD CAN only Secura DR D204DRM/ D224DRG^D204DRM CAN 28333

Pacemaker DUAL ICD CAN only Virtuoso^D274DRG CAN 28334

Pacemaker DUAL ICD SYS Dynagen DR sys 15000^8D22/23 8D32/33 25000

Pacemaker DUAL ICD SYS Dynagen EL DR sys 15500^8D62A 63B 72A 73B 22500

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Pacemaker DUAL ICD SYS Evera DR MRI^DDMB1D4 SYS 32500

Pacemaker DUAL ICD SYS Evera^DDBC3D1/D4 (DR) SYS 31667

Pacemaker DUAL ICD SYS Inogen DR EL DF4^8F62/A/63B/72A/73B/SYS 25833

Pacemaker DUAL ICD SYS Inogen Mini DR^8F22/A-23B-32A-33B 25000

Pacemaker DUAL ICD SYSTEM Energen DR^8E22/23/32/33/A/B 27317

Pacemaker DUAL ICD SYSTEM Virtuoso^D274DRG 31667

Pacemaker DUAL PPM CAN Accolade DR CAN^L301 GEN 5225

Pacemaker DUAL PPM CAN Edora 3400^407145 5667

Pacemaker DUAL PPM CAN Eluna MRI Gen ^ELUNA GEN 5667

Pacemaker DUAL PPM CAN Essentio DR CAN^L101 GEN 5500

Pacemaker DUAL PPM CAN only ACCOLADE MRI can 3400^L311 5666

Pacemaker DUAL PPM CAN only Adapta ADDR06^ADDR06 5334

Pacemaker DUAL PPM CAN only Adapta DR^ADDR01,ADDRS1,ADDRL1 5333

Pacemaker DUAL PPM CAN only Essentio MRI can^L111 Gen 5225

Pacemaker DUAL PPM CAN only Evia DR^DR-T EVIA CAN 4042

Pacemaker DUAL PPM CAN only MRI 4000 Advisa DR gen^A2DR01 CAN ONLY 6667

Pacemaker DUAL PPM CAN only MRI 4000 Azure DR gen^W3DR01 CAN ONLY 6667

Pacemaker DUAL PPM CAN only Revo MRI Can^RVDR01 5333

Pacemaker DUAL PPM CAN only Sensia DR SEDR01^SEDR01 5333

Pacemaker DUAL PPM SYS Accolade DR^8H32/8H33/SYS 6058

Pacemaker DUAL PPM SYS ACCOLADE MRI sys 3935^9H32 6558

Pacemaker DUAL PPM SYS Adapta DR^DRK2,SMDRK2,LGDRK2 6917

Pacemaker DUAL PPM SYS Essentio DR^8H02/8H03/SYS 5558

Pacemaker DUAL PPM SYS Essentio MRI sys^9H02 Sys 6058

Pacemaker DUAL PPM SYS Evia Biotronik ^DR-T Evia 6792

Pacemaker DUAL PPM SYS MRI 5000 Advisa sys^ADVISADRMRI SYS 8333

Pacemaker DUAL PPM SYS MRI 5000 Azure DR sys^AZUREDRMRIMEEM SYS 8333

Pacemaker DUAL PPM SYS Revo MRI system^REVOMRIPEEM 6917

Pacemaker DUAL PPM SYSTEM Advisa DR MRI^A2DR014 SYS 6917

Pacemaker DUAL PPM SYSTEM Altrua 40 DR (2LD)^8674 6794

Pacemaker DUAL PPM SYSTEM Altrua 60 DR^S603 5500

Pacemaker DUAL PPM SYSTEM Sensia DR^SEDR01 SYS 6917

Pacemaker ELECTRODE S-ICD Emblem^3401 7500

PACEMAKER ELECTRODE SQ EMBLEM S-ICD^3501 7500

PACEMAKER ICD PROTECTA VR SGL SYS^D314VRM SYS 28334

Pacemaker INTRO SHEATH for Micra sys^MI2355A 900

PACEMAKER LEAD 5076^5076-65 875

Pacemaker LEAD ACUITY SPIRAL IS-1 90cm^4592 5917

Pacemaker LEAD Acuity X4^4671/72/74/75/77/78 4167

Pacemaker LEAD ATRIAL BIPOLAR 45CM^4574-45 1299

Pacemaker LEAD ATRIAL BIPOLAR 53CM^4574-53 1299

Pacemaker LEAD ATRIAL PACING^4504M-45 1272

Pacemaker LEAD ATRIAL/PACING 4074-52CM^4074-52CM 1215

Pacemaker LEAD ATRIAL/PACING 5554-45CM^5554-45 1215

Pacemaker LEAD ATRIAL/PACING 5554-53CM^5554-53 1215

Pacemaker LEAD ATRIAL/VENT 4965-35CM^4965-35 1584

Pacemaker LEAD Bi-V 4296^4296-88 3667

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PACEMAKER LEAD Bi-V 4298^4298-88 3667

Pacemaker LEAD BI-V Attain Ability^4196-88 3667

Pacemaker LEAD CAPSURE Z PACING 52CM^5034-52 1332

Pacemaker LEAD Capsurefix 45CM^4068-45 1167

Pacemaker LEAD Capsurefix 52CM^5068-52 1250

Pacemaker LEAD Capsurefix 58CM^5068-58 1250

Pacemaker LEAD Capsurefix Atrial 52CM^4068-52 1167

Pacemaker LEAD Capsurefix Atrial 53CM^4568-53 1250

Pacemaker LEAD Capsurefix Novus 45CM^4076-45 875

Pacemaker LEAD Capsurefix Novus 52CM^4076-52 875

Pacemaker LEAD Dextrus^4135/36/37A 1084

Pacemaker LEAD FINELINE EZ Sterox ATRIAL^4469 1000

Pacemaker LEAD Fineline II Sterox EZ^4469/70/71/72/73/74 833

PACEMAKER LEAD ICD 6935M62 DF4^6935M62 10333

Pacemaker LEAD ICD Reliance 4-Front 4000^0636/50/51/52/53 0662/63/65 0672/73/75/7 6666

Pacemaker LEAD ICD Sprint Quattro Secure 58^6947-58 6167

Pacemaker LEAD ICD Sprint Quattro Secure 65^6947-65 6167

Pacemaker LEAD ICD Sprint Secure 62^6947M62 6167

Pacemaker LEAD Ingevity^7731/32/35/36; 7740/41/42 833

Pacemaker LEAD PACING 5076-45CM^5076-45 875

Pacemaker LEAD PACING BIPOLAR 45CM^4058M45 1177

Pacemaker LEAD PACING BIPOLAR 52CM^4058M52 1177

PACEMAKER LEAD QUATTRO SPRINT SECURE 75^6947-75 6167

Pacemaker Lead RA/RV MRI ^7741 LEAD 1083

Pacemaker LEAD Reliance G active fix^0184-86 9167

Pacemaker LEAD Tendril SDX Atrial^1488T 1000

Pacemaker LEAD UNIPOLAR 4193-78^4193-78 3334

Pacemaker LEAD UNIPOLAR 4193-88^4193-88 3334

Pacemaker LEAD VENT/ATR BIPOLAR 5076-52^5076-52 875

Pacemaker LEAD VENT/PACING 5054-58CM^5054-58 1215

Pacemaker LEAD VENT/PACING 5092-52^5092-52 1215

Pacemaker LEAD VENT/PACING 52CM^4024-52 1215

Pacemaker LEAD VENT/PACING 58CM^4024-58 1132

Pacemaker LEAD VENT/RT BIPOLAR 5076-58^5076-58 875

Pacemaker MICRA LEADLESS SYSTEM^MICRATCPSYS 17917

Pacemaker SCL ICD CAN Inogen Mini VR CAN^D010/D011 CAN 18333

Pacemaker SGL ICD CAN Dynagen EL VR can only 11500^D150/D151 19166

Pacemaker SGL ICD CAN Dynagen VR can only 11000^D020/D021 CAN 18333

Pacemaker SGL ICD CAN Evera VR MRI CAN only ^DVMB1D4 25833

Pacemaker SGL ICD CAN Inogen VR EL CAN^D140/D141/GEN 19708

Pacemaker SGL ICD CAN only Energen VR^E140/E141 19708

Pacemaker SGL ICD CAN only Evera ^DVBC3D1/D4 (VR) GEN 25000

Pacemaker SGL ICD CAN only MRI Visia Gen^DVFB1D4 GEN 25833

Pacemaker SGL ICD CAN only Visia^DVAB1D1 25000

Pacemaker SGL ICD SYS Dynagen EL VR sys 13500^8D42/A 52/A 22500

Pacemaker SGL ICD SYS Dynagen VR sys 13000^8D02/12 21667

Pacemaker SGL ICD SYS Evera VR MRI^DVMB1D4 SYS 29167

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Pacemaker SGL ICD SYS Evera^DVBC3D1/D4 (VR) SYS 28333

Pacemaker SGL ICD SYS Inogen Mini VR^8F02/A-8F/12/A 21667

Pacemaker SGL ICD SYS Inogen VR EL DF4^8F42/A52A/SYS 22500

Pacemaker SGL ICD SYS MRI Visia System^VISIAAFMRIEMEM 29167

Pacemaker SGL ICD SYSTEM Energen VR^8E02/12/A 22917

Pacemaker SGL ICD SYSTEM Visia VR 17000^DVAB1D4 CAN 28333

Pacemaker SGL PPM CAN Accolade SR CAN^L300 GEN 5225

Pacemaker SGL PPM CAN Advisa MRI can only^A3SR01 5333

Pacemaker SGL PPM CAN Essentio SR CAN^L100 GEN 5500

Pacemaker SGL PPM CAN only ACCOLADE MRI can 3400^L310 5666

Pacemaker SGL PPM CAN only ADAPTA F/SENSIA^ADSR03 5333

Pacemaker SGL PPM CAN only Adapta SR^ADSR01 5333

Pacemaker SGL PPM CAN only Essentio MRI can^L110 Gen 5225

Pacemaker SGL PPM CAN only MRI 3200 Azure gen ^W3SR01 5333

Pacemaker SGL PPM CAN only Sensia SR^SESR01 CAN 5333

Pacemaker SGL PPM SYS ACCOLADE MRI sys 3935^9H42 6558

Pacemaker SGL PPM SYS Accolade SR^8H42 6058

Pacemaker SGL PPM SYS Adapta SR^SRK2 6917

Pacemaker SGL PPM SYS Advisa MRI SR ^A3SR01 SYS 6917

Pacemaker SGL PPM SYS Essentio MRI sys^PH12 Sys 6058

Pacemaker SGL PPM SYS Essentio SR^8H12 5558

Pacemaker SGL PPM SYS MRI 4150 Azure SR sys^AZURESRMRIMEEM SYS 6917

Pacemaker SGL PPM SYSTEM Prodigy SR 8162^8162 8167

Pacemaker SGL PPM SYSTEM Sensia SR SESR01^SESR01 6917

Pacemaker S-ICD CAN Only Emblem^A209CAN 31667

Pacemaker SICD Q-TRAK Lead^3400 7500

Pacemaker SICD SQ-RX CAN Only^1010 CAN 31667

Pacemaker SICD SQ-RX SYSTEM^8B01 SYS 39167

Pacemaker S-ICD SYS Emblem^8B11SYS 39167

PACEMAKER THERA SR 8961I^8961I 8167

PACEMAKER THERA SR 8962I^8962I 7909

PACEMAKER W1TR03 SOLARA CRTP MRI^W1TR03 11333

Palindrome Precision with Venatrac insertion Stylets, 19cm Sport Pack^8888119364P 408

PAN LACTOSORB SYS 24.25MM 1.5^915-2410 868

PANEL SMALL 1.5/0.3 85X53^01-7185 1438

PANEL SMALL 1.5/0.6 85X53^01-7182 2281

Partial Shoulder DJO SURGICAL^PS DJO 6250

Partial Shoulder^PS BIOMET 7076

Partial Shoulder^PS DEPUY 6000

Partial Shoulder^PS PRIMED 6546

Partial Shoulder^PS S-N 6438

Partial Shoulder^PS SYNTHES 6250

PARTICLE EMBOSPHERE 500-700 ^S620GH 579

PARTICLE EMBOSPHERE 700-900 ^S820GH 579

PATCH CORMATRIX 1CM X 10CM CMCV-014-609^CMCV-014-609 790

PATCH CORMATRIX 2CM X 10CM CMCV-012-606^CMCV-012-606 954

PATCH CORMATRIX 4CMX7CM^CMCV-004-404 1590

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PATCH CORMATRIX CMCV-170^CMCV-003-401 1754

PATCH CV 2.5cm X 15CM .6mm^1702515006 558

PATCH CV ACCUSEAL .8MM X 7.5^1CVX003 418

PATCH CV ACCUSEAL 1.0MM X 9.0^1CVX002 418

PATCH HEMOSTATIC EVARREST 2 INx4 IN^EVT5024 1162

PATCH HERNIA VENTRIO LG OVAL^0010212 2560

PATCH KUGEL HERNIA OVAL 11X14^10-105 479

PATCH PERICARDIAL 10CM X 16CM^4700 1176

PATCH VASCULAR VASCU-GUARD 2x9cm^VG0209N 454

PATCH VASCULAR XENOSURE .8X8CM^E0.8P8 350

PATCH VENTRAL 4CM PCO4VP^PCO4VP 845

PATCH VENTRAL 6CM PCO6VP^PCO6VP 1012

PATCH VENTRAL 8CM PCO8VP^PCO8VP 1300

PATCH VENTRALEX HERNIA LARGE^0010303 1382

PATCH VENTRALEX MED CIRCLE^0010302 1138

PATCH VENTRALEX SMALL CIRCLE^0010301 950

PATELLA GENII RESURF 38MM -MFRCAT 71926225^71926225 600

PATELLA GENII RESURF 41MM -MFRCAT 71926226^71926226 600

PATELLA JOURNEY BCS 29MM STD^74024629 600

PATELLA PFC OVAL 3 PEG 38MM^96-0102 675

PATELLA SERIES A PAT STD 37 3 PEG^184768 2015

PATELLA STD SERIES A 31X8^184704 2015

PATELLA STD SERIES A 37X10^184708 2015

PATELLA TENDON BTB WHL W/QUAD^530030 4550

PATELLA TENDON HEMI W/QUAD^930150 3400

PATELLAR COMPONENT KNEE GII OVAL RESURFACING PAT 38mm^71421038 600

PATELLAR COMPONENT KNEE GII OVAL RESURFACING PAT 41mm^71421041 600

PATELLAR TENDON HEMI W/O QUAD^430015 4912

PATELLAR TENDON HEMI W/QUAD SM^430005 4912

PATELLAR TENDON HEMI W/QUAD^430010 4912

PATELLAR TENDON WHOLE W/QUAD^430034 10328

PEC REPAIR KIT LARGE BUTTON^AR-2269 2921

PEC REPAIR KIT^AR-2268 2089

PEEK SWIVELOCK SUT ANCHOR 3.5x14.8^AR-2325PSLC 664

PEG ARCOM PATELLAR 3P 31MM^184764 2015

PEG GLENOID GLOBAL SZ 40MM^1136-40-026 1600

PEG GLENOID SHOULDER SZ 44^1137-85-025 2389

PEG LOCKING 2.3 X 20^CO-S2320 178

PEG LOCKING 2.3X18MM -MFRCAT# CO-S2318^CO-S2318 178

PEG LOCKING 2.3X22MM^CO-S2322 178

PEG LOCKING 2.3X24MM -MFRCAT# CO-S2324^CO-S2324 178

PEG REFLECTION FIXATION 15MM^71332518 103

PEG SMOOTH 2.0 X 16MM LONG^P16000 204

PEG THRD TRX 24MM^TPEG-24 200

PEG THRD TRX 26MM^TPEG-26 200

PEG THRD TRX 28MM^TPEG-28 200

PEG THRD TRX 32MM^TPEG-32 200

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PENILE PROSTHESIS SPECTRA CONCEALABLE 12mm X 16cm^720074-02 16595

PENUMBRA SYSTEM MAX RC 3 ^3MAXC 1830

PERC IMPLANT NEUROSTIM ELECTRODE SACRAL NRVE 11243

PERCLOSE 6FR CLOSURE DEV-12673 PROGLIDE 12673-03 450

PERMACOL 2X5 PER SQ CM = chg x 10^P050205 55

PERMCATH 36CM DUAL LUMEN^15132-001 260

PHR Bipolar Fracture Stem HIP^71701441 3605

PHR Bipolar Fracture Stem HIP^PHR BF STEM STRYKER 3550

PHR Bipolar Primary Porous Stem^71701451 6085

PHR Bipolar Primary Porous Stem^PHR BP STEM BIOMET 6200

PHR Bipolar Primary Porous Stem^PHR BP STEM STRYKER 6450

PHR Bipolar Primary Stem Non-Porus^71701440 4687

PHR Single Piece^PHR SINGLE S-N 1200

PHR Single Piece^PHR SINGLE STRYKER 1236

PHR Unipolar^71700025 2524

PHR Unipolar^PHR UNI STRYKER 2600

PICC 5 FR SINGLE LUMEN POWER INJECTABLE ^M001456580 98

PICC 6fr DUAL LUMEN POWER INJECTABLE ^M001456680 130

PIN APEX 2MM^5065-3-615 143

PIN APEX 3X110^5038-2-110 157

PIN APEX 4X110^5023-3-120 216

PIN APEX 5mm X 150mm^5018-5-150 260

PIN BALL W-SERIES GREEN 1.6^W062-GN 74

PIN BUTRESS TITAN 1.8^401.968.96 144

PIN BUTTRESS 1.8 X 18MM^401.968 144

PIN BUTTRESS 1.8 X 20MM^401.970 144

PIN BUTTRESS 1.8 X 22MM^401.972 144

PIN BUTTRESS 1.8 X 24MM^401.974 144

PIN BUTTRESS 1.8 X 26MM^401.976 144

PIN BUTTRESS 1.8 X 28MM^401.978 144

PIN BUTTRESS 1.8 X 30MM^401.980 144

PIN BUTTRESS 1.8MM X 12MM^401.962 144

PIN BUTTRESS 1.8MM X 14MM^401.964 144

PIN BUTTRESS 1.8MM X 16MM^401.966 144

PIN BUTTRESS 18MM^200.193 230

PIN BUTTRESS 20MM^200.194 230

PIN BUTTRESS 22MM^200.195 230

PIN CLAMP 4-HOLE^4941-2-020 798

PIN CLAMP 5-HOLE^4922-2-020 1208

PIN E/F 5X35 LONG^71065352 262

PIN E/F HALF 4 X 25 41MM^122741 329

PIN E/F HALF 4 X 35 43MM^122743 185

PIN E/F HALF 5 X 20MM^122707 450

PIN E/F HALF 5 X 20MM^122747 329

PIN E/F HALF 5 X 25MM^122748 329

PIN E/F HALF 5 X 30MM SS^71065301 262

PIN E/F HALF 5 X 35MM^122710 450

Page 199: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

PIN E/F HALF 5 X 35MM^71065351 262

PIN E/F HALF 5 X 40MM SS^71065401 262

PIN E/F HALF 5 X 40MM^122751 329

PIN E/F HALF 5 X 45MM SS^71065451 262

PIN E/F HALF SHORT 5X70^71065701 262

PIN ELBOW AXLE SOLAR^5005-2040 3240

PIN EXTERNAL FIXATOR 4X150MM^5023-5-150 216

PIN EXTERNAL FIXATOR 4X90MM^5023-2-090 216

PIN GUIDE^AR-8737-04 27

PIN HALF APEX 2MM^5080-1-612 147

PIN HALF APEX SS 2X45^5080-2-012 147

PIN KNEE LOCK^150478 420

PIN KNOWLES 1/8*3.00 in^128280 618

PIN KNOWLES 1/8*3.25 in^128281 618

PIN KNOWLES 1/8*3.50 in^128282 618

PIN KNOWLES 1/8*3.75 in^128283 618

PIN KNOWLES 1/8*4.00 in^128284 618

PIN KNOWLES 1/8*4.25 in^128285 618

PIN KNOWLES 5/32 D X 3-1/2L^00-0281-001-05 137

PIN LOCKING BUTTRESS 1.8 14mm^02.210.084 266

PIN LOCKING BUTTRESS 1.8 16 mm^02.210.086 266

PIN LOCKING BUTTRESS 1.8 18mm^02.210.088 266

PIN NI-LOCK FIXATION^16-9001 300

PIN PARTIAL THREADED 4.5 X 180^293.68 281

PIN PERILOC 3.5X18 SHRT^71175706 286

PIN PF 3.5X18^71173324 246

PIN PF 3.5X40 71173325 277

PIN POSITIONING 7.3 CRIMP STERILE^02.221.006S 548

PIN STEINMAN 3 X 32 TROCAR PT^35-361278 14

PIN STEINMAN 4.5 X 150^293.63 252

PIN STEINMAN 4.5 X 200MM^293.73 281

PIN STEINMAN 4.5 X 250 THREADE^293.83 281

PIN STEINMAN 4.5 X 300MM^293.93 281

PIN STEINMAN 4.5X275MM THREADE^293.88 281

PIN STEINMAN 5.0 X 200MM^293.74 281

PIN STEINMAN 5.0MM THRD^294.950 282

PIN STEINMAN 5.0X300^293.940 281

PIN STEINMAN 5-1/2 X 12^27-361681 12

PIN STEINMAN DBLE END 1/8*9^128106 53

PIN STEINMAN DBLE END 3/16*9^128136 70

PIN STEINMAN DBLE END 3/32*9^128086 53

PIN STEINMAN DBLE END 5/32*9^128126 70

PIN STEINMAN DBLE END 5/64*9^128076 49

PIN STEINMAN DBLE END 7/64*9^128096 53

PIN STEINMAN DBLE END 9/64*9^128116 62

PIN STEINMAN DIAMOND 1/8 X 9^128111 58

PIN STEINMAN DIAMOND 3/16 X 9^128141 70

Page 200: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

PIN STEINMAN DIAMOND 3/32 X 9^128091 53

PIN STEINMAN DIAMOND 5/32 X 9^128131 70

PIN STEINMAN DIAMOND 5/64 X 9^128081 49

PIN STEINMAN DIAMOND 7/64 X 9^128101 53

PIN STEINMAN DIAMOND 9/64 X 9^128121 62

PIN STEINMAN F/REVERSE SHLDR^405800 298

PIN STEINMAN THREADED 1/8*9^127934 95

PIN STEINMAN THREADED 3/32*9^127894 95

PIN STEINMAN THREADED 5/32*9^127974 95

PIN STEINMAN THREADED 5/64*9^127874 95

PIN STEINMAN THREADED 7/64*9^127914 95

PIN STEINMAN THREADED 9/64*9^127954 95

PIN STEINMAN TYPE D 3/16X9^128139 70

PIN TEMP FIX #324.01^324.01 204

PIN TEMP FIX^324.101 204

PIN TEMPORARY FIXATION^324.063 204

PIN TO ROD COUPLING HOFFMAN II COMPACT^4940-1-020 683

PIN TRACTION E/F 5MM X 50MM^71065503 514

PINNACLE PELVIC RPR POSTERIOR^M0068317100 3339

PINS APEX 2mm^5880-2-020 147

PINS SLF DRILLING^5080-2-020 147

PIP (PROX INTERPHAL IMPL) SILICONE SZ 20^PIP-20 1949

PIP FUSION HAT-TRICK 3.7 10DEG 4MM +MID^72204372 3120

PIP SILICONE IMPLANT SZ 0^SPIP5200WW 1809

PIP SILICONE IMPLANT SZ 1^SPIP5201WW 1809

PIP SILICONE IMPLANT SZ 2^SPIP5202WW 1809

PIP SILICONE IMPLANT SZ 3^SPIP5203WW 1809

PIP SILICONE IMPLANT SZ 4^SPIP5204WW 1809

PIP SILICONE IMPLANT SZ 5^SPIP5205WW 1809

PISTON SMART STAPES 6 X 3.5MM^70145922 497

PISTON SMART STAPES 6 X 3.75MM^70145925 503

PISTON SMART STAPES 6 X 4.0MM^70145926 497

PISTON SMART STAPES 6 X 4.25MM^70145927 497

PISTON SMART STAPES 6 X 4.5MM^70145928 497

PISTON SMART STAPES 6 X 4.75MM^70145929 503

Place Occlusive Device 619

PLAPLE 12MM SS^AR-8714 752

PLATE 1.0MM ORBITAL MESH .3MM THCK^420.303 2978

PLATE 1.3 OBLIQUE 3X4 LT^421.052 628

PLATE 1.3 UNIV ORBITAL FLOOR^421.040 2610

PLATE 1.3MM MESHED ORBITAL THCK^421.303 2750

PLATE 1.5 16HL REG STR^01-7066 373

PLATE 1.5 2HL 12MM DOUBLE T^01-7091 224

PLATE 1.5 2HL 14MM DOUBLE T^01-7092 236

PLATE 1.5 2HL LONG NEURO^01-7347 70

PLATE 1.5 2HL MED^01-7345 69

PLATE 1.5 4HL LONG DOUBLE T^01-7093 236

Page 201: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

PLATE 1.5 4HL LONG STR^01-7047 121

PLATE 1.5 4HL SQUARE^01-7131 303

PLATE 1.5 4HL X^01-7120 481

PLATE 1.5 5HL LONG Y^01-7102 236

PLATE 1.5 6 HL ORBITAL^01-7126 235

PLATE 1.5 6HL DOUBLE Y REG^01-7110 481

PLATE 1.5 6HL LONG DOUBLE Y^01-7112 280

PLATE 1.5 8 HL ORBITAL^01-7128 235

PLATE 1.5 LCP 4HL W/GUIDES^02.114.502 529

PLATE 1.5 VAL METACARPAL DORSAL 02.130.263 1300

PLATE 1.5 VAL ROTATION CORRECT 6HL^02.130.266 1300

PLATE 1.5/0.5 18.5MM BURR HOLE^01-7308 309

PLATE 1.5/0.5 22MM BURR HOLE^01-7309 309

PLATE 1.5/0.5 8HL SMALL SUB TEMP^01-7361 462

PLATE 1.5/0.5 8HL SUB TEMP^01-7363 540

PLATE 1.5MM 6HL^02.114.503 897

PLATE 1.7 T 7HL^57-10360 750

PLATE 1/3 TUB 7HL PF^71130307 480

PLATE 1/3 TUBULAR 10 HOLE LCP^241.401 357

PLATE 1/3 TUBULAR 10HL W/COLLAR^441.401 392

PLATE 1/3 TUBULAR 12 HOLE LCP^241.421 368

PLATE 1/3 TUBULAR 6HL PF^71130306 440

PLATE 1/3 TUBULAR 7HL W/COLLAR -MFRCAT# 441.371^441.371 373

PLATE 1/3 TUBULAR 8 HOLE LCP^241.381 357

PLATE 1/3 TUBULAR 9 HL 105MM LCP^241.391 357

PLATE 12MM^15-1012 2400

PLATE 2.0 LCP 10HL 73MM^247.360 481

PLATE 2.0 LCP 38MM^247.345 502

PLATE 2.0 LCP 4HL 31MM^247.344 502

PLATE 2.0 LCP CONDY 6HL 45MM^247.346 502

PLATE 2.0 LCP CONDY 7HL^247.349 1509

PLATE 2.0 VAL CONDYLAR 2HL-MFRCAT 02.130.355^02.130.355 1146

PLATE 2.0 VAL PHALAN 2HL 6HL SHAFT^02.130.354 1175

PLATE 2.0mm TI VAL ROTATION CORR 6 HOLES^04.130.366 1594

PLATE 2.0mm VAL STRUT PLATE 12 HOLES^02.130.360 1175

PLATE 2.4 DIST RAD 4HL^02.111.540S 2050

PLATE 2.4 DORSAL T^442.477 1237

PLATE 2.4 LCP 6HL 52MM^249.676 767

PLATE 2.4 LCP CONDYLAR 7HL SHAFT^249.679 1152

PLATE 2.4 LCP DORS DIST RAD^02.115.130 1231

PLATE 2.4 LCP Y 3HL^449.669 1551

PLATE 2.4 VA-LCP DIST RAD 3HL RT^02.111.530 1796

PLATE 2.4 VA-LCP VOLAR 5HL LT^02.110.204 1933

PLATE 2.4/2.7 VA CLOVERLEAF FUSION LNG^02.211.252 1875

PLATE 2.4/2.7 VA CLOVERLEAF FUSION STD^02.211.251 1832

PLATE 2.4/2.7 VA LCK STR FUSION 4HL^02.211.263 1688

PLATE 2.4/2.7 VA T-FUSION 2HL SHRT^02.211.253 1785

Page 202: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

PLATE 2.4/2.7 VA-LCP L FUSION LT^02.211.261 1931

PLATE 2.4/2.7 VA-LCP L-FUSION PLSTANDARD/LEFT^02.211.259 1881

PLATE 2.4/2.7 VA-LCP LONG FUSION RT^02.211.260 1931

PLATE 2.4/2.7 VA-LCP MTP FUSION SM RT^02.211.232 2064

PLATE 2.4/2.7 VA-LCP T-LCK 2HL^02.211.254 1832

PLATE 2.4MM VA-LCP 2-COL DSTL RAD NRW 6H HD4H SHAFT LT 02.111.541 1863

PLATE 2.4MM VA-LCP DORSAL DISTAL RAD 3H HD 5H SHAFT 02.115.350 1326

PLATE 2.4MM VA-LCP VOLAR RIM DISTAL RAD 6H HD 5H SHFT/LT 02.115.751S 1896

PLATE 2.4MM VA-LCP VOLAR RIM DISTAL RAD 7H HD 5H SHFT/RT 02.115.850S 1896

PLATE 2.4MM VA-LCP VOLAR RIM DISTAL RAD PL/7H HD/5H SHFT/LT-STER 02.115.851S 1896

PLATE 2.7 ANT LAT CALCANEAL 40MM LT^02.211.411 1797

PLATE 2.7 ANT LAT CALCANEAL 56MM LT^02.211.413 1867

PLATE 2.7 LCP 8HL 76MM^247.372 810

PLATE 2.7 LCP T-PLATE 2HL HEAD^249.697 1409

PLATE 2.7 LCP ULNA 6HL^02.111.900 2254

PLATE 2.7 VA-LCP DIST FIB 6HL RT^02.118.406 1631

PLATE 2.7 VA-LCP DIST TIB 4HL LT STER -MFRCAT# 02.118.303S^02.118.303S 1973

PLATE 2.7 VA-LCP DIST TIB 6HL STER -MFRCAT# 02.118.307S^02.118.307S 2052

PLATE 2.7 VA-LCP DISTAL TIBIA 4HL^02.118.306 1793

PLATE 2.7 XXL VOLAR 11HL/145MM^54-25442S 2691

PLATE 2.7 XXL VOLAR 5HL 74MM^54-25432S 2587

PLATE 2.7/3.5 DIST FIB 4HL^04.112.109 1432

PLATE 2.7/3.5 DIST HUM 1HL RT^02.117.401 2409

PLATE 2.7/3.5 DIST LAT FIBULA 5HL 99mm LT^04.112.141 1404

PLATE 2.7/3.5 DIST LAT FIBULA 6HL 112mm LT^04.112.143 1426

PLATE 2.7/3.5 DIST TIB 4HL RT^02.118.202 3259

PLATE 2.7/3.5 LAT DIST HUM 1HL RT 69MM^02.117.801 2409

PLATE 2.7/3.5 LCP MED DIST TIB 10 HL LT^02.118.009 3160

PLATE 2.7/3.5 LCP MED DIST TIB 10HL RT^02.118.008 3160

PLATE 2.7/3.5 MEDLDSTL HUM 2HL LT 85MM MED^02.117.702 2486

PLATE 2.7/3.5 OLECRANON 4HL RT 116MM^02.107.204 2080

PLATE 2.7/3.5 POST LAT DIST FIB 7HL LT 129MM^02.112.115 1300

PLATE 2.7/3.5 POST LAT DIST HUM 4HL MED^02.117.304 2409

PLATE 2.7/3.5 POSTLAT DIST FIB 3HL LT 77MM^02.112.107 1226

PLATE 2.7/3.5 POSTLAT FIB 5HL RT 103MM^02.112.110 1264

PLATE 2.7/3.5 VA-LCP HUM 3HL LT SHORT^02.117.303 2409

PLATE 2.7mm TI LCP T-PLATE2 HOLES HEAD/4 HOLES SHAFT^449.697 1551

PLATE 2.7mm TI LCP(TM) L-PLATERT 2H HEAD/4H SHAFT^449.701 855

PLATE 2.7mm/3.5mm LCP LAT DISTAL FIBULA 5H/RT 99mm^02.112.140S 1404

PLATE 2.7mm/3.5mm LCP LAT DISTAL^02.112.139S 1386

PLATE 2.7MM/3.5MM LCP POST LAT DSTL FIBULA 4H RT 90MM STERILE 02.112.108S 1432

PLATE 2.7MM/3.5MM LCP POSTLAT DSTL FIBULA 3H/LEFT/77MM-STER 02.112.107S 1409

PLATE 2.7MM/3.5MM LCP POSTLAT DSTL FIBULA PL 5H RT 103MM-STER 02.112.110S 1452

PLATE 2.7mm/3.5mm LCP POSTLAT DSTL^02.112.106S 1409

PLATE 23HL F/PECTUS^SP-2355 1212

PLATE 3.5 2HL LCP POST MED TIBIA^02.120.702S 2468

PLATE 3.5 4HL LCP POSTERO MEDIAL TIBIA 105mm^02.120.704S 2495

Page 203: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

PLATE 3.5 ANTEREO LAT 13HL RT^241.448 3051

PLATE 3.5 CLAV 6HL LAT EXT LT^02.112.091 1947

PLATE 3.5 CLAVICLE 6HL RT 105mm^02.112.090 1947

PLATE 3.5 CLAVICLE HOOK 6HL LT STER^241.095S 2470

PLATE 3.5 CLAVICLE HOOK 6HL RT STER^241.094S 2470

PLATE 3.5 CLAVICLE SUP 7HL 120MM LT^02.112.093 1997

PLATE 3.5 CLAVICLE SUP 7HL 123MM LT^02.112.019 1997

PLATE 3.5 CP SMALL 16X208^71840216 2860

PLATE 3.5 FIB LK P-L VLP 6HL 74MM LT^72820806 1108

PLATE 3.5 LCP DIST HUM 8HL 194MM LT^02.104.028 2889

PLATE 3.5 LCP HOOK 3HL STER^02.113.103S 1432

PLATE 3.5 LCP HOOK 3HL^02.113.103 1302

PLATE 3.5 PROX HUM 2HL 91MM RT^02.123.020 3405

PLATE 3.5 PROX HUM 2HL LT^02.123.021 3405

PLATE 3.5 PROX HUM 4HL 127MM RT^02.123.022 3507

PLATE 3.5 PROX TIB 10HL 177MM LT^02.127.241 3457

PLATE 3.5 RECON LCK 46MM 4HL^71822604 781

PLATE 3.5 SPRING 2 HL -MFRCAT# 02.100.302S^02.100.302S 861

PLATE 3.5 SUP ANT CLAVICLE 4HL^02.112.011 1893

PLATE 3.5 TIBI A-L-D LCK 10HL 148MM^71820710 2832

PLATE 3.5 TIBI A-L-D LCK 6HL 98MM^71820606 2779

PLATE 3.5 TIBI A-L-D LCK 8HL 123MM^71820708 2796

PLATE 3.5 TIBI L-P LCK 13HL 187MM^71800413 2751

PLATE 3.5 TIBIA LCK P-L VLP 3HL 47MM LT^72820203 1332

PLATE 3.5 TUBULAR LCP 7HL^71829007 303

PLATE 3.5MM LCP PROXIMAL TIBIA BEND 4 HOLES 76MM RIGHT 02.124.200 2766

PLATE 3.5mm LOW PROFILE CURVED RECON 108mm RADIUS 8 HOLE^245.878 1583

PLATE 3D 2X2^57-15390 729

PLATE 4.5 BROAD CVD LCP 12 HL 229MM^226.622 1398

PLATE 4.5 CONDYLAR 230MM 10HL LT^02.124.411 3687

PLATE 4.5 CVD CONDYLAR 18HL LT VA^02.124.419 4361

PLATE 4.5 CVD CONDYLAR 18HL RT VA^02.124.418 4361

PLATE 4.5 FEM LCK 10HL 230MM^71820010 2931

PLATE 4.5 FEM LCK 13HL 286MM^71820013 3059

PLATE 4.5 FEM LCK 16HL L 342MM^71820016 3121

PLATE 4.5 FEM LCK 8HL 193MM^71820008 2877

PLATE 4.5 FEM LCK L-D 6HL 155MM^71820006 2723

PLATE 4.5 FEM L-D LCK 10H 230^71820110 2931

PLATE 4.5 FEM L-D LCK 13H 286^71820113 3059

PLATE 4.5 FEM L-D LCK 8H 193MM^71820108 2877

PLATE 4.5 FEMUR HOOK 16HL^242.127 3810

PLATE 4.5 LCP T 6HL -MFRCAT# 240.161^240.161 1360

PLATE 4.5 L-D FEM LK 13HL 286MM LT^71800013 3059

PLATE 4.5 PROX FEMUR HOOK 8HL^242.123 3357

PLATE 4.5 PROX FEMUR HOOK^242.120 3144

PLATE 4.5 TIBI LCK 10HL 201^71820210 2715

PLATE 4.5 TIBI L-P LCK 13HL 255MM^71800213 2751

Page 204: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

PLATE 4.5 TIBI L-P LCK 4HL 94^71820204 2625

PLATE 4.5 TIBI L-P LCK 4HL 94^71820304 2625

PLATE 4.5 TIBI L-P LCK 6HL 130^71820206 2651

PLATE 4.5 TIBI L-P LCK 6HL 130^71820306 2651

PLATE 4.5 TIBI L-P LCK 8HL 165^71820208 2678

PLATE 4.5 TIBI L-P LCK 8HL 165^71820308 2678

PLATE 4.5 VA-LCP CONDY 14HL RT^02.124.414 4015

PLATE 4.5MM LCK COMP 6H 121MM^71809306 738

PLATE 4.5mm LCP CONDYLAR PLATE 16 HOLES/350MM-RIGHT^222.666 3470

PLATE 4.5MM LCP PROXIMAL TIBIA 8H 154MM RT^240.040S 3391

PLATE 4.5MM L-D FEM LK PL 8H L 193MM 71800008 2877

PLATE 4.5MM NARROW PL 10 HL 196MM 71829460 370

PLATE 4.5MM NARROW PL 7 HL 142MM 71829457 284

PLATE 4.5MM NARROW PL 9 HL 178MM 71829459 284

PLATE 4.5MM X247MM^226.632 1481

PLATE 5 HOLES 44MM^247.375 767

PLATE 5HL^AR-8952MS-05 1230

PLATE 7.5 CM^9331075 4519

PLATE 7200060 ATL VISION ELITE 60MM 7200060 1800

PLATE 8-PLATE BLUE 16MM^GP400 708

PLATE ACU-LOC 2 VDR NARROW L -MFRCAT 70-03538^70-0358 2086

PLATE ACU-LOC 2 VDR NARROW L -MFRCAT 70-0359^70-0359 2086

PLATE ACU-LOC 2 VDR NARROW -MFRCAT 70-0352^70-0352 2086

PLATE ACU-LOC 2 VDR NARROW -MFRCAT 70-0353^70-0353 2086

PLATE ACU-LOC 2 VDR NARROW RT -MFRCAT 70-0351^70-0351 2086

PLATE ACU-LOC 2 VDR PLT STD R^70-0357 2086

PLATE ACU-LOC 2 VDR STD L - MFRCAT# 70-0356^70-0356 2086

PLATE ACU-LOC 2 VDR STD LT - MFRCAT# 70-0350^70-0350 2086

PLATE ACUTIE II STERNUM^STW1104 714

PLATE ADAPTION 1.0MM^420.01 1168

PLATE ADAPTION 20 HOLE 100MM^447.10 1094

PLATE ADAPTION 34 HOLE 100MM^420.10 1440

PLATE ADJUSTABLE OC DANEK^7755278 5390

PLATE A-L-D TIB LK 3.5 10HL 148MM^71820610 2832

PLATE AMBI CHS 135 DEG 3 SLOT^121126 693

PLATE AMBI CHS 135 DEG 4 SLOT^121131 693

PLATE AMBI CHS 135 DEG 5 SLOT^121136 743

PLATE AMBI CHS 135 DEG 6 SLOT^121141 770

PLATE AMBI CHS 140 DEG 3 SLOT^121127 693

PLATE AMBI CHS 140 DEG 4 SLOT^121132 693

PLATE AMBI CHS 140 DEG 5 SLOT^121137 743

PLATE AMBI CHS 145 DEG 3 SLOT^121128 693

PLATE AMBI CHS 145 DEG 4 SLOT^121133 693

PLATE AMBI CHS 145 DEG 5 SLOT^121138 743

PLATE AMBI CHS 150 DEG 3 SLOT^121129 693

PLATE AMBI CHS 150 DEG 4 SLOT^121134 693

PLATE AMBI CHS 150 DEG 5 SLOT^121139 743

Page 205: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

PLATE ANKLE ARTHRO 6 HL^02.100.032S 3015

PLATE ANT CERV 30MM^04.613.030 2362

PLATE ANT CERV 48MM^04.613.248 2781

PLATE ANT CERV 51MM^04.613.251 2781

PLATE ANT CERV VECTRA 12MM^04.613.012 2427

PLATE ANT CERV VECTRA 14MM^04.613.014 2336

PLATE ANT CERV VECTRA 18MM^04.613.018 2336

PLATE ANT CERV VECTRA 20MM^04.613.020 2427

PLATE ANT CERV VECTRA 40MM^04.613.140 2603

PLATE ANT CERVICAL VENTURE 37.5^9790037 2325

PLATE ANT CERVICAL VENTURE 40MM^9790040 2325

PLATE ANT CERVICAL VENTURE 42.5^9790042 2325

PLATE ANT CERVICAL VENTURE 45MM^9790045 2325

PLATE ANT CLAVICLE 7HL^628307 2100

PLATE ANT LAT CLAVICLE 2.7/3.5 7HL^02.112.045S 2254

PLATE ANTEREO 3.5MM 7HL LT^02.112.145 1256

PLATE ANTEREO 3.5MM 7HL RT^241.442 2959

PLATE ANTEREOLAT 3.5 15HL LT^241.451 3092

PLATE ANTERIOR CERVICAL 18MM^03100118 2520

PLATE ANTERIOR CERVICAL 25MM^876.125 1670

PLATE ANTERIOR CERVICAL 40MM^876.140 2119

PLATE ANTERIOR CERVICAL 42.5MM^876.142 1870

PLATE ANTERIOR CERVICAL 45MM^6860145 2299

PLATE ANTERIOR CERVICAL 45MM^876.145 1870

PLATE ANTERIOR CERVICAL 47.5MM^876.147 2119

PLATE ANTERIOR CERVICAL 50MM^6860150 2397

PLATE ANTERIOR CERVICAL 67.5MM^876.167 2648

PLATE ANTERIOR LUMBAR 9.5CM^9330095 4519

PLATE ATLANTIS VISION 21MM^976.121 1820

PLATE ATLANTIS VISION 23MM^976.123 1820

PLATE ATLANTIS VISION 25MM^976.125 1820

PLATE ATLANTIS VISION 27.5MM^976.127 1820

PLATE ATLANTIS VISION 30MM^976.130 1820

PLATE ATLANTIS VISION 32.5MM^976.132 1967

PLATE ATLANTIS VISION 35MM^976.135 1967

PLATE ATLANTIS VISION 37.5mm^976.137 1967

PLATE ATLANTIS VISION 40MM^976.140 1967

PLATE ATLANTIS VISION 42MM^976.142 1967

PLATE ATLANTIS VISION 45MM^976.145 1967

PLATE ATLANTIS VISION 47.5MM^976.147 1967

PLATE ATLANTIS VISION 50MM^976.150 2551

PLATE ATLANTIS VISION 52.5MM^976.152 2551

PLATE ATLANTIS VISION 55MM^976.155 2186

PLATE ATLANTIS VISION 57.5MM^976.157 2186

PLATE ATLANTIS VISION 60mm^976.160 2186

PLATE ATLANTIS VISION 62.5MM^976.162 2186

PLATE ATLANTIS VISION 65MM^976.165 2186

Page 206: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

PLATE ATLANTIS VISION 67.5MM^976.167 2551

PLATE ATLANTIS VISION 70MM^976.170 2551

PLATE ATLANTIS VISION 72.5MM^976.172 2551

PLATE ATLANTIS VISION 75MM^976.175 2551

PLATE ATLANTIS VISION 77.5MM^976.177 2551

PLATE ATLANTIS VISION 80MM^976.180 2961

PLATE ATLANTIS VISION 82.5MM^976.182 2210

PLATE ATLANTIS VISION 85MM^976.185 2782

PLATE BASE STRIDE TIBIA SIZE 6 LM/RL^PFSI00012 3640

PLATE BASE STRIDE TIBIA SIZE 4 RM/LL^PFSI00007 3640

PLATE BASE STRIDE TIBIA SIZE 6 RM/LL^PFSI00011 3640

PLATE BASE STRIDE TIBIA SIZE 7 LL/RM^PFSI00013 3640

PLATE BASE STRIDE TIBIA SIZE 7 LM/RL^PFSI00014 3640

PLATE BASE STRIDE TIBIA SIZE 9 RM/LL^PFSI00017 3640

PLATE BASE TIBIA Stride Size 4 LM/RL^PFSI00008 3640

PLATE BASE TIBIA STRIDE SIZE 5 RM/LL^PFSI00009 3640

PLATE BASE UNIVERSAL GLENOID - LARGE^AR-9120-03 3036

PLATE BASE UNIVERSAL GLENOID - MEDIUM^AR-9120-02 3036

PLATE BONE 2.7MM 97MM^247.370 894

PLATE BONE X STERNALOCK 2.4MM 4 HOLE TITANIUM^71-2643 733

PLATE BONE X STERNALOCK 2.4MM 8 HOLE TITANIUM^71-2623 882

PLATE BROAD 151MM 4.5 X 9 HOLE^71141209 1430

PLATE BROAD 167MM 4.5 X 10HOLE^71141210 1430

PLATE BROAD 4.5 X 10 HOLE LCP^226.601 1238

PLATE BROAD 4.5MM 18HL^226.682 2158

PLATE BROAD LC-DCP 17H 4.5X250^226.672 1981

PLATE BROAD LCP 11HL 4.5MM^226.611 1318

PLATE BROAD LCP 12HL 4.5MM^226.621 1398

PLATE BROAD LCP 14HL 4.5MM CVD^226.642 1555

PLATE BROAD LCP 14HL 4.5MM^226.641 1555

PLATE BROAD LCP 9HL 4.5MM^226.591 1150

PLATE BROAD LCP CVD 15HL 4.5X282^226.652 1727

PLATE BROAD LCP CVD 16HL 4.5^226.662 1889

PLATE BURR HOLE 1.5/0.25^01-7310 309

PLATE BURR HOLE 1.5/0.5 13MM^01-7306 309

PLATE BURR HOLE COVER 13MM^14-1P2-0113 160

PLATE BURR HOLE COVER 14MM^14-1P2-0114 160

PLATE BURR HOLE COVER 18MM^14-1P2-0118 160

PLATE BUTTON DISTAL CLAVICLE^AR-2658 620

PLATE BUTTRESS LT 149MM 7H^71141107 3750

PLATE BUTTRESS LT 181MM 9H^71141109 4000

PLATE BUTTRESS RT 149MM 7H^71141007 3750

PLATE BUTTRESS RT 181MM 9H^71141009 4000

PLATE CALCANEAL LCK RT 3.5X60^71821203 1262

PLATE CALCANEAL LP^AR-8949-100 1938

PLATE CERVICAL NI LOCK 44MM^15-3044 3000

PLATE CERVICAL NI LOCK 48MM^15-3048 3000

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PLATE CHS 130 DEG 2 SLOT^124120 691

PLATE CHS 130 DEG 3 SLOT^124125 714

PLATE CHS 130 DEG 4 SLOT^124130 714

PLATE CHS 130 DEG 5 SLOT^124135 762

PLATE CHS 130 DEG 6 SLOT^124140 787

PLATE CHS 135 DEG 2 SLOT^124121 691

PLATE CHS 135 DEG 3 SLOT^124126 714

PLATE CHS 135 DEG 4 SLOT^124131 714

PLATE CHS 135 DEG 5 SLOT^124136 762

PLATE CHS 135 DEG 8 SLOT^124146 962

PLATE CHS 140 DEG 2 SLOT 60MM^124122 691

PLATE CHS 140 DEG 3 SLOT^124127 714

PLATE CHS 140 DEG 4 SLOT^124132 714

PLATE CHS 140 DEG 5 SLOT^124137 762

PLATE CHS 145 DEG 3 SLOT^124128 714

PLATE CHS 145 DEG 4 SLOT^124133 714

PLATE CHS 150 DEG 3 SLOT^124129 714

PLATE CHS 150 DEG 4 SLOT^124134 714

PLATE CHS 150 DEG 5 SLOT^124139 762

PLATE CHS 150 DEG 6 SLOT^124144 787

PLATE CLAV 2.7/3.5 VA-LCP 10HL 101MM STERILE^02.112.047S 2254

PLATE CLAV SUP ANT 3.5 8HL LT^02.112.021 2050

PLATE CLAVICAL FRACTURE CENTRAL THIRD,RT,SS^AR-2651CR 974

PLATE CLAVICLE 10HL^71823406 1298

PLATE CLAVICLE 3.5 3HL 69MM LT^02.112.007 1863

PLATE CLAVICLE 3.5 3HL^02.112.006 1863

PLATE CLAVICLE 3.5 6HL RT^02.112.008 1947

PLATE CLAVICLE 3.5 7HL RT^02.112.028 1997

PLATE CLAVICLE 3.5^02.112.013 1926

PLATE CLAVICLE 6HL RT^02.112.080 1947

PLATE CLAVICLE 7HL 110MM LT^02.112.029 1997

PLATE CLAVICLE 8 HOLE^02.112.085 2050

PLATE CLAVICLE 8HL LT - MFRCAT# AR-2657DL^AR-2657DL 973.5

PLATE CLAVICLE 8HL RT^628028 2100

PLATE CLAVICLE 8HL^AR-2651CL 974

PLATE CLAVICLE CONTOUR 6 HL 3.5MM^02.112.026 1947

PLATE CLAVICLE FIX^AR-2653CL 974

PLATE CLAVICLE FX - MFRCAT AR-2655CL^AR-2655CL 974

PLATE CLAVICLE HOOK 3.5 7HL LT STER^241.105S 2575

PLATE CLAVICLE HOOK 6HL RT^241.096S 2470

PLATE CLAVICLE LCK INF MED 8HL 96MM^71823405 1272

PLATE CLAVICLE LCK SUP DIST RT 109MM^71823404 1298

PLATE CLAVICLE LCK SUP MED 8HL RT 97MM^71823409 1272

PLATE CLAVICLE LRG RT^PL-CL8LR 1268

PLATE CLAVICLE LT AR-2650CL^AR-2650CL 974

PLATE CLAVICLE LT^AR-2652CL 974

PLATE CLAVICLE MED LT 8 HOLE^PL-CL8ML 1268

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PLATE CLAVICLE MED LT^PL-CLL7 1268

PLATE CLAVICLE- MFRCAT AR-2655CR^AR-2655CR 974

PLATE CLAVICLE SML RT^PL-CL6SR 1390

PLATE CLAVICLE SUP 109MM L^71823403 1298

PLATE CLAVICLE SUP 3.5 6HL 85MM LT^02.112.081 1947

PLATE CLAVICLE SUP 3.5X94 5HL RT^02.112.012 1926

PLATE CLAVICLE SUP 7HL RT - STER^02.112.082S 2197

PLATE CLAVICLE SUP 7HL RT^02.112.082 1997

PLATE CLAVICLE SUP 97MM L 8HL^71823401 1272

PLATE CLAVICLE SUP ANTER 6 HL 3.5MM^02.112.027 1947

PLATE CLAVICLE SUP MED 121MM L 10HL^71823402 1299

PLATE CLAVICLE SUP MED LK 10 HL LT^71823402 1299

PLATE CLAVICLE SUPER 8HL RT^02.112.084 2050

PLATE CLAVICLE^AR-2652CR 974

PLATE CLAVICLE^AR-2657DR 974

PLATE COMP LCP 3.5X4HL 67MM^71829704 511

PLATE COMP LCP 3.5X6HL 96MM^71829706 578

PLATE COMPRESSION 3.5X5HL 80MM^71829405 246

PLATE COMPRESSION 3.5X6HL 80MM^71829406 265

PLATE COMPRESSION 3.5X7HL 106MM^71829407 274

PLATE COMPRESSION STR 4HL^57-13402 441

PLATE COMPRESSION STR 5HL^57-13405 470

PLATE CONDY 4.5X266 12HL LT^02.124.413 3764

PLATE CONDY 4.5X266 12HL RT^02.124.412 3764

PLATE CONDY LCP 4.5 10 HL 242 MM RT^222.660 3163

PLATE CONDY VA-LCP 4.5X301 14 HL LT^02.124.415 4015

PLATE CONDYLAR 1.5^02.114.514 1107

PLATE CONDYLAR 4.5 8HL LT^02.124.409 3523

PLATE CONDYLAR 4.5 8HL RT^02.124.408 3523

PLATE CONDYLAR 4.5MM LCP 8 HOLES/206MM/LEFT-STERILE^222.659S 3200

PLATE CONDYLAR LCP 2.0 7HL 52MM^447.347 554

PLATE CONDYLAR LCP 2.0MM 7X2HL TIT^447.349 1661

PLATE CONDYLAR LCP 2.4MM 6X2HL TIT^449.676 845

PLATE CONDYLAR LCP 2.4MM 7X2HL TI^449.679 1267

PLATE CONDYLAR LCP 4.5 12H RT^222.662 3227

PLATE CONDYLAR LCP 4.5 6H RT^222.656 2995

PLATE CONDYLAR LCP 4.5 8H RT^222.658 3050

PLATE CONDYLAR LCP 4.5 8HL LT^222.659 3050

PLATE CONDYLAR LCP 4.5X206 RT STERILE^222.658S 3399

PLATE CONTOUR 6 HOLE 3.5^71840206 840

PLATE CORONOID LARGE^4920C011 1098

PLATE CROSS CONNECTOR 21MM^1883-41-021 1859

PLATE CROSS CONNECTOR 28MM^1883-41-028 1859

PLATE DC CABLE 5 HOLE 156MM^350823 6920

PLATE DHS 130 DEG 3HL 62MM^281.031S 1268

PLATE DHS 130 DEG 4HL 78MM^281.040S 1268

PLATE DHS 130 DEG 5HL 94MM^281.050S 1268

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PLATE DHS 130 DEG 6HL 110MM^281.060S 1268

PLATE DHS 135 DEG 2H 46MM^281.102S 1268

PLATE DHS 135 DEG 3 H 62MM^281.131S 1268

PLATE DHS 135 DEG 4 H 78MM^281.140S 1268

PLATE DHS 135 DEG 5HL 94MM^281.150S 1268

PLATE DHS 135 DEG 6HL 110MM^281.160S 1268

PLATE DHS 140 DEG 3HL 62MM^281.230S 1268

PLATE DHS 140 DEG 4HL 78MM^281.240S 1268

PLATE DHS 140 DEG 5HL 94MM^281.250S 1268

PLATE DHS 140 DEG 6HL 110MM^281.260S 1268

PLATE DHS 145 DEG 3HL 62MM^281.330S 1268

PLATE DHS 145 DEG 4HL 78MM^281.340S 1268

PLATE DHS 145 DEG 5HL 94MM^281.350S 1268

PLATE DHS 145 DEG 6HL 110MM^281.360S 1268

PLATE DHS 150 DEG 3HL 62MM^281.430S 1268

PLATE DHS 150 DEG 4HL 78MM^281.440S 1268

PLATE DIA META LCP 5HL^02.110.105S 3335

PLATE DIA META LCP 7HL^02.110.107S 3417

PLATE DIST CLAV 81MM^71823407 1298

PLATE DIST CLAV SHORT LT^AR-2656DL 974

PLATE DIST FIB 2.7 3HL LT STERILE^02.118.401S 1553

PLATE DIST FIB 2.7 3HL LT^02.118.401 1415

PLATE DIST FIB 2.7 5HL LT^02.118.405 1553

PLATE DIST FIB 2.7 6HL LT^02.118.407 1631

PLATE DIST FIB 2.7 VA 4HL LT^02.118.403 1479

PLATE DIST FIB 2.7 VA-LCP 7HL LT^02.118.409 1707

PLATE DIST FIB 2.7/3.5 4HL RT 90MM^04.112.108 1432

PLATE DIST FIB 4HL RT - STERILE^02.118.402S 1623

PLATE DIST FIB 4HL RT^02.118.402 1479

PLATE DIST FIB 7HL RT^02.118.408 1707

PLATE DIST FIB VA 2.7 3HL RT^02.118.400 1415

PLATE DIST FIB VA 2.7MM 4 HOLE LT^02.118.403S 1623

PLATE DIST FIBULA 2.7 5HL RT^02.118.404 1553

PLATE DIST FIBULA 2.7/3.5MM 5HL^02.112.111 1264

PLATE DIST FIBULA 2.7/3.5MM 6HL^02.112.113 1282

PLATE DIST FIBULA 6HL^40-20906 883

PLATE DIST FIBULAR 9HL RT^02.112.148 1319

PLATE DIST HUM 2.7/3.5 4HL RT 75mm^02.117.203 2409

PLATE DIST HUM 2.7/3.5 4HL RT 88mm^02.117.204 2409

PLATE DIST HUM 2.7/3.5 7HL RT 127mm LONG^02.117.207 2409

PLATE DIST HUM 2.7/3.5 POSTLATDHP 3H RT 75MM SHORT STER^02.117.203S 2651

PLATE DIST HUM 2.7/3.5 POSTLATDHP 4H LT 88mm -MED^02.117.104 2486

PLATE DIST HUM 5HL LT^02.117.905 2409

PLATE DIST HUM XL 9HL RT^02.117.209 2409

PLATE DIST HUMERAL 4HL^02.117.704 2486

PLATE DIST HUMERAL^02.117.902 2409

PLATE DIST RAD 2.0MM 7 HOLE^442.531S 1602

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PLATE DIST RAD 2.4 2HL LT^02.111.731 1796

PLATE DIST RAD 2.4 2HL RT^02.111.720 1727

PLATE DIST RAD 2.4 3HL KIT RT STER^02.111.630KS 3564

PLATE DIST RAD 2.4 3HL RT STER^02.111.630S 1975

PLATE DIST RAD 2.4 3HL RT^02.111.630 1796

PLATE DIST RAD 2.4 3HL RT^02.111.730 1796

PLATE DIST RAD 2.4 5HL^02.111.650 1933

PLATE DIST RAD 2.4 6HL HD/3H SHAFT LT STER^02.111.631S 1975

PLATE DIST RAD 2.4 6HL LT KIT -MFRCAT 02.111.631KS^02.111.631KS 3564

PLATE DIST RAD 2.4 6HL LT STER^02.111.621S 1901

PLATE DIST RAD 2.4 6HL LT^02.111.631 1796

PLATE DIST RAD 2.4 6HL LT^02.111.641 1863

PLATE DIST RAD 2.4 6HL LT^04.111.531 1975

PLATE DIST RAD 2.4 6HL RT STER^02.111.620S 1901

PLATE DIST RAD 2.4 6HL RT^02.111.520 1727

PLATE DIST RAD 2.4 6HL RT^02.111.620 1727

PLATE DIST RAD 2.4 6X5HL RT^02.111.550S 2127

PLATE DIST RAD 2.4 7HL 77MM RT^02.111.750 1933

PLATE DIST RAD 2.4 7HL LT^02.111.721 1727

PLATE DIST RAD 2.4 7HL^02.111.741 1863

PLATE DIST RAD 2.4 VA RT^04.111.630 1975

PLATE DIST RAD 2.4 VA^04.111.631 1975

PLATE DIST RAD 2.4MM 7HL LT^02.111.751 1933

PLATE DIST RAD 3 6HL RT^04.111.530 1975

PLATE DIST RAD 4HL RT 2.4 X 70^02.111.640 1863

PLATE DIST RAD KIT 2.4 3HL RT -STERILE -MFRCAT# 02.111.730KS^02.111.730KS 3564

PLATE DIST RAD NRW 2.4 6HL LT^02.111.521 1727

PLATE DIST RAD VOLAR 2.4 6HL 75MM LT^02.111.651 1933

PLATE DIST RAD VOLAR 2.4 6HL^02.111.621 1727

PLATE DIST RAD VOLAR 7HL RT^02.115.850 1724

PLATE DIST RADIUS 3HL 62MM LT^71823110 1354

PLATE DIST RADIUS 3HL 62MM LT^71823118 1354

PLATE DIST RADIUS 3HL 62MM RT^71823114 1354

PLATE DIST RADIUS 3HL 62MM RT^71823122 1354

PLATE DIST RADIUS^02.111.740 1863

PLATE DIST TIBIAL 3.5 9HL^241.444 2989

PLATE DIST ULNA 2.0 7HL STERILE^242.531S 1549

PLATE DISTAL CLAVICLE RT^AR-2656DR 974

PLATE DISTAL FIBULA EVOS 2.7/ L-D 5H R 61mm^72464805 981

PLATE DISTAL FIBULA EVOS 2.7/3.5 L-D 3H L 59mm^72465103 1246

PLATE DISTAL FIBULA EVOS 2.7/3.5 L-D 3H R 59mm^72465203 1246

PLATE DISTAL FIBULA EVOS 2.7/3.5 L-D 5H L 81mm^10754645 1299

PLATE DISTAL FIBULA EVOS 2.7/3.5 L-D 5H L 81mm^72465105 1299

PLATE DISTAL FIBULA EVOS 2.7/3.5 L-D 5H R 81mm^72465205 1299

PLATE DISTAL FIBULA EVOS 2.7/3.5 L-D 7H L 103mm^72465107 1394

PLATE DISTAL FIBULA EVOS 2.7/3.5 L-D 7H R 103mm^72465207 1394

PLATE DISTAL FIBULA EVOS 2.7/3.5 M/ M-D 9H R 130MM^72464009 3429

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PLATE DISTAL FIBULA EVOS 2.7/3.5MM 9HOLE 125MM 72465209 1458

PLATE DISTAL FIBULA EVOS 2.7/3.5mm PL-D 7H L 115mm^72465307 1988

PLATE DISTAL FIBULA EVOS 2.7mm/ L-D 5H L 61mm^72464705 981

PLATE DISTAL FIBULA EVOS 3.4mm L-D 5H R 81mm^72465005 1198

PLATE DISTAL FIBULA EVOS 3.5mm L-D 7H R 103mm^72465007 1261

PLATE DISTAL FIBULA^02.112.153 1339

PLATE DISTAL TIBIA EVOS 2.7/3.5 M-D 3H L 64mm^72453903 1876

PLATE DISTAL TIBIA EVOS 2.7/3.5 M-D 3H R 64mm^72454003 1876

PLATE DISTAL TIBIA EVOS 3.5 mm P/A M-P 4H L 75mm^72453704 1876

PLATE DISTAL VOLAR ANGLE LT^DVRA-L 1889

PLATE DISTAL VOLAR ANGLE RT^DVRA-R 1889

PLATE DISTAL VOLAR EXTENDED LT^DVRAX-L 1889

PLATE DISTAL VOLAR LCP 5HL^02.110.005S 3335

PLATE DISTAL VOLAR LCP 7HL^02.110.007S 3448

PLATE DISTAL VOLAR LCP 8 HD 3HL S LT^02.110.430 1712

PLATE DISTAL VOLAR LCP 8 HOLE 3S LT^02.110.431 1712

PLATE DISTAL VOLAR NARROW LT^DVRANL 1889

PLATE DISTAL VOLAR NARROW SHORT LT^DVRANS-L 1889

PLATE DISTAL VOLAR NARROW SHORT RT^DVRANS-R 1889

PLATE DISTAL VOLAR SHORT LT^DVRAS-L 1889

PLATE DISTAL VOLAR SHORT RT^DVRAS-R 1889

PLATE DISTAL VOLAR WIDE LT^DVRAWL 1889

PLATE DISTAL VOLAR WIDE RT^DVRAW-R 1889

PLATE DIVERGENCE 16.5MM^G7731506 1800

PLATE DIVERGENCE 17.5MM^G7731507 1800

PLATE DIVERGENCE 18.5MM^G7731508 1800

PLATE DIVERGENCE 19MM^G7731509 1800

PLATE DIVERGENCE 20MM^G7731510 1800

PLATE DIVERGENCE 5MM^G7731505 1800

PLATE DIVERGENCE L 14MM -MFRCAT# 2150014^2150014 7299

PLATE DIVERGENT RAD STYLOID -MFRCAT 70-0331^70-0331 1452

PLATE DORSAL - MFRCAT# 54-25402^54-25402 1075

PLATE DORSAL DR STANDARD LT 54-25291 1588

PLATE DORSAL WRIST STD RT^54-25290 1588

PLATE DORSAL WRIST WIDE 60MM LT^54-25293 1588

PLATE DOUBLE Y X-LONG^01-7114 481

PLATE D-RAD SMART PK 4H LT WIDE^71158020 1218

PLATE D-RAD SMART PK STD 4HL RT^71158021 1218

PLATE EAGLE 14MM^1836-11-014 1623

PLATE EAGLE 16MM^1836-11-016 1623

PLATE EAGLE 30MM^1836-12-030 1793

PLATE ELBOW CORONOID LT^PL-ELCOL 1894

PLATE ELBOW CORONOID RT^PL-ELCOR 1894

PLATE ELBOW EPS STD^495316RL 2648

PLATE ELBOW LATERAL 10HL LT^PL-LEL10L 1894

PLATE ELBOW LATERAL LOCKING 6HL LT^PL-LEL6L 1894

PLATE ELBOW LATERAL LOCKING 6HL^PL-LEL6R 1894

Page 212: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

PLATE ELBOW LATERAL X-LONG RT^PL-ELLXR 2148

PLATE ELBOW OLECRANON 11 HL^PL-LEO11 1894

PLATE ELBOW OLECRANON 9 HL^PL-LEO9 1894

PLATE ELBOW SHORT^495315RL 2648

PLATE ELBOW^241.275 2102

PLATE ELBOW^241.283 1680

PLATE ELITE 35MM^7200035 1800

PLATE ELITE 42.5^7200042 1800

PLATE EQUINOXE GLENO SHLDR REV +10mm^320-15-06 2000

PLATE EVOS 2.0 STRENGTH 6HL - MFRCAT 72442070N^72442070N 1028

PLATE EVOS 2.7/3.5 M-D TIBIA 15H R 195MM 72464015 3551

PLATE EVOS 2.7/3.5 OLCRNN PL W/TNS 4H L 82MM 72466304 2952

PLATE EVOS 2.7/3.5 OLCRNN PL W/TNS 4H R 82MM 72466404 2952

PLATE EVOS 2.7MM 8HOLE 82MM 72464708 1076

PLATE EVOS 2.7MM L-D FIBULA PL 8H R 82MM 72464808 1076

PLATE EVOS 2.7MM STRENGTH PLATE 20 HL 72442772N 1425

PLATE EVOS 2.7mm SUP MS CLAV 14H R 93mm^72469814 2400

PLATE EVOS 3.5 MM LCK COMP PL 7H 81MM 72440707 636

PLATE EVOS 3.5 SUP MS CLAV 8H L 86MM 72469508 2702

PLATE EVOS 3.5MM CVD PROX HUM PL 12H L 180MM 72467112 3312

PLATE EVOS 3.5MM LCK 1/3 10H 118MM 72440510 546

PLATE EVOS 3.5MM LCK COMP 6H 70mm^72440706 606

PLATE EVOS 3.5MM LCK COMP PL 8H 93MM 72440708 666

PLATE EVOS 3.5MM L-D FIBULA PL 5H L 81MM 72464905 1198

PLATE EVOS 7HOLE GREATER TUBEROSITY 84MM72466707 1950

PLATE EVOS 9HOLE 3.5 125MM 72464909 1336

PLATE EVOS VOLAR 3H LEFT STD TI 48mm^71158103 2738

PLATE EVOS VOLAR 4H LEFT STD STD TI 56mm^71158104 2870

PLATE EVOS VOLAR 4H RIGHT STD TI 56MM 71158204 2870

PLATE EXT H 1.3 X 15MM RIGHT^421.320 838

PLATE EXT H 1.5 8 HOLE 18MM LT^446.483 901

PLATE EXT H 1.5 8 HOLE 18MM RT^446.482 901

PLATE EXTENDED H 1.3 X 15MM LT^421.321 906

PLATE EXTENDED MEDIAL^495414RL 3044

PLATE FEM LCK 4.5 X 342 16HL^71820116 3121

PLATE FEM LCK 4.5X193 8HL RT^71800108 2877

PLATE FEM LCK 4.5X230MM 10H RT 71800110 2931

PLATE FEM LCK 4.5X286 13HL RT^71800113 3059

PLATE FEM LCK 4.5X342 16HL RT^71800116 3121

PLATE FEM LCK 4.5X342MM 16H 71800016 3121

PLATE FEM LCK L-D 4.5X155 6HL L -MFRCAT 71800006^71800006 2723

PLATE FEM LCK L-D 4.5X230 10HL LT^71800010 2931

PLATE FEMORAL NECK SYSTEM 1 HOLE-STERILE^04.168.000S 1442

PLATE FEMUR 4.5mm LCP PROXIMAL 10 HOLES/283mm-LEFT^242.110 3172

PLATE FEMUR LISS 5 HOLE LT^422.341 3245

PLATE FEMUR LISS 5 HOLE RT^422.340 3245

PLATE FEMUR LISS 9 HOLE LT^422.345 3245

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Description CPT-4 Base Price Schedule

PLATE FEMUR LISS 9 HOLE RT^422.344 3245

PLATE FEMUR PROX 4.5 4HL RT^242.804 2768

PLATE FIB DIST 2.7/3.5X90MM 4HL LT^02.112.109 1245

PLATE FIB LCK P-L VLP 3.5X62 5HL R^72820905 1013

PLATE FIB LCK P-L VLP 3.5X74 6HL R^72820906 1108

PLATE FIB LCK P-L VLP 3.5X86 7HL RT^72820907 1202

PLATE FIB P-L VLP 3.5 7HL L 86mm^72820807 1202

PLATE FIBULA 2.7/3.5 90MM RT^02.112.108 1245

PLATE FIBULA EVOS 5H 58MM 72455305 915

PLATE FIBULA LCK 3.5X107 7HL P-L VLP L-D^72821007 1396

PLATE FIBULA LCK 3.5X107 7HL R P-L VLP L-D^72822007 1389

PLATE FIBULA LCK 3.5X131 9HL L P-L VLP^72821009 1470

PLATE FIBULA LCK 3.5X131 9HL R P-L VLP^72822009 1463

PLATE FIBULA LCK 3.5X59 3HL R P-L VLP L-D^72822003 1169

PLATE FIBULA LCK 3.5X71 4HL P-L VLP L-D^72821004 1248

PLATE FIBULA LCK 3.5X71 4HL R P-L VLP L-D^72822004 1243

PLATE FIBULA LCK 3.5X83 5HL P-L VLP L-D^72821005 1322

PLATE FIBULA LCK 3.5X83 5HL R P-L VLP L-D^72822005 1317

PLATE FIBULA LCP 2.7/3.5 3HL^02.112.137 1184

PLATE FIBULA LCP 2.7/3.5 4HL STER -MFRCAT 02.112.138S^02.112.138S 1386

PLATE FIBULA LCP 2.7/3.5 4HL^02.112.138 1205

PLATE FIBULA LCP 2.7/3.5 5HL^02.112.140 1220

PLATE FIBULA LCP 2.7/3.5 5HL^02.112.141 1220

PLATE FIBULA LCP 2.7/3.5 7HL^02.112.144 1256

PLATE FIBULA LCP 2.7/3.5 RT^02.112.136 1184

PLATE FIBULA LCP 4HL LT^02.112.139 1205

PLATE FIBULA LCP 6HL 2.7/3.5 X 112MM^02.112.142 1240

PLATE FIBULA LCP POST 2.7/3.5 X 77 3HL RT^02.112.106 1226

PLATE FIBULAR LCK L 3.5X59^72821003 1174

PLATE FIBULAR LCP 2.7/3.5 9HL^02.112.149 1319

PLATE FIX CRUCIATE TIBIAL 67MM^141232 3627

PLATE FIX CRUCIATE TIBIAL 71MM^141233 3627

PLATE FIX CRUCIATE TIBIAL 75MM^141234 3627

PLATE FIX CRUCIATE TIBIAL 79MM^141225 3627

PLATE FIX CRUCIATE TIBIAL 79MM^141235 3627

PLATE FIX CRUCIATE TIBIAL 83MM^141236 3627

PLATE FOSSA SPECIFIC NARROW HEAD 4 HOLE SHAFT LEFT^GMN-LTN-4HL 1870

PLATE FOSSA SPECIFIC STANDARD HEAD 3 HOLE SHAFT RIGHT^GMN-RTS-3HL 1870

PLATE FOSSA SPECIFIC STANDARD HEAD 4 HOLE SHAFT LEFT^GMN-LTS-4HL 1870

PLATE FRACTURE 4 HL 2.3X28MM^51-112-04 380

PLATE GAP 1.5/0.5 35MM NEURO^01-7353 271

PLATE GAP 1.5/0.5 45MM NEURO^01-7355 323

PLATE GEMINUS HOOK^GMN-HP 950

PLATE GROWTH 12MM 8HL BLUE^GP200 708

PLATE GROWTH 16MM^GPS400 708

PLATE HOOK 5HL^AR-8956-01 1637

PLATE HUM EXTRA ARTIC 8HL 194mm RT-STERILE^02.104.008S 3176

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Description CPT-4 Base Price Schedule

PLATE HUM EXTRA ARTIC 8HL RT^02.104.008 2889

PLATE HUM PROX 3.5MM 8HL STER^241.921S 3552

PLATE HUM PROX 3.5MM 8HL^241.921 3451

PLATE HUM PROX LCK 3.5X89 3HL RT^71821303 2661

PLATE HUM PROX LOCK 3.5X115 5HL RT^71821305 2742

PLATE HUM PROX LOCK 3.5X115 5HL^71821405 2742

PLATE HUM PROX LOCK 3.5X165 9H^71821409 2922

PLATE HUM PROX LOCK 3.5X89 3H^71821403 2661

PLATE HUMERUS 3.5 3HL RT^241.272 1928

PLATE HUMERUS DIST 6HL 158MM LT^02.104.026 2722

PLATE HUMERUS DIST LCP 3.5 4H RT 122mm^02.104.004S 2516

PLATE HUMERUS DISTAL 3.5MM 7HL^241.286 2051

PLATE HUMERUS LAT DIST LCK 5HL RT 77MM^71822505 1697

PLATE HUMERUS LCK 10HL 118MM^71822610 1047

PLATE HUMERUS LCK 14HL 166MM^71822614 1217

PLATE HUMERUS LCK 7HL LT 102MM^71822407 1873

PLATE HUMERUS LCK 7HL LT 103MM^71821907 1837

PLATE HUMERUS LCK 7HL LT 107MM^71822607 1873

PLATE HUMERUS LCK 9HL LT 132MM^71822609 2027

PLATE HUMERUS LCP 3.5 3HL LT^241.263 1680

PLATE HUMERUS LCP 3.5 6HL RT EXTRA ARTICULAR^02.104.006S 2994

PLATE HUMERUS LCP DISTAL 3.5^241.282 1680

PLATE HUMERUS LCP LATERAL 3.5^241.274 2102

PLATE HUMERUS LCP MEDIAL 3.5^241.285 1865

PLATE HUMERUS PROX LOCK 3.5 6H^241.919 3322

PLATE HUMERUS PROX LOCK 3.5^241.901 3068

PLATE HUMERUS PROX LOCK 3.5^241.903 3164

PLATE I 22MM^00-1015-422 768

PLATE IMPL SYS, DUAL TR SYNDEMOSIS 2H AR-8958TDS 4160

PLATE INFINITY OC SMALL^3600600 5500

PLATE INTERCARPAL FUSION 2.4 6HL 15MM^02.111.300 2007

PLATE INTERCARPAL FUSION 2.4 7HL 17MM^02.111.301 2007

PLATE JUXTA ARTICULAR 3 HL LT^242.493 1674

PLATE L MALLEABLE 1.5mm TI 3 X 4 HOLES LEFT^446.527 762

PLATE LACTOSORB EXT 1.5MM 6HL^915-2416 280

PLATE LAPIDUS^AR-8941 1584

PLATE LAPIDUS^AR-8941L 1584

PLATE LAT DIST 2.7/3.5 6HL LT^02.112.143 1240

PLATE LAT DIST HUM 1HL LT^02.117.901 2409

PLATE LAT DIST HUM 2.7/3.5 5HL RT^02.117.805 2409

PLATE LAT DIST HUM 2HL RT^02.117.802 2409

PLATE LATERAL LT^4953-105L 2648

PLATE LATERAL RT^4953-3111R 2764

PLATE LC-DCP 10 H 3.5 X 129MM^223.60 767

PLATE LC-DCP 2.0 6 HOLE 36MM^449.936 876

PLATE LC-DCP 2.4 4 HOLE 24MM^449.931 743

PLATE LC-DCP 2.4 4 HOLE 31MM^449.924 1194

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PLATE LC-DCP 2.4 6 HOLE 47MM^449.926 1348

PLATE LC-DCP 3.5 12 HOLE 155MM^223.62 845

PLATE LC-DCP 5 HOLE 40MM STR.^449.15 1668

PLATE LCK A-L-D 3.5X186 13HL^71820613 2860

PLATE LCK COMP 4.5X10HL 193MM^71829310 1111

PLATE LCK COMP 4.5X12HL 229MM^71829312 1262

PLATE LCK COMP 4.5X12HL 265MM^71829314 1406

PLATE LCK COMP 4.5X6HL 121M^71829306 738

PLATE LCK COMP 4.5X8HL 157MM^71829308 956

PLATE LCK STR 2.5MM^1312-20-251 990

PLATE LCK TIB M-D 6HL L 3.5X146^71821006 2742

PLATE LCK TIBIA M-D 6HL R 3.5X146MM^71821106 2742

PLATE LCK X 2.4/2.7^02.211.203 1971

PLATE LCP 2.0X31MM 4HL TIT^447.344 554

PLATE LCP 2.0X38MM 5HL TIT^447.345 554

PLATE LCP 2.0X45MM 6HL TIT^447.346 554

PLATE LCP 2.4 10HL^447.364 845

PLATE LCP 2.7 5HL 49MM^249.681 810

PLATE LCP 2.7 7HL CONDYLAR^249.684 1256

PLATE LCP 2.7 7HL^249.683 810

PLATE LCP 2.7MM 6HL 58MM^249.682 810

PLATE LCP 3.5 5 HOLE^223.551 576

PLATE LCP 3.5 8 HOLE^223.581 667

PLATE LCP 3.5 9 HOLE^223.591 696

PLATE LCP 3.5MM 10 HL 223.601 716

PLATE LCP 3.5MM 12 HL^223.621 791

PLATE LCP 3.5MM 7HL^223.571 636

PLATE LCP 3.5MM X 14HL^223.641 1186

PLATE LCP 3.5X85MM^223.561 612

PLATE LCP ADAPT 1.5MM 6HL^04.114.503 987

PLATE LCP CLAVICLE 3.5MM LT STER^02.112.083S 2197

PLATE LCP CLAVICLE 3.5MM LT^02.112.083 1997

PLATE LCP CVD CONDYL 10HL 242MM LT^02.001.300S 3194

PLATE LCP CVD CONDYL 10HL 242MM RT^02.001.320S 3513

PLATE LCP CVD CONDYL 12HL 278MM LT^02.001.302S 3588

PLATE LCP CVD CONDYL 12HL 278MM RT^02.001.322S 3588

PLATE LCP LCK 1.5MM 6HL^02.114.504 529

PLATE LCP RADIUS STR^242.490 1237

PLATE LCP STRAIGHT 2.4MM 36X4HL^449.674 845

PLATE LCP TI 2.7 7HL^449.684 1382

PLATE LCP TI 2.7X49MM 5HL^449.681 891

PLATE LCP TI 2.7X58MM 6HL^449.682 891

PLATE LCP TI 2.7X58MM 8HL^449.683 891

PLATE LCP TITAN 2.0 2HL HEAD/7HL SHAFT^447.351 934

PLATE LCP TITAN 2.7 10HL^447.374 891

PLATE LCP TITAN 2.7 8HL^447.372 891

PLATE LISFRANC SMALL RT^AR-8951SR 1416

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Description CPT-4 Base Price Schedule

PLATE LK TIBIA M-D 13HL L 3.5X235^71821013 2832

PLATE L-LCP 2.4MM 3HOLE 20+DEG^242.511 1194

PLATE LOCKING NARROW T8 629688 870

PLATE LOCKING VOLAR WRIST^54-25398 1309

PLATE LO-PRO STR, 3.0mm 2HOLE TI STERILE^AR-8952TS-02S 1416

PLATE LP L-SHAPE .6MM LT LNG^50-381-04 250

PLATE LP Y-SHAPE 0.6MM REG^50-390-05 260

PLATE LP Y-SHAPE 8 HL .75MM^50-405-08 290

PLATE L-SHAPE MICRO LT MED^25-310-70 270

PLATE MANDIBLE 2.0MM CVD^449.025 1076

PLATE MANDIBLE 4HL 20MM^449.024 948

PLATE MANDIBLE 4HL^449.035 878

PLATE MANDIBLE CVD 2.0MM 6HL^449.016 948

PLATE MATRIX MIDFACE 0.4 MM THICK^04.503.304 3300

PLATE MATRIX MID-FACE OBLIQ .7MM 2X3^04.503.354 782

PLATE MATRIX MID-FACE OBLIQ .7MM 3X4^04.503.356 802

PLATE MATRIX MIDFACE ORBITAL RIM^04.503.373 956

PLATE MATRIX WAVE TITAN TALL^04.503.821 746

PLATE MAXIM PRIMARY TIBIAL 63M^141211 3520

PLATE MAXIM PRIMARY TIBIAL 67M^141212 3520

PLATE MAXIM PRIMARY TIBIAL 67M^141262 2182

PLATE MAXIM PRIMARY TIBIAL 71M^141213 3520

PLATE MAXIM PRIMARY TIBIAL 71M^141263 1740

PLATE MAXIM PRIMARY TIBIAL 75M^141264 2182

PLATE MAXIM PRIMARY TIBIAL 83M^141216 3520

PLATE MAXIM PRIMARY TIBIAL 87M^141217 3520

PLATE MAXIM PRIMARY TIBIAL 87M^141267 2182

PLATE MAXIM PRIMARY TIBIAL 91M^141218 3520

PLATE MAXIM PRIMARY TIBIAL^141214 3520

PLATE MAXIM STEMMED TIBIAL 67M^141512 5095

PLATE MAXIM STEMMED TIBIAL 71M^141513 5900

PLATE MAXIM STEMMED TIBIAL 75M^141514 4599

PLATE MAXIM TIBIAL 79MM^141215 3520

PLATE MED CORONOID^4920C007 1002

PLATE MED DIST 2.7/3.5 4HL RT LONG^02.117.604 2486

PLATE MED DIST 2.7/3.5 6HL RT X- LONG -MFRCAT# 02.117.606^02.117.606 2486

PLATE MED DIST HUM 1HL LT^02.117.701 2486

PLATE MED DIST HUM 1HL RT^02.117.601 2486

PLATE MED DIST HUM VA 2.7/3.5 MM RT^02.117.602 2486

PLATE MED DIST TIB 2.7/3.5 4HL LT^02.118.003 3063

PLATE MED DIST TIB 2.7/3.5 4HL RT^02.118.002 3063

PLATE MED DIST TIB 2.7/3.5 6HL RT^02.118.004 3097

PLATE MED DIST TIB 2.7/3.5 8HL LT^02.118.007 3130

PLATE MED DIST TIB 2.7/3.5 8HL RT^02.118.006 3130

PLATE MED OC^7759971 4730

PLATE MED STD HUMERAL^4953105L 2648

PLATE MED TIBIAL 4.5 6HL LT STERILE^239.987S 3126

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Description CPT-4 Base Price Schedule

PLATE MEDIAL EXTEND 13RL^495413RL 3044

PLATE MEDIAL LOCKING 7HL^PL-LEM7 1894

PLATE MEDIAL LOCKING 8HL^PL-LEM8 1894

PLATE METAPHYSEAL 10 HL^223.410 1866

PLATE METAPHYSEAL 10HL 4.5MM^224.755 1866

PLATE METAPHYSEAL 11 HL 4.5MM^224.756 1895

PLATE METAPHYSEAL 11HL^223.411 1895

PLATE METAPHYSEAL 12HL 4.5MM^224.757 2447

PLATE METAPHYSEAL 13.5HL 4.5MM^224.758 2472

PLATE METAPHYSEAL 14 HL^223.414 2525

PLATE METAPHYSEAL 14HL 4.5MM^224.759 2525

PLATE METAPHYSEAL 16HL^223.416 2579

PLATE METAPHYSEAL 18HL 4.5MM^224.763 2702

PLATE METAPHYSEAL 3.5 12 HL^223.412 2447

PLATE METAPHYSEAL 3.5 8HL^224.753 1804

PLATE METAPHYSEAL 6 HL^223.406 1744

PLATE METAPHYSEAL 7 HL^223.407 1779

PLATE METAPHYSEAL 8 HL^223.408 1804

PLATE METAPHYSEAL 9 HL^223.409 1835

PLATE METAPHYSEAL 9HL 4.5MM^224.754 1835

PLATE METATARSAL 4HL^AR-8952MT-04 1230

PLATE METATARSAL LOW PROFILE T-PLATE 2.4mm 5 HOLE^AR-8952MT-06 1230

PLATE METATARSAL^AR-8952MT-05 1230

PLATE MICRO SQUARE 4HL^25-015-05 340

PLATE MICRO STR 4 HOLE MED^25-304-55 136

PLATE MICRO STR 6 HOLE MED^25-306-55 136

PLATE MID-SHAFT SUP 7HL^628007 1890

PLATE MINI BUNION 4.5 OFFSET SHORT 31000040 1800

PLATE MINI LCK 20MM^447.053 1090

PLATE MINIBUION 3.5 OFFSET PLATE SHORT 31000030 1800

PLATE MOD HAND 6HL^449.933 499

PLATE MTP 5 GRAFT SPANNING LEFT^P53-103-L252 3025

PLATE MTP FUSION 2.4/2.7 0 DEG LT^02.211.231 2064

PLATE MTP FUSION 2.4/2.7 0 DEG RT - MFRCAT# 02.211.230^02.211.230 2064

PLATE MTP FUSION 2.4/2.7mm 5DEG LT^02.211.243 2347

PLATE MTP FUSION 2.4/2.7MM 5DEG RT^02.211.242 2347

PLATE MTP SHORT LT^AR-8944CL-P 1584

PLATE MTP SHORT RT^AR-8944CR-P 1584

PLATE MTP SHORT^AR-8944-S 1584

PLATE MTP STRAIGHT 6HL SMALL^AR-8944-P 1584

PLATE MTP^AR-8944CR-L 1584

PLATE MULTIFRAG 3.5 6HL STERILE^72824035S 1393

PLATE NARROW 2.0MM CVD^449.014 878

PLATE NARROW 4.5 X 3HOLE 55MM^71141403 770

PLATE NARROW 4.5 X 4HOLE 71MM^71141404 770

PLATE NARROW 4.5 X 5HOLE 87MM^71141405 770

PLATE NARROW 4.5 X 6HOLE 103MM^71141406 860

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Description CPT-4 Base Price Schedule

PLATE NARROW 4.5 X 7HOLE 119MM^71141407 860

PLATE NARROW 4.5 X 9HOLE 151MM^71141409 860

PLATE NARROW 4.5X8HOLE 160MM^71829458 284

PLATE NARROW LC-DCP 6 H 4.5MM^224.561 767

PLATE NARROW LCP 10 HL 4.5MM^224.601 1069

PLATE NARROW LCP 11 HL 4.5MM 224.611 1150

PLATE NARROW LCP 7 HL 4.5MM^224.571 889

PLATE NARROW LCP 8 HL 4.5MM^224.581 941

PLATE NARROW LCP 9 HL 4.5MM^224.591 984

PLATE NI-LOCK 14MM^15-1014 2400

PLATE NILOCK 16MM^15-1016 2400

PLATE NILOCK 16MM^16-1016 2400

PLATE NI-LOCK 18MM^15-1018 2400

PLATE NILOCK 20MM^15-1020 2400

PLATE NILOCK 30MM^16-2030 2700

PLATE NILOCK 32MM^15-2032 2700

PLATE NILOCK 34MM^15-2034 2700

PLATE NILOCK 34MM^16-2034 2700

PLATE NILOCK 36MM^15-2036 2700

PLATE OBLIQUE L 5 HOLE LEFT^446.50 638

PLATE OBLIQUE L 5 HOLE RIGHT^446.51 638

PLATE OBLIQUE L 6 HOLE RIGHT^421.051 598

PLATE OBLIQUE L 7 HOLE LEFT^447.52 608

PLATE OBLIQUE L 7 HOLE RIGHT^446.53 674

PLATE OFFSET TIBIAL TRAY 75MM^141484 4772

PLATE OLECRANON 10HL^71823910 2226

PLATE OLECRANON 2.5/3.7 2HL LT^02.107.102 1850

PLATE OLECRANON 2.7/3.5 STERILE^02.107.102S 2035

PLATE OLECRANON 2.7/3.5^02.107.306 2080

PLATE OLECRANON 2HL RT^02.107.002 1850

PLATE OLECRANON 3.5MM 5HL^236.506 2260

PLATE OLECRANON 6HL LT^236.507 2260

PLATE OLECRANON EVOLVE 16HL RT^4953109L 3044

PLATE OLECRANON LCP 2.7/3.5 4HL LT^02.107.304 2080

PLATE OLECRANON LCP 2.7/3.5^02.107.302 2080

PLATE OLECRANON LCP 2HL RT STERILE^02.107.202S 2289

PLATE OLECRANON LCP 2HL RT^02.107.202 2080

PLATE OLECRANON LCP 3.5MM 2HL 86MM LT^236.503 2102

PLATE OLECRANON LCP 3.5MM 2HL 86MM RT^236.502 2102

PLATE OLECRANON LCP 3.5MM 4HL 112MM LT^236.505 2193

PLATE OLECRANON LCP 3.5MM 4HL 112MM RT^236.504 2193

PLATE OLECRANON LCP 3.5MM 8HL 164MM RT^236.508 2331

PLATE OLECRANON LK 10HL 132MM LT^71822910 2226

PLATE OLECRANON LK 12HL 157MM LT^71822912 2271

PLATE OLECRANON LK 4HL RT 56MM^71823904 1828

PLATE OLECRANON LOCK 10HL RT 81MM^71823906 2000

PLATE OLECRANON LOCK 4HL LT 56MM^71822904 1828

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Description CPT-4 Base Price Schedule

PLATE OLECRANON LOCK 6HL LT 81MM^71822906 2000

PLATE OLECRANON LOCK 8HL LT 107MM^71822908 2171

PLATE OLECRANON LOCK 8HL RT 107MM^71823908 2171

PLATE OLECRANON MED EVOLVE 4953-109R^4953109R 3044

PLATE OLECRANON STD^4953-16RL 2648

PLATE ORBITAL FLOOR UNIVERSAL^446.40 2856

PLATE ORBITAL RIM 1.5 12 HOLE^446.22 802

PLATE ORBITAL RIM 11 HOLE 1.0^420.21 670

PLATE ORBITAL RIM 9 HOLE 1.3MM^421.021 628

PLATE ORTHOLOC LATERAL LONG^4953111R 3044

PLATE ORTHOLOC STD 11HL MEDIAL^495410RL 2648

PLATE OSTEOTOMY 8 HOLES 2.7mm TI LCP ULNA^04.111.901 2478

PLATE PED LCP HIP 120DEG 4HL^02.108.323 1795

PLATE PERI-PROX HUM 12HL RT^02.123.030 4109

PLATE PIVOX 2HL^2140002 7019

PLATE PLANTAR LAPIDUS LEFT^AR-8941PL 2646

PLATE PLANTAR LAPIDUS SHORT LEFT^AR-8941PLS 2646

PLATE PLANTAR LAPIDUS SHORT RIGHT^AR-8941PRS 2646

PLATE POLYAXIAL LOCKING MTP CROSS-PLATE LEFT T8 626891 3346

PLATE POLYAXIAL LOCKING MTP CROSS-PLATE RIGHT T8 626892 3346

PLATE POST LAT DIST 7HL^02.112.114 1300

PLATE PREFORMED ORBITAL SM RT^04.503.811 4292

PLATE PROX FEM 4.5 6HL -MFRCAT# 242.122 242.122 3238

PLATE PROX FEMUR 2HL LT^242.102 2935

PLATE PROX FEMUR 4.5 6HL LT NON STERILE^242.106 2823

PLATE PROX FEMUR 4.5 X 277 10HL^242.124 3529

PLATE PROX FEMUR 4.5 X 349 14HL^242.126 3687

PLATE PROX FEMUR 4.5MM 4HL LT^242.104S 3043

PLATE PROX FEMUR 8HL 4.5X247 LT^242.108 2960

PLATE PROX FEMUR LCK 4.5X234 9HL RT^74820509 3120

PLATE PROX FEMUR LCP 4.5 8HL^242.808 2960

PLATE PROX FEMUR LCP 4.5MMX6HL^242.806 2823

PLATE PROX HUM 8HL LT^02.123.027 3838

PLATE PROX HUM LCK 3.5X140 7HL LT^71821407 2832

PLATE PROX TIB 12 HL LT NON-STERILE^240.045 3133

PLATE PROX TIB 3.5 6HL LT^02.127.221 3003

PLATE PROX TIB 3.5 SM BEND 4HL 87MM RT^02.127.210 2971

PLATE PROX TIB 3.5 VA LCP 8H/147MM LT^02.127.231 3418

PLATE PROX TIB 3.5 VA-LCP 4HL 87MM LT^02.127.211 2971

PLATE PROX TIB 4.5 8HL LT^240.009 2834

PLATE PROX TIB 4.5X262 14HL LT^240.047 3185

PLATE PROX TIB STERILE 4HL 82MM LT^240.037S 3312

PLATE PROX TIBIA 3.5 4HL 76MM LEFT 02.124.201 2766

PLATE PROX TIBIA 3.5 4HL 93 RT^239.954S 3033

PLATE PROX TIBIA 3.5 4HL^239.934 2766

PLATE PROX TIBIA 3.5 4HL^239.935 2766

PLATE PROX TIBIA 3.5 6HL 119MM LT^239.957S 3073

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Description CPT-4 Base Price Schedule

PLATE PROX TIBIA 3.5 6HL 119MM RT^239.956S 3073

PLATE PROX TIBIA 3.5 6HL LT - MFRCAT# 02.124.205^02.124.205 2799

PLATE PROX TIBIA 4.5 LCP 10HL^240.042 3116

PLATE PROX TIBIA 4.5 LCP 10HL^240.043 3116

PLATE PROX TIBIA 4.5 LCP 12 HL LT^240.045S 3468

PLATE PROX TIBIA 4.5 LCP 14HL^240.046 3185

PLATE PROX TIBIA 4.5MM 12HL^240.044 3153

PLATE PROX TIBIA 4.5MM 8HL^240.040 3083

PLATE PROX TIBIA 4.5MM LCP 6HL^240.038 3049

PLATE PROX TIBIA 4.5MM LCP 6HL^240.039 3049

PLATE PROX TIBIA 4.5MM LCP 6HL^240.039S 3352

PLATE PROX TIBIA 4.5MM LCP 8HL^240.041 3083

PLATE PROX TIBIA 4.5MM LT^240.037 3010

PLATE PROX TIBIA 4.5mm RT^240.036 3010

PLATE PROX TIBIA 4HL 106MM LT^239.985S 3310

PLATE PROX TIBIA 4HL 106MM RT^239.984S 3310

PLATE QUAD GROWTH 22MM PURPLE^GPQ900 931

PLATE QUAD PLATE BLUE^GPQ800 931

PLATE QUART TUB 2.7 VLP 7HL^72824014S 1393

PLATE RAD STYLOID 5HL^02.115.530 1209

PLATE RADIUS 2.4X66 LT^04.111.641 2050

PLATE RECON 12MM X 46MM X 4H^489.423 960

PLATE RECON 3.5 X 70MM 6 HOLE^71140106 2150

PLATE RECON 3.5MM LCP 6 HOLE^245.061 977

PLATE RECON 3.5MM LCP 7 HOLE^245.071 1025

PLATE RECON LCK 3.5X70MM 6 HL^71822606 912

PLATE RECON LCK 3.5X94 8HL^71822608 1009

PLATE RECONST 3.5 X 10 HOLE^245.101 1109

PLATE RECONST 3.5 X 8 HOLE^245.081 1070

PLATE RECONST 3.5MM LCP 5 HL^245.051 846

PLATE REPLANTATION 4X2HL^57-10395 896

PLATE REPLICATOR 1.5 EQUINOXE^300-10-15 1600

PLATE REPLICATOR 4.5 EQUINOXE^300-10-45 1000

PLATE REPLICATOR KIT 0MM^300-21-00 1000

PLATE RESORBABLE 4HL^915-2413 288

PLATE RESORBABLE 6HL^915-2415 288

PLATE RIB TRAUMA - 12HOLE STRAIGHT CONTOURED^76-2602 2706

PLATE SACRAL COLORADO LT^8638120 1922

PLATE SACRAL COLORADO RT^8638110 1922

PLATE SCAPULA MEDIAL 10 HOLE LEFT^PL-SLB10L 3478

PLATE SHORT 0 DONSIFLEXION 18MM 7150-0018 1196

PLATE SHORT LATERAL^4953105R 2648

PLATE SHUNT^01-7305 309

PLATE SKYLINE 20MM^1868-01-020 2079

PLATE SKYLINE 38MM^1868-02-038 2156

PLATE SKYLINE 48MM^1868-03-048 2343

PLATE SKYLINE 51MM^1868-03-051 2343

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Description CPT-4 Base Price Schedule

PLATE SKYLINE 60MM^1868-03-060 2343

PLATE SKYLINE 7/20 54MM^1868-03-054 2343

PLATE SLIM Y-PLATE 4 SHAFT HOLES T8 626984 1166

PLATE SM FRAG RECON 3.5 5 HOLE^71140205 720

PLATE SM FRAG RECON 3.5 6 HOLE^71140206 760

PLATE SM FRAG RECON 3.5 7 HOLE^71140207 790

PLATE SM FRAG RECON 3.5 8 HOLE^71140208 850

PLATE SMALL 2HL^2140001 7019

PLATE SMALL CORONOID^4920C004 916

PLATE STERNAL LCK STAR^460.035 1464

PLATE STERNAL LOCK BLUE SET SP-2889^SP-2889 1604

PLATE STERNAL LOCK BLUE SET SP-3040^SP-3040 1920

PLATE STERNALOCK 12HL 73-2632^73-2632 1125

PLATE STERNALOCK 4HL STR BLUE^73-2636 733

PLATE STERNALOCK 8HL^73-1952 900

PLATE STERNALOCK BOX 4HL^73-2622 623

PLATE STERNALOCK JL^73-2645 825

PLATE STERNALOCK L^73-2643 623

PLATE STERNALOCK WIDE LADDER 72HL^73-2634 962

PLATE STERNALOCK WIDE LADDER^71-2634 1132

PLATE STERNALOCK X^73-2623 750

PLATE STR 4HL^57-10304 447

PLATE STR MT 5HL^AR-8952TS-04 1416

PLATE STR RECON LCP 4.5 X 265 14HL^229.441 1479

PLATE STR WRIST FUSION 3HL DIST 170MM^242.002 4762

PLATE STRAIGHT 1.3 6 HOLE 23MM^421.306 744

PLATE STRAIGHT 1.6 12 HOLE 66M^14-1P1-1266 160

PLATE STRAIGHT 16HL^57-15316 773

PLATE STRAIGHT 2.0MM 20 HOLES^71146028 1190

PLATE STRAIGHT 2.4 6 HOLE 36MM^449.906 886

PLATE STRAIGHT HAND 6 H 29MM^446.031 954

PLATE STRAIGHT LOW PROFILE T-PLATE 2.4mm 7 HOLE^AR-8952MT-07 1230

PLATE STRAIGHT VAL 2.0 6HL^02.130.350 998

PLATE SUP ANT CLAVICLE 3.5X81 4HL^02.112.010 1893

PLATE SUPRACONDR 90 DEG 8 SLOT^124170 1196

PLATE SUPRACONDYLAR 90 D 6 SL^124181 1196

PLATE SUPRACONDYLAR 95 DEG 6 SL^124182 1196

PLATE SYNPOR FAN FIXTN H/0.8MM STER^08.520.221S 3434

PLATE SYNPOR TI REINFORCED FAN FIXTN HOLES 0.8mm^08.520.121S 3518

PLATE T 1.3 3 X 8 HOLE 32MM^421.333 815

PLATE T 1.5 3 X 8 HOLE 40MM^446.233 935

PLATE T 1.5 3HL HEAD/8HL SHAFT^02.114.506 951

PLATE T 1.5 4HL HEAD/8HL SHAFT^02.114.507 951

PLATE T 2.0 3 HL HD 7 HL SHAFT^447.615 934

PLATE T 3.5 LCP 3H RT ANGLE^241.181 1227

PLATE T 4.5 LCP 4HL 83MM^240.141 1188

PLATE T LCP 2.4MM 3HD^449.615 1551

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Description CPT-4 Base Price Schedule

PLATE T LOCKING NARROW T8 629776 938

PLATE T LOW PROFILE 3HL - MFRCAT AR-8952TT-03^AR-8952TT-03 1416

PLATE T NARROW 7HL^57-15370 941

PLATE T VAL 2.0 3HL HEAD 7HL SHAFT^02.130.353 1071

PLATE T VAL 2.0 7HL^02.130.352 1071

PLATE T^57-15360 1037

PLATE T3 2.0 7HL^247.615 848

PLATE TACK ACUMED^PL-TACK 62

PLATE TEMPLATE RIB TRAUMA - 12HOLE 76-9102 148

PLATE TEMPLATE RIB TRAUMA - 8HOLE 76-9101 148

PLATE THORACIC 6.0CM^9331060 4519

PLATE Ti 2.0 LARGE LOCKING 6 HOLES MF# 447.104^447.104 3637

PLATE TI LCP 1.5 4HL^04.114.002 487

PLATE TI LCP 2.7X40MM 4HL^449.680 891

PLATE TI LCP ADAPTION 2.0 12HL 81MM^447.362 892

PLATE TIB 4.5 LK 6HL 130MM LT^71800206 2651

PLATE TIB 4.5 LK 8HL 165MM^71800208 2678

PLATE TIB VA 6HL LT^02.118.005 3097

PLATE TIBIA 3.5 MED DIST 8HL^02.112.519S 3028

PLATE TIBIA DIST 3.5 6 HOLE^238.702 2872

PLATE TIBIA DIST 3.5 6HL^238.703 2872

PLATE TIBIA DIST 3.5 8 HOLE^238.705 2900

PLATE TIBIA EVOS 3.5mm/ L-P 10H L 134mm^72463110 3101

PLATE TIBIA LCK 3.5X47 3HL RT -MFRCAT# 72820303^72820303 1332

PLATE TIBIA LCK 3.5X72 5HL LT^72820205 1420

PLATE TIBIAL 3.5 MED DIST 4HL RT^02.112.510S 2967

PLATE TIBIAL 3.5MM M-D LK PL8H L 171mm^71821008 2768

PLATE TIBIAL 4 HOLE 11.25^1112 1419

PLATE TIBIAL BASE 63MM^141231 3627

PLATE TIBIAL LT 12.5MM^10125P 1419

PLATE TM DIST LAT FEM 4HL RT^440.864 2540

PLATE TMP MICRO X 18MM^911-736-20 152

PLATE TMT FUSION 2.4/2.7^02.211.266 1875

PLATE TMT FUSION 2.4/2.7MM LARGE^02.211.247 2064

PLATE TMT FUSION 2.4/2.7MM VA-LCP FIRST STANDARD^02.211.246 2064

PLATE TOE 2.4MM 5HL^447.375 845

PLATE TOE 2.4MM 7HL^447.377 845

PLATE TOE 6HL LT^AR-8944CL-S 1584

PLATE TOE 6HL RT^AR-8944CR-S 1584

PLATE TOE STD 6HL LT^41110008 1952

PLATE TOE STD 6HL RT^41110007 1952

PLATE TOE STD RT^41110005 1952

PLATE TUB COMP VLP 3.5 5HL^72824026S 1334

PLATE TUBULAR 1/3 37MM 3 HOLE^71140303 300

PLATE TUBULAR 1/3 5HL^71130305 460

PLATE TUBULAR 1/3 6 HOLE 73MM^71140306 370

PLATE TUBULAR 1/3 73MM 7 HOLE^71140307 370

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Description CPT-4 Base Price Schedule

PLATE TUBULAR EVOS 3.5 mm LOCK 1/3 7H 82mm^72440507 303

PLATE TUBULAR EVOS 3.5 mm LOCK 1/3 8H 94mm^72440508 504

PLATE TUBULAR EVOS 3.5MM LCK 1/3 6H 70MM 72440506 434

PLATE TUBULAR LCK 1/3 3.5MM 5 HL 62MM^72823005 423

PLATE TUBULAR LCK 1/3 3.5MM 6 HL 74MM^72823006 477

PLATE TUBULAR LCK 1/3 3.5X86 7HL^72823007 528

PLATE TUBULAR LCP 1/3 33MM 3HL^241.331 297

PLATE TUBULAR LCP 1/3 45MM 4HL^241.341 341

PLATE TUBULAR LCP 1/3 5HL 57MM^241.351 332

PLATE TUBULAR LCP 1/3 6HL 69MM^241.361 332

PLATE TUBULAR LCP 1/3 7HL 81mm^241.371 337

PLATE TUBULAR LCP 3.5X10H 133M^71829010 319

PLATE TUBULAR LCP 3.5X4HL 57MM^71829004 296

PLATE TUBULAR LCP 3.5X6HL 82MM^71829006 296

PLATE TUBULAR LCP 3.5X8H 107MM^71829008 319

PLATE TWO HOLE STAINLESS STEEL AR-8958-01S 1505

PLATE UNIV ORBITAL FLOOR^420.40 2856

PLATE VA CONDYLAR 6HL LT^02.124.407 3455

PLATE VA CONDYLAR 6HL RT^02.124.406 3455

PLATE VA CVD CONDYLAR 10HL RT^02.124.410 3687

PLATE VA MTP 1ST FUSION 2.4 10DEG LT^02.211.235 2064

PLATE VA MTP 1ST FUSION 2.4 10DEG^02.211.234 2064

PLATE VA MTP 1ST FUSION 2.4 5DEG LT^04.211.233 2270

PLATE VA MTP 1ST FUSION 2.4/2.7 0DEG LT^02.211.237 2064

PLATE VA MTP 1ST FUSION 2.4/2.7 0DEG RT^02.211.236 2064

PLATE VA MTP 1ST FUSION 2.4/2.7 5DEG RT^02.211.238 2064

PLATE VA MTP 1ST FUSION 2.4/2.7 5DEG^02.211.239 2064

PLATE VAL 1.5 STR 6HL^02.130.250 856

PLATE VAL 1.5 STRAIGHT 12HL^02.130.251 931

PLATE VAL CONDYLAR 1.5 2HL HD 6HL SHAFT^02.130.255 976

PLATE VAL FUSION 2.4 6HL 15MM STERILE^02.111.300S 2208

PLATE VAL T 1.5 7HL - MFRCAT# 02.130.252^02.130.252 931

PLATE VAL Y-PLATE 1.5 7HL^02.130.253 931

PLATE VA-LCP 3.5 PROX TIB 8HL RT^02.127.230 3418

PLATE VA-LCP CONDY CRVD 16HL 336MM LT^02.124.417 4095

PLATE VA-LCP CONDY CRVD 16HL 336MM RT^02.124.416 4095

PLATE VA-LCP OLECRANON 2.7/3.5 6HL RT^02.107.206 2080

PLATE VA-LCP PROX TIB 3.5X117 6HL RT^02.127.220 3003

PLATE VA-LCP TIB 2.7/3.5MM 10HL RT^02.118.208 3362

PLATE VANTAGE 50MM^9331050 4519

PLATE VANTAGE THORACIC 6.5CM^9331065 4519

PLATE V-D-R LCK 5HL RT 86MM^71823116 1440

PLATE VECTRA 16MM^04.613.016 2336

PLATE VECTRA 28MM^04.613.128 2603

PLATE VECTRA 30MM^04.613.130 2506

PLATE VECTRA 32MM^04.613.132 2506

PLATE VECTRA 34MM^04.613.134 2506

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Description CPT-4 Base Price Schedule

PLATE VECTRA 36MM^04.613.136 2603

PLATE VISION ELITE 27.5^7200027 1800

PLATE VISION ELITE 37.5^7200037S 1967

PLATE VLP MINI-MOD 2.0 STRAIGHT PLATE 6HL^74442022 855

PLATE VLP MINI-MOD 2.4 6HL -MFRCAT# 74442430^74442430 997

PLATE VLP MINI-MOD 2.4 STR 6HL -MFRCAT# 74442422^74442422 855

PLATE VLP MINI-MOD 2.4 Y-PLATE 6HL^74442410 1427

PLATE VOL DIST RAD 2.4 6HL RT STERILE^02.115.750S 1896

PLATE VOLAR 2.4 5HL RT^02.115.750 1724

PLATE VOLAR 2.4MM 3 HL 5 HD^242.491 1674

PLATE VOLAR BEARING 3 HL RT^VLBPR-3-4 1790

PLATE VOLAR DIST NARROW^54-25384 1588

PLATE VOLAR DIST RAD 5HL^54-25450S 2514

PLATE VOLAR DISTAL RADIUS EX LONG 2.4/2.7 VA-LCP 2-COLUMN^02.111.671S 3836

PLATE VOLAR INTERMED 11HL RT STER^54-25684S 1588

PLATE VOLAR INTERMED 11HL SHORT^54-25684 2090

PLATE VOLAR INTERMED 11HL SHRT LT^54-25674S 1588

PLATE VOLAR INTERMED SHORT LT***USE ITEM 79124***^54-25674S 1588

PLATE VOLAR INTERMEDIATE LT 14-HOLE LONG^54-25677 1588

PLATE VOLAR LCP DIST RAD 2.4^242.461 1674

PLATE VOLAR LCP DIST RAD 4 HL HD EX ART RT^242.464 1674

PLATE VOLAR LCP DISTAL RAD 4 HL HEAD LT^242.467 1674

PLATE VOLAR NARROW LONG LT^54-25375 1588

PLATE VOLAR RIM 2.4 7HL^02.115.851 1724

PLATE VOLAR RIM 6X5 LT^02.115.751 1724

PLATE VOLAR SMARTLOCK NARROW LT^54-25374 1588

PLATE VOLAR STD LONG LT^54-25377 1588

PLATE VOLAR STD LT^54-25376 1588

PLATE VOLAR STD RT^54-25386 1588

PLATE VOLAR VA-LCP DIST RAD 4HL HEAD LT^02.110.208 1933

PLATE VOLAR VLP 4HD 3 HL LT^02.110.207 1933

PLATE VOLAR VLP 4HD 3 HL RT^02.110.205 1933

PLATE VOLAR VLP 4HD 5 HL RT^02.110.206 1933

PLATE VOLAR^242.458 1674

PLATE W/BAR STRAIGHT 4HL^57-15302 392

PLATE WIDE T 8HL^57-15361 909

PLATE WRIST 2.4 LCP STR 170MM^SD242.003 5754

PLATE WRIST FUSION 2.7/3.5^02.110.151 3358

PLATE WRIST FUSION LOW BEND^04.110.151 3693

PLATE WRIST FUSION SHORT 2.7/3.5 -MFRCAT 02.110.151S^02.110.151S 3693

PLATE WRIST FUSION SHORT BEND^04.110.151S 4028

PLATE WRIST TITAN STR^04.110.152 3693

PLATE X 4 HOLE 1.5^446.81 638

PLATE X 5 HOLE 1.0MM^420.81 518

PLATE X VA LCK EX SMALL^02.211.201 1971

PLATE X VA LCK SMALL^02.211.202 1971

PLATE X VA XL^02.211.204 2027

Page 225: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

PLATE XPODE 9HL 18MM^C180901 1900

PLATE Y 1 HOLE X 3 HOLES^446.61 638

PLATE Y 1.3 3 X 8 HOLE 32MM^421.335 815

PLATE Y 1.5 3 X 8 HOLE 46MM^446.612 900

PLATE Z 13HL^57-15379 797

PLATE Z 9HL^57-10379 715

PLATE ZERO 17MM^3001017 1800

PLATE ZERO 19MM^3001019 1800

PLATE ZERO 21MM^3001021 1800

PLATE ZERO 23mm^3001023 1800

PLATE ZERO 25MM^3001025 1800

PLATE ZERO 27MM^3001027 1800

PLATE ZERO 27mm^3002027 1800

PLATE ZERO 29mm^3001029 1800

PLATE ZERO 29mm^3002029 1800

PLATE ZERO 31MM^3002031 1800

PLATE ZERO 33M -MFRCAT 3003033^3003033 1967

PLATE ZERO 33MM^3002033 1800

PLATE ZERO 35MM^3002035 1800

PLATE ZERO 37MM^3002037 1800

PLATE ZERO 39MM^3002039 1800

PLATE ZERO 41MM^3002041 1800

PLATE ZERO 43MM^3002043 1800

PLATE ZERO 45MM^3002045 1800

PLATE ZERO 48MM^3003048 1800

PLATE ZERO 51mm^3002051 1800

PLATE ZERO 51mm^3003051 1800

PLATE ZERO 53MM^3003053 1800

PLATE ZERO 55MM^3003055 1800

PLATE ZERO 57mm^3003057 1800

PLATE ZERO 59MM^3003059 1800

PLATE ZERO 61MM^3003061 1800

PLATE ZERO 63MM^3003063 1800

PLATE ZYGOMATIC 27MM 5 HOLE DC^443.45 600

PLATE ZYGOMATIC 6H 32MM^443.46 642

PLATE-T 3 HOLE 2.7MM 242.41^242.41 778

PLIF SPACER 9MM FREEZE DRIED^014809 5990

PLUG AMPLATZER VASCULAR 10MM^9-AVP2-010 1664

PLUG AMPLATZER VASCULAR 12MM^9-AVP2-012 1664

PLUG AMPLATZER VASCULAR 14MM^9-AVP2-014 1664

PLUG BONE TRUFIT BGS 11MM^72200929 1236

PLUG CANCELLOUS ALLOGRAFT 7mm X 16mm FROZEN FCPD7 972

PLUG FISTULA BIO-A SIX 9cm TUBES 16mm DISK^FP0616 1684

PLUG N PATCH 6X3^PNP6X3 239

PLUG ULTRAPRO COMFORT 40mm SM/MED HERNIA REPAIR^UPLUG401 280

PLUG ULTRAPRO COMFORT 55mm LG/XLG HERNIA REPAIR^UPLUG551 280

PLUG ULTRAPRO LARGE^UPPL6 335

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Description CPT-4 Base Price Schedule

PLUG ULTRAPRO MEDIUM^UPPM6 332

Plug Vascular II 006 9-AVP2-006 1664

Pneumococcal Admin 43

Pneumococcal Vaccine Administration 43

PORT POWERPORT 1808000^1808000 920

PORT POWERPORT 1808070^1808070 920

PORT POWERPORT BARD 8FR LOW PROFILE^1808069 500

PORT POWERPORT BARD 8FR^1808002 500

PORT POWERPORT MRI 9.6fr INTERMEDIATE ^1809601 580

POST ANGELED 30 DEGREE^4941-2-120 151

POST FREEDOM F/EXT FIX^71067382 1121

POST GLENOID PT HYBRID^PT-113950 1027

POST GLENOID^113950 820

POST MODULAR 35MM CENTRAL^AR-9561-35P 1682

POUCH ANTIBIOTIC TYRX^NMRM6122 1790

POUCH OSTOMY 3 in #3276^3276 3

POUCH STOMA 1-1/2 in #3273^3273 3

POUCH STOMA 2 in SEAL^3274 3

POUCH STOMA 2-1/2 in #3275^3275 3

PRECLUDE PERICARDIAL MEMBRANE 1PCM100^1PCM100 728

PRECLUDE PERICARDIAL MEMBRANE 1PCM101^1PCM101 1284

PRECLUDE PERICARDIAL MEMBRANE 1PCM102^1PCM102 1460

PRESS FIT EXTENDER 12MM X 80MM^6478-6-397 1833

PRIME ADVANCED NEUROSTIMULATOR^37702 26000

PRO MALLEABLE PENILE^720056-03 15224

PRO MAMMARY MEMORY GEL 750CC^350-7504 BC 1750

PRO OSTEON BONE GRAFT-GRANULES^5RG05 504

PRO OSTEON GRANULES G10^5RG10 940

PRO OSTEON GRANULES G15^5RG15 916

PRO OSTEON GRANULES G30^5RG30 1510

PRO OSTEON IMPLANT 10CC^5G10 850

PRO OSTEON IMPLANT 10X10X10^5B010 360

PRO OSTEON IMPLANT 10X10X40^5B040 1200

PRO OSTEON IMPLANT 10X20X50^5B100 1844

PRO OSTEON IMPLANT 12X25X25^5B075 1880

PRO OSTEON IMPLANT 5CC^5G05 390

PRO OSTEON IMPLANT 5CC^G505 402

PRO OSTEON IMPLANT 5X12X40^5B024 710

PROBE 0CP215 OSTEOCOOL RF 176 10mm X 2^OCP215 5467

PROBE CRYOABLATION 10CM^CRYO2 3150

PROBE PROSTATE DISP 3572^FPRPR3572 6000

PROBE PROSTATE DISP 4518^FPRPR4518 6000

PROBE PROSTATE KIT ICE PEARL 2.1 FPRPR3606 6000

PROCOL VASC BIOPROSTH 6X10^HJL016-10-N 1500

PROCOL VASC BIOPROSTH 6X25^HJL016-25-N 1900

PROCOL VASC BIOPROSTH 6X30^HJL016-30-N 2100

PROCOL VASC BIOPROSTH 6X40^HJL016-40-N 2400

Page 227: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

PROCUREMENT ORGAN & TISSUE PER MIN 14.34

PROGRAMMER PATIENT - MY PTM ** USE ITEM # 87726 **^TH90T01 1590

Programmer Smart Interstim Kit^TH90G01 3900

PROLACT CR 10mL ^94000-10 100

PROLACT+4 H2MF 10mL ^93901-10 129

PROLACT+4 H2MF 20mL ^93901-20 193

PROLACT+6 H2MF 30mL^93901-30 290

PROLACT+8 H2MF 40mL ^93901-40 386

PROPEL 70011^70011 1500

PROPEL MINI^60011 1500

PROS BIO-MODULAR GLENOID 4MM^113853 1368

PROS BIO-MODULAR HUMERAL 10MM^11-113706 4482

PROS BIO-MODULAR HUMERAL 11MM^113707 4482

PROS BIO-MODULAR HUMERAL 12MM^11-113708 2962

PROS BIO-MODULAR HUMERAL 13MM^113709 2962

PROS BIO-MODULAR HUMERAL 7MM^113703 5130

PROS BREAST HI PROFILE 425CC 350-4254BC^350-4254BC 1910

PROS BREAST HI PROFILE 450CC 350-4504BC^350-4504BC 1910

PROS BREAST HI PROFILE 475CC 350-4754BC^350-4754BC 1910

PROS BREAST HI PROFILE 500CC 350-5004BC^350-5004BC 1850

PROS BREAST HI PROFILE 550CC 350-5504BC^350-5504BC 1850

PROS BREAST HIGH PROFILE 550CC^20645-550HP 1900

PROS BREAST MOD PROFILE 550CC^20645-550MP 1900

PROS BREAST MOD PROFILE 600CC^20645-600MP 1900

PROS BREAST MOD PROFILE 650CC^20645-650MP 1900

PROS BREAST MOD PROFILE 700CC^20645-700MP 1900

PROS MAM CONTOUR SPECTRUM 275CC^354-2511 2470

PROS MAM CONTOUR SPECTRUM 350C^354-2512 2470

PROS MAM CONTOUR SPECTRUM 450C^354-2513 2470

PROS MAM CONTOUR SPECTRUM 550C^354-2514 2470

PROS MAMMARY 120-150CC 68^68-120 850

PROS MAMMARY 120CC STYLE 20^20-120 1550

PROS MAMMARY 125+25CC SALINE^3501610 1030

PROS MAMMARY 140CC STYLE 20^20-140 1550

PROS MAMMARY 150+25CC SALINE^3501615 1030

PROS MAMMARY 150-180CC 68^68-150 850

PROS MAMMARY 160CC STYLE 20^20-160 1550

PROS MAMMARY 175+25CC SALINE^3501620 1030

PROS MAMMARY 180-210CC 68^68-180 850

PROS MAMMARY 180CC STYLE 20^20-180 1550

PROS MAMMARY 200CC STYLE 20^20-200 1550

PROS MAMMARY 225+25CC SALINE^3501630 1030

PROS MAMMARY 230-240CC 468^468-230 1000

PROS MAMMARY 230CC STYLE 20^20-230 1550

PROS MAMMARY 234CC STYLE 15^15-234 1550

PROS MAMMARY 240-260CC 68HP^68HP-240 850

PROS MAMMARY 240-270CC 68^68-240 850

Page 228: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

PROS MAMMARY 250+25CC SALINE^3501635 1030

PROS MAMMARY 260CC STYLE 20^20-260 1550

PROS MAMMARY 265CC STYLE 15^15-265 1550

PROS MAMMARY 270-285CC 468^468-270 1000

PROS MAMMARY 270-300CC 68^68-270 850

PROS MAMMARY 275+25CC SALINE^3501640 1030

PROS MAMMARY 280-300CC 68HP^68HP-280 850

PROS MAMMARY 280CC STYLE 20^20-280 1550

PROS MAMMARY 280CC^45-280 1600

PROS MAMMARY 286CC STYLE 15^15-286 1550

PROS MAMMARY 300+25CC SALINE^3501645 1030

PROS MAMMARY 300-315CC 468^468-300 1000

PROS MAMMARY 300-330CC 68^68-300 850

PROS MAMMARY 300CC STYLE 20^20-300 1550

PROS MAMMARY 304CC STYLE 15^15-304 1550

PROS MAMMARY 320-340CC 68HP^68HP-320 850

PROS MAMMARY 325+50CC SALINE^3501650 1030

PROS MAMMARY 325CC STYLE 20^20-325 1550

PROS MAMMARY 330-360CC 68^68-330 850

PROS MAMMARY 339CC SYLE 15^15-339 1550

PROS MAMMARY 350+50CC SALINE^3501655 1030

PROS MAMMARY 350-370CC 468^468-350 1000

PROS MAMMARY 350CC STYLE 20^20-350 1550

PROS MAMMARY 354CC SYLE 115^115-354 1550

PROS MAMMARY 360CC STYLE 45^45-360 1600

PROS MAMMARY 360CC STYLE 68^68-360 850

PROS MAMMARY 371CC SYLE 15^15-371 1550

PROS MAMMARY 375+50CC SALINE^3501660 1030

PROS MAMMARY 375CC STYLE 20^20-375 1550

PROS MAMMARY 378CC SYLE 115^115-378 1550

PROS MAMMARY 380-400CC 468^468-380 1000

PROS MAMMARY 390-420CC 68^68-390 850

PROS MAMMARY 397CC SYLE 15^15-397 1550

PROS MAMMARY 400CC STYLE 20^20-400 1550

PROS MAMMARY 400CC STYLE 45^45-400 1600

PROS MAMMARY 401CC SYLE 115^115-401 1550

PROS MAMMARY 420-450CC 68^68-420 850

PROS MAMMARY 421CC SYLE 15^15-421 1550

PROS MAMMARY 425+50CC^3501670 1030

PROS MAMMARY 425CC STYLE 20^20-425 1550

PROS MAMMARY 450-475CC 468^468-450 1000

PROS MAMMARY 450-480CC 68^68-450 850

PROS MAMMARY 450CC STYLE 20^20-450 1550

PROS MAMMARY 457CC SYLE 15^15-457 1550

PROS MAMMARY 475+50CC^3501680 1030

PROS MAMMARY 475CC STYLE 20^20-475 1550

PROS MAMMARY 480-510CC 68^68-480 850

Page 229: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

PROS MAMMARY 492CC SYLE 15^15-492 1550

PROS MAMMARY 495-520CC 468^468-495 1000

PROS MAMMARY 500CC STYLE 20^20-500 1550

PROS MAMMARY 510-540CC 68^68-510 850

PROS MAMMARY 533CC SYLE 15^15-533 1550

PROS MAMMARY 550-590CC 68^68HP-550 850

PROS MAMMARY 550-600CC 68^68-550 850

PROS MAMMARY 550CC STYLE 20^20-550 1550

PROS MAMMARY 560-590CC 468^468-560 1000

PROS MAMMARY 575CC SYLE 15^15-575 1550

PROS MAMMARY 600-640CC 68^68HP-600 850

PROS MAMMARY 600-650CC 68^68-600 850

PROS MAMMARY 600CC STYLE 20^20-600 1550

PROS MAMMARY 620-650CC 468^468-620 1000

PROS MAMMARY 650-700CC 68^68HP-650 850

PROS MAMMARY 650CC STYLE 20^20-650 1550

PROS MAMMARY 650CC STYLE 45^45-650 1600

PROS MAMMARY 68MP-270^68mp-270 650

PROS MAMMARY 68MP-300^68mp-300 650

PROS MAMMARY 68MP-330^68mp-330 650

PROS MAMMARY 68MP-360^68mp-360 650

PROS MAMMARY 700-750CC 68^68HP-700 850

PROS MAMMARY 700CC STYLE 20^20-700 1550

PROS MAMMARY 700CC STYLE 45^45-700 1600

PROS MAMMARY 750-800CC 68^68HP-750 850

PROS MAMMARY 750CC STYLE 20^20-750 1550

PROS MAMMARY 800CC STYLE 20^20-800 1550

PROS MAMMARY 800CC STYLE 45^45-800 1600

PROS MAMMARY CONTOUR 650 +75^354-2715 1750

PROS MAMMARY MED W/SUT TABS 350CC^354-9212 3300

PROS MAMMARY MED W/SUT TABS 450CC^354-9213 3300

PROS MAMMARY MEMORY GEL 535CC^350-5535 BC 1910

PROS MAMMARY MEMORY GEL 590CC^350-5590 BC 1910

PROS MAMMARY MEMORY GEL 600CC^350-6004 BC 1850

PROS MAMMARY MEMORY GEL 650CC^350-6504 BC 1850

PROS MAMMARY MEMORY GEL 700CC^350-7004 BC 1750

PROS MAMMARY MEMORY GEL 700CC^354-5700 1960

PROS MAMMARY MEMORY GEL 800CC^350-8004 BC 1850

PROS MAMMARY MEMORY GEL SILTEX 450CC^354-4501 1910

PROS MAMMARY MEMORY GEL SILTEX 500CC^354-5001 1960

PROS MAMMARY MEMORY GEL SILTEX 550CC^354-5501 1960

PROS MAMMARY MEMORY GEL SILTEX 600CC^354-6001 1910

PROS MAMMARY MEMORY SHAPE 390CC^334-1202 2730

PROS MAMMARY MEMORY SHAPE 440CC^334-1252 2730

PROS MAMMARY MEMORYGEL HI PROF 150cc^350-1504BC 1850

PROS MAMMARY MEMORYGEL HI PROF 200cc^350-2004BC 1030

PROS MAMMARY MEMORYGEL HI PROF 350cc^350-3504BC 1030

Page 230: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

PROS MAMMARY MHFP GEL 335CC^MF-410335 2250

PROS MAMMARY MHFP GEL 375CC^MF-410375 2250

PROS MAMMARY MHFP GEL 420CC^MF-410420 2250

PROS MAMMARY MHFP GEL 470CC^MF-410470 2250

PROS MAMMARY MHMP GEL 215CC^MM-410215 2250

PROS MAMMARY MHMP GEL 245CC^MM-410245 2250

PROS MAMMARY MHMP GEL 280CC^MM-410280 2250

PROS MAMMARY MHMP GEL 320CC^MM-410320 2250

PROS MAMMARY MHMP GEL 360CC^MM-410360 2250

PROS MAMMARY MHMP SILICONE GEL 160cc^MM-410160 2250

PROS MAMMARY MHMP SILICONE GEL 185cc^MM-410185 2250

PROS MAMMARY PLUS PROFILE SILICONE 115-469^115-469 1550

PROS MAMMARY ROUND MOD PLUS 650CC^350-6501BC 1800

PROS MAMMARY SALINE 120CC 168^168-120 1000

PROS MAMMARY SALINE 150CC 168^168-150 1000

PROS MAMMARY SALINE 180CC 168^168-180 1000

PROS MAMMARY SALINE 210CC 168^168-210 1000

PROS MAMMARY SALINE 240CC 168^168-240 1000

PROS MAMMARY SALINE 270CC 168^168-270 1000

PROS MAMMARY SALINE 300CC 168^168-300 1000

PROS MAMMARY SALINE 330CC 168^168-330 1000

PROS MAMMARY SALINE 360CC 168^168-360 1000

PROS MAMMARY SALINE 390CC 168^168-390 1000

PROS MAMMARY SALINE 420CC 168^168-420 1000

PROS MAMMARY SALINE 450CC 168^168-450 1000

PROS MAMMARY SALINE 480CC 168^168-480 1000

PROS MAMMARY SALINE 510CC 168^168-510 1000

PROS MAMMARY SALINE 550-600CC^168-550 1000

PROS MAMMARY SALINE 600-650CC^168-600 1000

PROS MAMMARY SALINE 650-700CC^168-650 1000

PROS MAMMARY SALINE MOD PLUS 200cc^350-2200 1030

PROS MAMMARY SALINE MOD PLUS 225c^350-2225 1030

PROS MAMMARY SALINE MOD PLUS 250cc^350-2250 1030

PROS MAMMARY SALINE MOD PLUS 275cc^350-2275 1030

PROS MAMMARY SALINE MOD PLUS 300cc^350-2300 1030

PROS MAMMARY SALINE MOD PLUS 325cc^350-2325 1030

PROS MAMMARY SILICONE STYLE 15 176CC^15-176 1550

PROS MAMMARY SILICONE STYLE 15 194CC^15-194 1550

PROS MAMMARY SILICONE STYLE 15 213CC^15-213 1550

PROS MAMMARY SILTEX 250CC 354-2501^354-2501 2470

PROS MAMMARY SILTEX 275CC 354-2751^354-2751 1750

PROS MAMMARY SILTEX 300CC 354-3001^354-3001 1910

PROS MAMMARY SILTEX 325CC 354-3251^354-3251 1910

PROS MAMMARY SILTEX 350CC 354-3501^354-3501 1910

PROS MAMMARY SILTEX 425CC 354-4425^354-4425 1910

PROS MAMMARY SILTEX 450CC 354-4450^354-4450 1910

PROS MAMMARY SILTEX 475CC 354-4475^354-4475 1910

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PROS MAMMARY SILTEX 500CC 354-4500^354-4500 1910

PROS MAMMARY SILTEX 750CC^354-4750 1910

PROS MAMMARY SILTEX 800CC^354-4800 1910

PROS MAMMARY SILTEX MEMORY GEL 375CC^354-4375 1910

PROS MAMMARY SILTEX TEXT 550CC^354-4550 1910

PROS MAMMARY SILTEX TEXT 600CC^354-4600 1910

PROS MAMMARY SILTEX TEXT 650CC^354-4650 1910

PROS MAMMARY SILTEX TEXT 700CC^354-4700 1910

PROS MAMMARY SMOOTH HP GEL 250CC^350-2504BC 1030

PROS MAMMARY SMOOTH HP GEL 275CC^350-2754BC 1030

PROS MAMMARY SMOOTH HP GEL 300CC^350-3004BC 1030

PROS MAMMARY SMTH RND HI PROFILE 325CC^350-3254 BC 1030

PROS MAMMARY SMTH RND HI PROFILE 350CC USE# 81430^350-3504 BC 1030

PROS MAMMARY SMTH RND HI PROFILE 375CC^350-3754 BC 1030

PROS MAMMARY SMTH RND HI PROFILE 400CC^350-4004 BC 1910

PROS MAMMARY SMTH RND HI PROFILE 425CC^350-4254 BC 1910

PROS MAMMARY SMTH RND MOD 125CC^350-1251BC 1800

PROS MAMMARY SMTH RND MOD 150CC^350-1501 BC 1800

PROS MAMMARY SMTH RND MOD 175CC^350-1751 BC 1800

PROS MAMMARY SMTH RND MOD 200CC^350-2001 BC 1030

PROS MAMMARY SMTH RND MOD 225CC^350-2251 BC 1030

PROS MAMMARY SMTH RND MOD 250CC^350-2501 BC 1030

PROS MAMMARY STYLE 15 SZ 616^15-616 1550

PROS MAMMARY STYLE 15 SZ 659^15-659 1550

PROS MAMMARY STYLE 15 SZ 700^15-700 1550

PROS MAMMARY STYLE 15 SZ 752^15-752 1550

PROS MAMMARY UH PROFILE GEL 375CC^350-5375BC 1910

PROS MAMMARY W/SUT TABS 550CC^354-9214 3300

PROS MOORE HIP 38MM LONG FEN^00-4021-008-38 1523

PROS MOORE HIP 38MM NARROW FEN^00-4006-000-38 1225

PROS MOORE HIP 41MM LONG FEN^4021-08-41 1523

PROS MOORE HIP 41MM NARROW FEN^00-4006-000-41 1225

PROS MOORE HIP 41MM SOLID REG^30-4005-000-41 1225

PROS MOORE HIP 42MM SOLID REG^30-4005-000-42 1225

PROS MOORE HIP 43MM LONG FEN^00-4021-008-43 1523

PROS MOORE HIP 43MM NARROW FEN^00-4006-000-43 1225

PROS MOORE HIP 45MM SOLID REG^30-4005-000-45 1225

PROS MOORE HIP 46MM NARROW FEN^00-4006-000-46 1225

PROS MOORE HIP 46MM SOLID REG^30-4005-000-46 1225

PROS MOORE HIP 48MM LONG FEN^00-4021-008-48 1523

PROS MOORE HIP 48MM NARROW FEN^00-4006-000-48 1225

PROS MOORE HIP 48MM SOLID REG^30-4005-000-48 1225

PROS MOORE HIP 49MM LONG FEN^00-4021-008-49 1523

PROS MOORE HIP 49MM NARROW FEN^00-4006-000-49 1225

PROS MOORE HIP 49MM SOLID REG^30-4005-000-49 1225

PROS MOORE HIP 50MM SOLID REG^30-4005-000-50 1225

PROS MOORE HIP 51MM LONG FEN^00-4021-008-51 2820

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PROS MOORE HIP 51MM LONG FEN^4021-08-51 3520

PROS MOORE HIP 51MM NARROW FEN^00-4006-000-51 1225

PROS MOORE HIP 52MM LONG FEN^00-4021-008-52 3600

PROS MOORE HIP 52MM SOLID REG^30-4005-000-52 1225

PROS MOORE HIP 54MM LONG FEN^00-4021-008-54 1523

PROS MOORE HIP 54MM SOLID REG^30-4005-000-54 1225

PROS MOORE HIP 55MM SOLID REG^30-4005-000-55 1225

PROS MOORE HIP 57MM LONG FEN^00-4021-008-57 1523

PROS MOORE HIP 57MM SOLID REG^30-4005-000-57 1225

PROS MOORE HIP 60MM LONG FEN^00-4021-008-60 1523

PROS MOORE HIP 63MM LONG FEN^00-4021-008-63 1523

PROS MOORE HIP LONG FEN 44MM^00-4021-008-44 3274

PROS MOORE HIP LONG FEN 46MM^00-4021-008-46 1523

PROS MOORE HIP LONG FEN 48MM^4021-08-48 1523

PROS MOORE HIP LONG FEN 57MM^4021-08-57 1523

PROS MOORE HIP SOLID REG 53MM^30-4005-000-53 1225

PROS MORETZ CAM HEAD 0.6MM^11-12182 870

PROS MORETZ CAM HEAD 4.75MM^11-12185 938

PROS OSSICULAR FLEX 5.0X1MM^0560 862

PROS OSSICULAR FLEX 7.0X3.0MM^0501 1070

PROS OSSICULAR FLEX 7.0X3.25MM^0526 1208

PROS PENILE 700CX PRECONN 12CM^72402251 7180

PROS PENILE 700CX PRECONN 15CM^72402254 7180

PROS PENILE 700CX PRECONN 18CM^72404232 16765

PROS PENILE 700CX PRECONN 18CM^72404232-10 17435

PROS URINARY AMS800 PUMP W/ INHIBIZONE^72404127 10604

PROS URINARY PUMP CUFF 4.5^72404131 10589

PROS WEHRS INCUS 7.3MM^140881 641

PROSTATE BIOPSIES 381

PROSTHESIS FEM JOINT MED^6430-0-200 9270

PROSTHESIS FEMORAL JNT X-SML^6430-0-050 9270

PROSTHESIS HAPEX PORP EAR 5.8^70145892 752

PROSTHESIS HAPEX TORP EAR 8.1^70145888 752

PROSTHESIS OSSICULAR 7.0X4.0MM^0363 1182

PROTECTOR AXOGUARD NERVE 10MM X 40MM^AG1040 4500

PROTECTOR AXOGUARD NERVE 2MM X 20MM^AG0220 3950

PROTECTOR AXOGUARD NERVE 3.5MM X 40MM^AG0340 4500

PROTECTOR AXOGUARD NERVE 5MM X 40MM^AG0540 4500

PROTECTOR AXOGUARD NERVE 7MM X 40MM^AG0740 4500

PROTHESIS APPLEBAUM STAPED LG^140957 668

PROTHESIS APPLEBAUM STAPED SM^140956 668

PROTHESIS HIP E1 44-36 STD HMRL BRNG^EP-115393 3432

PROTHESIS HIP E1 44-41 RTNV HMRL BRNG^EP-115398 3432

PROTHESIS PORP OFF-CENT 5.1^140893 631

PROTHESIS WEHRS DOUBLE 10.2X.9^140885 685

PROTHESIS WEHRS INCUS 10.2MM^140882 617

PROTHESIS WEHRS INCUS 2.1X0.9^140874 630

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PROTHESIS WEHRS INCUS 3.3X0.9^140875 624

PROTHESIS WEHRS INCUS 4.5X0.9^140876 637

PROTHESIS WEHRS INCUS LONG^140879 696

PROTHESIS WEHRS INCUS MED^140878 689

PROVISC .55ml^8065183055 102

PROVISC .85ML^8065183085 436

PROXIMAL BICEPS KIT^AR-2290 1195

PSA - Annual Screening 123

Pseudopherine Urine 143

Pulm Rehab Exercise 1HR 143

Pulmonary Rehab Mainten. 20

PUMP 700 LGX PENILE PROS 15CMX12MM^72404256 17081

PUMP 700 LGX PENILE PROS 18CM^72404257 17081

PUMP 700 LGX PENILE PROS 18cmX12mm^72404252-10 17764

PUMP 700 LGX PENILE PROS 18CMX16MM^72404252 17081

PUMP 700 LGX PENILE PROS 21CM^72404253 17081

PUMP 700 LGX PENILE PROS 21CMX12MM^72404258 17081

PUMP MS 700 LGX PENILE PROS 12CMX12MM^72404250 17081

PUMP MS 700 LGX PENILE PROS 15CMX12MM^72404251 17081

PUMP PENILE 700 CXR IPP^72404262 17287

PUMP PENILE 700CX MS 15CM X 12MM^72404236 16765

PUMP PENILE 700CX MS^72404237 16765

PUMP PENILE 700CX PRECONN 15CM^72404231 17434

PUMP PENILE 700CX PRECONN PUMP^72404233 17435

PUMP PENILE 700CX PRECONN PUMP^72404233-12 17435

PUMP PENILE CX IPP^72404238 16765

PUMP PROMETRA II^13827 17000

PUMP SYNCHROMED II 20ML^8637-20 20000

PUMP SYNCHROMED II 40ML^8637-40 20000

PUTTY BONE .5CC^T43101 200

PUTTY BONE DBF 1CC - MFRCAT# T50101^T50101 738

PUTTY BONE DBX MIX 10CC^058100 3329

PUTTY BONE DBX MIX 5CC^058050 2128

PUTTY DBM 10CC INTERGRO^DBM010 2184

Putty DBM 2.5cc^56210025 645

PUTTY DBM T43102 1CC GRAFTON^T43102 300

PUTTY GRAFTON DBM PUTTY 10CC^T43110 2000

PUTTY GRAFTON DBM PUTTY 2.5CC^T43103 700

PUTTY GRAFTON DBM PUTTY 5CC^T43105 1300

PUTTY OSTEOSELECT DBM 10.00cc^309100 1972

PUTTY OSTEOSELECT DBM 5.0cc^309050 1233

PUTTY OSTEOSPARX 5CC 56210050 1183

PUTTY OSTEOSTIM 10CC^9090 2373

PUTTY T50103 GRAFTON DBF 3CC^T50103 1376

PUTTY T50106 GRAFTON DBF 6CC^T50106 2405

PYRAMESH 10mm X 30mm^905-103 4356

PYRAMESH 13MM X 30MM^905-133 4620

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PYRAMESH 13MM X 50MM^905-1350 7370

PYRAMESH 16X30^905-163 4840

PYRAMESH 19MM X 40MM DANEK^905.194 7370

PYRAMESH 19MM X 90MM DANEK^905.199 9625

PYRAMESH 22MM X 50MM DANEK^9052250 7700

PYRAMESH 22X28X50MM DANEK^9052850 8250

PYRAMESH CAGE 10X14X10MM^905-401 3988

PYRAMESH CAGE 10X14X12MM^905-412 3988

PYRAMESH CAGE 10X14X8MM^905-408 3988

PYRAMESH CAGE 13MM X 10MM^905-310 2233

PYRAMESH CAGE 13MM X 8MM^905-308 2233

PYRAMESH CAGE 13MM X 9MM^905-139 2233

PYRAMESH CAGE 16X60MM^905-166 8250

PYRAMESH CAGE 17X22X30MM DANEK^9051730 5830

PYRAMESH CAGE 17X22X50MM DANEK^9051750 6930

PYRAMESH CAGE 25X100^905-251 9625

QUATTRO BOLT TENODESIS SCREW 6mmX12mm^CM-9506 690

QUATTRO BOLT TENODESIS SCREW 8MMX16MM^CM-9508 690

QUATTRO BOLT TENODESIS SCREW 9MMX16MM^CM-9509 690

QUICK CROSS .018 SUPPORT CATH^518-034 251

QUICK CROSS .035 SUPPORT CATH^518-037 251

QUICKANCHOR GII SZ 2 SUT CP-2^212034 1018

QUICKANCHOR MICRO 212041^212041 616

QUICKANCHOR MICRO SZ 1.5^212866 896

QUICKANCHOR MICROFIX SZ 4/0^212856 584

QUICKANCHOR MINI 212035^212035 668

QUICKANCHOR MINI W/#0 SUT C12^212133 942

QUICKANCHOR SUPER+ SZ2 CP-2^212032 540

QUICKFIX SCREW, 2 X 10 MM^AR-8930C-SC 360

RABEA CERVICAL IMPLANT 8X12X12^P081212 2790

RABEA CERVICAL IMPLANT 8X12X12^W081212 2790

RABEA CERVICAL IMPLANT 9X12X14^PO91214 2790

RADIAL HEAD IMPLANT 20MM 00-8700-001-20 4000

RADIAL HEAD IMPLANT 22MM 00-8700-001-22 4000

RADIAL HEAD IMPLANT 24MM 00-8700-001-24 4000

RADIAL HEAD IMPLANT 26MM 00-8700-001-26 4000

RADIESSE VOICE 1CC INCLUDES NEEDLE 9010M1^8044M0 650

Radioembolization Y90 Pre Treatment IR 273

RBC CP2D AS3 500 LR 530

RBC CP2D AS3 500 LR Dv 177

RBC CPD 500 LR 530

RBC CPD 500 LR Dv 177

RBC CPD 500 LR Irr 650

RBC CPD 500 LR Irr Dv 177

RBC CPD AS1 500 LR 530

RBC CPD AS1 500 LR Dv 177

RBC CPD AS1 500 LR Irr 650

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RBC CPD AS1 500 LR Irr Dv 177

RBC CPD AS5 450 LR 530

RBC CPD AS5 450 LR Dv 177

RBC CPD AS5 500 LR 530

RBC CPD AS5 500 LR Dv 177

RBC CPD AS5 500 LR Irr 650

RBC CPD AS5 500 LR Irr Dv 177

RBC CPDA1 500 LR 530

RBC CPDA1 500 LR Dv 177

RBC CPDA1 500 LR Irr 650

RBC CPDA1 500 LR Irr Dv 177

RBC Deglyc LR 1654

RBC LR CPDA IRR PL Added 650

RBC LR Super Red Irr PL Added 650

RBC LR Supernatant Red 530

RBC LR Supernatant Red Irr 650

RBC LR Washed 1209

REAMER TRIPLE COMPLETE DHS^338.13 3028

Recovery - each additional hour 279

RELIEVA LUMA SENTRY SINUS ILLUNIMATION SYSTEM 100 cm^SIS100B 644

REM DEVIT TISS First 20CM2 256

RENO-60 60 PCT 10X50ML NON PHARM^0270-0696-49 2.25

Replacement Gastrostomy Tube 727

RESERVOIR # 720185-01^720185-01 4448

RESERVOIR 700 IZ PENILE 100ML^72404156 4276

RESERVOIR 700 IZ PENILE 65ML^72404155 4448

RESERVOIR OMMAYA CSF^NL8501211 1106

Resolute Onyx drug-eluting stent 2002

Resp Function Group 15MIN 161

Resp Strength/Endur 15MIN 128

RESTORATION MOD HIP PROX CONE BODY 25mm +20^6276-1-225 9112

RESTORATION MOD CONICAL DISTAL STEM 195mmX16mm^6276-7-116 6915

RETIEIVER SOLITAIRE PLATINUM 4-40-10^SFR4-40-10 10493

RETREIVAL SNARE GN-1000 GN1000 405

RETRIEVAL DEVICE GN1500 GN1500 405

RETRIEVAL DEVICE GN-2000 GN2000 405

RETRIEVER SOLITAIRE PLATINUM 4-20-10^SFR4-34-20-10 10493

RETRIEVER SOLITAIRE PLATINUM 6-20-10^SFR4-6-20-10 10493

RETRIEVER SOLITAIRE PLATINUM 6-40-10^SFR4-6-40-10 10493

Retriever Trevo XP ProVue 4.0 x 30mm + Trevo Pro 18 MC^93067 14423

RETROBUTTON 12MM W/15MM LOOP^AR-1588-15 416

RETROBUTTON 12MM W/20MM LOOP^AR-1588-20 416

RETROBUTTON 12MM W/25MM LOOP^AR-1588-25 416

RETROBUTTON 12MM W/30MM LOOP^AR-1588-30 416

RETROBUTTON 12MM W/35MM LOOP^AR-1588-35 416

RETROBUTTON 12MM W/40MM LOOP^AR-1588-40 416

RETROBUTTON 12MM W/45MM LOOP^AR-1588-45 416

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RETROBUTTON 12MM W/50MM LOOP^AR-1588-50 416

RETROBUTTON 12MM W/55MM LOOP^AR-1588-55 416

RETROBUTTON 12MM W/60MM LOOP^AR-1588-60 416

RETROBUTTON XL 20X11 LOOP^AR-1592 469

REVERSE SHOULDER COMP SHRT ST/ GLN E1/AB^98B00900127 19500

REVERSE SHOULDER COMP SHRT ST/ TI COMP RVS GLN E1^98B00900117 16800

REVERSE SHOULDER COMP ST/COMP RVS GLN/E198B00901603 16800

REVERSE SHOULDER w MINI BASEPLATE^98B00901302 16800

REVERSE SHOULDER^RS BIOMET 16800

Reverse Shoulder^RS DEPUY 16000

Reverse Shoulder^RS S-N 16480

Reverse Shoulder^RS STRYKER 15000

Reverse Shoulder^RS SYNTHES 16000

RHIG 192

RICH LEGION STEM PRSSFIT 15X220 STRT^71424068 2002

RING ACET R3 0 DEG +4 XLPE ACET LNR 36mm X 54mm^71336954 1236

RING ANNULOPLASTY MODEL 5200 32MM^5200-32MM 5200

RING ANNULOPLASTY MODEL 5200 34MM^5200-M34 5200

RING ANNULOPLASTY TRICUS MODEL 6200 30MM^6200-T30 5200

RING C.E. TRICUSPID 26MM^4500-T26 4120

RING C.E. TRICUSPID 28MM^4500-T28 4120

RING C.E. TRICUSPID 30MM^4500-T30 4120

RING C.E. TRICUSPID 32MM^4500-T32 4120

RING C.E. TRICUSPID 34MM^4500-T34 4120

RING C.E. TRICUSPID 36MM^4500-T36 4120

RING CAPSULAR TENSION TYPE 14^MR-1400 358

RING CAPSULAR TENSION TYPE 14A^MR-1410 358

RING CAPSULAR TENSION TYPE 14C^MR-1420 358

RING CG FUTURE ANNULOPLASTY 24^638RL-24 3500

RING CG FUTURE ANNULOPLASTY 26^638RL-26 3500

RING CG FUTURE ANNULOPLASTY 28^638RL-28 3500

RING CG FUTURE ANNULOPLASTY 30^638RL-30 3500

RING CG FUTURE ANNULOPLASTY 32^638RL-32 3500

RING CG FUTURE ANNULOPLASTY 34^638RL-34 3500

RING CG FUTURE ANNULOPLASTY 36^638RL36 3500

RING CG FUTURE ANNULOPLASTY 38^638RL-38 3500

RING CONTOUR 3D ANNULOPLASTY 26MM^690R26 3500

RING CONTOUR 3D ANNULOPLASTY 28MM^690R28 3500

RING CONTOUR 3D ANNULOPLASTY 30MM^690R30 3500

RING CONTOUR 3D ANNULOPLASTY 32MM^690R32 3500

RING CONTOUR 3D ANNULOPLASTY 34MM^690R34 3500

RING CONTOUR 3D ANNULOPLASTY 36MM^690R36 3500

RING COSGROVE MITRAL 26MM^4600-26MM 4464

RING COSGROVE MITRAL 28MM^4600-28MM 4464

RING COSGROVE MITRAL 30MM^4600-30MM 4464

RING COSGROVE MITRAL 32MM^4600-32MM 4464

RING COSGROVE MITRAL 34MM^4600-34MM 4464

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RING COSGROVE MITRAL 36MM^4600-36MM 4464

RING FALLOP -PK OF 2^FRB-30 167

RING LOCK ACETABULAR SZ 24^105424 228

RING MODEL 4100 IMR ETLOGIX MITRAL ANNULOPLASTY 28M 4100M28 4650

RING PHYSIO II MITRAL ANNULOPLASTY 24M^5200M24 4650

RING PHYSIO II MITRAL ANNULOPLASTY 26M^5200M26 4650

RING PHYSIO II MITRAL ANNULOPLASTY 28M^5200M28 4650

RING PHYSIO II MITRAL ANNULOPLASTY 30M^5200M30 4650

RING PHYSIO II MITRAL ANNULOPLASTY 32M^5200M32 4650

RING PHYSIO II MITRAL ANNULOPLASTY 34^5200M34 4650

RING PHYSIO II MITRAL ANNULOPLASTY 36M^5200M36 4650

RING PHYSIO II MITRAL ANNULOPLASTY 38m^5200M38 4650

RING PHYSIO II MITRAL ANNULOPLASTY 40M^5200M40 4650

RING PHYSIO MITRAL 24MM^4450-24MM 4120

RING PHYSIO MITRAL 26MM^4450-26MM 4120

RING PHYSIO MITRAL 28MM^4450-28MM 4120

RING PHYSIO MITRAL 30MM^4450-30MM 4120

RING PHYSIO MITRAL 32MM^4450-32MM 4120

RING PHYSIO MITRAL 34MM^4450-34MM 4120

RING PHYSIO MITRAL 36MM^4450-36MM 4120

RING PHYSIO MITRAL 38MM^4450-38MM 4120

RING PHYSIO MITRAL 40MM^4450-40MM 4120

RING PROFILE 3D ANNULOPLASTY 24^680R24 3500

RING PROFILE 3D ANNULOPLASTY 26^680R26 3500

RING PROFILE 3D ANNULOPLASTY 28^680R28 3500

RING PROFILE 3D ANNULOPLASTY 30^680R30 3500

RING PROFILE 3D ANNULOPLASTY 32^680R32 3500

RING PROFILE 3D ANNULOPLASTY 34^680R34 3500

RING PROFILE 3D ANNULOPLASTY 36^680R36 3500

RING PROFILE 3D ANNULOPLASTY 38^680R38 3500

RING PROFILE 3D ANNULOPLASTY 40^680R40 3500

RING RIGID SADDLE 24MM^RSAR-24 3310

RING RIGID SADDLE 26MM^RSAR-26 3310

RING RIGID SADDLE 28MM^RSAR-28 3310

RING RIGID SADDLE 30MM^RSAR-30 3310

RING RIGID SADDLE 32MM^RSAR-32 3310

RING RIGID SADDLE 34MM^RSAR-34 3310

RING SEMI-RIGID SIMULUS 24MM^800SR24 3500

RING SEMI-RIGID SIMULUS 26MM^800SR26 3500

RING SEMI-RIGID SIMULUS 28MM^800SR28 3500

RING SEMI-RIGID SIMULUS 30MM^800SR30 3500

RING SEMI-RIGID SIMULUS 32MM^800SR32 3500

RING SEMI-RIGID SIMULUS 34MM^800SR34 3500

RING SEMI-RIGID SIMULUS 36MM^800SR36 3500

RING SEMI-RIGID SIMULUS 38MM^800SR38 3500

RING SEMI-RIGID SIMULUS 40MM^800SR40 3500

RING TAILOR ANNULOPLASTY 25MM^TARP-25 3088

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Description CPT-4 Base Price Schedule

ROD 1/4 in 6CM DANEK^9690060 491

ROD 1/4 in 7 X 80 DANEK^9690070 491

ROD 100MM DANEK^1555006100 1345

ROD 100MM^1555501100 693

ROD 110MM 5.5^1555501110 693

ROD 120MM^1555501120 693

ROD 150MM DANEK^1555006150 1345

ROD 160MM DANEK^1555006160 1345

ROD 200mm^1476006200 1345

ROD 220mm^1476006220 1345

ROD 25MM^7753725 600

ROD 3.2 TIT 240MM^6900240 472

ROD 3.5/5.5 TAPERED ROD^3603807 1632

ROD 3.5CM^1555501035 693

ROD 30CM^1555501030 693

ROD 30MM^7753730 600

ROD 350CM^7750088 699

ROD 3CM^8690030 491

ROD 4.5CM^1555501045 693

ROD 4.75 X 40^1475501040 693

ROD 4.75^1475000500 1232

ROD 4.75X500MM^1476200500 1417

ROD 40MM^7753740 600

ROD 480MM DEPUY^1797-62-480 985

ROD 4CM^1555501040 693

ROD 5.5 500MM^155600500 1230

ROD 5.5 COCR^1606000500 1353

ROD 5.5 DANEK^1606200500 1556

ROD 5.5 X 70MM PREBENT TIT^9690070 491

ROD 5.5X3.5^7753701 1402

ROD 5.5X500^1555006500 1345

ROD 500MM DANEK^155500500 1353

ROD 500MM^1553200500 792

ROD 50MM^1555501050 693

ROD 50MM^7753750 600

ROD 50MM^7753850 835

ROD 55MM^1555501055 693

ROD 6.25 X 65^7217065 1150

ROD 60MM^1883-16-060 495

ROD 60MM^7753760 600

ROD 6CM 5.5^1555501060 693

ROD 70MM^1555501070 693

ROD 70MM^7753770 600

ROD 7CM^7753870 835

ROD 80mm^7753880 835

ROD 8CM^1555501080 693

ROD 8CM^8690080 491

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ROD 90MM CHROM^7753890 835

ROD 9CM^1475501090 693

ROD 9CM^1555501090 693

ROD ADJUST OC 3.2x220^7755123 1458

ROD ADJUSTABLE OC DANEK^7755124 1458

ROD CARBON 220MM SYNTHES^395.782 320

ROD CARBON 220MM X 4.0^395.784 320

ROD CARBON 3MMX40MM^5079-6-040 127

ROD CARBON 3MMX50MM^5079-6-050 127

ROD CARBON 8.0X240^395.786 320

ROD CARBON CONNECT 3X120^5079-6-120 130

ROD CARBON CONNECT 3X60^5079-6-060 130

ROD CARBON CONNECT 3X90^5079-6-090 130

ROD CARBON CONNECT^5049-5-525 154

ROD CARBON CONNECTING^5079-6-030 127

ROD CARBON FIBER 11.0 X 100MM^394.80 477

ROD CARBON FIBER 11.0 X 125MM^394.81 477

ROD CARBON FIBER 11.0 X 150MM^394.82 477

ROD CARBON FIBER 11.0 X 200MM^394.83 477

ROD CARBON FIBER 11.0 X 250MM^394.84 512

ROD CARBON FIBER 11.0 X 300MM^394.85 512

ROD CARBON FIBER 11.0 X 350MM^394.86 512

ROD CARBON FIBER 11.0 X 400MM^394.87 562

ROD CARBON FIBER 11.0 X 450MM^394.88 562

ROD CARBON FIBER 3.0X45^395.107 86

ROD CARBON FIBER 3.0X60MM^395.109 86

ROD CARBON FIBER 3.0X75MM^395.111 86

ROD CARBON FIBER 4.0 X 120MM^395.63 81

ROD CARBON FIBER 4.0 X 140MM^395.64 111

ROD CARBON FIBER 4.0 X 160MM^395.65 111

ROD CARBON FIBER 4.0 X 180MM^395.66 111

ROD CARBON FIBER 4.0 X 200MM^395.67 111

ROD CARBON FIBER 8.0 X 160MM^395.779 324

ROD CARBON FIBER 8MM X 120^395.780 324

ROD CARBON FIBER 8MM X 320^395.792 324

ROD CARBON FIBER 8X360^395.796 350

ROD COCR 3.5^7753706 1402

ROD COCR 5.5^1555200500 1556

ROD COCR 5.5^15555000500 1353

ROD COCR 5.5^1556200500 1556

ROD CONNECT 200 X 4.0MM^395.77 84

ROD CONNECTING^5048-5-250 132

ROD COUPLING^4922-1-010 1152

ROD CROSSLINK LARGE^7752537 1558

ROD CROSSLINK VERTEX^7752536 1558

ROD DANEK 240MM^1555006240 1345

ROD DANEK 250MM^1555006250 1345

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ROD DANEK^869022 540

ROD FIXATION 11mm TI CANN FRN GT 420mm RIGHT - STERILE^04.033.172S 3650

ROD FIXATION 11mm / TI CANN FRN / GT 400mm / RIGHT - STERILE^04.033.170S 3650

ROD GUIDE 2.0 X 700MM REAMER^115120 284

ROD GUIDE 2.0 X 900MM NAIL^71118280 284

ROD GUIDE 2.4 X 700MM NAIL STR^115123 166

ROD GUIDE 3.0MM BALL TIP^71118202 289

ROD GUIDE 3.2 X 900 F/REAMER^112007 780

ROD GUIDE 3.2 X 900MM REAMER^112021 304

ROD GUIDE 4 X 900MM NAIL^112020 304

ROD GUIDE CURVED TIP^115057 470

ROD HOFFMAN II COMPACT^5048-5-200 132

ROD INFINITY 25mm^3603725 600

ROD INFINITY 30mm^3603730 600

ROD INFINITY 40mm^3603740 600

ROD INFINITY 50mm^3603750 600

ROD INFINITY 60mm^3603760 600

ROD INFINITY 70mm^3603770 600

ROD INFINITY 80mm^3603780 600

ROD LARGE EX-FIX 11.0mm CRBN FIBER^394.92 607

ROD LONGITUDE II 170MM^1555006170 1345

ROD METATARSAL PHALANGEAL STABILIZATION 10 MM^360-2810 720

ROD METATARSAL PHALANGEAL STABILIZATION 8 MM^360-2808 720

ROD OFFSET^71033002 757

ROD PERC SPINAL 30MM^641000030 1345

ROD PERC SPINAL 35MM^641000035 1345

ROD PERC SPINAL 40MM^641000040 1345

ROD PERC SPINAL 45mm^641000045 1345

ROD PERC SPINAL 50mm^641000050 1345

ROD PREBENT 3.2^7755271 557

ROD PREBENT 80MM^7753780 600

ROD PREBENT CURVED OC^3600211 2880

ROD PRE-BENT PERC 5.5 X 45MM^8672045 829

ROD PREBENT^7755275 835

ROD PRE-CURVED 3.2X200^6955270 530

ROD RADIUS 3.0X190 RT - MFRCAT RR-3019-S^RR-3019-S 2746

ROD RUSH MEDULLARY 3.2 X 152 E^00-0803-001-06 227

ROD RUSH MEDULLARY 3.2 X 191 H^00-0803-001-09 194

ROD RUSH MEDULLARY 3.2 X 203 I^00-0803-001-10 180

ROD RUSH MEDULLARY 3.2 X 216 J^00-0803-001-11 180

ROD RUSH MEDULLARY 3.2 X 229 K^00-0803-001-12 180

ROD RUSH MEDULLARY 3.2 X 241 L^00-0803-001-13 180

ROD RUSH MEDULLARY 3.2 X 254 M^00-0803-001-14 158

ROD RUSH MEDULLARY 3.X X 178 G^00-0803-001-08 227

ROD RUSH MEDULLARY 4.8 X 222 B^00-0802-001-03 198

ROD RUSH MEDULLARY 4.8 X 241ML^00-0802-001-04 198

ROD RUSH MEDULLARY 4.8 X 260ML^00-0802-001-05 198

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ROD RUSH MEDULLARY 4.8 X 279 E^00-0802-001-06 198

ROD RUSH MEDULLARY 4.8 X 298ML^00-0802-001-07 198

ROD RUSH MEDULLARY 4.8X184 A-1^00-0802-001-11 198

ROD SEXTANT 3.0CM^8672030 829

ROD SEXTANT 3.5CM^8672035 829

ROD SEXTANT 40MM^8672040 829

ROD SEXTANT 5CM^8672050 829

ROD SEXTANT 6.5CM^8672065 829

ROD SEXTANT 7.5CM^8672075 829

ROD SEXTANT 8.5CM^8672085 829

ROD SEXTANT 80MM^8672080 829

ROD SEXTANT 9.0CM^8672090 829

ROD SOLERA 5.5^1555000500 1353

ROD SPINAL 110MM^1476006110 1345

ROD SPINAL 120MM -MFRCAT# 1476006120^1476006120 1345

ROD SPINAL 130MM - MFRCAT 1476006130^1476006130 1345

ROD SPINAL 140MM^1476006140 1345

ROD SPINAL 150MM^1476006150 1345

ROD SPINAL 160MM^1476006160 1345

ROD SPINAL 170mm^1476006170 1353

ROD SPINAL 180mm^1476006180 1345

ROD SPINAL 190MM^1476006190 1345

ROD SPINAL 4.75X110^1475501110 693

ROD SPINAL 4.75X500^1476000500 1232

ROD SPINAL 80MM^1476006080 1345

ROD SPINAL CAPPED 30MM^641003030 1370

ROD SPINAL CAPPED 35MM^641003035 1370

ROD SPINAL CAPPED 40mm^641003040 1370

ROD SPINAL CAPPED 45MM -MFRCAT# 641003045^641003045 1370

ROD SPINAL CAPPED 50MM -MFRCAT# 641003050^641003050 1370

ROD SPINAL CAPPED 55MM -MFRCAT# 641003055^641003055 1370

ROD SPINAL CAPPED 60MM -MFRCAT# 641003060^641003060 1370

ROD SPINAL CAPPED 65MM -MFRCAT# 641003065^641003065 1370

ROD SPINAL LONGITUDE 100MM - MFRCAT 1476006100^1476006100 1345

ROD SPINAL W/HEX^1924542 429

ROD STANDARD 3.5mm X 240mm^3605240 490

ROD TAPER 5.5-3.5 -MFRCAT# 7753807^7753807 1575

ROD TAPERED 3.5/5.5^7753707 1402

ROD THREADED 3.2^6955240 598

ROD THREADED 5.5^7755247 821

ROD TITAN 30MM^1553201030 539

ROD TITAN 35MM^1553201035 539

ROD TITAN 5.5 TI CP4 NS CURVE 100MM^1553201100 539

ROD TITAN 5.5 TI CP4 NS CURVE 90MM^1553201090 539

ROD TO PIN COUPLING^4940-1-010 683

ROD VERTEX 3.5^7750015 495

ROD VERTEX 90MM^7753790 600

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ROD VERTEX CROSSLINK^7752535 1558

ROD VERTEX SELECT 100MM^7753900 835

ROD VOYAGER 75MM -MFRCAT 641000075^641000075 1345

RODS CARBON CONNECTING^4922-8-150 609

ROOM/BED: ICU 2584

ROOM/BED: Intermediate (Telemetry) 1876

ROOM/BED: Private (Non-telemtry) 1483

ROOM/BED: Semi Private(Non-Telemetry) DBurg Only 1432

ROOM/BED: Semi Private(Telemetry) DBurg Only 1824

ROOM/BED: Swing Bed 852

ROOM/BED: Well Baby Nursery 1483

ROTABLATOR PERIPHERAL ROTALINK PLUS 1.50mm^M0011401500 1793

ROTABLATOR PERIPHERAL ROTALINK PLUS 2.00mm^M0011402000 1793

ROTABLATOR PERIPHERAL ROTALINK PLUS 2.25mm^M0011402250 1793

ROTABLATOR PERIPHERAL ROTALINK PLUS 2.50 ^140-250 1793

ROTABLATOR PERIPHERAL ROTAWIRE XSUPPORT^M0011373321 180

ROTALINK PLUS 1.25 MM^23631-002 1793

ROTALINK PLUS 1.50MM^23631-003 1793

ROTALINK PLUS 1.75MM^23631-004 1793

ROTALINK PLUS 2.00MM^23631-005 1793

ROTALINK PLUS 2.15MM ^23631-015 1793

ROTALINK PLUS 2.25 MM ^23631-006 1793

ROTALINK PLUS 2.38MM ^23631-016 1793

ROTALINK PLUS 2.50MM ^23631-007 1793

RSP STANDARD HUMERAL SOCKET INSERT, 32mm, HXe-plus^509-00-032 1900

Rx Fee 1st Script 30 days 49

Rx Fee 2nd Script 30 days 33

Salicylate Level 143

Saline Drip .5L 30

SAPH VEIN ALLOGR 5-3MM 51CM^V010 50-59 13800

SAVAL STUDY DES^SAVAL STENT 0.01

SCREW 2.4mm HEADLESS COMPRESSION -LONG THREAD 27mm^02.226.327 705

SCREW INTERFERENCE 7X 30MM BC IF VENTED AR-4030C-07 522

SCREW LOCKING 5.0MM TI W/T25 30MM 04.005.520 343

SCREW LOCKING 5.0MM TI W/T25 34MM 04.005.524 343

SCREW LOCKING 5.0MM TI W/T25 38MM 04.005.528 343

SCREW 1.5 TITAN CORTEX 10MM^400.740e 145

SCREW 1.5 TITAN CORTEX 6MM^400.736e 145

SCREW 1.5X3.5MM HT SD X-DR^91-6103 83

SCREW 1.5X4MM HT SD X-DR^95-6104 83

SCREW 1.5X4MM^25-775-04-1 40

SCREW 1.65X5MM (GREEN)^91-6105X 86

SCREW 1.85 MATRIX WAVE MMF^04.503.824.01 324

SCREW 1.8X3.5MM HT X-DR^91-1803 84

SCREW 1.8X5MM HT X-DR^91-1805 84

SCREW 10MM V/A^876.810 378

SCREW 11MM FIXED ANGLE^876.711 441

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SCREW 12MM FIXED ANGLE^876.712 459

SCREW 12MM V/A^876.812 459

SCREW 13MM F/A 4.5MM^876.753 586

SCREW 13MM FIXED ANGLE^876.713 459

SCREW 13MM V/A^876.813 384

SCREW 14MM F/A^876.714 384

SCREW 14MM V/A^876.814 384

SCREW 15MM F/A 4.5MM^876.755 564

SCREW 15MM F/A^876.715 441

SCREW 15MM V/A^876.815 384

SCREW 16MM F/A^876.716 441

SCREW 16MM V/A^876.816 384

SCREW 17MM F/A 4.5MM^876.757 564

SCREW 17MM F/A^876.717 441

SCREW 17MM V/A^876.817 441

SCREW 2.0mm VA-LCKNG SCREW SLF-TPNG WITH T6 STARDRIVE RECESS 18mm^02.130.318 241

SCREW 2.0mm VA-LCKNG SCREW SLF-TPNG WITH T6 STARDRIVE RECESS 20mm^02.130.320 241

SCREW 2.0mm VA-LCKNG SCREW SLF-TPNG WITH T6 STARDRIVE RECESS 24mm^02.130.324 241

SCREW 2.0X22 NON-LCK^4942022N 216

SCREW 2.0X24 NON-LCK^4942024N 216

SCREW 2.0X26 NON-LCK^4942026N 216

SCREW 2.0X28 NON-LCK^4942028N 216

SCREW 2.0X30 NON-LCK^4942030N 216

SCREW 2.0X35 NON-LCK^4942035N 216

SCREW 2.4 X 8mm^71-6408 98

SCREW 2.4MM HEADLESS COMPRESSION 19MM 02.226.219 705

SCREW 2.7 X 10MM^41113008 226

SCREW 2.7 X 12MM^41113009 226

SCREW 2.7 X 14MM^41113010 226

SCREW 2.7 X 16MM^41113011 134

SCREW 2.7 X 18MM^41113012 226

SCREW 2.7 X 18mm^59402718 110

SCREW 2.7 X 20MM^41113013 226

SCREW 2.7 X 20mm^59402720 110

SCREW 2.7 X 22MM^41113014 226

SCREW 2.7 X 28MM^117028ND 500

SCREW 2.7mm / 3.5mm VA-LCP PROXIMAL^02.107.002S 2035

SCREW 2.7X20mm CANCELOUS LOCKING^73-2720 98

SCREW 20mm CENTRAL MODULAR^AR-9561-20S 1682

SCREW 24.0mm MINI ACUTRAK 2 BONE SCREW^AT2-M24 896

SCREW 3.0MM HEADLESS CANNULATED SCREW 40MM 71103340S 623

SCREW 3.2 X 10MM^41123210 226

SCREW 3.2 X 12MM^41113018 226

SCREW 3.2 X 14MM^41113001 226

SCREW 3.2 X 14MM^41123214 226

SCREW 3.2 X 16MM^41113002 226

SCREW 3.2 X 16MM^41123216 226

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SCREW 3.2 X 18MM^41113003 226

SCREW 3.2 X 18MM^41123218 226

SCREW 3.2 X 20MM^41123220 226

SCREW 3.2 X 22MM^41123222 226

SCREW 3.5 LCK SLF TAP 12MM^412.102 274

SCREW 3.5 LCK SLF TAP 14MM^412.103 274

SCREW 3.5 LCK SLF TAP 16MM^412.104 274

SCREW 3.5 LCK SLF TAP 18MM^412.105 274

SCREW 3.5 VA LCK TRDRV 46MM^02.127.146 296

SCREW 3.5 VA LCK TRDRV 54MM^02.127.154 296

SCREW 3.5 VA LCK TRDRV 65MM^02.127.165 296

SCREW 3.5 VA LCK TRDRV 70MM^02.127.170 296

SCREW 3.5mm PELVIC CORTEX 60mm^204.660 59

SCREW 3.5X15mm^7723515 350

SCREW 3.75X34MM FT^AR-7000-34FT 354

SCREW 3.75X36MM FT^AR-7000-36FT 354

SCREW 3120314 4.0 X 14 SELF TAP VAR 3120314 438

SCREW 3120315 4.0 X 15 SELF TAP VAR 3120315 438

SCREW 3-D 4.5 X 30MM SHRT POST^8372435 524

SCREW 3-D 4.5 X 40mm SHRT POST^8372440 524

SCREW 3-D 4.5 X 45MM^837-445 725

SCREW 3-D 5.5 X 30MM^837-530 656

SCREW 3-D 5.5 X 35mm SHRT POST^8372535 656

SCREW 3-D 5.5 X 35MM^837-535 656

SCREW 3-D 5.5 X 40MM SHRT POST^8372540 656

SCREW 3-D 5.5 X 40mm^837-540 656

SCREW 3-D 5.5 X 45MM SHRT POST^8372545 656

SCREW 3-D 5.5 X 45mm^837-545 656

SCREW 3-D 5.5 X 50MM SHRT POST^8372550 656

SCREW 3-D 6.5 X 30MM^8372630 656

SCREW 3-D 6.5 X 30MM^837-330 725

SCREW 3-D 6.5 X 30MM^837-630 656

SCREW 3-D 6.5 X 35mm^8372635 656

SCREW 3-D 6.5 X 35MM^837-635 656

SCREW 3-D 6.5 X 40MM^8371640 794

SCREW 3-D 6.5 X 40MM^8372640 656

SCREW 3-D 6.5 X 40MM^837-340 725

SCREW 3-D 6.5 X 40MM^837-640 656

SCREW 3-D 6.5 X 45MM LONG POST^837-345 725

SCREW 3-D 6.5 X 45mm^8371645 794

SCREW 3-D 6.5 X 45MM^8372645 656

SCREW 3-D 6.5 X 50MM LONG POST^837-350 725

SCREW 3-D 6.5 X 50mm^8372650 656

SCREW 3-D 6.5 X 55mm LONG POST^837-355 725

SCREW 3-D 6.5 X 55mm^8371655 794

SCREW 3-D 6.5 X 55MM^8372655 656

SCREW 3-D 7.5 X 30MM^8372730 656

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SCREW 3-D 7.5 X 30MM^837-730 656

SCREW 3-D 7.5 X 35MM^8372735 656

SCREW 3-D 7.5 X 35MM^837-735 656

SCREW 3-D 7.5 X 40MM^8372740 656

SCREW 3-D 7.5 X 45MM^8372745 656

SCREW 3-D 7.5 X 45MM^837-745 656

SCREW 3-D 8.5 X 35MM^8372835 656

SCREW 3-D 8.5 X 45MM^8372845 656

SCREW 3-D TC 5.5 X 40MM^83555401 715

SCREW 3-D TC 5.5 X 45MM^83555451 715

SCREW 3-D TC 6.5 X 35MM^83565351 715

SCREW 4.0 CANCELL PTHD 24MM^71825324 54

SCREW 4.0 X 18MM LOCKING^222.672 218

SCREW 4.0 X 26MM LOCKING^222.674 218

SCREW 4.0 X 34MM LOCKING^222.676 218

SCREW 4.0 X 38MM LOCKING^222.677 218

SCREW 4.0 X 46MM LOCKING^222.679 218

SCREW 4.0MM LOCKING 30MM 02.204.030 281

SCREW 4.0MM LOCKING 52MM 02.204.052 281

SCREW 4.0mm TI ANGULAR STABLE LCKNG SCR T25 26mm F/IM NAILS-STER^04.025.416S 426

SCREW 4.0mm TI ANGULAR STABLE LCKNG SCR T25 28mm F/IM NAILS-STER^04.025.418S 426

SCREW 4.0mm TI ANGULAR STABLE LCKNG SCR T25 30mm F/IM NAILS-STER^04.025.420S 426

SCREW 4.5 X 36MM^VSM4536 270

SCREW 4.5MM HEADLESS COMPRESSION 70MM 02.226.670 708

SCREW 4.5MM HEADLESS COMPRESSION 65MM 02.226.665 708

SCREW 4.5mm HEADLESS COMPRESSION 80mm^02.226.780 708

SCREW 4.5MM TI CANNULATED PARTIALLY THREADED 32MM^414.532 457

SCREW 4.5MM TI CANNULATED PARTIALLY TREADED 42MM^414.542 457

SCREW 4.5MM TI MULTILOC 20MM 04.019.020S 620

SCREW 4.5MM TI MULTILOC 24MM 04.019.024S 620

SCREW 4.5MM TI MULTILOC 26mm^04.019.026S 620

SCREW 4.5X17MM V/A^876.857 564

SCREW 4.5X28^00-1015-328 376

SCREW 4.5X32^00-1015-332 376

Screw 45.0mm Acutrak 2 - 4.7^30-0645 904

SCREW 5.0 X 40MM LOCKING^458.940 352

SCREW 5.0mm TI ANGULAR STABLE LCKNG SCR T25 30mm F/IM NAILS-STER^04.025.520S 420

SCREW 5.0mm TI ANGULAR STABLE LCKNG SCR T25 54mm F/IM NAILS-STER^04.025.544S 420

SCREW 5.0mm TI ANGULAR STABLE LCKNG SCR T25 56mm F/IM NAILS-STER^04.025.546S 420

SCREW 5.0MM TI ANGULAR STABLE LCKNG T25 32MM^04.025.522S 420

SCREW 5.0mm TI ANGULAR STABLE LCKNG T25 48mm F/IM NAILS^04.025.538S 420

SCREW 5.0mm TI ANGULAR STABLE LCKNG T25 58mm F/IM NAILS^04.025.548S 420

SCREW 5.0mm TI LOCKING SCR SLF-TPNG 40mm^412.214S 388

SCREW 5.0mm TI LOCKING SCR SLF-TPNG 42mm^412.215S 388

SCREW 5.0mm TI LOCKING SCR SLF-TPNG 44mm^412.216S 388

SCREW 5.0MM TI LOCKING SCR SLF-TPNG W/T25 38MM 412.213S 388

SCREW 5.0mm TI LOCKING SLF-TPNG 48mm^412.218S 388

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Description CPT-4 Base Price Schedule

SCREW 5.0MM TI LOCKING SLF-TPNG T25 36MM 412.212S 388

SCREW 5.0MM TI LOCKING SLF-TPNG T25 STARDRIVE 50MM 412.219S 388

Screw 50.0mm Acutrak 2 - 4.7^30-0650 904

SCREW 6.0 X 50MM^04.620.650 1867

SCREW 6.5MM HEADLESS COMPRESSION 32MM THREAD / 65MM^02.227.265 704

SCREW 6.5mm HEADLESS COMPRESSION 32mm X 70mm^02.227.270 711

SCREW 6.5X45^54840006545 1600

SCREW 6MM V/A^876.806 378

SCREW 7.0 X 40MM^04.620.740 1867

SCREW 9X20mm BC IF SCRW, VENTED^AR-4020C-09 522

SCREW ACET CANCELLOUS 6.5 X 35^746535 153

SCREW ACET CANCELLOUS 6.5 X 40^746540 182

SCREW ACET CANCELLOUS 6.5 X 50^746550 155

SCREW AIMS INTERFERENCE 7 X 25^7207257 366

SCREW AIMS INTERFERENCE 8 X 20^7207259 406

SCREW AIMS INTERFERENCE 8 X 25^7207260 366

SCREW AIMS INTERFERENCE 9 X 20^7207262 366

SCREW AIMS INTERFERENCE 9 X 25^7207263 406

SCREW ANTIROTATION FOR FEMORAL 100M LENGTH^04.168.500S 481

SCREW ANTIROTATION FOR FEMORAL 90mm^04.168.490S 481

SCREW ANTIROTATION FOR FEMORAL 95mm^04.168.495S 481

SCREW ANTIROTATION FOR FEMORAL NECK SYS 80MM LENGTH 04.168.480S 481

SCREW ANTIROTATION FOR FEMORNECK SYS 75mm LENGTH^04.168.475S 481

SCREW ANTIROTATION FOR FEMORNECK SYS 85mm LENGTH^04.168.485S 481

SCREW BIO COMPRESSION 2.7X20^AR-5025B-20 620

SCREW BIO COMPRESSION 3.0X22^AR-5025B-22 620

SCREW BIO INTERF FTHD 12X28^AR-1404TC 416

SCREW BIO INTERF FTHD 9X28^AR-1390TC 398

SCREW BIOCOMP INTERF 10X23^AR-1400C 416

SCREW BIOCOMP INTERF 6X23^AR-1360C 416

SCREW BIOCOMP INTERF 7X28^AR-1370TC 416

SCREW BIOCOMP INTERF 8X23^AR-1380C 398

SCREW BIOCOMP INTERF 9X23^AR-1390C 398

SCREW BIOCOMP INTERF DELTA 10X35^AR-5035TC-10 398

SCREW BIOCOMP INTERF DELTA 12X35^AR-5035TC-12 398

SCREW BIOCOMP INTERF FTHD 8X28^AR-1380TC 398

SCREW BIOCOMP INTERF W/SHEATH 7X23^AR-1370C 398

SCREW BIOCOMP INTERFERENCE DELTA 11X35^AR-5035TC-11 398

SCREW BIOCOMP INTERFERENCE DELTA 9X35^AR-5035TC-09 398

SCREW BIOCOMP SWIVELOCK TENO 9MM^AR-1662BC-9 717

SCREW BIOCOMP SWIVELOCK TENODESIS 7MM^AR-1662BC-7 717

SCREW BIOCOMP SWIVELOCK TENODESIS 8MM (MINIMUM ORDER OF 5)^AR-1662BC-8 717

SCREW BIOCOMPOSITE INTERF 10X28 FTHD^AR-1400TC 416

SCREW BIOCOMPOSITE INTERF 10X30 FTHD^AR-4030C-10 522

SCREW BIOCOMPOSITE INTERF 11X28 FTHD^AR-1403TC 416

SCREW BIOCOMPOSITE INTERF 11X30 FTHD^AR-4030C-11 522

SCREW BIOCOMPOSITE INTERF 8X20 FTHD^AR-4020C-08 522

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SCREW BIOCOMPOSITE INTERF 8X30 FTHD^AR-4030C-08 522

SCREW BIOCOMPOSITE INTERF 9 X 30mm FTHD^AR-4030C-09 522

SCREW BIOCOMPRESS 3X24^AR-5025B-24 620

SCREW BIO-COMPRESSION 3 X 16mm^AR-5025B-16 620

SCREW BIO-COMPRESSION 3 X 18mm^AR-5025B-18 620

SCREW BIO-INTERFERENCE 10 X 23^AR-1400B 251

SCREW BIO-INTERFERENCE 10 X 28^AR-1400TB 252

SCREW BIO-INTERFERENCE 10X17^AR-5010AB 251

SCREW BIO-INTERFERENCE 11X35MM^AR-5035TB-11 343

SCREW BIO-INTERFERENCE 12X35^AR-5035TB-12 343

SCREW BIO-INTERFERENCE 7 X 20^AR-1370E 204

SCREW BIO-INTERFERENCE 7 X 23^AR-1370B 251

SCREW BIO-INTERFERENCE 7 X 28^AR-1370TB 251

SCREW BIO-INTERFERENCE 7 X 30^AR-1372E 204

SCREW BIO-INTERFERENCE 8 X 17^AR-5080AB 251

SCREW BIO-INTERFERENCE 8 X 23^AR-1380B 251

SCREW BIO-INTERFERENCE 8 X 28^AR-1380TB 251

SCREW BIO-INTERFERENCE 9 X 17^AR-5090AB 251

SCREW BIO-INTERFERENCE 9 X 23^AR-1390B 251

SCREW BIO-INTERFERENCE 9 X 28^AR-1390TB 251

SCREW BIO-INTERFERENCE 9X35MM^AR-5035TB-09 343

Screw Biosure Regenesorb 7mmx20mm^72204394 500

SCREW BIOTENODESIS 3X8^AR-1530B 593

SCREW BIOTENODESIS 7X23MM^AR-1570B 505

SCREW BIOTENODESIS 8X23MM^AR-1580PS 558

SCREW BOLT FOR FEMORAL NECK SYSTEM 75mm LENGTH^04.168.275S 713

SCREW BOLT FOR FEMORAL NECK SYSTEM 80MM LENGTH 04.168.280S 713

SCREW BOLT FOR FEMORAL NECK SYSTEM 85mm LENGTH^04.168.285S 713

SCREW BONE 1.2X10^58-12010E 133

SCREW BONE 1.2X12^58-12012E 133

SCREW BONE 1.2X5^58-12005 133

SCREW BONE 1.2X6^58-12006 133

SCREW BONE 1.5X5MM CROSS DRV^25-678-05-1 100

SCREW BONE 1.7x10^58-17010E 140

SCREW BONE 1.7x12^58-17012E 140

SCREW BONE 1.7X13^58-17013E 140

SCREW BONE 1.7X14^58-17014E 140

SCREW BONE 1.7X15MM^58-17015E 140

SCREW BONE 1.7X16MM^58-17016E 140

SCREW BONE 1.7X18MM^58-17018E 140

SCREW BONE 1.7x7^58-17007E 140

SCREW BONE 1.7x8^58-17008E 140

SCREW BONE 1.7X9^58-17009E 140

SCREW BONE 2.0 X 10mm^5282010 57

SCREW BONE 2.0 X 12mm^5282012 57

SCREW BONE 2.0 X 6mm^5282006 71

SCREW BONE 2.0X5MM CROSS DRV^25-672-05-1 86

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SCREW BONE 2.0X5MM CROSS DRV^25-679-05-1 94

SCREW BONE 2.0X7MM CROSS DRV^25-672-07-1 86

SCREW BONE 2.0X7MM CROSS DRV^25-679-07-1 94

SCREW BONE 2.3X10^58-23010E 146

SCREW BONE 2.3X12^52-23012 175

SCREW BONE 2.3X12^53-23212E 175

SCREW BONE 2.3X13^58-23013E 146

SCREW BONE 2.3X14^52-23014 175

SCREW BONE 2.3X14^53-23214E 175

SCREW BONE 2.3X14^58-23014E 146

SCREW BONE 2.3X15^58-23015E 146

SCREW BONE 2.3X15MM CROSS DRV^25-673-15-1 88

SCREW BONE 2.3X16^52-23016 175

SCREW BONE 2.3X16^53-23216E 175

SCREW BONE 2.3X16^58-23016E 146

SCREW BONE 2.3X18^52-23018 175

SCREW BONE 2.3X18^53-23218E 175

SCREW BONE 2.3X18^58-23018E 146

SCREW BONE 2.3X26^53-23226E 175

SCREW BONE 2.3X5MM CROSS DRV^25-673-05-1 124

SCREW BONE 2.3X7MM CROSS DRV^25-673-07-1 88

SCREW BONE 2.3X7MM CROSS DRV^25-673-47-1 106

SCREW BONE 2.3X8^58-23008E 146

SCREW BONE 2.7 X 16MM VARIAX T8 656416 232

SCREW BONE 2.7X1.18 PARTIAL THREAD 656518 258

SCREW BONE 2.7X12^53-27212E 175

SCREW BONE 2.7X14^53-27214E 175

SCREW BONE 2.7X16^53-27016 175

SCREW BONE 2.7X16^53-27216E 175

SCREW BONE 2.7X16mm PARTIAL THREAD^656516 258

SCREW BONE 2.7X18^53-27018 175

SCREW BONE 2.7X20^53-27220E 175

SCREW BONE 2.7X22^53-27222E 175

SCREW BONE 2.7X24^53-27224E 175

SCREW BONE 2.7X26^53-27226E 175

SCREW BONE 2.8 X 10MM SPIDER^072810 230

SCREW BONE 2.8 X 14MM SPIDER^072814 230

SCREW BONE 2.8 X 18MM SPIDER^072818 229

SCREW BONE 20.0MM MINI ACUTRAK 2^AT2-M20 896

SCREW BONE 3.5X16^614816 147

SCREW BONE 4.5 MM X 38MM^00-5250-45-38 200

SCREW BONE 5.0X45^113861 200

SCREW BONE 6.0 X 30mm^14030P 173

SCREW BONE 6.0 X 40mm^14040P 173

SCREW BONE 6.0 X 42mm^14042P 173

SCREW BONE 6.0 X 44mm^14044P 173

SCREW BONE 6.0 X 45mm^14045P 173

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SCREW BONE 6.0 X 60mm^14060P 173

SCREW BONE 6.0 X 65mm^14065P 173

SCREW BONE 6.5 MM X 25MM^00-6250-065-025 322

SCREW BONE ACCORD SS CORT W/HL^71340002 338

SCREW BONE CANC 4.5 X 48MM^00-5250-045-48 200

SCREW BONE CANC 4.5 X 54MM^00-5250-045-54 200

SCREW BONE CANC 4.5 X 58MM^00-5250-045-58 180

SCREW BONE CANC 4.5 X 60MM^00-5250-045-60 180

SCREW BONE CANC 6.5 X 70MM^00-5250-065-70 200

SCREW BONE CANC 6.5 X 80MM^00-5250-065-80 200

SCREW BONE CANCEL 6.5X15^1217-15-500 413

SCREW BONE CANCEL 6.5X20^1217-20-500 413

SCREW BONE CANCEL 6.5X25^1217-25-500 369

SCREW BONE CANCEL 6.5X35^1217-35-500 369

SCREW BONE CANCEL 6.5X40^1172-40-000 420

SCREW BONE CANCEL 6.5X45^1172-45-000 420

SCREW BONE CANCEL 6.5X45^1217-45-500 338

SCREW BONE CANN H/W 12MM^00-1152-012-000 893

SCREW BONE CANN H/W 14MM^00-1152-014-00 893

SCREW BONE CANN H/W 20MM^00-1152-020-00 893

SCREW BONE CANN H/W 24MM^00-1152-024-00 893

SCREW BONE HERBERT 28MM^47-1154-028-00 561

SCREW BONE HERBERT 3.0DIA 14MM^47-1154-014-00 561

SCREW BONE HERBERT 3.0DIA 16MM^47-1154-016-00 561

SCREW BONE HERBERT 3.0DIA 22MM^47-1154-022-00 561

SCREW BONE HERBERT 3.0DIA 24MM^47-1154-024-00 561

SCREW BONE HERBERT 3.0DIA 26MM^47-1154-026-00 561

SCREW BONE LCK 2.3X12^53-23612E 218

SCREW BONE LCK 2.3X14^53-23614E 218

SCREW BONE LCK 2.3X18^53-23618E 218

SCREW BONE LCK 2.7X10^53-27610E 218

SCREW BONE LCK 2.7X12^53-27612E 218

SCREW BONE LCK 2.7X14^53-27614E 218

SCREW BONE LOCKING 2.4 X 18MM XPODE^NC2418 150

SCREW BONE LOW PROFILE CABLE^71340015 338

Screw Bone Micro Acutrak 2 12.0mm^AT2-C12 896

Screw Bone Micro Acutrak 2 14.0mm^AT2-C14 896

SCREW BONE MICRO ACUTRAK 2 20MM^AT2-C20 896

Screw Bone Mini Acutrak 16.0mm^AT2-M16 896

SCREW BONE MINI ACUTRAK 2 18MM^AT2-M18-S 896

SCREW BONE MINI ACUTRAK 2 22MM^AT2-M22-S 896

SCREW BONE MINI ACUTRAK 2 26MM^AT2-M26 896

SCREW BONE NON-LCK 2.3 X 24MM 53-23624E 218

SCREW BONE NON-LCK 2.7X10^53-27210E 175

SCREW BONE SELFTAP 4.5X26MM^71164026 38

SCREW BONE STD ACUTRAK 2 SZ 22MM^AT2-S22-S 896

SCREW BONE STERNAL STERNALOCK 2.4 X 14MM TITANIUM^71-6414 98

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SCREW BONE STERNALOCK 2.4X10^71-6410 98

SCREW BONE STERNALOCK 2.4X12^71-6412 98

SCREW BONE STERNALOCK 2.4X16 TITANIUM^71-6416 98

SCREW BONE T10 FULL TREAD 2.7MM X 16MM 657116 131

SCREW BONE T8 2.7X12MM 656412 126

SCREW BONE T8 2.7X8MM 656408 126

SCREW BONE TIV 6.5 X 60MM^00-5250-065-60 200

SCREW CAN TITAN 24MM^GPS224 397

SCREW CANC FIXATOR 130 X 60^B60-13060 242

SCREW CANC FIXATOR 170 X 80^B60-17080 242

SCREW CANC FIXATOR 50 X 150^B60-15050 161

SCREW CANC FIXATOR 6/5 X 100^B60-10030 242

SCREW CANC FIXATOR 6/5 X 100^B60-10040 242

SCREW CANC FIXATOR 6/5 X 100^B60-11040 242

SCREW CANC FIXATOR 6/5 X 120^B60-12040 242

SCREW CANC FIXATOR 6/5 X 120^B60-12060 242

SCREW CANC FIXATOR 6/5 X 130^B60-13040 242

SCREW CANC FIXATOR 6/5 X 130^B60-13050 242

SCREW CANC FIXATOR 6/5 X 140^B60-14050 242

SCREW CANC FIXATOR 6/5 X 150^B60-15060 242

SCREW CANC FIXATOR 6/5 X 160^B60-16070 242

SCREW CANC FIXATOR 6/5 X 200^B60-20090 242

SCREW CANC FIXATOR 6/5 X 90^B60-09030 242

SCREW CANC LP P-T 6.5X50^71828150 61

SCREW CANC LP P-T 6.5X55^71828155 61

SCREW CANC LP P-T 6.5X60^71828160 61

SCREW CANC LP P-T 6.5X65^71828165 61

SCREW CANC LP P-T 6.5X80^71828180 61

SCREW CANC LP P-T 6.5X85^71828185 85

SCREW CANC PERILOC T25 6.5X50 P-T^73827050 263

SCREW CANC PERILOC T25 6.5X50 P-T^73828150 66

SCREW CANC PERILOC T25 6.5X55 P-T^73828155 66

SCREW CANC PERILOC T25 6.5X60 PT^73828160 66

SCREW CANC PERILOC T25 6.5X65 PT^73828165 66

SCREW CANC PERILOC T25 6.5X70 P-T^73828170 66

SCREW CANC PERILOC T25 6.5X75 P-T^73828175 66

SCREW CANC PERILOC T25 6.5X80 P-T^73828180 66

SCREW CANC PERILOC T25 6.5X85 P-T^73828185 88

SCREW CANC SLFTAP TRIGEN 5X24^71755024 352

SCREW CANC SLFTAP TRIGEN 5X26^71755026 352

SCREW CANC SLFTAP TRIGEN 5X28^71755028 352

SCREW CANC SLFTAP TRIGEN 5X30^71755030 352

SCREW CANC SLFTAP TRIGEN 5X32^71755032 352

SCREW CANC SLFTAP TRIGEN 5X34^71755034 352

SCREW CANC SLFTAP TRIGEN 5X36^71755036 352

SCREW CANC SLFTAP TRIGEN 5X38^71755038 352

SCREW CANC SLFTAP TRIGEN 5X40^71755040 352

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SCREW CANC SLFTAP TRIGEN 5X42^71755042 352

SCREW CANC SLFTAP TRIGEN 5X44^71755044 352

SCREW CANC SLFTAP TRIGEN 5X46^71755046 352

SCREW CANC SLFTAP TRIGEN 5X48^71755048 352

SCREW CANC SLFTAP TRIGEN 5X50^71755050 352

SCREW CANC SLFTAP TRIGEN 5X52^71755052 352

SCREW CANC SLFTAP TRIGEN 5X54^71755054 352

SCREW CANC SLFTAP TRIGEN 5X56^71755056 352

SCREW CANC SLFTAP TRIGEN 5X58^71755058 352

SCREW CANC SLFTAP TRIGEN 5X60^71755060 352

SCREW CANC SLFTAP TRIGEN 5X62^71755062 352

SCREW CANC SLFTAP TRIGEN 5X64^71755064 352

SCREW CANCEL BONE PINNACLE 6.5X30^1217-30-500 413

SCREW CANCEL LCK 2.7X8^73-2708 83

SCREW CANCEL PERILOC T20 4.0X50 P-T^73805350 74

SCREW CANCELL 26MM^AR-8940-26 97

SCREW CANCELL 4.0 X 16mm^AR-8940-16 97

SCREW CANCELL 4.0 X 28mm^AR-8940-28 97

SCREW CANCELL 4.0 X 30mm^AR-8940-30 97

SCREW CANCELL 4.0 X 32mm^AR-8940-32 97

SCREW CANCELL 6.5 X 20 HEX^5260-5-020 50

SCREW CANCELL 6.5 X 26 HEX^5260-5-026 50

SCREW CANCELL 6.5 X 30 HEX^5260-5-030 50

SCREW CANCELL 6.5 X 45 HEX^5260-5-045 50

SCREW CANCELL 6.5X70^14196-70 594

SCREW CANCELL NON LCK 3.5X22^4983522N 202

SCREW CANCELL PERILOC T20 4.0X10MM P-T^73825310 57

SCREW CANCELL PERILOC T20 4.0X12 P-T^73825312 57

SCREW CANCELL PERILOC T20 4.0X14 P-T^73825314 57

SCREW CANCELL PERILOC T20 4.0X16 P-T^73825316 57

SCREW CANCELLOUS 16THD 6.5*30^216.030 77

SCREW CANCELLOUS 16THD 6.5*35^216.035 77

SCREW CANCELLOUS 16THD 6.5*40^216.040 77

SCREW CANCELLOUS 16THD 6.5*45^216.045 77

SCREW CANCELLOUS 16THD 6.5*50^216.050 77

SCREW CANCELLOUS 16THD 6.5*55^216.055 77

SCREW CANCELLOUS 16THD 6.5*60^216.060 77

SCREW CANCELLOUS 16THD 6.5*65^216.065 77

SCREW CANCELLOUS 16THD 6.5*70^216.070 77

SCREW CANCELLOUS 16THD 6.5*75^216.075 77

SCREW CANCELLOUS 16THD 6.5*80^216.080 77

SCREW CANCELLOUS 32THD 6.5*45^217.045 77

SCREW CANCELLOUS 32THD 6.5*50^217.050 77

SCREW CANCELLOUS 32THD 6.5*55^217.055 77

SCREW CANCELLOUS 32THD 6.5*60^217.060 77

SCREW CANCELLOUS 32THD 6.5*65^217.065 77

SCREW CANCELLOUS 32THD 6.5*70^217.070 77

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SCREW CANCELLOUS 32THD 6.5*75^217.075 77

SCREW CANCELLOUS 32THD 6.5*80^217.080 77

SCREW CANCELLOUS 4.0 X 10 F-T^78525210 45

SCREW CANCELLOUS 4.0 X 10 FTHD^206.010 40

SCREW CANCELLOUS 4.0 X 10^71825210 54

SCREW CANCELLOUS 4.0 X 12 FTHD^206.012 40

SCREW CANCELLOUS 4.0 X 12^71825212 54

SCREW CANCELLOUS 4.0 X 13MM VA^876.313 384

SCREW CANCELLOUS 4.0 X 13MM^876.013 384

SCREW CANCELLOUS 4.0 X 14^71825214 54

SCREW CANCELLOUS 4.0 X 14MM^406.014 45

SCREW CANCELLOUS 4.0 X 15MM VA^876.315 384

SCREW CANCELLOUS 4.0 X 15MM^876.015 384

SCREW CANCELLOUS 4.0 X 16^71825216 54

SCREW CANCELLOUS 4.0 X 16MM -MFRCAT# 406.016^406.016 45

SCREW CANCELLOUS 4.0 X 18MM^406.018 45

SCREW CANCELLOUS 4.0 X 20^71825220 54

SCREW CANCELLOUS 4.0 X 26 F-T^71825226 54

SCREW CANCELLOUS 4.0 X 26 P-T^71825326 54

SCREW CANCELLOUS 4.0 X 32 F-T^71825232 54

SCREW CANCELLOUS 4.0 X 34 F-T^71825234 54

SCREW CANCELLOUS 4.0 X 36 F-T^71825236 54

SCREW CANCELLOUS 4.0 X 36mm^AR-8940-36 97

SCREW CANCELLOUS 4.0 X 38 F-T^71825238 54

SCREW CANCELLOUS 4.0 X 40 F-T^71825240 54

SCREW CANCELLOUS 4.0 X 40 P-T^71825340 54

SCREW CANCELLOUS 4.0 X 45 F-T^71825245 54

SCREW CANCELLOUS 4.0 X 45 P-T^71825345 54

SCREW CANCELLOUS 4.0 X 60 FTHD^206.060 40

SCREW CANCELLOUS 4.0MM X 30MM^71825330 54

SCREW CANCELLOUS 4.0MM X 35MM^71825335 54

SCREW CANCELLOUS 6.5 X 15MM ACET^7030-6515 50

SCREW CANCELLOUS 6.5 X 20^7030-6520 50

SCREW CANCELLOUS 6.5 X 25^7030-6525 50

SCREW CANCELLOUS 6.5 X 30/16MM^71226030 260

SCREW CANCELLOUS 6.5 X 30MM^7030-6530 50

SCREW CANCELLOUS 6.5 X 35/16MM^71226035 260

SCREW CANCELLOUS 6.5 X 35MM ACET^7030-6535 50

SCREW CANCELLOUS 6.5 X 40/16MM^71226040 260

SCREW CANCELLOUS 6.5 X 40MM ACET^7030-6540 50

SCREW CANCELLOUS 6.5 X 45/16MM^71226045 260

SCREW CANCELLOUS 6.5 X 45/32MM^71228045 260

SCREW CANCELLOUS 6.5 X 45MM ACET^7030-6545 50

SCREW CANCELLOUS 6.5 X 45MM^218.045 77

SCREW CANCELLOUS 6.5 X 50/16MM^71226050 260

SCREW CANCELLOUS 6.5 X 50/32MM^71228050 260

SCREW CANCELLOUS 6.5 X 50MM ACET^7030-6550 50

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SCREW CANCELLOUS 6.5 X 55/16MM^71226055 260

SCREW CANCELLOUS 6.5 X 55/32MM^71228055 260

SCREW CANCELLOUS 6.5 X 55MM ACET^2030-6555-1 50

SCREW CANCELLOUS 6.5 X 60/16MM^71226060 260

SCREW CANCELLOUS 6.5 X 60/32MM^71228060 260

SCREW CANCELLOUS 6.5 X 60MM ACET^2030-6560-1 50

SCREW CANCELLOUS 6.5 X 65/16MM^71226065 260

SCREW CANCELLOUS 6.5 X 65/32MM^71228065 260

SCREW CANCELLOUS 6.5 X 70/16MM^71226070 260

SCREW CANCELLOUS 6.5 X 70/32MM^71228070 260

SCREW CANCELLOUS 6.5 X 75/16MM^71226075 260

SCREW CANCELLOUS 6.5 X 75/32MM^71228075 260

SCREW CANCELLOUS 6.5 X 80/16MM^71226080 260

SCREW CANCELLOUS 6.5 X 80/32MM^71228080 260

SCREW CANCELLOUS 6.5 X 85/16MM^71226085 280

SCREW CANCELLOUS 6.5 X 85/32MM^71228085 300

SCREW CANCELLOUS 6.5 X 90/16MM^71226090 280

SCREW CANCELLOUS 6.5 X 90/32MM^71228090 280

SCREW CANCELLOUS 6.5 X 95/16MM^71226095 280

SCREW CANCELLOUS 6.5 X 95/32MM^71228095 280

SCREW CANCELLOUS 6.5 X100/16MM^71226100 280

SCREW CANCELLOUS 6.5 X100/32MM^71228100 280

SCREW CANCELLOUS 6.5 X105/16MM^71226105 280

SCREW CANCELLOUS 6.5 X105/32MM^71228105 280

SCREW CANCELLOUS 6.5 X110/16MM^71226110 280

SCREW CANCELLOUS 6.5 X110/32MM^71228110 280

SCREW CANCELLOUS 6.5 X120/32MM^71228120 370

SCREW CANCELLOUS 6.5X80mm^218.080 77

SCREW CANCELLOUS ACET 6.5 X 15^71332515 103

SCREW CANCELLOUS FIXED 4.0X14^876.014 384

SCREW CANCELLOUS FTHD 4*14^206.014 40

SCREW CANCELLOUS FTHD 4*16^206.016 40

SCREW CANCELLOUS FTHD 4*18^206.018 40

SCREW CANCELLOUS FTHD 4*20^206.020 40

SCREW CANCELLOUS FTHD 4*24^206.024 40

SCREW CANCELLOUS FTHD 4*26^206.026 40

SCREW CANCELLOUS FTHD 4*28^206.028 40

SCREW CANCELLOUS FTHD 4*32^206.032 40

SCREW CANCELLOUS FTHD 4*35^206.035 40

SCREW CANCELLOUS FTHD 4*36^206.036 40

SCREW CANCELLOUS FTHD 4*40^206.040 37

SCREW CANCELLOUS FTHD 4*45^206.045 40

SCREW CANCELLOUS FTHD 4*50^206.050 40

SCREW CANCELLOUS FTHD 4*55^206.055 40

SCREW CANCELLOUS FTHD 4.0 X 10^71223010 130

SCREW CANCELLOUS FTHD 4.0 X 12^71223012 130

SCREW CANCELLOUS FTHD 4.0 X 14^71223014 130

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SCREW CANCELLOUS FTHD 4.0 X 16^71223016 130

SCREW CANCELLOUS FTHD 4.0 X 18^71223018 130

SCREW CANCELLOUS FTHD 4.0 X 20^71223020 130

SCREW CANCELLOUS FTHD 4.0 X 22^71223022 130

SCREW CANCELLOUS FTHD 4.0 X 24^71223024 130

SCREW CANCELLOUS FTHD 4.0 X 26^71223026 130

SCREW CANCELLOUS FTHD 4.0 X 28^71223028 130

SCREW CANCELLOUS FTHD 4.0 X 30^71223030 130

SCREW CANCELLOUS FTHD 4.0 X 32^71223032 130

SCREW CANCELLOUS FTHD 4.0 X 35^71223035 130

SCREW CANCELLOUS FTHD 4.0 X 40^71223040 130

SCREW CANCELLOUS FTHD 4.0 X 45^71223045 130

SCREW CANCELLOUS FTHD 4.0 X 50^71223050 130

SCREW CANCELLOUS FTHD 4.0 X 55^71223055 130

SCREW CANCELLOUS FTHD 4.0 X 60^71223060 130

SCREW CANCELLOUS FTHD 4X22^206.022 40

SCREW CANCELLOUS FTHD 4X30^206.030 40

SCREW CANCELLOUS FTHD 6.5 X 25^71229025 260

SCREW CANCELLOUS FTHD 6.5 X 30^71229030 260

SCREW CANCELLOUS FTHD 6.5 X 35^71229035 260

SCREW CANCELLOUS FTHD 6.5 X 40^71229040 260

SCREW CANCELLOUS FTHD 6.5 X 45^71229045 260

SCREW CANCELLOUS FTHD 6.5 X 50^218.050 77

SCREW CANCELLOUS FTHD 6.5 X 50^71229050 260

SCREW CANCELLOUS FTHD 6.5 X 55^71229055 260

SCREW CANCELLOUS FTHD 6.5 X 55MM^218.055 77

SCREW CANCELLOUS FTHD 6.5 X 60^218.060 77

SCREW CANCELLOUS FTHD 6.5 X 60^71229060 260

SCREW CANCELLOUS FTHD 6.5*25^218.025 77

SCREW CANCELLOUS FTHD 6.5*30^218.030 77

SCREW CANCELLOUS FTHD 6.5*35^218.035 77

SCREW CANCELLOUS FTHD 6.5*40^218.040 77

SCREW CANCELLOUS PTHD 4*10^207.010 40

SCREW CANCELLOUS PTHD 4*12^207.012 40

SCREW CANCELLOUS PTHD 4*14^207.014 40

SCREW CANCELLOUS PTHD 4*16^207.016 40

SCREW CANCELLOUS PTHD 4*18^207.018 40

SCREW CANCELLOUS PTHD 4*20^207.020 40

SCREW CANCELLOUS PTHD 4*22^207.022 40

SCREW CANCELLOUS PTHD 4*24^207.024 40

SCREW CANCELLOUS PTHD 4*26^207.026 40

SCREW CANCELLOUS PTHD 4*28^207.028 40

SCREW CANCELLOUS PTHD 4*35^207.035 40

SCREW CANCELLOUS PTHD 4*40^207.040 40

SCREW CANCELLOUS PTHD 4*50^207.050 40

SCREW CANCELLOUS PTHD 4.0 X 10^71223210 125

SCREW CANCELLOUS PTHD 4.0 X 12^71223212 125

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SCREW CANCELLOUS PTHD 4.0 X 14^71223214 125

SCREW CANCELLOUS PTHD 4.0 X 16^71223216 125

SCREW CANCELLOUS PTHD 4.0 X 18^71223218 125

SCREW CANCELLOUS PTHD 4.0 X 20^71223220 125

SCREW CANCELLOUS PTHD 4.0 X 22^71223222 125

SCREW CANCELLOUS PTHD 4.0 X 24^71223224 125

SCREW CANCELLOUS PTHD 4.0 X 26^71223226 125

SCREW CANCELLOUS PTHD 4.0 X 28^71223228 125

SCREW CANCELLOUS PTHD 4.0 X 30^71223230 125

SCREW CANCELLOUS PTHD 4.0 X 35^71223235 125

SCREW CANCELLOUS PTHD 4.0 X 40^71223240 125

SCREW CANCELLOUS PTHD 4.0 X 45^71223245 125

SCREW CANCELLOUS PTHD 4.0 X 50^71223250 125

SCREW CANCELLOUS PTHD 4.0 X 70^71223270 142

SCREW CANCELLOUS PTHD 4X45^207.045 40

SCREW CANCELLOUS VARIABLE 14MM^876.314 384

SCREW CANN 2.0X16^40-20116S 388

SCREW CANN 2.0X28^40-20228S 388

SCREW CANN 2.5X16^71102216S 409

SCREW CANN 2.5X17 STER^71102217S 409

SCREW CANN 2.5X18^71102218S 409

SCREW CANN 2.5X20^71102220S 409

SCREW CANN 2.5X22^71102222S 409

SCREW CANN 2.5X24^71102224S 409

SCREW CANN 2.5X30^71102230S 409

SCREW CANN 3.0 X 14mm^AR-8933-14PT 195

SCREW CANN 3.0 X 18MM^AR-8933-18PT 213

SCREW CANN 3.0 X 22MM^AR-8933-22PT 213

SCREW CANN 3.0 X 24MM^AR-8933-24PT 186

SCREW CANN 3.0 X 26MM^AR-8933-26PT 186

SCREW CANN 3.0 X 28^AR-8933-28PT 186

SCREW CANN 3.0 X 30MM^AR-8933-30PT 186

SCREW CANN 3.0 X 32MM^AR-8933-32PT 186

SCREW CANN 3.0 X 34MM^AR-8933-34PT 186

SCREW CANN 3.0 X 36MM^AR-8933-36PT 186

SCREW CANN 3.0X10 PT^AR-8933-10PT 186

SCREW CANN 3.0X12 PT^AR-8933-12PT 186

SCREW CANN 3.0X13^71103213S 428

SCREW CANN 3.0X15^71103215S 428

SCREW CANN 3.0X22 NON-STER^40-30122 328

SCREW CANN 3.0X22 PT^AR-8730-22PT 230

SCREW CANN 3.0X22^40-30122S 386

SCREW CANN 3.0X24^AR-8730-24PT 230

SCREW CANN 3.0X26^40-30126S 386

SCREW CANN 3.0X26^AR-8730-26PT 230

SCREW CANN 3.0X28^AR-8730-28PT 230

SCREW CANN 3.0X30^40-30230S 386

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SCREW CANN 3.0X30^AR-8730-30PT 230

SCREW CANN 3.0X32 NON-STER^40-30232 328

SCREW CANN 3.0X32^40-30132S 386

SCREW CANN 3.0X32^40-30232S 386

SCREW CANN 3.0X32^AR-8730-32PT 230

SCREW CANN 3.0X34 NON-STER^40-30234 328

SCREW CANN 3.0X34^AR-8730-34PT 230

SCREW CANN 3.0X34MM^40-30134S 386

SCREW CANN 3.0X36^40-30236S 386

SCREW CANN 3.0X38/18MM^40-30238S 386

SCREW CANN 32mm TITANIUM 4.0^71101032 286

SCREW CANN 38MM^AR-8730-38PT 230

SCREW CANN 4.0mm TI CANNULATED SCREW LONG THREAD/28mm^407.728 447

SCREW CANN 4.0X34^325034S 336

SCREW CANN 4.0X36^325036S 336

SCREW CANN 42mm TITANIUM 4.0^71101042 286

SCREW CANN 5.0 X 40MM LCK^02.205.240 339

SCREW CANN 5.0 X 45MM LCK^02.205.245 339

SCREW CANN 5.0 X 50MM LCK^02.205.250 339

SCREW CANN 5.0 X 55MM LCK^02.205.255 339

SCREW CANN 5.0 X 60MM LCK^02.205.260 339

SCREW CANN 5.0 X 65MM LCK^02.205.265 339

SCREW CANN 5.0 X 70MM LCK^02.205.270 339

SCREW CANN 5.7 X 50 LCK^71828050 464

SCREW CANN 5.7 X 80 LCK^71828080 464

SCREW CANN 5.7 X 85 LCK^71828085 464

SCREW CANN 5.7X90 LCK^71828090 464

SCREW CANN 6.5 X 100MM 16MM THREADED^208.415 531

SCREW CANN 6.5 X 105 32MM THRD^71100105 399

SCREW CANN 6.5 X 105MM 16MM THREADED^208.416 531

SCREW CANN 6.5 X 30MM 16MM THREADED^208.401 531

SCREW CANN 6.5 X 35MM 16MM THREADED^208.402 531

SCREW CANN 6.5 X 40MM 16MM THREADED^208.403 531

SCREW CANN 6.5 X 50MM 16MM THREADED^208.405 531

SCREW CANN 6.5 X 55MM 16MM THREADED^208.406 531

SCREW CANN 6.5 X 60MM 16MM THREADED^208.407 531

SCREW CANN 6.5 X 65MM 16MM THREADED^208.408 531

SCREW CANN 6.5 X 70MM 16MM THREADED^208.409 531

SCREW CANN 6.5 X 75MM 16MM THREADED^208.410 531

SCREW CANN 6.5 X 80MM 16MM THREADED^208.411 531

SCREW CANN 6.5 X 85MM 16MM THREADED^208.412 531

SCREW CANN 6.5 X 85MM 32MM THREADED^208.439 531

SCREW CANN 6.5 X 90MM 16MM THREADED^208.413 531

SCREW CANN 6.5 X 95MM 16MM THREADED^208.414 531

SCREW CANN 6.5X100 46MM PT SS^71106800S 308

SCREW CANN 6.5X100 PT SS^71106600S 308

SCREW CANN 6.5X100^71106500S 302

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SCREW CANN 6.5X105 46MM PT SS^71106805S 308

SCREW CANN 6.5X105 PT SS^71106605S 308

SCREW CANN 6.5X110 46MM PT SS^71106810S 308

SCREW CANN 6.5X110 PT SS^71106610S 308

SCREW CANN 6.5X110^326110S 494

SCREW CANN 6.5X115 PT SS^71106615S 308

SCREW CANN 6.5X115S^71106815S 308

SCREW CANN 6.5X120^326120S 494

SCREW CANN 6.5X16X110MM THRD^208.417 531

SCREW CANN 6.5X30 46MM PT SS^71106730S 296

SCREW CANN 6.5X30 PT SS^71106530S 308

SCREW CANN 6.5X32X60MM THRD^208.434 531

SCREW CANN 6.5X35 46MM PT SS^71106735S 296

SCREW CANN 6.5X35 PT SS^71106535S 308

SCREW CANN 6.5X40 46MM PT SS^71106740S 296

SCREW CANN 6.5X40 PT SS^71106540S 308

SCREW CANN 6.5X45 46MM PT SS^71106745S 296

SCREW CANN 6.5X45 PT SS^71106545S 308

SCREW CANN 6.5X45MM^208.404 531

SCREW CANN 6.5X50 46MM PT SS^71106750S 296

SCREW CANN 6.5X50 PT SS^71106550S 308

SCREW CANN 6.5X55 46MM PT SS^71106755S 308

SCREW CANN 6.5X55 PT SS^71106555S 308

SCREW CANN 6.5X60 46MM PT SS^71106760S 308

SCREW CANN 6.5X60 PT SS^71106560S 308

SCREW CANN 6.5X65 PT SS^71106565S 308

SCREW CANN 6.5X65 PT SS^71106765S 308

SCREW CANN 6.5X70 46MM PT SS^71106770S 308

SCREW CANN 6.5X70 LP P-T^71828170 61

SCREW CANN 6.5X70^71106570S 308

SCREW CANN 6.5X75 46MM PT SS^71106775S 308

SCREW CANN 6.5X75 PT SS^71106575S 308

SCREW CANN 6.5X80 FT SS -MFRCAT# 71106280S^71106280S 308

SCREW CANN 6.5X80 PT SS^71106580S 308

SCREW CANN 6.5X80 PT SS^71106780S 308

SCREW CANN 6.5X85 46MM PT SS^71106785S 308

SCREW CANN 6.5X85 FT SS - MFRCAT# 71106285S^71106285S 308

SCREW CANN 6.5X85 PT SS^71106585S 308

SCREW CANN 6.5X85^326085S 494

SCREW CANN 6.5X90 46MM PT SS^71106790S 308

SCREW CANN 6.5X90 PT SS^71106590S 308

SCREW CANN 6.5X90^326090S 494

SCREW CANN 6.5X95 46MM PT SS^71106795S 308

SCREW CANN 6.5X95 PT SS^71106595S 308

SCREW CANN 6.5X95^326095S 494

SCREW CANN 7.3 X 50MM LCK^02.207.450 509

SCREW CANN 7.3 X 55MM LCK^02.207.455 509

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SCREW CANN 7.3 X 65MM LCK^02.207.465 509

SCREW CANN 7.3 X 70MM LCK^02.207.470 509

SCREW CANN 7.3 X 80MM LCK^02.207.475 509

SCREW CANN 7.3 X 80MM LCK^02.207.480 509

SCREW CANN 7.3 X 85MM LCK^02.207.485 509

SCREW CANN 7.3 X 90MM LCK^02.207.490 509

SCREW CANN 7.3X60MM^02.207.460 509

SCREW CANN 7X100MM TI 16TD 71107100 390

SCREW CANN 7X95MM TI 16THD 71107095 390

SCREW CANN CANCELLOUS 6.5 X105^245854 220

SCREW CANN CONI 5.0 X 90MM^02.205.290 339

SCREW CANN CONI 5.0 X 95MM^02.205.295 339

SCREW CANN CONI 7.3 X 95MM^02.207.495 509

SCREW CANN CONICAL 7.3 X 25MM^02.207.025 570

SCREW CANN CONICAL 7.3 X 50MM^02.207.250 509

SCREW CANN CONICAL 7.3 X 55MM^02.207.255 509

SCREW CANN CONICAL 7.3 X 60MM^02.207.260 509

SCREW CANN CONICAL 7.3 X 65MM^02.207.265 509

SCREW CANN CONICAL 7.3 X 70MM^02.207.270 509

SCREW CANN CONICAL 7.3 X 75MM^02.207.275 509

SCREW CANN CONICAL 7.3 X 80MM^02.207.280 509

SCREW CANN CONICAL 7.3 X 85MM^02.207.285 509

SCREW CANN CONICAL 7.3 X 95MM^02.207.295 509

SCREW CANN CONICAL 7.3X90MM^02.207.290 509

SCREW CANN CORT 4.0X40^873-140 921

SCREW CANN CORT 5.0 X 80MM^02.205.080 383

SCREW CANN CORT LAG 38MM^873-138 921

SCREW CANN CORT LAG 4.0 X 36MM^873-136 921

SCREW CANN CORT LAG 4.0 X 44MM^873-144 921

SCREW CANN CORT LAG 4.0 X 46MM^873-146 921

SCREW CANN HEADLESS 3.0X13^71103312S 623

SCREW CANN HEADLESS 3.0X13^71103313S 623

SCREW CANN HEADLESS 3.0X14^71103314S 623

SCREW CANN HEADLESS 3.0X15^71103315S 623

SCREW CANN HEADLESS 3.0X16^71103316S 623

SCREW CANN HEADLESS 3.0X21^71103321S 623

SCREW CANN HEADLESS 3.0X22^71103322S 623

SCREW CANN HEADLESS 3.0X23^71103323S 623

SCREW CANN HEADLESS 3.0X25^71103325S 623

SCREW CANN HEADLESS 3.0X26^71103326S 623

SCREW CANN HEADLESS 3.0X28^71103328S 623

SCREW CANN INTERFERENCE 8 X 20^AR-1380E 204

SCREW CANN INTERFERENCE 8 X 20^AR-1380T 168

SCREW CANN INTERFERENCE 8 X 25^AR-1381E 204

SCREW CANN INTERFERENCE 9 X 25^AR-1391E 204

SCREW CANN INTERFERENCE 9 X 25^AR-1391T 168

SCREW CANN INTERFERENCE 9 X 30^AR-1392T 168

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SCREW CANN INTF SHEATHED 7X25^AR-1371E 204

SCREW CANN INTF SHEATHED 8X30^AR-1382E 204

SCREW CANN INTRF F-THREAD 7X20^AR-1370T 168

SCREW CANN INTRF F-THREAD 7X25^AR-1371T 168

SCREW CANN INTRF F-THREAD 8X25^AR-1381T 168

SCREW CANN INTRF F-THREAD 8X30^AR-1382T 168

SCREW CANN LCK 5.7 X 30^71828030 464

SCREW CANN LCK 5.7 X 35^71828035 464

SCREW CANN LCK 5.7 X 55^71828055 464

SCREW CANN LCK 5.7 X 65^71828065 464

SCREW CANN LCK 5.7 X 70^71828070 464

SCREW CANN LCK 5.7 X 75^71828075 464

SCREW CANN LCK 5.7X20^71828020 464

SCREW CANN LCK 5.7X25^71828025 464

SCREW CANN LCK 5.7X40^71808040 481

SCREW CANN LCK 5.7X40^71828040 464

SCREW CANN LCK 5.7X45^1828045 446

SCREW CANN LCK 5.7X45^71808045 481.3

SCREW CANN LCK 5.7X45^71828045 464

SCREW CANN LCK 5.7X55^71808055 481.3

SCREW CANN LCK 5.7X60^71828060 464

SCREW CANN LCKNG 7.3X75MM^02.207.075 570

SCREW CANN LOCK 5.0 X 25MM^02.205.025 383

SCREW CANN LOCK 5.0 X 30MM^02.205.030 383

SCREW CANN LOCK 5.0 X 35MM^02.205.035 383

SCREW CANN LOCK 5.0 X 40MM^02.205.040 383

SCREW CANN LOCK 5.0 X 45MM^02.205.045 383

SCREW CANN LOCK 5.0 X 50MM^02.205.050 383

SCREW CANN LOCK 5.0 X 55mm^02.205.055 383

SCREW CANN LOCK 5.0 X 60MM^02.205.060 383

SCREW CANN LOCK 5.0 X 65MM^02.205.065 383

SCREW CANN LOCK 5.0 X 70MM^02.205.070 383

SCREW CANN LOCK 5.0 X 75MM^02.205.075 383

SCREW CANN LOCK 5.0 X 85MM^02.205.085 383

SCREW CANN LOCK 5.0 X 90MM^02.205.090 383

SCREW CANN LOCK 5.0 X 95MM^02.205.095 383

SCREW CANN LOCK 7.3 X 105MM^02.207.105 581

SCREW CANN LOCK 7.3 X 110MM^02.207.110 581

SCREW CANN LOCK 7.3 X 50MM^02.207.050 570

SCREW CANN LOCK 7.3 X 55MM^02.207.055 570

SCREW CANN LOCK 7.3 X 60MM^02.207.060 570

SCREW CANN LOCK 7.3 X 65MM^02.207.065 570

SCREW CANN LOCK 7.3 X 70MM^02.207.070 570

SCREW CANN LOCK 7.3 X 80MM^02.207.080 570

SCREW CANN LOCK 7.3 X 85MM^02.207.085 570

SCREW CANN LOCK 7.3 X 95MM^02.207.095 570

SCREW CANN LOCK 7.3X90MM^02.207.090 570

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SCREW CANN LO-PRO BLUNT TIP 4 X 32MM^AR-5051-32 292

SCREW CANN LO-PRO SCRW,TI,3X 20mm CANN,PT THD^AR-8933-20PT 186

SCREW CANN LOW PROFILE 6.5X25^AR-1355 158

SCREW CANN LOW PROFILE 6.5X30^AR-1356 158

SCREW CANN LOW PROFILE 6.5X35^AR-1357 158

SCREW CANN LP P-T 6.5X75^71828175 61

SCREW CANN M8 MAS 5.5 X 40MM^7575540 2000

SCREW CANN M8 MAS 5.5 X 45MM^7575545 2000

SCREW CANN M8 MAS 5.5 X 50MM^7575550 2000

SCREW CANN M8 MAS 6.5 X 35MM^7576535 2000

SCREW CANN M8 MAS 6.5 X 40MM^7576540 2000

SCREW CANN M8 MAS 6.5 X 45MM^7576545 2000

SCREW CANN M8 MAS 6.5 X 45MM^8676545 1969

SCREW CANN M8 MAS 6.5 X 50MM^7576550 2000

SCREW CANN M8 MAS 6.5 X 50MM^8676550 1969

SCREW CANN M8 MAS 7.5 X 35MM^7577535 2000

SCREW CANN POLARUS 5.0 X 20MM^HCA5200 190

SCREW CANN POLARUS 5.0 X 25MM^HCA5250-S 338

SCREW CANN POLARUS 5.0 X 30MM^HCA5300 230

SCREW CANN POLARUS 5.0 X 30MM^HCA5300-S 338

SCREW CANN POLARUS 5.0 X 35MM^HCA5350-S 338

SCREW CANN POLARUS 5.0 X 40MM^HCA5400-S 338

SCREW CANN POLARUS 5.0 X 45MM^HCA5450 230

SCREW CANN POLARUS 5.0 X 50MM^HCA5500 230

SCREW CANN QUICKFIX 2.4X10^AR-8724-10PT 221

Screw Cann SC SS 5.5x52 16THD - MFRCAT 71125052^71125052 393

SCREW CANN SC SS 5.5X56 16THD -MFRCAT 71125056^71125056 393

SCREW CANN SC SS 5.5X60 16THD^71125060 393

SCREW CANN SC SS 5.5X65 16THD^71125065 393

SCREW CANN SC SS 5.5X70 16mm THD^71125070 393

SCREW CANN TI 4.0 X 36MM^407.736 447

SCREW CANN TI 6.5 X 16 X 95 THRD^408.414 584

SCREW CANN TI 6.5 X 16 X100 THRD^408.415 584

SCREW CANN TI 6.5X16X80MM THRD^408.411 584

SCREW CANN TI 6.5X16X85 THRD^408.412 584

SCREW CANN TI 6.5X32X55MM THRD^408.433 584

SCREW CANN TI 6.5X32X60MM THRD^408.434 584

SCREW CANN TI 6.5X32X65MM THRD^408.435 584

SCREW CANN TI 6.5X32X80MM THRD^408.438 584

SCREW CANN TI 6.5X32X85MM THRD^408.439 584

SCREW CANN TI 7.3X16X80MM THRD^408.880 581

SCREW CANN TIT LNGTHRD 4.0X40MM^407.740 447

SCREW CANN TIT LNGTHRD 4.0X44MM^407.744 447

SCREW CANN TIT LNGTHRD 4.0X50MM^407.750 447

SCREW CANN TIT SHTTHRD 4.0X34MM^407.634 447

SCREW CANN TIT SHTTHRD 4.0X46MM^407.646 447

SCREW CANN TIT SHTTHRD 4.0X50MM^407.650 447

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SCREW CANN TIT SHTTHRD 4.0X54MM^407.654 447

SCREW CANN TITAN 4.0 X 20MM LNG THRD^407.720 447

SCREW CANN TITAN 4.0 X 24MM^407.724 447

SCREW CANN TITAN 4.0 X 34 LNG THRD^407.734 447

SCREW CANN TITAN 4.0 X 38MM^407.638 447

SCREW CANN TITAN 4.0 X 58^407.758 447

SCREW CANN TITAN 4.0 X 60MM^407.760 447

SCREW CANN TITAN 4.0X54^407.754 447

SCREW CANN TITAN 6.5 X 100^408.442 584

SCREW CANN TITAN 6.5 X 105^408.443 584

SCREW CANN TITAN 6.5X32^408.440 584

SCREW CANN TITAN 6.5X32X70MM^408.436 584

SCREW CANN TITAN 6.5X32X75^408.437 584

SCREW CANN TITAN 7.3 X 85^408.885 581

SCREW CANN TITAN LNGTHRD 4.0 X 46MM^407.746 447

SCREW CANN TITAN PTHD 7.3 X 65^409.865 581

SCREW CANN TITAN PTHD 7.3 X 70^409.870 581

SCREW CANN TITAN PTHD 7.3X100^409.900 581

SCREW CANN TITAN THD 5.5 X 54MM^71105054 409

SCREW CANNU 32MM 7.0 X 50^71128050 366

SCREW CANNUL 16MM 7.0 X 100^71127100 366

SCREW CANNUL 16MM 7.0 X 105^71127105 366

SCREW CANNUL 16MM 7.0 X 110^71127110 366

SCREW CANNUL 16MM 7.0 X 115^71127115 366

SCREW CANNUL 16MM 7.0 X 70^71127070 366

SCREW CANNUL 16MM 7.0 X 85^71127085 366

SCREW CANNUL 16MM 7.0 X 90^71127090 366

SCREW CANNUL 16MM 7.0 X 95^71127095 366

SCREW CANNUL 16MM PURPLE^GP116 397

SCREW CANNUL 2.3X10MM^AR-13120T-10C 204

SCREW CANNUL 2.3X12MM^AR-13120T-12C 204

SCREW CANNUL 2.3X14MM^AR-13120T-14C 204

SCREW CANNUL 2.3X16MM^AR-13120T-16C 204

SCREW CANNUL 2.3X18MM^AR-13120T-18C 204

SCREW CANNUL 2.3X20MM^AR-13120T-20C 204

SCREW CANNUL 2.3X22MM^AR-13120T-22C 204

SCREW CANNUL 2.3X24MM^AR-13120T-24C 204

SCREW CANNUL 2.3X26MM^AR-13120T-26C 204

SCREW CANNUL 2.3X28MM^AR-13120T-28C 204

SCREW CANNUL 2.3X30MM^AR-13120T-30C 204

SCREW CANNUL 2.5X10^71102210S 409

SCREW CANNUL 2.5X11^71102211S 409

SCREW CANNUL 2.5X12^71102212S 409

SCREW CANNUL 2.5X13^71102213S 409

SCREW CANNUL 2.5X14^71102214S 409

SCREW CANNUL 2.5X15^71102215S 409

SCREW CANNUL 2.5X19^71102219S 409

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SCREW CANNUL 3.0 X 38^402.738 459

SCREW CANNUL 3.0X10^71103210S 428

SCREW CANNUL 3.0X12^71103212S 428

SCREW CANNUL 3.0X14^71103214S 428

SCREW CANNUL 3.0X16 PT -MFRCAT AR-8730-16PT^AR-8730-16PT 230

SCREW CANNUL 3.0X16^71103216S 428

SCREW CANNUL 3.0X17^71103217S 428

SCREW CANNUL 3.0X18 PT^AR-8730-18PT 230

SCREW CANNUL 3.0X18^71103218S 428

SCREW CANNUL 3.0X20 PT^AR-8730-20PT 230

SCREW CANNUL 3.0X21^71103221S 428

SCREW CANNUL 3.0X24^71103224S 428

SCREW CANNUL 3.0X26^71103226 421

SCREW CANNUL 32MM 7.0 X 100^71128100 366

SCREW CANNUL 32MM 7.0 X 105^71128105 366

SCREW CANNUL 32MM 7.0 X 110^71128110 366

SCREW CANNUL 32MM 7.0 X 115^71128115 366

SCREW CANNUL 32mm 7.0 X 120^71128120 366

SCREW CANNUL 32MM 7.0 X 55^71128055 366

SCREW CANNUL 32MM 7.0 X 60^71128060 366

SCREW CANNUL 32MM 7.0 X 65^71128065 366

SCREW CANNUL 32MM 7.0 X 70^71128070 366

SCREW CANNUL 32MM 7.0 X 75^71128075 366

SCREW CANNUL 32MM 7.0 X 80^71128080 366

SCREW CANNUL 32MM 7.0 X 85^71128085 366

SCREW CANNUL 32MM 7.0 X 90^71128090 366

SCREW CANNUL 32MM 7.0 X 95^71128095 366

SCREW CANNUL 32MM BLUE^GP432 397

SCREW CANNUL 32MM^873-032 921

SCREW CANNUL 4.5X36 PT^AR-8945-36PT 266

SCREW CANNUL 4.5X38^AR-8945-38PT 266

SCREW CANNUL 4.5X40 - MFRCAT# AR-8945-40^AR-8945-40 266

SCREW CANNUL 4.5X40^55840014540 2597

SCREW CANNUL 4.5X40^AR-8945-40PT 266

SCREW CANNUL 4.5X45 - MFRCAT# AR-8945-45^AR-8945-45 266

SCREW CANNUL 4.5X45^AR-8945-45PT 266

SCREW CANNUL 4.5X50 -MFRCAT# AR-8945-50^AR-8945-50 266

SCREW CANNUL 4.5X50^AR-8945-50PT 266

SCREW CANNUL 4.5X55^AR-8945-55PT 266

SCREW CANNUL 4.5X60 P-T^AR-8945-60PT 266

SCREW CANNUL 4.5X65^AR-8945-65PT 266

SCREW CANNUL 5.5X40^55840015540 2000

SCREW CANNUL 6.5 - MFRCAT 208.444^208.444 531

SCREW CANNUL 6.5 32mm THREAD 115mm 208.445 531

SCREW CANNUL 6.5 X 100^121640 399

SCREW CANNUL 6.5 X 105^121641 399

SCREW CANNUL 6.5 X 110^121642 399

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Description CPT-4 Base Price Schedule

SCREW CANNUL 6.5 X 115^121643 399

SCREW CANNUL 6.5 X 120^121644 399

SCREW CANNUL 6.5 X 25^121625 399

SCREW CANNUL 6.5 X 30^121626 399

SCREW CANNUL 6.5 X 35^121627 399

SCREW CANNUL 6.5 X 40^121628 399

SCREW CANNUL 6.5 X 45^121629 399

SCREW CANNUL 6.5 X 50^121630 399

SCREW CANNUL 6.5 X 55^121631 399

SCREW CANNUL 6.5 X 60^121632 399

SCREW CANNUL 6.5 X 65^121633 399

SCREW CANNUL 6.5 X 70^121634 399

SCREW CANNUL 6.5 X 75^121635 399

SCREW CANNUL 6.5 X 80^121636 399

SCREW CANNUL 6.5 X 85^121637 399

SCREW CANNUL 6.5 X 90^121638 399

SCREW CANNUL 6.5 X 95^121639 399

SCREW CANNUL 6.5X45^55840016545 2597

SCREW CANNUL 7.0 X 40^71127040 366

SCREW CANNUL 7.0 X 45^71127045 366

SCREW CANNUL 7.0 X 50^71127050 366

SCREW CANNUL 7.0 X 55^71127055 366

SCREW CANNUL 7.0 X 60^71127060 366

SCREW CANNUL 7.0 X 65^71127065 366

SCREW CANNUL 7.0 X 75^71127075 366

SCREW CANNUL 7.0 X 80^71127080 366

SCREW CANNUL 7.3X90 SHRT^408.890 581

SCREW CANNUL 7.3X95^408.895 581

SCREW CANNUL 8PLATE 24MM GREEN^GP224 397

SCREW CANNUL FTHD 7.0 X 35^71129035 366

SCREW CANNUL HEADLESS 3.0X32^71103332S 623

SCREW CANNUL INTERF 7X30^AR-1372T 168

SCREW CANNUL LNG THRD 3.0 X 40MM^202.740 416

SCREW CANNUL PTHD 4.0 X 12^121812 286

SCREW CANNUL PTHD 4.0 X 14^121814 286

SCREW CANNUL PTHD 4.0 X 16^121816 286

SCREW CANNUL PTHD 4.0 X 18^121818 286

SCREW CANNUL PTHD 4.0 X 20^121820 286

SCREW CANNUL PTHD 4.0 X 22^121822 286

SCREW CANNUL PTHD 4.0 X 24^121824 286

SCREW CANNUL PTHD 4.0 X 26^121826 286

SCREW CANNUL PTHD 4.0 X 28^121828 286

SCREW CANNUL PTHD 4.0 X 30^121830 286

SCREW CANNUL PTHD 4.0 X 32^121832 286

SCREW CANNUL PTHD 4.0 X 34^121834 286

SCREW CANNUL PTHD 4.0 X 35^121835 275

SCREW CANNUL PTHD 4.0 X 36^121836 286

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SCREW CANNUL PTHD 4.0 X 38^121838 286

SCREW CANNUL PTHD 4.0 X 40^121840 286

SCREW CANNUL PTHD 4.0 X 42^121842 286

SCREW CANNUL PTHD 4.0 X 44^121844 286

SCREW CANNUL PTHD 4.0 X 46^121846 286

SCREW CANNUL PTHD 4.0 X 48^121848 286

SCREW CANNUL PTHD 4.0 X 50^121850 286

SCREW CANNUL PTHD 4.0 X 52^121852 299

SCREW CANNUL PTHD 4.0 X 54^121854 299

SCREW CANNUL PTHD 4.0 X 56^121856 299

SCREW CANNUL PTHD 4.0 X 58^121858 299

SCREW CANNUL PTHD 4.0 X 60^121860 299

SCREW CANNUL PTHD 4.0 X 65^121865 299

SCREW CANNUL PTHD 4.0 X 70^121870 299

SCREW CANNUL SCFE 7.3X60^02.207.621 611

SCREW CANNUL TITAN 7.3X100^408.900 581

SCREW CANNUL TITAN 7.3X110^408.910 581

SCREW CANNUL TITAN 7.3X95^409.895 581

SCREW CANNUL TITAN SHTTHD 4.0 X 40^407.640 447

SCREW CANNULA 3.75 X 28mm FT^AR-7000-28FT 354

SCREW CANNULA 3.75 X 30mm FT^AR-7000-30FT 354

SCREW CANNULATD SHORT THREAD HEADLESS, MINI-MONSTER^P20-530-028S 415

SCREW CANNULATED 2.5 X 36mm^4942536CH 428

SCREW CANNULATED 32PTHD 7 80 209.080 677

SCREW CANNULATED 4.0 X 10MM^207.610 407

SCREW CANNULATED 4.0 X 12MM^207.612 407

SCREW CANNULATED 4.0 X 14MM^207.614 407

SCREW CANNULATED 4.0 X 16MM LONG^207.716 407

SCREW CANNULATED 4.0 X 16MM^207.616 407

SCREW CANNULATED 4.0 X 18MM LONG^207.718 407

SCREW CANNULATED 4.0 X 18MM^207.618 407

SCREW CANNULATED 4.0 X 20MM LONG^207.720 407

SCREW CANNULATED 4.0 X 20MM^207.620 407

SCREW CANNULATED 4.0 X 22MM LONG^207.722 407

SCREW CANNULATED 4.0 X 22MM^207.622 407

SCREW CANNULATED 4.0 X 24MM LONG^207.724 407

SCREW CANNULATED 4.0 X 24MM^207.624 407

SCREW CANNULATED 4.0 X 26MM LONG^207.726 407

SCREW CANNULATED 4.0 X 26MM^207.626 407

SCREW CANNULATED 4.0 X 28MM LONG^207.728 407

SCREW CANNULATED 4.0 X 28MM^207.628 407

SCREW CANNULATED 4.0 X 30MM LONG^207.730 407

SCREW CANNULATED 4.0 X 30MM^207.630 407

SCREW CANNULATED 4.0 X 32MM LONG^207.732 407

SCREW CANNULATED 4.0 X 32MM^207.632 407

SCREW CANNULATED 4.0 X 34MM LONG^207.734 407

SCREW CANNULATED 4.0 X 34MM^207.634 407

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SCREW CANNULATED 4.0 X 36MM LONG^207.736 407

SCREW CANNULATED 4.0 X 36MM^207.636 407

SCREW CANNULATED 4.0 X 38MM LONG^207.738 407

SCREW CANNULATED 4.0 X 38MM^207.638 407

SCREW CANNULATED 4.0 X 40MM LONG^207.740 407

SCREW CANNULATED 4.0 X 40MM^207.640 407

SCREW CANNULATED 4.0 X 42MM LONG^207.742 407

SCREW CANNULATED 4.0 X 42MM^207.642 407

SCREW CANNULATED 4.0 X 44MM LONG^207.744 407

SCREW CANNULATED 4.0 X 44MM^207.644 407

SCREW CANNULATED 4.0 X 46MM LONG^207.746 407

SCREW CANNULATED 4.0 X 46MM^207.646 407

SCREW CANNULATED 4.0 X 48MM LONG^207.748 407

SCREW CANNULATED 4.0 X 48MM^207.648 407

SCREW CANNULATED 4.0 X 50MM^207.650 407

SCREW CANNULATED 4.0 X 50MM^207.750 407

SCREW CANNULATED 4.0 X 52MM LONG^207.752 407

SCREW CANNULATED 4.0 X 52MM^207.652 407

SCREW CANNULATED 4.0 X 54MM LONG^207.754 407

SCREW CANNULATED 4.0 X 54MM^207.654 407

SCREW CANNULATED 4.0 X 56MM LONG^207.756 407

SCREW CANNULATED 4.0 X 56MM^207.656 407

SCREW CANNULATED 4.0 X 58MM LONG^207.758 407

SCREW CANNULATED 4.0 X 58MM^207.658 407

SCREW CANNULATED 4.0 X 60MM LONG^207.760 407

SCREW CANNULATED 4.0 X 60MM^207.660 407

SCREW CANNULATED 4.0 X 64MM LONG^207.764 407

SCREW CANNULATED 4.0 X 64MM^207.664 407

SCREW CANNULATED 4.0 X 68MM LONG^207.768 407

SCREW CANNULATED 4.0 X 68MM^207.668 407

SCREW CANNULATED 4.0 X 72MM LONG^207.772 407

SCREW CANNULATED 4.0 X 72MM^207.672 407

SCREW CANNULATED 6.5 mm FULLY THREADED 80mm^208.472 531

SCREW CANNULATED 6.5 MM FULLY THREADED 85mm^208.473 531

SCREW CANNULATED 6.5X32X100MM THRD^208.442 531

SCREW CANNULATED 6.5X32X105MM THRD^208.443 531

SCREW CANNULATED 6.5X32X45MM THRD^208.431 531

SCREW CANNULATED 6.5X32X50MM THRD^208.432 531

SCREW CANNULATED 6.5X32X55MM THRD^208.433 531

SCREW CANNULATED 6.5X32X65MM THRD^208.435 531

SCREW CANNULATED 6.5X32X70MM THRD^208.436 531

SCREW CANNULATED 6.5X32X75MM THRD^208.437 531

SCREW CANNULATED 6.5X32X80MM THRD^208.438 531

SCREW CANNULATED 6.5X32X90MM THRD^208.440 531

SCREW CANNULATED 6.5X32X95MM THRD^208.441 531

SCREW CANNULATED 7.0 X 85^1700-0085 210

SCREW CANNULATED 7.3 X 185^208.985 503

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SCREW CANNULATED 7.3X110^409.910 581

SCREW CANNULATED FTHD 3.5*10MM^205.210 399

SCREW CANNULATED FTHD 3.5*12MM^205.212 399

SCREW CANNULATED FTHD 3.5*14MM^205.214 399

SCREW CANNULATED FTHD 3.5*16MM^205.216 399

SCREW CANNULATED FTHD 3.5*18MM^205.218 399

SCREW CANNULATED FTHD 3.5*20MM^205.220 399

SCREW CANNULATED FTHD 3.5*22MM^205.222 399

SCREW CANNULATED FTHD 3.5*24MM^205.224 399

SCREW CANNULATED FTHD 3.5*26MM^205.226 399

SCREW CANNULATED FTHD 3.5*28MM^205.228 399

SCREW CANNULATED FTHD 3.5*30MM^205.230 399

SCREW CANNULATED FTHD 3.5*32MM^205.232 399

SCREW CANNULATED FTHD 3.5*34MM^205.234 399

SCREW CANNULATED FTHD 3.5*36MM^205.236 399

SCREW CANNULATED FTHD 3.5*38MM^205.238 399

SCREW CANNULATED FTHD 3.5*40MM^205.240 399

SCREW CANNULATED FTHD 3.5*42MM^205.242 399

SCREW CANNULATED FTHD 3.5*44MM^205.244 399

SCREW CANNULATED FTHD 3.5*46MM^205.246 399

SCREW CANNULATED FTHD 3.5*48MM^205.248 399

SCREW CANNULATED FTHD 3.5*50MM^205.250 399

SCREW CANNULATED FTHD 4.0 X 20^222820 286

SCREW CANNULATED FTHD 4.0 X 22^222822 286

SCREW CANNULATED FTHD 4.0 X 24^222824 286

SCREW CANNULATED FTHD 4.0 X 26^222826 286

SCREW CANNULATED FTHD 4.0 X 28^222828 286

SCREW CANNULATED FTHD 4.0 X 30^222830 286

SCREW CANNULATED FTHD 4.0 X 35^222835 286

SCREW CANNULATED FTHD 4.0 X 40^222840 286

SCREW CANNULATED FTHD 4.0 X 45^222845 286

SCREW CANNULATED FTHD 4.0 X 50^222850 286

SCREW CANNULATED FTHD 4.0 X 55^222855 299

SCREW CANNULATED FTHD 4.0 X 60^222860 299

SCREW CANNULATED FTHD 4.0 X 65^222865 299

SCREW CANNULATED FTHD 4.0 X 70^222870 299

SCREW CANNULATED FTHD 4.5 X 32^214.732 424

SCREW CANNULATED FTHD 4.5 X 44^214.744 424

SCREW CANNULATED FTHD 4.5*20MM^214.720 424

SCREW CANNULATED FTHD 4.5*22MM^214.722 424

SCREW CANNULATED FTHD 4.5*26MM^214.726 424

SCREW CANNULATED FTHD 4.5*28MM^214.728 424

SCREW CANNULATED FTHD 4.5*30MM^214.730 424

SCREW CANNULATED FTHD 4.5*34MM^214.734 424

SCREW CANNULATED FTHD 4.5*36MM^214.736 424

SCREW CANNULATED FTHD 4.5*38MM^214.738 424

SCREW CANNULATED FTHD 4.5*40MM^214.740 424

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SCREW CANNULATED FTHD 4.5*42MM^214.742 424

SCREW CANNULATED FTHD 4.5*46MM^214.746 424

SCREW CANNULATED FTHD 4.5*48MM^214.748 424

SCREW CANNULATED FTHD 4.5*50MM^214.750 424

SCREW CANNULATED FTHD 4.5*52MM^214.752 424

SCREW CANNULATED FTHD 4.5*54MM^214.754 424

SCREW CANNULATED FTHD 4.5*56MM^214.756 424

SCREW CANNULATED FTHD 4.5*60MM^214.760 424

SCREW CANNULATED FTHD 4.5*64MM^214.764 424

SCREW CANNULATED FTHD 4.5*68MM^214.768 424

SCREW CANNULATED FTHD 4.5*72MM^214.772 424

SCREW CANNULATED HEADLESS 2.4MM X 32MM^317-2432 510

SCREW CANNULATED HEADLESS 2.4MM X 42MM^317-2442 510

SCREW CANNULATED HEADLESS 2.4MM X 44MM^317-2444 510

SCREW CANNULATED PTHD 3.5*10MM^205.010 384

SCREW CANNULATED PTHD 3.5*12MM^205.012 384

SCREW CANNULATED PTHD 3.5*14MM^205.014 384

SCREW CANNULATED PTHD 3.5*16MM^205.016 384

SCREW CANNULATED PTHD 3.5*18MM^205.018 384

SCREW CANNULATED PTHD 3.5*20MM^205.020 384

SCREW CANNULATED PTHD 3.5*24MM^205.024 384

SCREW CANNULATED PTHD 3.5*26MM^205.026 384

SCREW CANNULATED PTHD 3.5*28MM^205.028 384

SCREW CANNULATED PTHD 3.5*30MM^205.030 384

SCREW CANNULATED PTHD 3.5*32MM^205.032 384

SCREW CANNULATED PTHD 3.5*34MM^205.034 384

SCREW CANNULATED PTHD 3.5*36MM^205.036 384

SCREW CANNULATED PTHD 3.5*38MM^205.038 384

SCREW CANNULATED PTHD 3.5*40MM^205.040 384

SCREW CANNULATED PTHD 3.5*42MM^205.042 384

SCREW CANNULATED PTHD 3.5*44MM^205.044 384

SCREW CANNULATED PTHD 3.5*46MM^205.046 384

SCREW CANNULATED PTHD 3.5*48MM^205.048 384

SCREW CANNULATED PTHD 3.5*50MM^205.050 384

SCREW CANNULATED PTHD 4.5 X 20^214.520 413

SCREW CANNULATED PTHD 4.5 X 22^214.522 413

SCREW CANNULATED PTHD 4.5 X 26^214.526 413

SCREW CANNULATED PTHD 4.5 X 28^214.528 413

SCREW CANNULATED PTHD 4.5 X 30^214.530 413

SCREW CANNULATED PTHD 4.5 X 36^214.536 413

SCREW CANNULATED PTHD 4.5 X 38^214.538 413

SCREW CANNULATED PTHD 4.5 X 40^414.540 457

SCREW CANNULATED PTHD 4.5 X 42^214.542 413

SCREW CANNULATED PTHD 4.5 X 48^214.548 413

SCREW CANNULATED PTHD 4.5 X 50^214.550 413

SCREW CANNULATED PTHD 4.5 X 52^214.552 413

SCREW CANNULATED PTHD 4.5 X 56^214.556 413

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SCREW CANNULATED PTHD 4.5 X 64^214.564 413

SCREW CANNULATED PTHD 4.5 X 72^214.572 413

SCREW CANNULATED PTHD 4.5*24MM^214.524 413

SCREW CANNULATED PTHD 4.5*32MM^214.532 413

SCREW CANNULATED PTHD 4.5*34MM^214.534 413

SCREW CANNULATED PTHD 4.5*40MM^214.540 413

SCREW CANNULATED PTHD 4.5*44MM^214.544 413

SCREW CANNULATED PTHD 4.5*46MM^214.546 413

SCREW CANNULATED PTHD 4.5*54MM^214.554 413

SCREW CANNULATED PTHD 4.5*60MM^214.560 413

SCREW CANNULATED PTHD 4.5*68MM^214.568 413

SCREW CANNULATED PTHD 7.3 X 30^208.830 528

SCREW CANNULATED PTHD 7.3 X 35^208.835 528

SCREW CANNULATED PTHD 7.3 X 40^208.840 528

SCREW CANNULATED PTHD 7.3 X 45^208.845 528

SCREW CANNULATED PTHD 7.3 X 45^209.845 528

SCREW CANNULATED PTHD 7.3 X 50^208.850 528

SCREW CANNULATED PTHD 7.3 X 50^209.850 528

SCREW CANNULATED PTHD 7.3 X 55^208.855 528

SCREW CANNULATED PTHD 7.3 X 55^209.855 528

SCREW CANNULATED PTHD 7.3 X 60^208.860 528

SCREW CANNULATED PTHD 7.3 X 60^209.860 528

SCREW CANNULATED PTHD 7.3 X 65^208.865 528

SCREW CANNULATED PTHD 7.3 X 65^209.865 528

SCREW CANNULATED PTHD 7.3 X 70^208.870 528

SCREW CANNULATED PTHD 7.3 X 70^209.870 528

SCREW CANNULATED PTHD 7.3 X 75^208.875 528

SCREW CANNULATED PTHD 7.3 X 75^209.875 528

SCREW CANNULATED PTHD 7.3 X 80^208.880 528

SCREW CANNULATED PTHD 7.3 X 80^209.880 528

SCREW CANNULATED PTHD 7.3 X 85^208.885 528

SCREW CANNULATED PTHD 7.3 X 85^209.885 528

SCREW CANNULATED PTHD 7.3 X 90^208.890 528

SCREW CANNULATED PTHD 7.3 X 90^209.890 528

SCREW CANNULATED PTHD 7.3 X 95^208.895 528

SCREW CANNULATED PTHD 7.3 X 95^209.895 528

SCREW CANNULATED PTHD 7.3 X100^208.900 528

SCREW CANNULATED PTHD 7.3 X100^209.900 528

SCREW CANNULATED PTHD 7.3 X105^208.905 528

SCREW CANNULATED PTHD 7.3 X110^208.910 528

SCREW CANNULATED PTHD 7.3 X115^208.915 528

SCREW CANNULATED PTHD 7.3 X120^208.920 528

SCREW CANNULATED PTHD 7.3 X120^209.920 528

SCREW CANNULATED PTHD 7.3 X125^208.925 528

SCREW CANNULATED PTHD 7.3 X125^209.925 528

SCREW CANNULATED PTHD 7.3 X130^208.930 528

SCREW CANNULATED PTHD 7.3 X130^209.930 528

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SCREW CANNULATED PTHD 7.3 X135^208.935 528

SCREW CANNULATED PTHD 7.3 X135^209.935 528

SCREW CANNULATED PTHD 7.3 X140^208.940 528

SCREW CANNULATED PTHD 7.3 X140^209.940 528

SCREW CANNULATED PTHD 7.3 X145^208.945 528

SCREW CANNULATED PTHD 7.3 X145^209.945 528

SCREW CANNULATED PTHD 7.3 X150^208.950 528

SCREW CANNULATED PTHD 7.3 X150^209.950 528

SCREW CANNULATED PTHD 7.3X105^209.905 528

SCREW CANNULATED PTHD 7.3X110^209.910 528

SCREW CANNULATED PTHD 7.3X115^209.915 528

SCREW CANNULATED QCKFIX SCRW TI CANN ST CANC 4.0 X 24mm^AR-8740-24PTS 265

SCREW CAPT RECON 6.4 X 105^71632305 682

SCREW CAPT RECON 6.4 X 110^71632310 682

SCREW CAPT RECON 6.4 X 115^71632316 682

SCREW CAPT RECON 6.4 X 120^71632320 682

SCREW CAPT RECON 6.4 X 85^71632385 682

SCREW CAPT RECON 6.4 X 95^71632395 682

SCREW CAPT RECON 6.4X100^71632300 682

SCREW CAPT RECON 6.4X70^71632370 682

SCREW CAPT RECON 6.4X80^71632380 682

SCREW CAPTURED 4.5 X 20^71632120 312

SCREW CAPTURED 4.5 X 25^71632125 405

SCREW CAPTURED 4.5 X 30^71632130 405

SCREW CAPTURED 4.5 X 35^71632135 405

SCREW CAPTURED 4.5 X 42MM^71661242 360

SCREW CAPTURED 4.5 X 45^71632145 405

SCREW CAPTURED 4.5 X 55^71632155 405

SCREW CAPTURED 4.5X26 IMHS^71661226 360

SCREW CAPTURED 4.5X28 IMHS^71661228 360

SCREW CAPTURED 4.5X30 IMHS^71661230 360

SCREW CAPTURED 4.5X32 IMHS^71661232 360

SCREW CAPTURED 4.5X34 IMHS^71661234 360

SCREW CAPTURED 4.5X36 IMHS^71661236 360

SCREW CAPTURED 4.5X38 IMHS^71661238 360

SCREW CAPTURED 4.5X40 IMHS^71661240 360

SCREW CAPTURED 4.5X44 IMHS^71661244 360

SCREW CAPTURED 4.5X46 IMHS^71661246 360

SCREW CAPTURED 4.5X48 IMHS^71661248 360

SCREW CAPTURED 5 X 20^71632220 405

SCREW CAPTURED 5 X 25^71632225 405

SCREW CAPTURED 5 X 30^71632230 405

SCREW CAPTURED 5 X 35^71632235 405

SCREW CAPTURED 5 X 40^71632240 405

SCREW CAPTURED 5 X 45^71632245 405

SCREW CAPTURED 5 X 50^71632250 405

SCREW CAPTURED 5 X 55^71632255 405

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SCREW CAPTURED 5 X 60^71632260 405

SCREW CAPTURED 5 X 65^71632265 405

SCREW CAPTURED 5 X 70^71632270 405

SCREW CAPTURED 5 X 75^71632275 405

SCREW CAPTURED 5 X 80^71632280 405

SCREW CAPTURED 5 X 85^71632285 405

SCREW CENTER 6.5MM^115382 200

SCREW CENTRAL 6.5X20 F/REV SHLDR -MFRCAT# 115394^115394 200

SCREW CENTRAL 6.5X20^115380 200

SCREW CENTRAL 6.5X25 F/REV SHLDR^115395 200

SCREW CENTRAL 6.5X25^115381 200

SCREW CENTRAL 6.5X35^115383 200

SCREW CENTRAL 6.5X35MM^115397 200

SCREW CENTRAL 6.5X45^115385 200

SCREW CENTRAL F/REV SHLDR 6.5X30^115396 200

SCREW CENTRAL NL UNI REV 6.5 X 30mm^AR-9165-30NL 301

SCREW CENTRAL NL UNIV REV 6.5X20 -MFRCAT# AR-9165-20NL^AR-9165-20NL 301

SCREW CENTRAL NL UNIV REV 6.5X25 -MFRCAT# AR-9165-25NL^AR-9165-25NL 301

SCREW CENTRAL UNIV REV 15MM -MFRCAT# AR-9165-15^AR-9165-15 301

SCREW CERVICAL 5.0 X 85MM^02.205.285 339

SCREW COARSE 2.0X4 SLFTAP^401.934 170

SCREW COLORADO II 6.5X35MM^8632235 878

SCREW COLORADO II 6.5X45MM^8632245 723

SCREW COMP AMBI 19MM^121116 79

SCREW COMP AMBI 28.5MM^121117 79

SCREW COMP HEADLESS 2.4 X 18MM^02.226.318 705

SCREW COMP HEADLESS 2.4 X 20MM # 02.226.320^02.226.320 705

SCREW COMP HEADLESS 2.4 X 20MM SHORT^02.226.220 705

SCREW COMP HEADLESS 2.4 X 24mm^02.226.324 705

SCREW COMP HEADLESS 2.4 X 26MM^02.226.326 705

SCREW COMP HEADLESS 2.4X13^02.226.213 705

SCREW COMP HEADLESS 2.4X17^02.226.317 705

SCREW COMP HEADLESS 2.4X24MM SHORT^02.226.224 705

SCREW COMP HEADLESS 2.4X26^02.226.226 705

SCREW COMP HEADLESS 2.4X27^02.226.227 705

SCREW COMP HEADLESS 2.4X30^02.226.330 705

SCREW COMP HEADLESS 2.4x30^04.226.230 779

SCREW COMP HEADLESS 2.4X32^02.226.332 705

SCREW COMP HEADLESS 2.4X34^02.226.234 705

SCREW COMP HEADLESS 2.4X36^02.226.236 705

SCREW COMP HEADLESS 2.4X36^02.226.336 705

SCREW COMP HEADLESS 2.4X38MM^04.226.338 779

SCREW COMP HEADLESS 2.4X40MM LT^02.226.340 705

SCREW COMP HEADLESS 2.7X40^02.226.240 705

SCREW COMP HEADLESS 3.0 X 15MM^02.226.015 704

SCREW COMP HEADLESS 3.0 X 22MM SHORT^02.226.222 705

SCREW COMP HEADLESS 3.0 X 27MM^02.226.027 704

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SCREW COMP HEADLESS 3.0 X 32^02.226.032 704

SCREW COMP HEADLESS 3.0X10MM^02.226.010 704

SCREW COMP HEADLESS 3.0X14MM^02.226.014 704

SCREW COMP HEADLESS 3.0X16mm LNG THRD^02.226.116 704

SCREW COMP HEADLESS 3.0X16MM^02.226.016 704

SCREW COMP HEADLESS 3.0X17MM^02.226.017 704

SCREW COMP HEADLESS 3.0X18MM LNG THRD^02.226.118 704

SCREW COMP HEADLESS 3.0X18MM^02.226.018 704

SCREW COMP HEADLESS 3.0X19 S-T^02.226.019 704

SCREW COMP HEADLESS 3.0X19^04.226.119 778

SCREW COMP HEADLESS 3.0X20MM LNG THRD^02.226.120 704

SCREW COMP HEADLESS 3.0X20MM^02.226.020 704

SCREW COMP HEADLESS 3.0X21^02.226.121 704

SCREW COMP HEADLESS 3.0X21MM^02.226.021 704

SCREW COMP HEADLESS 3.0X22MM LNG THRD^02.226.122 704

SCREW COMP HEADLESS 3.0X22MM^02.226.022 704

SCREW COMP HEADLESS 3.0X23^02.226.023 704

SCREW COMP HEADLESS 3.0X24MM LNG THRD^02.226.124 704

SCREW COMP HEADLESS 3.0X24MM^02.226.024 704

SCREW COMP HEADLESS 3.0X25^02.226.025 704

SCREW COMP HEADLESS 3.0X26MM LNG THRD^02.226.126 704

SCREW COMP HEADLESS 3.0X26MM^02.226.026 704

SCREW COMP HEADLESS 3.0X28MM LNG THRD^02.226.128 704

SCREW COMP HEADLESS 3.0X28MM^02.226.028 704

SCREW COMP HEADLESS 3.0X29^02.226.029 704

SCREW COMP HEADLESS 3.0X30MM LNG THRD^02.226.130 704

SCREW COMP HEADLESS 3.0X30MM^02.226.030 704

SCREW COMP HEADLESS 3.0X32MM LNG THRD^02.226.132 704

SCREW COMP HEADLESS 3.0X34MM^02.226.034 704

SCREW COMP HEADLESS 3.0X34MM^02.226.134 704

SCREW COMP HEADLESS 3.0X36MM LNG THRD^02.226.136 704

SCREW COMP HEADLESS 3.0X36MM^02.226.036 704

SCREW COMP HEADLESS 3.0X38MM LNG THRD^02.226.138 704

SCREW COMP HEADLESS 3.0X38MM^02.226.038 704

SCREW COMP HEADLESS 3.0X40MM LNG THRD^02.226.140 704

SCREW COMP HEADLESS 3.0X40MM^02.226.040 704

SCREW COMP HEADLESS 3.0X40MM^04.226.140 778

SCREW COMP HEADLESS 4.5X85MM 02.226.785 708

SCREW COMP TWINFIX 3.2 X 14^58-30414 645

SCREW COMP TWINFIX 3.2 X 16^58-30416 645

SCREW COMP TWINFIX 3.2 X 18^58-30418 645

SCREW COMP TWINFIX 3.2 X 20^58-30420 645

SCREW COMP TWINFIX 3.2 X 21^58-30421 645

SCREW COMP TWINFIX 3.2 X 22^58-30422 645

SCREW COMP TWINFIX 3.2 X 23^58-30423 645

SCREW COMP TWINFIX 3.2 X 24^58-30424 645

SCREW COMP TWINFIX 3.2 X 25^58-30425 645

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SCREW COMP TWINFIX 3.2 X 26^58-30426 645

SCREW COMP TWINFIX 3.2 X 27^58-30427 645

SCREW COMP TWINFIX 3.2 X 28^58-30428 645

SCREW COMP TWINFIX 3.2 X 30^58-30430 645

SCREW COMP TWINFIX 3.2 X 32^58-30432 645

SCREW COMP TWINFIX 3.2 X 34^58-30434 645

SCREW COMPOSITCP30 8mm^110004599 512

SCREW COMPR FT 4.0 STD 22mm LGTH^AR-8740-22H 590

SCREW COMPR FT 4.0 STD 28mm LGTH^AR-8740-28H 590

SCREW COMPR FT 4.0 STD,42MM LGTH AR-8740-42H 590

SCREW COMPR FT HEADLESS 4.0 X 32 AR-8740-32H 590

SCREW COMPR FT SCRW 4.0 STD 34mm LGTH^AR-8740-34H 590

SCREW COMPR FT SCRW,3.5 MINI,22MM LGTH AR-8730-22H 590

SCREW COMPRESS 2.4X20^AR-8725-20H 590

SCREW COMPRESS 2.4X24^AR-8725-24H 590

SCREW COMPRESS 2.5X26^AR-8725-26H 590

SCREW COMPRESS 3.0X14^AR-8730-14H 590

SCREW COMPRESS 3.0X18^AR-8730-18H 590

SCREW COMPRESS 3.0X20^AR-8730-20H 590

SCREW COMPRESS 3.0X24^AR-8730-24H 590

SCREW COMPRESS 3.0X32^AR-8730-32H 590

SCREW COMPRESS 4.0 X 44^AR-8740-44H 590

SCREW COMPRESS 4.0X24^AR-8740-24H 590

SCREW COMPRESS 4.0X36^AR-8740-36H 590

SCREW COMPRESS 4.0X50^AR-8740-50H 590

SCREW COMPRESS FT 12MM^AR-8730-12H 590

SCREW COMPRESS FT 14MM^AR-8930-14H 590

SCREW COMPRESS FT SCRW 3.5 MINI 26mm LGTH^AR-8730-26H 590

SCREW COMPRESS HEADLESS 2.4 X 16^02.226.216 705

SCREW COMPRESS HEADLESS 2.4 X 17 -MFRCAT# 02.226.217^02.226.217 705

SCREW COMPRESS HEADLESS 2.4 X 18^02.226.218 705

SCREW COMPRESSION 2.5X28^AR-8725-28H 590

SCREW COMPRESSION 36MM^280.990S 187

SCREW COMPRESSION 4.0X38^AR-8740-38H 590

SCREW COMPRESSION 4.0X40^AR-8740-40H 590

SCREW COMPRESSION 4.0X46^AR-8740-46H 590

SCREW COMPRESSION 4.0X58 PTS^AR-8740-58PTS 265

SCREW COMPRESSION 6X13.5MM^1830-0001S 342

SCREW COMPRESSION 8MM^1825-0001S 351

SCREW COMPRESSION FT 3.5X34^AR-8730-34H 590

SCREW COMPRESSION WICHITA^6647-3-000 2678

SCREW CONDYLE 5X70^1895-5070S 363

SCREW CONDYLE 5X80^1895-5080S 363

SCREW CONDYLE NUT 5MM^1895-5001S 363

SCREW CONICAL 3.5MM SLF-TPNG THREADED 90MM 212.330 269

SCREW CONICAL 5.0 X 75MM^02.205.275 339

SCREW CONICAL 5.0 X 80MM^02.205.280 339

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SCREW CONICAL SLF TPNGFULL 3.5X70MM 212.326 269

SCREW CONICAL SLFTAP PT 3.5X90^212.430 269

SCREW CONSTRAINED 13MM^1868-62-013 446

SCREW CONSTRAINED 14MM^186862014 446

SCREW CONSTRAINED 16MM^1868-62-016 446

SCREW CORETEX 4.5X14 LP S-T^71826014 40

SCREW CORT 2.4X12^AR-8724-12 195

SCREW CORT 2.4X14^AR-8724-14 195

SCREW CORT 2.4X16^AR-8724-16 195

SCREW CORT 2.4X24^AR-8724-24 195

SCREW CORT 3.5^40-35026 115

SCREW CORT EPS EVOLVE 2.7X20mm^4972720N 202

SCREW CORT EPS EVOLVE 2.7X50mm^4972750N 202

SCREW CORT LCK 2.7 X 20mm^40232720 498

SCREW CORT LCK 2.7 X 22^40232722 498

SCREW CORT LCK 2.7 X 30^40232730 498

SCREW CORT LCK 2.7 X 38mm^40232738 498

SCREW CORT LCK 2.7X26^40232726 498

SCREW CORT LCK 2.7X45^40232745 498

SCREW CORT LCK 2.7X50^40232750 498

SCREW CORT LCK 3.0X22^AR-8933L-22 205

SCREW CORT LCK 3.5X10^40233510 498

SCREW CORT LCK 3.5X12^40233512 498

SCREW CORT LCK 3.5X14^40233514 498

SCREW CORT LCK 3.5X16^40233516 498

SCREW CORT LCK 3.5X18^40233518 498

SCREW CORT LCK 3.5X20^40233520 498

SCREW CORT LCK 3.5X22^40233522 498

SCREW CORT LCK 3.5X22^4023-3522 498

SCREW CORT LCK 3.5X24^40233524 498

SCREW CORT LCK 3.5X26^40233526 498

SCREW CORT LCK 3.5X26^4023-3526 498

SCREW CORT LCK 3.5X28^40231528 690

SCREW CORT LCK 3.5X30^40233530 498

SCREW CORT LCK 3.5X32^40233532 498

SCREW CORT LCK 3.5X34^40233534 498

SCREW CORT LCK 3.5X36^4023-3536 498

SCREW CORT LCK 3.5X38^40233538 498

SCREW CORT LCK 3.5X40^4023-3540 498

SCREW CORT LCK 3.5X45^40233545 498

SCREW CORT LCK 3.5X50^40233550 498

SCREW CORT LCK 3.5X50^4023-3550 498

SCREW CORT LCK 3.5X55^4023-3555 498

SCREW CORT LCK 3.5X60^4023-3560 498

SCREW CORT LOCKING 3.0 X 14MM^AR-8933L-14 205

SCREW CORT LOCKING 3.0 X 16MM^AR-8933L-16 205

SCREW CORT LOCKING 3.0 X 20MM^AR-8933L-20 150

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SCREW CORT POLARUS 3.5 X 20MM^HCO3200-S 338

SCREW CORT POLARUS 3.5 X 22.5^HCO3225-S 338

SCREW CORT POLARUS 3.5 X 25MM^HCO3250 230

SCREW CORT POLARUS 3.5 X 30MM^HCO3300 230

SCREW CORT POLARUS 3.5 X 35MM^HCO3350-S 338

SCREW CORT POLARUS 3.5X17.5MM^HCO3175-S 338

SCREW CORT POLARUS 3.5X27.5MM^HCO3275-S 338

SCREW CORT SLFTAP TRIGEN 4X20^71754020 291

SCREW CORT SLFTAP TRIGEN 4X22^71754022 291

SCREW CORT SLFTAP TRIGEN 4X24^71754024 291

SCREW CORT SLFTAP TRIGEN 4X26^71754026 291

SCREW CORT SLFTAP TRIGEN 4X28^71754028 291

SCREW CORT SLFTAP TRIGEN 4X30^71754030 291

SCREW CORT SLFTAP TRIGEN 4X32^71754032 291

SCREW CORT SLFTAP TRIGEN 4X34^71754034 291

SCREW CORT SLFTAP TRIGEN 4X36^71754036 291

SCREW CORT SLFTAP TRIGEN 4X38^71754038 291

SCREW CORT SLFTAP TRIGEN 4X40^71754040 291

SCREW CORTEX EVOS 3.5mmX40mm S-T^72403540 48

SCREW CORTEX 1.0 X 10MM^400.530 160

SCREW CORTEX 1.0 X 11MM^400.531 160

SCREW CORTEX 1.0 X 12MM^400.532 160

SCREW CORTEX 1.0 X 13MM^400.533 160

SCREW CORTEX 1.0 X 14MM^400.534 160

SCREW CORTEX 1.0 X 4MM^400.504 214

SCREW CORTEX 1.0 X 5MM^400.505 214

SCREW CORTEX 1.0 X 6MM^400.526 160

SCREW CORTEX 1.0 X 7MM^400.527 160

SCREW CORTEX 1.0 X 8MM^400.528 160

SCREW CORTEX 1.0 X 9MM^400.529 160

SCREW CORTEX 1.3 X 10MM^400.690 166

SCREW CORTEX 1.3 X 11MM^400.691 166

SCREW CORTEX 1.3 X 12MM^400.692 166

SCREW CORTEX 1.3 X 13MM^400.693 166

SCREW CORTEX 1.3 X 14MM^400.694 166

SCREW CORTEX 1.3 X 16MM^400.696 166

SCREW CORTEX 1.3 X 18MM^400.698 166

SCREW CORTEX 1.3 X 3MM^400.623 204

SCREW CORTEX 1.3 X 4MM^400.624 204

SCREW CORTEX 1.3 X 5MM^400.625e 216

SCREW CORTEX 1.3 X 6MM^400.626 204

SCREW CORTEX 1.3 X 6MM^400.686 166

SCREW CORTEX 1.3 X 7MM^400.687 166

SCREW CORTEX 1.3 X 8MM^400.628 204

SCREW CORTEX 1.3 X 8MM^400.688 166

SCREW CORTEX 1.3 X 9MM^400.689 166

SCREW CORTEX 1.3mm SLF-TPNG WITH T4 STARDRIVE RECESS 5mm^02.130.005 81

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SCREW CORTEX 1.3mm SLF-TPNG WITH T4 STARDRIVE RECESS 6mm^02.130.006 81

SCREW CORTEX 1.5 X 10MM 5/PK^400.710 46

SCREW CORTEX 1.5 X 10MM^200.010 81

SCREW CORTEX 1.5 X 10MM^400.810.96 71

SCREW CORTEX 1.5 X 11MM^400.811.96 71

SCREW CORTEX 1.5 X 12MM^400.812.96 71

SCREW CORTEX 1.5 X 13MM^400.813.96 71

SCREW CORTEX 1.5 X 14MM^400.814.96 71

SCREW CORTEX 1.5 X 16MM^400.816.96 71

SCREW CORTEX 1.5 X 18MM^400.818.96 71

SCREW CORTEX 1.5 X 20MM^400.820.96 71

SCREW CORTEX 1.5 X 22MM^400.822.96 71

SCREW CORTEX 1.5 X 24MM^400.824.96 71

SCREW CORTEX 1.5 X 6MM^200.006 81

SCREW CORTEX 1.5 X 6MM^400.736 145

SCREW CORTEX 1.5 X 6MM^400.806.96 71

SCREW CORTEX 1.5 X 7MM^400.807.96 71

SCREW CORTEX 1.5 X 8MM^400.808.96 71

SCREW CORTEX 1.5 X 9MM^400.809.96 71

SCREW CORTEX 1.5X10^02.214.110 93

SCREW CORTEX 1.5X11^02.214.111 93

SCREW CORTEX 1.5X12^02.214.112 93

SCREW CORTEX 1.5X13^02.214.113 93

SCREW CORTEX 1.5X14^02.214.114 93

SCREW CORTEX 1.5X15^02.214.115 93

SCREW CORTEX 1.5X16^02.214.116 93

SCREW CORTEX 1.5X18^02.214.118 93

SCREW CORTEX 1.5X20^02.214.120 93

SCREW CORTEX 1.5X24mm^02.214.124 93

SCREW CORTEX 1.5X4 EMERGENCY^400.734e 145

SCREW CORTEX 1.5X7^02.214.107 93

SCREW CORTEX 1.5X8^02.214.108 93

SCREW CORTEX 1.5X9^02.214.109 93

SCREW CORTEX 10MM X 2.0^401.110 50

SCREW CORTEX 12MM X 2.0MM^401.112 46

SCREW CORTEX 14 X 2.4MM SLFTAP -MFRCAT# 401.514E^401.514E 270

SCREW CORTEX 14 X 2.4MM^401.514 240

SCREW CORTEX 14MM X 2.0MM^401.114 46

SCREW CORTEX 16 X 2.4MM^401.516 240

SCREW CORTEX 16MM X 2.0MM^401.116 46

SCREW CORTEX 18MM X 2.0^401.118 46

SCREW CORTEX 2.0 X 10MM^201.010 81

SCREW CORTEX 2.0 X 10MM^401.010 89

SCREW CORTEX 2.0 X 10MM^401.810.96 71

SCREW CORTEX 2.0 X 11MM^401.811.96 71

SCREW CORTEX 2.0 X 12^71162112 142

SCREW CORTEX 2.0 X 12MM^201.012 81

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SCREW CORTEX 2.0 X 12MM^401.012 89

SCREW CORTEX 2.0 X 12MM^401.812.96 71

SCREW CORTEX 2.0 X 13MM^401.813.96 71

SCREW CORTEX 2.0 X 14MM^201.014 81

SCREW CORTEX 2.0 X 14MM^401.814.96 71

SCREW CORTEX 2.0 X 16^71162116 142

SCREW CORTEX 2.0 X 16MM^201.016 81

SCREW CORTEX 2.0 X 16MM^401.816.96 71

SCREW CORTEX 2.0 X 18^71162118 142

SCREW CORTEX 2.0 X 18MM^201.018 81

SCREW CORTEX 2.0 X 18MM^401.818.96 71

SCREW CORTEX 2.0 X 20^201.820 81

SCREW CORTEX 2.0 X 20MM^201.020 81

SCREW CORTEX 2.0 X 20MM^401.820.96 71

SCREW CORTEX 2.0 X 22^71162122 142

SCREW CORTEX 2.0 X 22MM^201.022 81

SCREW CORTEX 2.0 X 22MM^401.822.96 71

SCREW CORTEX 2.0 X 24^201.824 81

SCREW CORTEX 2.0 X 24MM^201.024 81

SCREW CORTEX 2.0 X 24MM^401.824.96 71

SCREW CORTEX 2.0 X 26MM^401.826.96 71

SCREW CORTEX 2.0 X 28MM^401.828.96 71

SCREW CORTEX 2.0 X 30MM^401.830.96 71

SCREW CORTEX 2.0 X 32 SLF TAP^201.378.97 93

SCREW CORTEX 2.0 X 32MM^401.832.96 71

SCREW CORTEX 2.0 X 34MM SLF TAP^201.379.97 93

SCREW CORTEX 2.0 X 36MM^401.036 89

SCREW CORTEX 2.0 X 6MM^201.006 81

SCREW CORTEX 2.0 X 6MM^401.806.96 71

SCREW CORTEX 2.0 X 6MM^501.006 50

SCREW CORTEX 2.0 X 7MM^401.807.96 71

SCREW CORTEX 2.0 X 8MM^201.008 81

SCREW CORTEX 2.0 X 8MM^401.008 89

SCREW CORTEX 2.0 X 8MM^401.808.96 71

SCREW CORTEX 2.0 X 9MM^401.809.96 71

SCREW CORTEX 2.0MM 38MM^201.381.97 93

SCREW CORTEX 2.0MM 7MM^201.357.97 93

SCREW CORTEX 2.0X10^401.045e 164

SCREW CORTEX 2.0X10^401.810.97 75

SCREW CORTEX 2.0X12^401.046e 164

SCREW CORTEX 2.0X12^401.812.97 75

SCREW CORTEX 2.0X14 CRUC^71162114 142

SCREW CORTEX 2.0X14^401.014 89

SCREW CORTEX 2.0X22 SLF TAP^201.372.97 93

SCREW CORTEX 2.0X40^401.382.97 103

SCREW CORTEX 2.0X6^401.806.97 75

SCREW CORTEX 2.0X8^401.044e 164

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SCREW CORTEX 2.0X8^401.808.97 75

SCREW CORTEX 2.4 X 06MM^401.506.95 100

SCREW CORTEX 2.4 X 10MM SLFTAP-MFRCAT# 401.510E^401.510E 270

SCREW CORTEX 2.4 X 10MM^201.760 110

SCREW CORTEX 2.4 X 10MM^401.510.96 165

SCREW CORTEX 2.4 X 10MM^401.760 121

SCREW CORTEX 2.4 X 11MM^401.511.96 165

SCREW CORTEX 2.4 X 11MM^401.761 121

SCREW CORTEX 2.4 X 12MM SLFTAP -MFRCAT# 401.512E^401.512E 270

SCREW CORTEX 2.4 X 12mm^201.762 110

SCREW CORTEX 2.4 X 12MM^401.512.96 165

SCREW CORTEX 2.4 X 12MM^401.762 121

SCREW CORTEX 2.4 X 13MM^401.513.96 165

SCREW CORTEX 2.4 X 14mm^201.764 110

SCREW CORTEX 2.4 X 14MM^401.514.96 165

SCREW CORTEX 2.4 X 14MM^401.764 121

SCREW CORTEX 2.4 X 16mm^201.766 110

SCREW CORTEX 2.4 X 16MM^401.516.96 165

SCREW CORTEX 2.4 X 16MM^401.766 121

SCREW CORTEX 2.4 X 18mm^201.768 110

SCREW CORTEX 2.4 X 18MM^401.518.96 165

SCREW CORTEX 2.4 X 18MM^401.768 121

SCREW CORTEX 2.4 X 20mm^201.770 110

SCREW CORTEX 2.4 X 20MM^401.520.96 165

SCREW CORTEX 2.4 X 20MM^401.770 121

SCREW CORTEX 2.4 X 22^401.772 121

SCREW CORTEX 2.4 X 22MM^201.772 110

SCREW CORTEX 2.4 X 22MM^401.522.96 165

SCREW CORTEX 2.4 X 24MM^201.774 110

SCREW CORTEX 2.4 X 24MM^401.524.96 165

SCREW CORTEX 2.4 X 24MM^401.774 121

SCREW CORTEX 2.4 X 26^401.776 121

SCREW CORTEX 2.4 X 26MM^201.776 110

SCREW CORTEX 2.4 X 26MM^401.526.96 165

SCREW CORTEX 2.4 X 28^401.778 121

SCREW CORTEX 2.4 X 28mm^201.778 110

SCREW CORTEX 2.4 X 28MM^401.528.96 165

SCREW CORTEX 2.4 X 30MM^201.780 110

SCREW CORTEX 2.4 X 30MM^401.530.96 165

SCREW CORTEX 2.4 X 32MM^401.532.96 165

SCREW CORTEX 2.4 X 32MM^401.782 121

SCREW CORTEX 2.4 X 34MM^201.784 110

SCREW CORTEX 2.4 X 34MM^401.534.96 165

SCREW CORTEX 2.4 X 34MM^401.784 121

SCREW CORTEX 2.4 X 36^401.786 121

SCREW CORTEX 2.4 X 36MM^401.536.96 165

SCREW CORTEX 2.4 X 38MM^401.538.96 165

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SCREW CORTEX 2.4 X 40MM^201.790 110

SCREW CORTEX 2.4 X 40MM^401.540.96 165

SCREW CORTEX 2.4 X 6MM^201.756 110

SCREW CORTEX 2.4 X 6MM^401.506.96 165

SCREW CORTEX 2.4 X 7MM^401.507.96 165

SCREW CORTEX 2.4 X 8MM^201.758 110

SCREW CORTEX 2.4 X 8MM^401.508.96 165

SCREW CORTEX 2.4 X 9MM^401.509.96 165

SCREW CORTEX 2.4X11MM^201.761 110

SCREW CORTEX 2.4X13MM^401.763 121

SCREW CORTEX 2.4X18^AR-8724-18 195

SCREW CORTEX 2.4X20 -MFRCAT# AR-8724-20^AR-8724-20 195

SCREW CORTEX 2.4X22^AR-8724-22 195

SCREW CORTEX 2.4X30^401.790 121

SCREW CORTEX 2.4X36^201.786 110

SCREW CORTEX 2.4X8^401.758 121

SCREW CORTEX 2.4X9^201.759 110

SCREW CORTEX 2.7 X 10^71220010 121

SCREW CORTEX 2.7 X 10^71823010 40

SCREW CORTEX 2.7 X 10MM STAR^202.870 76

SCREW CORTEX 2.7 X 10MM^202.010 81

SCREW CORTEX 2.7 X 10MM^202.810 81

SCREW CORTEX 2.7 X 10MM^402.870 83

SCREW CORTEX 2.7 X 12^71220012 121

SCREW CORTEX 2.7 X 12mm S-T^71823012 40

SCREW CORTEX 2.7 X 12MM STAR^202.872 76

SCREW CORTEX 2.7 X 12MM^202.012 81

SCREW CORTEX 2.7 X 12MM^202.812 81

SCREW CORTEX 2.7 X 14^71220014 121

SCREW CORTEX 2.7 X 14^71823014 40

SCREW CORTEX 2.7 X 14MM STAR^202.874 76

SCREW CORTEX 2.7 X 14MM^202.014 81

SCREW CORTEX 2.7 X 14MM^202.814 81

SCREW CORTEX 2.7 X 16^71220016 121

SCREW CORTEX 2.7 X 16^71823016 40

SCREW CORTEX 2.7 X 16mm STAR^202.876 76

SCREW CORTEX 2.7 X 16MM^202.016 81

SCREW CORTEX 2.7 X 16MM^202.816 81

SCREW CORTEX 2.7 X 18^71220018 121

SCREW CORTEX 2.7 X 18^71823018 40

SCREW CORTEX 2.7 X 18mm STAR^202.878 76

SCREW CORTEX 2.7 X 18MM^202.018 81

SCREW CORTEX 2.7 X 18MM^202.818 81

SCREW CORTEX 2.7 X 20^71220020 121

SCREW CORTEX 2.7 X 20mm STAR^202.880 76

SCREW CORTEX 2.7 X 20MM^202.020 81

SCREW CORTEX 2.7 X 20MM^202.820 81

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SCREW CORTEX 2.7 X 20MM^71823020 40

SCREW CORTEX 2.7 X 22^71220022 121

SCREW CORTEX 2.7 X 22mm STAR^202.882 76

SCREW CORTEX 2.7 X 22MM^202.022 81

SCREW CORTEX 2.7 X 22MM^202.822 81

SCREW CORTEX 2.7 X 22MM^71823022 40

SCREW CORTEX 2.7 X 24MM STAR^202.884 76

SCREW CORTEX 2.7 X 24MM^202.024 81

SCREW CORTEX 2.7 X 24mm^202.824 81

SCREW CORTEX 2.7 X 26MM STAR^202.886 76

SCREW CORTEX 2.7 X 26MM^202.026 81

SCREW CORTEX 2.7 X 26mm^202.826 81

SCREW CORTEX 2.7 X 26MM^71823026 40

SCREW CORTEX 2.7 X 28MM STAR^202.888 76

SCREW CORTEX 2.7 X 28MM^202.028 81

SCREW CORTEX 2.7 X 28mm^202.828 81

SCREW CORTEX 2.7 X 30^71823030 40

SCREW CORTEX 2.7 X 30MM^202.030 81

SCREW CORTEX 2.7 X 30mm^202.830 81

SCREW CORTEX 2.7 X 32MM^201.782 110

SCREW CORTEX 2.7 X 32MM^202.032 81

SCREW CORTEX 2.7 X 32MM^202.832 81

SCREW CORTEX 2.7 X 34^71823034 40

SCREW CORTEX 2.7 X 34MM^202.034 81

SCREW CORTEX 2.7 X 34MM^202.834 81

SCREW CORTEX 2.7 X 36^71823036 40

SCREW CORTEX 2.7 X 36MM^202.836 81

SCREW CORTEX 2.7 X 38MM^202.838 81

SCREW CORTEX 2.7 X 40^71823040 40

SCREW CORTEX 2.7 X 40MM^202.840 81

SCREW CORTEX 2.7 X 42MM^202.842 81

SCREW CORTEX 2.7 X 44MM^202.844 81

SCREW CORTEX 2.7 X 45MM^202.845 81

SCREW CORTEX 2.7 X 45MM^71823045 40

SCREW CORTEX 2.7 X 48MM^202.848 81

SCREW CORTEX 2.7 X 50MM^202.850 81

SCREW CORTEX 2.7 X 50MM^71823050 40

SCREW CORTEX 2.7 X 55MM^202.855 94

SCREW CORTEX 2.7 X 55MM^71823055 40

SCREW CORTEX 2.7 X 6MM^202.006 81

SCREW CORTEX 2.7 X 8^71220008 121

SCREW CORTEX 2.7 X 8MM^202.008 81

SCREW CORTEX 2.7X12MM TITAN^402.872 83

SCREW CORTEX 2.7X14MM TIT^402.874 83

SCREW CORTEX 2.7X16MM TIT^402.876 83

SCREW CORTEX 2.7X18MM TIT^402.878 83

SCREW CORTEX 2.7X20^402.880 83

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SCREW CORTEX 2.7X22^402.882 83

SCREW CORTEX 2.7X24^71823024 40

SCREW CORTEX 2.7X26^402.886 83

SCREW CORTEX 2.7X28^71823028 40

SCREW CORTEX 2.7X50^402.967 83

SCREW CORTEX 2.7X60^402.969 83

SCREW CORTEX 20MM X 2.4MM^401.520 240

SCREW CORTEX 28MM X 2.4MM^401.528 240

SCREW CORTEX 3.5 X 10^71222010 121

SCREW CORTEX 3.5 X 10^71824010 40

SCREW CORTEX 3.5 X 10MM^204.010 49

SCREW CORTEX 3.5 X 12^71222012 121

SCREW CORTEX 3.5 X 12MM -MFRCAT# 404.812^404.812 53

SCREW CORTEX 3.5 X 12MM^204.012 49

SCREW CORTEX 3.5 X 12MM^404.012 53

SCREW CORTEX 3.5 X 14^71222014 121

SCREW CORTEX 3.5 X 14^71824014 40

SCREW CORTEX 3.5 X 14MM^204.014 49

SCREW CORTEX 3.5 X 14MM^404.014 53

SCREW CORTEX 3.5 X 14MM^404.814 53

SCREW CORTEX 3.5 X 16^71222016 121

SCREW CORTEX 3.5 X 16^71824016 40

SCREW CORTEX 3.5 X 16MM^204.016 49

SCREW CORTEX 3.5 X 16MM^404.016 53

SCREW CORTEX 3.5 X 16MM^404.816 53

SCREW CORTEX 3.5 X 18^71222018 121

SCREW CORTEX 3.5 X 18^71824018 40

SCREW CORTEX 3.5 X 18MM^204.018 49

SCREW CORTEX 3.5 X 18MM^404.018 53

SCREW CORTEX 3.5 X 18MM^404.818 53

SCREW CORTEX 3.5 X 20^71222020 121

SCREW CORTEX 3.5 X 20^71824020 40

SCREW CORTEX 3.5 X 20MM^204.020 49

SCREW CORTEX 3.5 X 20MM^404.020 53

SCREW CORTEX 3.5 X 20MM^404.820 53

SCREW CORTEX 3.5 X 22^71222022 121

SCREW CORTEX 3.5 X 22MM^204.022 49

SCREW CORTEX 3.5 X 22MM^404.022 53

SCREW CORTEX 3.5 X 22MM^404.822 53

SCREW CORTEX 3.5 X 24^71222024 121

SCREW CORTEX 3.5 X 24^71824024 40

SCREW CORTEX 3.5 X 24MM^204.024 49

SCREW CORTEX 3.5 X 24mm^404.824 53

SCREW CORTEX 3.5 X 26^71222026 121

SCREW CORTEX 3.5 X 26^71824026 40

SCREW CORTEX 3.5 X 26MM^204.026 49

SCREW CORTEX 3.5 X 26MM^404.826 53

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Description CPT-4 Base Price Schedule

SCREW CORTEX 3.5 X 28^71222028 121

SCREW CORTEX 3.5 X 28^71824028 40

SCREW CORTEX 3.5 X 28MM^204.028 49

SCREW CORTEX 3.5 X 28mm^404.828 53

SCREW CORTEX 3.5 X 30^71222030 121

SCREW CORTEX 3.5 X 30^71824030 40

SCREW CORTEX 3.5 X 30MM^204.030 49

SCREW CORTEX 3.5 X 32^71824032 40

SCREW CORTEX 3.5 X 32MM^204.032 49

SCREW CORTEX 3.5 X 34^71222034 121

SCREW CORTEX 3.5 X 34^71824034 40

SCREW CORTEX 3.5 X 34MM^204.034 49

SCREW CORTEX 3.5 X 35MM^204.035 27

SCREW CORTEX 3.5 X 36^71222036 121

SCREW CORTEX 3.5 X 36^71824036 40

SCREW CORTEX 3.5 X 36MM^204.036 49

SCREW CORTEX 3.5 X 38^71222038 121

SCREW CORTEX 3.5 X 38MM^204.038 49

SCREW CORTEX 3.5 X 40^71824040 40

SCREW CORTEX 3.5 X 40MM PERI-LOC S-T VLP^71821340 45

SCREW CORTEX 3.5 X 40MM^204.040 49

SCREW CORTEX 3.5 X 45^71222045 121

SCREW CORTEX 3.5 X 45MM^204.045 49

SCREW CORTEX 3.5 X 45MM^71824045 40

SCREW CORTEX 3.5 X 50^71222050 121

SCREW CORTEX 3.5 X 50^71824050 40

SCREW CORTEX 3.5 X 50MM^204.050 49

SCREW CORTEX 3.5 X 50mm^404.850 53

SCREW CORTEX 3.5 X 55^71222055 121

SCREW CORTEX 3.5 X 55^71824055 40

SCREW CORTEX 3.5 X 60^71824060 40

SCREW CORTEX 3.5 X 65^71824065 40

SCREW CORTEX 3.5MM X 10MM^204.810 49

SCREW CORTEX 3.5MM X 12MM^204.812 49

SCREW CORTEX 3.5MM X 14MM^204.814 49

SCREW CORTEX 3.5MM X 16MM^204.816 49

SCREW CORTEX 3.5MM X 18MM^204.818 49

SCREW CORTEX 3.5MM X 20MM^204.820 49

SCREW CORTEX 3.5MM X 22MM^204.822 49

SCREW CORTEX 3.5MM X 24MM^204.824 49

SCREW CORTEX 3.5MM X 26MM^204.826 49

SCREW CORTEX 3.5MM X 28MM^204.828 49

SCREW CORTEX 3.5MM X 30MM^204.830 49

SCREW CORTEX 3.5MM X 32MM^204.832 49

SCREW CORTEX 3.5MM X 32MM^71222032 121

SCREW CORTEX 3.5MM X 34MM^204.834 49

SCREW CORTEX 3.5MM X 36MM^204.836 49

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SCREW CORTEX 3.5MM X 38MM^204.838 49

SCREW CORTEX 3.5MM X 40MM^204.840 49

SCREW CORTEX 3.5MM X 40MM^71222040 121

SCREW CORTEX 3.5MM X 42MM^204.842 49

SCREW CORTEX 3.5MM X 44MM^204.844 49

SCREW CORTEX 3.5MM X 45MM^204.845 49

SCREW CORTEX 3.5MM X 46MM^204.846 49

SCREW CORTEX 3.5MM X 48MM^204.848 49

SCREW CORTEX 3.5MM X 50MM^204.850 49

SCREW CORTEX 3.5MM X 55MM^204.855 49

SCREW CORTEX 3.5mm X 60mm^204.860 49

SCREW CORTEX 3.5X10MM PERI-LOC S-T VLP^71821310 45

SCREW CORTEX 3.5X12MM PERI-LOC S-T VLP^71821312 45

SCREW CORTEX 3.5X14^02.206.214 70

SCREW CORTEX 3.5X14MM PERI-LOC S-T VLP^71821314 45

SCREW CORTEX 3.5X16^02.206.216 70

SCREW CORTEX 3.5X16MM PERI-LOC S-T VLP^71821316 45

SCREW CORTEX 3.5X18^02.206.218 70

SCREW CORTEX 3.5X18MM PERI-LOC S-T VLP^71821318 45

SCREW CORTEX 3.5X20^04.200.020 55

SCREW CORTEX 3.5X20MM PERI-LOC S-T VLP^71821320 45

SCREW CORTEX 3.5X22^02.200.022 50

SCREW CORTEX 3.5X22MM PER-LOC S-T VLP^71821322 45

SCREW CORTEX 3.5X22MM^71824022 40

SCREW CORTEX 3.5X24MM PERI-LOC S-T VLP^71821324 45

SCREW CORTEX 3.5X26MM PERI-LOC S-T VLP^71821326 45

SCREW CORTEX 3.5X28MM PERI-LOC S-T VLP^71821328 45

SCREW CORTEX 3.5X32MM PERI-LOC S-T VLP^71821332 45

SCREW CORTEX 3.5X34MM PERI-LOC S-T VLP^71821334 45

SCREW CORTEX 3.5X36MM PERI-LOC S-T VLP^71821336 45

SCREW CORTEX 3.5X38^02.206.238 70

SCREW CORTEX 3.5X38MM PERI-LOC S-T VLP^71821338 45

SCREW CORTEX 3.5X38MM^71824038 40

SCREW CORTEX 3.5X40^02.206.240 70

SCREW CORTEX 3.5X42 PERILOC S-T VLP^71821342 45

SCREW CORTEX 3.5X42^02.206.242 70

SCREW CORTEX 3.5X45^02.206.245 70

SCREW CORTEX 3.5X46^02.206.246 70

SCREW CORTEX 3.5X48 -MFRCAT 02.206.248^02.206.248 70

SCREW CORTEX 3.5X48 PERILOC S-T VLP^71821348 45

SCREW CORTEX 3.5X50MM PERI-LOC S-T VLP^71821350 45

SCREW CORTEX 3.5X55mm PERI-LOC S-T VLP^71821355 45

SCREW CORTEX 3.5X60MM PERI-LOC S-T VLP^71821360 45

SCREW CORTEX 3.5X65^204.865 49

SCREW CORTEX 3.5X75MM PERI-LOC S-T VLP^71821375 45

SCREW CORTEX 3.5X8 PERILOC S-T VLP^71821308 45

SCREW CORTEX 30MM X 2.4MM^401.530 240

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Description CPT-4 Base Price Schedule

SCREW CORTEX 32MM X 2.4MM^401.532 240

SCREW CORTEX 34MM X 2.4MM^401.534 240

SCREW CORTEX 4.5 X 14^71225014 105

SCREW CORTEX 4.5 X 14MM^214.014 87

SCREW CORTEX 4.5 X 14MM^214.814 48

SCREW CORTEX 4.5 X 16^214.816 48

SCREW CORTEX 4.5 X 16^71225016 121

SCREW CORTEX 4.5 X 16MM^214.016 87

SCREW CORTEX 4.5 X 18^71225018 121

SCREW CORTEX 4.5 X 18MM^214.018 87

SCREW CORTEX 4.5 X 18MM^214.818 48

SCREW CORTEX 4.5 X 20^214.820 48

SCREW CORTEX 4.5 X 20^71225020 121

SCREW CORTEX 4.5 X 20MM^214.020 87

SCREW CORTEX 4.5 X 22^71225022 121

SCREW CORTEX 4.5 X 22MM^214.022 87

SCREW CORTEX 4.5 X 22MM^214.822 48

SCREW CORTEX 4.5 X 24^71225024 121

SCREW CORTEX 4.5 X 24MM^214.024 87

SCREW CORTEX 4.5 X 24MM^214.824 48

SCREW CORTEX 4.5 X 26^71225026 121

SCREW CORTEX 4.5 X 26MM^214.026 87

SCREW CORTEX 4.5 X 26mm^214.826 48

SCREW CORTEX 4.5 X 28^71225028 121

SCREW CORTEX 4.5 X 28MM^214.028 87

SCREW CORTEX 4.5 X 28MM^214.828 48

SCREW CORTEX 4.5 X 30^71225030 121

SCREW CORTEX 4.5 X 30MM^214.030 87

SCREW CORTEX 4.5 X 30MM^214.830 48

SCREW CORTEX 4.5 X 32^71225032 121

SCREW CORTEX 4.5 X 32MM^214.032 87

SCREW CORTEX 4.5 X 32MM^214.832 48

SCREW CORTEX 4.5 X 34^71225034 121

SCREW CORTEX 4.5 X 34MM^214.034 87

SCREW CORTEX 4.5 X 34MM^214.834 48

SCREW CORTEX 4.5 X 36^71225036 121

SCREW CORTEX 4.5 X 36MM^214.036 87

SCREW CORTEX 4.5 X 36MM^214.836 48

SCREW CORTEX 4.5 X 36MM^414.836 52

SCREW CORTEX 4.5 X 38^71225038 121

SCREW CORTEX 4.5 X 38MM^214.038 87

SCREW CORTEX 4.5 X 38MM^214.838 48

SCREW CORTEX 4.5 X 40MM^214.040 87

SCREW CORTEX 4.5 X 40MM^214.840 48

SCREW CORTEX 4.5 X 40MM^414.840 52

SCREW CORTEX 4.5 X 40MM^71225040 121

SCREW CORTEX 4.5 X 42^71225042 121

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Description CPT-4 Base Price Schedule

SCREW CORTEX 4.5 X 42MM^214.042 87

SCREW CORTEX 4.5 X 42MM^214.842 48

SCREW CORTEX 4.5 X 44^71225044 121

SCREW CORTEX 4.5 X 44MM^214.044 87

SCREW CORTEX 4.5 X 44mm^214.844 48

SCREW CORTEX 4.5 X 46^71225046 121

SCREW CORTEX 4.5 X 46MM^214.046 87

SCREW CORTEX 4.5 X 46MM^214.846 48

SCREW CORTEX 4.5 X 46MM^414.846 52

SCREW CORTEX 4.5 X 48MM^214.048 87

SCREW CORTEX 4.5 X 48MM^214.848 48

SCREW CORTEX 4.5 X 48MM^71225048 121

SCREW CORTEX 4.5 X 50MM^214.050 87

SCREW CORTEX 4.5 X 50MM^214.850 48

SCREW CORTEX 4.5 X 50MM^71225050 121

SCREW CORTEX 4.5 X 52^71225052 121

SCREW CORTEX 4.5 X 52MM^214.052 87

SCREW CORTEX 4.5 X 52MM^214.852 48

SCREW CORTEX 4.5 X 54^71225054 121

SCREW CORTEX 4.5 X 54MM^214.054 87

SCREW CORTEX 4.5 X 54MM^214.854 48

SCREW CORTEX 4.5 X 56MM^214.056 87

SCREW CORTEX 4.5 X 56MM^214.856 48

SCREW CORTEX 4.5 X 56MM^71225056 121

SCREW CORTEX 4.5 X 58^214.058 87

SCREW CORTEX 4.5 X 58^71225058 121

SCREW CORTEX 4.5 X 58MM^214.858 48

SCREW CORTEX 4.5 X 60^71225060 121

SCREW CORTEX 4.5 X 60MM^214.060 87

SCREW CORTEX 4.5 X 60MM^214.860 48

SCREW CORTEX 4.5 X 62^214.862 48

SCREW CORTEX 4.5 X 62MM^214.062 87

SCREW CORTEX 4.5 X 64^214.864 48

SCREW CORTEX 4.5 X 64^71225064 121

SCREW CORTEX 4.5 X 64MM^214.064 87

SCREW CORTEX 4.5 X 66 ^214.866 45

SCREW CORTEX 4.5 X 66MM^214.066 87

SCREW CORTEX 4.5 X 68^214.868 48

SCREW CORTEX 4.5 X 68^71225068 121

SCREW CORTEX 4.5 X 68MM^214.068 87

SCREW CORTEX 4.5 X 70^214.870 48

SCREW CORTEX 4.5 X 70^71225070 121

SCREW CORTEX 4.5 X 70MM^214.070 87

SCREW CORTEX 4.5 X 72MM^214.072 87

SCREW CORTEX 4.5X100 LP ST^71826100 74

SCREW CORTEX 4.5X14 LCK S-T^71827014 260

SCREW CORTEX 4.5X16 LCK S-T^71827016 260

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Description CPT-4 Base Price Schedule

SCREW CORTEX 4.5X16 LP S-T^71826016 40

SCREW CORTEX 4.5X18 LCK S-T^71827018 260

SCREW CORTEX 4.5X18 LP S-T^71826018 40

SCREW CORTEX 4.5X20 LP S-T^71826020 40

SCREW CORTEX 4.5X22 LP S-T^71826022 40

SCREW CORTEX 4.5X24 LP S-T^71826024 40

SCREW CORTEX 4.5X26 LP S-T^71826026 40

SCREW CORTEX 4.5X28 LP S-T^71826028 40

SCREW CORTEX 4.5X30 LP S-T^71826030 40

SCREW CORTEX 4.5X32 LP S-T^71826032 40

SCREW CORTEX 4.5X34 LP S-T^71826034 40

SCREW CORTEX 4.5X36 LP S-T^71826036 40

SCREW CORTEX 4.5X38 LP S-T^71826038 40

SCREW CORTEX 4.5X40 LP S-T^71826040 40

SCREW CORTEX 4.5X42 LP S-T^71826042 40

SCREW CORTEX 4.5X44 LP S-T^71826044 40

SCREW CORTEX 4.5X46 LP S-T^71826046 40

SCREW CORTEX 4.5X48 LP S-T^71826048 40

SCREW CORTEX 4.5X50 LP S-T^71826050 40

SCREW CORTEX 4.5X52 LP S-T^71826052 40

SCREW CORTEX 4.5X54 LP S-T^71826054 40

SCREW CORTEX 4.5X56 LP S-T^71826056 40

SCREW CORTEX 4.5X58 LP S-T^71826058 40

SCREW CORTEX 4.5X64^71826064 40

SCREW CORTEX 4.5X66 LP S-T^71826066 40

SCREW CORTEX 4.5X68^71826068 40

SCREW CORTEX 4.5X70 LP S-T^71826070 40

SCREW CORTEX 4.5X85 LP ST^71826085 74

SCREW CORTEX 4.5X90 LP ST^71826090 74

SCREW CORTEX 4MM L 1.5MM D^400.734 145

SCREW CORTEX 4MM X 2.0^401.104 46

SCREW CORTEX 6 X 2.4MM SLFTAP -MFRCAT# 401.506E^401.506E 270

SCREW CORTEX 6 X 2.4MM^401.506 240

SCREW CORTEX 6MM L 1.5MM D^400.706 46

SCREW CORTEX 6MM L 2.0MM DIA^401.106 46

SCREW CORTEX 8MM L 1.5MM D^400.708 46

SCREW CORTEX 8MM X 2.0MM^401.108 46

SCREW CORTEX CRUC 2.0 X 12^71149212 163

SCREW CORTEX CRUC 2.0 X 14^71149214 163

SCREW CORTEX D-RAD 2.4X10 S-T^74682410 100

SCREW CORTEX D-RAD 2.4X12 S-T^74682412 100

SCREW CORTEX D-RAD 2.4X16 S-T^74682416 100

SCREW CORTEX D-RAD 2.4X18 S-T^74682418 100

SCREW CORTEX D-RAD 2.4X20 S-T^74682420 100

SCREW CORTEX D-RAD 2.4X22 S-T -MFRCAT# 74682422^74682422 99.96

SCREW CORTEX ELF-TAPPING 2.0-12mm^201.812 81

SCREW CORTEX EVOS 2.0X18mm T6 S-T - MFRCAT 72402018N^72402018N 60

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Description CPT-4 Base Price Schedule

SCREW CORTEX EVOS 2.0X8 T6 - MFRCAT 72402008N^72402008N 60

SCREW CORTEX EVOS 2.0X9 T6 - MFRCAT 72402009N^72402009N 60

SCREW CORTEX EVOS 2.7mm X 10mm T8 S-T^72402710 66

SCREW CORTEX EVOS 2.7mm X 11mm T8 S-T^72402711 66

SCREW CORTEX EVOS 2.7mm X 12mm T8 S-T^72402712 66

SCREW CORTEX EVOS 2.7mm X 13mm T8 S-T^72402713 66

SCREW CORTEX EVOS 2.7mm X 14mm T8 S-T^72402714 66

SCREW CORTEX EVOS 2.7mm X 20mm T8 S-T^72402720 66

SCREW CORTEX EVOS 2.7mm X 26mm T8 S-T^72402726 66

SCREW CORTEX EVOS 2.7mm X 8mm T8 S-T^72402708 66

SCREW CORTEX EVOS 2.7mmX16mm T8 S-T^72402716 66

SCREW CORTEX EVOS 2.7mmX18mm T8 S-T^72402718 66

SCREW CORTEX EVOS 3.5m X 20mm S-T^72403520 48

SCREW CORTEX EVOS 3.5MM X 13MM S-T^72403513 42

SCREW CORTEX EVOS 3.5mm X 16mm S-T^72403516 48

SCREW CORTEX EVOS 3.5mm X 17mm S-T^72403517 42

SCREW CORTEX EVOS 3.5mm X 18mm S-T^72403518 48

SCREW CORTEX EVOS 3.5mm X 19mm S-T^72403519 42

SCREW CORTEX EVOS 3.5mm X 22mm S-T^72403522 48

SCREW CORTEX EVOS 3.5mm X 24mm S-T^72403524 48

SCREW CORTEX EVOS 3.5mm X 26mm S-T^72403526 48

SCREW CORTEX EVOS 3.5mm X 28mm S-T^72403528 48

SCREW CORTEX EVOS 3.5mm X 30mm S-T^72403530 48

SCREW CORTEX EVOS 3.5mm X 36mm S-T^72403536 48

SCREW CORTEX EVOS 3.5mm X 38mm S-T^72403538 48

SCREW CORTEX EVOS 3.5mm X 42mm S-T^72403542 48

SCREW CORTEX EVOS 3.5mm X 44mm S-T^72403544 48

SCREW CORTEX EVOS 3.5mm X 60mm S-T^72403560 54

SCREW CORTEX EVOS 3.5mm X10 mm S-T^72403510 42

SCREW CORTEX EVOS 3.5mm X12mm S-T^72403512 42

SCREW CORTEX EVOS 3.5mm X15mm S-T^72403515 42

SCREW CORTEX EVOS 3.5mm X46mm S-T^72403546 48

SCREW CORTEX EVOS 3.5mm X48mm S-T^72403548 48

SCREW CORTEX EVOS 3.5mm X50mm S-^72403550 48

SCREW CORTEX EVOS 3.5mm X55mm S-T^72403555 48

SCREW CORTEX EVOS 3.5mmX14mm S-T^72403514 42

SCREW CORTEX HEX 1.5 X 6^71161506 142

SCREW CORTEX HEX 1.5 X 9^71161509 142

SCREW CORTEX HEX 2.0 X 14^71162014 142

SCREW CORTEX HEX 2.0 X 16^71162016 142

SCREW CORTEX HEX 2.0 X 18^71162018 142

SCREW CORTEX HEX 2.0 X 20^71162020 142

SCREW CORTEX HEX 2.0 X 24^7116-2024 142

SCREW CORTEX LCK 2.0 X 18MM SLFTAP^401.368.97 103

SCREW CORTEX LCK 2.0 X 20MM SLFTAP^401.370.97 103

SCREW CORTEX LCK 2.0 X 34M SLFTAP^401.379.97 103

SCREW CORTEX LCK 2.0X10MM SLFTAP^401.360.97 103

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SCREW CORTEX LCK 2.0X11MM SLFTAP^401.361.97 103

SCREW CORTEX LCK 2.0X12MM SLFTAP^401.362.97 103

SCREW CORTEX LCK 2.0X12MM STAR^401.362 780

SCREW CORTEX LCK 2.0X13MM SLFTAP^401.363.97 103

SCREW CORTEX LCK 2.0X14MM SLFTAP^401.364.97 103

SCREW CORTEX LCK 2.0X16MM SLFTAP^401.366.97 103

SCREW CORTEX LCK 2.0X22MM SLFTAP^401.372.97 103

SCREW CORTEX LCK 2.0X24MM SLFTAP^401.374.97 103

SCREW CORTEX LCK 2.0X26MM SLFTAP^401.375.97 103

SCREW CORTEX LCK 2.0X28MM SLFTAP^401.376.97 103

SCREW CORTEX LCK 2.0X30MM SLFTAP^401.377.97 103

SCREW CORTEX LCK 2.0X32MM SLFTAP^401.378.97 103

SCREW CORTEX LCK 2.0X6MM SLFTAP^401.356.97 103

SCREW CORTEX LCK 2.0X7MM SLFTAP^401.357.97 103

SCREW CORTEX LCK 2.0X8MM SLFTAP^401.358.97 103

SCREW CORTEX LCK 2.0X9MM SLFTAP^401.359.97 103

SCREW CORTEX LCK 2.7 X 10MM^71822310 199

SCREW CORTEX LCK 2.7 X 12MM^71822312 199

SCREW CORTEX LCK 2.7 X 14MM^71822314 199

SCREW CORTEX LCK 2.7 X 16MM^71822316 199

SCREW CORTEX LCK 2.7 X 18MM^71822318 199

SCREW CORTEX LCK 2.7 X 20MM^71822320 199

SCREW CORTEX LCK 2.7 X 22MM^71822322 199

SCREW CORTEX LCK 2.7 X 32MM^71822332 199

SCREW CORTEX LCK 2.7 X 36MM^71822336 199

SCREW CORTEX LCK 2.7 X 38MM^71822338 199

SCREW CORTEX LCK 2.7 X 40MM^71822340 199

SCREW CORTEX LCK 2.7 X 45MM^71822345 199

SCREW CORTEX LCK 2.7 X 50MM^71822350 199

SCREW CORTEX LCK 2.7 X 55MM^71822355 199

SCREW CORTEX LCK 2.7 X 60MM^71822360 215

SCREW CORTEX LCK 2.7X22MM^402.222 257

SCREW CORTEX LCK 3.5 X 20^AR-8935L-20 266

SCREW CORTEX LCK 3.5 X 22^AR-8935L-22 266

SCREW CORTEX LCK 3.5X14^AR-8935L-14 266

SCREW CORTEX LCK 3.5X16^AR-8935L-16 266

SCREW CORTEX LCK 3.5X18^AR-8935L-18 266

SCREW CORTEX LCK 4.5X74^71826074 74

SCREW CORTEX LCK BLT TP 4.5X10^71827010 260

SCREW CORTEX LCK BLT TP 4.5X12^71827012 260

SCREW CORTEX LCK S-T 2.7 X 34MM 71822334 199

SCREW CORTEX LCK S-T 4.5 X54^71827054 260

SCREW CORTEX LCK S-T 4.5X20^71827020 260

SCREW CORTEX LCK S-T 4.5X22^71827022 260

SCREW CORTEX LCK S-T 4.5X24^71827024 260

SCREW CORTEX LCK S-T 4.5X26^71827026 260

SCREW CORTEX LCK S-T 4.5X28^71827028 260

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SCREW CORTEX LCK S-T 4.5X30^71827030 260

SCREW CORTEX LCK S-T 4.5X32^71827032 260

SCREW CORTEX LCK S-T 4.5X34^71827034 260

SCREW CORTEX LCK S-T 4.5X36^71827036 260

SCREW CORTEX LCK S-T 4.5X38^71827038 260

SCREW CORTEX LCK S-T 4.5X40^71827040 260

SCREW CORTEX LCK S-T 4.5X46^71827046 260

SCREW CORTEX LCK S-T 4.5X48^71827048 260

SCREW CORTEX LCK S-T 4.5X50^71827050 260

SCREW CORTEX LCK S-T 4.5X52^71827052 260

SCREW CORTEX LCK S-T 4.5X58^71827058 260

SCREW CORTEX LCK S-T 4.5X60^71827060 260

SCREW CORTEX LCK S-T 4.5X62^71827062 260

SCREW CORTEX LCK S-T 4.5X64^71827064 260

SCREW CORTEX LCK S-T 4.5X70^71827070 260

SCREW CORTEX LCK S-T 4.5X72^71827072 260

SCREW CORTEX LCK S-T 4.5X74^71827074 260

SCREW CORTEX LCK S-T 4.5X78^71827078 260

SCREW CORTEX LCK S-T 4.5X85^71827085 260

SCREW CORTEX LCK S-T 4.5X90^71827090 267

SCREW CORTEX LCK TITAN 3.5X20^412.106 274

SCREW CORTEX LCK TITAN 3.5X22^412.107 274

SCREW CORTEX LCK TITAN 3.5X24^412.108 274

SCREW CORTEX LCK TITAN 3.5X26^412.109 274

SCREW CORTEX LCK TITAN 3.5X28^412.110 274

SCREW CORTEX LOCK 3.5X10^71825010 218

SCREW CORTEX LOCK 3.5X12^71825012 218

SCREW CORTEX LOCK 3.5X14^71825014 218

SCREW CORTEX LOCK 3.5X18^71825018 218

SCREW CORTEX LOCK 3.5X28^71825028 218

SCREW CORTEX LOCK 3.5X30^71825030 218

SCREW CORTEX LOCK 3.5X32^71825032 218

SCREW CORTEX LOCK 3.5X34^71825034 218

SCREW CORTEX LOCK 3.5X36^71825036 218

SCREW CORTEX LOCK 3.5X38^71825038 218

SCREW CORTEX LOCK 3.5X40^71825040 218

SCREW CORTEX LOCK 3.5X45^71825045 218

SCREW CORTEX LOCK 3.5X50^71825050 235

SCREW CORTEX LOCK 3.5X55^71825055 235

SCREW CORTEX LOCK 3.5X60^71825060 235

SCREW CORTEX LOW PROF 3.5X24^02.206.224 70

SCREW CORTEX LOW PROF 3.5X28^02.206.228 70

SCREW CORTEX LOW PROF 3.5X30^02.206.230 70

SCREW CORTEX LOW PROF 3.5X36^02.206.236 70

SCREW CORTEX LOW PROFILE 2.4 X 28mm^AR-8724-28 195

SCREW CORTEX LOW PROFILE 3.5X32^02.206.232 70

SCREW CORTEX LOW PROFILE 3.5X44^02.206.244 70

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SCREW CORTEX LOW PROFILE 3.5X50^02.206.250 70

SCREW CORTEX LOW PROFILE 3.5X52^02.206.252 70

SCREW CORTEX LOW PROFILE 3.5X54^02.206.054 69

SCREW CORTEX LOW PROFILE 3.5X54^02.206.254 70

SCREW CORTEX LOW PROFILE 3.5X58^02.206.258 70

SCREW CORTEX LOW PROFILE 3.5X60^02.206.260 70

SCREW CORTEX LP S-T 3.5 X 12^71824012 40

SCREW CORTEX PERI LOC T20 3.5X30 S-T^73824030 43

SCREW CORTEX PERILOC 3.5X20^73824020 43

SCREW CORTEX PERILOC 3.5X30 S-T^71821330 45

SCREW CORTEX PERILOC 3.5X44 S-T^71821344 45

SCREW CORTEX PERILOC T15 2.7X10^73823010 43

SCREW CORTEX PERILOC T15 2.7X12^73823012 43

SCREW CORTEX PERILOC T15 2.7X14^73823014 43

SCREW CORTEX PERILOC T15 2.7X18^73823018 43

SCREW CORTEX PERILOC T15 2.7X60 S-T^73823060 74

SCREW CORTEX PERILOC T20 3.5X10 S-T^73824010 43

SCREW CORTEX PERILOC T20 3.5X12^73824012 43

SCREW CORTEX PERILOC T20 3.5X16^73824016 43

SCREW CORTEX PERILOC T20 3.5X18^73824018 43

SCREW CORTEX PERILOC T20 3.5X22^73824022 43

SCREW CORTEX PERILOC T20 3.5X24 S-T^73824024 43

SCREW CORTEX PERILOC T20 3.5X28 S-T^73824028 43

SCREW CORTEX PERILOC T20 3.5X32 S-T^73824032 43

SCREW CORTEX PERILOC T20 3.5X34 S-T^73824034 43

SCREW CORTEX PERILOC T20 3.5X36 S-T^73824036 43

SCREW CORTEX PERILOC T20 3.5X38 S-T^73824038 43

SCREW CORTEX PERILOC T20 3.5X40 S-T^73824040 43

SCREW CORTEX PERILOC T20 3.5X42 S-T^73824042 43

SCREW CORTEX PERILOC T20 3.5X48 S-T^73824048 43

SCREW CORTEX PERILOC T20 3.5X50 S-T^73824050 43

SCREW CORTEX PERILOC T20 3.5X55 S-T^73824055 43

SCREW CORTEX PERILOC T20 3.TX26 S-T^73824026 43

SCREW CORTEX PERILOC T25 4.5X14 -MFRCAT 73826014^73826014 43

SCREW CORTEX PERILOC T25 4.5X16^73826016 43

SCREW CORTEX PERILOC T25 4.5X18^73826018 43

SCREW CORTEX PERILOC T25 4.5X20^73826020 43

SCREW CORTEX PERILOC T25 4.5X22 S-T^73826022 43

SCREW CORTEX PERILOC T25 4.5X28 S-T^73826028 43

SCREW CORTEX PERILOC T25 4.5X32 S-T^73826032 43

SCREW CORTEX PERILOC T25 4.5X34 S-T^73826034 43

SCREW CORTEX PERILOC T25 4.5X36 S-T^73826026 43

SCREW CORTEX PERILOC T25 4.5X36 S-T^73826036 43

SCREW CORTEX PERILOC T25 4.5X38 S-T^73806038 49

SCREW CORTEX PERILOC T25 4.5X38^73826038 43

SCREW CORTEX PERILOC T25 4.5X40 S-T^73826040 43

SCREW CORTEX PERILOC T25 4.5X42 S-T^73826042 43

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SCREW CORTEX PERILOC T25 4.5X44 S-T^73806044 49

SCREW CORTEX PERILOC T25 4.5X46^73826046 43

SCREW CORTEX PERILOC T25 4.5X48 S-T^73826048 43

SCREW CORTEX PERILOC T25 4.5X50 S-T^73826050 43

SCREW CORTEX PERILOC T25 4.5X56 S-T^73826056 43

SCREW CORTEX PERILOC T-25 4.5X64^73826064 43

SCREW CORTEX PERILOC T25 4.5X70 S-T^73826070 43

SCREW CORTEX PERILOC T25 4.5X74^73826074 76

SCREW CORTEX PERILOC VLP 3.5X46^71821346 45

SCREW CORTEX SELF TAP 3.5X20^02.206.220 70

SCREW CORTEX SELF TAP CRUC 2X26^71149566 68

SCREW CORTEX SLF STAR 3.5X14^02.200.014 50

SCREW CORTEX SLF TAP 1.3X11 -MFRCAT 02.130.011^02.130.011 81

SCREW CORTEX SLF TAP 2.0 X 10MM^401.810 89

SCREW CORTEX SLF TAP 2.0 X 14MM STAR^201.364.97 93

SCREW CORTEX SLF TAP 2.0 X 32MM^201.832 81

SCREW CORTEX SLF TAP 2.0 X 36^401.380.97 103

SCREW CORTEX SLF TAP 2.0 X 8MM STAR^201.358.97 93

SCREW CORTEX SLF TAP 2.0X12^201.362.97 93

SCREW CORTEX SLF TAP 2.0X12^401.812 89

SCREW CORTEX SLF TAP 2.0X18^201.818 81

SCREW CORTEX SLF TAP 2.0X18MM STAR^201.368.97 93

SCREW CORTEX SLF TAP 2.0X20MM STAR^201.370.97 93

SCREW CORTEX SLF TAP 2.0X24^201.374.97 93

SCREW CORTEX SLF TAP 2.0X26^201.375.97 93

SCREW CORTEX SLF TAP 2.0X30^201.377.97 93

SCREW CORTEX SLF TAP 2.0X8^401.808 89

SCREW CORTEX SLF TAP 2.4X13^201.763 110

SCREW CORTEX SLF TAP 2.7X28MM^402.888 83

SCREW CORTEX SLF TAP 2.7X30MM^402.890 83

SCREW CORTEX SLF TAP 2.7X36^402.896 83

SCREW CORTEX SLF TAP 2X13^201.363.97 93

SCREW CORTEX SLF TAP 2X9^201.359.97 93

SCREW CORTEX SLF TAP 3.5 X 24MM^02.200.024 50

SCREW CORTEX SLF TAP 3.5 X 26MM^02.200.026 50

SCREW CORTEX SLF TAP 3.5 X 30MM^02.200.030 50

SCREW CORTEX SLF TAP 3.5 X 32MM^02.200.032 50

SCREW CORTEX SLF TAP 3.5 X 34MM^02.200.034 50

SCREW CORTEX SLF TAP 3.5 X 50MM^02.200.050 50

SCREW CORTEX SLF TAP 3.5X12^02.206.012 69

SCREW CORTEX SLF TAP 3.5X14^02.206.014 69

SCREW CORTEX SLF TAP 3.5X16^02.206.016 69

SCREW CORTEX SLF TAP 3.5X18^02.206.018 69

SCREW CORTEX SLF TAP 3.5X20^02.206.020 69

SCREW CORTEX SLF TAP 3.5X22^02.206.022 69

SCREW CORTEX SLF TAP 3.5X24^02.206.024 69

SCREW CORTEX SLF TAP 3.5X26^02.206.026 69

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SCREW CORTEX SLF TAP 3.5X28^02.200.028 50

SCREW CORTEX SLF TAP 3.5X28^02.206.028 69

SCREW CORTEX SLF TAP 3.5X30^02.206.030 69

SCREW CORTEX SLF TAP 3.5X32^02.206.032 69

SCREW CORTEX SLF TAP 3.5X34^02.206.034 69

SCREW CORTEX SLF TAP 3.5X34^02.206.234 70

SCREW CORTEX SLF TAP 3.5X38^412.116 274

SCREW CORTEX SLF TAP 4.0X50^206.450 56

SCREW CORTEX SLF TAP 4.0X65^206.465 56

SCREW CORTEX SLF TAP 4.0X80^206.480 100

SCREW CORTEX SLF TAP 4.0X85 -MFRCAT# 206.485^206.485 100

SCREW CORTEX SLF TAP CRUC 2X20^71149220 163

SCREW CORTEX SLF TAP LCK 2.0 X 40^201.840 81

SCREW CORTEX SLF TAP STAR 3.5 X 16MM^02.200.016 50

SCREW CORTEX SLF TAP STAR 3.5X12^02.200.012 50

SCREW CORTEX SLF TAP STAR 3.5X18^02.200.018 50

SCREW CORTEX SLF TAP STAR 3.5X20^02.200.020 50

SCREW CORTEX SLF TAP T6 2.0X15^201.365.97 93

SCREW CORTEX SLFTAP 1.5X6^02.214.006 217

SCREW CORTEX SLFTAP 1.5X8^02.214.008 217

SCREW CORTEX SLFTAP 1.5X9^02.214.009 217

SCREW CORTEX SLFTAP 2.0X10^201.360.97 93

SCREW CORTEX SLFTAP 2.0X11^201.361.97 93

SCREW CORTEX SLFTAP 2.0X16^201.366.97 93

SCREW CORTEX SLFTAP 2.0X28^201.376.97 93

SCREW CORTEX SLFTAP 2.4X12MM^401.612 165

SCREW CORTEX SLFTAP 2.4X14MM^401.614 165

SCREW CORTEX SLFTAP 2.4X16MM^401.616 165

SCREW CORTEX SLFTAP 2.4X20MM^401.620 165

SCREW CORTEX SLFTAP 2.4X22^401.622 165

SCREW CORTEX SLFTAP 2.4X24MM^401.624 165

SCREW CORTEX SLFTAP 2.4X26MM^401.626 165

SCREW CORTEX SLFTAP 2.4X28MM^401.628 165

SCREW CORTEX SLFTAP 2.4X30MM^401.630 165

SCREW CORTEX SLF-TAP 2.7 X 24^71149424 146

SCREW CORTEX SLFTAP 2.7X10 HEX^402.810 89

SCREW CORTEX SLFTAP 2.7X12 HEX^402.812 89

SCREW CORTEX SLFTAP 2.7X14 HEX^402.814 89

SCREW CORTEX SLFTAP 2.7X16 HEX^402.816 89

SCREW CORTEX SLFTAP 2.7X18 HEX^402.818 89

SCREW CORTEX SLFTAP 2.7X20 HEX^402.820 89

SCREW CORTEX SLFTAP 2.7X22 HEX^402.822 89

SCREW CORTEX SLFTAP 2.7X24 HEX^402.824 89

SCREW CORTEX SLFTAP 2.7X24MM^402.884 83

SCREW CORTEX SLFTAP 2.7X26 HEX^402.826 89

SCREW CORTEX SLFTAP 2.7X32^402.892 83

SCREW CORTEX SLFTAP 2.7X34MM^402.894 83

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SCREW CORTEX SLFTAP 2.7X38MM^402.898 83

SCREW CORTEX SLFTAP 2.7X40MM^402.900 83

SCREW CORTEX SLF-TAP 3.5 X 10^71149510 159

SCREW CORTEX SLF-TAP 3.5 X 14^71149514 159

SCREW CORTEX SLF-TAP 3.5 X 16^71149516 159

SCREW CORTEX SLF-TAP 3.5 X 18^71149518 159

SCREW CORTEX SLF-TAP 3.5 X 20^71149520 159

SCREW CORTEX SLF-TAP 3.5 X 22^71149522 159

SCREW CORTEX SLF-TAP 3.5 X 24^71149524 159

SCREW CORTEX SLF-TAP 3.5 X 26^71149526 159

SCREW CORTEX SLF-TAP 3.5 X 28^71149528 159

SCREW CORTEX SLF-TAP 3.5 X 30^71149530 159

SCREW CORTEX SLF-TAP 3.5 X 32^71149532 159

SCREW CORTEX SLF-TAP 3.5 X 34^71149534 159

SCREW CORTEX SLF-TAP 3.5 X 35^71149535 66

SCREW CORTEX SLF-TAP 3.5 X 36^71149536 159

SCREW CORTEX SLF-TAP 3.5 X 38^71149538 159

SCREW CORTEX SLF-TAP 3.5 X 40^71149540 159

SCREW CORTEX SLF-TAP 3.5 X 45^71149545 159

SCREW CORTEX SLF-TAP 3.5 X 50^71149550 159

SCREW CORTEX SLFTAP 3.5X10^02.206.010 69

SCREW CORTEX SLFTAP 3.5X36^02.206.036 69

SCREW CORTEX SLFTAP 3.5X38^02.206.038 69

SCREW CORTEX SLFTAP 3.5X40^02.206.040 69

SCREW CORTEX SLFTAP 3.5X42^02.206.042 69

SCREW CORTEX SLFTAP 3.5X44^02.206.044 69

SCREW CORTEX SLFTAP 3.5X45^02.206.045 69

SCREW CORTEX SLFTAP 3.5X46MM LOW PROF HD SELF-TAPPING/HEX DRIVE^02.206.046 69

SCREW CORTEX SLFTAP 3.5X75^02.206.075 69

SCREW CORTEX SLFTAP 4.5 X 14^71149714 159

SCREW CORTEX SLFTAP 4.5 X 16^71149716 159

SCREW CORTEX SLFTAP 4.5 X 18^71149718 159

SCREW CORTEX SLFTAP 4.5 X 20^71149720 159

SCREW CORTEX SLFTAP 4.5 X 22^71149722 159

SCREW CORTEX SLFTAP 4.5 X 24^71149724 159

SCREW CORTEX SLFTAP 4.5 X 26^71149726 159

SCREW CORTEX SLFTAP 4.5 X 28^71149728 159

SCREW CORTEX SLFTAP 4.5 X 30^71149730 159

SCREW CORTEX SLFTAP 4.5 X 32^71149732 159

SCREW CORTEX SLFTAP 4.5 X 34^71149734 159

SCREW CORTEX SLFTAP 4.5 X 35^71149735 66

SCREW CORTEX SLFTAP 4.5 X 36^71149736 159

SCREW CORTEX SLFTAP 4.5 X 38^71149738 159

SCREW CORTEX SLFTAP 4.5 X 42^71149742 159

SCREW CORTEX SLF-TAP 4.5 X 44^71149744 159

SCREW CORTEX SLF-TAP 4.5 X 46^71149746 159

SCREW CORTEX SLF-TAP 4.5 X 48^71149748 159

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SCREW CORTEX SLF-TAP 4.5 X 50^71149750 159

SCREW CORTEX SLF-TAP 4.5 X 52^71149752 159

SCREW CORTEX SLF-TAP 4.5 X 54^71149754 159

SCREW CORTEX SLF-TAP 4.5 X 56^71149756 159

SCREW CORTEX SLF-TAP 4.5 X 58^71149758 159

SCREW CORTEX SLF-TAP 4.5 X 64^71149764 159

SCREW CORTEX SLF-TAP 4.5 X 68^71149768 159

SCREW CORTEX SLF-TAP 4.5 X 70^71149770 159

SCREW CORTEX SLF-TAP 4.5X40^71149740 159

SCREW CORTEX SLF-TAP 4.5X66^71149766 159

SCREW CORTEX SLFTAP CRUCIFORM 1.5X16^71149016 159

SCREW CORTEX SLFTAP CRUCIFORM 2X16^71149216 163

SCREW CORTEX SLFTAP HEX 1.5X10^71149110 163

SCREW CORTEX SLFTAP HEX 1.5X11^71149111 163

SCREW CORTEX SLFTAP HEX 1.5X12^71149112 163

SCREW CORTEX SLFTAP HEX 1.5X14^71149114 163

SCREW CORTEX SLFTAP HEX 1.5X16^71149116 163

SCREW CORTEX SLFTAP HEX 1.5X18^71149118 163

SCREW CORTEX SLFTAP HEX 1.5X20^71149120 163

SCREW CORTEX SLFTAP HEX 1.5X6^71149106 163

SCREW CORTEX SLF-TAP HEX 1.5X7^71149107 163

SCREW CORTEX SLF-TAP HEX 1.5X8^71149108 163

SCREW CORTEX SLF-TAP HEX 1.5X9^71149109 163

SCREW CORTEX SLFTAP HEX 2.0X10^71149310 167

SCREW CORTEX SLFTAP HEX 2.0X12^71149312 167

SCREW CORTEX SLFTAP HEX 2.0X14^71149314 167

SCREW CORTEX SLFTAP HEX 2.0X16^71149316 167

SCREW CORTEX SLFTAP HEX 2.0X18^71149318 167

SCREW CORTEX SLFTAP HEX 2.0X20^71149320 167

SCREW CORTEX SLFTAP HEX 2.0X22^71149322 167

SCREW CORTEX SLFTAP HEX 2.0X24^71149324 167

SCREW CORTEX SLF-TAP HEX 2.0X6^71149306 167

SCREW CORTEX SLFTAP HEX 2.0X8^71149308 167

SCREW CORTEX SLFTAP HEX 2.7X10^71149410 146

SCREW CORTEX SLFTAP HEX 2.7X12^71149412 146

SCREW CORTEX SLFTAP HEX 2.7X14^71149414 146

SCREW CORTEX SLFTAP HEX 2.7X16^71149416 146

SCREW CORTEX SLFTAP HEX 2.7X18^71149418 146

SCREW CORTEX SLFTAP HEX 2.7X20^71149420 146

SCREW CORTEX SLFTAP HEX 2.7X22^71149422 146

SCREW CORTEX SLF-TAP HEX 2.7X6^71149406 146

SCREW CORTEX SLF-TAP HEX 2.7X8^71149408 146

SCREW CORTEX SLFTAP TITAN 1.5X10MM^04.214.110 102

SCREW CORTEX SLFTAP TITAN 1.5X11^04.214.111 102

SCREW CORTEX SLFTAP TITAN 1.5X7MM^04.214.107 102

SCREW CORTEX SLFTAP TITAN 1.5X8MM^04.214.108 102

SCREW CORTEX SLFTAP TITAN 1.5X9MM^04.214.109 102

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SCREW CORTEX S-T 2.5X10MM^71822510 40

SCREW CORTEX S-T 2.5X12MM^71822512 40

SCREW CORTEX S-T 2.5X14MM^71822514 40

SCREW CORTEX S-T 2.5X16MM^71822516 40

SCREW CORTEX S-T 2.5X18MM^71822518 40

SCREW CORTEX S-T 2.5X20MM^71822520 40

SCREW CORTEX S-T 2.5X22MM^71822522 40

SCREW CORTEX S-T 2.5X24MM^71822524 40

SCREW CORTEX S-T 2.5X26MM^71822526 40

SCREW CORTEX S-T 2.5X28MM^71822528 40

SCREW CORTEX S-T LOCK 3.5X16^71825016 218

SCREW CORTEX S-T LOCK 3.5X20^71825020 218

SCREW CORTEX S-T LOCK 3.5X22^71825022 218

SCREW CORTEX S-T LOCK 3.5X24^71825024 218

SCREW CORTEX S-T LOCK 3.5X26^71825026 218

SCREW CORTEX STARDRIVE 2.7X36 -MFRCAT# 202.896^202.896 76

SCREW CORTEX STARDRIVE 2.7X40^202.900 76

SCREW CORTEX STARDRIVE 2.7X44^202.963 76

SCREW CORTEX STARDRIVE 2.7X55^202.968 76

SCREW CORTEX TITAN 1.0X3MM^400.503E 214

SCREW CORTEX TITAN 1.3 X 3MM^400.623e 204

SCREW CORTEX TITAN 1.3X4MM^400.624E 216

SCREW CORTEX TITAN 2.0 X 10MM^401.940e 170

SCREW CORTEX TITAN 2.0 X 12MM^401.942e 170

SCREW CORTEX TITAN 2.0 X 14MM^401.944e 170

SCREW CORTEX TITAN 2.0 X 16MM^401.946e 170

SCREW CORTEX TITAN 2.0 X 4MM^401.934e 170

SCREW CORTEX TITAN 2.0 X 6MM^401.936e 170

SCREW CORTEX TITAN 2.0 X 8MM^401.938e 170

SCREW CORTEX TITAN 2.0X18^401.948e 170

SCREW CORTEX TITAN 3.5X14^04.200.014 55

SCREW CORTEX TITAN 3.5X16^04.200.016 55

SCREW CORTEX TITAN 3.5X18^04.200.018 55

SCREW CORTEX TITAN 3.5X22^04.200.022 55

SCREW CORTEX VLP 2.0X10 TI LCK-MFRCAT 74412010N^74412010N 210

SCREW CORTEX VLP 2.0X10 TI -MFRCAT 74402010N^74402010N 100

SCREW CORTEX VLP 2.0X12 TI LCK-MFRCAT 74412012N^74412012N 210

SCREW CORTEX VLP 2.0X12 TI -MFRCAT 74402012N^74402012N 100

SCREW CORTEX VLP 2.0X14 NS - MFRCAT 74402014N^74402014N 100

SCREW CORTEX VLP 2.0X14mm TI LCK T6-S-T NS-MFRCAT 74412014N^74412014N 210

SCREW CORTEX VLP 2.0X18 NS -MFRCAT 74402018N^74402018N 100

SCREW CORTEX VLP 2.0X20 NS -MFRCAT 74402020N^74402020N 100

SCREW CORTEX VLP 2.0X22 NS - MFRCAT 74402022N^74402022N 100

SCREW CORTEX VLP 2.0X6 TI -MFRCAT 744020006N^74402006N 100

SCREW CORTEX VLP 2.0X8 TI -MFRCAT 74402008N^744020008N 100

SCREW CORTEX VLP 2.4X10 NS -MFRCAT# 74402410N^74402410N 100

SCREW CORTEX VLP 2.4X12 NS -MFRCAT# 74402412N^74402412N 100

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SCREW CORTEX VLP 2.4X15MM T7 S-T 74402415 100

SCREW CORTEX VLP 2.4X16 NS -MFRCAT# 74402416N^74402416N 100

SCREW CORTEX VLP 2.4X18 NS -MFRCAT# 74402418N^74402418N 100

SCREW CORTEX VLP 2.4X20 NS -MFRCAT# 74402420N^74402420N 100

SCREW CORTEX VLP 2.4X20MM T7 S-T 74402420 100

SCREW CORTEX VLP 2.4X22 NS- MFRCAT# 74402422N^74402422N 100

SCREW CORTEX VLP 2.4X24 NS -MFRCAT# 74402424N^74402424N 100

SCREW CORTEX VLP TI 2.0mm X 13mm T6 S-T NS^74402013N 100

SCREW CORTEX VLP TI 2.0mm X 14mm T6 S-T^74402014 100

SCREW CORTEX VLP TI 2.0mm X 8mm T6 S-T^74402008 100

SCREW CORTEX VLP TI 2.0X10mm T6 S-T -MFRCAT 74402010^74402010 100

SCREW CORTEX VLP TI 2.4MM X 10MM T7 S-T 74402410 100

SCREW CORTEX VLP TI 2.4mm X 14mm T7 S-T^74402414 100

SCREW CORTEX VLP TI 2.4mm X 16mm T7 S-T^74402416 100

SCREW CORTEX VLP TI 2.4mm X 17mm T7 S-T^74402417 100

SCREW CORTEX VLP TI 2.4MM X 18MM T7 S-T 74402418 100

SCREW CORTEX W/SOCKET 2.7 X 14^402.014 89

SCREW CORTICAL 10MM^7750510 490

SCREW CORTICAL 10X5.0^7750610 490

SCREW CORTICAL 12MM^7750512 490

SCREW CORTICAL 2.3 X 18MM^CBS2.3-18 120

SCREW CORTICAL 2.3 X 20MM^CBS2.3-20 120

SCREW CORTICAL 2.3X14^TRX2.3-14 166

SCREW CORTICAL 2.3X16 TRX2.3-16 166

SCREW CORTICAL 2.3X18MM -MFRCAT CO-N2318^CO-N2318 178

SCREW CORTICAL 2.3X20^TRX2.3-20 166

SCREW CORTICAL 2.3X20MM -MFRCAT CO-N2320^CO-N2320 178

SCREW CORTICAL 2.3X26MM^CO-N2326 178

SCREW CORTICAL 2.3X30MM -MFRCAT CO-N2330^CO-N2330 178

SCREW CORTICAL 2.4X10^AR-8724-10 195

SCREW CORTICAL 2.7 X 12MM^CO-2712 132

SCREW CORTICAL 2.7 X 14MM^CO-2714 132

SCREW CORTICAL 2.7 X 16MM^CO-2716 132

SCREW CORTICAL 2.7 X 18MM^CO-2718 132

SCREW CORTICAL 2.7 X 20MM^CO-2720 132

SCREW CORTICAL 2.7 X 22MM^CO-2722 132

SCREW CORTICAL 2.7 X 24^71220024 121

SCREW CORTICAL 2.7 X 25MM^CO-2725 132

SCREW CORTICAL 2.7 X 27.5MM^CO-27275 132

SCREW CORTICAL 2.7 X 30MM^CO-2730 132

SCREW CORTICAL 2.7 X 35MM^CO-2735 132

SCREW CORTICAL 2.7 X 40MM^CO-2740 132

SCREW CORTICAL 2.7 X 45MM^CO-2745 132

SCREW CORTICAL 2.7 X 8MM^CO-2708 132

SCREW CORTICAL 3.0 X 10MM^AR-8933-10 195

SCREW CORTICAL 3.0 X 12MM^AR-8933-12 195

SCREW CORTICAL 3.0 X 14MM^AR-8933-14 195

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SCREW CORTICAL 3.0 X 16MM^AR-8933-16 195

SCREW CORTICAL 3.0 X 18MM^AR-8933-18 195

SCREW CORTICAL 3.0 X 20^AR-8933-20 195

SCREW CORTICAL 3.0 X 22^AR-8933-22 195

SCREW CORTICAL 3.0 X 24^AR-8933-24 195

SCREW CORTICAL 3.0X26^AR-8933-26 195

SCREW CORTICAL 3.0X28^AR-8933-28 195

SCREW CORTICAL 3.2 X 12MM^CBS3.2-12 140

SCREW CORTICAL 3.2 X 14MM^CBS3.2-14 140

SCREW CORTICAL 3.5 X 10MM^CO-3100 132

SCREW CORTICAL 3.5 X 12MM^CO-3120 132

SCREW CORTICAL 3.5 X 14MM^CO-3140 132

SCREW CORTICAL 3.5 X 15MM - MFRCAT# CO-3150-S^CO-3150-S 166

SCREW CORTICAL 3.5 X 16MM^CO-3160 132

SCREW CORTICAL 3.5 X 18MM^CO-3180 132

SCREW CORTICAL 3.5 X 20MM^CO-3200 132

SCREW CORTICAL 3.5 X 22.5MM^CO-3225 132

SCREW CORTICAL 3.5 X 22MM^CO-3220 132

SCREW CORTICAL 3.5 X 24MM^CO-3240 132

SCREW CORTICAL 3.5 X 25MM^CO-3250 132

SCREW CORTICAL 3.5 X 26^AR-8935L-26 266

SCREW CORTICAL 3.5 X 27.5MM^CO-3275 132

SCREW CORTICAL 3.5 X 30MM^CO-3300 132

SCREW CORTICAL 3.5 X 32.5mm^CO-3325 132

SCREW CORTICAL 3.5 X 32.5MM^HCO3325-S 338

SCREW CORTICAL 3.5 X 32MM^CO-3320 132

SCREW CORTICAL 3.5 X 35MM^CO-3350 132

SCREW CORTICAL 3.5 X 37.5MM^CO-3375 132

SCREW CORTICAL 3.5 X 40MM^CO-3400 132

SCREW CORTICAL 3.5 X 45MM^CO-3450 132

SCREW CORTICAL 3.5 X 50mm^CO-3500 176

SCREW CORTICAL 3.5 X 55MM^CO-3550 176

SCREW CORTICAL 3.5 X 60MM^CO-3600 176

SCREW CORTICAL 3.5 X 65MM^CO-3650 176

SCREW CORTICAL 3.5 X 8MM^CO-3080 132

SCREW CORTICAL 3.5X10^02.206.210 70

SCREW CORTICAL 3.5X10^AR-8835-10 62

SCREW CORTICAL 3.5X12^AR-8835-12 62

SCREW CORTICAL 3.5X14^02.206.212 70

SCREW CORTICAL 3.5X14^AR-8835-14 62

SCREW CORTICAL 3.5X16^AR-8835-16 62

SCREW CORTICAL 3.5X16^AR-8935-16 97

SCREW CORTICAL 3.5X18^AR-8835-18 62

SCREW CORTICAL 3.5X18^AR-8935-18 97

SCREW CORTICAL 3.5X20^AR-8835-20 62

SCREW CORTICAL 3.5X20^AR-8935-20 97

SCREW CORTICAL 3.5X22^AR-8835-22 62

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SCREW CORTICAL 3.5X22^AR-8935-22 97

SCREW CORTICAL 3.5X24 -MFRCAT# AR-8935-24^AR-8935-24 97

SCREW CORTICAL 3.5X26^AR-8935-26 97

SCREW CORTICAL 3X10^AR-13123-10 115

SCREW CORTICAL 3X12^AR-13123-12 115

SCREW CORTICAL 3X14^AR-13123-14 115

SCREW CORTICAL 3X16^AR-13123-16 115

SCREW CORTICAL 3X18^AR-13123-18 115

SCREW CORTICAL 3X20^AR-13123-20 115

SCREW CORTICAL 3X22^AR-13123-22 115

SCREW CORTICAL 3X24^AR-13123-24 115

SCREW CORTICAL 3X8^AR-13123-08 115

SCREW CORTICAL 4.0X12^AR-8840-12 62

SCREW CORTICAL 4.5 X 34^16-235134 36

SCREW CORTICAL 4.5 X 36 BIOMET^18-235136 25

SCREW CORTICAL 4.5 X 38 BIOMET^18-235138 25

SCREW CORTICAL 4.5 X 40 BIOMET^18-235140 25

SCREW CORTICAL 4.5 X 40^16-235140 36

SCREW CORTICAL 4.5 X 42^16-235142 36

SCREW CORTICAL 6MM^7750506 490

SCREW CORTICAL 8MM^7750508 490

SCREW CORTICAL HEX 2.7X10^HEX2.7-10 166

SCREW CORTICAL HEX 2.7X12^HEX2.7-12 166

SCREW CORTICAL HEX 2.7X14 -MFRCAT# HEX2.7-14^HEX2.7-14 166

SCREW CORTICAL HEX 2.7X16^HEX2.7-16 166

SCREW CORTICAL HEX 2.7X18^HEX2.7-18 166

SCREW CORTICAL HEX 3.2-10^HEX3.2-10 166

SCREW CORTICAL HEX 3.2-12^HEX3.2-12 166

SCREW CORTICAL HEX 3.2X13^HEX3.2-13 166

SCREW CORTICAL HEX 3.2X14^HEX3.2-14 166

SCREW CORTICAL HEX 3.2X15^HEX3.2-15 166

SCREW CORTICAL HEX 3.2X16^HEX3.2-16 166

SCREW CORTICAL HEX 3.2X20^HEX3.2-20 166

SCREW CORTICAL LCK 3.0X26^AR-8933L-26 266

SCREW CORTICAL LOCK 10MM^COL-3100 216

SCREW CORTICAL LOCK 2.3 X 12 - MFRCAT CO-T2312^CO-T2312 178

SCREW CORTICAL LOCK 2.3 X 14- MFRCAT CO-T2314^CO-T2314 178

SCREW CORTICAL LOCK 2.3 X 16^CO-T2316 178

SCREW CORTICAL LOCK 2.3 X 20^CO-T2320 178

SCREW CORTICAL LOCK 2.3X18MM^CO-T2318 178

SCREW CORTICAL LOCK 2.3X22MM^CO-T2322 178

SCREW CORTICAL LOCK 2.3X24MM^CO-T2324 178

SCREW CORTICAL LOCK 2.3X26MM^CO-T2326 178

SCREW CORTICAL LOCK 3.5X12MM^COL-3120 216

SCREW CORTICAL LOCK 3.5X14MM^COL-3140 216

SCREW CORTICAL LOCK 3.5X16MM^COL-3160 216

SCREW CORTICAL LOCK 3.5X26MM^CO-T2328 178

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SCREW CORTICAL LOCK 8MM^COL-3080 216

SCREW CORTICAL LOCKING 2.7X16^COL-2160 216

SCREW CORTICAL LOCKING 2.7X18^COL-2180 216

SCREW CORTICAL LOCKING 2.7X20^COL-2200 216

SCREW CORTICAL LOCKING 3.0 X 10MM^AR-8933L-10 205

SCREW CORTICAL LOCKING 3.0 X 12MM^AR-8933L-12 205

SCREW CORTICAL LOCKING 3.0 X 18MM^AR-8933L-18 205

SCREW CORTICAL LOCKING 3.0 X 20^COL-3200 216

SCREW CORTICAL LOCKING 3.5 X 24^COL-3240 216

SCREW CORTICAL LOCKING 3.5 X 26^COL-3260 216

SCREW CORTICAL LOCKING 3.5 X 45^COL-3450 216

SCREW CORTICAL LOCKING 3.5X22^COL-3220 216

SCREW CORTICAL LOCKING 3.5X28^COL-3280 216

SCREW CORTICAL LOCKING 3.5X30^COL-3300 216

SCREW CORTICAL LOCKING 3.5X40^COL-3400 216

SCREW CORTICAL LO-PRO SCRW TI 3.5mm X 38mm^AR-8935-38 97

SCREW CORTICAL LO-PRO SCRW TI 3.5mm X 40mm^AR-8935-40 97

SCREW CORTICAL NONLCK 3.5X12mm^4973512N 202

SCREW CORTICAL NONLCK 3.5X20^4973520N 202

SCREW CORTICAL NONLCK 3.5X28^4973528N 202

SCREW CORTICAL OC 14MM^7750514 490

SCREW CORTICAL RESCUE 6MM^7750606 490

SCREW CORTICAL RESCUE 8MM^7750608 490

SCREW CP LAG 03.6MM L24MM 626924 330

SCREW CP LAG 04.1MM L22MM T10 626822 423

SCREW CP LAG 4.1MM X 24MM 626824 423

SCREW CP LAG 626926 330

SCREW CROSS DRIVE EMERG 2.5X9^25-674-09-1 94

SCREW CROSS FTHD 5.0 X 85MM^640062 235

SCREW CROSS FTHD 5.0 X 90MM^640063 235

SCREW CROSSLINK LCK^7752529 180

SCREW CRW FIXATION LONG 2EA/PK^DHRSL5 345

SCREW CRW FIXATION SHORT 2EA/P^DHRSS5 345

SCREW CT 3.0X13^45803013 1812

SCREW DHS/DCS LAG 12.7 X 100MM^280.301S 783

SCREW DHS/DCS LAG 12.7 X 105MM^280.305S 783

SCREW DHS/DCS LAG 12.7 X 110MM^280.310S 783

SCREW DHS/DCS LAG 12.7 X 115MM^280.315S 783

SCREW DHS/DCS LAG 12.7 X 120MM^280.320S 783

SCREW DHS/DCS LAG 12.7 X 125MM^280.325S 783

SCREW DHS/DCS LAG 12.7 X 130MM^280.330S 783

SCREW DHS/DCS LAG 12.7 X 135MM^280.335S 783

SCREW DHS/DCS LAG 12.7 X 140MM^280.340S 783

SCREW DHS/DCS LAG 12.7 X 145MM^280.345S 783

SCREW DHS/DCS LAG 12.7 X 65^280.265S 783

SCREW DHS/DCS LAG 12.7 X 70^280.270S 783

SCREW DHS/DCS LAG 12.7 X 75^280.275S 783

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SCREW DHS/DCS LAG 12.7 X 80^280.280S 783

SCREW DHS/DCS LAG 12.7 X 90MM^280.290S 783

SCREW DHS/DCS LAG 12.7 X 95M STERILE^280.295S 783

SCREW DIVERGENCE 11mm (2 PER PK)^G6623511 680

SCREW DIVERGENCE 13mm (2 PER PK)^G6623513 1360

SCREW DIVERGENCE 15MM (2 PER PK)^G6623515 680

SCREW DIVERGENCE 3.5X13^G7733513 457

SCREW DIVERGENCE 3.5X15 (2/PK)^G7733515 914

SCREW DIVERGENCE L 25MM^2150125 825

SCREW DOUBLE HEX LOCK^828.105 176

SCREW DOUBLE HEX SET^808-105 153

SCREW D-RAD 2.4X14 T7 S-T^74682414 100

SCREW D-RAD LCK 2.4X18 S-T^74692418 210

SCREW DX SWIVELOCK 3.5X13.5 -MFRCAT AR-8979P^AR-8979P 752

SCREW EAGLE SLF DRILL 12MM^1836-50-012 424

SCREW EMERGENCY 1.2 X 8MM^400.608 223

SCREW EMERGENCY 1.3 X 11MM^400.611 223

SCREW EMERGENCY 1.3 X 14MM^400.614 223

SCREW EMERGENCY 1.3 X 6MM^400.606 223

SCREW EMERGENCY 1.3 X 9MM^400.609 223

SCREW EMERGENCY 1.5 X 10MM^400.610 223

SCREW EMERGENCY 1.5 X 12MM^400.612 223

SCREW EMERGENCY 1.7X4^400.654e 212

SCREW EMERGENCY 10MM X 2.4MM^401.310 154

SCREW EMERGENCY 10MM X 2.7MM^401.560 264

SCREW EMERGENCY 12MM X 2.4MM^401.312 154

SCREW EMERGENCY 14MM X 2.7MM^401.564 264

SCREW EMERGENCY 16MM X 2.7MM^401.566 264

SCREW EMERGENCY 18MM X 2.7MM^401.568 264

SCREW EMERGENCY 2.0 X 4MM^400.784e 155

SCREW EMERGENCY 2.0 X 6MM^400.786e 155

SCREW EMERGENCY 2.0 X 8MM^400.788e 155

SCREW EMERGENCY 2.0X12 EACH^400.792e 155

SCREW EMERGENCY 2.4 X 6MM (EACHES)^401.306e 154

SCREW EMERGENCY 2.4 X 6MM^401.306 154

SCREW EMERGENCY 2.4X16^71-2416 88

SCREW EMERGENCY 2.7X16^71-2716 98

SCREW EMERGENCY BONE 2.0 X 5MM^14-1S1-2005 40

SCREW EMERGENCY FLUTED TIP 1.0MMX4MM^400.504E 226

SCREW EMERGENCY FLUTED TIP 1.2X3^400.603E 224

SCREW EMERGENCY TITAN CORTEX 1.3X6^400.626e 204

SCREW EMERGENCY TITAN CORTEX 1.3X8^400.628e 204

SCREW EQUINOXE TORQUE DEFIN KIT^300-20-02 200

SCREW EVOS 2.7/3.5 SUP DIST CLV PL 7H R 111MM 72467407 1650

SCREW EVOS 2.7MM X 12MM LCK SCR T8 S-T 72412712N 206

SCREW EVOS 2.7MM X 13MM LCK SCR T8 S-T 72412713N 206

SCREW EVOS 2.7MM X 14MM LCK SCR T8 S-T 72412714N 206

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SCREW EVOS 2.7mm X 15mm CTX SCR T8 S-T^72402715 66

SCREW EVOS 2.7MM X 15MM LCK SCR T8 S-T 72412715N 206

SCREW EVOS 2.7MM X 17MM CTX SCR T8 S-T 72402717 66

SCREW EVOS 2.7MM X 22MM CTX SCR T8 S-T 72402722 66

SCREW EVOS 2.7MM X 24MM CTX SCR T8 S-T 72402724 66

SCREW EVOS 2.7MM X 26MM LCK SCR T8 S-T 72412726 206

SCREW EVOS 2.7MM X 42MM LCK SCR T8 S-T 72412742 206

SCREW EVOS 2.7MM X 50MM CTX SCR T8 S-T 72402750 66

SCREW EVOS 2.7MM X 55MM LCK SCR T8 S-T 72412755 206

SCREW EVOS 2.7MM X 6MM LCK SCR T8 S-T 72412706N 206

SCREW EVOS 3.5 X34MM LOCKING 72413534 220

SCREW EVOS 3.5mm X 11mm CTX SCR S-T^72403511 42

SCREW EVOS 3.5mm X 17mm LCK SCR S-T 72413517 220

SCREW EVOS 3.5MM X 24MM LCK SCR S-T 72413524 220

SCREW EVOS 3.5MM X 30MM LCK SCR S-T 72413530 220

SCREW EVOS 3.5MM X 36MM LCK SCR S-T 72413536 220

SCREW EVOS 3.5MM X 50MM LCK SCR S-T 72413550 220

SCREW EVOS 4.0mm X 26mm OST SCR T8 PT^72434026 153

SCREW EVOS 4.0MM X 40MM OST SCR T8 FT 72424040 153

SCREW EVOS 4.0MM X 55MM OST SCR T8 FT 72424055 153

SCREW EVOS 4.0MM X 60MM OST SCR T8 FT 72424060 153

SCREW EVOS 4.7 X38MM OST 72424738 111

SCREW EVOS 4.7 X46MM OST 72424746 111

SCREW EVOS 4.7mm X 16mm OST F-T^72424716 111

SCREW EVOS 4.7mm X 20mm OST SCR F-T^72424720 111

SCREW EVOS 4.7MM X 36MM OST SCR F-T 72424736 111

SCREW EVOS 4.7MM X 55MM OST SCR PT 72434755 111

SCREW EVOS LCK 2.0X10 T6 72412010 199

SCREW EVOS LCK 2.0X8 T6 - MFRCAT 72412008N^72412008N 199

SCREW EVOS LCK 2.0X9 T6 - MFRCAT 72412009N^72412009N 199

SCREW EXPEDIUM 5 X 50MM^1797-12-550 2663

SCREW EXPEDIUM 5.5 X 50MM^1797-15-550 2978

SCREW EXPEDIUM 5X45^1797-12-545 2079

SCREW EXPEDIUM 6 X 40MM^1797-12-640 2079

SCREW EXPEDIUM 6 X 50MM^179712650 2183

SCREW EXPEDIUM 6.0 X 55MM^1797-12-655 2079

SCREW EXPEDIUM 6X30^1797-12-630 2079

SCREW EXPEDIUM 6X35^179712635 2079

SCREW EXPEDIUM 6X45^1797-12-645 2079

SCREW EXPEDIUM 7X35^1797-12-735 2079

SCREW EXPEDIUM 7X45^1797-12-745 2079

SCREW EXPEDIUM 7X50^179712750 2183

SCREW EXPLORE LCKING^11-210099 200

SCREW EXTENDED SET^1883-41-200 281

SCREW F/ GEMINUS HOOK PLATE^GMN-HP-SCRW 168

SCREW FENES 4.5X40^55840024540T 2890

SCREW FENES 4.5X45 - MFRCAT 55840024545T^55840024545T 2890

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SCREW FENES 4.5X50 -MFRCAT 55840024550T^55840024550T 2890

SCREW FENES 5.5X35^55840025535T 2890

SCREW FENES 5.5X40^55840025540T 2890

SCREW FENES 5.5X45^55840025545T 2890

SCREW FENES 5.5X50^55840025550T 2890

SCREW FENES 6.5X35^55840026535T 2890

SCREW FENES 6.5X40^55840026540T 2890

SCREW FENES 6.5X45^55840026545T 2890

SCREW FENES 6.5X50 -MFRCAT# 55840026550T^55840026550T 2890

SCREW FENES CEMENT^7480724T 286

SCREW FIX ANGL SLF-DRL 4.0X13^976.613 453

SCREW FIX ANGL SLF-DRL 4.0X15^976.615 453

SCREW FIXED LCK 4.75X20^180551 200

SCREW FIXED LCK 4.75X35^180554 200

SCREW FIXED LCK 4.75X45^180556 200

SCREW FTHD 4.5 X 26MM^345326 138

SCREW FTHD 5MM X 20MM^33-345418 310

SCREW FTHD 5MM X 25MM^345420 182

SCREW FTHD 5MM X 40MM^33-345426 384

SCREW FTHD 5MM X 45MM^345428 182

SCREW FTHD 5MM X 50MM^33-345430 330

SCREW FTHD 5MM X 55MM^33-345432 330

SCREW FTHD 5MM X 60MM^345434 172

SCREW FTHD 5MM X 65MM^345436 182

SCREW FTHD 5MM X 75MM^33-345440 330

SCREW FTHD 5MM X 80MM^345442 182

SCREW FTHD 5MM X 85MM^33-345444 197

SCREW FTHD 6.0 X 40^33-345524 182

SCREW FTHD 6.0 X 55^33-345530 182

SCREW FTHD 6MM X 30MM^345520 182

SCREW FTHD 6MM X 35MM^345522 182

SCREW FTHD 6MM X 40MM^345524 182

SCREW FTHD 6MM X 45MM^345526 182

SCREW FTHD 6MM X 50MM^345528 182

SCREW FTHD 6MM X 55MM^345530 182

SCREW FTHD 6MM X 60MM^345532 182

SCREW FTHD 6MM X 65MM^345534 182

SCREW FTHD 6MM X 70MM^345536 182

SCREW FTHD 6MM X 75MM^345538 182

SCREW FTHD 6MM X 80MM^345540 182

SCREW FTHD 6MM X 85MM^345542 182

SCREW GAP PLATE HIP 6.5 X 25MM^2080-0025 277

SCREW GAP PLATE HIP 6.5 X 30MM^2080-0030 277

SCREW GAP PLATE HIP 6.5 X 35MM^2080-0035 277

SCREW GAP PLATE RESTOR 6.5X15^2080-0015 277

SCREW GAP PLATE RESTOR 6.5X20^2080-0020 277

SCREW GLENOID PLUS PROMOS 6/25MM^75003698 200

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SCREW GLENOSPHERE^AR-9565 212

SCREW HA MAS 5.5X35^54740105535 2000

SCREW HA MAS 5.5X40^54740105540 2000

SCREW HA MAS 5.5X45^54740105545 2000

SCREW HA SOLERA 5.5X40^55740105540 2000

SCREW HA SOLERA 5.5X45^55740105545 2000

SCREW HA SOLERA 5.5X50^55740105550 2000

SCREW HA SOLERA 6.5X40^55740106540 2000

SCREW HA SOLERA 6.5X45^55740106545 2000

SCREW HA SOLERA 6.5X50^55740106550 2220

SCREW HA SOLERA 6.5X55^55740106555 2220

SCREW HA SOLERA 7.5X40^55740107540 2000

SCREW HA SOLERA 7.5X45^55740107545 2000

SCREW HA SOLERA 7.5X50^55740107550 2000

SCREW HA SOLERA 7.5X55 -MFRCAT# 55740107555^55740107555 2000

SCREW HA SOLERA 8.5X40 -MFRCAT# 55740108540^55740108540 2000

SCREW HA SOLERA 8.5X45 -MFRCAT# 55740108545^55740108545 2000

SCREW HA SOLERA 8.5X50 -MFRCAT# 55740108550^55740108550 2000

SCREW HAMMERTOE 3.0X16^45803016 1812

SCREW HEADLESS 6.5X75^02.227.075 711

SCREW HEADLESS CANN 3.0X19^71103319S 623

SCREW HEADLESS CANN 3.0X24^71103324S 623

SCREW HEADLESS COMP 2.4X20^04.226.220 779

SCREW HEADLESS COMP 2.4X21^04.226.321 779

SCREW HEADLESS COMP 2.4X23^04.226.323 779

SCREW HEADLESS COMP 3.0X27^04.226.127 778

SCREW HEADLESS COMP 3.0X29^04.226.129 778

SCREW HEADLESS COMP 4.5X52^02.226.752 708

SCREW HEADLESS COMP 6.5 32X75^04.227.275 786

SCREW HEADLESS COMP 6.5X35^02.227.035 711

SCREW HEADLESS COMP 6.5X40^02.227.040 711

SCREW HEADLESS COMPRESS 2.4X12 ST^02.226.212 705

SCREW HEADLESS COMPRESS 2.4X14 ST^02.226.214 705

SCREW HEADLESS COMPRESS 2.4X34^02.226.334 705

SCREW HEADLESS COMPRESS 3.0X12 S-T^04.226.012 778

SCREW HEADLESS COMPRESS 3.0X14 S-T^04.226.014 778

SCREW HEADLESS COMPRESS 4.5 X 42MM^02.226.742 708

SCREW HEADLESS COMPRESS 4.5 X 50^02.226.650 708

SCREW HEADLESS COMPRESS 4.5 X 54^02.226.654 708

SCREW HEADLESS COMPRESS 4.5X26 ST^02.226.626 708

SCREW HEADLESS COMPRESS 4.5X28 ST^02.226.628 708

SCREW HEADLESS COMPRESS 4.5X30 SHRT THRD^02.226.630 708

SCREW HEADLESS COMPRESS 4.5X32 S-T^02.226.632 708

SCREW HEADLESS COMPRESS 4.5X32^02.226.732 708

SCREW HEADLESS COMPRESS 4.5X34^02.226.634 708

SCREW HEADLESS COMPRESS 4.5X34^02.226.734 708

SCREW HEADLESS COMPRESS 4.5X36 SHRT THRD^02.226.636 708

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SCREW HEADLESS COMPRESS 4.5X36^02.226.736 708

SCREW HEADLESS COMPRESS 4.5X38 S-T^02.226.638 708

SCREW HEADLESS COMPRESS 4.5X40^02.226.740 708

SCREW HEADLESS COMPRESS 4.5X44^02.226.744 708

SCREW HEADLESS COMPRESS 4.5X46^02.226.746 708

SCREW HEADLESS COMPRESS 4.5X48 LTHRD^02.226.748 708

SCREW HEADLESS COMPRESS 4.5X50^02.226.750 708

SCREW HEADLESS COMPRESS 4.5X56^02.226.756 708

SCREW HEADLESS COMPRESS 6.5 X 100^02.227.100 711

SCREW HEADLESS COMPRESS 6.5 X 55MM^02.227.055 711

SCREW HEADLESS COMPRESS 6.5 X 60MM^02.227.060 711

SCREW HEADLESS COMPRESS 6.5 X 70MM^02.227.070 711

SCREW HEADLESS COMPRESS 6.5 X 75mm^02.227.275 711

SCREW HEADLESS COMPRESS 6.5 X 85MM^02.227.085 711

SCREW HEADLESS COMPRESS 6.5 X 90MM^02.227.090 711

SCREW HEADLESS COMPRESS 6.5X32X100^02.227.300 711

SCREW HEADLESS COMPRESS 6.5X50^02.227.050 711

SCREW HEADLESS COMPRESS 6.5X55^02.227.255 711

SCREW HEADLESS COMPRESS 6.5X65^04.227.265 786

SCREW HEADLESS COMPRESS 6.5X65MM LT^02.227.265 704

SCREW HEADLESS COMPRESS 6.5X65MM^02.227.065 711

SCREW HEADLESS COMPRESS 6.5X80^02.227.280 711

SCREW HEADLESS COMPRESS 6.5X80MM^02.227.080 711

SCREW HEADLESS COMPRESS 6.5X95^02.227.095 711

SCREW HEADLESS COMPRESS SHRT THRD 4.5X40^02.226.640 708

SCREW HEADLESS COMPRESS SHRT THRD 4.5X42^02.226.642 708

SCREW HEADLESS COMPRESSION 6.5 X 90^04.227.090 786

SCREW IMF 2.0 X 8MM^201.928e 300

SCREW IMHS 38MM^71152108 422

SCREW IMHS CAPT COMPRESS^71683945 364

SCREW INFINITY 3.5x14mm^3603514 1450

SCREW INFINITY 3.5x16MM^3603516 1450

SCREW INFINITY 4.0 X 16mm^3604016 1450

SCREW INFINITY 4.0 X 18mm^3604018 1450

SCREW INFINITY 4.5x14mm^3604014 1450

SCREW INFINITY OC 4.5x10mm^3600410 740

SCREW INFINITY OC 4.5x6mm^3600406 740

SCREW INFINITY SET^3600315 180

SCREW INNATE IMPLANT 4.5 MM X 35 MM STAINLESS STEEL BONE EXINN924535 1500

SCREW INNER SET^1883-42-200 237

SCREW INT HEX CAP 5X105^71642205 364

SCREW INT HEX CAP 5X95^71642295 364

SCREW INT HEX CAPT 4.5 X 55^71642155 364

SCREW INT HEX CAPT 4.5X25^71642125 364

SCREW INT HEX CAPT 4.5X30^71642130 364

SCREW INT HEX CAPT 4.5X35^71642135 364

SCREW INT HEX CAPT 4.5X40^71642140 364

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SCREW INT HEX CAPT 4.5X45^71642145 364

SCREW INT HEX CAPT 4.5X50^71642150 364

SCREW INT HEX CAPT 4.5X60^71642160 364

SCREW INT HEX CAPT 5X100^71642200 364

SCREW INT HEX CAPT 5X25^71642225 364

SCREW INT HEX CAPT 5X30^71642230 364

SCREW INT HEX CAPT 5X35^71642235 364

SCREW INT HEX CAPT 5X40^71642240 364

SCREW INT HEX CAPT 5X45^71642245 364

SCREW INT HEX CAPT 5X50^71642250 364

SCREW INT HEX CAPT 5X55^71642255 364

SCREW INT HEX CAPT 5X60^71642260 364

SCREW INT HEX CAPT 5X65^71642265 364

SCREW INT HEX CAPT 5X70^71642270 364

SCREW INT HEX CAPT 5X75^71642275 364

SCREW INT HEX CAPT 5X80^71642280 364

SCREW INT HEX CAPT 5X85^71642285 364

SCREW INT HEX CAPT 5X90^71642290 364

SCREW INT HEX CAPT 6.4X100^71642300 607

SCREW INT HEX CAPT 6.4X105^71642305 607

SCREW INT HEX CAPT 6.4X110^71642310 607

SCREW INT HEX CAPT 6.4X75^71642375 607

SCREW INT HEX CAPT 6.4X80^71642380 607

SCREW INT HEX CAPT 6.4X85^71642385 607

SCREW INT HEX CAPT 6.4X90^71642390 607

SCREW INT HEX CAPT 6.4X95^71642395 607

SCREW INTERFERENCE 10 X 25^AR-1401 168

SCREW INTERFERENCE 5 X 25^013687 360

SCREW INTERFERENCE 5.5 X 20^01350 420

SCREW INTERFERENCE 5.5 X 30^013688 182

SCREW INTERFERENCE 7 X 20^013680 360

SCREW INTERFERENCE 7 X 25^013681 182

SCREW INTERFERENCE 7 X 30^013682 171

SCREW INTERFERENCE 9 X 20^013683 182

SCREW INTERFERENCE 9 X 20^AR-1390T 168

SCREW INTERFERENCE 9 X 25^013684 171

SCREW INTERFERENCE 9 X 30^013685 140

SCREW INTERFERENCE BIORCI HA 7X20MM^72201771 400

SCREW INTERFERENCE BIORCI HA 7X25MM^72201772 400

SCREW INTERFERENCE BIORCI HA 7X30MM^72201774 400

SCREW INTERFERENCE BIORCI HA 9X20MM^72201780 400

SCREW INTERFERENCE BIOSURE 9MMX25MM^72202272 400

SCREW INTERFERENCE BIOSURE HA 10MMX25MM^72201785 400

SCREW INTERFERENCE BIOSURE HA 6X20MM^72201768 400

SCREW INTERFERENCE BIOSURE HA 6X25MM^72201769 400

SCREW INTERFERENCE FTHD 10X20^AR-1401T 168

SCREW INTERFERENCE IFIX^CM-1500 642

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SCREW INTERTAN LAG 80/75 SS^71679280 1032

SCREW JONES EX 4.5X45^AR-9045-45PT 1407

SCREW JONES EX 4.5X50^AR-9045-50PT 1407

SCREW JONES EX PT THD,TI,4.5mm X 40mm^AR-90445-40PT 1407

SCREW JONES FX 4.5X55^AR-9045-55PT 1407

SCREW JONES FX 4.5X60^AR-9045-60PT 1407

SCREW JONES FX 5.5X40^AR-9055-40PT 1407

SCREW JONES FX 5.5X45^AR-9055-45PT 1407

SCREW JONES FX 5.5X50^AR-9055-50PT 1407

SCREW JONES FX 5.5X55MM^AR-9055-55PT 1407

SCREW JONES FX 6.0X45^AR-9060-45PT 1407

SCREW JONES FX 6X50^AR-9060-50PT 1407

SCREW KIT NEXEL TOTAL ELBOW^00-8400-090-00 600

SCREW LAG 10.5X100MM GAMMA3^3060-0100S 1032

SCREW LAG 10.5X105MM GAMMA3^3060-0105S 1032

SCREW LAG 10.5X110MM GAMMA3^3060-0110S 1032

SCREW LAG 10.5X75^3060-0075S 1032

SCREW LAG 10.5X80MM GAMMA3^3060-0080S 1032

SCREW LAG 10.5X85MM GAMMA3^3060-0085S 1032

SCREW LAG 10.5X90MM GAMMA3^3060-0090S 1032

SCREW LAG 10.5X95MM GAMMA3^3060-0095S 1032

SCREW LAG 12.7 X 85MM^280.285S 783

SCREW LAG 42MM^873-142 921

SCREW LAG DHS/DCS 12.7X85 STERILE^280.850S 783

SCREW LAG INTERTAN SUBTROC 11X100^71678010 991

SCREW LAG INTERTAN SUBTROC 11X105^71678005 991

SCREW LAG INTERTAN SUBTROC 11X110^71678011 991

SCREW LAG STD 100MM^121109 452

SCREW LAG STD 105MM^121110 452

SCREW LAG STD 110MM^121111 452

SCREW LAG STD 115MM^121112 452

SCREW LAG STD 120MM^121113 452

SCREW LAG STD 125MM^121114 452

SCREW LAG STD 130MM^121176 452

SCREW LAG STD 135MM^121177 452

SCREW LAG STD 140MM^121178 452

SCREW LAG STD 55MM^121100 452

SCREW LAG STD 65MM^121102 452

SCREW LAG STD 70MM^121103 452

SCREW LAG STD 75MM^121104 452

SCREW LAG STD 80MM^121105 452

SCREW LAG STD 85MM^121106 452

SCREW LAG STD 90MM^121107 452

SCREW LAG STD 95MM^121108 452

SCREW LAG SUPER 100MM^121189 482

SCREW LAG SUPER 105MM^121190 482

SCREW LAG SUPER 110^121191 482

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Description CPT-4 Base Price Schedule

SCREW LAG SUPER 120MM^121193 482

SCREW LAG SUPER 125MM^121194 482

SCREW LAG SUPER 130MM^121195 482

SCREW LAG SUPER 135MM^121196 482

SCREW LAG SUPER 140MM^121197 482

SCREW LAG SUPER 55MM^121180 482

SCREW LAG SUPER 60^121181 482

SCREW LAG SUPER 65MM^121182 482

SCREW LAG SUPER 70MM^121183 482

SCREW LAG SUPER 75MM^121184 482

SCREW LAG SUPER 80MM^121185 482

SCREW LAG SUPER 85MM^121186 482

SCREW LAG SUPER 90MM^121187 482

SCREW LAG SUPER 95MM^121188 482

SCREW LAG TRIGEN 75/70^71677075 1319

SCREW LAG TRIGEN INTERTAN 110/105^71677110 1319

SCREW LAG TRIGEN INTERTAN 115/110^71677115 1319

SCREW LAG TRIGEN INTERTAN 11X80^71678080 991

SCREW LAG TRIGEN INTERTAN 11X85^71678085 991

SCREW LAG TRIGEN INTERTAN 11X90^71678090 991

SCREW LAG TRIGEN INTERTAN 11X95^71678095 991

SCREW LAG TRIGEN INTERTAN 80/75^71677080 1319

SCREW LAG TRIGEN INTERTAN 85/80MM^71677085 1319

SCREW LAG TRIGEN INTERTAN 90/85^71677090 1319

SCREW LAG TRIGEN INTERTAN 95/90MM^71677095 1319

SCREW LAG/COMP KIT 100/95^71677100 1319

SCREW LAG/COMP KIT 105/100^71677105 1319

SCREW LAG/COMP KIT 90/85^71642690 1319

SCREW LAG/COMP KIT 95/90^71642695 1319

SCREW LCI 3.5X50MM PERI-LOC S-T VLP^71821250 247

SCREW LCK 1.7x7^53-17007E 168

SCREW LCK 2.3X11^53-23011E 176

SCREW LCK 2.3X15^53-23015E 176

SCREW LCK 2.3X16^53-23016E 176

SCREW LCK 2.3X18^53-23018E 176

SCREW LCK 2.3X20^53-23020E 176

SCREW LCK 2.3X20^53-23620E 218

SCREW LCK 2.4X10^AR-8724L-10 221

SCREW LCK 2.4X10^AR-8724V-10 248

SCREW LCK 2.4X10^AR-8827L-10 186

SCREW LCK 2.4X11MM^212.811 230

SCREW LCK 2.4X12^AR-8724L-12 221

SCREW LCK 2.4X12^AR-8724V-12 248

SCREW LCK 2.4X12^AR-8827L-12 186

SCREW LCK 2.4X14^AR-8724L-14 221

SCREW LCK 2.4X14^AR-8724V-14 248

SCREW LCK 2.4X16^AR-8724V-16 248

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Description CPT-4 Base Price Schedule

SCREW LCK 2.4X28^AR-8724L-28 221

SCREW LCK 2.4X8 TITAN^412.808 254

SCREW LCK 2.4X8^212.808 230

SCREW LCK 2.4X8^AR-8724L-08 221

SCREW LCK 2.4X8^AR-8724V-08 248

SCREW LCK 2.4X9MM^212.809 230

SCREW LCK 2.7X10^402.210 257

SCREW LCK 2.7X14^AR-8827L-14 186

SCREW LCK 2.7X16 GOLD^73-2716 83

SCREW LCK 2.7X16^02.211.016 279

SCREW LCK 2.7X16^53-27616E 218

SCREW LCK 2.7X16^AR-8827L-16 186

SCREW LCK 2.7X18^53-27618E 218

SCREW LCK 2.7X18^AR-8827L-18 186

SCREW LCK 2.7X20^53-27620E 218

SCREW LCK 2.7X22^53-27622E 218

SCREW LCK 2.7X24^AR-8827L-24 186

SCREW LCK 2.7X24MM^53-27624E 218

SCREW LCK 2.7X26^53-27626E 218

SCREW LCK 2.7X38^02.211.038 279

SCREW LCK 2.7X40^02.211.040 279

SCREW LCK 3.0X24^AR-8933L-24 205

SCREW LCK 3.5 X 20^8161-35-020 299

SCREW LCK 3.5X10MM PERI-LOC S-T VLP^71821210 247

SCREW LCK 3.5X12^40-35612 260

SCREW LCK 3.5X12^614612 301

SCREW LCK 3.5X12^AR-8835L-12 195

SCREW LCK 3.5X12MM PERI-LOC S-T VLP^71821212 247

SCREW LCK 3.5X14^40-35614 260

SCREW LCK 3.5X14^614614 301

SCREW LCK 3.5X14^AR-8835L-14 195

SCREW LCK 3.5X14MM PERI-LOC S-T VLP^71821214 247

SCREW LCK 3.5X16^40-35616 260

SCREW LCK 3.5X16^614616 301

SCREW LCK 3.5X16^AR-8835L-16 195

SCREW LCK 3.5X16MM PERI-LOC S-T VLP^71821216 247

SCREW LCK 3.5X18^AR-8835L-18 195

SCREW LCK 3.5X18MM PERI-LOC S-T VLP^71821218 247

SCREW LCK 3.5X20^AR-8835L-20 195

SCREW LCK 3.5X20MM PERI-LOC S-T VLP^71821220 247

SCREW LCK 3.5X22^8161-35-022 299

SCREW LCK 3.5X22^AR-8835L-22 195

SCREW LCK 3.5X22MM PERI-LOC S-T VLP^71821222 247

SCREW LCK 3.5X24^614624 301

SCREW LCK 3.5X24^AR-8935L-24 266

SCREW LCK 3.5X24MM PERI-LOC S-T VLP^71821224 247

SCREW LCK 3.5X26^614626 301

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Description CPT-4 Base Price Schedule

SCREW LCK 3.5X26^8161-35-026 299

SCREW LCK 3.5X28MM PERI-LOC S-T VLP^71821228 247

SCREW LCK 3.5X30^AR-8935L-30 266

SCREW LCK 3.5X30MM PERI-LOC S-T VLP^71821230 247

SCREW LCK 3.5X32^AR-8935L-32 266

SCREW LCK 3.5X32MM PERI-LOC S-T VLP^71821232 247

SCREW LCK 3.5X34 PERILOC S-T VLP^71821234 247

SCREW LCK 3.5X34^AR-8935L-34 266

SCREW LCK 3.5X36MM PERILOC VLP S-T^71821236 247

SCREW LCK 3.5X38MM PERI-LOC S-T VLP^71821238 247

SCREW LCK 3.5X40 PERI-LOC^71821240 247

SCREW LCK 3.5X44MM PERI-LOC S-T VLP^71821244 247

SCREW LCK 3.5X52^8161-35-052 299

SCREW LCK 3.5X55^40233555 498

SCREW LCK 3.5X55MM PERI-LOC S-T VLP^71821255 247

SCREW LCK 3.5X60^40233560 498

SCREW LCK 3.5X6MM PERI-LOC S-T VLP^71821206 247

SCREW LCK 3.5X8MM PERI-LOC S-T VLP^71821208 247

SCREW LCK 4.0X38 FOR IM NAIL NON-STERILE^04.005.428 343

SCREW LCK 4.7 X 25^180502 200

SCREW LCK 4.75X15^180500 200

SCREW LCK 4.75X15^180550 200

SCREW LCK 4.75X25^180552 200

SCREW LCK 4.75X28^180501 200

SCREW LCK 4.75X30^180553 200

SCREW LCK 4.75X35^180504 200

SCREW LCK 4.75X38^180503 200

SCREW LCK 4.75X45^180506 200

SCREW LCK 5.0X58 NON-STERILE^458.958 352

SCREW LCK 5X60 TITAN ANGULAR^04.025.550S 420

SCREW LCK CAN 6.5X100^74820300 532

SCREW LCK CAN 6.5X110^74820310 532

SCREW LCK CORE TITAN 5.0X70 STERILE^04.015.560S 490

SCREW LCK CORT 2.7X12^72823112 247

SCREW LCK CORT 2.7X18^72823118 247

SCREW LCK CORT 2.7X22^72823122 247

SCREW LCK CORT 2.7X24^72823124 247

SCREW LCK CORT 2.7X26^72823126 247

SCREW LCK CORT 3.5X14^4023-3514 498

SCREW LCK CORT 3.5X18^4023-3518 498

SCREW LCK CORT 3.5X28^4023-3528 498

SCREW LCK CORTICAL 2.7X16^LCBS2.7-16 200

SCREW LCK CORTICAL 2.7X18^LCBS2.7-18 200

SCREW LCK DLS 3.7X22^09.213.022S 538

SCREW LCK DLS 3.7X24^09.213.024S 538

SCREW LCK DLS 3.7X30^09.213.030S 538

SCREW LCK DLS 3.7X34^09.213.034S 538

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Description CPT-4 Base Price Schedule

SCREW LCK D-RAD 2.4X10 S-T^74692410 210

SCREW LCK D-RAD 2.4X12 S-T^74692412 210

SCREW LCK D-RAD 2.4X14 S-T^74692414 210

SCREW LCK D-RAD 2.4X16 S-T^74692416 210

SCREW LCK D-RAD 2.4X20 S-T^74692420 210

SCREW LCK D-RAD 2.4X22 T7 S-T^74692422 210

SCREW LCK D-RAD 2.4X24 T7 S-T^74692424 210

SCREW LCK DUAL CORE 75MM/IM^04.015.565S 490

SCREW LCK EVOLVE 3.5X34^4973534L 476

SCREW LCK F-T 5X70^1896-5070S 351

SCREW LCK F-T 5X80^1896-5080S 351

SCREW LCK F-T 5X85^1896-5085S 351

SCREW LCK FTHD 5X35 NON-STER^1896-5035 360

SCREW LCK HEXALOBE 3.5X12 - MFRCAT 30-0234^30-0234 240

SCREW LCK NON-STERILE T25 4.0X26^04.005.416 343

SCREW LCK PERILOC 2.7X46 S-T^73822346 216

SCREW LCK PERILOC 2.7X55 S-T^73822355 216

SCREW LCK PERILOC 4.5X12^73827012 263

SCREW LCK PERILOC 4.5X14 -MFRCAT 73827014^73827014 263

SCREW LCK PERILOC T15 2.7X10^73822310 216

SCREW LCK PERILOC T15 2.7X18^73822318 216

SCREW LCK PERILOC T15 2.7X22^73822322 216

SCREW LCK PERILOC T15 2.7X24 S-T^73822324 216

SCREW LCK PERILOC T15 2.7X28 S-T^73822328 216

SCREW LCK PERILOC T15 2.7X36^73822336 216

SCREW LCK PERILOC T15 2.7X48 S-T^73822348 216

SCREW LCK PERILOC T15 2.7X48 S-T^73823048 43

SCREW LCK PERILOC T15 2.7X50 S-T^73823050 43

SCREW LCK PERILOC T15 2.7X55 S-T^73823055 43

SCREW LCK PERILOC T15 CORTEX 2.7X20 S-T^73823020 43

SCREW LCK PERILOC T15 CORTEX 2.7X24^73823024 43

SCREW LCK PERILOC T20 3.5X20 S-T^73825020 222

SCREW LCK PERILOC T20 3.5X22^73825022 222

SCREW LCK PERILOC T20 3.5X24 S-T^73825024 222

SCREW LCK PERILOC T20 3.5X26 S-T^73825026 222

SCREW LCK PERILOC T20 3.5X30 S-T^73825030 222

SCREW LCK PERILOC T20 3.5X32^73825032 222

SCREW LCK PERILOC T20 3.5X34 S-T^73825034 222

SCREW LCK PERILOC T20 3.5X44 S-T^73825044 222

SCREW LCK PERILOC T20 3.5X45 S-T^73825045 222

SCREW LCK PERILOC T20 3.5X46 S-T^73825046 222

SCREW LCK PERILOC T25 4.5X10^73827010 263

SCREW LCK PERILOC T25 4.5X16 S-T^73827016 263

SCREW LCK PERILOC T25 4.5X18 S-T^73827018 263

SCREW LCK PERILOC T25 4.5X22 S-T^73827022 263

SCREW LCK PERILOC T25 4.5X24 S-T^73827024 263

SCREW LCK PERILOC T25 4.5X26 S-T^73827026 263

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Description CPT-4 Base Price Schedule

SCREW LCK PERILOC T25 4.5X28 S-T^73827028 263

SCREW LCK PERILOC T25 4.5X30 S-T^73827030 263

SCREW LCK PERILOC T25 4.5X32 S-T^73827032 263

SCREW LCK PERILOC T25 4.5X34 ST^73827034 263

SCREW LCK PERILOC T-25 4.5X36 S-T^73827036 263

SCREW LCK PERILOC T25 4.5X38 S-T^73827038 263

SCREW LCK PERILOC T25 4.5X40 S-T^73827040 263

SCREW LCK PERILOC T-25 4.5X42 S-T^73827042 263

SCREW LCK PERILOC T25 4.5X44 S-T^73827044 263

SCREW LCK PERILOC T-25 4.5X46 S-T^73827046 263

SCREW LCK PERILOC T25 4.5X48 S-T^73827048 263

SCREW LCK PERILOC T25 4.5X52 S-T^73827052 263

SCREW LCK PERILOC T25 4.5X54 S-T^73827054 263

SCREW LCK PERILOC T25 4.5X56 S-T^73827056 263

SCREW LCK PERILOC T25 4.5X58 ST^73827058 263

SCREW LCK PERILOC T25 4.5X60 S-T^73827060 263

SCREW LCK PERILOC T25 4.5X62 S-T^73827062 263

SCREW LCK PERILOC T25 4.5X64 S-T^73827064 263

SCREW LCK PERILOC T25 4.5X66 S-T^73827066 263

SCREW LCK PERILOC T25 4.5X70 S-T^73827070 263

SCREW LCK PERILOC T25 4.5X74 S-T^73827074 263

SCREW LCK PERILOC T25 4.5X76 S-T^73827076 263

SCREW LCK PERIPROS 5.0X14^02.221.514S 521

SCREW LCK PERIPROS 5.0X18^02.221.518S 521

SCREW LCK PURPLE 2.7X18^73-2718 83

SCREW LCK SLF TAP 1.3X13^02.130.113 213

SCREW LCK SLF TAP 1.3X14^02.130.114 213

SCREW LCK SLF TAP 1.3X15^02.130.115 213

SCREW LCK SLF TAP 1.3X16^02.130.116 213

SCREW LCK SLF TAP 1.3X18^02.130.118 213

SCREW LCK SLF TAP 2.0X8^201.878 226

SCREW LCK SLF TAP 2.0X9^201.879 226

SCREW LCK SLF TAP 5.0X85^02.231.285 356

SCREW LCK SLF TAP STARDRIVE 2.0X12^201.882 226

SCREW LCK SLF TAP T4 1.5X12^04.214.012 241

SCREW LCK SLF TAP T4 1.5X9^04.214.009 241

SCREW LCK SLFTAP 2.0X10^201.880 226

SCREW LCK SLFTAP 2.0X11^201.881 226

SCREW LCK SLFTAP 2.0X13^201.883 226

SCREW LCK SLFTAP 2.0X14^201.884 226

SCREW LCK SLFTAP 2.0X16^201.886 226

SCREW LCK SLFTAP 2.0X18^201.888 226

SCREW LCK SLFTAP 2.0X20^201.890 226

SCREW LCK SLFTAP 2.0X24^201.894 226

SCREW LCK SLFTAP 2.0X26^201.896 226

SCREW LCK SLFTAP 2.0X28^201.898 226

SCREW LCK SLFTAP 2.0X30^201.900 226

Page 311: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

SCREW LCK STAR 6.5X85^04.003.027S 458

SCREW LCK STARDRIVE 3.5X56^02.127.156 296

SCREW LCK T25 4.0X28^04.005.418 343

SCREW LCK T25 4.0X34 NONSTERILE^04.005.424 343

SCREW LCK T25 5.0X32 NONSTERILE^04.005.522 343

SCREW LCK T25 5.0X50 NONSTERILE^04.005.540 343

SCREW LCK T25 6.0X54 NONSTERILE^04.005.644 343

SCREW LCK TITAN 6.0MM X 68MM^04.005.658S 444

SCREW LCK TITAN 6.0MM X 72MM^04.005.662S 444

SCREW LCK UNI GLENOID PERIPH -MFRCAT# AR-9145-24^AR-9145-24 212

SCREW LCK UNI GLENOID PERIPH -MFRCAT# AR-9145-30^AR-9145-30 212

SCREW LCK UNI GLENOID PERIPH -MFRCAT# AR-9145-42^AR-9145-42 212

SCREW LCK VA 2.4X10^04.210.110 295

SCREW LCK VA 2.4X12^04.210.112 295

SCREW LCK VA 2.4X14^04.210.114 295

SCREW LCK VA 2.4X16^04.210.116 295

SCREW LCK VA 2.4X18^04.210.118 295

SCREW LCK VA 2.4X22^04.210.122 295

SCREW LCK VA 2.4X24^04.210.124 295

SCREW LCK VA 2.4X26^04.210.126 295

SCREW LCK VA 2.4X8^04.210.120 295

SCREW LCK VA 2.7X11^02.211.011 279

SCREW LCK VA 2.7X12^02.211.012 279

SCREW LCK VA 2.7X20^02.211.020 279

SCREW LCK VA 2.7X22^02.211.022 279

SCREW LCK VA 2.7X24^02.211.024 279

SCREW LCK VA 2.7X26^02.211.026 279

SCREW LCK VA 2.7X30^02.211.030 279

SCREW LCK VA 2.7X32^02.211.032 279

SCREW LCK VA 2.7X34^02.211.034 279

SCREW LCK VA 2.7X36^02.211.036 279

SCREW LCK VA 2.7X42^02.211.042 279

SCREW LCK VA 2.7X44^02.211.044 279

SCREW LCK VA 2.7X52^02.211.052 279

SCREW LCK VA 2.7X54^02.211.054 279

SCREW LCK VA 2.7X56^02.211.056 279

SCREW LCK VA 2.7X58^02.211.058 279

SCREW LCK VA 2.7X60^02.211.060 279

SCREW LCK VA 2.7X8^02.211.008 279

SCREW LCK VA 3.5X12^02.127.112 296

SCREW LCK VA 3.5X16^02.127.116 296

SCREW LCK VA 3.5X18^02.127.118 296

SCREW LCK VA 3.5X20^02.127.120 296

SCREW LCK VA 3.5X22^02.127.122 296

SCREW LCK VA 3.5X24^02.127.124 296

SCREW LCK VA 3.5X26^02.127.126 296

SCREW LCK VA 3.5X28^02.127.128 296

Page 312: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

SCREW LCK VA 3.5X30^02.127.130 296

SCREW LCK VA 3.5X32^02.127.132 296

SCREW LCK VA 3.5X34^02.127.134 296

SCREW LCK VA 3.5X75^02.127.175 296

SCREW LCK VA 5.0X10^02.231.010 509

SCREW LCK VA 5.0X12^02.231.012 509

SCREW LCK VA 5.0X14^02.231.014 509

SCREW LCK VA 5.0X20^02.231.220 356

SCREW LCK VA 5.0X26^02.231.226 356

SCREW LCK VA 5.0X30^02.231.230 356

SCREW LCK VA 5.0X32^02.231.232 356

SCREW LCK VA 5.0X34^02.231.234 356

SCREW LCK VA 5.0X36^02.231.236 356

SCREW LCK VA 5.0X38^02.231.238 356

SCREW LCK VA 5.0X40^02.231.240 356

SCREW LCK VA 5.0X42^02.231.242 356

SCREW LCK VA 5.0X44^02.231.244 356

SCREW LCK VA 5.0X46^02.231.246 356

SCREW LCK VA 5.0X48^02.231.248 356

SCREW LCK VA 5.0X50^02.231.250 356

SCREW LCK VA 5.0X55^02.231.255 356

SCREW LCK VA 5.0X60^02.231.260 356

SCREW LCK VA 5.0X65^02.231.265 356

SCREW LCK VA 5.0X70^02.231.270 356

SCREW LCK VA 5.0X80^02.231.280 356

SCREW LCK VA 5X75 02.231.275 356

SCREW LCK VA STARDRIVE 3.5X36^02.127.136 296

SCREW LCK VA STARDRIVE 3.5X38^02.127.138 296

SCREW LCK VA STARDRIVE 3.5X60^02.127.160 296

SCREW LCK VA STARDRIVE 3.5X80^02.127.180 296

SCREW LCK VAR 2.7X28^02.211.028 279

SCREW LCK VAR ANG 2.3X14 -MFRCAT# 30-2314^30-2314 260

SCREW LCK VAR ANG 2.3X22 -MFRCAT# 30-2322^30-2322 260

SCREW LCK VAR ANGLE 2.7X48^02.211.048 279

SCREW LCK VAR ANGLE 2.7X50^02.211.050 279

SCREW LCK VLP 2.4X11 NS -MFRCAT# 74412411N^74412411N 210

SCREW LCK VLP 2.4X12 NS- MFRCAT# 74412412N^74412412N 210

SCREW LCK VLP 2.4X13 NS -MFRCAT# 74412413N^74412413N 210

SCREW LCK VLP T6 S-T NS 2.0mmX18mm^74412018N 210

SCREW LCK VLP T6 S-T NS 2.0mmX20mm^74412020N 210

SCREW LCK VLP T7 S-T NS 2.4X10^74412410N 210

SCREW LCK VLP T7 S-T NS 2.4X20^74412420N 210

SCREW LCK VLP T7 S-T NS 2.4X32^74412432N 210

SCREW LCK VLP T7 S-T NS 2.4X34^74412434N 210

SCREW LCK VLP T7 S-T NS 2.4X8^74412408N 210

SCREW LCK VLP TI T6 S-T 2.0mmX8mm^74412008 210

SCREW LCKING LVP 2.4X13^02.210.113 267

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Description CPT-4 Base Price Schedule

SCREW LEGACY 4.5 X 45MM^75444550 1762

SCREW LEGACY 5.5 X 50MM^75445550 1762

SCREW LEGACY 6.35mm 5.5X50mm^76445550 1797

SCREW LEGACY 6.35mm 6.5X30mm^76446530 1797

SCREW LEGACY 6.35mm 6.5X40mm^76446540 1797

SCREW LEGACY 6.35mm 6.5X50mm^76446550 1797

SCREW LEGACY 6.35mm 7.5X35mm^76447535 1797

SCREW LEGACY 6.35MM 7.5X40MM^76447540 1797

SCREW LEGACY 6.35MM 8.5X45MM^76448545 1797

SCREW LEGACY 6.5X45MM^75446545 1762

SCREW LEGION LWDG S7 5D X 5P^71421761 2373

SCREW LGN DIS FEM WDG SZ8 5MM 71421674 2114

SCREW LGN SCRW DIS FEM WDG SZ7 5mm^71421671 2114

SCREW LO PRO 3.5X36 -MFRCAT AR-8935-36^AR-8935-36 97

SCREW LO PRO 3.5X42 -MFRCAT AR-8935-42^AR-8935-42 97

SCREW LO PRO 3.5X44 -MFRCAT AR-8935-44^AR-8935-44 97

SCREW LO PRO 3.5X46 -MFRCAT AR-8935-46^AR-8935-46 106

SCREW LO PRO 3.5X50 -MFRCAT AR-8935-50^AR-8935-50 106

SCREW LO PRO 3.5X54 -MFRCAT AR-8935-54^AR-8935-54 106

SCREW LO PRO 3.5X58 -MFRCAT AR-8935-58^AR-8935-58 106

SCREW LOCK 5.0 X 30MM^413.330 419

SCREW LOCK 5.0 X 34MM^413.334 419

SCREW LOCK 5.0 X 36MM^413.336 419

SCREW LOCK 5.0 X 44MM^413.344 419

SCREW LOCK 5.0 X 50MM^413.350 419

SCREW LOCK 5.0 X 60MM^413.360 419

SCREW LOCK 5.0 X 65MM^413.365 419

SCREW LOCK 5.0 X 70MM^413.370 419

SCREW LOCK 5.0 X 75MM^413.375 419

SCREW LOCK 5.0X18MM^422.391 423

SCREW LOCK 5.0X26MM^422.392 423

SCREW LOCK 5.0X26MM^458.926S 451

SCREW LOCK 5.0X28MM^458.928S 451

SCREW LOCK 5.0X30MM^458.930 451

SCREW LOCK 5.0X32MM^458.932 352

SCREW LOCK 5.0X34MM^458.934 352

SCREW LOCK 5.0X36MM^458.936 352

SCREW LOCK 5.0X38MM^458.938 352

SCREW LOCK 5.0X40MM^422.393 423

SCREW LOCK 5.0X42MM NONST^458.942 352

SCREW LOCK 5.0X42MM^458.942S 451

SCREW LOCK 5.0X44MM^458.944 352

SCREW LOCK 5.0X46MM^458.946 352

SCREW LOCK 5.0X48MM^458.948 352

SCREW LOCK 5.0X50MM^458.950 352

SCREW LOCK 5.0X50MM^458.950S 451

SCREW LOCK 5.0X52MM^458.952 352

Page 314: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

SCREW LOCK 5.0X55MM^422.394 430

SCREW LOCK 5.0X56MM^458.956 352

SCREW LOCK 5.0X58MM^458.958S 451

SCREW LOCK 5.0X60MM^458.960 352

SCREW LOCK 5.0X64MM^458.964S 451

SCREW LOCK 5.0X65MM^422.395 430

SCREW LOCK 5.0X75MM^422.396 430

SCREW LOCK 6X34mm^14034 173

SCREW LOCK 6X38mm^14038 173

SCREW LOCK 6X50mm^14050 172

SCREW LOCK 6X55mm^14055 783

SCREW LOCK CORTEX 2.5X10MM^71822410 168

SCREW LOCK CORTEX 2.5X12MM^71822412 166

SCREW LOCK CORTEX 2.5X14MM^71822414 166

SCREW LOCK CORTEX 2.5X16MM^71822416 166

SCREW LOCK CORTEX 2.5X18MM^71822418 166

SCREW LOCK CORTEX 2.5X20MM^71822420 166

SCREW LOCK CORTEX 2.5X22MM^71822422 166

SCREW LOCK CORTEX 2.5X24MM^71822424 166

SCREW LOCK CORTEX S-T 2.5 X 26MM^71822426 166

SCREW LOCK DISTAL 6X50MM^14050P 173

SCREW LOCK EVOS 2.7mm X 17mm T8 S-T^72412717 206

SCREW LOCK EVOS 2.7mm X 18mm T8 S-T^72412718 206

SCREW LOCK EVOS 2.7mm X 22mm T8 S-T^72412722 206

SCREW LOCK EVOS 2.7mm X 24mm T8 S-T^72412724 206

SCREW LOCK EVOS 2.7mm X 38mm T8 S-T^72412738 206

SCREW LOCK EVOS 2.7mm X 40mm T8 S-T^72412740 206

SCREW LOCK EVOS 2.7mm X 46mm T8 S-T^72412746 206

SCREW LOCK EVOS 2.7mmX10mm T8 S-T^72412710 206

SCREW LOCK EVOS 2.7mmX11mm T8 S-T^72412711 206

SCREW LOCK EVOS 2.7mmX12mm T8 S-T^72412712 206

SCREW LOCK EVOS 2.7mmX13mm T8 S-T^72412713 206

SCREW LOCK EVOS 2.7mmX14mm T8 S-T^72412714 206

SCREW LOCK EVOS 2.7mmX15mm T8 S-T^72412715 206

SCREW LOCK EVOS 2.7mmX16mm T8 S-T^72412716 206

SCREW LOCK EVOS 2.7mmX20mm T8 S-T^72412720 206

SCREW LOCK EVOS 3.5mm X 10mm S-T^72413510 220

SCREW LOCK EVOS 3.5mm X 12mm S-T^72413512 220

SCREW LOCK EVOS 3.5mm X 13mm S-T^72413513 220

SCREW LOCK EVOS 3.5mm X 20mm S-T^72413520 220

SCREW LOCK EVOS 3.5mm X 55mm S-T^72413555 220

SCREW LOCK EVOS 3.5mm X 65mm S-T^72413565 220

SCREW LOCK EVOS 3.5mm X 70mm S-T^72413570 220

SCREW LOCK EVOS 3.5mm X 75mm S-T^72413575 220

SCREW LOCK EVOS 3.5mmX14mm S-T^72413514 220

SCREW LOCK EVOS 3.5mmX15mm S-T^72413515 220

SCREW LOCK EVOS 3.5mmX16mm S-T^72413516 220

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Description CPT-4 Base Price Schedule

SCREW LOCK EVOS 3.5mmX18mm S-T^72413518 220

SCREW LOCK EVOS 3.5mmX22mm S-T^72413522 220

SCREW LOCK EVOS 3.5mmX26mm S-T^72413526 220

SCREW LOCK EVOS 3.5mmX28mm S-T^72413528 220

SCREW LOCK EVOS 3.5mmX32mm S-T^72403532 48

SCREW LOCK EVOS 3.5mmX34mm S-T^72403534 48

SCREW LOCK EVOS 3.5mmX38mm S-T^72413538 220

SCREW LOCK EVOS 3.5mmX40mm S-T^72413540 220

SCREW LOCK EVOS 3.5mmX42mm S-T^72413542 220

SCREW LOCK EVOS 3.5mmX46,, S-T^72413546 220

SCREW LOCK EVOS 3.mm 11mm S-T^72413511 220

SCREW LOCK NUT^1883-41-100 281

SCREW LOCK PERILOC T20 3.5X10^73825010 222

SCREW LOCK PERILOC T20 3.5X12^73825012 222

SCREW LOCK PERILOC T20 3.5X14^73825014 222

SCREW LOCK PERILOC T20 3.5X16^73825016 222

SCREW LOCK PERILOC T20 3.5X18^73825018 222

SCREW LOCK PERILOC T25 4.5X20 S-T^73827020 263

SCREW LOCK PERIPROS 5.0X10MM^02.221.510S 521

SCREW LOCK PERIPROS 5.0X12MM^02.221.512S 521

SCREW LOCK PERIPROS 5.0X8MM^02.221.508S 521

SCREW LOCK PROXIMAL 6X75MM^14075P 173

SCREW LOCK PROXIMAL 6X80MM^14080P 173

SCREW LOCK REV^150475 409

SCREW LOCK STAR 6.5 X 105^04.003.031S 458

SCREW LOCK STAR 6.5 X 90MM^04.003.028S 458

SCREW LOCK STAR 6.5MM X 110MM^04.003.032S 458

SCREW LOCK STAR 6.5MM X 115MM^04.003.033S 458

SCREW LOCK VA 5.0 X 28mm^02.231.228 356

SCREW LOCK VA 5.0X24mm^02.231.224 356

SCREW LOCK VLP TI 2.4mm X 12mm T7 S-T^74412412 210

SCREW LOCK VLP TI 2.4mm X 14mm T7 S-T^74412414 210

SCREW LOCK VLP TI 2.4mm X 15mm T7 S-T^74412415 210

SCREW LOCK VLP TI 2.4mm X 16mm T7 S-T^74412416 210

SCREW LOCK VLP TI 2.4mm X 18mm T7 S-T^74412418 210

SCREW LOCKING HEXALOBE 3.5mm x 10mm 30-0233 240

SCREW LOCKING 1.5X10^02.214.010 217

SCREW LOCKING 1.5X11^02.214.011 217

SCREW LOCKING 1.5X12^02.214.012 217

SCREW LOCKING 1.5X13^02.214.013 217

SCREW LOCKING 1.5X14^02.214.014 217

SCREW LOCKING 1.5X15^02.214.015 217

SCREW LOCKING 1.5X16^02.214.016 217

SCREW LOCKING 1.5X18^02.214.018 217

SCREW LOCKING 1.5X20mm^02.214.020 217

SCREW LOCKING 1.5X6^02.214.106 93

SCREW LOCKING 1.7X10MM^53-17010E 168

Page 316: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

SCREW LOCKING 1.7X11MM^53-17011E 168

SCREW LOCKING 1.7X12MM^53-17012E 168

SCREW LOCKING 1.7X8^53-17008E 168

SCREW LOCKING 1.7X9MM^53-17009E 168

SCREW LOCKING 2.0MM 7MM^201.877 226

SCREW LOCKING 2.0MM VA-LCKNG SCREW SLF-TPNG WITH T6 STARDRIVE RECESS 16mm^02. 241

SCREW LOCKING 2.0X 9MM^401.879 248

SCREW LOCKING 2.0X10MM^401.880 248

SCREW LOCKING 2.0X11MM^401.881 248

SCREW LOCKING 2.0X12MM^401.882 248

SCREW LOCKING 2.0X13MM^401.883 248

SCREW LOCKING 2.0X14MM^401.884 248

SCREW LOCKING 2.0X16MM^401.886 248

SCREW LOCKING 2.0X18MM^401.888 248

SCREW LOCKING 2.0X20^401.890 248

SCREW LOCKING 2.0X22MM^401.892 248

SCREW LOCKING 2.0X24^401.894 248

SCREW LOCKING 2.0X8MM^401.878 248

SCREW LOCKING 2.3X10^53-23010E 176

SCREW LOCKING 2.3X11MM^25-773-11-1 168

SCREW LOCKING 2.3X12^53-23012E 176

SCREW LOCKING 2.3X13^53-23013E 176

SCREW LOCKING 2.3X14^53-23014E 176

SCREW LOCKING 2.3X5MM^25-773-05-1 168

SCREW LOCKING 2.3X6^53-23006E 176

SCREW LOCKING 2.3X7MM^25-773-07-1 168

SCREW LOCKING 2.3X8^53-23008E 176

SCREW LOCKING 2.3X9^53-23009E 176

SCREW LOCKING 2.3X9MM^25-773-09-1 168

SCREW LOCKING 2.4MM X 10MM^212.810 230

SCREW LOCKING 2.4mm X 12mm^212.812 230

SCREW LOCKING 2.4mm X 14mm^212.814 230

SCREW LOCKING 2.4mm X 16mm^212.816 230

SCREW LOCKING 2.4mm X 18mm^212.818 230

SCREW LOCKING 2.4mm X 20mm^212.820 230

SCREW LOCKING 2.4mm X 22mm^212.822 230

SCREW LOCKING 2.4mm X 24mm^212.824 230

SCREW LOCKING 2.4mm X 26mm^212.826 230

SCREW LOCKING 2.4MM X 28MM^212.828 230

SCREW LOCKING 2.4MM X 30MM^212.830 230

SCREW LOCKING 2.4MM X 6MM^212.806 230

SCREW LOCKING 2.4X10MM TIT^412.810 254

SCREW LOCKING 2.4X11MM TIT^412.811 254

SCREW LOCKING 2.4X12MM TIT^412.812 254

SCREW LOCKING 2.4X13^212.813 230

SCREW LOCKING 2.4X13^412.813 254

SCREW LOCKING 2.4X14MM TIT^412.814 254

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Description CPT-4 Base Price Schedule

SCREW LOCKING 2.4X16MM TI^412.816 254

SCREW LOCKING 2.4X18MM TIT^412.818 254

SCREW LOCKING 2.4X20MM TIT^412.820 254

SCREW LOCKING 2.4X22MM TIT^412.822 254

SCREW LOCKING 2.4X24MM TIT^412.824 254

SCREW LOCKING 2.4X26MM TIT^412.826 254

SCREW LOCKING 2.4X28MM TIT^412.828 254

SCREW LOCKING 2.4X30MM TIT^412.830 254

SCREW LOCKING 2.4X9MM TIT^412.809 254

SCREW LOCKING 2.7 X 14^28.25.014 330

SCREW LOCKING 2.7MM X 10MM^202.210 232

SCREW LOCKING 2.7MM X 12MM^202.212 232

SCREW LOCKING 2.7MM X 14MM^202.214 232

SCREW LOCKING 2.7MM X 16MM^202.216 232

SCREW LOCKING 2.7MM X 18MM^202.218 232

SCREW LOCKING 2.7MM X 20MM^202.220 232

SCREW LOCKING 2.7MM X 22MM^202.222 232

SCREW LOCKING 2.7MM X 24MM^202.224 232

SCREW LOCKING 2.7MM X 26MM^202.226 232

SCREW LOCKING 2.7MM X 28MM^202.228 232

SCREW LOCKING 2.7MM X 30MM^202.230 232

SCREW LOCKING 2.7MM X 32MM^202.232 232

SCREW LOCKING 2.7MM X 34MM^202.234 232

SCREW LOCKING 2.7MM X 36MM^202.236 232

SCREW LOCKING 2.7MM X 38MM^202.238 232

SCREW LOCKING 2.7MM X 40MM^202.240 232

SCREW LOCKING 2.7MM X 42MM^202.242 232

SCREW LOCKING 2.7MM X 44MM^202.244 232

SCREW LOCKING 2.7MM X 46MM^202.246 232

SCREW LOCKING 2.7MM X 48MM^202.248 232

SCREW LOCKING 2.7MM X 50MM^202.250 232

SCREW LOCKING 2.7MM X 55MM^202.255 232

SCREW LOCKING 2.7MM X 60MM^202.260 232

SCREW LOCKING 2.7X12MM TITAN^402.212 257

SCREW LOCKING 2.7X14MM TITAN^402.214 257

SCREW LOCKING 2.7X16MM TITAN^402.216 257

SCREW LOCKING 2.7X18MM TITAN^402.218 257

SCREW LOCKING 2.7X20MM TITAN^402.220 257

SCREW LOCKING 2.7X24MM TITAN^402.224 257

SCREW LOCKING 2.7X26mm TITAN^402.226 257

SCREW LOCKING 2.7X34 TITAN^402.234 257

SCREW LOCKING 2.7X36 TITAN^402.236 257

SCREW LOCKING 2.7X38MM TITAN^402.238 257

SCREW LOCKING 2.7X8MM^202.208 232

SCREW LOCKING 3.0MM X 12MM 15PL-3012 90

SCREW LOCKING 3.0X12^04.617.812 374

SCREW LOCKING 3.0X14^04.617.814 386

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Description CPT-4 Base Price Schedule

SCREW LOCKING 3.0X16^04.617.816 386

SCREW LOCKING 3.5 X 52MM^212.122 247

SCREW LOCKING 3.5MM SLF-TPNG WITH STARDRIVE RECESS 80MM 212.130 247

SCREW LOCKING 3.5mm X 10mm^212.101 247

SCREW LOCKING 3.5mm X 12mm^212.102 247

SCREW LOCKING 3.5mm X 14mm^212.103 247

SCREW LOCKING 3.5MM X 14MM^212.114 247

SCREW LOCKING 3.5mm X 16mm^212.104 247

SCREW LOCKING 3.5mm X 18mm^212.105 247

SCREW LOCKING 3.5mm X 18mm^213.018 247

SCREW LOCKING 3.5mm X 20mm^212.106 247

SCREW LOCKING 3.5MM X 20MM^213.020 247

SCREW LOCKING 3.5mm X 22mm^212.107 247

SCREW LOCKING 3.5MM X 22MM^213.022 247

SCREW LOCKING 3.5MM X 24MM^212.108 247

SCREW LOCKING 3.5MM X 24MM^213.024 247

SCREW LOCKING 3.5mm X 26mm^212.109 247

SCREW LOCKING 3.5MM X 26MM^213.026 247

SCREW LOCKING 3.5MM X 28MM^212.110 247

SCREW LOCKING 3.5MM X 28MM^213.028 247

SCREW LOCKING 3.5MM X 30MM^212.111 247

SCREW LOCKING 3.5MM X 30MM^213.030 247

SCREW LOCKING 3.5MM X 32MM^212.112 247

SCREW LOCKING 3.5MM X 32MM^213.032 247

SCREW LOCKING 3.5MM X 34MM^212.113 247

SCREW LOCKING 3.5MM X 34MM^213.034 247

SCREW LOCKING 3.5mm X 36mm^212.115 247

SCREW LOCKING 3.5MM X 36MM^213.036 247

SCREW LOCKING 3.5MM X 38MM^212.116 247

SCREW LOCKING 3.5MM X 38MM^213.038 247

SCREW LOCKING 3.5MM X 40MM^212.117 247

SCREW LOCKING 3.5MM X 40MM^213.040 247

SCREW LOCKING 3.5MM X 42MM^212.118 247

SCREW LOCKING 3.5mm X 45mm^212.119 247

SCREW LOCKING 3.5MM X 45MM^213.045 247

SCREW LOCKING 3.5MM X 48MM^212.120 247

SCREW LOCKING 3.5mm X 50mm^212.121 247

SCREW LOCKING 3.5mm X 55mm^212.123 247

SCREW LOCKING 3.5MM X 60MM^212.124 247

SCREW LOCKING 3.5MM X 65MM^212.125 247

SCREW LOCKING 3.5MM X 65MM^212.325 269

SCREW LOCKING 3.5MM X 70MM^212.126 247

SCREW LOCKING 3.5MM X 75MM^212.127 247

SCREW LOCKING 3.5MM X 75MM^212.327 269

SCREW LOCKING 3.5MM X 80MM^212.128 247

SCREW LOCKING 3.5MM X 85MM^212.129 247

SCREW LOCKING 3.5mm X 85mm^212.329 269

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Description CPT-4 Base Price Schedule

SCREW LOCKING 3.5X80^212.328 269

SCREW LOCKING 4.0 X 18^122918 622

SCREW LOCKING 4.0 X 20^122920 622

SCREW LOCKING 4.0 X 22^122922 622

SCREW LOCKING 4.0 X 24^122924 622

SCREW LOCKING 4.0 X 26^122926 622

SCREW LOCKING 4.0 X 26MM^04.005.416S 444

SCREW LOCKING 4.0 X 28^122928 622

SCREW LOCKING 4.0 X 30^122930 622

SCREW LOCKING 4.0 X 32^122932 622

SCREW LOCKING 4.0 X 34^122934 622

SCREW LOCKING 4.0 X 34MM^04.005.424S 444

SCREW LOCKING 4.0 X 35MM THRD^STPT-35 180

SCREW LOCKING 4.0 X 36^122936 622

SCREW LOCKING 4.0 X 38^122938 622

SCREW LOCKING 4.0 X 38MM^04.005.428S 444

SCREW LOCKING 4.0 X 40^122940 622

SCREW LOCKING 4.0 X 42^122942 622

SCREW LOCKING 4.0 X 42MM^04.005.432S 444

SCREW LOCKING 4.0 X 44MM^04.005.434S 444

SCREW LOCKING 4.0 X 46^122946 622

SCREW LOCKING 4.0 X 46MM^04.005.436S 444

SCREW LOCKING 4.0 X 48^122948 622

SCREW LOCKING 4.0 X 50^122950 622

SCREW LOCKING 4.0 X 50MM^04.005.440S 444

SCREW LOCKING 4.0 X 52^122952 622

SCREW LOCKING 4.0 X 52MM^04.005.442S 444

SCREW LOCKING 4.0 X 54^122954 622

SCREW LOCKING 4.0 X 54MM^04.005.444S 444

SCREW LOCKING 4.0 X 56^122956 622

SCREW LOCKING 4.0 X 56MM^04.005.446S 444

SCREW LOCKING 4.0 X 58^122958 622

SCREW LOCKING 4.0 X 58MM^04.005.448S 444

SCREW LOCKING 4.0 X 60^122960 622

SCREW LOCKING 4.0 X 60MM^04.005.450S 444

SCREW LOCKING 4.0 X 62MM^04.005.452S 444

SCREW LOCKING 4.0 X 64MM^04.005.454S 444

SCREW LOCKING 4.0 X 66MM^04.005.456S 444

SCREW LOCKING 4.0 X 68MM^04.005.458S 444

SCREW LOCKING 4.0 X 70MM^04.005.460S 444

SCREW LOCKING 4.0 X 72MM^04.005.462S 444

SCREW LOCKING 4.0 X 74MM^04.005.464S 444

SCREW LOCKING 4.0 X 76MM^04.005.466S 444

SCREW LOCKING 4.0 X 78MM^04.005.468S 444

SCREW LOCKING 4.0 X 80MM^04.005.470S 444

SCREW LOCKING 4.0MM X 18MM^04.005.408S 444

SCREW LOCKING 4.0MM X 20MM^04.005.410S 444

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Description CPT-4 Base Price Schedule

SCREW LOCKING 4.0MM X 20MM^STP-20 156

SCREW LOCKING 4.0MM X 22MM^04.005.412S 444

SCREW LOCKING 4.0MM X 24MM^04.005.414S 444

SCREW LOCKING 4.0MM X 25MM^STP-25 156

SCREW LOCKING 4.0MM X 28MM^04.005.418S 444

SCREW LOCKING 4.0MM X 30MM^04.005.420S 444

SCREW LOCKING 4.0MM X 32MM^04.005.422S 444

SCREW LOCKING 4.0MM X 35.0MM^STP-35.0 156

SCREW LOCKING 4.0MM X 36MM^04.005.426S 444

SCREW LOCKING 4.0MM X 40MM^04.005.430S 444

SCREW LOCKING 4.0X48MM^04.005.438S 444

SCREW LOCKING 4.5 X 18MM^VSM4518 243

SCREW LOCKING 4.5 X 20^122290 622

SCREW LOCKING 4.5 X 24MM^MFM4524 270

SCREW LOCKING 4.5 X 24MM^VFM4524 270

SCREW LOCKING 4.5 X 25^122291 622

SCREW LOCKING 4.5 X 30^122292 622

SCREW LOCKING 4.5 X 30MM^VFM4530 270

SCREW LOCKING 4.5 X 30MM^VSM4530 270

SCREW LOCKING 4.5 X 35^122293 622

SCREW LOCKING 4.5 X 36MM^VFM4536 243

SCREW LOCKING 4.5 X 40^122294 622

SCREW LOCKING 4.5 X 42MM^MFM4542 270

SCREW LOCKING 4.5 X 42MM^VFM4542 243

SCREW LOCKING 4.5 X 50^122296 622

SCREW LOCKING 4.5 X 55^122297 622

SCREW LOCKING 4.5 X 60^122298 622

SCREW LOCKING 4.5 X 65^122299 622

SCREW LOCKING 4.5X24MM^VSM4524 243

SCREW LOCKING 5.0 44mm^04.025.534S 420

SCREW LOCKING 5.0 X 16^212.202 286

SCREW LOCKING 5.0 X 18^212.203 286

SCREW LOCKING 5.0 X 25^122280 622

SCREW LOCKING 5.0 X 30^122281 622

SCREW LOCKING 5.0 X 35^122282 622

SCREW LOCKING 5.0 X 40^122283 622

SCREW LOCKING 5.0 X 45^122284 622

SCREW LOCKING 5.0 X 46MM^212.217 286

SCREW LOCKING 5.0 X 48MM^212.218 286

SCREW LOCKING 5.0 X 50^122285 622

SCREW LOCKING 5.0 X 50MM^212.219 286

SCREW LOCKING 5.0 X 55^122286 622

SCREW LOCKING 5.0 X 60^122287 622

SCREW LOCKING 5.0 X 65^122288 622

SCREW LOCKING 5.0 X 65^212.222 286

SCREW LOCKING 5.0 X 70^122276 622

SCREW LOCKING 5.0 X 70^212.223 286

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Description CPT-4 Base Price Schedule

SCREW LOCKING 5.0 X 75^122277 622

SCREW LOCKING 5.0 X 75^212.224 286

SCREW LOCKING 5.0 X 80^122278 622

SCREW LOCKING 5.0 X 80^212.225 286

SCREW LOCKING 5.0 X 85^122279 622

SCREW LOCKING 5.0 X 85^212.226 286

SCREW LOCKING 5.0 X 90^122289 622

SCREW LOCKING 5.0 X 90^212.227 286

SCREW LOCKING 5.0mm TI ANGULAR STABLE T25 34mm F/IM NAILS-STER^04.025.524S 420

SCREW LOCKING 5.0mm TI ANGULAR STABLE T25 36mm F/IM NAILS-STER^04.025.526S 420

SCREW LOCKING 5.0mm TI ANGULAR STABLE T25 38mm F/IM NAILS-STER^04.025.528S 420

SCREW LOCKING 5.0mm TI ANGULAR STABLE T25 40mm F/IM NAILS-STER^04.025.530S 420

SCREW LOCKING 5.0mm TI ANGULAR STABLE T25 42mm F/IM NAILS-STER^04.025.532S 420

SCREW LOCKING 5.0mm TI ANGULAR STABLE T25 50mm F/IM NAILS-STER^04.025.540S 420

SCREW LOCKING 5.0MM TI W/T25 78MM 04.005.568 343

SCREW LOCKING 5.0MM X 14MM^212.201 286

SCREW LOCKING 5.0MM X 20MM^212.204 286

SCREW LOCKING 5.0MM X 22MM^212.205 286

SCREW LOCKING 5.0MM X 24MM^212.206 286

SCREW LOCKING 5.0MM X 26MM^04.005.516S 444

SCREW LOCKING 5.0MM X 26MM^212.207 286

SCREW LOCKING 5.0MM X 28MM^04.005.518S 444

SCREW LOCKING 5.0MM X 28MM^212.208 286

SCREW LOCKING 5.0MM X 30MM^04.005.520S 444

SCREW LOCKING 5.0mm X 30mm^212.209 286

SCREW LOCKING 5.0MM X 32MM^04.005.522S 444

SCREW LOCKING 5.0mm X 32mm^212.210 286

SCREW LOCKING 5.0MM X 34MM^04.005.524S 444

SCREW LOCKING 5.0MM X 34MM^212.211 286

SCREW LOCKING 5.0MM X 35MM TI LOCKING SCR SLF-TPNG STARDRIVE T-25 412.211S 388

SCREW LOCKING 5.0MM X 36MM^04.005.526S 444

SCREW LOCKING 5.0MM X 36MM^212.212 286

SCREW LOCKING 5.0MM X 38MM^04.005.528S 444

SCREW LOCKING 5.0mm X 38mm^212.213 286

SCREW LOCKING 5.0MM X 40MM^04.005.530S 444

SCREW LOCKING 5.0mm X 40mm^212.214 286

SCREW LOCKING 5.0MM X 42MM^04.005.532S 444

SCREW LOCKING 5.0MM X 42MM^212.215 286

SCREW LOCKING 5.0MM X 44MM^04.005.534S 444

SCREW LOCKING 5.0MM X 44MM^212.216 286

SCREW LOCKING 5.0MM X 46MM^04.005.536S 444

SCREW LOCKING 5.0MM X 48MM^04.005.538S 444

SCREW LOCKING 5.0MM X 50MM^04.005.540S 444

SCREW LOCKING 5.0MM X 52MM^04.005.542S 444

SCREW LOCKING 5.0MM X 53MM TI LOCKING SCR SLF-TPNG T25 STARDRIVE 412.210S 388

SCREW LOCKING 5.0MM X 54MM^04.005.544S 444

SCREW LOCKING 5.0mm X 55mm^212.220 286

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Description CPT-4 Base Price Schedule

SCREW LOCKING 5.0MM X 56MM^04.005.546S 444

SCREW LOCKING 5.0MM X 58MM^04.005.548S 444

SCREW LOCKING 5.0MM X 60MM^04.005.550S 444

SCREW LOCKING 5.0mm X 60mm^212.221 286

SCREW LOCKING 5.0MM X 62MM^04.005.552S 444

SCREW LOCKING 5.0MM X 64MM^04.005.554S 444

SCREW LOCKING 5.0MM X 66MM^04.005.556S 444

SCREW LOCKING 5.0MM X 68MM^04.005.558S 444

SCREW LOCKING 5.0MM X 70MM^04.005.560S 444

SCREW LOCKING 5.0mm X 72mm^04.005.562S 444

SCREW LOCKING 5.0MM X 76MM^04.005.566S 444

SCREW LOCKING 5.0MM X 78MM^04.005.568S 444

SCREW LOCKING 5.0X54MM^458.954 352

SCREW LOCKING 5MMX100MM^04.005.590S 444

SCREW LOCKING 5MMX74MM^04.005.564S 444

SCREW LOCKING 5MMX80MM^04.005.570S 444

SCREW LOCKING 5MMX85MM^04.005.575S 444

SCREW LOCKING 5MMX90MM^04.005.580S 444

SCREW LOCKING 5MMX95MM^04.005.585S 444

SCREW LOCKING 6.0MM TI W/T25 STARDRIVE 68MM 04.005.658 343

SCREW LOCKING 6.4 X 30^122262 622

SCREW LOCKING 6.4 X 35^122263 622

SCREW LOCKING 6.4 X 40^122264 622

SCREW LOCKING 6.4 X 45^122265 622

SCREW LOCKING 6.4 X 50^122266 622

SCREW LOCKING 6.4 X 60^122268 622

SCREW LOCKING 6.4 X 65^122269 622

SCREW LOCKING 6.4 X 70^122270 622

SCREW LOCKING 6.4 X 75^122271 622

SCREW LOCKING 6.4 X 80^122272 622

SCREW LOCKING 6.4 X 85^122273 622

SCREW LOCKING 6.4 X 90^122274 622

Screw Locking 656316 216

SCREW LOCKING 6mm X80mm^04.005.670S 444

SCREW LOCKING 6MMX76MM^04.005.666S 444

SCREW LOCKING 6MMX85MM^04.005.675S 444

SCREW LOCKING 90 DEG 24MM^NL-24 170

SCREW LOCKING 90 DEG 26MM^NL-26 170

SCREW LOCKING 90 DEG 28MM^NL-28 170

SCREW LOCKING 90 DEG 3.8X30MM^NL-30 170

SCREW LOCKING 90 DEG 32MM^NL-32 170

SCREW LOCKING 90 DEG 34MM^NL-34 170

SCREW LOCKING BONE RSP 5x22 506-03-122 100

SCREW LOCKING BONE RSP 5x26 506-03-126 100

SCREW LOCKING BONE RSP 5x30 506-03-130 100

SCREW LOCKING CORTICAL 2.7X10^LCBS2.7-10 200

SCREW LOCKING CORTICAL 2.7X12^LCBS2.7-12 200

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Description CPT-4 Base Price Schedule

SCREW LOCKING CORTICAL 2.7X14^LCBS2.7-14 200

SCREW LOCKING CORTICAL 3.2X10^LHEX3.2-10 200

SCREW LOCKING CORTICAL 3.2X12^LHEX3.2-12 200

SCREW LOCKING CORTICAL 3.2X14^LHEX3.2-14 200

SCREW LOCKING CORTICAL 3.2X16^LHEX3.2-16 200

SCREW LOCKING FTHD 4X26MM^1896-4026S 342

SCREW LOCKING FTHD 4X28^1896-4028S 342

SCREW LOCKING FTHD 4X30^1896-4030S 342

SCREW LOCKING FTHD 4X40^1896-4040S 342

SCREW LOCKING FTHD 4X45MM^1896-4045S 342

SCREW LOCKING FTHD 4X50MM^1896-4050S 342

SCREW LOCKING FTHD 5X30MM^1896-5030S 351

SCREW LOCKING FTHD 5X32.5MM^1896-5032S 351

SCREW LOCKING FTHD 5X35MM STER^1896-5035S 351

SCREW LOCKING FTHD 5X37MM^1896-5037S 351

SCREW LOCKING FTHD 5X40MM^1896-5040S 351

SCREW LOCKING FTHD 5X50MM^1896-5050S 351

SCREW LOCKING FTHD 5X52.5^1896-5052S 351

SCREW LOCKING FTHD 5X60^1896-5060S 351

SCREW LOCKING FTHD 5X65^1896-5065S 351

SCREW LOCKING FTHD 5X75^1896-5075S 351

SCREW LOCKING FULL THREAD 2.7MM L14MM 656314 216

SCREW LOCKING FULL THREAD T8 2.7MM L12MM 656312 216

SCREW LOCKING LVP 2.4MM X 12MM^02.210.112 267

SCREW LOCKING LVP 2.4MM X 14MM^02.210.114 267

SCREW LOCKING LVP 2.4MM X 16MM^02.210.116 267

SCREW LOCKING LVP 2.4MM X 18MM^02.210.118 267

SCREW LOCKING LVP 2.4MM X 20MM^02.210.120 267

SCREW LOCKING LVP 2.4X10^02.210.110 267

SCREW LOCKING PERIPHERAL 5.5 X 16mm^AR-9563-16 212

SCREW LOCKING PERIPHERAL 5.5 X 20mm^AR-9563-20 212

SCREW LOCKING PERIPHERAL 5.5 X 24mm^AR-9563-24 212

SCREW LOCKING PERIPHERAL 5.5 X 28mm^AR-9563-28 212

SCREW LOCKING PERIPHERAL 5.5 X 32mm^AR-9563-32 212

SCREW LOCKING PERIPHERAL 5.5 X 36mm^AR-9563-36 212

SCREW LOCKING PERIPHERAL 5.5x40MM AR-9563-40 212

SCREW LOCKING PT 5 X 47.5^1896-5047S 351

SCREW LOCKING PT 5X42.5MM^1896-5042S 351

SCREW LOCKING PT 5X45MM^1896-5045S 351

SCREW LOCKING PT 5X90MM^1891-5090S 351

SCREW LOCKING PT 5X95MM^1896-5095S 351

SCREW LOCKING PTHD 4X50MM^1891-4050S 342

SCREW LOCKING RIB TRAUMA - 10MM SELF-DRILLING^76-2410 316

SCREW LOCKING RIB TRAUMA - 12MM SELF-DRILLING^76-2412 316

SCREW LOCKING RIB TRAUMA - 8MM SELF-DRILLING^76-2408 316

SCREW LOCKING SCREWS T7 2.3X16MM 53-23616E 218

SCREW LOCKING SCREWS T7 2.3X22MM 53-23622E 218

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Description CPT-4 Base Price Schedule

SCREW LOCKING SELF-TPNGW/T25 STARDRIVE 46mm-STERILE^412.217S 388

SCREW LOCKING T8 FULL THREAD 2.7MM L10MM 656310 216

SCREW LOCKING T8 FULL THREAD 2.7MM L18MM 656318 216

SCREW LOCKING T8 FULL THREAD 2.7MM X 20MM 656320 216

SCREW LOCKING TIT DUAL CORE 5.0X40MM^04.015.530S 490

SCREW LOCKING TIT DUAL CORE 5.0X45MM^04.015.535S 490

SCREW LOCKING TIT DUAL CORE 5.0X50MM^04.015.540S 490

SCREW LOCKING TIT DUAL CORE 5.0X55MM^04.015.545S 490

SCREW LOCKING TIT DUAL CORE 5.0X60MM^04.015.550S 490

SCREW LOCKING TIT DUAL CORE 5.0X65MM^04.015.555S 490

SCREW LOCKING TITANIUM 3.5MM X 28MM AR-8935L-28 266

SCREW LOCKING UNI GLENOID^AR-9145-36 212

SCREW LOCKING VLP 2.4MM X 22MM^02.210.122 267

SCREW LOCKING VLP 2.4MM X 24MM^02.210.124 267

SCREW LOCKING VLP 2.4MM X 26MM^02.210.126 267

SCREW LOCKING VLP 2.4MM X 28MM^02.210.128 267

SCREW LOCKING VLP 2.4X30^02.210.130 267

SCREW LOCKING VLP TI 2.4mm X 13mm T7 S-T^74412413 210

SCREW LOCKING VLP TI 2.4mm X 21 T7 S-T^74412421 210

SCREW LOCKING VLP TI 2.4mm X 22mm T7 S-T^74412422 210

SCREW LOCKING VLP TI 2.4mm X 24mm T7 S-T^74412424 210

SCREW LOCKING W/T25STARDRIVE 48 mm5.0mm X 48mm FOR IM NAILS^04.005.538 343

SCREW LOCKING^04.614.508 256

SCREW LONGITUDE 4.5X30^54840014530 2000

SCREW LONGITUDE 4.5X40^54840014540 2000

SCREW LONGITUDE 5.5X35^54840015535 2000

SCREW LONGITUDE 5.5X40^54840015540 2000

SCREW LONGITUDE 5.5X45^54840015545 2000

SCREW LONGITUDE 5.5X45^55840015545 2000

SCREW LONGITUDE 5.5X50^54840015550 2000

SCREW LONGITUDE 6.5X55^54840016555 2000

SCREW LONGITUDE 7.5X40^54840017540 2000

SCREW LONGITUDE 7.5X45^54840017545 2000

SCREW LONGITUDE II MAS 6.5X40^54840016540 2000

SCREW LONGITUDE II MAS 6.5X45^54840016545 2000

SCREW LONGITUDE II MAS 6.5X50^54840016550 2000

SCREW LO-PRO LOCK ,SS 3.5X 24mm^AR-8835L-24 195

SCREW LO-PRO PT THD TI FX 6.0mm X 60mm^AR-9060-60PT 1407

SCREW LO-PRO SCRW,TI,4.0mmX 40mm^AR-8940-40 97

SCREW LO-PRO TM SS 3.5X 24mm CORT^AR-8835-24 62

SCREW LO-PRO TM SS 3.5X 28mm CORT^AR-8835-28 62

SCREW LOW PROFILE 4.0X22^AR-8740-22PTS 265

SCREW LOW PROFILE 4.0X28^AR-8740-28PTS 265

SCREW LOW PROFILE 4.0X30 -MFRCAT# AR-8740-30PTS^AR-8740-30PTS 265

SCREW LOW PROFILE 4.0X48^AR-8740-48PTS 265

SCREW LOW PROFILE 4.5X32^AR-8740-32PTS 265

SCREW LOW PROFILE 4.5X42 PTS^AR-8740-42PTS 265

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SCREW LOW PROFILE 4.5X44^AR-8740-44PTS 265

SCREW LOW PROFILE CORTEX 3.5X22^02.206.222 70

SCREW LOW PROFILE CORTEX 3.5X26^02.206.226 70

SCREW LOW PROFILE CORTEX SLFTAP 3.5X50^02.206.050 69

SCREW LOW PROFILE CORTEX SLFTAP 3.5X55^02.206.055 69

SCREW LOW PROFILE CORTEX SLFTAP 3.5X60^02.206.060 69

SCREW LOW PROFILE TRIGEN 5.0X30 -MFRCAT 71645030^71645030 364

SCREW LOW PROFILE TRIGEN 5.0X32.5^71645032 364

SCREW LOW PROFILE TRIGEN 5.0X35 -MFRCAT 71645035^71645035 364

SCREW LOW PROFILE TRIGEN 5.0X37.5 - MFRCAT 71645037^71645037 364

SCREW LOW PROFILE TRIGEN 5.0X42.5^71645042 364

SCREW LOW PROFILE TRIGEN 5.0X45^71645045 364

SCREW LOW PROFILE TRIGEN 5.0X65^71645065 364

SCREW LOW PROFILE TRIGEN 5.0X72.5^71645072 364

SCREW LOW PROFILE TRIGEN 5.0X75^71645075 364

SCREW LOW PROFILE TRIGEN 5.0X85^71645085 364

SCREW LOW PROFILE TRIGEN 5.0X90^71645090 364

SCREW LOW TITAN 5.5X45^AR-8955-45PT 531

SCREW LOW TITAN 5.5X50^AR-8955-50PT 531

SCREW LOW TITAN 5.5X55^AR-8955-55PT 531

SCREW M8 MULTI AXIAL 6.5X40MM^8696540 1868

SCREW MALLEOLAR 4.5 X 25MM^215.025 83

SCREW MALLEOLAR 4.5 X 30MM^215.030 83

SCREW MALLEOLAR 4.5 X 35/18MM^71225235 260

SCREW MALLEOLAR 4.5 X 35MM^215.035 83

SCREW MALLEOLAR 4.5 X 40/20MM^71225240 260

SCREW MALLEOLAR 4.5 X 40MM^215.040 83

SCREW MALLEOLAR 4.5 X 45/22MM^71225245 260

SCREW MALLEOLAR 4.5 X 45MM^215.045 83

SCREW MALLEOLAR 4.5 X 50/24MM^71225250 260

SCREW MALLEOLAR 4.5 X 50MM^215.050 83

SCREW MALLEOLAR 4.5 X 55/26MM^71225255 260

SCREW MALLEOLAR 4.5 X 55MM^215.055 83

SCREW MALLEOLAR 4.5 X 60/28MM^71225260 260

SCREW MALLEOLAR 4.5 X 60MM^215.060 83

SCREW MALLEOLAR 4.5 X 65/30MM^71225265 260

SCREW MALLEOLAR 4.5 X 65MM^215.065 83

SCREW MALLEOLAR 4.5 X 70MM^215.070 83

SCREW MAS ILIAC 7.5x60^70467560 2061

SCREW MAS ILIAC 8.5X80^70468580 2061

SCREW MATRIX MIDFACE EMERGENCY 4MM^04.503.234.01 228

SCREW METAGLENE LCK 4.5X48^130790048 200

SCREW METAGLENE LCK SHLD 24mm^130790024 200

SCREW METAGLENE LCK SHLD 36MM^130790036 200

SCREW METAGLENE LCK SHLD 4.5X30MM^130790030 200

SCREW METAGLENE LCK SHLD 42mm^130790042 200

SCREW METAGLENE NON LCK SHLD 30MM^130770030 200

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SCREW METAGLENE NON LCK SHLD 36MM^130770036 200

SCREW METAGLENE NON LCK SHLD 4.5X18MM^130770018 200

SCREW METAGLENE NON LCK SHLD 4.5X24MM^130770024 200

SCREW METAL TENODESIS 5.5 X 15^AR-1350-55 470

SCREW METAPHYSEAL 2.7X10^02.118.510 90

SCREW METAPHYSEAL 2.7X12^02.118.512 90

SCREW METAPHYSEAL 2.7X14^02.118.514 90

SCREW METAPHYSEAL 2.7X16^02.118.516 90

SCREW METAPHYSEAL 2.7X18^02.118.518 90

SCREW METAPHYSEAL 2.7X22^02.118.522 90

SCREW METAPHYSEAL 2.7X24^02.118.524 90

SCREW METAPHYSEAL 2.7X26^02.118.526 90

SCREW METAPHYSEAL 2.7X28^02.118.528 90

SCREW METAPHYSEAL 2.7X32^02.118.532 90

SCREW METAPHYSEAL 2.7X34^02.118.534 90

SCREW METAPHYSEAL 2.7X36^02.118.536 90

SCREW METAPHYSEAL 2.7X38^02.118.538 90

SCREW METAPHYSEAL 2.7X40^02.118.540 90

SCREW METAPHYSEAL 2.7X42^02.118.542 90

SCREW METAPHYSEAL 2.7x44^02.118.544 90

SCREW METAPHYSEAL 2.7x46^02.118.546 90

SCREW METAPHYSEAL 2.7X48 -MFRCAT# 02.118.548^02.118.548 90

SCREW METAPHYSEAL 2.7X52^02.118.552 90

SCREW METAPHYSEAL 2.7X54^02.118.554 90

SCREW METAPHYSEAL 2.7X56^02.118.556 90

SCREW METAPHYSEAL 2.7x58^02.118.558 90

SCREW METAPHYSEAL 2.7X60^02.118.560 90

SCREW METAPHYSEAL 2.7X62^02.118.562 90

SCREW METAPHYSEAL 2.7x64^02.118.564 90

SCREW METAPHYSEAL 2.7x66^02.118.566 90

SCREW METAPHYSEAL 2.7X68^02.118.568 90

SCREW METAPHYSEAL 2.7x70^02.118.570 90

SCREW METAPHYSEAL STARDRIVE 2.7X20^02.118.520 90

SCREW METAPHYSEAL STARDRIVE 2.7X30^02.118.530 90

SCREW METAPHYSEAL STARDRIVE 2.7X50^02.118.550 90

SCREW META-TAN LAG/COMP KIT 80/85 - MFRCAT# 71642685^71642685 1319

SCREW MICRO 1.5X3.5MM CROSS DR^25-678-03-1 88

SCREW MICRO CROSS-DRIVE 1.5 X 4MM^25-675-04-1 90

SCREW MICROCOMPRES 2.5X14^AR-8725-14H 590

SCREW MICROCOMPRES 2.5X16^AR-8725-16H 590

SCREW MICROCOMPRES 2.5X18^AR-8725-18H 590

SCREW MICROCOMPRESS 2.5X10^AR-8725-10H 590

SCREW MICROCOMPRESS 2.5X11^AR-8725-11H 590

SCREW MICROCOMPRESS 2.5X12^AR-8725-12H 590

SCREW MICROCOMPRESS 2.5X13^AR-8725-13H 590

SCREW MICROCOMPRESS 2.5X22^AR-8725-22H 590

SCREW MICROCOMPRESS 2.5X30^AR-8725-30H 590

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SCREW MICROCOMPRESS 2.5X8^AR-8725-08H 590

SCREW MICROCOMPRESS 2.5X9^AR-8725-09H 590

SCREW MINI ACUTRAK 2 16.0mm^AT2-M16-S 896

SCREW MINI ORTHOLOC 2.0X26mm^4942026L 470

SCREW MINI ORTHOLOC 2.0X28mm^4942028L 470

SCREW MINI ORTHOLOC 2.0X30mm^4942030L 470

SCREW MINIBUNION 2.7 x 14MM NON-LOCKING SCREW 31002714NL 130

SCREW MINIBUNION 2.7x16MM NON-LOCKING 31002716NL 130

SCREW MINIBUNION 2.7x18MM NON-LOCKING 31002718NL 130

SCREW MINIBUNION LOCKING 3.0MM X 18MM `31003018LK 180

SCREW MINIBUNION LOCKING 3.0MM X 22 31003022LK 180

SCREW MINIBUNION LOCKING SCREW 3.0MM X 20MM 31003020LK 180

SCREW MINIBUNION LOCKING SCREW 3.0MM X 24MM 31003024LK 180

SCREW MODULAR 35MM CENTRAL^AR-9561-35S 1682

SCREW MODULAR CENTRAL 25mm^AR-9561-25S 1682

SCREW MODULAR CENTRAL 30mm^AR-9561-30S 1682

SCREW MOUNTAINEER 3.5 X 24^1883-18-324 1689

SCREW MOUNTAINEER 3.5 X 38^1883-20-338 1766

SCREW MOUTAINEER 20MM^1883-18-320 1799

SCREW MTP HEX 2.7 X 10MM^41122710 226

SCREW MTP HEX 2.7 X 12MM^41122712 226

SCREW MTP HEX 2.7 X 14MM^41122714 226

SCREW MTP HEX 2.7 X 16MM^41122716 226

SCREW MTP HEX 2.7 X 18MM^41122718 226

SCREW MTP HEX 2.7 X 20MM^41122720 226

SCREW MTP HEX 2.7 X 22MM^41122722 226

SCREW MTP HEX 2.7 X 24MM^41122724 226

SCREW MTP HEX 2.7 X 8MM^41122708 226

SCREW MTP HEX 3.2 X 12MM^4112-3212 226

SCREW MTP HEX 3.2 X 8MM^41123208 226

SCREW MULTI AXIAL 5.5X40MM TI^75445540 1762

SCREW MULTI AXIAL 5.5X45MM TI^75445545 1762

SCREW MULTI AXIAL 6.5X35MM TI^75446535 1762

SCREW MULTI AXIAL 6.5X40MM TI^75446540 1762

SCREW MULTILOC 4.0X36 STERILE^04.019.036S 620

SCREW MULTILOC 4.5X28 STERILE^04.019.028S 620

SCREW MULTILOC 4.5X30mm STERILE^04.019.030S 620

SCREW MULTILOC 4.5X32MM STERILE^04.019.032S 620

SCREW MULTILOC 4.5X34MM STERILE^04.019.034S 620

SCREW MULTILOC 4.5X38 STERILE^04.019.038S 620

SCREW MULTILOC 4.5X38^04.019.038 522

SCREW MULTILOC 4.5X40^04.019.040 522

SCREW MULTILOC 4.5X40MM STERILE^04.019.040S 620

SCREW MULTILOC 4.5X42 STERILE^04.019.042S 620

SCREW MULTILOC 4.5X42^04.019.042 522

SCREW MULTILOC 4.5X44 STERILE^04.019.044S 620

SCREW MULTILOC 4.5X44^04.019.044 522

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SCREW MULTILOC 4.5X46 STERILE^04.019.046S 620

SCREW MULTILOC 4.5X48 STERILE^04.019.048S 620

SCREW MULTILOC 4.5X48^04.019.048 522

SCREW MULTILOC 4.5X50 STERILE^04.019.050S 620

SCREW MULTILOC 4.5X52 STERILE^04.019.052S 620

SCREW NON LCK 2.3X16^CO-N2316 178

SCREW NON LCK 3.5X16^4973-516N 202

SCREW NON LCK 3.5X18^4973-518N 202

SCREW NON LCK 3.5X20^4973-520N 202

SCREW NON LCK 3.5X22^4973522N 202

SCREW NON LCK 3.5X22^4973-522N 202

SCREW NON LCK 3.5X24^4973524N 202

SCREW NON LCK 3.5X26^4973526N 202

SCREW NON LCK 3.5X26^4973-526N 202

SCREW NON LCK 3.5X30^4973530N 202

SCREW NON LCK 3.5X32^4973532N 202

SCREW NON LCK 3.5X34^4973534N 202

SCREW NON LCK 3.5X36^4973-536N 202

SCREW NON LCK 3.5X40^4973540N 202

SCREW NON LCK 3.5X45^4973545N 202

SCREW NON LCK 3.5X50^4973550N 202

SCREW NON LCK 3.5X55^4973555N 202

SCREW NON LCK 3.5X60^4973560N 202

SCREW NON LCK EVOLVE 2.7X16^4972716N 202

SCREW NON LCK EVOLVE 2.7X18^4972718N 202

SCREW NON LCK EVOLVE 2.7X28^4972728N 202

SCREW NON LCK EVOLVE 2.7X40^4972740N 202

SCREW NON LCK EVOLVE 3.5X14^4973514N 202

SCREW NON LCK EVOLVE 3.5X16^4983516N 202

SCREW NON LCK EVOLVE 3.5X18^4973518N 202

SCREW NON LOCKING PLATE 2.7 X 11mm^P50-453-2711 240

SCREW NON LOCKING PLATE 2.7 X 18mm^P50-453-2718 240

SCREW NON-LCK 2.3X11^58-23011E 146

SCREW NON-LCK 2.3X12^58-23012E 146

SCREW NON-LCK 2.3X6^58-23006E 146

SCREW NON-LCK 2.3X9^58-23009E 146

SCREW NON-LCK 3.5X12^40-35012 115

SCREW NON-LCK 3.5X14^614814 147

SCREW NON-LCK 3.5X16^40-35016 115

SCREW NON-LCK 3.5X28^40233528 498

SCREW NON-LCK 3.5X28^614828 147

SCREW NON-LCK 3.5X40^40233540 498

SCREW NON-LCK 4.7 X 15^180507 200

SCREW NON-LCK 4.75X15^180557 200

SCREW NON-LCK 4.75X25^180509 200

SCREW NON-LCK EVOLVE 2.0X14^4942-014N 216

SCREW NON-LCK EVOLVE 2.0X16^4942016N 216

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SCREW NON-LCK EVOLVE 2.0X18^4942018N 216

SCREW NON-LCK EVOLVE 2.0X20^4942020N 216

SCREW NON-LCK EVOLVE 2.7x22mm^4972722N 202

SCREW NON-LCK EVOLVE 2.7x24mm^4972724N 202

SCREW NON-LCK EVOLVE 3.5X16^4973516N 202

SCREW NON-LCK EVOLVE 3.5X36^4973536N 202

SCREW NONLCK HEXALOBE 3.5X10 - MFRCAT 30-0256^30-0256 148

SCREW NONLCK HEXALOBE 3.5X12 - MFRCAT 30-0257^30-0257 148

SCREW NONLCK HEXALOBE 3.5X14 -MFRCAT 30-0258^30-0258 148

SCREW NONLCK HEXALOBE 3.5X16 -MFRCAT# 30-0259^30-0259 148

SCREW NON-LOCK 30MM X 16MM 15NL-3016 90

SCREW NON-LOCKING 3.0MM X 14MM 15NL-3014 90

SCREW OST EVOS 4.7mm X 30mm PT^72434730 111

SCREW OST EVOS 4.7mm X 40mm PT^72434740 111

SCREW OST EVOS 4.7mm X 50mm PT^72434750 111

SCREW OST EVOS 4.7mm X 75mm PT^72434775 127

SCREW OSTEOPENIA 5.0 X 16MM^71822016 127

SCREW OSTEOPENIA 5.0 X 18^71822018 127

SCREW OSTEOPENIA 5.0 X 38MM^71821138 127

SCREW OSTEOPENIA 5.0 X 50MM^71821150 127

SCREW OSTEOPENIA 5.0X10MM^71822010 127

SCREW OSTEOPENIA 5.0X12MM^71822012 127

SCREW OSTEOPENIA 5.0X14MM^71822014 127

SCREW OSTEOPENIA 5.0X26^71821126 127

SCREW OSTEOPENIA 5.0X30MM^71821130 127

SCREW OSTEOPENIA 5.0X32MM^71821132 127

SCREW OSTEOPENIA 5.0X36^71821136 127

SCREW OSTEOPENIA 5.0X40MM^71821140 127

SCREW OSTEOPENIA 5.0X42MM^71821142 127

SCREW OSTEOPENIA 5.0X46^71821146 127

SCREW OSTEOPENIA P-L VLP 5.0X20^71822020 127

SCREW OSTEOPENIA P-L VLP 5.0X24^71822024 127

SCREW OSTEOPENIA PL VLP 5.0X46^71822046 127

SCREW OSTEOPENIA P-L VLP 5.0X50^71822050 127

SCREW OSTEOPENIA P-L VLP 5X44^71822044 127

SCREW OSTEOPENIA P-T 5.0X34^71821134 127

SCREW OSTEOPENIA VLP 5.0X44^71821144 127

SCREW OSTEOPERNIA EVOS 4.0mm X 12mm T8 FT^72424012 153

SCREW OSTEOPERNIA EVOS 4.0mm X 14mm T8 FT^72424014 153

SCREW OSTEOPERNIA EVOS 4.0mm X 16mm T8 FT^72424016 153

SCREW OSTEOPERNIA EVOS 4.0mm X 18mm T8 FT^72424018 153

SCREW OSTEOPERNIA EVOS 4.0mm X 22mm T8 FT^72424022 153

SCREW OSTEOPERNIA EVOS 4.7mm X 12mm F-T^72424712 111

SCREW OSTEOPERNIA EVOS 4.7mm X 14mm FT^72424714 111

SCREW OSTEOPERNIA EVOS 4.7mm X 40mm FT^72424740 111

SCREW OSTEOPERNIA EVOS 4.7mmM X 10mm F-T^72424710 111

SCREW PEEK BIOTENODESIS^AR-1680PS 558

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SCREW PEEK TENODESIS 4.75X15^AR-1547PS 558

SCREW PEEK TENODESIS 5.5X10^AR-1655PS-10 504

SCREW PEEK TENODESIS 5.5X12^AR-1655PS-12 504

SCREW PEEK TENODESIS 5.5X15^AR-1555PS 558

SCREW PEEK TENODESIS 6.25X15^AR-1562PS 558

SCREW PEEK TENODESIS 7 X 10^AR-1670PS 504

SCREW PEEK TENODESIS 7 X 23^AR-1570PS 558

SCREW PEEK TENODESIS 8 X 23^AR-1580PS 558

SCREW PEEK TENODESIS 9 X 23^AR-1590PS 558

SCREW PERC MAS 6.5X50^54850016550 2000

SCREW PERI LOC CANCELL T20 4X40 P-T^73825340 57

SCREW PERI LOC LCK 3.5X36 S-T^73825036 222

SCREW PERI LOC LCK T20 3.5X28 S-T^73825028 222

SCREW PERI LOC LCK T20 3.5X38 S-T^73825038 222

SCREW PERI LOC T20 3.5X14 S-T^73824014 43

SCREW PERI LOC T20 3.5X16 S-T^73822516 43

SCREW PERI LOC T7 2.5X12 S-T^73822412 184

SCREW PERI LOC T7 2.5X14 S-T^73822414 184

SCREW PERI LOC T7 2.5X16 S-T^73822416 184

SCREW PERI LOC T7 2.5X18^73822418 184

SCREW PERI LOC T7 2.5X20 S-T^73822420 184

SCREW PERI LOC T7 2.5X22 S-T^73822422 184

SCREW PERI LOC T7 2.5X24^73822424 184

SCREW PERI LOC T7 S.TX10 S-T^73822410 184

SCREW PERI LOCK LCK T20 3.5X40 S-T^73825040 222

SCREW PERI LOCK LCK T20 3.5X42 S-T^73825042 222

SCREW PERI-LOC 2.5mm T7 CRTX SCREW 14mm S-T^73802514 62

SCREW PERI-LOC 2.5mm T7 CRTX SCREW 22mm S-T^73802522 62

SCREW PERI-LOC 2.5mm T7 LOCK SCREW 16mm S-T^73802416 201

SCREW PERI-LOC 2.5mm T7 LOCK SCREW 18mm S-T^73802418 201

SCREW PERI-LOC 2.7 X 20^73803020 62

SCREW PERI-LOC 2.7 X 24^73803024 62

SCREW PERILOC 2.7X32 S-T^73822332 216

SCREW PERI-LOC 4.5 T25 CRTX SCREW 72mm S-T^73826072 76

SCREW PERILOC 4.5mm T25 72mm S-T^73827072 263

SCREW PERILOC 4.5mm T25 80mm S-T^73827080 263

SCREW PERI-LOC 4.5MM T25 CRTX SCREW 24MM S-T 73806024 49

SCREW PERI-LOC 4.5MM T25 CRTX SCREW 26MM S-T 73806026 49

SCREW PERI-LOC 4.5MM T25 CRTX SCREW 44MM S-T 73826044 43

SCREW PERI-LOC 4.5MM T25 LOCK SCREW 28MM S-T 73807028 286

SCREW PERI-LOC 4.5MM T25 LOCK SCREW 85MM S-T 73827085 263

SCREW PERILOC CANCEL 4.0X55^73825255 57

SCREW PERILOC LCK 2.7X42 S-T^73822342 216

SCREW PERILOC LCK T15 2.7X20 S-T^73822320 216

SCREW PERILOC LCK T20 4.0X12^73825212 57

SCREW PERILOC LCK T20 4.0X14^73825214 57

SCREW PERILOC LCK T20 4.0X16^73825216 57

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SCREW PERILOC LCK T20 4.0X18 F-T^73825218 57

SCREW PERILOC NON-LCK 4.5X24^73826024 43

SCREW PERILOC NON-LCK 4.5X30^73826030 43

SCREW PERILOC T15 2.7X12 S-T^73822312 216

SCREW PERILOC T15 2.7X16 S-T^73822316 216

SCREW PERILOC T15 2.7X30 S-T^73822330 216

SCREW PERILOC T15 2.7X50 S-T^73822350 216

SCREW PERILOC T15 2.7X60 S-T^73822360 235

SCREW PERILOC T20 3.5X12 S-T^73804012 62

SCREW PERILOC T20 3.5X14 S-T^73804014 62

SCREW PERILOC T20 3.5X16 S-T^73804016 62

SCREW PERILOC T20 4.0X10 F-T^73825210 57

SCREW PERILOC T20 4.0X20 F-T^73825220 57

SCREW PERILOC T20 4.0X20 P-T^73825320 57

SCREW PERILOC T20 4.0X24 F-T^73825224 57

SCREW PERILOC T20 4.0X28 F-T^73825228 57

SCREW PERILOC T-20 4.0X30 P-T^73825330 57

SCREW PERILOC T-20 4.0X35 P-T^73825335 57

SCREW PERILOC T20 4.0X36 F-T^73825236 57

SCREW PERILOC T20 4.0X40 F-T^73825240 57

SCREW PERILOC T20 4.0X40 P-T^73824046 43

SCREW PERILOC T20 4.0X45 F-T^73825245 57

SCREW PERILOC T20 4.0X45 P-T^73825345 57

SCREW PERILOC T20 4.0X50 F-T^73825250 57

SCREW PERILOC T20 4.0X50 P-T^73825350 57

SCREW PERILOC T20 4.0X60 P-T^73825360 57

SCREW PERILOC T25 4.5X62 S-T^73826062 43

SCREW PERILOC T25 LCK 4.5X20 S-T^73807020 286

SCREW PERILOC T25 LCK 4.5X22 S-T^73807022 286

SCREW PERILOC T25 LCK 4.5X24 S-T^73807024 286

SCREW PERILOC T7 2.5X18^73822518 43

SCREW PERILOC T7 2.5X20^73822520 43

SCREW PERI-LOC VLP 3.5X42 S-T^71821242 247

SCREW PERI-LOC VLP 3.5X46 S-T^71821246 247

SCREW PERI-LOC VLP 3.5X60 S-T^71821260 247

SCREW PERI-LOC VLP 3.5X70 S-T^71821270 247

SCREW PERIPHERAL BONE 5.0X30^1257-30-000 500

SCREW PERIPHERAL BONE 5.0X40^1257-40-000 500

SCREW PERIPROS LCK 5.0X12 STERILE^02.231.012S 607

SCREW PERIPROS LCK 5.0X18^02.231.018 509

SCREW PERIPROSTH LCK 5.0X14 STERILE^02.231.014S 607

SCREW PERIPROSTH LCK 5.0X16^02.231.016 509

SCREW PIVOX 20MM^2140120 825

SCREW PIVOX 25MM^2140125 825

SCREW PIVOX 30MM^2140130 825

SCREW PLATE LOCKING 2.7 X 10mm^P50-353-2710 330

SCREW PLATE LOCKING 2.7 X 13mm^P50-353-2713 330

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SCREW PLATE LOCKING 2.7 X 14mm^P50-353-2714 330

SCREW PLATE LOCKING 2.7 X 20mm^950-353-2720 330

SCREW POLARUS CAP^HR-0001-S 348

SCREW POLY 5.5 TIT 7 X 45MM^1755-02-745 1670

SCREW PROXIMAL 6.4 X 100^122257 1220

SCREW PROXIMAL 6.4 X 105MM^122259 1220

SCREW PROXIMAL 6.4 X 115^122237 1220

SCREW PROXIMAL 6.4 X 65^122243 1220

SCREW PROXIMAL 6.4 X 80^122249 1220

SCREW PROXIMAL 6.4 X 85^122251 1220

SCREW PROXIMAL 8.0 X 70 LG^122244 1192

SCREW PROXIMAL 8.0 X 80^122248 1192

SCREW PROXIMAL 8.0MM X 90^122252 1192

SCREW PROXIMAL RECON 6.4 X 110^122261 1220

SCREW PROXIMAL RECON 6.4 X 90^122253 1220

SCREW PROXIMAL RECON 8 X 110^122260 1192

SCREW PROXIMAL RECON 8.0 X 120^122238 1192

SCREW QUICK FIX 2 X 10MM^AR-8930-10 389

SCREW QUICK FIX 2 X 11MM^AR-8930-11 389

SCREW QUICK FIX 2 X 12MM^AR-8930-12 389

SCREW QUICK FIX 2 X 13MM^AR-8930-13 389

SCREW QUICK FIX 2 X 14MM^AR-8930-14 389

SCREW QUICK FIX 3.0 X 13MM^AR-8931-13 389

SCREW QUICK FIX 3.0 X 15MM^AR-8931-15 389

SCREW QUICK FIX 3.0 X 17MM^AR-8931-17 389

SCREW QUICK FIX 3.0 X 19MM^AR-8931-19 389

SCREW QUICK FIX 4.0X34 - MFRCAT# AR-8740-34PTS^AR-8740-34PTS 265

SCREW QUICK FIX 4.0X36 -MFRCAT AR-8740-36PTS^AR-8740-36PTS 265

SCREW QUICK FIX 4.0X38^AR-8740-38PTS 265

SCREW QUICKFIX PT 3.0X40^AR-8730-40PT 230

SCREW RCI CANNULATED 8 X 25^7207248 335

SCREW RCI CANNULATED 9 X 25^7207301 335

SCREW RCI INTERFERENCE 7 X 25^7207030 335

SCREW RECON STAR 6.5X80 STERILE^04.003.026S 458

SCREW RECON STARDRIVE 6.5X70^04.003.024S 458

SCREW RECON STARDRIVE 6.5X75^04.003.025S 458

SCREW RESCUE 13mm (1PK)^G6624013 680

SCREW RESCUE 13MM VARIABLE^876.353 487

SCREW RESCUE 15MM^G6624015 680

SCREW RESCUE RIB TRAUMA -2.7 X 12MM EMERGENCY^76-2712 316

SCREW RESCUE RIB TRAUMA -2.7 X 8MM EMERGENCY^76-2708 316

SCREW RETROFUSION 20mm^AR-4157-20 1584

SCREW RETROFUSION 24MM^AR-4157-24 1584

SCREW REUNION 4.5mm PERIPHERAL SCREW - 40mm^5572-4540 100

SCREW REUNION 4.5mm PERIPHERAL SCREW - 44mm^5572-4544 100

SCREW REUNION 6.5mm CENTER SCREW - 28mm^5573-6528 100

SCREW REUNION CENTER RSA 6.5X24^5573-6524 100

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SCREW REUNION CENTER RSA 6.5X32^5573-6532 100

SCREW REUNION PERIPHERAL RSA 4.5X16^5572-4516 100

SCREW REUNION PERIPHERAL RSA 4.5X20^5572-4520 100

SCREW REUNION PERIPHERAL RSA 4.5X24^5572-4524 100

SCREW REUNION PERIPHERAL RSA 4.5X28^5572-4528 100

SCREW REUNION PERIPHERAL RSA 4.5X32^5572-4532 100

SCREW REUNITE ORTHO 3.5 X 30MM^348182 456

SCREW REUNITE ORTHO 5.0 X 45MM^348445 366

SCREW REUNITE ORTHO 5.0X35MM^348435 342

SCREW RIB TRAUMA - 10MM EMERGENCY 76-2710 316

SCREW SCFE 7.3 CANNUL 20MM^02.207.622 611

SCREW SCHANZ 4.0 X 100MM^294.45 170

SCREW SCHANZ 4.0 X 120^294.46 170

SCREW SCHANZ 4.0 X 125MM^294.777 329

SCREW SCHANZ 4.0 X 150^294.778 329

SCREW SCHANZ 4.0 X 175^294.779 329

SCREW SCHANZ 4.0 X 60^294.43 170

SCREW SCHANZ 4.0 X 80^294.44 170

SCREW SCHANZ 4.0/2.5 X 80^294.769 329

SCREW SCHANZ 4.0/3.0 X 80^294.30 170

SCREW SCHANZ 4.0X100^294.776 329

SCREW SCHANZ 4.0X150^294.48 170

SCREW SCHANZ 4.0X80^294.775 329

SCREW SCHANZ 4MM/3MM SYNTHES^294.771 329

SCREW SCHANZ 5.0 X 150MM^294.54 187

SCREW SCHANZ 5.0 X 150MM^294.784 370

SCREW SCHANZ 5.0 X 200MM^294.56 216

SCREW SCHANZ 5.0 X125MM^294.783 370

SCREW SCHANZ 5.0MMX175MM^294.785 370

SCREW SCHANZ 5.0MMX200MM^294.786 370

SCREW SCHANZ 6.0 X200MM^294.796 395

SCREW SCHANZ 6.0X150^294.794 395

SCREW SCHANZ PIN 4.0/2.5 X20^294.768 293

SCREW SD 4.0 X 16^04.613.516 419

SCREW SD 4.0 X 18^04.613.518 435

SCREW SD 4.0X12^04.613.512 435

SCREW SD 4.0X13^04.613.513 435

SCREW SD 4.0X14^04.613.514 419

SCREW SD FA 4.0X16MM^04.615.716 410

SCREW SELF DRILL 11MM^3120511 350

SCREW SELF DRILL 12MM^186850012 446

SCREW SELF DRILL 12MM^3120512 350

SCREW SELF DRILL 13MM^1868-50-013 468

SCREW SELF DRILL 13MM^3120513 350

SCREW SELF DRILL 13MM^876-613 441

SCREW SELF DRILL 14MM^3120514 350

SCREW SELF DRILL 14MM^876-614 441

Page 334: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

SCREW SELF DRILL MATRIX MIDFACE 4MM^04.503.224.01 228

SCREW SELF DRILL MATRIX MIDFACE 5MM^04.503.225.01 228

SCREW SELF DRILL VA 14MM^15-P414 450

SCREW SELF DRILL VA 4 X 15MM^876-615 441

SCREW SELF TAP 4.5 X 20^71129220 34

SCREW SELF TAP 4.5 X 22^71129222 34

SCREW SELF TAP 4.5 X 24^71129224 34

SCREW SELF TAP 4.5 X 26^71129226 34

SCREW SELF TAP 4.5 X 28^71129228 34

SCREW SELF TAP 4.5 X 30^71129230 34

SCREW SELF TAP 4.5 X 32^71129232 34

SCREW SELF TAP 4.5 X 34^71129234 34

SCREW SELF TAP 4.5 X 36^71129236 34

SCREW SELF TAP 4.5 X 38^71129238 34

SCREW SELF TAP 4.5 X 40^71129240 34

SCREW SELF TAP 4.5 X 42^71129242 34

SCREW SELF TAP 4.5 X 44^71129244 34

SCREW SELF TAP 4.5 X 46^71129246 34

SCREW SELF TAP 4.5 X 48^71129248 34

SCREW SELF TAP 4.5 X 50^71129250 34

SCREW SELF TAP 4.5 X 52^71129252 34

SCREW SELF TAP 4.5 X 54^71129254 34

SCREW SELF TAP 4.5 X 56^71129256 34

SCREW SELF TAP 4.5X45^71129245 33

SCREW SELF TAP 5.0 X 26MM^413.426 463

SCREW SELF TAP 6.35 X 45^128645 1116

SCREW SELF TAP 7.5 X 40^127740 1116

SCREW SELF TAP 7.5 X 45^127745 1116

SCREW SELF TAP BONE 1.6 X 4MM^14-1S1-1604 40

SCREW SELF TAP BONE 1.6 X 5MM^14-1S1-1605 40

SCREW SELF TAP BONE 5.0 X 30^113846 200

SCREW SELF TAP BONE 5.0 X 35^113847 200

SCREW SELF TAP BONE 5.0 X 40^113848 200

SCREW SELF TAP BONE 5.0 X 75^113845 200

SCREW SELF TAP BONE 5.0X50^113862 200

SCREW SELF TAP DOME 6.5 X 30^55-6073 140

SCREW SELF-TAP BONE 1.6 X 6MM^14-1S1-1606 40

SCREW SELF-TAP HEX 3.5 X 12^71149512 159

SCREW SELF-TAPPING FTHD 6X230M^6647-3-130 381

SCREW SELF-TAPPING FTHD 6X25MM^6647-3-125 376

SCREW SELF-TAPPING FTHD 6X40MM^6647-3-140 381

SCREW SELF-TAPPING FTHD 6X45MM^6647-3-145 381

SCREW SET 4.75 SOLERA^6440530 300

SCREW SET 8X17.5MM GAMMA3 SYS^3003-0822S 368

SCREW SET DANEK^5440030 200

SCREW SET DANEK^6950315 180

SCREW SET DOMINO^779170005 200

Page 335: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

SCREW SET IMHS SCREW^HN1202 325

SCREW SET META-TAN 0MM^71642936 850

SCREW SET SOLERA^5540030 200

SCREW SET SPINAL^7540020 223

SCREW SET^5440430 300

SCREW SET^554003016 248

SCREW SHAFT 3.5 X 16MM^204.216 49

SCREW SHAFT 3.5 X 18MM^204.218 49

SCREW SHAFT 3.5 X 20MM^204.220 49

SCREW SHAFT 3.5 X 22MM^204.222 49

SCREW SHAFT 3.5 X 24MM^204.224 49

SCREW SHAFT 3.5 X 26MM^204.226 49

SCREW SHAFT 3.5 X 28MM^204.228 49

SCREW SHAFT 3.5 X 30MM^204.230 49

SCREW SHAFT 3.5 X 32MM^204.232 49

SCREW SHAFT 3.5 X 34MM^204.234 49

SCREW SHAFT 3.5 X 36MM^204.236 49

SCREW SHAFT 3.5 X 38MM^204.238 49

SCREW SHAFT 4.5 X 28^214.228 48

SCREW SHAFT 4.5 X 30^214.230 48

SCREW SHAFT 4.5 X 32^214.232 48

SCREW SHAFT 4.5 X 34^214.234 48

SCREW SHAFT 4.5 X 36^214.236 48

SCREW SHAFT 4.5 X 38^214.238 48

SCREW SHAFT 4.5 X 40^214.240 48

SCREW SHAFT 4.5 X 42^214.242 48

SCREW SHAFT 4.5 X 44^214.244 48

SCREW SHAFT 4.5 X 46^214.246 48

SCREW SHAFT 4.5 X 48^214.248 48

SCREW SHAFT 4.5 X 50^214.250 48

SCREW SHAFT PTHD 5.0 X 65MM^640078 235

SCREW SHAFT PTHD 5.0 X 75MM^640080 236

SCREW SHEATHED 9X20^AR-1390E 204

SCREW SLF DRILL 12MM^16-P412 450

SCREW SLF DRILL 14MM^16-P414 450

SCREW SLF DRILL RESCUE VA 4.5X14^15-L414 450

SCREW SLF DRILL VA 4.0X10^15-P410 450

SCREW SLF DRILL VA 4.0X12^15-P412 450

SCREW SLF DRILL VA 4.5X12^15-L412 450

SCREW SLF TAP 13MM^1868-52-013 446

SCREW SLF-TAP BONE 4.5 X 28^71164028 38

SCREW SLF-TAP BONE 4.5 X 30^71164030 38

SCREW SLF-TAP BONE 4.5 X 32^71164032 38

SCREW SLF-TAP BONE 4.5 X 34^71164034 38

SCREW SLF-TAP BONE 4.5 X 36^71164036 38

SCREW SLF-TAP BONE 4.5 X 38^71164038 38

SCREW SLF-TAP BONE 4.5 X 40^71164040 38

Page 336: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

SCREW SLF-TAP BONE 4.5 X 42^71164042 38

SCREW SLF-TAP BONE 4.5 X 44^71164044 38

SCREW SLF-TAP BONE 4.5 X 46^71164046 38

SCREW SLF-TAP BONE 4.5 X 48^71164048 38

SCREW SLF-TAP BONE 4.5 X 50^71164050 38

SCREW SLF-TAP BONE 4.5 X 52^71164052 38

SCREW SNAP OFF SCREW DIAM 2 LG 12 WS12 452

SCREW SOFTSILK 2.0 9MM X 25MM^7207263 406

SCREW SOLERA 4.0X25^55840004025 1600

SCREW SOLERA 4.0x30^54840004030 1600

SCREW SOLERA 4.0X30^55840004030 1600

SCREW SOLERA 4.0x35^54840004035 1600

SCREW SOLERA 4.0X40^55840004040 1600

SCREW SOLERA 4.0X45^55840004045 1600

SCREW SOLERA 4.5X25^54840004525 1600

SCREW SOLERA 4.5X30^55840004530 1600

SCREW SOLERA 4.5X35^54840004535 1600

SCREW SOLERA 4.5X35^55840004035 1600

SCREW SOLERA 4.5X35^55840004535 1600

SCREW SOLERA 4.5X40^54840004540 1600

SCREW SOLERA 4.5X40^55840004540 1600

SCREW SOLERA 4.5X45^54840014545 2598

SCREW SOLERA 4.5X45^55840004545 1600

SCREW SOLERA 4.5X50 -MFRCAT 55840004550^55840004550 1600

SCREW SOLERA 4.5X55^55840004525 1600

SCREW SOLERA 4.5X55^55840004555 1600

SCREW SOLERA 5.0X30 -MFRCAT# 55840005030^55840005030 1600

SCREW SOLERA 5.0X35^55840005035 1600

SCREW SOLERA 5.0X40^55840005040 1600

SCREW SOLERA 5.0X45^55840005045 1600

SCREW SOLERA 5.0X50^55840005050 1600

SCREW SOLERA 5.5X30^55840005530 1600

SCREW SOLERA 5.5X35^54840005535 1600

SCREW SOLERA 5.5X35^55840005535 1600

SCREW SOLERA 5.5X40^54840005540 1600

SCREW SOLERA 5.5X40^55840005540 1600

SCREW SOLERA 5.5X45^54840005545 1600

SCREW SOLERA 5.5X45^55840005545 1600

SCREW SOLERA 5.5X50^54840005550 1600

SCREW SOLERA 5.5X50^55840005550 1600

SCREW SOLERA 5.5X55^55840005555 1600

SCREW SOLERA 6.5X30^55840006530 1600

SCREW SOLERA 6.5X35^55840006535 1600

SCREW SOLERA 6.5X40^55840006540 1600

SCREW SOLERA 6.5X45^54840006540 1600

SCREW SOLERA 6.5X45^55840006545 1600

SCREW SOLERA 6.5X45^55840009550 1600

Page 337: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

SCREW SOLERA 6.5X50^54840006550 1600

SCREW SOLERA 6.5X50^55840006550 1600

SCREW SOLERA 6.5X55^54840006555 1600

SCREW SOLERA 6.5X55^55840006555 1600

SCREW SOLERA 7.5X30^55840007530 1600

SCREW SOLERA 7.5X35^55840007535 1600

SCREW SOLERA 7.5X40^55840007540 1600

SCREW SOLERA 7.5X45^55840007545 1600

SCREW SOLERA 7.5X50^55840007550 1600

SCREW SOLERA 7.5X55 MAS^55840007555 1600

SCREW SOLERA MAS 5.5X30^54840005530 1600

SCREW SOLID BLUE 24MM^GP624 397

SCREW SOLID GOLD 32MM^GP632 397

SCREW ST 4.0X14^04.613.614 367

SCREW ST 4.0x18^04.613.618 381

SCREW ST 4.5X12^04.613.562 488

SCREW ST 4.5X14^04.613.564 488

SCREW STANDARD ACUTRAK 2 30.0mm^AT2-S30-S 896

SCREW STANDARD ACUTRAK 2 34.0mm^AT2-S34-S 896

SCREW STAR LCK 6.0X38^04.005.628S 444

SCREW STAR LCK 6.0X60 STER^04.005.650S 444

SCREW STAR LCK 6.0X64^04.005.654S 444

SCREW STARDRIVE 6.5 X 100^04.003.030S 458

SCREW STARDRIVE 6.5 X 95^04.003.029S 458

SCREW STERNALOCK 2.4mm X 8mm^73-2408 98

SCREW STERNALOCK 2.4X10^73-2410 83

SCREW STERNALOCK 2.4X12^73-2412 83

SCREW STERNALOCK 2.4X14^73-2414 83

SCREW STERNALOCK 2.4X16MM^73-2416 83

SCREW STERNALOCK 2.4X18^73-2418 83

SCREW STERNALOCK 2.4X20^73-2420 83

SCREW STERNALOCK 2.7X12 MAGENTA^73-2712 83

SCREW STERNALOCK 2.7X14^73-2714 83

SCREW STERNALOCK BLUE 2.7X10^73-2710 83

SCREW SUT ANCHOR SWIVELOCK TENO 8X19.5^AR-1662PSL-8 673

SCREW SWIVELOCK BIO 6.25X19.1^AR-1662BC 673

SCREW SWIVELOCK DX FORKED TIP^AR-8978P 753

SCREW SWIVELOCK PEEK TENO 7MM^AR-1662PSL-7 673

SCREW TAP 3.5MM^PL-ELT1035 482

SCREW TAP LOCK 3.5 X 45MM^FA-CO3545 264

SCREW TENO BIO-COMP^AR-1530BC 717

SCREW TENODESIS 3X8^AR-1530PS 717

SCREW TENODESIS BIOCOMP 4X10^AR-1540BC 611

SCREW TFNA 100MM STERILE^04.038.100S 1318

SCREW TFNA 105MM STERILE^04.038.105S 1318

SCREW TFNA 110MM STERILE 04.038.210S 1318

SCREW TFNA 110MM STERILE^04.038.110S 1318

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SCREW TFNA 115MM STERILE^04.038.115S 1318

SCREW TFNA 125mm STERILE^04.038.125S 1318

SCREW TFNA 80MM STER^04.038.080S 1318

SCREW TFNA 85MM STERILE^04.038.085S 1318

SCREW TFNA 90MM STERILE^04.038.090S 1318

SCREW TFNA 95MM STERILE^04.038.095S 1318

SCREW TFNA FENESTRATED 100mm - STERILE^04.038.200S 1318

SCREW TFNA FENESTRATED 105MM - STERILE^04.038.205S 1318

SCREW TFNA FENESTRATED 105MM STERILE^10750584 1523

SCREW TFNA FENESTRATED 80mm - STERILE^04.038.180S 1523

SCREW TFNA FENESTRATED 85mm - STERILE^04.038.185S 1318

SCREW TFNA FENESTRATED 90mm - STERILE^04.038.190S 1318

SCREW TFNA FENESTRATED 95mm - STERILE^04.038.195S 1318

SCREW TI CORTEX 2.0X10MM^401.045 164

SCREW TI CORTEX 2.0X6^401.292E 314

SCREW TI CORTEX 2.0X8^401.044 164

SCREW TI CORTEX 2.0X8^401.294E 314

SCREW TIBIAL GEN II 6.5 X 20^71420976 516

SCREW TIBIAL GEN II 6.5 X 25^71420978 516

SCREW TIBIAL GEN II 6.5 X 30^71420980 516

SCREW TIBIAL GEN II 6.5 X 35^71420982 516

SCREW TIBIAL GEN II 6.5 X 40^71420984 516

SCREW TIBIAL GEN II 6.5 X 45^71420986 516

SCREW TIBIAL RETRO 10X20^AR-1586RB-10 343

SCREW TIBIAL RETRO 8x20^AR-1586RB-08 343

SCREW TIBIAL RETRO 9X20^AR-1586RB-09 343

SCREW TITAN CORTEX SLF TAP 1.5 X 6^400.806 89

SCREW TITAN CORTEX SLF TAP 1.5 X 7^400.807 89

SCREW TITAN CORTEX SLF TAP 1.5 X 9^400.809 89

SCREW TITANIUM 4 X 14MM^7331-4014 240

SCREW TITANIUM 4.35 X 14mm^7331-4314 330

SCREW TRANSVERSE 3.5MM LAPIPLASTY^SK19 1050

SCREW TRIGEN LOW PROF 4.5X25^71645425 364

SCREW TRIGEN LOW PROF 4.5X40^71645440 364

SCREW TRIGEN LOW PROF 4.5X42.5^71645442 364

SCREW TRIGEN LOW PROF 5.0X77.5^71645077 364

SCREW TRIGEN LOW PROF 5x100 - MFRCAT 71645100^71645100 364

SCREW TRIGEN LOW PROFILE 4.5MM X 30MM -MFRCAT# 71645430^71645430 364

SCREW TRIGEN LOW PROFILE 4.5MM X 32.5MM^71645432 364

SCREW TRIGEN LOW PROFILE 4.5mm X 37.5mm^71645437 364

SCREW TRIGEN LOW PROFILE 4.5MM X 50MM^71645450 364

SCREW TRIGEN LOW PROFILE 4.5X 55MM 71645455 364

SCREW TRIGEN LOW PROFILE 4.5X27.5^71645427 364

SCREW TRIGEN LOW PROFILE 4.5X47.5^71645447 364

SCREW TRIGEN LOW PROFILE 5.0X25 -MFRCAT 71645025^71645025 364

SCREW TRIGEN LOW PROFILE 5.0X27.5^71645027 364

SCREW TRIGEN LOW PROFILE 5.0X40^71645040 364

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SCREW TRIGEN LOW PROFILE 5.0X47.5^71645047 364

SCREW TRIGEN LOW PROFILE 5.0X50^71645050 364

SCREW TRIGEN LOW PROFILE 5.0X52.5^71645052 364

SCREW TRIGEN LOW PROFILE 5.0X55^71645055 364

SCREW TRIGEN LOW PROFILE 5.0X57.5^71645057 364

SCREW TRIGEN LOW PROFILE 5.0X60^71645060 364

SCREW TRIGEN LOW PROFILE 5.0X62.5^71645062 364

SCREW TRIGEN LOW PROFILE 5.0X70^71645070 364

SCREW TRIGEN LOW PROFILE 5.0X80^71645080 364

SCREW TRIGEN LOW PROFILE 5.0X95^71645095 364

SCREW TRIGEN LOW PROFILE 5X67.5^71645067 364

SCREW UNICORTICAL 3.0^UCS-3.0 190

SCREW UNICORTICAL 3.5^UCS-3.5 180

SCREW UNIV CANCELLOUS 5.0 X 30^71332531 103

SCREW UNIV CANCELLOUS 6.5 X 20^71332520 103

SCREW UNIV CANCELLOUS 6.5 X 25^71332525 103

SCREW UNIV CANCELLOUS 6.5 X 30^71332530 103

SCREW UNIV CANCELLOUS 6.5 X 35^71332535 103

SCREW UNIV CANCELLOUS 6.5 X 40^71332540 103

SCREW UNIV CANCELLOUS 6.5 X 45^71332545 103

SCREW UNIV CANCELLOUS 6.5 X 50^71332550 103

SCREW UNIV CANCELLOUS 6.5 X 60^71332560 103

SCREW VA 15MM RESCUE^G7734015 400

SCREW VA 4.0X13^G7734013 457

SCREW VA CANNUL 5.0X40^02.231.640 482

SCREW VA CANNUL 5.0X45^02.231.645 482

SCREW VA CANNUL 5.0X50^02.231.650 482

SCREW VA CANNUL LCK 5.0X35^02.231.635 482

SCREW VA CANNUL LCK 5.0X55^02.231.655 482

SCREW VA CANNUL LCK 5.0X60^02.231.660 482

SCREW VA CANNUL LCK 5.0X65^02.231.665 482

SCREW VA CANNUL LCK 5.0X70^02.231.670 482

SCREW VA CANNUL LCK 5.0X75^02.231.675 482

SCREW VA CANNUL LCK 5.0X80^02.231.680 482

SCREW VA CANNUL LCK 5.0X85^02.231.685 482

SCREW VA CANNUL LCK 5.0X90^02.231.690 482

SCREW VA LCK 1.5X12^02.130.212 231

SCREW VA LCK 1.5X13^02.130.213 231

SCREW VA LCK 1.5X14^02.130.214 231

SCREW VA LCK 1.5X20^02.130.220 231

SCREW VA LCK 2.4X8^02.210.108 267

SCREW VA LCK 2.7X10^02.211.010 279

SCREW VA LCK 2.7X14^02.211.014 279

SCREW VA LCK 2.7X18^02.211.018 279

SCREW VA LCK 2.7X46^02.211.046 279

SCREW VA LCK 3.5X14^02.127.114 296

SCREW VA LCK 5.0X20^02.231.620 482

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SCREW VA LCK 5.0X25^02.231.625 482

SCREW VA LCK CANNUL 5.0X30^02.231.630 482

SCREW VA LCK STARDRIVE 3.5X40^02.127.140 296

SCREW VA LCK STARDRIVE 3.5X42^02.127.142 296

SCREW VA LCK STARDRIVE 3.5X44^02.127.144 296

SCREW VA LCK STARDRIVE 3.5X48^02.127.148 296

SCREW VA LCK STARDRIVE 3.5X52^02.127.152 296

SCREW VA LCK STARDRIVE 3.5X60^02.127.150 296

SCREW VA LCK STARDRIVE 3.5X85^02.127.185 296

SCREW VA LCK STARDRIVE 3.5X90^02.127.190 296

SCREW VA LCK STARDRIVE 3.5X95^02.127.195 296

SCREW VA-LCK 1.5X10^02.130.210 231

SCREW VA-LCK 1.5X11^02.130.211 231

SCREW VA-LCK 1.5X6^02.130.206 231

SCREW VA-LCK 1.5X7^02.130.207 231

SCREW VA-LCK 1.5X8^02.130.208 231

SCREW VA-LCK 1.5X9^02.130.209 231

SCREW VA-LCK STARDRIVE 2.0X10^02.130.310 241

SCREW VA-LCK STARDRIVE 2.0X11^02.130.311 241

SCREW VA-LCK STARDRIVE 2.0X12^02.130.312 241

SCREW VA-LCK STARDRIVE 2.0X13^02.130.313 241

SCREW VA-LCK STARDRIVE 2.0X14^02.130.314 241

SCREW VA-LCK STARDRIVE 2.0X15^02.130.315 241

SCREW VA-LCK STARDRIVE 2.0X6^02.130.306 241

SCREW VA-LCK STARDRIVE 2.0X8^02.130.308 241

SCREW VA-LCK STARDRIVE 2.0X9^02.130.309 241

SCREW VARI SD 4.5X13^3125513 350

SCREW VARI SD 4.5X15^3125515 350

SCREW VARIABLE 13MM^876.613 441

SCREW VARIABLE 13MM^9791323 503

SCREW VARIABLE 14MM^876-614 441

SCREW VARIABLE 15MM^9791325 503

SCREW VARIABLE S/T 14MM^1868-52-014 446

SCREW VARIABLE S/T 15MM^1868-52-015 446

SCREW VARIAX LCK 1.7X5^53-17005E 168

SCREW VARIAX LCK 1.7X6^53-17006E 168

SCREW VARIAX NON LCK 1.7X6^58-17006E 140

SCREW VERTEX 12MM^6958712 1450

SCREW VERTEX 16MM^6958716 1450

SCREW VERTEX 18MM^6958718 1450

SCREW VERTEX 20MM^6958720 1450

SCREW VERTEX 22MM^6958722 1450

SCREW VERTEX 24MM^6958724 1450

SCREW VERTEX 26MM^6958726 1450

SCREW VERTEX 28MM^6958728 1450

SCREW VERTEX 3.5 X 14 DANEK^6958714 1450

SCREW VERTEX 30MM PT^6958730PT 1450

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Description CPT-4 Base Price Schedule

SCREW VERTEX 30MM^6958730 1450

SCREW VERTEX 30MM^6958830 1450

SCREW VERTEX 32MM PT^6958732PT 1450

SCREW VERTEX 32MM^6958732 1450

SCREW VERTEX 34MM^6958734 1450

SCREW VERTEX 34MM^6958834 1450

SCREW VERTEX 38MM^6958838 1450

SCREW VERTEX 4.0X16^6958816 1450

SCREW VERTEX 4.0X18^6958818 1450

SCREW VERTEX TITAN 3.5X10^6958710 1450

SCREW VERTEX TITAN 4.0 X 26^6958826 1500

SCREW VERTEX TITAN 4.0X12^6958812 1450

SCREW VERTEX TITAN 4.0X14^6958814 1450

SCREW VERTEX TITAN 4.0X20^6958820 1450

SCREW VERTEX TITAN 4.0X22^6958822 1450

SCREW VERTEX TITAN 4.0X24^6958824 1450

SCREW VERTEX TITAN 4.0X28^6958828 1450

SCREW VERTEX TITAN 4.5X24^6958924 1450

SCREW VERTEX TITAN 4.5X26^6958926 1450

SCREW VERTEX TITAN 4.5X28^6958928 1450

SCREW VERTEX TITAN 4.5X30^6958930 1450

SCREW VERTEX TITAN 4.5X32^6958932 1450

SCREW VIPER 2 6X50^1867-15-650 2679

SCREW VLP TI 2.0MM X 16MM CTX SCR T6 S-T NS 74402016N 100

SCREW VLP TI 2.4MM X 10MM LCK T7 S-T 74412410 210

SCREW VLP TI 2.4MM X 12MM CTX T7 S-T 74402412 100

SCREW VLP TI 2.4MM X 13MM CTX SCR T7 S-T 74402413 100

SCREW VLP TI 2.4MM X 20MM LCK SCR T7 S-T 74412420 210

SCREW VLP TI 2.4MM X 22MM CTX T7 S-T 74402422 100

SCREW VLP TI 2.4MM X 24MM CTX T7 S-T 74402424 100

SCREW VOYAGER 5.5X45 - MFRCAT 54850015545^54850015545 2000

SCREW VOYAGER PERC MAS 6.5X35^54850016535 2000

SCREW VOYAGER PERC MAS 6.5X40^54850016540 2000

SCREW VOYAGER PERC MAS 6.5X45^54850016545 2000

SCREW VOYAGER PERC MAS 7.5X40^54850017540 2000

SCREW VOYAGER PERC MAS 7.5X45^54850017545 2000

SCREW WOODRUFF 1-3/8^2129-01-11 40

SCREW WOODRUFF BONE 1 3/4 in^2129-01-14 40

SCREW ZERO 3.5X13MM -MFRCAT# 7723513 7723513 350

SCREW ZERO SLF DRILL 13MM^7713513 350

SCREW ZERO SLF DRILL 15MM^7713515 350

SCREW ZERO SLF DRILL 17mm^7713517 350

SCREW ZERO VAR 13X4.0^7714013 350

SCREW ZERO VAR 15X4.0^7714015 350

SCREWS ILIAC SET^7049855 200

SCREWS MAS CONNECTOR SET^7753500 198

SCREWS SET DANEK^5540430 300

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Description CPT-4 Base Price Schedule

SCREWS SET M-8^8590855 200

SEMI-TENDINOSUS >=26.0CM^430350 2727

SEMI-TENDINOSUS 20.0CM^430355 3136

SEPARATOR 3 for INDIGO 3^SEP3 1073

SEPARATOR 3MAX PENUMBRA SYS ^3MAXS 3503

SEPARATOR 5 for INDIGO 5^SEP5 1073

SEPARATOR 6 for INDIGO 6 SEP6 1620

SEPARATOR 8 INDIGO^SEP8 2820

SEPRAFILM 5 X 6 MEMBRANE^4301-02 596

Seroquel Level (Quetiapine) 143

Serzone Level (Nefazodone) 143

SET SCREWS #55840030^55840030 248

SET SOLENT OMNI THROMBECTOMY SET ULTRA^109681-001 2580

SET TIPS GORE ^TSET1016 487

SHAFT FEMUR HEMI FROZEN^450480 4380

SHAFT FROZEN HUMERAL 150MM^450573 1908

SHAFT TIBIA HEMI^5201303 1060

SHEATH DILATOR SIGHTRAIL 10F^555-010 375

SHEATH DILATOR SIGHTRAIL 8.5F^555-508 387

SHEATH INNER FEM 12FR CVD F/NEEDLE SNARE^G26505 308

SHEATH LASER KIT 12 fR 8.3/.109/2.77 50CM^500-301 4422

SHEATH LASER KIT 14 FR 10.2/.134/3.4 50CM^500-302 4422

SHEATH LASER KIT 16 fR 12.5/.164/4.17 50CM^500-303 4422

SHEATH PREFORMER GUIDING MULLINS^G09136 147

SHEATH SENTRANT 12fr^SENSH1228W 225

SHEATH SENTRANT 14fr^SENSH1428W 225

SHEATH SENTRANT 16fr^SENSH1628W 225

SHEATH SENTRANT 18fr^SENSH1828W 225

SHEATH STEERABLE FLEXCATH 12fr^4FC12 1650

SHEATH TOURGUIDE APTUS 6.5fr X 45cm^TG654509 776

SHEATH TOURGUIDE APTUS 7fr X 45cm^TG704509 776

SHELL ACET HA TRIDENT PSL 46MM^542-11-46D 1900

SHELL ACET HA TRIDENT PSL 48mm^542-11-48D 1900

SHELL ACET HA TRIDENT PSL 50MM^542-11-50E 1900

SHELL ACET HA TRIDENT PSL 52MM^542-11-52E 1900

SHELL ACET HA TRIDENT PSL 54MM^542-11-54F 1900

SHELL ACET HA TRIDENT PSL 56MM^542-11-56F 1900

SHELL ACET HA TRIDENT PSL 58MM^542-11-58G 1900

SHELL ACET HA TRIDENT PSL 60mm^542-11-60G 1900

SHELL ACET HA TRIDENT PSL 62MM^542-11-62H 1900

SHELL ACET HA TRIDENT PSL 64MM^542-11-64H 1900

SHELL ACET HA TRIDENT PSL 66MM^542-11-66I 1900

SHELL ACET HA TRIDENT PSL 68MM^542-11-68I 1900

SHELL ACET HA TRIDENT PSL 70MM^542-11-70J 1900

SHELL ACET HA TRIDENT PSL 72MM^542-11-72J 1900

SHELL ACET R3 MULTI HOLE 50MM^71338664 1906

SHELL ACET TRIDENT 66MM^540-11-66I 1900

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SHELL ACET TRIDENT 68MM^540-11-68I 1900

SHELL ACET TRIDENT HEMISPHERE^502-11-50D 1900

SHELL ACET TRIDENT HEMISPHERE^502-11-58F 1900

SHELL ACET TRIDENT PSL^540-11-46D 1900

SHELL ACET TRIDENT PSL^540-11-48D 1900

SHELL ACET TRIDENT PSL^540-11-50E 1900

SHELL ACET TRIDENT PSL^540-11-52E 1900

SHELL ACET TRIDENT PSL^540-11-54F 1900

SHELL ACET TRIDENT PSL^540-11-56F 1900

SHELL ACET TRIDENT PSL^540-11-58G 1900

SHELL ACET TRIDENT PSL^540-11-60G 1900

SHELL ACET TRIDENT PSL^540-11-62H 1900

SHELL ACET TRIDENT PSL^540-11-64H 1900

SHELL ACETAB PINNACLE REV 64MM^1217-17-064 10859

SHELL ACETABULAR 3H 56MM^13-104156 1462

SHELL ACETABULAR 3H 58MM^13-104158 1462

SHELL ACETABULAR 3H 62MM^13-104162 1506

SHELL ACETABULAR 62MM^11-106062 3380

SHELL ACETABULAR 68MM^11-106068 3380

SHELL CONVENE BI-POLAR 58MM^126558 3740

SHELL HEMISPH CLUSTER HOLE 58MM F^702-04-58F 1900

SHELL HEMISPHER CLUSTER HL 52MM D^702-04-52E 1900

SHELL HEMISPHER CLUSTER HOLE 50MM SZ D^702-04-50D 1900

SHELL HEMISPHER CLUSTER HOLE SZ 60 F^702-04-60G 1900

SHELL HEMISPHER CLUSTER HOLE SZ 62MM G^702-04-62G 1900

SHELL HEMISPHER CLUSTER HOLE SZ 64 G^502-03-64G 1900

SHELL HEMISPHER TRIDENT TRITAN 60F^509-02-60F 6612

SHELL HEMISPHER TRIDENT TRITAN 74MM J^509-02-74J 6612

SHELL HEMISPHERICAL TRIDENT TRITAN SZ 58MM^509-02-58F 6612

SHELL HEMISPHERICAL TRIDENT TRITANIUM^509-02-62G 6612

SHELL INDEX ACETABULAR 62MM^107062 1462

SHELL INTERFIT REFL ACECT 46MM^71334046 1906

SHELL INTERFIT REFL ACET 3H 50^71336050 1906

SHELL INTERFIT REFL ACET 3H 52^71336052 1906

SHELL INTERFIT REFL ACET 3H 54^71336054 1906

SHELL INTERFIT REFL ACET 3H 56^71336056 1906

SHELL INTERFIT REFL ACET 3H 58^71336058 1906

SHELL INTERFIT REFL ACET 3H 60^71336060 1906

SHELL INTERFIT REFL ACET 3H 62^71336062 1906

SHELL INTERFIT REFL ACET 3H 64^71336064 1906

SHELL INTERFIT REFL ACET 3H 66^71336066 1906

SHELL INTERFIT REFL ACET 3H 68^71336068 1906

SHELL INTERFIT REFL ACET 50MM^71334050 1906

SHELL INTERFIT REFL ACET 52MM^71334052 1906

SHELL INTERFIT REFL ACET 54MM^71334054 1906

SHELL INTERFIT REFL ACET 56MM^71334056 1906

SHELL INTERFIT REFL ACET 58MM^71334058 1906

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SHELL INTERFIT REFL ACET 60MM^71334060 1906

SHELL INTERFIT REFL ACET 62MM^71334062 1906

SHELL INTERFIT REFL ACET 64MM^71334064 1906

SHELL LINER COCR BIPOLAR 59X28^71322059 1082

SHELL MALLORY HD ACETABULAR 54^12-104154 1462

SHELL MALLORY HD ACETABULAR 56^12-104156 1462

SHELL MALLORY HEAD ACET 50MM^11-104050 1506

SHELL MALLORY HEAD ACET 50MM^11-104150 1462

SHELL MALLORY HEAD ACET 50MM^12-104150 1462

SHELL MALLORY HEAD ACET 52MM^11-104052 1506

SHELL MALLORY HEAD ACET 52MM^11104152 1462

SHELL MALLORY HEAD ACET 54MM^11-104054 1506

SHELL MALLORY HEAD ACET 54MM^11-104154 1462

SHELL MALLORY HEAD ACET 56MM^11-104056 1506

SHELL MALLORY HEAD ACET 56MM^11-104156 1462

SHELL MALLORY HEAD ACET 60MM^11-104060 1506

SHELL MALLORY HEAD ACET 62MM^11-104062 1462

SHELL R3 0 HOLE 54MM^71331854 1906

SHELL R3 0 HOLE 56MM^71331856 1906

SHELL R3 0 HOLE 58MM -MFRCAT# 71331858^71331858 1906

SHELL R3 ACE 3HL 54MM^71335554 1906

SHELL R3 ACET 0HL 46MM^71331846 1906

SHELL R3 ACET 0HL 48MM^71331848 1906

SHELL R3 ACET 0HL 50MM^71331850 1906

SHELL R3 ACET 0HL 52MM^71331852 1906

SHELL R3 ACET 3HL 44MM^71335544 1906

SHELL R3 ACET 3HL 46MM^71335546 1906

SHELL R3 ACET 3HL 48MM^71335548 1906

SHELL R3 ACET 3HL 50MM^71335550 1620

SHELL R3 ACET 3HL 52MM 71335552 1906

SHELL R3 ACET 3HL 56MM^71335556 1906

SHELL R3 ACET 3HL 58MM^71335558 1906

SHELL R3 ACET 3HL 60MM^71335560 1906

SHELL R3 ACET 3HL 62MM^71335562 1906

SHELL R3 ACET 3HL 64MM^71335564 1906

SHELL R3 ACET 3HL 66MM^71335566 1906

SHELL R3 ACET MULTI HOLE 56MM^71338667 1906

SHELL R3 ACET OHL 60MM^71331860 1906

SHELL R3 MULTI HOLE 48MM^71338663 1906

SHELL R3 MULTI HOLE 54MM^71338666 1906

SHELL R3 MULTI HOLE 58MM^71338668 1906

SHELL R3 STIKTITE COAT 64MM^71331864 1906

SHELL REFL ACET MULTI HOLE 50^71330050 1850

SHELL REFL ACET MULTI HOLE 64^71330064 1906

SHELL REFL ACET MULTI HOLE 66^71330066 1906

SHELL REFL ACET MULTI HOLE SZ50^71335150 1906

SHELL REFL ACET MULTI HOLE SZ52^71335152 1906

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SHELL REFL ACET MULTI HOLE SZ54^71335154 1906

SHELL REFL ACET MULTI HOLE SZ56^71335156 1906

SHELL REFL ACET MULTI HOLE SZ58^71335158 1906

SHELL REFL ACET MULTI HOLE SZ60^71335160 1906

SHELL REFL ACET MULTI HOLE SZ62^71335162 1906

SHELL REFL ACET MULTI HOLE SZ64^71335164 1906

SHELL REFL ACET MULTI HOLE SZ66^71335166 1906

SHELL REFL ACET NO HOLE 48MM^71334048 1906

SHELL REFL ACET NO HOLE 50MM^71334150 1906

SHELL REFL PERIPHERAL ACET 62^71335454 1906

SHELL REFL PERIPHERAL ACET 62^71335462 1906

SHELL REFL PERIPHERAL ACET 64^71335464 1906

SHELL REFLEC ACET MULTI HOLE SZ 68^71335168 1906

SHELL REFLECTION ACET SZ 64^71335064 1906

SHELL REFLECTION ACETABULAR 46^71336446 1906

SHELL REFLECTION ACETABULAR 48^71330048 6890

SHELL REFLECTION ACETABULAR 48^71336448 1906

SHELL REFLECTION ACETABULAR 50^71335050 1906

SHELL REFLECTION ACETABULAR 50^71336450 1906

SHELL REFLECTION ACETABULAR 52^71330052 1850

SHELL REFLECTION ACETABULAR 52^71335052 1906

SHELL REFLECTION ACETABULAR 52^71336452 1906

SHELL REFLECTION ACETABULAR 54^71330054 6890

SHELL REFLECTION ACETABULAR 54^71335054 1906

SHELL REFLECTION ACETABULAR 54^71336454 1906

SHELL REFLECTION ACETABULAR 56^71330056 1850

SHELL REFLECTION ACETABULAR 56^71335056 1906

SHELL REFLECTION ACETABULAR 56^71336456 1906

SHELL REFLECTION ACETABULAR 58^71330058 1850

SHELL REFLECTION ACETABULAR 58^71335058 1906

SHELL REFLECTION ACETABULAR 58^71336458 1906

SHELL REFLECTION ACETABULAR 60^71330060 1850

SHELL REFLECTION ACETABULAR 60^71335060 1906

SHELL REFLECTION ACETABULAR 60^71336460 1906

SHELL REFLECTION ACETABULAR 62^71330062 1906

SHELL REFLECTION ACETABULAR 62^71335062 1906

SHELL REFLECTION ACETABULAR 62^71336462 1906

SHELL REFLECTION ACETABULAR 64^71336464 1906

SHELL REFLECTION ACETABULAR 66^71335066 1906

SHELL REFLECTION ACETABULAR 66^71336466 1906

SHELL REFLECTION ACETABULAR 68^71330068 1906

SHELL REFLECTION ACETABULAR 68^740068 1906

SHELL REFLECTION ACETABULAR 70^71335070 1906

SHELL REFLECTION ACETABULAR 70^740070 1906

SHELL SECUR-FIT ACETABULAR 46M^2051-2046 1906

SHELL SECUR-FIT ACETABULAR 46M^2051-3046 1906

SHELL SECUR-FIT ACETABULAR 48M^2051-3048 1906

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SHELL SECUR-FIT ACETABULAR 50M^2051-2050 1906

SHELL SECUR-FIT ACETABULAR 50M^2051-3050 1906

SHELL SECUR-FIT ACETABULAR 52M^2051-2052 1906

SHELL SECUR-FIT ACETABULAR 52M^2051-3052 1906

SHELL SECUR-FIT ACETABULAR 54M^2051-3054 1906

SHELL SECUR-FIT ACETABULAR 56M^2051-2056 1906

SHELL SECUR-FIT ACETABULAR 56M^2051-3056 1906

SHELL SECUR-FIT ACETABULAR 58^2051-2058 1906

SHELL SECUR-FIT ACETABULAR 58M^2051-3058 1906

SHELL SECUR-FIT ACETABULAR 60M^2051-2060 1906

SHELL SECUR-FIT ACETABULAR 60M^2051-3060 1906

SHELL SECUR-FIT ACETABULAR 62M^2051-2062 1906

SHELL SECUR-FIT ACETABULAR 62M^2051-3062 1906

SHELL SECUR-FIT ACETABULAR 64M^2051-2064 1906

SHELL SECUR-FIT HA ACETABULAR^2051-2054 1906

SHELL TITANIUM REVISION ACETABULAR 54mm X E^509-02-54E 6612

SHELL TRITAN HEMISPHERICAL 50MM D^700-04-50D 1900

SHELL TRITAN HEMISPHERICAL 52MM D^700-04-52E 1900

SHELL TRITAN HEMISPHERICAL 54MM E^700-04-54E 1900

SHELL TRITAN HEMISPHERICAL 56MM E^700-04-56F 1900

SHELL TRITAN HEMISPHERICAL 58MM F^700-04-58F 1900

SHELL TRITAN HEMISPHERICAL 60MM F^700-04-60G 1900

SHELL TRITAN HEMISPHERICAL 62MM G^700-04-62G 1900

SHELL TRITAN HEMISPHERICAL 64mm G^500-03-64G 1900

SHELL TRITAN HEMISPHERICAL SZ 48 C^500-03-48C 1900

SHELL TRITAN HEMISPHERICAL SZ 54E^702-04-54E 1900

SHELL TRITAN HEMISPHERICAL SZ 56E^702-04-56F 1900

SHELL UNIV ACETABULAR 46MM^11-103546 1524

SHELL UNIV ACETABULAR 48MM^12-103548 1524

SHELL UNIV ACETABULAR 50mm^12-103550 1524

SHELL UNIV ACETABULAR 52MM^11-103552 1462

SHELL UNIV ACETABULAR 52MM^12-103552 1524

SHELL UNIV ACETABULAR 54MM^11-103554 1462

SHELL UNIV ACETABULAR 54MM^12-103554 1462

SHELL UNIV ACETABULAR 56MM^11-103556 1462

SHELL UNIV ACETABULAR 56MM^12-103556 1462

SHELL UNIV ACETABULAR 58MM^11-103558 1462

SHELL UNIV ACETABULAR 58MM^12-103558 1462

SHELL UNIV ACETABULAR 60MM^11-103560 1462

SHELL UNIV ACETABULAR 60MM^12-103560 1524

SHELL UNIV ACETABULAR 62MM^11-103562 1462

SHELL UNIV ACETABULAR 62MM^12-103562 1524

SHELL UNIV ACETABULAR 64MM^11-103564 1462

SHELL UNIV ACETABULAR 64MM^12-103564 1524

SHELL UNIV BI-POLAR 38MM^126438 3740

SHELL UNIV BI-POLAR 39MM^126439 3740

SHELL UNIV BI-POLAR 40MM^126440 3740

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SHELL UNIV BI-POLAR 42MM^126442 3740

SHELL UNIV BI-POLAR 44MM^126544 3740

SHELL UNIV BI-POLAR 45MM^126545 3740

SHELL UNIV BI-POLAR 47MM^126547 3740

SHELL UNIV BI-POLAR 50MM^126550 3740

SHELL UNIV BI-POLAR 52MM^126552 3740

SHELL UNIV BI-POLAR 53MM^126553 3740

SHELL UNIV BI-POLAR 54MM^126554 3740

SHELL UNIV BI-POLAR 55MM^126555 3740

SHELL UNIV BI-POLAR 56MM^126556 3740

SHELL UNIV BI-POLAR 57MM^126557 3740

SHELL UNIV BI-POLAR 59MM^126559 3740

SHELL UNIV BI-POLAR 60MM^126560 3740

SHELL UNIV BIPOLAR CO-CR 43MM^126543 3740

SHELL UNIVERSAL BIPOLAR 46MM^126546 3740

SHELL UNIVERSAL BIPOLAR 48MM^126548 3740

SHELL UNIVERSAL BIPOLAR 49MM^126549 3740

SHELL UNIVERSAL BIPOLAR 51MM^126551 3740

SHELL/LINER COCR BIPOLAR 20X40^71322040 1082

SHELL/LINER COCR BIPOLAR 22X41^71322041 1082

SHELL/LINER COCR BIPOLAR 22X42^71322042 1082

SHELL/LINER COCR BIPOLAR 28X43^71322043 1082

SHELL/LINER COCR BIPOLAR 28X44^71322044 1082

SHELL/LINER COCR BIPOLAR 28X45^71322045 1082

SHELL/LINER COCR BIPOLAR 28X46^71322046 1082

SHELL/LINER COCR BIPOLAR 28X47^71322047 1082

SHELL/LINER COCR BIPOLAR 28X48^71322048 1082

SHELL/LINER COCR BIPOLAR 28X49-MFRCAT 71322049^71322049 1082

SHELL/LINER COCR BIPOLAR 28X50^71322050 1082

SHELL/LINER COCR BIPOLAR 28X51^71322051 1082

SHELL/LINER COCR BIPOLAR 28X52^71322052 1082

SHELL/LINER COCR BIPOLAR 28X53^71322053 1082

SHELL/LINER COCR BIPOLAR 28X54^71322054 1082

SHELL/LINER COCR BIPOLAR 28X55^71322055 1082

SHELL/LINER COCR BIPOLAR 28X57^71322057 1082

SHOE HEALING ORTHO-WEDGE SM ^79-98443 37

SHORT HUMERAL STEM 10MM X 96MM 520-10-000 4000

SHORT HUMERAL STEM 12mm X 67mm^520-12-000 4000

SHOULDER BODY PLUS PROMOS 35MM^75006714 1398

SHOULDER GLENOID FIN 40 SZ^1137-94-025 2040

SHOULDER GLENOID FIN 52 SZ^1137-97-025 2040

SHOULDER GLENOID FIN SZ 56^1137-98-025 2040

SHOULDER HEAD GLOBAL HUM 44MM^1134-45-000 1830

SHOULDER HEMI PROCEDURE EQUINOXE^320-HEMI 6250

SHOULDER MOLD 8 STD 46X18X53^431408 9160

SHOULDER PROMOS INCLINATION SET 20MM^75042180 1000

SHOULDER REVERSE PROCEDURE EQUINOXE^320-REVERSE 16000

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Description CPT-4 Base Price Schedule

SHOULDER TOTAL DJO SURGICAL CAP 5000^5000-DJO 10000

SHOULDER TOTAL PROCEDURE EQUINOXE^314-TOTAL 8500

SHUNT CAROTID ARTERY^8888577775 60

SHUNT CAROTID PRUITT F3 INLYING^E2011-12 1480

SHUNT CARTOID 11 in^8888-577700 43

SHUNT CATH CLEAR BACTISEAL KIT (VENT\T\PERITON)^NS0340 2052

SHUNT EXPRESS GLAUCOMA^47053 2290

SHUNT INHARA-PRUITT 9fr INLYING^E2012-13 1480

SHUNT JAVID CAROTID BYPASS^7714 185

SHUNT KIT CSF REGULAR HI PRESS^46026 2746

SHUNT KIT CSF REGULAR LOW PRES^46022 2666

SHUNT KIT CSF REGULAR MED PRES^46024 2236

SHUNT KIT CSF SMALL HIGH PRES.^46016 1270

SHUNT KIT CSF SMALL LOW PRES.^46012 1220

SHUNT LUMBAR 44520^44520 1616

SHUNT LUMBAR K TUBE 23069^23069 1914

SHUNT OSVII^909712P 9150

SHUNT PAK DENVER ASCITES 15.5fr ^42-2020 4500

SHUNT PERITONEAL-VENOUS^42-3000 1570

SHUNT PLEURO PERITONEAL^42-9000 2198

SHUNT STRATA NSC LP^44430 9988

SHUNT SYSTEM SURGICAL OMNI 1-100 1-100 2998

Sigmoidoscopy 1831

Sigmoidoscopy Biopsy 1831

Sigmoidoscopy Diagnostic 1831

Sigmoidoscopy Excision Lesion 1831

Sigmoidoscopy with Placement of Endoscopic Stent 3605

Sigmoidoscopy with Submucosal Injection 1831

SILICONE OIL ADATOSIL 5000^ES-5000S 798

SIR SPHERES MICROSPHERE^SIR-Y001 34000

SKYLA IUD - PHYSICIAN SUPPLIED**OR ONLY**^SKYLA IUD 0.01

SLEEVE ADAP C-TAPER +0^19-0000T 416

SLEEVE ADAP C-TAPER +5^19-0005T 416

SLEEVE ADJ C-TAPER NECK +10^6942-7-085 100

SLEEVE ADJUST C-TAPER NECK +5 6942-7-075 100

SLEEVE ADJUST C-TAPER NECK +5^6942-7-065 100

SLEEVE ADJUST C-TAPER NECK -3^6942-7-060 100

SLEEVE ADJUST UNITRAX NECK STD -MFRCAT 6942-6-065^6942-6-065 100

SLEEVE CABLE SET 2.0MM SS^3704-0-510 735

SLEEVE CABLE SET 2.0MM^120010 1380

SLEEVE CENTERING 5MM^103405 232

SLEEVE CENTERING(IMHS)^HN1200 505

SLEEVE COCR CABLE CRIMP 1.6MM^120006 370

SLEEVE CRIMP CABLE S.S. 2.0^350805 246

SLEEVE DALL MILES CABLE 2.0MM^6704-0-510 686

SLEEVE EDWARDS ROD ELLIPTICAL^47-1246-07 280

SLEEVE EDWARDS ROD LARGE^47-1246-06 280

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SLEEVE EDWARDS ROD MEDIUM^47-1246-05 337

SLEEVE F/S5-1005^S5-3005U 16

SLEEVE MOD +0 12/14^74222200 103

SLEEVE MOD -4MM 12/14^74222100 103

SLEEVE MOD TITAN 12/14 TPR +0^71344247 103

SLEEVE MOD TITAN 12/14 TPR +4^71344248 103

SLEEVE MOD TITAN 12/14 TPR +8MM^71344249 103

SLEEVE MOD TITAN 12/14 TPR -4^71344245 103

SLEEVE RESORB F/5MM SCREW^08.025.044S 387

SLEEVE RESORB FOR 4.0mm ANGULAR STABLE LOCKING SCR-STER^08.025.032S 392

SLEEVE UNIPOLAR 12/14 TAPER +0^71326600 103

SLEEVE UNIPOLAR 12/14 TAPER +4^71326604 103

SLEEVE UNIPOLAR 12/14 TAPER +8^71326608 103

SLEEVE UNIPOLAR 12/14 TAPER -3^71326603 103

SLEEVE UNIPOLAR 12/14 TAPER+12^71326612 103

SLEEVE UNIPOLAR TAPER +0^126600 103

SLEEVE UNIPOLAR TAPER +12MM^126612 103

SLEEVE UNIPOLAR TAPER +4MM^126604 103

SLEEVE UNIPOLAR TAPER +8^126608 103

SLEEVE UNIV ADAP C-TAPER 2.5MM^19-0325T 416

SLEEVE UNIV C-TAPER +2.5MM^19-0025T 416

SLEEVE UNIV V40 TAPER ADAPTER +0MM^6519-T-100 416

SLEEVE UNIV V40 TAPER ADAPTER +4MM^6519-T-204 416

SLEEVE UNIV V40 TPR -2.5MM 6519-T-025 436

SLEEVE UNIVERSAL MISC SZ TOTAL JOINT^SL UNI 100

SLING \T\ SWATHE MEDIUM^7556507 25

SLING AND SWATHE EX-LARGE^16-602754 25

SLING ARM AND SHOULDER^AE050100 56

SLING ARM ENVELOPE XLARGE^8001-05 7

SLING ARM EX-LARGE SPECIALTY^8004-06 25

SLING ARM LG^8004-05B 25

SLING ARM MED^8004-04B 25

SLING ARM PEDIATRIC^79-99132 8

SLING ARM SM^8004-03 25

SLING ARM XS^8004-02 25

SLING HANGING CAST^512 32

SLING KIT XP MALE^720163-01 12026

SLING MONARCH^72403830 2712

SLING OBTRYX II CURVED SINGLE UNIT^M0068504110 1848

SLING OBTRYX TRANSOBTURATOR HA^M0068505000 1716

SLING SOLYX SIS SYSTEM^M0068507000 2104

SLING SYS OBTRYX II HALO^M0068505110 1848

SLING ULTRASLING II LRG^11630007 56

SLING ULTRASLING II MED^11630006 56

SLING URETHRAL SURGISIS TENSION FREE BIODESIGN^G27202 1756

Sodium Chloride 10 ml 20

Sodium Iodide I-123 Capsule 200 uCi^102338 200

Page 350: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

SPACER ACCOLADE C DISTAL 12MM^1059-4512 256

SPACER ADVANCED ACF LORDOTIC 10MM X 12.5MM X 15MM^017710 2535

SPACER ADVANCED ACF LORDOTIC 11MM X 12.5MM X 15MM^017711 2535

SPACER ADVANCED ACF LORDOTIC 12MM X 12.5MM X 15MM^017712 2535

SPACER ADVANCED ACF LORDOTIC 5MM X 12.5MM X 15MM^017705 2637

SPACER ADVANCED ACF LORDOTIC 6MM X 12.5MM X 15MM^017706 2637

SPACER ADVANCED ACF LORDOTIC 7MM X 12.5MM X 15MM^017707 2637

SPACER ADVANCED ACF LORDOTIC 8MM X 12.5MM X 15MM^017708 2637

SPACER ADVANCED ACF LORDOTIC 9MM X 12.5MM X 15MM^017709 2637

SPACER ADVANCED ACF PARALLEL 10MM X 12.5MM X 15MM^017610 2535

SPACER ADVANCED ACF PARALLEL 11MM X 12.5MM X 15MM^017611 2535

SPACER ADVANCED ACF PARALLEL 12MM X 12.5MM X 15MM^017612 2535

SPACER ADVANCED ACF PARALLEL 5MM X 12.5MM X 15MM^017605 2535

SPACER ADVANCED ACF PARALLEL 6MM X 12.5MM X 15MM^017606 2637

SPACER ADVANCED ACF PARALLEL 7MM X 12.5MM X 15MM^017607 2637

SPACER ADVANCED ACF PARALLEL 8MM X 12.5MM X 15MM^017608 2637

SPACER ADVANCED ACF PARALLEL 9MM X 12.5MM X 15MM^017609 2637

SPACER CRESCENT 11X25^6661125 6361

SPACER CRESCENT 12X25^6661225 6361

SPACER CRESCENT 25MM^6661025 6361

SPACER CRESCENT 25X9X10X6^6660925 6361

SPACER CRESCENT 8X30^6660830 6361

SPACER MED DIVERGENCE L^2151212 6000

SPACER MICROFLOW RELIEVA^BC1417RS 1590

SPACER MOLD CEMENT SHOULDER STAGEONE^431410 9900

SPACER OMNIFIT DISTAL 10MM^1067-0010 103

SPACER OMNIFIT DISTAL 11MM^1067-0011 103

SPACER OMNIFIT DISTAL 12MM^1067-0012 103

SPACER OMNIFIT DISTAL 13MM^1067-0013 103

SPACER OMNIFIT DISTAL 14MM^1067-0014 103

SPACER OMNIFIT DISTAL 15MM^1067-0015 103

SPACER OMNIFIT DISTAL 16MM^1067-0016 103

SPACER OMNIFIT DISTAL 17MM^1067-0017 103

SPACER OMNIFIT DISTAL 18MM^1067-0018 103

SPACER OMNIFIT DISTAL 19MM^1067-0019 103

SPACER OMNIFIT DISTAL 20MM^1067-0020 103

SPACER OMNIFIT DISTAL 21MM^1067-0021 103

SPACER OMNIFIT DISTAL 8mm^1067-0008 103

SPACER OMNIFIT DISTAL 9MM^1067-0009 103

SPACER SM DIVERGENCE 10MM -MFRCAT# 2151110^2151110 6000

SPACER SM DIVERGENCE L -MFRCAT# 2151112^2151112 6000

SPACER SPINAL 5MM CC-ACF^017405 3056

SPACER SPINAL 6MM CC-ACF^017406 3056

SPACER SPINAL 7MM CF-ACF^017407 3056

SPACER SPINAL 8MM CC-ACF^017408 3056

SPACER TENDON 24X6^24270006 2508

SPACER TIBIAL 5.0MM^413.309 192

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SPACER UNIVER RVRS 36 +6MM -MFRCAT# AR-9555-06^AR-9555-06 867

SPACER UNIVERS REVERS 36+12MM AR-9555-12 867

SPACER UNIVERS REVERS 36+9MM AR-9555-09 867

SPEEDBRIDGE BIOCOMP 4.75x19.1^AR-8928BC-CP 2938

SPEEDBRIDGE BIOCOMP 4.75X19.1MM^AR-2600SBS-4 2938

SPEEDBRIDGE BIOCOMP ACHILLES MIDSUB^AR-8929BC-CP 1726

SPEEDBRIDGE PEEK ACHILLES 4.75X19.1^AR-8928P-CP 2938

SPHINCTEROTOME DREAMTOME RX 49 M00584000 450

SPIKED WASHER 13.5/4.0^219.941 239

Spinal Puncture Lumbar 1039

SPIRAL BLADE 45MM^04.013.041S 1178

SPLITTER/ADAPTER KIT 2X8 30CM^SC-3400-30 1000

SRTIP SILICONE 42-STYLE^42 31

STABILIZER TOTAL TRIATHLON TS PLUS TIBIAL INSERT X3 POLY 13mm^5537-G-413 5071

STABILIZER TRIATHLON TS PLUS TIBIAL INSERT X3 POLY 9mm^5537-G-309 5071

STAPLE 8MM^AR-8708 195

STAPLE CARTRIDGE BONE 10*7^7007 284

STAPLE CARTRIDGE BONE 13*15^7315 284

STAPLE CARTRIDGE BONE 13x10^7310 284

STAPLE CARTRIDGE BONE 13x20^7320 284

STAPLE CARTRIDGE BONE 13x7^7307 284

STAPLE CARTRIDGE BONE 16*10^7610 284

STAPLE CARTRIDGE BONE 16*20^7620 252

STAPLE CARTRIDGE BONE 16x25^7625 284

STAPLE CARTRIDGE BONE 7*10^7710 284

STAPLE CARTRIDGE BONE 7*7^7707 284

STAPLE COMPRESSION 15LX10L^AR-8004-10 752

STAPLE COMPRESSION EASYCLIP 18X14X14 EZ18-14-14 1844

STAPLE COMPRESSION EASYCLIP 18X17X15 EZ18-17-15 1844

STAPLE DYNANITE 15WX15L^AR-8719DS-1515 4062

STAPLE DYNANITE 18WX15L -MFRCAT AR-8719DS-1815^AR-8719DS-1815 4062

STAPLE DYNANITE NITINOL 11WX10L^AR-8717DS-1110 2646

STAPLE DYNANITE NITINOL 11WX15\E\12L^AR-8717DS-111512 2646

STAPLE DYNANITE NITINOL 18WX18L^AR-8719DS-1818 4062

STAPLE DYNANITE NITINOL 9WX10L^AR-8717DS-0910 2646

STAPLE DYNANITE NITINOL 9WX7L^AR-8717DS-0907 2646

STAPLE LARGE FIXATION W/SPIKES^128696 496

STAPLE LARGE FIXATION^128697 496

STAPLE MEDIUM FIXATION W/SPIKE^128694 496

STAPLE NITINOL SUPERELASTIC BONE 18MM X 18MM X 18MM 7418-1818 2800

STAPLE QUICKFIX 10MM^AR-8710 195

STAPLE SMALL FIXATION W/SPIKES^128692 496

STAPLE SMALL FIXATION^128693 496

STAPLE SPEED COMPRESSION IMPLANT KIT 15x12x12mm^SE-1512 2152

STAPLE SPEED COMPRESSION IMPLANT KIT 15x15x15mm^SE-1515 2152

STAPLE SPIKED LIGAMENT 6X20^AR-1006 140

STAPLE SPIKED LIGAMENT 8X20^AR-1008 140

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Description CPT-4 Base Price Schedule

STAPLE SPIKED LIGAMENT11X20 LG^AR-1011 140

STAPLE TABLE 4 PRONGE SMALL^128698 646

STAPLE X-SMALL FIXATION W/SPIK^128690 496

STEM 10mm TI STR RAD 32mm STERILE^04.402.010S 3283

STEM 7.0mm X 2.0mm^TR-S0702-S 3334

STEM 7MM TI CURVED RAD 42MM STERILE^04.402.027S 3283

STEM ABG N DEG 4 LT^4845-4-204 6493

STEM ABGII SZ N DEG 5LT^4845-4-205 6493

STEM CEMENT LEGION 10X160 STRT^71424202 2781

STEM CEMENT LEGION 18X160 STR^71424210 2781

STEM CEMENT TRIATH 12X150^5560-S-312 2536

STEM CEMENTED TRIATH 12X100^5560-S-212 2536

STEM CEMENTED TRIATH 12X150^5560-S-112 2536

STEM CEMENTED TRIATH 15X100^5560-S-215 2536

STEM CEMENTED TRIATH 15X150^5560-S-315 2536

STEM CEMENTED TRIATH 15X50^5560-S-115 2536

STEM CEMENTED TRIATH 9X150^5560-S-309 2536

STEM COFIELD 2 HUMERAL 10X195^71259110 6064

STEM COFIELD 2 HUMERAL 12 X145^71259012 4275

STEM COFIELD 2 HUMERAL 12X195^71259112 6064

STEM COFIELD 2 HUMERAL 6 X 115^71259006 5224

STEM COFIELD 2 HUMERAL 8 X 145^71259008 4275

STEM COFIELD HUMERAL 10 X 145^71259010 4275

STEM COFIELD HUMERAL 14 X 145^71259014 4275

STEM COFIELD HUMERAL 16 X 145^71259016 5224

STEM COMP POROUS 10X83^113630 9204

STEM COMP POROUS 11X83^113631 9204

STEM COMP POROUS 12X83 LONG^113632 9204

STEM COMP POROUS 14X83^113634 9204

STEM COMP POROUS 6X122^113646 8242

STEM COMP POROUS 7x83^113627 9204

STEM COMP POROUS 8MM^113628 9204

STEM COMPONENT FEMORAL SLEEVELESS 17H X 240MM LENGTH^71354724 17328

STEM COMPREHEN 5X55 LONG^113605 9646

STEM COMPREHEN 6X55 LONG^113606 9646

STEM COMPREHEN 7X55 LONG^113607 9646

STEM COMPREHEN LONG 8X55^113608 9646

STEM COMPREHEN SHLDR 10X55^113610 9646

STEM COMPREHEN SHLDR 11X55^113611 9646

STEM COMPREHEN SHLDR 12X55^113612 9646

STEM COMPREHEN SHLDR 13X55^113613 9646

STEM COMPREHEN SHLDR 14X55 LONG^113614 9646

STEM COMPREHEN SHLDR 15X55^113615 9646

STEM COMPREHEN SHLDR 16X55 LONG^113616 9646

STEM COMPREHEN SHLDR 17X55 LONG -MFRCAT# 113617^113617 9646

STEM COMPREHEN SHLDR 4X83 LONG^113624 9204

STEM COMPREHEN SHLDR 6X83 LONG^113626 9204

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STEM COMPREHEN SHLDR 9X55 LONG^113609 9646

STEM COMPREHEN SHLDR PRIMARY STEM 18mm MICRO^113618 9646

STEM COMPREHN SHLDR 5X83^113625 9204

STEM DISTAL CENTRALIZER 12MM^6259-8-120 256

STEM EVOLVE 8.5MM +2 -MFRCAT 496S285^496S285 4604

STEM EXTENDER FLUTED 13X80^6478-6-615 2242

STEM EXTENSION 15X30MM^00-5988-012-015 2090

STEM EXTENSION 16X100MM^00-5988-010-16 2090

STEM EXTENSION GMRS 50MM^6495-6-050 5991

STEM FEM ABGII SZ 1 V40 LT^4845-0201 1485

STEM FEM ABGII SZ 4 LT V40 TAPER^4845-0204 1485

STEM FEM ABGII SZ 4 RT V4O TPR^4845-0104 4600

STEM FEM ABGII SZ 5 RT^4845-0105 5253

STEM FEM ABGII SZ 6 RT V40 TPR^4845-0106 4600

STEM FEM ABGII SZ 7 RT 4845-0107^4845-0107 4600

STEM FEM ABGII SZ3 V40 LT^4845-0203 1485

STEM FEM ABGII TAPER #5 LT^4845-0205 1485

STEM FEM ABGII TAPER #6 LT^4845-0206 1485

STEM FEM ABGII TAPER #7 LT^4845-0207 1485

STEM FEM ABGII TAPER #8 LT -MFRCAT# 4845-0208^4845-0208 4600

STEM FEM ABGII TAPER SZ 3 RT^4845-0103 5253

STEM FEM POROUS OSS 19.5X150^150398 3654

STEM FEMORAL 20X120MM^141660 2526

STEM FEMORAL PORUS 14.5X150^150393 3344

STEM FEMORAL PORUS 16.5X150^150395 3723

STEM FEMORAL PORUS 18X150^150397 3723

STEM FEN MOORE HIP 54 X 203MM^00-4021-008-54 1523

STEM FINN ROTATING FEM 14X152^153824 1640

STEM FLUTED TRIATH TS 20X100 -MFRCAT# 5565-S-020^5565-S-020 2657

STEM FRACTURE UNIVERS 11mm^AR-9100-11F 4823

STEM GENESIS LONG 10MM X 100MM^71420628 1811

STEM GENESIS LONG 10MM X 150MM^71420647 1811

STEM GENESIS LONG 12MM X 100MM^71420630 1811

STEM GENESIS LONG 12MM X 150MM^71420646 1712

STEM GENESIS LONG 12MM X 150MM^71420649 1811

STEM GENESIS LONG 12MM X 200MM^71420658 1811

STEM GENESIS LONG 14MM X 100MM^71420632 1811

STEM GENESIS LONG 14MM X 150MM^71420648 1811

STEM GENESIS LONG 14MM X 200MM^71420660 1811

STEM GENESIS LONG 16MM X 150MM^71420650 1811

STEM GENESIS LONG 16MM X 200MM^71420662 1811

STEM GENESIS LONG 18MM X 100MM^71420636 1811

STEM GENESIS LONG 18MM X 150M^71420652 1811

STEM GENESIS LONG 20MM X 100MM^71420638 1811

STEM GLOBAL ADVANTAGE 16MM^1137-16-050 4000

STEM GLOBAL FX 10MM X 138MM^1137-10-000 4000

STEM GLOBAL FX 10MM X 140MM^1128-10-000 4000

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STEM GLOBAL FX 10MM^1137-10-050 4000

STEM GLOBAL FX 12MM X 150MM^1128-12-000 4000

STEM GLOBAL FX 14MM X 153MM^1137-14-000 4000

STEM GLOBAL FX 14MM^1137-14-050 4000

STEM GLOBAL FX 16MM^1137-16-000 4000

STEM GLOBAL FX 6MM X 108MM^1137-06-000 4000

STEM GLOBAL FX 6mm X 120mm^1128-06-000 4000

STEM GLOBAL FX 8MM X 130MM^1128-08-000 4000

STEM GLOBAL FX 8MM X 133MM^1137-08-000 4000

STEM GLOBAL FX 8MM^1137-08-050 4000

STEM GLOBAL FX POROCOAT 6MM^1137-06-050 4000

STEM GLOBAL UNITE STD SZ 16 137MM^1100-16-100 6000

STEM GLOBAL UNITE SZ 14 129MM^1100-14-100 6000

STEM HIP #1 ACCOLADE TMZF+^6021-0130 4600

STEM HIP #2 ACCOLADE TMZF+^6021-0230 4600

STEM HIP #2.5 ACCOLADE TMZF+^6021-2530 4600

STEM HIP #3 ACCOLADE TMZF+^6021-0335 4600

STEM HIP #3.5 ACCOLADE TMZF+^6021-3535 4600

STEM HIP #4 ACCOLADE TMZF+^6021-0435 4600

STEM HIP #4.5 ACCOLADE TMZF+^6021-4535 4600

STEM HIP #5 ACCOLADE TMZF+^6021-0537 4600

STEM HIP #5.5 ACCOLADE TMZF+^6021-5537 4600

STEM HIP #6 ACCOLADE TMZF+^6021-0637 4600

STEM HIP #7 ACCOLADE TMZF+^6021-0740 4600

STEM HIP #8 ACCOLADE TMZF+^6021-0840 4600

STEM HIP #8 HA CALCAR REPL^6018-0814 15043

STEM HIP #8 HA CALCAR REPL^6019-0814 10634

STEM HIP ACCOLADE C #4^6057-0435 7463

STEM HIP ACCOLADE C 127^6057-0230D 3200

STEM HIP ACCOLADE C 127^6057-0335D 3200

STEM HIP ACCOLADE C 127^6057-0435D 3200

STEM HIP ACCOLADE C 127^6057-0537D 3200

STEM HIP ACCOLADE C 127^6057-0637D 3200

STEM HIP ACCOLADE C 132^6058-0335D 3200

STEM HIP ACCOLADE C 132^6058-0435D 3200

STEM HIP ACCOLADE C 132^6058-0637D 3200

STEM HIP ACCOLADE C 132^6058-0740D 3200

STEM HIP ACCOLADE C CEMENT #4^6058-0537D 3200

STEM HIP ACCOLADE HFX #1^6077-0130 1700

STEM HIP ACCOLADE HFX #2^6077-0230 1700

STEM HIP ACCOLADE HFX #3^6077-0335 1700

STEM HIP ACCOLADE HFX #4^6077-0435 1700

STEM HIP ACCOLADE HFX #5^6077-0537 1700

STEM HIP ACCOLADE HFX #6^6077-0637 1700

STEM HIP ACCOLADE HFX #7^6077-0740 1700

STEM HIP ACCOLADE HFX #8^6077-0840 1700

STEM HIP ACCOLADE II 132DEG ANGLE - MFR 6720-0635^6720-0635 5000

Page 355: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

STEM HIP ACCOLADE II 132DEG ANGLE SZ #2^6720-0230 5000

STEM HIP ACCOLADE II 132DEG ANGLE SZ #3^6720-0330 5000

STEM HIP ACCOLADE II 132DEG ANGLE SZ #4- MFRCAT 6720-0435^6720-0435 5000

STEM HIP ACCOLADE TMZF #1^6020-0130 4600

STEM HIP ACCOLADE TMZF #2.5^6020-2530 4600

STEM HIP ACCOLADE TMZF #2^6020-0230 4600

STEM HIP ACCOLADE TMZF #3.5^6020-3535 4600

STEM HIP ACCOLADE TMZF #3^6020-0335 4600

STEM HIP ACCOLADE TMZF #4.5^6020-4535 4600

STEM HIP ACCOLADE TMZF #4^6020-0435 4600

STEM HIP ACCOLADE TMZF #5.5^6020-5537 4600

STEM HIP ACCOLADE TMZF #5^6020-0537 4600

STEM HIP ACCOLADE TMZF #6^6020-0637 4600

STEM HIP ACCOLADE TMZF #7^6020-0740 4600

STEM HIP ACCOLADE TMZF #8^6020-0840 4600

STEM HIP ANATO SIZE #1 28mm X 99mm RIGHT NEUTRAL^4845-7-111 5000

STEM HIP ANATO SIZE #3 32mm X 110mm RIGHT NEUTRAL^4845-7-113 5000

STEM HIP ANATO SIZE 3 32mm x 110mm LEFT NEUTRAL^4845-7-213 5000

STEM HIP ANATO SIZE 4 LEFT NEUTRAL^4845-7-214 5000

STEM HIP ANATO SIZE 4 RIGHT NEUTRAL^4845-7-114 5000

STEM HIP ANATO SIZE 5 34mm X 120mm LEFT NEUTRAL^4845-7-215 5000

STEM HIP ANATO SIZE 5 RIGHT NEUTRAL 34MM^4845-7-115 5000

STEM HIP ANATO SIZE 6 34mm X 120mm LEFT NEUTRAL^4845-7-216 5000

STEM HIP ANATO SIZE 7 36X120mm LEFT NEUTRAL^4845-7-217 5000

STEM HIP CALCAR RESTOR SZ 10^6019-1016 10634

STEM HIP NECK ANGLE SIZE 8 117mm X 37mm^6720-0837 5000

STEM HIP OMNIFIX HFX #10 127DEG^6076-1035A 1700

STEM HIP OMNIFIX HFX #5 127DEG^6076-0525A 1700

STEM HIP OMNIFIX HFX #6 127DEG^6076-0625A 1700

STEM HIP OMNIFIX HFX #7 127DEG^6076-0730A 1700

STEM HIP OMNIFIX HFX #8 127DEG^6076-0830A 1700

STEM HIP OMNIFIX HFX #9 127DEG^6076-0935A 1700

STEM HIP RESTOR SZ 8 35MM LT^6014-0812L 10456

STEM HIP RESTORATION MOD SYS 14MM^6276-8-414 8353

STEM HUM EQUINOXE CEMENTED 10.5 RT^304-22-11 3074

STEM HUM EQUINOXE PRIMARY 11MM^300-01-11 3074

STEM HUM EQUINOXE PRIMARY 9MM -MFRCAT# 300-01-09^300-01-09 5031

STEM HUM GLOBAL STD SZ 8 107MM^1100-08-100 6000

STEM HUM GLOBAL SZ 10 113MM^1100-10-100 6000

STEM HUM GLOBAL UNITE SZ 12 120MM^1100-12-100 6000

STEM HUM PLUS PROMOS SZ 1^75006537 3000

STEM HUM PRIMARY EQUINOXE 13MM^300-01-13 3074

STEM HUM PRIMARY TURAN SZ 10^520-01-010 3600

STEM HUM PRIMARY TURON SZ 12^520-01-012 3600

STEM HUM PRIMARY TURON SZ 14^520-01-014 3600

STEM HUM PRIMARY TURON SZ 16^520-01-016 3600

STEM HUM PRIMARY TURON SZ 8^520-01-008 3600

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STEM HUM REUNION RFX -MFRCAT# 5568-0009^5568-0009 5000

STEM HUM REUNION TSA SZ15 133MM^5569-P-2015 5000

STEM HUM REUNION TSA SZ16 140MM -MFRCAT# 5569-P-2016^5569-P-2016 5000

STEM HUM UNIVER RVRS SZ 5 -MFRCAT# AR-9501-05P^AR-9501-05P 4398

STEM HUM UNIVER RVRS SZ 7 -MFRCAT# AR-9501-07P^AR-9501-07P 4398

STEM HUM UNIVER RVRS SZ 7 -MFRCAT# AR-9501-11P^AR-9501-11P 4398

STEM HUM UNIVER RVRS SZ6 -MFRCAT# AR-9501-06P^AR-9501-06P 4398

STEM HUMERAL 113mm 10mm STANDARD^110010100 6000

STEM HUMERAL 12MM^1137-12-050 4000

STEM HUMERAL 12X145MM^1137-12-000 4000

STEM HUMERAL APEX 12mm AR-9100-12S 7390

STEM HUMERAL APEX 14MM-MFRCAT# AR-9100-14S^AR-9100-14S 7390

STEM HUMERAL APEX 5mm-MFRCAT# AR-9100-05S^AR-9100-05S 7390

STEM HUMERAL APEX 6mm-MFRCAT# AR-9100-06S^AR-9100-06S 7390

STEM HUMERAL APEX 7MM-MFRCAT# AR-9100-07S^AR-9100-07S 7390

STEM HUMERAL APEX -MFRCAT# AR-9100-08S^AR-9100-08S 7390

STEM HUMERAL APEX -MFRCAT# AR-9100-10S^AR-9100-10S 7390

STEM HUMERAL COCR CEMENTED SZ 6/115MM^5624-6/11 6348

STEM HUMERAL COCR CEMENTED SZ10/125MM^5624-10/12 6348

STEM HUMERAL COCR CEMENTED SZ8/120MM^5624-8/12 6348

STEM HUMERAL DELTA XTEND DIA 10^130710000 4000

STEM HUMERAL DELTA XTEND DIA 12^130712000 4000

STEM HUMERAL DELTA XTEND DIA 14^130714000 4000

STEM HUMERAL DELTA XTEND SZ1/DIA12^130712100 8000

STEM HUMERAL PLUS PROMOS 3^75006539 3000

STEM HUMERAL REUNION 10MM^R5351-4510 7031

STEM HUMERAL REUNION 12MM^R5351-4512 7031

STEM HUMERAL REUNION 13MM^R5351-4513 7031

STEM HUMERAL REUNION 45X18^R5350-4518 3196

STEM HUMERAL UNIVER REVERS SZ 10 -MFRCAT# AR-9501-10P^AR-9501-10P 4398

STEM HUMERAL UNIVERS REVERS SZ 8^AR-9501-08P 4398

STEM HUMERAL UNIVERS REVERS SZ 9^AR-9501-09P 4398

STEM IMPLANT 6MM 00-8700-006-00 4000

STEM IMPLANT 7MM 00-8700-007-00 4000

STEM IMPLANT 9MM 00-8700-009-00 4000

STEM INTEGRAL CENT FEM 11X135^11-162711 2658

STEM LARGE FEMORAL COMP 135mm^129002 4370

STEM LAT MAL HD FEMORAL 15X180^11-104215 4748

STEM LEGION PRESSFIT 10X120^71424023 1897

STEM LEGION PRESSFIT 10X160^71424043 1922

STEM LEGION PRESSFIT 10X220 STR^71424063 2002

STEM LEGION PRESSFIT 11X160MM^71424044 1922

STEM LEGION PRESSFIT 11X220^71424064 2002

STEM LEGION PRESSFIT 12X120 71424025 1897

STEM LEGION PRESSFIT 12X160MM^71424045 1922

STEM LEGION PRESSFIT 12X220^71424065 2002

STEM LEGION PRESSFIT 13X220 STR^71424066 2002

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Description CPT-4 Base Price Schedule

STEM LEGION PRESSFIT 14X160MM^71424047 1922

STEM LEGION PRESSFIT 14X220 STR^71424067 2002

STEM LEGION PRESSFIT 18X220 STRT^71424071 2002

STEM LEGION PRESSFIT NSLOT 12X100^71421312 2002

STEM LEGION PRESSFIT NSLT10 10X100^71421310 2002

STEM LGN PRESSFIT 13X120 71424026 1897

STEM LGN PRESSFIT 13X160MM^71424046 1922

STEM LGN PRESSFIT 15X160MM^71424048 1922

STEM LGN PRESSFIT 16 X 160MM^71424049 1922

STEM LGN PRESSFIT 16X220MM STR^71424069 2002

STEM LGN PRESSFIT 18X160^71424051 1922

STEM LGN PRESSFIT 22 X 160MM^71424055 1922

STEM LNG PRESSFIT 20 X 160MM^71424053 1922

STEM LONG NECK TAPER ABGII^4845-4-417 1485

STEM MAL HD FEMORAL 15 X 170^11-104905 6774

STEM MAL HD FEMORAL 55X17X220^11-104976 7195

STEM MALLORY HD FEMORAL 10X155^11-104210 4748

STEM MALLORY HD FEMORAL 11X160^11-104111 5090

STEM MALLORY HD FEMORAL 12X165^11-104112 5090

STEM MALLORY HD FEMORAL 13X170^11-104113 5090

STEM MALLORY HD FEMORAL 14X175^11-104114 5090

STEM MALLORY HD FEMORAL 15X180^11-104115 5090

STEM MALLORY HD FEMORAL 16X180^11-104116 5090

STEM MALLORY HD FEMORAL 8X145^11-104108 5090

STEM MALLORY HD FEMORAL 9X150^11-104109 5090

STEM MM FEMORAL 13MM X 152MM^154049 4000

STEM MOD HUM REUNION SZ 11^5569-P-2011 5000

STEM MOD HUM REUNION SZ 12^5569-P-2012 5000

STEM MOD HUM REUNION SZ 40^5569-P-2009 5000

STEM MOD HUM REUNION TSA SZ 10X123MM^5569-P-2010 5000

STEM MOD HUM REUNION TSA SZ 13 128MM^5569-P-2013 5000

STEM MOD RADIAL HEAD^MRH-350-04 5580

STEM MOD READAPT 240MM SZ 15^71354360 18095

STEM NECK ANGLE HIP SIZE 7 37MM X114MM ACCOLADE II 132 DEG 67220-0737 5000

STEM ODC HIP #10^6070-1035A 1700

STEM ODC HIP #11^6070-1140A 1700

STEM ODC HIP #5^6070-0525A 1700

STEM ODC HIP #6^6070-0625A 1700

STEM ODC HIP #7^6070-0730A 1700

STEM ODC HIP #8^6070-0830A 1700

STEM ODC HIP #9^6070-0935A 1700

STEM OMNI FIT HEAD/NECK HIP #9 CTAPER^6050-0955 3200

STEM OMNIFIT EON HIP #10^6098-1040 3200

STEM OMNIFIT EON HIP #5^6098-0530 3200

STEM OMNIFIT EON HIP #6^6098-0630 3200

STEM OMNIFIT EON HIP #7^6098-0735 3200

STEM OMNIFIT EON HIP #8^6098-0835 3200

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Description CPT-4 Base Price Schedule

STEM OMNIFIT EON HIP 132^6098-0940 3200

STEM OMNIFIT EON PLUS HIP #6^6097-0630 3200

STEM OMNIFIT EON PLUS HIP #7^6097-0735 3200

STEM OMNIFIT EON PLUS HIP^6097-0530 3200

STEM OMNIFIT EON PLUS HIP^6097-0940 3200

STEM OMNIFIT EON PLUS HIP^6097-1040 3200

STEM OMNIFIT HA #12 REVISION^6017-1240A 5253

STEM OMNIFIT HA #12^6017-1240 4800

STEM OMNIFIT HA HIP #10 35MM^6017-1035 4800

STEM OMNIFIT HA HIP #10 35MM^6017-1035A 5253

STEM OMNIFIT HA HIP #11^6017-1140A 5253

STEM OMNIFIT HA HIP #6^6017-0625 7700

STEM OMNIFIT HA HIP #7^6017-0730A 4600

STEM OMNIFIT HA HIP #8^6017-0830A 5253

STEM OMNIFIT HA HIP #9^6017-0935A 4600

STEM OMNIFIT HEAD/NECK HIP #5^6050-0530 2781

STEM OMNIFIT HEAD/NECK HIP #7^6050-0735 3200

STEM OMNIFIT HEAD/NECK HIP #7^6050-0745 3200

STEM OMNIFIT HEAD/NECK HIP #9^6050-0935 3200

STEM OMNIFIT HEAD/NECK HIP #9^6050-0945 2781

STEM POLARSTEM LAT.TI/HA 0 NON-CEM^75100463 5253

STEM POLARSTEM LAT.TI/HA 1 NON-CEM^75100464 5253

STEM POLARSTEM LAT.TI/HA 1 NON-CEM^75100474 5253

STEM POLARSTEM LAT.TI/HA 2 NON-CEM^75100465 5253

STEM POLARSTEM LAT.TI/HA 2 NON-CEM^75100475 5253

STEM POLARSTEM LAT.TI/HA 3 NON-CEM^75100476 5253

STEM POLARSTEM LAT.TI/HA 4 NON-CEM^75100467 5253

STEM POLARSTEM LAT.TI/HA 4 NON-CEM^75100477 5253

STEM POLARSTEM LAT.TI/HA 5 NON-CEM -MFRCAT 75100468^75100468 5253

STEM POLARSTEM LAT.TI/HA 5 NON-CEM -MFRCAT# 75100478^75100478 5253

STEM POLARSTEM LAT.TI/HA 6 NON-CEM -MFRCAT 75100469^75100469 5253

STEM POLARSTEM LAT.TI/HA 7 NON-CEM^75100470 5253

STEM POLARSTEM LAT.TI/HA 7 NON-CEM^75100480 5253

STEM POLARSTEM LAT.TI/HA 8 NON-CEM^75100471 5253

STEM POLARSTEM LAT.TI/HA 8 NON-CEM^75100481 5253

STEM POLARSTEM STD.TI/HA 3 NON-CEM^75100466 5253

STEM POROUS OSS 13.5X90^150384 3488

STEM POROUS W/SCREW 17.5X150^150396 3654

STEM PROX FLUTED SZ 17 240MM^71354317 18095

STEM RADIAL EXPLOR 7X20^11-210062 4000

STEM RADIAL EXPLOR 8x28^11-210063 3108

STEM RADIAL EXPLOR 9X30^11-210064 3108

STEM RADIAL STR 6MM X24MM STER^04.402.006S 3283

STEM RADIAL STR 7X26 STERILE^04.402.007S 3283

STEM RADIAL STR 8X28 - STERILE^04.402.008S 3283

STEM RADIAL STR 9X30 STER^04.402.009S 3283

STEM READAPT MOD SLVD 240MM SZ14^71354409 18095

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Description CPT-4 Base Price Schedule

STEM READAPT MONO 300MM SZ 16 SO^71354741 18270

STEM READAPT MONO SLVLS 240MM SZ 14 SO - MFRCAT 71354703^71354703 17328

STEM READAPT MONO SLVLS 240MM SZ 16 SO^71354705 17328

STEM READAPT MONO SLVLS 240MM SZ 17 SO^71354706 17328

STEM READAPT MONO SLVLS 240MM SZ 18 SO^71354707 17328

STEM READAPT PF 240MM SZ 15^71354315 18095

STEM READAPT PF 300MM SZ 15^71354331 19600

STEM REDAPT SLVD MONO 300MM SZ 16HO^71354858 17400

STEM REDAPT SLVLS MONO 240mm SZ 19 HO^71354726 17328

STEM REDAPT SLVLS MONO 190MM SZ 19 HO^71354486 15780

STEM RESTOR HIP 155X14 6276-7-014 6529

STEM RESTOR HIP 155X17^6276-7-017 6529

STEM RESTOR HIP 195X14^6276-7-214 7297

STEM RESTORATION HA HIP #10 RT^6014-1014R 10456

STEM RESTORATION HA HIP #10^6013-1014 12135

STEM RESTORATION HA HIP #11^6013-1115 12135

STEM RESTORATION HA HIP #12^6013-1218 12135

STEM RESTORATION HA HIP #9^6013-0915 12135

STEM RESTORATION HIP HA BOW #10^6015-1016R 10102

STEM REUNION TSA MOD HUMERAL SZ 14 133MM^5569-P-2014 5000

STEM SECUR FIT MAX HIP #6 132 DEG^6051-0625S 4600

STEM SECUR FIT MAX HIP #7^6051-0730S 4600

STEM SECUR FIT MAX HIP 127 #10^6052-1035S 4600

STEM SECUR FIT MAX HIP 127 #11^6052-1140S 4600

STEM SECUR FIT MAX HIP 127 #12^6052-1240S 4600

STEM SECUR FIT MAX HIP 127 #13^6052-1340S 4600

STEM SECUR FIT MAX HIP 127 #6^6052-0625S 4600

STEM SECUR FIT MAX HIP 127 #7^6052-0730S 4600

STEM SECUR FIT MAX HIP 127 #8^6052-0830S 4600

STEM SECUR FIT MAX HIP 127 #9^6052-0935S 4600

STEM SECUR FIT MAX HIP 132 #12^6051-1240S 4600

STEM SECUR FIT MAX HIP 132 #5^6051-0525S 4600

STEM SECUR-FIT HA HIP #10 ANGL^6051-1035S 4600

STEM SECUR-FIT HA HIP #10^6051-1035A 4600

STEM SECUR-FIT MAX HIP #13^6051-1340S 4600

STEM SECUR-FIT MAX HIP #8^6051-0830S 4600

STEM SECUR-FIT MAX HIP #9^6051-0935S 4600

STEM SECUR-FIT MAX HIP 132 #14^6051-1440S 4600

STEM SECUR-FIT MAX HIP 132 #4^6051-0425S 4600

STEM SECUR-FIT PLUS HIP #11^6051-1140S 4600

STEM SECUR-FIT PLUS HIP #11^6054-1117 5524

STEM SECUR-FIT PLUS HIP #12^6054-1216 5524

STEM SECUR-FIT PLUS HIP #12^6054-1218A 7868

STEM SECUR-FIT PLUS HIP #9^6054-0915A 5524

STEM SLOT REV PRESSFIT 10X150^71421318 2367

STEM SLOT REV PRESSFIT 12X150M^71421320 2367

STEM SLOT REV PRESSFIT 14X100 - MFRCAT 71421314^71421314 2002

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Description CPT-4 Base Price Schedule

STEM SLOT RV PRESSFIT 14X150M^71421322 2367

STEM SPECTRON EF SZ 1 HIGH OFS^71312111 2781

STEM SPECTRON EF SZ 1^71312101 2781

STEM SPECTRON EF SZ 2 HIGH OFS^71312112 2781

STEM SPECTRON EF SZ 2^71312102 2781

STEM SPECTRON EF SZ 3 HIGH OFS^71312113 2781

STEM SPECTRON EF SZ 3^71312103 2781

STEM SPECTRON EF SZ 4 HIGH OFS^71312114 2781

STEM SPECTRON EF SZ 4^71312104 2781

STEM SPECTRON EF SZ 5 HIGH OFS^71312115 2781

STEM SPECTRON EF SZ 5^71312105 2781

STEM SPLINED KNEE 12X80^141612 2799

STEM STD ARH SLIDE-LOC 11MM^5001-0111N-S 3242

STEM STR CEMENT GMRS 13X127^6485-3-013 7637

STEM STRAIGHT CEMENT 13X127^6485-3-113 5532

STEM SYN POR PLUS HA SZ 14^71309014 5253

STEM TI HUMERAL PRESS FIT 10/125^5537-10/12 7227

STEM TI HUMERAL PRESS FIT 12/130^5537-12/13 7227

STEM TI HUMERAL PRESS FIT 6/11^5537-6/11 7227

STEM TI HUMERAL PRESS FIT 8/120^5537-8/12 7227

STEM TIB POROUS OSS 14.5X90^150385 3488

STEM TIBIAL POROUS 16.5X90^150387 3488

STEM ULNAR SZ 5 75MM RT - MFRCAT# 00-8400-025-07^00-8400-025-07 8500

STEM UNIVERS APEX HUMERAL 13MM AR-9100-13S 7390

STEM UNIVERS APEX HUMERAL 9mm^AR-9100-09S 7390

STEM UNIVERS APEX HUMERAL STEM, 11MM AR-9100-11S 7390

STEMLESS HUMERAL COMP INTEGRIP CAGE SIZE 3^300-62-03 8000

STEMLESS HUMERAL HEAD EXTRA SHORT 50mm X 16mm^310-60-50 3200

STEMLESS HUMERAL HEAD EXTRA SHORT 53mm (BETA)^310-60-53 3200

STENT 10X20 27-405 ^27-405 251

STENT 10X24 27-407^27-407 251

STENT 10X26 27-408^27-408 251

STENT 10X28 27-409^27-409 251

STENT 1OX22 27406^27-406 251

STENT 4.8 X 28 HYDROPLUS^M0061251240 320

STENT AFX 2 BIFURCATED ENDOGRAFT SYS BEA28-80/I20-40 27998

STENT AFX2 BIFURCATED GRAFT 25MM X 16MM X 160MM BEA25-120/I16-40 27998

STENT AMPLATZ URETHERAL ST (REORDER #230840) ^G09710 267

STENT AORTA 39-10MM PALMAZ^P4010 2770

STENT AXIOS AND ELECTROCAUTERY ENHANCED ^M00553650 8800

STENT BIFUR ENDOLOGIX 28-13-120BL^28-13-120BL 22590

STENT BILIARY 7 X 5CM^3920 234

STENT BILIARY DB PRELOAD 7FR X 7CM^M00534210 261

STENT BILIARY EXPRESS 10X30X75^38046-10207 1900

STENT BILIARY EXPRESS 8X20X75^38046-82075 1900

STENT BILIARY EXPRESS 9X30X75^38046-92075 1900

STENT BILIARY RX 10x60 COVERED WALL PREMALUME COVERING^M00570370 4500

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Description CPT-4 Base Price Schedule

STENT BILIARY RX 11.5 x 5cm ^M00545700 204

STENT BILIARY RX 11.5 x 7^M00545710 204

STENT BILIARY RX DB PRELOAD 10 FR X 12CM ^M00534350 261

STENT BILIARY RX DB PRELOAD 10 FR X 15CM ^M00534360 261

STENT BILIARY RX DB PRELOAD 10 FR X 5CM ^M00534320 261

STENT BILIARY RX DB PRELOAD 10 FR X 7CM ^M00534330 261

STENT BILIARY RX DB PRELOAD 7FR X 12CM ^M00534230 261

STENT BILIARY RX DB PRELOAD 7FR X 15CM ^M00534240 261

STENT BILIARY RX DB PRELOAD 7FR X 9CM^M00534220 261

STENT BILIARY RX PRELOAD 10 FR X 9CM^M00534340 261

STENT BILIARY RX PRELOAD 7FR X 5CM^M00534200 261

STENT BRIDGE AURORA 10X40X75^1040SM 1600

STENT BRIDGE AURORA 10X60X120^1060SML 1600

STENT BRIDGE AURORA 10X60X75^1060SM 1600

STENT BRIDGE AURORA 6X20X120^620SML 1600

STENT BRIDGE AURORA 6X40X120^640SML 1600

STENT BRIDGE AURORA 6X60X120^660SML 1600

STENT BRIDGE AURORA 6X80X120^680SML 1600

STENT BRIDGE AURORA 7X20X120^720SML 1600

STENT BRIDGE AURORA 7X40X120^740SML 1600

STENT BRIDGE AURORA 7X40X75^740SM 1600

STENT BRIDGE AURORA 7X60X120^760SML 1600

STENT BRIDGE AURORA 7X80X120^780SML 1600

STENT BRIDGE AURORA 8X40X120^840SML 1600

STENT BRIDGE AURORA 8X40X75^840SM 1600

STENT BRIDGE AURORA 8X60X120^860SML 1600

STENT BRIDGE AURORA 8X60X75^860SM 1600

STENT BRIDGE AURORA 9X40X75^940SM 1600

STENT BRIDGE AURORA 9X60X75^960SM 1600

STENT BRIDGE SB1040L^SB1040L 1600

STENT BRIDGE SB640L^SB640L 1600

STENT BRIDGE SB660L^SB660L 1600

STENT BRIDGE SB740L^SB740L 1600

STENT BRIDGE SB840L^SB840L 1600

STENT BRIDGE SB940L^SB940L 1600

STENT BRIDGE SB960F^SB960F 1600

STENT BRIDGE SB960L^SB960L 1600

STENT BRIDGE SB980L^SB980L 1600

STENT CAROTID NEXSTENT^M001553030 4790

STENT CATHETER SET MALECOT NEPHROSTOMY^G14431 161

STENT COLONIC WALLFLEX 25mm X 12mm^M00565060 4928

STENT COLONIC WALLFLEX 25x90mm^M00565050 4928

STENT CONTOUR URETERAL 6FR X 24CM^M0061802220 223

STENT CONTOUR URETERAL 6FR X 26CM^M0061802230 271

STENT CONTOUR URETERAL 6FR X 28CM^M0061802240 223

STENT CONTOUR VL URETERAL 6FR X 22-30CM^180-156 228

STENT CONTOUR VL URETERAL 7FR X 22-30CM^180-157 223

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STENT COTTON HUIBERGTSE 11.5-7 ^G21542 276

STENT DES ELUVIA 6mm X 120mm X 130cm^H74939294601210 5790

STENT DES ELUVIA 6mm X 40mm X 130cm^H74939294600410 3990

STENT DES ELUVIA 6mm X 80mm X 130cm^H74939294600810 5190

STENT DES ELUVIA 7mm X 120mm 130cm^H74939294701210 5790

STENT DES ELUVIA 7mm X 40mm x 130cm^H74939294700410 3990

STENT DES ELUVIA 7mm X 80mm X 130cm^H74939294700810 5190

STENT DOUBLE J 8 X 22 ^24-550 267

STENT DOUBLE J 8 X 24 ^24-551 267

STENT DOUBLE PIGTAIL 10frX5cm ^G25672 276

STENT ENDOMAXX ESOPH 23X150 -MFRCAT# MAXX-2315^MAXX-2315 4400

STENT EPIC 6 FR 10MM X 80mm X 75CM^H74939200108070 2000

STENT EPIC 6 FR 120 X 10 X 100^39200-10102 2000

STENT EPIC 6 FR 120 X 6 X 100^39200-06102 2000

STENT EPIC 6 FR 120 X 6 X 40^39200-06402 2000

STENT EPIC 6 FR 120 X 6 X 60^39200-06602 2000

STENT EPIC 6 FR 120 X 6 X 80^39200-06802 2000

STENT EPIC 6 FR 120 X 7 X 100^39200-07102 2000

STENT EPIC 6 FR 120 X 7 X 40^39200-07402 2000

STENT EPIC 6 FR 120 X 7 X 60^39200-07602 2000

STENT EPIC 6 FR 120 X 7 X 80^39200-07802 2000

STENT EPIC 6 FR 120 X 8 X 100^39200-08102 2000

STENT EPIC 6 FR 120 X 8 X 40^39200-08402 2000

STENT EPIC 6 FR 120 X 8 X 60^39200-08602 2000

STENT EPIC 6 FR 120 X 8 X 80^39200-08802 2000

STENT EPIC 6 FR 120 X 9 X 100^39200-09102 1872

STENT EPIC 6 FR 120 X 9 X 60^39200-09602 2000

STENT EPIC 6 FR 75 X 10 X 40^39200-10407 1872

STENT EPIC 6 FR 75 X 10 X 60^39200-10607 1872

STENT EPIC 6 FR 75 X 10 X 80^39200-10807 1872

STENT EPIC 6 FR 75 X 12 X 40^39200-12407 1872

STENT EPIC 6 FR 75 X 12 X 60^39200-12607 1872

STENT EPIC 6 FR 75 X 7 X 100^39200-07107 2000

STENT EPIC 6 FR 75 X 7 X 120^39200-07127 2000

STENT EPIC 6 FR 75 X 7 X 20^39200-07207 2000

STENT EPIC 6 FR 75 X 7 X 40^39200-07407 2000

STENT EPIC 6 FR 75 X 7 X 60^39200-07607 2000

STENT EPIC 6 FR 75 X 7 X 80^39200-07807 2000

STENT EPIC 6 FR 75 X 8 X 100^39200-08107 1872

STENT EPIC 6 FR 75 X 8 X 120^39200-08127 2000

STENT EPIC 6 FR 75 X 8 X 20^39200-08207 2000

STENT EPIC 6 FR 75 X 8 X 40^39200-08407 2000

STENT EPIC 6 FR 75 X 8 X 60^39200-08607 2000

STENT EPIC 6 FR 75 X 8 X 80^39200-08807 2000

STENT EPIC 6 FR 75 X 9 X 100^39200-09107 1872

STENT EPIC 6 FR 75 X 9 X 40^39200-09407 1872

STENT EPIC 6 FR 75 X 9 X 60^39200-09607 1872

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Description CPT-4 Base Price Schedule

STENT EPIC VASCULAR 10mm X 40mm 75cm^H74939200104070 1872

STENT ESOPHAGEAL ENDOMAXX 19mmX120mm^MAXX-1912 4400

STENT ESOPHAGEAL ENDOMAXX 23mmX120mm^MAXX-2312 4400

STENT EXPRESS 12 X 2.25^35050-1222 1463

STENT EXPRESS 12 X 2.5^35050-1225 1463

STENT EXPRESS 16 X 2.25^35050-1622 1463

STENT EXPRESS 16 X 2.5^35050-1625 1463

STENT EXPRESS 20 X 2.25^35050-2022 1463

STENT EXPRESS 20 X 2.5^35050-2025 1463

STENT EXPRESS 24 X 2.25^35050-2422 1463

STENT EXPRESS 24 X 2.5^35050-2425 1463

STENT EXPRESS 8 X 2.25^35050-0822 1463

STENT EXPRESS 8 X 2.5^35050-0825 1463

STENT EXPRESS L.D. 6X40X135^H74938047640130 1900

STENT EXPRESS L.D. 6X60X135^H74938047660130 1900

STENT EXPRESS L.D. 7X40X135^H74938047740130 1900

STENT EXPRESS L.D. 7X60X135^H74938047760130 1900

STENT EXPRESS L.D. 8X40X135^H74938047840130 1900

STENT EXPRESS L.D. 8X60X135^H74938047860130 1900

STENT EXPRESS L.D. 9X40X135^H74938047940130 1900

STENT EXPRESS L.D. 9X60X135^H74938047960130 1900

STENT EXPRESS LD 10X25X135^H74938047120130 1900

STENT EXPRESS LD 10X25X75^H74938046102070 1900

STENT EXPRESS LD 10X40X75^H74938046104070 1900

STENT EXPRESS LD 5 x 17 ^H74938047520130 1900

STENT EXPRESS LD 5X20X75^H74938046520750 1900

STENT EXPRESS LD 5X30X75^H74938046530750 1900

STENT EXPRESS LD 6X17X135^H74938047620130 1900

STENT EXPRESS LD 6X20X75^H74938046620750 1900

STENT EXPRESS LD 6X30X135^H74938047630130 1900

STENT EXPRESS LD 6X30X75^H74938046630750 1900

STENT EXPRESS LD 6X40X75^H74938046640750 1900

STENT EXPRESS LD 6X60X75^H74938046660750 1900

STENT EXPRESS LD 7X17X135^H74938047720130 1900

STENT EXPRESS LD 7X20X75^H74938046720750 1900

STENT EXPRESS LD 7X27X75^H74938046730750 1900

STENT EXPRESS LD 7X30X135^H74938047730130 1900

STENT EXPRESS LD 7X37X75^H74938046740750 1900

STENT EXPRESS LD 7X60X75^H74938046760750 1900

STENT EXPRESS LD 8X17X135^H74938047820130 1900

STENT EXPRESS LD 8X27X75^H74938046830750 1900

STENT EXPRESS LD 8X30X135^H74938047830130 1900

STENT EXPRESS LD 8X37X75^H74938046840750 1900

STENT EXPRESS LD 8X57X75^H74938046860750 1900

STENT EXPRESS LD 9X25X135^H74938047920130 1900

STENT EXPRESS LD 9X40X75^H74938046940750 1900

STENT EXPRESS LD 9X60X75^H74938046960750 1900

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Description CPT-4 Base Price Schedule

STENT EXPRESS SD 4.0X15X150^H74937911415150 1900

STENT EXPRESS SD 4.0X19X150^H74937912419150 1900

STENT EXPRESS SD 40X15X90CM^H74937911415900 1900

STENT EXPRESS SD 40X19X90CM^H74937912419900 1900

STENT EXPRESS SD 5.0X15X150^H74937911515150 1900

STENT EXPRESS SD 5.0X19X150^H74937912519150 1900

STENT EXPRESS SD 50X15X90CM^H74937911515900 1900

STENT EXPRESS SD 50X19X90CM^H74937912519900 1900

STENT EXPRESS SD 6.0X14X150^H74937911614150 1900

STENT EXPRESS SD 6.0X18X150^H74937912618150 1900

STENT EXPRESS SD 60X14X90CM^H74937911614900 1900

STENT EXPRESS SD 60X18X90CM^H74937912618900 1900

STENT EXPRESS SD 7.0X15MM^H74937911715150 1900

STENT EXPRESS SD 70X15X90CM^H74937911715900 1900

STENT EXPRESS SD 70X19 1X USE^H74937912719150 1900

STENT EXPRESS SD 70X19X90^H74937912719900 1900

STENT EXT ILIAC 20X13X88^20-13-88FL 5690

STENT EXT INFRARENAL ENDOLOGIX 25-25-75L^25-25-75L 5190

STENT EXT INFRARENAL PROX 34-34-80LE^34-34-80LE 7590

STENT EXT LIMB ENDOLOGIX 16-16-88L^16-16-88L 5190

STENT EXT SUPRARENAL ENDOLOGIX 28-28-95RL^28-28-95RL 6190

STENT GRAFT AFX2 BIFURCATED 28mm X 16mm X 120mm^BEA28-80/I16-40 27998

STENT GRAFT AFX2 MAIN BODY -MFRCAT# BEA22-60/I13-40^BEA22-60/I13-40 27998

STENT GRAFT AOR EXT ENDURANTII 36X36X70^ETTF3636C70E 15450

STENT GRAFT AORFIX CONTRALEG^SG-HBL-81-12-A13-20 2000

STENT GRAFT AORFIX MAIN BODY^SG-HBB-24-81-80-12-A12-22 20000

STENT GRAFT BIFUR ENDURANT 25X13X145^ETBF2513C145E 19950

STENT GRAFT BIFUR ENDURANT 25X16X124^ETBF2516C124E 19950

STENT GRAFT BIFUR ENDURANT 25X16X145^ETBF2516C145E 19950

STENT GRAFT BIFURCATED 22mm X 16mm X 100mm^BEA22--70/116-30 27998

STENT GRAFT BIFURCATED 23mmX14mmX103mm^ESBF2314C103E 19950

STENT GRAFT BIFURCATED 25mmX14mmX103mm^ESBF2514C103E 19950

STENT GRAFT BIFURCATED 28mmX14mmX103mm^ESBF2814C103E 19950

STENT GRAFT BIFURCATED 32mmX14mmX103mm^ESBF3214C103E 19950

STENT GRAFT BIFURCATED 36mmX14mmX103mm^ESBF3614C103E 19950

STENT GRAFT CAPTIVIA PROX MAIN 38X38X199^TF3838C199CP 34550

STENT GRAFT CONTRALIMB 16X16X156^ETLW1616C156E 9850

STENT GRAFT CONTRALIMB 16X16X93^ETLW1616C93E 9850

STENT GRAFT CONTRALIMB 16x20x93^ETLW1620C93E 9850

STENT GRAFT ENDUR CONTRALIMB 16X10X199^ETLW1610C199E 9850

STENT GRAFT ENDUR CONTRALIMB 16X10X82^ETLW1610C82E 9850

STENT GRAFT ENDUR CONTRALIMB 16X10X93^ETLW1610C93E 9850

STENT GRAFT ENDUR CONTRALIMB 16X13X82^ETLW1613C82E 9700

STENT GRAFT ENDUR II AUI^ETUF2514C102E 19950

STENT GRAFT ENDUR II BIFUR 28X16X124^ETBF2816C124E 19950

STENT GRAFT ENDUR II BIFUR 28X16X145^ETBF2816C145E 19950

STENT GRAFT ENDUR II BIFUR 28X20X145^ETBF2820C145E 19950

Page 365: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

STENT GRAFT ENDUR II CONTRALIMB 16X20X124^ETLW1620C124E 9850

STENT GRAFT ENDURANT AOR EXT 32X32X49^ETCF3232C49E 9150

STENT GRAFT ENDURANT AORTIC EXT 36X36X49^ENCF3636C49E 5115

STENT GRAFT ENDURANT BIFUR 23X13X145^ENBF2313C145E 19950

STENT GRAFT ENDURANT BIFUR 23X13X166^ETBF2313C166E 19950

STENT GRAFT ENDURANT BIFUR 28X13X145^ETBF2813C145E 19950

STENT GRAFT ENDURANT BIFUR 28X13X166^ETBF2813C166E 19950

STENT GRAFT ENDURANT BIFUR 32X15X145^ETBF3216C145E 19950

STENT GRAFT ENDURANT BIFUR 32X16X166^ENBF3216C166E 18745

STENT GRAFT ENDURANT BIFUR 32X16X166^ETBF3216C166E 19950

STENT GRAFT ENDURANT BIFUR 32X20X166^ENBF3220C166E 12871

STENT GRAFT ENDURANT BIFUR 36X16X145^ENBF3616C145E 10913

STENT GRAFT ENDURANT BIFUR 36X16X166^ENBF3616C166E 10913

STENT GRAFT ENDURANT CONTRAL 16X28X93^ETLW1628C93E 9850

STENT GRAFT ENDURANT CONTRALIMB 16X10X124^ETLW1610C124E 9850

STENT GRAFT ENDURANT CONTRALIMB 16X10X156^ETLW1610C156E 12800

STENT GRAFT ENDURANT CONTRALIMB 16X10X93^ENLW1610C93E 9850

STENT GRAFT ENDURANT CONTRALIMB 16X13X124^ENLW1613C124E 6420

STENT GRAFT ENDURANT CONTRALIMB 16X13X124^ETLW1613C124E 9850

STENT GRAFT ENDURANT CONTRALIMB 16X13X82^ENLW1613C82E 9850

STENT GRAFT ENDURANT CONTRALIMB 16X13X93^ETLW1613C93E 9850

STENT GRAFT ENDURANT CONTRALIMB 16X16X124^ETLW1616C124E 9850

STENT GRAFT ENDURANT CONTRALIMB 16X16X82^ETLW1616C82E 8950

STENT GRAFT ENDURANT CONTRALIMB 16X20X82^ETLW1620C82E 9850

STENT GRAFT ENDURANT CONTRALIMB 16X24X124^ETLW1624C124E 9950

STENT GRAFT ENDURANT CONTRALIMB 16X24X82^ETLW1624C82E 9850

STENT GRAFT ENDURANT CONTRALIMB 16X24X93^ENLW1624C93E 6355

STENT GRAFT ENDURANT CONTRALIMB 16X24X93^ETLW1624C93E 9850

STENT GRAFT ENDURANT CONTRALIMB 16X28X124^ETLW1628C124E 9950

STENT GRAFT ENDURANT CONTRALIMB 16X28X156^ETLW1628C156E 12800

STENT GRAFT ENDURANT CONTRALIMB 16X28X199^ETLW1628C199E 9850

STENT GRAFT ENDURANT CONTRALIMB 16X28X82^ETLW1628C82E 9850

STENT GRAFT ENDURANT II BIFUR 23X13X124^ETBF2313C124E 19950

STENT GRAFT ENDURANT II BIFUR 23X13X145^ETBF2313C145E 19950

STENT GRAFT ENDURANT II BIFUR 28X16X166^ETBF2816C166E 19950

STENT GRAFT ENDURANT II BIFUR 36X16X166^ETBF3616C166E 19950

STENT GRAFT ENDURANT II CONTRALIMB 16X13X156^ETLW1613C156E 12800

STENT GRAFT ENDURANT IL EXT 20X20X82^ENEW2020C82E 7840

STENT GRAFT ENDURANT IL EXT 24X24X82^ENEW2424C82E 6355

STENT GRAFT ENDURANT IL EXT 28X28X82^ENEW2828C82E 7840

STENT GRAFT ENDURANT ILIAC 13X13X82^ETEW1313C82E 9850

STENT GRAFT ENDURANT ILIAC EXT 10X10X82^ETEW1010C82E 9850

STENT GRAFT ENDURANT LIMB 16X10X124^ENLW1610C124E 5443

STENT GRAFT ENDURANT LIMB 16X13X93^ENLW1613C93E 5088

STENT GRAFT ENDURANT LIMB 16X16X93^ENLW1616C93E 6194

STENT GRAFT ENDURANT LIMB 16X20X124^ENLW1620C124E 13384

STENT GRAFT ENDURANT LIMB 16X20X82^ENLW1620C82E 6005

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Description CPT-4 Base Price Schedule

STENT GRAFT ENDURANT LIMB 16X28X134^ENLW1628C124E 5443

STENT GRAFT ENDURANTII AOR EXT 28X28X49^ETCF2828C49E 8350

STENT GRAFT ENDURANTII AOR EXT 36X36X49^ETCF3636C49E 9350

STENT GRAFT ENDURANTII BIFUR 28X20X166^ETBF2820C166E 19950

STENT GRAFT ENDURANTII BIFUR 32X16X124^ETBF3216C124E 19950

STENT GRAFT ENDURANTII BIFUR 32X20X145^ETBF3220C145E 19950

STENT GRAFT ENDURANTII BIFUR 36X16X145^ETBF3616C145E 19950

STENT GRAFT ENDURANTII BIFUR 36X20X145^ETBF3620C145E 19950

STENT GRAFT ENDURANTII LIMB 16X20X156^ETLW1620C156E 9950

STENT GRAFT ENDURANTII LIMB 16X24X156^ETLW1624C156E 9850

STENT GRAFT EXCLUDER^RLT351418 22000

STENT GRAFT FLUENCY 7X40^FTL07040 3804

STENT GRAFT FLUENCY PLUS ENDO 10mmX100mm ^FEM10100 3800

STENT GRAFT FLUENCY PLUS ENDO 10mmX60mm ^FEM10060 3800

STENT GRAFT FLUENCY PLUS ENDO 10mmX80mm^FEM10080 3800

STENT GRAFT FLUENCY PLUS ENDO 12mmX40mm ^FEM12040 3800

STENT GRAFT FLUENCY PLUS ENDO 12mmX60mm ^FEM12060 3800

STENT GRAFT FLUENCY PLUS ENDO 14mmX40mm ^FEM14040 3800

STENT GRAFT FLUENCY PLUS ENDO 14mmX60mm ^FEM14060 3800

STENT GRAFT FLUENCY PLUS ENDO 6mmX80mm FEM06080 3800

STENT GRAFT FLUENCY PLUS ENDO 7mmX100mm ^FEM07100 3800

STENT GRAFT FLUENCY PLUS ENDO 7mmX80mm ^FEM07080 3800

STENT GRAFT FLUENCY PLUS ENDO 8mmX100mm ^FEM08100 3800

STENT GRAFT FLUENCY PLUS ENDO 8mmX80mm ^FEM08080 3800

STENT GRAFT FLUENCY PLUS ENDO 9mmX100mm ^FEM09100 3800

STENT GRAFT FLUENCY PLUS ENDO 9mmX80mm ^FEM09080 3800

STENT GRAFT ILIAC EXT 20X20X82^ETEW2020C82E 9850

STENT GRAFT ILIAC EXT 24X24X82^ETEW2424C82E 9850

STENT GRAFT LIMB ENDURANT II ETLW1616C199E 12990

STENT GRAFT MAIN BODY 22-90/I16-30^BEA22-90/I16-30 27998

STENT GRAFT MAIN BODY 25-110/i16-30^BEA25-110/I16-30 27998

STENT GRAFT MAIN BODY 25X80/20X40^BA25-80/I20-40 23160

STENT GRAFT MAIN BODY 28X100^BA28-100/I20-40 23160

STENT GRAFT MAIN BODY AFX - MFRCAT BA28-110/I20-30^BA28-110/I20-30 23160

STENT GRAFT MAIN BODY AFX^BA28-110/I16-30 23160

STENT GRAFT MAIN BODY AFX^BA28-120/I16-40 23160

STENT GRAFT MAIN BODY AFX^BA28-120/I20-40 23160

STENT GRAFT MAIN BODY AFX^BEA25-100/I16-40 27998

STENT GRAFT MAIN BODY AFX2 25-80/I13-40^BEA25-80/I13-40 27998

STENT GRAFT MAIN BODY AFX2 28x120^BEA28-120/I16-40 27998

STENT GRAFT MAIN BODY AFX2 BEA28-110/116-30^BEA28-110/116-30 27998

STENT GRAFT MAIN BODY AFX2^BEA28-100/I20-40 27998

STENT GRAFT MAIN BODY AFX2^BEA28-110/I20-30 27998

STENT GRAFT MAIN BODY AFX2^BEA28-120/120-40 27998

STENT GRAFT MAIN BODY AFX2^BEA28-90/I16-30 27998

STENT GRAFT MAIN BODY AFX2^BEA28-90/I20-30 27998

STENT GRAFT MAIN BODY OVATION 20MM^TV-AB2080-J 23998

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Description CPT-4 Base Price Schedule

STENT GRAFT MAIN BODY OVATION 23MM^TV-AB2380-J 23998

STENT GRAFT MAIN BODY OVATION 26MM^TV-AB2680-J 23998

STENT GRAFT MAIN BODY OVATION 29MM^TV-AB2980-J 23998

STENT GRAFT MAIN BODY OVATION 34MM^TV-AB3480-J 23998

STENT GRAFT MAIN BODY^BEA22-80/I16-40 27998

STENT GRAFT MAIN BODY^BEA25-100/I20-40 27998

STENT GRAFT TALENT ABD 30X16X140^AF3016C140XH 17450

STENT GRAFT TALENT BIFUR 16X14X155^AF3214C155XH 18450

STENT GRAFT TALENT BIFUR XCEL 24X12X140^AF2412C140XH 16850

STENT GRAFT TALENT BIFUR XCEL 24X14X140^AF2414C140XH 16850

STENT GRAFT TALENT BIFUR XCEL 26X12X140^AF2612C140XH 16850

STENT GRAFT TALENT BIFUR XCEL 26X16X140^AF2616C140XH 16850

STENT GRAFT TALENT BIFUR XCEL 36X18X155^AF3618C155XH 18050

STENT GRAFT TALENT BIFUR XCEL^AF2618C140XH 17550

STENT GRAFT TALENT BIFUR XCEL^AF2814C140XH 16850

STENT GRAFT TALENT CAPTIVA PROC^CAPTIV PROC 57000

STENT GRAFT TALENT CONTRA XCEL 14X16X105^IW1416C105XH 7950

STENT GRAFT TALENT CONTRA XCEL 14X16X75^IW1416C75XH 7150

STENT GRAFT TALENT CONTRA XCEL^IW1424C105XH 8650

STENT GRAFT TALENT CONTRA XCEL^IW1424C75XH 7850

STENT GRAFT TALENT CONTRALATERAL^IW1412C90CT 8550

STENT GRAFT TALENT CONTRALATERAL^IW1414C105XH 7950

STENT GRAFT TALENT CONTRALATERAL^IW1416C105CT 7950

STENT GRAFT TALENT CONTRALATERAL^IW1416C75CT 7150

STENT GRAFT TALENT CONTRALATERAL^IW1418C105CT 8650

STENT GRAFT TALENT CONTRALATERAL^IW1422C105CT 8650

STENT GRAFT TALENT DIST MAIN CAPT 46X44X110^TW4644C110CP 29950

STENT GRAFT TALENT ILIAC EXT 18X12X80^IXW1812C80XH 8550

STENT GRAFT TALENT ILIAC EXT 18X14X75^IXW1814C75XH 8550

STENT GRAFT TALENT ILIAC EXT 22X22X79^IXW2222C79XH 7550

STENT GRAFT TALENT ILIAC EXT XCEL 16X16X80^IXW1616C80XH 7550

STENT GRAFT TALENT ILIAC EXT XCEL 16X75^IXW1612C75XH 8550

STENT GRAFT TALENT ILIAC EXT XCEL 18X18X80^IXW1818C80XH 7550

STENT GRAFT TALENT PROX MAIN CAPT 46X46X112^TF4646C112CP 31350

STENT GRAFT TALENT THOR 30X30X160^TF3030C160CP 32250

STENT GRAFT TALENT THOR EXT 40X40X46^TAXF4040W46X 6573

STENT GRAFT TALENT THOR EXT 44X44X54^TAXF4444W54X 13450

STENT GRAFT TALENT XCEL 14X12X75^IW1412C75XH 8150

STENT GRAFT TALENT XCEL DIST EXT 44X44X54^TAXW4444B54X 11000

STENT GRAFT THOR VAL 46X46X200^VAMC4646C200TU 33050

STENT GRAFT THOR VALIANT 32X28X150^VAMF3228C150TU 36990

STENT GRAFT THOR VALIANT 32X32X100^VAMF3232C100TU 29950

STENT GRAFT THOR VALIANT 44x40x150^VAMC4440C150TU 29950

STENT GRAFT VAL THOR 32x32x150^VAMF3232C150TU 32250

STENT GRAFT VAL THOR 38X38X100^VAMC3838B100TU 24000

STENT GRAFT VAL THOR 38X38X150^VAMC3838C150TU 30750

STENT GRAFT VAL THOR 40X40X100^VAMF4040C100TU 29950

Page 368: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

STENT GRAFT VAL THOR 40X40X150^VAMC4040C150TU 29950

STENT GRAFT VAL THOR 40X40X200^VAMC4040C200TU 29950

STENT GRAFT VAL THOR 40X40X200^VAMF4040C200TU 34550

STENT GRAFT VAL THOR 42X38X150^VAMC4238C150TU 29950

STENT GRAFT VAL THOR 42X42X150^VAMC4242C150TU 55000

STENT GRAFT VAL THOR 42X42X200^VAMF4242C200TU 34550

STENT GRAFT VAL THOR 46X46X150^VAMF4646C150TU 32250

STENT GRAFT VALIANT THOR 24x24x150^VAMF2424C150TU 32250

STENT GRAFT VALIANT THOR 30X30X100^VAMF3030C100TU 29950

STENT GRAFT VALIANT THOR 30X30X150^VAMC3030C150TU 30750

STENT GRAFT VALIANT THOR 30X30X150^VAMF3030C150TU 32250

STENT GRAFT VALIANT THOR 30X30X200^VAMF3030C200TU 34550

STENT GRAFT VALIANT THOR 34x34x100^VAMF3434C100TU 29950

STENT GRAFT VALIANT THOR 34X34X150^VAMC3434C150TU 30750

STENT GRAFT VALIANT THOR 34X34X200^VAMF3434C200TU 34550

STENT GRAFT VALIANT THOR 36X36X150^VAMC3636C150TU 30750

STENT GRAFT VALIANT THOR 38X38X200^VAMF3838C200TU 34550

STENT GRAFT VALIANT THOR 42x38x150^VAMF4238C150TU 36990

STENT GRAFT VIABAHN 8mm X10cm^VBCR081002A 5948

STENT GRAFT VIABAHN 8X15^VBHR081502A 7490

STENT GRAFT VIABAHN PROS 10X10X110^VBH101002A 6556

STENT GRAFT VIABAHN PROS 13X10X110^VBH131002A 6556

STENT GRAFT VIABAHN PROS 8X15^VBCR081502A 6928

STENT GRAFT VIABAHN PROS 8X5^VBCR080502A 4958

STENT GRAFT VIABAHN VASC 8X10 120CM^VBHR081002A 6556

STENT GRAFT VIABAHN VBH111002^VBH111002A 6556

STENT GRAFT VIABAHN W/HEPARIN PROS 11X5^VBH110502A 5764

STENT GRAFT VIABAHN^VBJR081502A 7592

STENT GRAFTMASTER RX 2.8x16^1012580-16 4790

STENT GRAFTMASTER RX 2.8x19^1012580-19 4790

STENT GRAFTMASTER RX 3.5x16^1012581-16 4790

STENT GRAFTMASTER RX 3.5x19^1012581-19 4790

STENT GRAFTMASTER RX 4.0x16^1012582-16 4790

STENT GRAFTMASTER RX 4.0x19^1012582-19 4790

STENT GRAFTMASTER RX 4.5x16^1012583-16 4790

STENT GRAFTMASTER RX 4.5x19^1012583-19 4790

STENT GRAFTMASTER RX 4.8x16^1012584-16 4790

STENT GRAFTMASTER RX 4.8x19^1012584-19 4790

STENT GRAPH FLUENCY 8X60 9FR^FLT08060 3623

STENT GRAPH FLUENCY 8X80 9FR^FLT08080 3623

STENT GRAPH FLUENCY 8X80^FTL08080 3804

STENT GRFT TALENT AORT EXT 28X28^AXF2828W29XH 5750

STENT GRFT TALENT AORT EXT 32X32^AXF3232W28XH 6350

STENT GRFT TALENT AORT EXT 36X36^AXF3636W26XH 6950

STENT GRFT TALENT BIFUR 24X12X170^AF2412C170XH 18450

STENT GRFT TALENT BIFUR 30X14X140^AF3014C140XH 18450

STENT GRFT TALENT BIFUR XCEL 26X14X140^AF2614C140XH 17500

Page 369: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

STENT GRFT TALENT BIFUR XCEL 32X16X170^AF3216C170XH 17850

STENT GRFT TALENT CAPT DIST MAIN 42X38X111^TW4238C111CP 28850

STENT GRFT TALENT CAPTIVIA 30X30X115^TF3030C115CP 29950

STENT GRFT TALENT CAPTIVIA 32X32X115^TF3232C115CP 29950

STENT GRFT TALENT CAPTIVIA DIST MAIN 44X40X111^TW4440C111CP 29950

STENT GRFT TALENT CAPTIVIA PROX MAIN 36X36X199^TF3636C199CP 34550

STENT GRFT TALENT CAPTIVIA PROX MAIN 40X40X159^TF4040C159CP 32250

STENT GRFT TALENT ILIAC EXT 12X8X75^IXW1208C75XH 8550

STENT GRFT TALENT THOR 34X34X115^TF3434C115CP 29950

STENT GRFT TALENT THOR 38X38X150^VAMF3838C150TU 32250

STENT GRFT TALENT THOR EXT^TAXF2828W49X 11000

STENT GRFT TALENT THOR PROX MAIN 36X36X159^TF3636C159CP 32250

STENT GRFT TALENT THOR XCEL 42X42^TAXF4242W54X 11890

STENT GRFT TALENT XCEL 14X14X105^IW1414C105XH 7950

STENT GRFT TALENT XCEL 14X14X75^IW1414C75XH 7150

STENT GRFT TALENT XCEL 14X14X90^IW1414C90XH 7550

STENT HUIBERGTSE COTTON 10-12 ^G21999 276

STENT HYDROPLUS 4.8 X 24^M0061251220 320

STENT HYDROPLUS 4.8 X 26^M0061251230 320

STENT HYDROPLUS 6.0 X 22^M0061254310 369

STENT HYDROPLUS 6.0 X 30^125-135 320

STENT HYDROPLUS 7 X 22 -MFRCAT# 125-141^125-141 320

STENT HYDROPLUS 7.0 X 26^M0061251430 320

STENT HYPROCURE II SIZE 10^HYPII-10 3138

STENT HYPROCURE II SIZE 11^HYPII-11 3138

STENT HYPROCURE II SIZE 12^HRPII-12 3138

STENT HYPROCURE II SIZE 6^HYPII-06 3138

STENT HYPROCURE II SIZE 7^HYPII-07 3138

STENT HYPROCURE II SIZE 8^HYPII-08 3138

STENT HYPROCURE II SIZE 9^HYPII-09 3138

STENT HYPROCURE SIZE 10^HYP-10 2679

STENT HYPROCURE SIZE 5^HYP-05 2679

STENT HYPROCURE SIZE 6^HYP-06 2679

STENT HYPROCURE SIZE 7^HYP-07 2679

STENT HYPROCURE SIZE 8^HYP-08 2679

STENT HYPROCURE SIZE 9^HYP-09 2679

STENT HYRDOPLUS 7.0 X 24^M0061251420 320

STENT HYRDOPLUS 8.5 X 24^M0061251520 320

STENT ICAST COV 10X38MM 120CM^85424 5150

STENT ICAST COV 6X22MM 120CM^85453 4700

STENT ICAST COV 6X38MM 120CM^85412 5150

STENT ICAST COV 6X59MM 120CM^85413 5550

STENT ICAST COV 7X59MM 120CM^85415 5550

STENT ICAST COV 8X38MM 120CM^85416 5150

STENT ICAST COV 8X59MM 120CM^85417 5550

STENT ILIAC EXT OVATION 10X160^TN-IL1410160-J 9998

STENT ILIAC EXT OVATION 14-28-160^TV-IL1428160-J 9998

Page 370: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

STENT ILIAC EXT OVATION 16X45^TV-EX161645-J 8998

STENT ILIAC EXT OVATION 28X45^TV-EX282845-J 8998

STENT ILIAC LIMB OVATION 10X120^TV-IL1410120-J 9998

STENT ILIAC LIMB OVATION 10X140^TV-IL1410140-J 9998

STENT ILIAC LIMB OVATION 10X160^TV-IL1410160-J 9998

STENT ILIAC LIMB OVATION 12X100^TV-IL1412100-J 9998

STENT ILIAC LIMB OVATION 12X120^TV-IL4142120-J 9998

STENT ILIAC LIMB OVATION 12X140^TV-IL1412140-J 9998

STENT ILIAC LIMB OVATION 12X160^TV-IL1412160-J 9998

STENT ILIAC LIMB OVATION 14 X 100mm^TV-IL1414100-J 9998

STENT ILIAC LIMB OVATION 14-14-120^TV-IL1414120-J 9998

STENT ILIAC LIMB OVATION 14-14-140^TV-IL1414140-J 9998

STENT ILIAC LIMB OVATION 14-14-160^TV-IL1414160-J 9998

STENT ILIAC LIMB OVATION 14-16-160^TV-IL1416160-J 9998

STENT ILIAC LIMB OVATION 14-18-100^TV-IL1418100-J 9998

STENT ILIAC LIMB OVATION 14-18-120^TV-IL1418120-J 9998

STENT ILIAC LIMB OVATION 14-18-140^TV-IL1418140-J 9998

STENT ILIAC LIMB OVATION 16 X 140mm^TV-IL1416140-J 9998

STENT ILIAC LIMB OVATION 18x160mm^TV-IL1418160-J 9998

STENT ILIAC LIMB OVATION 22X100^TV-IL1422100-J 9998

STENT ILIAC LIMB OVATION 22X120^TV-IL1422120-J 9998

STENT ILIAC LIMB OVATION 22X140mm^TV-IL1422140-J 9998

STENT ILIAC LIMB OVATION 22x160mm^TV-IL1422160-J 9998

STENT ILIAC LIMB SYSTEM, OVATION, iX, PMA, 14-16-120^TV-IL1416120-J 9998

STENT INFRARENAL EXT 28X75^28-28-75L 5390

STENT INNOVA 7x100x75 ^H74939293071070 2000

STENT INNOVA 7x40x75 ^H74939293074070 2000

STENT INNOVA 7x60x75 ^H74939293076070 2000

STENT INNOVA 7x80x75 ^H74939293078070 2000

STENT INNOVA 8x100x75 ^H74939293081070 2000

STENT INNOVA 8x20x75 ^H74939293080270 2000

STENT INNOVA 8x80x75 ^H74939293088070 2000

STENT INNOVA EPIC VASCULAR 12mm X 40mm X 75cm^H74939200124070 1872

STENT INNOVA VASCULAR SELF EXP 5x80x130^H7493929305803 2000

STENT INNOVA VASCULAR SELF EXPANDING 5 X 100 X 130^H74939293051030 2000

STENT INNOVA VASCULAR SELF EXPANDING 5 X 120 X 130^H74939293051230 2300

STENT INNOVA VASCULAR SELF EXPANDING 5 X 150 X 130^H74939293051530 2700

STENT INNOVA VASCULAR SELF EXPANDING 5 X 200 X 130^H74939293052030 3900

STENT INNOVA VASCULAR SELF EXPANDING 5 X 40 X 130 ^H74939293054070 2000

STENT INNOVA VASCULAR SELF EXPANDING 5 X 60 X 130^H74939293056030 2000

STENT INNOVA VASCULAR SELF EXPANDING 5x40x130^H74939293054030 2000

STENT INNOVA VASCULAR SELF EXPANDING 6 X 100 X 130^H74939293061030 2000

STENT INNOVA VASCULAR SELF EXPANDING 6 X 120 X 130^H74939293061230 2300

STENT INNOVA VASCULAR SELF EXPANDING 6 X 150 X 130^H74939293061530 2700

STENT INNOVA VASCULAR SELF EXPANDING 6 X 200 X 130^H74939293062030 3900

STENT INNOVA VASCULAR SELF EXPANDING 6 X 40 X 130^H74939293064030 2000

STENT INNOVA VASCULAR SELF EXPANDING 6 X 60 X 130^H74939293066030 2000

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STENT INNOVA VASCULAR SELF EXPANDING 6 X 80 X 130^H74939293068030 2000

STENT INNOVA VASCULAR SELF EXPANDING 7 X 100 X 130^H74939293071030 2000

STENT INNOVA VASCULAR SELF EXPANDING 7 X 120 X 130 ^H74939293071230 2300

STENT INNOVA VASCULAR SELF EXPANDING 7 X 150 X 130^H74939293071530 2700

STENT INNOVA VASCULAR SELF EXPANDING 7 X 200 X 130^H74939293072030 3900

STENT INNOVA VASCULAR SELF EXPANDING 7 X 40 X 130^H74939293074030 2000

STENT INNOVA VASCULAR SELF EXPANDING 7 X 60 X 130^H74939293076030 2000

STENT INNOVA VASCULAR SELF EXPANDING 7 X 80 X 130^H74939293078030 2000

STENT INNOVA VASCULAR SELF EXPANDING 8x40x75^H74939293084070 2000

STENT INNOVA VASCULAR SELF EXPANDING 8x60x75^H74939293086070 2000

STENT LIFESTAR 80x14x60^VIUS14060 1600

STENT LIFESTENT BARE METAL 6x100x130cm ^EX061003CS 2200

STENT LIFESTENT BARE METAL 6x150x130cm ^EX061503CS 2400

STENT LIFESTENT BARE METAL 7 X 150 X 130 ^EX071503CS 2400

STENT LIFESTENT BARE METAL 7x100mm ^EX071003CS 2200

STENT LIFESTENT BARE METAL 7x150mm^EX071703CS 2400

STENT LIFESTENT SOLO SFA & POPLITEAL 7 X 200 ^EX072003CL 3800

STENT LIFESTENT SOLO SFA \T\ POPLITEAL 6 X 200^EX062003CL 3800

STENT LUMINEXX BILIARY 6X120^RFL06120 1600

STENT MARDIS SOFT 6X24^M0061251320 320

STENT MARDIS SOFT 6X26^M0061251330 320

STENT MARDIS SOFT 6X28^M0061251340 320

STENT MARDIS SOFT 7 X 28^M0061251440 320

STENT MARDIS SOFT 8.0 X 28^M0061251540 320

STENT MARDIS SOFT 8.5 X 26^M0061251530 320

STENT MICRO CYPASS CYP-241-S^8065754 003 2600

STENT MINIVISION 2.0 X 12^1007821-12 1900

STENT MINIVISION 2.0 X 15^1007821-15 1900

STENT MINIVISION 2.0 X 18^1007821-18 1900

STENT MINIVISION 2.0 X 23^1007821-23 1900

STENT MINIVISION 2.0 X 28^1007821-28 1900

STENT MINIVISION 2.0 X 8^1007821-08 1900

STENT MINIVISION 2.25 X 12^1007822-12 1900

STENT MINIVISION 2.25 X 15^1007822-15 1900

STENT MINIVISION 2.25 X 28 ^1007822-28 1900

STENT MINIVISION 2.25 X 8^1007822-08 1900

STENT MINIVISION 2.50 X 12^1007823-12 1900

STENT MINIVISION 2.50 X 15^1007823-15 1900

STENT MINIVISION 2.50 X 18^1007823-18 1900

STENT MINIVISION 2.50 X 23^1007823-23 1900

STENT MINIVISION 2.50 X 28^1007823-28 1900

STENT MINIVISION 2.50 X 8 ^1007823-08 1900

STENT NEPHROUSTOMY 8.5fr 24cm^G48176 248

STENT PANCREATIC ADVANIX 4fr 3cm ^M00537350 338

STENT PANCREATIC ADVANIX 4fr 5cm ^M00537370 338

STENT PANCREATIC ADVANIX 4fr 5cm ^M00537480 338

STENT PANCREATIC ADVANIX 5fr 4cm ^M00537550 338

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STENT PANCREATIC GEPD-5-7 ^G22210 276

STENT PANCREATIC GEPD-7-5 ^G21478 276

STENT PANCREATIC GEPD-7-7 ^G21479 276

STENT PANCREATIC SET 3fr 7cm ^G27182 276

STENT PERCUFLEX PLUS 6FR X 22CM^M006175261010 271

STENT PERCUFLEX PLUS 6FR X 24CM^M0061752620 228

STENT PERCUFLEX PLUS 6FR X 26CM^M0061752630 228

STENT PERCUFLEX PLUS 6FR X 28CM^M006175264010 271

STENT PERCUFLEX PLUS 6FR X 30CM^175-265-01 271

STENT PERCUFLEX PLUS 6FR X 30CM^M0061752650 228

STENT PERCUFLEX PLUS 7FR X 24CM^M0061752720 228

STENT PERCUFLEX PLUS 7FR X 26CM^M0061752730 228

STENT PERCUFLEX PLUS 7FR X 28CM^M0061752740 228

STENT PERCUFLEX PLUS 7FR X 30CM^M0061752750 228

STENT PERCUFLEX PLUS 8FR X 24CM^M0061752820 228

STENT PERCUFLEX PLUS 8FR X 26CM^M0061752830 228

STENT PERCUFLEX PLUS 8FR X 28CM^M0061752840 228

STENT PERCUFLEX URINARY DIV^160-210 389

STENT PERIFPHERAL SUPERA 5.5mm 100mm 120cm^S-55-100-120-P6 3100

STENT PERIPHERAL SUPERA 4.5mm X 100mm 120cm^S-45-100-120-P6 3100

STENT PERIPHERAL SUPERA 4.5mm X 120mm 120cm^S-45-120-120-P6 3100

STENT PERIPHERAL SUPERA 5.5mm X 150mm 120cm^S-55-150-120-P6 3100

STENT PERIPHERAL SUPERA 5.5mmX80mm 120cm ^S-55-080-120-P6 3100

STENT PERIPHERAL SUPERA 6.5mm X 100mm 120cm^S-65-100-120-P6 3100

STENT PERIPHERAL SUPERA 6.5mm X 150mm 120cm^S-65-150-120-P6 3100

STENT PERIPHERAL SUPERA 6.5mmX80mm 120cm ^S-65-080-120-P6 3100

STENT PROMUS 3.5/08mm^1009542-08B 3090

STENT PROMUS 3.5/15mm^1009542-15B 3090

STENT PROMUS PREMIER MR 2.25mm X 12mm^39528-1222 2200

STENT PROMUS PREMIER MR 2.25mm X 16mm^39528-1622 2200

STENT PROMUS PREMIER MR 2.25mm X 20mm^39528-2022 2200

STENT PROMUS PREMIER MR 2.25mm x 24mm^39528-2422 2200

STENT PROMUS PREMIER MR 2.25mm X 28mm^39528-2822 2200

STENT PROMUS PREMIER MR 2.25mm X 32mm^39528-3222 2200

STENT PROMUS PREMIER MR 2.25mm X 8mm^39528-0822 2200

STENT PROMUS PREMIER MR 2.50mm X 12mm^39528-1225 2200

STENT PROMUS PREMIER MR 2.50mm X 16mm^39528-1625 2200

STENT PROMUS PREMIER MR 2.50mm X 20mm^39528-2025 2200

STENT PROMUS PREMIER MR 2.50mm X 24mm^39528-2425 2200

STENT PROMUS PREMIER MR 2.50mm X 28mm^39528-2825 2200

STENT PROMUS PREMIER MR 2.50mm X 32mm^39528-3225 2200

STENT PROMUS PREMIER MR 2.50mm X 38mm^39528-3825 2200

STENT PROMUS PREMIER MR 2.50mm X 8mm^39528-0825 2200

STENT PROMUS PREMIER MR 2.75mm x 12mm^39528-1227 2200

STENT PROMUS PREMIER MR 2.75mm X 16mm^39528-1627 2200

STENT PROMUS PREMIER MR 2.75mm X 20mm^39528-2027 2200

STENT PROMUS PREMIER MR 2.75mm X 24mm^39528-2427 2200

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Description CPT-4 Base Price Schedule

STENT PROMUS PREMIER MR 2.75MM X 28mm^39528-2827 2200

STENT PROMUS PREMIER MR 2.75mm X 32mm^39528-3227 2200

STENT PROMUS PREMIER MR 2.75mm X 38mm^39528-3827 2200

STENT PROMUS PREMIER MR 2.75mm X 8mm^39528-0827 2200

STENT PROMUS PREMIER MR 3.00mm X 12mm^39528-1230 2200

STENT PROMUS PREMIER MR 3.00mm X 16mm^39528-1630 2200

STENT PROMUS PREMIER MR 3.00mm X 24mm^39528-2430 2200

STENT PROMUS PREMIER MR 3.00mm x 32mm^39528-3230 2200

STENT PROMUS PREMIER MR 3.00mm X 38mm^39528-3830 2200

STENT PROMUS PREMIER MR 3.00mm X 8mm^39528-0830 2200

STENT PROMUS PREMIER MR 3.0mm x 28mm^39528-2830 2200

STENT PROMUS PREMIER MR 3.50mm X 12mm^39528-1235 2200

STENT PROMUS PREMIER MR 3.50mm X 16mm^39528-1635 2200

STENT PROMUS PREMIER MR 3.50mm X 20mm^39528-2035 2200

STENT PROMUS PREMIER MR 3.50mm X 24mm^39528-2435 2200

STENT PROMUS PREMIER MR 3.50mm X 28mm^39528-2835 2200

STENT PROMUS PREMIER MR 3.50mm X 32mm^39528-3235 2200

STENT PROMUS PREMIER MR 3.50mm X 38mm^39528-3835 2200

STENT PROMUS PREMIER MR 3.50mm X 8mm^39528-0835 2200

STENT PROMUS PREMIER MR 3mm x 20 mm^39528-2030 2200

STENT PROMUS PREMIER MR 4.00mm X 12mm^39528-1240 2200

STENT PROMUS PREMIER MR 4.00mm X 16mm^39528-1640 2200

STENT PROMUS PREMIER MR 4.00mm X 20mm^39528-2040 2200

STENT PROMUS PREMIER MR 4.00mm x 24mm^39528-2440 2200

STENT PROMUS PREMIER MR 4.00mm X 28mm^39528-2840 2200

STENT PROMUS PREMIER MR 4.00mm X 32mm^39528-3240 2200

STENT PROMUS PREMIER MR 4.00mm X 38mm^39528-3840 2200

STENT PROMUS PREMIER MR 4.00mm X 8mm^39528-0840 2200

STENT REBEL MR 2.25mm X 8mm^H7493927408220 1300

STENT REBEL MR 2.25mmX12mm^H7493927412220 1300

STENT REBEL MR 2.25mmX16mm^H7493927416220 1300

STENT REBEL MR 2.25mmX20mm^H7493927420220 1300

STENT REBEL MR 2.25mmX24mm^H7493927424220 1300

STENT REBEL MR 2.25mmX28mm^H7493927428220 1300

STENT REBEL MR 2.50mmX12mm^H7493927412250 1300

STENT REBEL MR 2.50mmX16mm^H7493927416250 1300

STENT REBEL MR 2.50mmX20mm^H7493927420250 1300

STENT REBEL MR 2.50mmX24mm^H7493927424250 1300

STENT REBEL MR 2.50mmX28mm^H7493927428250 1300

STENT REBEL MR 2.5mmX8mm^H7493927408250 1300

STENT REBEL MR 2.75mmX12mm^H7493927412270 1300

STENT REBEL MR 2.75mmX16mm^H7493927416270 1300

STENT REBEL MR 2.75mmX20mm^H7493927420270 1300

STENT REBEL MR 2.75mmX24mm^H7493927424270 1300

STENT REBEL MR 2.75mmX28mm^H7493927428270 1300

STENT REBEL MR 2.75mmX32mm^H7493927432270 1300

STENT REBEL MR 2.75mmX8mm^H7493927408270 1300

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Description CPT-4 Base Price Schedule

STENT REBEL MR 3.00mmX12mm^H7493927412300 1300

STENT REBEL MR 3.00mmX16mm^H7493927416300 1300

STENT REBEL MR 3.00mmX20mm^H7493927420300 1300

STENT REBEL MR 3.00mmX24mm^H7493927424300 1300

STENT REBEL MR 3.00mmX28mm^H7493927428300 1300

STENT REBEL MR 3.00mmX32mm^H7493927432300 1300

STENT REBEL MR 3.00mmX8mm^H7493927408300 1300

STENT REBEL MR 3.50mm X 24mm^H7493927424350 1300

STENT REBEL MR 3.50mmX12mm^H7493927412350 1300

STENT REBEL MR 3.50mmX16mm^H7493927416350 1300

STENT REBEL MR 3.50mmX20mm^H7493927420350 1300

STENT REBEL MR 3.50mmX28mm^H7493927428350 1300

STENT REBEL MR 3.50mmX32mm^H7493927432350 1300

STENT REBEL MR 3.50mmX8mm^H7493927408350 1300

STENT REBEL MR 4.00mmX12mm^H7493927412400 1300

STENT REBEL MR 4.00mmX16mm^H7493927416400 1300

STENT REBEL MR 4.00mmX20mm^H7493927420400 1300

STENT REBEL MR 4.00mmX24mm ^H7493927424400 1300

STENT REBEL MR 4.00mmX28mm^H7493927428400 1300

STENT REBEL MR 4.00mmX32mm^H7493927432400 1300

STENT REBEL MR 4.00mmX8mm^H7493927408400 1300

STENT REBEL MR 4.50mmX12mm^H7493927412450 1300

STENT REBEL MR 4.50mmX16mm^H7493927416450 1300

STENT REBEL MR 4.50mmX20mm^H7493927420450 1300

STENT REBEL MR 4.50mmX24mm^H7493927424450 1300

STENT REBEL MR 4.50mmX28mm^H7493927428450 1300

STENT REBEL MR 4.50mmX32mm^H7493927432450 1300

STENT SENTINOL BIL 10X41X750^38948-1407 2000

STENT SENTINOL BIL 10X59X750^38948-1607 2000

STENT SENTINOL BIL 10X80X75CM^38948-1807 2000

STENT SENTINOL BIL 6X40X1350^38948-6401 2000

STENT SENTINOL BIL 6X59X1350^38948-6601 2000

STENT SENTINOL BIL 6X79X1350^38948-6801 2000

STENT SENTINOL BIL 7X39X1350^38948-7401 2000

STENT SENTINOL BIL 7X39X750^H7493894874070 2000

STENT SENTINOL BIL 7X40X750^H7493894874070 2000

STENT SENTINOL BIL 7X59X1350^38948-7601 2000

STENT SENTINOL BIL 7X78X1350^38948-7801 2000

STENT SENTINOL BIL 7X78X75CM^38948-7807 2000

STENT SENTINOL BIL 8X42X750^38948-8407 2000

STENT SENTINOL BIL 8X42X750^3898-8407 2000

STENT SENTINOL BIL 8X60X1350^38948-8601 2000

STENT SENTINOL BIL 8X60X750^38948-8607 2000

STENT SENTINOL BIL 8X81X75CM^38948-8807 2000

STENT SENTINOL BIL 9X42X750^38948-9407 2000

STENT SENTINOL BIL 9X60X750^38948-9607 2000

STENT SENTINOL BIL 9X80X75CM^38948-9807 2000

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Description CPT-4 Base Price Schedule

STENT SENTINOL BILI 6X40X75 ^38948-6407 2000

STENT SENTINOL BILI 7X60X75^389487607 2000

STENT SENTINOL BILI 8X40X135^38948-8401 2000

STENT SMART BILIARY 14X40MM 80CM TRANSHEPATIC^C14040SB 1950

STENT SMART BILIARY 14X60MM 80CM TRANSHEPATIC^C14060SB 1950

STENT STRAIGHT PANCREATIC W/ LEADING BARB 10 FR X 5 CM M00536630 173

STENT STRAIGHT PANCREATIC W/ LEADING BARB 10 FR X 7 CM M00536650 173

STENT STRAIGHT PANCREATIC W/ LEADING BARB 10 FR X 9 CM M00536670 173

STENT STRAIGHT PANCREATIC W/ LEADING BARB 5 FR X 7 CM M00536410 153

STENT STRAIGHT PANCREATIC W/ LEADING BARB 5 FR X 9 CM M00536430 153

STENT STRAIGHT PANCREATIC W/ LEADING BARB 5fr X 3cm M00536370 153

STENT STRAIGHT PANCREATIC W/ LEADING BARB 5fr X 5cm M00536390 153

STENT STRAIGHT PANCREATIC W/ LEADING BARB 7 FR X 10 CM M00536550 173

STENT STRAIGHT PANCREATIC W/ LEADING BARB 7 FR X 5 CM M00536500 173

STENT STRAIGHT PANCREATIC W/ LEADING BARB 7 FR X 7 CM M00536520 173

STENT SUPERA 4.5 MM X 40 MM X 120 CM^S-45-040-120-P6 3100

STENT SUPERA 4.5 MM X 60 MM X 120 CM^S-45-060-120-P6 3100

STENT SUPERA 5.5 MM X 40 MM X 120 CM^S-55-040-120-P6 3100

STENT SUPERA 5.5 MM X 60 MM X 120 CM^S-55-060-120-P6 3100

STENT SUPRARENAL EXT 34X100^34-34-100RLE 8390

STENT SYNERGY 4.5 X 28^H749392602845 2400

STENT SYNERGY 4.50 x 12^H749392601245 2400

STENT SYNERGY 4.50 X 16^H749392601645 2400

STENT SYNERGY 4.50 X 20^H749392602040 2400

STENT SYNERGY 4.50 X 24^H749392602445 2400

STENT SYNERGY 4.50 X 32^H749392603245 2400

STENT SYNERGY 5.00 X 12^H749392601250 2400

STENT SYNERGY 5.00 X 16^H749392601650 2400

STENT SYNERGY 5.00 X 20^H749392602050 2400

STENT SYNERGY 5.00 X 24^H749392602450 2400

STENT SYNERGY 5.00 X 28^H749392602850 2400

STENT SYNERGY BIO DES MR 2.25mmX12mm^H7493926012220 2400

STENT SYNERGY BIO DES MR 2.25mmX16mm^H7493926016220 2400

STENT SYNERGY BIO DES MR 2.25mmX20mm^H7493926020220 2400

STENT SYNERGY BIO DES MR 2.25mmX24mm^H7493926024220 2400

STENT SYNERGY BIO DES MR 2.25mmX28mm^H7493926028220 2400

STENT SYNERGY BIO DES MR 2.25mmX32mm^H7493926032220 2400

STENT SYNERGY BIO DES MR 2.25mmX38mm^H7493926038220 2400

STENT SYNERGY BIO DES MR 2.25mmX8mm^H7493926008220 2400

STENT SYNERGY BIO DES MR 2.50mmX12mm^H7493926012250 2400

STENT SYNERGY BIO DES MR 2.50mmX16mm^H7493926016250 2400

STENT SYNERGY BIO DES MR 2.50mmX20mm^H7493926020250 2400

STENT SYNERGY BIO DES MR 2.50mmX24mm^H7493926024250 2400

STENT SYNERGY BIO DES MR 2.50mmX28mm^H7493926028250 2400

STENT SYNERGY BIO DES MR 2.50mmX32mm^H7493926032250 2400

STENT SYNERGY BIO DES MR 2.50mmX38mm^H7493926038250 2400

STENT SYNERGY BIO DES MR 2.50mmX8mm^H7493926008250 2400

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STENT SYNERGY BIO DES MR 2.75mmX12mm^H7493926012270 2400

STENT SYNERGY BIO DES MR 2.75mmX16mm^H7493926016270 2400

STENT SYNERGY BIO DES MR 2.75mmX20mm^H7493926020270 2400

STENT SYNERGY BIO DES MR 2.75mmX24mm^H7493926024270 2400

STENT SYNERGY BIO DES MR 2.75mmX28mm^H7493926028270 2400

STENT SYNERGY BIO DES MR 2.75mmX32mm^H7493926032270 2400

STENT SYNERGY BIO DES MR 2.75mmX38mm^H7493926038270 2400

STENT SYNERGY BIO DES MR 2.75mmX8mm^H7493926008270 2400

STENT SYNERGY BIO DES MR 3.00mmX12mm^H7493926012300 2400

STENT SYNERGY BIO DES MR 3.00mmX16mm^H7493926016300 2400

STENT SYNERGY BIO DES MR 3.00mmX20mm^H7493926020300 2400

STENT SYNERGY BIO DES MR 3.00mmX24mm^H7493926024300 2400

STENT SYNERGY BIO DES MR 3.00mmX28mm^H7493926028300 2400

STENT SYNERGY BIO DES MR 3.00mmX32mm^H7493926032300 2400

STENT SYNERGY BIO DES MR 3.00mmX38mm^H7493926038300 2400

STENT SYNERGY BIO DES MR 3.00mmX8mm^H7493926008300 2400

STENT SYNERGY BIO DES MR 3.50mmX12mm^H7493926012350 2400

STENT SYNERGY BIO DES MR 3.50mmX16mm^H7493926016350 2400

STENT SYNERGY BIO DES MR 3.50mmX20mm^H7493926020350 2400

STENT SYNERGY BIO DES MR 3.50mmX24mm^H7493926024350 2400

STENT SYNERGY BIO DES MR 3.50mmX28mm^H7493926028350 2400

STENT SYNERGY BIO DES MR 3.50mmX32mm^H7493926032350 2400

STENT SYNERGY BIO DES MR 3.50mmX38mm^H7493926038350 2400

STENT SYNERGY BIO DES MR 3.50mmX8mm^H7493926008350 2400

STENT SYNERGY BIO DES MR 4.00mmX12mm^H7493926012400 2400

STENT SYNERGY BIO DES MR 4.00mmX16mm^H7493926016400 2400

STENT SYNERGY BIO DES MR 4.00mmX20mm^H7493926020400 2400

STENT SYNERGY BIO DES MR 4.00mmX24mm^H7493926024400 2400

STENT SYNERGY BIO DES MR 4.00mmx28mm^H7493926028400 2400

STENT SYNERGY BIO DES MR 4.00mmX32mm^H7493926032400 2400

STENT SYNERGY BIO DES MR 4.00mmX38mm^H7493926038400 2400

STENT SYNERGY BIO DES MR 4.00mmX8mm^H7493926008400 2400

STENT SYNGERY 5.00 X 32^H749392603250 2400

STENT TAPERED 10 X 30^82098-01 4790

STENT TAPERED 10-8 X 30MM^82097-01 4790

STENT TAPERED 10-8 X 40MM^82096-01 4790

STENT TAPERED 8-6 X 30MM^82091-01 4790

STENT TAPERED 8-6 X 40MM^82090-01 4790

STENT TAPERED 9.7 X 30MM^82087-01 4790

STENT TAPERED 9.7 X 40MM^82086-01 4790

STENT TAPERED XACT 7X30^82094-01 4790

STENT TIGRIS 5mm X 10cm^PHA051002A 2990

STENT TIGRIS 5mm X 6cm^PHA050602A 2990

STENT TIGRIS 6mm X 10cm^PHA061002A 2990

STENT TIGRIS 6mm X 6cm^PHA060602A 2990

STENT TRANSCAROTID ENROUTE 10X30^SR-1030-CS 4900

STENT TRANSCAROTID ENROUTE 10X40 -MFRCAT SR-1040-CS^SR-1040-CS 4900

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STENT TRANSCAROTID ENROUTE 6 X 40^SR-0640-CS 4900

STENT TRANSCAROTID ENROUTE 7 X 30^SR-0730-CS 5500

STENT TRANSCAROTID ENROUTE 7X40^SR-0740-CS 4900

STENT TRANSCAROTID ENROUTE 8X30^SR-0830-CS 4900

STENT TRANSCAROTID ENROUTE 8X40^SR-0840-CS 4900

STENT TRANSCAROTID ENROUTE 9X30^SR-0930-CS 4900

STENT TRANSCAROTID ENROUTE 9X40^SR-0940-CS 4900

STENT ULTRATHANE AMPLATZ URETERAL ^G09989 267

STENT ULTRATHANE AMPLATZ URETERAL ^G11255 267

STENT ULTRATHANE AMPLATZ URETERAL ^G12049 267

STENT URETERAL 6FR 24CM 2 PGTL CRV BLUU^778624 368

STENT URETERAL 6FR 26CM 2 PGTL CRV BLUU^778626 368

STENT URETERAL 6FR 28CM 2 PGTL CRV BLUU^778628 368

STENT URETHERAL 8fr X 20cm ^24-400 251

STENT URETHRAL 8fr X 22CM ^27-401 251

STENT URETHRAL 8fr X 24cm ^27-402 251

STENT URETHRAL 8fr X 26cm ^27-403 251

STENT UROLOGICAL 4.8 X 22 PERCUFLEX^M0061752510 223

STENT UROLOGICAL 6 X20 PERCUFLEX^M0061802200 223

STENT UROLOGICAL 6 X30 PERCUFLEX^M0061802250 223

STENT UROLOGICAL 6X22 PERCUFLEX^M0061802210 223

STENT UROLOGICAL 8 X28 PERCUFLEX^M0061802440 223

STENT UROLOGICAL 8X24 PERCUFLEX^M0061802420 223

STENT UROLOGICAL 8X26^M0061802430 223

STENT VBX VIABHAN 7 x 19mm^BXA071902A 4842

STENT VIABAHN 7X2.5X110 ^VBCR070202A 4958

STENT VIABAHN VASC 6X15 75CM^VBHR061502A 7490

STENT VIABAHN VBS 8MM X 59MM LARGE EXPANSION^BXA085902A 5764

STENT VIABAHN VBX 135 CM 10MM X 39MM^BXA103902A 5764

STENT VIABAHN VBX 135 CM 10MM X 59MM^BXA105902A 5764

STENT VIABAHN VBX 135 CM 10MM X 79MM^BXA107902A 6556

STENT VIABAHN VBX 135 CM 11MM X 59MM^BXA115902A 5764

STENT VIABAHN VBX 135 CM 11MM X 79MM^BXA117902A 6556

STENT VIABAHN VBX 135 CM 7MM X 59MM^BXA075902A 5764

STENT VIABAHN VBX 135 CM 8MM X 39MM^BXA083902A 5764

STENT VIABAHN VBX 135 CM 8MM X 59MM***USE ITEM #82237^BXA085902A 5764

STENT VIABAHN VBX 135 CM 8MM X 79MM^BXA087902A 6556

STENT VIABAHN VBX 135 CM 9MM X 39MM^BXA093902A 5764

STENT VIABAHN VBX 135 CM 9MM X 59MM^BXA095902A 5764

STENT VIABAHN VBX 135 CM 9MM X 79MM^BXA097902A 6556

STENT VIABAHN VBX 135CM 7MM X 39MM^BXA073902A 5764

STENT VIABAHN VBX 6mm X 39mm^BXA063902A 5764

STENT VIABAHN VBX 6mm X 59mm^BXA065902A 5764

STENT VIABAHN VBX 7mm X29mm X135cm CATH^BXA072902A 5764

STENT VIABAHN VBX -MFRCAT BXA077901A^BXA077901A 6556

STENT VIABAHN VBX -MFRCAT BXA077902A^BXA077902A 6556

STENT VIABAHN VBX135 CM 11MM X 39MM^BXA113902A 5764

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Description CPT-4 Base Price Schedule

STENT VIABAHN VETRO VASC 5MM X 10CM 120CM^VBJR051002A 6634

STENT VIABAHN VETRO VASC 5MM X 15CM 120CM^VBJR051502A 7592

STENT VIABAHN VETRO VASC 5MM X 25CM 120CM^VBJR052502A 12564

STENT VIABAHN VETRO VASC 5MM X 5CM 120CM^VBJR050502A 5918

STENT VIABAHN VETRO VASC 6MM X 10CM 120CM^VBJR061002A 6634

STENT VIABAHN VETRO VASC 6MM X 15CM 120CM^VBJR061502A 7592

STENT VIABAHN VETRO VASC 6MM X 25CM 120CM^VBJR062502A 12564

STENT VIABAHN VETRO VASC 6MM X 5CM 120CM^VBJR060502A 5918

STENT VIABAHN VETRO VASC 7MM X 10CM 120CM^VBJR071002A 6634

STENT VIABAHN VETRO VASC 7MM X 5CM 120CM^VBJR070502A 5918

STENT VIABAHN VETRO VASC 7MMX15CM 120 CM^VBJR071502A 7592

STENT VIABAHN VETRO VASC 8MM X 10CM 120CM^VBJR081002A 6634

STENT VIABAHN VETRO VASC 8MMX5CM 120CM^VBJR080502A 5918

STENT VIABAHN W/HEAPARIN 9 X 5^VBH090502A 5764

STENT VIABAHN W/HEPARIN 10X15X2^VBH101502A 7490

STENT VIABAHN W/HEPARIN 10X5X110^VBH100502A 5764

STENT VIABAHN W/HEPARIN 13X5X110^VBH130502A 5764

STENT VIABAHN W/HEPARIN 9x10x2^VBH091002A 6556

STENT VIABAHN W/HEPARIN 9X15X2^VBH091502A 7490

STENT VIABIL BILIARY W/HOLES ^VH1006040 5180

STENT VIABIL BILIARY W/HOLES ^VH1008040 5180

STENT VIABIL BILIARY W/O ^VN1004040 5180

STENT VIABIL BILIARY W/O ^VN1006040 5180

STENT VIABIL BILIARY W/O ^VN1010040 5180

STENT Viabil Bililary Endoprosthesis 10mm X 60mm ^VN1006200 4400

STENT VIATORR 10X5X2 ^PTB8105275 8000

STENT VIATORR 10X6X2^PTB8106275 8000

STENT VIATORR 10X7X2^PTB8107275 8000

STENT VIATORR 10X8X2 ^PTB8108275 8000

STENT VICI SYSTEM 12X120mm 100cm^H74912120100 3400

STENT VICI SYSTEM 12X60mm 100cm^H74912060100 3400

STENT VICI SYSTEM 12X90mm 100cm^H74912090100 3400

STENT VICI SYSTEM 14X120mm 100cm^H74914120100 3400

STENT VICI SYSTEM 14X60mm 100cm^H74914060100 3400

STENT VICI SYSTEM 14X90mm 100cm^H74914090100 3400

STENT VICI SYSTEM 16X120mm 100cm^H74916120100 3400

STENT VICI SYSTEM 16X60mm 100cm^H74916060100 3400

STENT VICI SYSTEM 16X90mm 100cm^H74916090100 3400

STENT WALL 12 X 90^40213 2000

STENT WALL 12X40 40211^40211 2000

STENT WALL 12X60 40212^40212 2000

STENT WALL 14mm X 60mm 75cm^H965403120 2000

STENT WALL 14X60 40312^40312 2000

STENT WALL 16 X 60mm 75cm^H965403320 2000

STENT WALL 16 X 90mm 75cm^H965403330 2000

STENT WALL 16mm X 40mm 75cm^H965403310 2000

STENT WALL 16X20X9X75 40330^40330 2000

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Description CPT-4 Base Price Schedule

STENT WALL 16X40 40331^40331 2000

STENT WALL 16X60 40332^40332 2000

STENT WALL 16X90 40333^40333 2000

STENT WALL 18X40 40411 ^40411 2000

STENT WALL 18x90x75^H965404130 2000

STENT WALL 20x80x75^H965404320 2000

STENT WALL STENT 18X60 40412^40412 2000

STENT WALLFLEX BILIARY 10 X 80^M00570650 3200

STENT WALLFLEX BILIARY PARTIALLY COVERED 10 X 40^M00570720 4000

STENT WALLFLEX BILIARY PARTIALLY COVERED 10 X 60^M00570730 3700

STENT WALLFLEX BILIARY PARTIALLY COVERED 10 X 80^M00570740 3700

STENT WALLFLEX BILIARY UNCOVERED 10 X 60^M00570640 3100

STENT WALLFLEX BILIARY UNCOVERED 8mmX100mm^M00570630 3200

STENT WALLFLEX BILIARY UNCOVERED 8mmX80mm^M00570620 3200

STENT WALLFLEX ESOPHAGEAL FC 23/28mm x 12cm ^M00516740 5760

STENT WALLFLEX FC TH 10MM X 40MM ^M00574770 4900

STENT WALLFLEX FC TH 10MM X 60MM ^M00574780 4900

STENT WALLFLEX FC TH 10MM X 80MM ^M00574790 4900

STENT WALLFLEX FULLY COVERED 10x40^M00570360 4500

STENT WALLFLEX FULLY COVERED 10x80^M00570380 5760

STENT WALLFLEX FULLY COVERED ESPHAGEAL 18/23-25mmx12cm ^M00516710 4738

STENT WALLFLEX PARTIALLY COVERED ESOPHAGEAL 23x12 ^M00516940 4700

STENT WALLGRAFT 10-50/90CM ^70-505 4470

STENT WALLGRAFT 6-50 ^70-565 4470

STENT WALLGRAFT 8-50/90CM ^70-585 4470

STENT Wallstent 24x45x75cm ^40511 2000

STENT Wallstent 24x70x75cm ^40512 2000

STENT XPERT BILIARY 3X30MM 135^82136-01 3990

STENT XPERT BILIARY 4X40MM 135^82140-01 3990

STENT XPERT BILIARY 4X60MM 135^82141-01 3990

STENT XPERT BILIARY 5X40MM 120^14575-01 3990

STENT XPERT BILIARY 5X60MM 120^20517-01 3990

STENT XPERT BILIARY 6X40MM 120^14578-01 3990

STENT XPERT BILIARY 6X60MM 135^20519-01 3990

STENT XPERT BILIARY 8X40MM^80101-01 3990

STENT XPERT BILIARY 8X60MM 135^20502-01 3990

STENT ZILVER PTX 6mmX100mm^G38481 6156

STENT ZILVER PTX 6mmX120mm^G38482 6830

STENT ZILVER PTX 6mmX40mm ^G38463 4084

STENT ZILVER PTX 6mmX60mm ^G38479 5120

STENT ZILVER PTX 6mmX80mm ^G38480 6156

STENT ZILVER PTX 7mmX100m ^G38489 6156

STENT ZILVER PTX 7mmX120mm^G38490 6830

STENT ZILVER PTX 7mmx40mm ^G38486 4084

STENT ZILVER PTX 7mmX60mm ^G38487 5120

STENT ZILVER PTX 7mmX80mm ^G38488 6156

STENT ZILVER PTX 8mmX100mm ^G38523 6156

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STENT ZILVER PTX 8mmX120mm^G38532 6830

STENT ZILVER PTX 8mmX40mm ^G38495 4084

STENT ZILVER PTX 8mmX60mm ^G38516 5120

STENT ZILVER PTX 8mmX80mm ^G38518 6156

STERNALOCK 360 SYSTEM - MULTI IMPLANT^74-0004 8045

STIMULATOR BONE GROWTH SPF^10-1398M 13618

STIMULATOR DUAL COIL EXTERNAL BONE GROWTH OL1000^01-203-0001 6000

STIMULATOR OSTEOGEN-M 10-1322M^10-1322M 13306

STIMULATOR OSTEOGEN-M 1320M^10-1320M 14894

STIMULATOR SPINAL CORD 8A-SCS FREEDOM SYSTEM ^S8UL-2 34000

STIMULATOR SYNERGY IPG 7427^7427 21888

STRIDE FEMUR SIZE 4 RM/LL^PFSI00058 8310

STRUT E/F HYBRID^71031029 4558

STRUT PSR CORNERSTONE 14X11X25^6277025 3328

STRUT PSR CORNERSTONE 6MM^6276006 3328

STRUT PSR CORNERSTONE 6MM^6277006 3328

Sulfonylurea Screen 143

SURGIMEND 7X17 606-004-101= chg x 238 sq cm^606-004-101 7050

SURGIMEND OVAL 8X12 = chg 192 sq cm^606-005-001 21

SURGISIS BIODESIGN 4 LAYER TISSUE GRAFT^G12580 1533

SURGISIS BIODESIGN ANT PELVIC FLOOR GRAFT^G55599 2118

SURGISIS BIODESIGN POSTERIOR PELVIC FLOOR GRAFT^G26733 2990

SUT ANCHOR 1.8MM Q-FIX^25-1800 590

SUT ANCHOR 2.8MM Q-FIX^25-2800 590

SUT ANCHOR BIOCOM SUTURETAK 3X14.5^AR-1934BCT 602

SUT ANCHOR CORKSCREW 3.5 F/W^AR-1915SF 345

SUT ANCHOR CORKSCREW 3.5^AR-1915S 319

SUT ANCHOR CORKSCREW 5.0 W/FW^AR-1920SF 345

SUT ANCHOR CORKSCREW 5.0^AR-1920S 319

SUT ANCHOR CORKSCREW FT 3.0X10^AR-1915FT 504

SUT ANCHOR PUSHLOCK 2.9X15.5^AR-1923PS 602

SUT ANCHOR PUSHLOCK 3.5X14MM^AR-1926PS 602

SUT ANCHOR TAK KNOTLESS PEEK 3MM -MFRCAT# AR-1938PS^AR-1938PS 681

SUT ANCHOR TWINFIX 5.5 SUB F/ITEM 49039^72202625 602

SUT ANCHOR TWINFIX PK FT 5.5MM^72202599 602

SUT ANCHOR TWINFIX PK FT 6.5MM^72202605 602

SUT FASTFIX AB CURVED^72201494 722

SUT FASTFIX AB STRAIGHT^72201493 722

SUT FASTFIX ULTRA AB REV CVD^72201495 722

SUT OSTEORAPTOR 2.9 COBRAID BLUE #2^72201994 550

SUT OSTEORAPTOR 2.9 COBRAID BLUE^72201995 550

SUTURE ANCH HIP PEEK P-LCK 2.9X12.5MM^AR-2923PHS 673

SUTURE ANCHOR 2.3 BIORAPTOR^72201543 560

SUTURE ANCHOR 2.9 BIORAPTOR^72200801 627

SUTURE ANCHOR BIORAP KNOTLESS^72202397 758

SUTURE ANCHOR BIO-SWIVELOCK 4.75X22mm^AR-2324BCT-2 752

SUTURE ANCHOR FOOTPRINT PK 5.5MM^72201697 600

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Description CPT-4 Base Price Schedule

SUTURE ANCHOR FOOTPRINT TWINFX 5.5^72202895 600

SUTURE ANCHOR FOOTPRINT ULTRA 4.5^72202893 400

SUTURE ANCHOR FOOTPRINT ULTRA 4.5^72202901 768

SUTURE ANCHOR FOOTPRINT ULTRA 5.5^72202897 410

SUTURE ANCHOR MICROCORKSCREW^AR-1318FT 504

SUTURE ANCHOR MINI BIO RAP 2.4X85^AR-1322BCNF 575

SUTURE ANCHOR PEEK PUSH-LOCK,2.9 X 12.5MM AR-2923PS 637

SUTURE ANCHOR PK FOOTPRINT ULTRA^72202902 500

SUTURE ANCHOR PUSHLOCK PERC KIT^AR-1923PK 389

SUTURE ANCHOR TRIPLE LOADED 4.75 X 14mm^AR-1927BCF-475 628

SUTURE BIO FASTAK ANCHOR 3MM^AR-1324BF 434

SUTURE BIO TAK ANCHOR W/#2 FW^AR-1934BF 434

SUTURE BIOCOMPOSITE TAK 3.0^AR-1934BCF-2 566

SUTURE BUTTON 7.5MM^AR-8922 177

SUTURE FASTAK ANCHOR W/HANDLE^AR-1324HF 319

SUTURE FASTFIX 360 72202467^72202467 867

SUTURE FASTFIX 360 72202468^72202468 867

SUTURE FASTFIX 360 72202469^72202469 867

SUTURE MINI BIO TAK ANCHOR 2.4 X 8.5MM^AR-1322BNF 399

SUTURE SHARP SHOOTER^HS4704 1124

SUTURE UNIVERS REVERS CUP 39 +2 RIGHT^AR-9502F-39RCPC 3159

SUTURETAC BIOCOMP 3X12.7^AR-1938BC 752

SYNDEMOSIS TIGHTROPE KIT AR-8920CDS^AR-8920CDS 876

SYNDESMOSIS KNOTLESS TIGHTROPE^AR-8926SS 1504

SYNDESMOSIS TIGHTROPE REPAIR KIT SS^AR-8921CDS 876

SYRINGE COAPTITE 1CC INJ IMPL^M0068903000 662

SYRINGE MACROPLASTIQUE 2.5ML^MPQ-2.5 850

SYSTEM AAA AORFIX FLEXIBLE STENT GRAFT PROCEDURE^AORFIX AAA STENT 22000

SYSTEM BICEP DISTAL KNOTLESS^AR-2280 1398

SYSTEM FREEDOM-4A SCS 4 ELECTRODES^S4SP-1 US 30000

SYSTEM FREEDOM-4A SCS 8 ELECTRODES^S4SP-2 US 32000

SYSTEM FREEDOM-8A SCS 16 ELECTRODES^S8SP-2 US 34000

SYSTEM FREEDOM-8A SCS 8 ELECTRODES^S8SP-1 US 32000

SYSTEM RE-ENTRY ENTEER 135 ABOVE THE KNEE^ENB-375-20-135 2310

SYSTEM RE-ENTRY ENTEER 150 ABOVE THE KNEE^ENB-275-20-150 2310

SYSTEM SLING LYNX MID-URETRAL^M0068503000 1650

SYSTEM STIMQ-4A PNS SYSTEM 4 ELECTRODES^Q4SP-1 US 24000

SYSTEM STIMQ-4A PNS SYSTEM 8 ELECTRODES^Q4S9-2 US 27400

SYSTEM STIMQ-4A TRIAL LEAD CHANNEL A^Q4T-1A US 2400

SYSTEM STIMQ-8A PNS SYSTEM 8 ELECTRODES^Q8SP-1 US 27400

SYSTEM STIMQ-8A TRIAL LEAD CHANNEL A^Q8T-1A US 3000

SYSTEM TRELLIS PERIPHERAL INFUSION 120X10^BVT6 120 10 3143

SYSTEM TRELLIS PERIPHERAL INFUSION 120X15^BVT8 120 15 3143

SYSTEM TRELLIS PERIPHERAL INFUSION 120X30^BVT6 120 30 3143

SYSTEM TRELLIS PERIPHERAL INFUSION 80X15^BVT8 080 15 3143

SYSTEM TRELLIS PERIPHERAL INFUSION 80X30^BVT8 080 30 3143

TALENT THORACIC PROCEDURE^TALENT TAA/AAA 55000

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Description CPT-4 Base Price Schedule

TC-99 MEBROFENIN UD^TC9910 165

Tc99m CERETEC Exametazime WBC Labeling^255 1800

Tc99m DTPA Aerosol/Ventalation Study 1-25 mCi^109 195

Tc99m DTPA Aerosol/Ventalation Study 26-40 mCi^109. 206

Tc99m Filtered Sulfur Colliod^115 125

Tc99m MAA Macroaggregated Albumin UD^111 53

Tc99m MAG-3 Mertiatide UD^116 744

Tc99m MDP Medronate UD^105 97

Tc99m MEBROFENIN UD^122 165

Tc99m MYOVIEW Tetrofosmin UD^127 306

Tc99m NaTc04 (bulk)^102 vial 18

Tc99m NaTc04 UD^102 SYRINGE 18

Tc-99m NaTc04 UDmCi^TC0402 18

Tc99m PYP Pyrophosphate UD^104 190

Tc-99m Sestamibi UD^102994 265

Tc99m SESTIMIBI^123 265

Tc99m TSC Sulfur Colloid UD^110 125

TDS PROCUREMENT EVS/MIN 0.19

TDS PROCUREMENT RN/MIN 0.53

Telehealth facility fee 67

TeleHealth Service 67

TELES.STRUT MEDIUM - LENGTH 138-201 MM 4933-0-140 1601

TENDON ACHILLES^201603 1828

TENDON ANTERIOR TIBIALIS >= 220MM^443017 5200

TENDON GRAFT GRACILIS 20CMX4-5^830300 2250

TENDON PERONEUS LONGUS^430345 2727

TENDON POSTERIOR TIBIALIS^7804303 1628

TENDON QUAD W/BONE BLCK 430700 3895

TENDON QUAD W/O BONE BLOCK^430705 3895

TENDON SEMI-T W/GRACILLIS^430350/430300 5102

TENDON SEMITENDINOSIS W/O GRACILIS^4700003 1758

TENDON SEMITENDINOSUS W/GRACILIS ALLOWASH^7400003 1758

TENDON TIBIALIS ANTERIOR^7804203 1628

TENDON TIBIALIS POSTERIOR STERILE^7804319 1628

TENDON TIBIALIS POSTERIOR^090341-006 2574

Th Aph Plasma ACDA 24hr Dv 225

Thallous Chloride T1201 UD^301 59

Thawed FFP CPD Dv 177

Thawed Plasma CPD Cryo Red 119

Thawed 5d Plasma CP2D 225

Thawed 5d Plasma CPD 225

Thawed 5d Plasma CPDA1 225

Thawed Aph 5d Plasma 225

Thawed Aph 5d Plasma 1 225

Thawed Aph 5d Plasma 2 225

Thawed Aph 5d Plasma Dv 225

Thawed Aph AFFP ACDA Dv 177

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Description CPT-4 Base Price Schedule

Thawed Aph APlasma ACDA 2 Dv Modify Fee 225

Thawed Aph DFFP ACDA 225

Thawed Aph DFFP CP2D Dv 177

Thawed Aph FFP 225

Thawed Aph FFP =200<400 225

Thawed Aph FFP ACDA 225

Thawed Aph FFP ACDA >600 mL Dv 225

Thawed Aph FFP ACDA 3 Dv 225

Thawed Aph FFP ACDA Dv 225

Thawed Aph Plasma ACDA 225

Thawed Aph Plasma ACDA 1 225

Thawed Aph Plasma ACDA 2 225

Thawed Aph Plasma ACDA Dv 225

Thawed Cryo AHF 110

Thawed Cryo AHF Dv 110

Thawed Cryo AHF Pooled 110

Thawed Cryo Pooled 5 110

Thawed Cryo Pooled Dv 110

Thawed DFFP CP2D 225

Thawed FFP CP2D 225

Thawed FFP CPD 225

Thawed FFP CPDA1 225

Thawed Plasma CP2D Cryo Red 119

Thawed Pooled Plasma CPD Open Cryo Red 119

Ther Resp Function 15MIN 125

TheraSphere Treatment Y-90T US COMM 34000

Thiothixene (Navane) Level 143

THL HIP CMTDFEM W/OXIHD, R3 XLPE \T\ R3 MULTI^71705316 7000

THR Hard Bearing Ceramic on Ceramic HIP^THR C/C S-N 10700

THR Hard Bearing Ceramic on Ceramic HIP^THR C/C STRYKER 9400

THR Hard Bearing Ceramic on Ceramic HIP^THR M/M PREM STRYKER 11020

THR HARD BEARING METAL ON METAL HIP^THR M/M S-N 9800

THR HARD BEARING METAL ON METAL HIP^THR M/M STRYKER 10094

THR Hybrid Metal Head HIP^THR HMH STRYKER 6747

THR Hybrid Metal Large Head HIP^THR HMLH S-N 6950

THR Hybrid Metal Large Head HIP^THR HMLH STRYKER 7159

THR Hybrid Metal Premium Head HIP^THR HM PREM STRYKER 7674

THR Hybrid Metal w/ CoCr Head HIP^71703312 6600

THR Hybrid Metal w/ Oxinium Head HIP^71703316 7000

THR Porous Metal Head HIP^THR PMH STRYKER 8500

THR Porous Metal Large Head HIP^THR PMLRG S-N 9350

THR Porous Metal Large Head HIP^THR PMLRG STRYKER 9631

THR Porous Metal Premium Head HIP^THR PMPREM STRYKER 9400

THR Porous Metal w/ CoCr Head HIP^71703313 9219

THR Porous Metal w/ Oxinium Head HIP^71703318 9400

THREADER MR^39269-1212 600

THREADER OTW ^39270-1212 600

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Description CPT-4 Base Price Schedule

THYROPLASTY SNGL PROC KIT FEM^MT-SPF 1390

THYROPLASTY SNGL PROC KIT MALE^MT-SPM 1386

TIB BASE SZ 4 RM/LL^5842-04-02 2610

TIBIA Stride Baseplate Size 5 LM/RL^PFSI00010 3640

TIBIAL BASEPLATE NONPOROUS RT SIZE 6^71933635 1800

TIBIAL BEARING OXFORD 3MM LG^159582 2327

TIBIAL BEARING OXFORD 3MM MED^159547 2327

TIBIAL BEARING OXFORD 3MM MED^159575 2327

TIBIAL BEARING OXFORD 3MM^159554 2327

TIBIAL BEARING OXFORD 3MM^159568 2327

TIBIAL BEARING OXFORD 4MM LG RT^159583 2327

TIBIAL BEARING OXFORD 4MM LT^159548 2327

TIBIAL BEARING OXFORD 4MM MED^159576 2000

TIBIAL BEARING OXFORD 4MM RT^159569 2327

TIBIAL BEARING OXFORD 4MM^159555 2327

TIBIAL BEARING OXFORD 5MM LRG^159584 2327

TIBIAL BEARING OXFORD 5MM LT^159549 2327

TIBIAL BEARING OXFORD 5MM MED RT^159577 2327

TIBIAL BEARING OXFORD 5MM^159542 2327

TIBIAL BEARING OXFORD 5MM^159556 2327

TIBIAL BEARING OXFORD 5MM^159570 2327

TIBIAL BEARING OXFORD 6MM LG LT^159557 2327

TIBIAL BEARING OXFORD 6MM LRG RT^159585 2327

TIBIAL BEARING OXFORD 6MM LT^159543 2327

TIBIAL BEARING OXFORD 6MM MED RT^159578 2327

TIBIAL BEARING OXFORD 6MM MED^159571 2327

TIBIAL BEARING OXFORD 6MM^159550 2327

TIBIAL BEARING OXFORD 7MM LRG^159586 2327

TIBIAL BEARING OXFORD 7MM LT^159544 2327

TIBIAL BEARING OXFORD 7MM MED LT^159551 2327

TIBIAL BEARING OXFORD 7MM MED RT^159579 2327

TIBIAL BEARING OXFORD 7MM SM^159572 2327

TIBIAL BEARING OXFORD 7MM^159588 2327

TIBIAL BEARING OXFORD 8MM LG RT^159587 2327

TIBIAL BEARING OXFORD 8MM LT^159545 2327

TIBIAL BEARING OXFORD 8MM MED RT^159580 2327

TIBIAL BEARING OXFORD 8MM MED^159552 2327

TIBIAL BEARING OXFORD 8MM RT^159573 2327

TIBIAL BEARING OXFORD 9MM LT^159546 2327

TIBIAL BEARING OXFORD 9MM LT^159553 2327

TIBIAL BEARING OXFORD 9MM SM^159574 2327

TIBIAL BEARING OXFORD 9MM SMALL^154624 1288

TIBIAL BEARING OXFORD 9MM^159581 2327

TIBIAL BEARING OXFORD SML 3MM LT^159540 2327

TIBIAL BEARING OXFORD SML 4MM LT^159541 2327

TIBIAL BEARING OXFORD SZ AA^159531 4953

TIBIAL CONE TRIATH SYMMETRIC SZ C^5549-A-130 8850

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Description CPT-4 Base Price Schedule

TIBIAL FLAT WEDGE SZ MED-2 5MM^6630-6-250 1806

TIBIAL INSERT 13MM^6485-4-113 2987

TIBIAL INSERT 20MM^6481-3-320 2286

TIBIAL INSERT FIXED BEARING TC3 SIZE 3X20mm^96-0534 3907

TIBIAL INSERT ROTATING COMP 4 15MM^96-2143 5494

TIBIAL MOD AUG BLOCK 10X63^141761 2035

TIBIAL MOD AUG BLOCK 6X63^141741 2035

TIBIAL ROTATING COMP - MRH^6481-2-100 5867

TIBIAL ROTATING COMPONENT L-XL^6481-2-101 5867

TIBIAL STABILIZER TRAY #11^77-4011 5587

TIBIAL STABILIZER TRAY #5^77-4005 5587

TIBIAL STABILIZER TRAY #7^77-4007 5587

TIBIAL STABILIZING TRAY #9^77-4009 5587

TIBIAL TRAY ADAPTER 2.5MM^141490 1564

TIBIAL TRAY OFFSET 63MM^141481 4719

TIBIAL TRAY OFFSET 70MM^141483 4719

TIBIAL TRAY OXFORD STD SZ AA^159532 4953

TIBIAL WEDGE SZ 3-4 15MM^71423062 2818

TIGHTROPE ABS AR-1588TN^AR-1588TN 326

TIGHTROPE ABS BUTTON AR-1588TB^AR-1588TB 253

TIGHTROPE ABS BUTTON AR-1588TB-3^AR-1588TB-3 396

TIGHTROPE ABS BUTTON AR-1588TB-4^AR-1588TB-4 396

TIGHTROPE ABS BUTTON ROUND 20MM CONCAVE^AR-1588TB-5 396

TIGHTROPE ACL AR-1588RT^AR-1588RT 487

TIGHTROPE ACL AR-1588T^AR-1588T 487

TIGHTROPE BTP AR-1588BTB^AR-1588BTB 664

TIGHTROPE BUTTON EXTENDER^AR-1589RT 398

TIGHTROPE DOUBLE - MFRCAT# AR-1588RT-J^AR-1588RT-J 700

TIGHTROPE KNOTLESS AC^AR-2370 1505

TIGHTROPE PCL^AR-1588TP 618

TISS DERM/EPID HUMAN SQCM 88

TISS DERMAL NONHUMAN SQCM 22

TISSUE ALLOGRAFT ACHILLES TNDN^930210 1680

TISSUE APLIGRAF- charge x44^APLIGRAF 77

TISSUE EXPANDER 250CC SHORT HEIGHT VARIABLE PROJECTION^133SV-12 2390

TISSUE EXPANDER 300CC SHORT HEIGHT VARIABLE PROJECTION^133SV-13 2390

TISSUE EXPANDER 375CC SHORT HEIGHT VARIABLE PROJECTION^133SV-14 2390

TKA Journey 2 Cr Oxinium w/NP KNEE^71701650 9200

TKA Journey 2 w/ CoCr KNEE^71709020 8600

TKA Journey 2 w/NP KNEE^71709000 9200

TKL Legion GII PS Oxinium KNEE^71704570 8000

TKR All Poly Tibia^TKR APT BIOMET 5300

TKR All Poly Tibia^TKR APT S-N 5300

TKR All Poly Tibia^TKR APT STRYKER 5459

TKR CEMENTED BIOMET^TKR CEM BIOMET 6610

TKR Cemented^TKR CEM S-N 6320

TKR Cemented^TKR CEM STRYKER 6510

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TKR Hybrid Premium Insert^TKR HYB 7642

TKR Hybrid Premium Insert^TKR HYB BIOMET 7420

TKR Hybrid Premium Insert^TKR HYB S-N 7420

TKR Hybrid Standard Insert^TKR HSI BIOMET 7020

TKR Hybrid Standard Insert^TKR HSI S-N 7020

TKR Hybrid Standard Insert^TKR HSI STRYKER 7231

TKR Legion Cr Oxinium KNEE^TKR PREM S-N 8000

TKR Legion PS Oxinium KNEE^71704575 8000

TKR Low CoCr KNEE^70704500 7000

TKR Low CoCr w/ PS Insert KNEE^71704510 7000

TKR Low CoCr w/DMD Insert KNEE^71704505 7000

TKR Low CoCr w/PS DMD Insert KNEE^71704515 7000

TKR Premium 2^TKR PREM 2 S-N 7840

TKR Premium^TKR PREM BIOMET 8900

TKR Premium^TKR PREM STRYKER 8000

T-MESH CAGE 10X10X10MM DANEK^9051023 4620

T-MESH CAGE 12 X 24MM DANEK^9051223 4620

TOGGLELOC W/ZIPLOOP INLINE^110005087 660

TORNADO COIL MWCE-35-8/5^MWCE-35-8/5 198

TORNADO EMBOLIZATION MICROCOIL^G47518 386

TOTAL KNEE - JII XR CR OXI W/XR ISRT \T\ XR TIB^71709030 10377

TOTAL KNEE PS OXINIUM^TK PS OX 10405

T-PLATE 8 HOLE X 148MM^71141608 2150

T-PLATE LCP DIST RADIUS 2.4X4H^242.478 1287

T-PLATE SMALL 4 HOLE OBLIQUE^71140504 1230

Tramadol (Ultram),Urine 143

TRANSCATHETER AORTIC VALVE 29MM EVPROPLUS-29US 60000

TRANSCATHETER AORTIC VALVE 34MM EVPROPLUS-34US 60000

TRANSPHENOIDAL SELLAR (TSI) IMPLANT^82007 1418

TRANSPHENOIDAL SELLAR LG^82008 1494

TRANSPORTER .014 SUPPORT CATH^518-032 251

TRAY CATH ASH SPLIT 14FRX24CM^TRAY#593-3 590

TRAY CATH ASH SPLIT 14FRX28CM^TRAY#552-3F 590

TRAY CATH ASH SPLIT III 14X40^TRAY#634-3 590

TRAY INTERLOCK TIB PLATE 79MM^141515 5095

TRAY REV COMP +10mm CO 44mm^115378 3874

TRAY REV HUM # 115370^115370 3874

TRAY REV HUMERAL 44MM +5^115345 4212

TRAY REV HUMERAL 44MM^115340 4212

TRAY TOTAL KNEE STD TIBIAL #11^7115-0011 2470

TRAY TOTAL KNEE STD TIBIAL #13^7115-0013 2470

TRAY TOTAL KNEE STD TIBIAL #7^7115-0007 2470

TRAY TOTAL KNEE STD TIBIAL #9^7115-0009 2470

TREVO PRO SYSTEM (TREVO PRO 4 \T\ TRO PRO 18 MICROCATHETER)^80052 14423

TREVO XP PROVUE RETRIEVER + TREVO PRO 14 MC 3.0 x 20MM^80051 14423

TREVO XP PROVUE RETRIEVER + XT 27 MC 6x25mm^93068 14423

TRIATHLON FEMORAL DISTAL AUGMENT 10mm - SIZE 4 RIGHT^5541-A-402 2506

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TRIDENT II TRITANIUM SOLIDBACK ACETABULAR SHELL 700-04-48D 1900

Triever 24 95cm 22-101 Triever 24 95cm 15000

Triever20 20fr 95cm^21-101 15000

TRIFOCAL INTRAOCULAR LENS 24.5D^TFNT00 845

TRITANIUM REVISION ACETABULAR 64mm G^509-02-64G 6612

TRIUNE TRUMPET VT SI 1.27MM^510-302 51

TRUNK IPSILATERAL GORE EXCLUDER AA ENDOPROSTHESIS 26MM X 14.5MM X 12MM RLT26 23114

TSR INTERCHNG STEM PREM HEAD^98B00901502 10700

TSR Interchng Stem Premium Head^TSR ISPH DEPUY 9100

TSR Interchng Stem Premium Head^TSR ISPH S-N 9100

TSR Interchng Stem Premium Head^TSR ISPH STRYKER 9372

TSR Interchng Stem Premium Head^TSR ISPH SYNTHES 9100

TSR Interchng Stem Std Head^TSR ISSH BIOMET 8800

TSR Interchng Stem Std Head^TSR ISSH DEPUY 8800

TSR Interchng Stem Std Head^TSR ISSH S-N 8800

TSR Interchng Stem Std Head^TSR ISSH STRYKER 9064

TSR Interchng Stem Std Head^TSR ISSH SYNTHES 8800

TSR Standard Stem Head^TSR SSH BIOMET 7950

TSR Standard Stem Head^TSR SSH DEPUY 7950

TSR Standard Stem Head^TSR SSH S-N 8189

TSR Standard Stem Head^TSR SSH STRYKER 8189

TSR Standard Stem Head^TSR SSH SYNTHES 7950

TSR Standard Stem Premium Head^TSR SSPH BIOMET 8250

TSR Standard Stem Premium Head^TSR SSPH DEPUY 8250

TSR Standard Stem Premium Head^TSR SSPH S-N 8500

TSR Standard Stem Premium Head^TSR SSPH STRYKER 8498

TSR Standard Stem Premium Head^TSR SSPH SYNTHES 8250

T-TUBE SILICONE 1.27MM X 6MM^510-111 39

T-TUBE SILICONE VENT 4.75X.062 240072 47

TUBE BAXTER BEVELED BUTTON PE^2463-2 44

TUBE BOBBIN 1.27MM BLUE TITAN^500-021 52

TUBE DURAVENT EAR 1.27 X 4.5^240075 39

TUBE EAR GOODE-T VENT 1016010^1016010 48

TUBE NEPHROURETEROSTOMY 10.2 F 22 CM ^G48162 230

TUBE NEPHROURETEROSTOMY 10.2 F 24 CM ^G48164 230

TUBE NEPHROURETEROSTOMY 10.2 F 26 CM ^G48166 264

TUBE NEPHROURETEROSTOMY 8.5 F 22 CM ^G48173 230

TUBE NEPHROURETEROSTOMY 8.5 F 26 CM ^G48180 230

TUBE NEPHROURETEROSTOMY 8.5 F 28 CM ^G48183 230

TUBE TAPERVENT VT SI 1.27 MM 2/pk^510-172 30

Tube Trach 4DCT^4DCT 102

TUBE TRACH DISP 10DFEN^10DFEN 102

TUBE TRACH DISP 6DFEN^6DFEN 102

TUBE TRACH HI LO 8.0 MURPHY TIP^86113 102

TUBE TRACH SHILEY 10DCT^10DCT 102

TUBE TRACH SHILEY 4DCFS^4DCFS 102

TUBE TRACH SHILEY 6DCFS^6DCFS 65

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TUBE TRACH SHILEY 6DCT^6DCT 102

TUBE TRACH SHILEY 8CFN^8CFN 102

TUBE TRACH SHILEY 8DCFS^8DCFS 102

TUBE TRACH SHILEY 8DCT^8DCT 102

TUBE TRACH SHILEY 8DFEN^8DFEN 102

TUBE TRACH SHILEY ADULT REGSZ8^8LPC 102

TUBE TRACH SHILEY DIST XL SZ 6^60XLTCD 102

TUBE TRACH SHILEY DIST XL SZ 8^80XLTCD 102

TUBE TRACH SHILEY PROX XL SZ 6^60XLTCP 102

TUBE TRACH SHILEY PROX XL SZ 8^80XLTCP 102

TUBE VENT GROMMETS BEVELED ARM^1010030 41

TUBE VENT PAPARELLA .050^240046 34

TUBE VENTURE TITANIUM ENT^7014-5278 43

TUBE VENTURI BOBBIN 1.27MM ID^10-70032 132

TUBE XLT Trach 70XLTCD^70XLTCD 102

TUBE XLT Trach 70XLTCP^70XLTCP 102

TUBE XLT Trach 70XLTUD^70XLTUD 102

TUBE XLT Trach 70XLTUP^70XLTUP 102

TUBE XLT Trach 80XLTUD^80XLTUD 102

TUBE XLT Trach 80XLTUP^80XLTUP 102

TUTOPLAST PERICARDIUM 1.5X1.5^68250 550

ULNA COMP NEXEL ELBOW SZ 4 75MM^00-8400-014-07 8500

ULNA COMP NEXEL TOTAL ELBOW SZ 4 75MM^00-8400-024-07 8500

ULNA COMP NEXEL TOTAL LEFT ELBOW SZ 5 75MM^00-8400-015-07 8500

ULNA COMP STEM SZ 6 90MM RT^00-8400-026-09 8500

ULNA COMPONENT ELBOW SYS SOLAR SZ STD RT^5005-202R 5439

ULNA COMPONENT ELBOW SYS SOLAR^5005-102R 5439

ULNA INTERCHANGEABLE ASSY SM RT^32-8105-053-02 7000

ULNAR INTERCHANGEABLE ASSY EXTRA SM LT^32-8105-043-01 7000

ULNAR INTERCHANGEABLE ASSY EXTRA SML RT 3 in^32-8105-043-02 7000

ULNAR INTERCHANGEABLE ASSY SML LT 3 in^32-8105-053-01 7000

ULTRA ICE 9 MHZ^H7493932800990 1087

ULTRABUTTON ADJ FIX DEVICE^72290003 540

ULTRATAG^N068B0 967

UNI KNEE JUK OX FEM W/UNI TIB \T\ INSRT 71701830 7210

UNI KNEE MB BIOMET^98B00200601 8600

Uni Knee Mobile Bearing^UNI KMB S-N 7210

Uni Knee Mobile Bearing^UNI KMB STRYKER 7210

UNI KNEE S BIOMET^UNI KS BIOMET 5500

Uni Knee Standard^UNI KS S-N 7000

Uni Knee Standard^UNI KS STRYKER 7200

UNIVERS FRACTURE HUMERAL HEAD 43/15^AR-9143-15F 2213

UNIVERS FRACTURE STEM 8mm^AR-9100-08F 4823

UNIVERSAL STEM FLUTED 115mm X 14mm^86-7428 2935

UNSCHED OR EMER DIALYSIS 903

UPHOLD LITE VAGINAL SUPPORT SYSTEM (REPLACES ITEM #63240)^M0068318170 4344

UROLIFT SYSTEM^UL400-4 1900

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Vaginal 4241

Vaginal Delivery - Delivery Type 4241

VALUE AORTIC EVOLUT PRO+ DELIVERY SYSTEM 23,26,29 MM D-EVPROP2329US 4220

VALVE 40023-23 MODEL 400 AVALUS BIOPROSTHESIS^40023 11120

VALVE AHMED GLAUCOMA FLEX PLTE^FP7 1400

VALVE AHMED GLAUCOMA PEDIATRIC^FP8 1400

VALVE AORTIC 19MM FREESTYLE^FR995-19 11400

VALVE AORTIC 21MM FREESTYLE^FR995-21 11400

VALVE AORTIC 23MM FREESTYLE^FR995-23 11400

VALVE AORTIC 25MM FREESTYLE^FR995-25 11400

VALVE AORTIC 27MM FREESTYLE^FR995-27 11400

VALVE AORTIC 29MM FREESTYLE^FR995-29 11400

VALVE AORTIC HANCOCK II ULTRA 21^T505U221 7400

VALVE AORTIC HANCOCK II ULTRA SZ 23^T505U223 7400

VALVE AORTIC HANCOCK II ULTRA SZ 25^T505U225 7400

VALVE AORTIC HANCOCK II ULTRA SZ 27^T505U227 7400

VALVE AORTIC HANCOCK II ULTRA SZ 29^T505U229 7400

VALVE AORTIC HOMOGRAFT 21^AV0021 21000

VALVE AORTIC HOMOGRAFT 22^AV0022 21000

VALVE AORTIC HOMOGRAFT 23^AV0023 31860

VALVE AORTIC HOMOGRAFT 24^AV0024 21000

VALVE AORTIC HOMOGRAFT 25^AV0025 31860

VALVE AORTIC INSPIRIS RESILIA 19mm^11500A19 15000

VALVE AORTIC INSPIRIS RESILIA 21mm^11500A21 15000

VALVE AORTIC INSPIRIS RESILIA 23mm^11500A23 15000

VALVE AORTIC INSPIRIS RESILIA 25mm^11500A25 15000

VALVE AORTIC INSPIRIS RESILIA 27mm 11500A27 15000

VALVE AORTIC MAGNA EASE 19mm^3300TFX 19mm 11590

VALVE AORTIC MAGNA EASE 21mm^3300TFX 21mm 11590

VALVE AORTIC MAGNA EASE 23MM^3300TFX 23mm 11590

VALVE AORTIC MAGNA EASE 25MM^3300TFX 25mm 11590

VALVE AORTIC MAGNA EASE 27MM^3300TFX 27MM 11590

VALVE AORTIC TRIFECTA TF-19A^TF-19A 11396

VALVE AORTIC TRIFECTA TF-21A^TF-21A 11396

VALVE ASCENDRA PLUS SAPIEN XT SYS 23MM^9355ASP23A 65000

VALVE ASCENDRA PLUS SAPIEN XT SYS 26MM^9355ASP26A 65000

VALVE ASENDRA PLUS SAPIEN XT SYSTEM 29MM^9355ASP29A 65000

VALVE ATS AORTIC 16MM^505DA16 7600

VALVE ATS AORTIC 18MM^505DA18 7600

VALVE ATS AORTIC 20MM^505DA20 7600

VALVE ATS AORTIC 22MM^505DA22 7600

VALVE ATS AORTIC 24MM^505DA24 7600

VALVE ATS AORTIC 26MM^505DA26 7600

VALVE ATS MITRAL 25MM^500DM25 7600

VALVE ATS MITRAL 27MM^500DM27 7600

VALVE ATS MITRAL 29MM^500DM29 7600

VALVE ATS MITRAL 31MM^500DM31 7600

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VALVE ATS MITRAL 33MM^500DM33 7600

VALVE CERTAS IN-LINE WITH SIPHONGUARD UNITIZED CATH \T\ ACCESSORIES^828806PL 10776

VALVE COMMANDER SAPIEN 3 SYS 20MM -VALVE 9600TFX^9600CM20A 65000

VALVE COMMANDER SAPIEN 3 SYS 23MM - VALVE 9600TFX^9600CM23A 65000

VALVE COMMANDER SAPIEN 3 SYS 26MM - VALVE 9600TFX^9600CM26A 65000

VALVE COMMANDER SAPIEN 3 SYS 29MM - VALVE 9600TFX^9600CM29A 65000

VALVE CSF FLOW CONTROL HP REG^42326 1854

VALVE CSF FLOW REG MED PRESS 42324 2014

VALVE HEART MITRAL ON-X 25MM^ONXM-25 6400

VALVE HEART MITRAL ON-X CONFORM 25/33^ONXMC-25/33 6400

VALVE HEART MITRAL ON-X CONFORM 31/33^ONXM-31/33 6400

VALVE HEART ON-X AORTIC SZ 19MM^ONXACE 19 6400

VALVE HEART ON-X W/RING 19MM^ONXANE-19 6400

VALVE HEART ON-X W/RING 21MM^ONXANE-21 6400

VALVE HEART ON-X W/RING 23MM^ONXANE-23 6400

VALVE HEART ON-X W/RING 25MM -MFRCAT# ONXANE-25^ONXANE-25 6400

VALVE HEART SAPIEN TRANSCATH ASCENDRA 3 DEL SYS W/23mmVALVE^9120AS323A 65000

VALVE HEART SAPIEN TRANSCATH ASCENDRA DEL SYS W/26mmVALVE^9120AS326A 65000

VALVE HEART SAPIEN TRANSCATHETER \T\ CERTITUDE SYSTEM 20MM^9600CT20A 65000

VALVE HEART SAPIEN TRANSCATHETER \T\ CERTITUDE SYSTEM 23MM^9600CT23A 65000

VALVE HEART SAPIEN TRANSCATHETER \T\ CERTITUDE SYSTEM 26MM^9600CT26A 65000

VALVE HEART SAPIEN TRANSCATHETER \T\ CERTITUDE SYSTEM 29MM^9600CT29A 65000

VALVE HEART SAPIEN TRANSCATHETER \T\ RETROFLEX 3 SYSTEM 23MM^9100RF323A 65000

VALVE HEART SAPIEN TRANSCATHETER \T\ RETROFLEX 3 SYSTEM 26MM^9100RF326A 65000

VALVE MITRAL EDWARDS MAGNA EASE 25mm^7300TFX25mm 11590

VALVE MITRAL EDWARDS MAGNA EASE 27mm^7300TFX27mm 11590

VALVE MITRAL EDWARDS MAGNA EASE 29mm^7300TFX29mm 11590

VALVE MITRAL EDWARDS MAGNA EASE 31mm^7300TFX31mm 11590

VALVE MITRAL EDWARDS MAGNA EASE 33mm^7300TFX33mm 11590

VALVE MITRAL HANCOCK II ULTRA 27^T510C27 7200

VALVE MITRAL HANCOCK II ULTRA SZ 25^T510C25 7200

VALVE MITRAL HANCOCK II ULTRA SZ 29^T510C29 7200

VALVE MITRAL HANCOCK II ULTRA SZ 31^T510C31 7200

VALVE MITRAL HANCOCK II ULTRA SZ 33^T510C33 7200

VALVE MOSAIC MITRAL CINCH 25MM^310C25ID 9200

VALVE MOSAIC MITRAL CINCH 27MM^310C27 9200

VALVE MOSAIC MITRAL CINCH 29MM^310C29 9200

VALVE MOSAIC MITRAL CINCH 31MM^310C31 9200

VALVE MOSAIC MITRAL CINCH 33MM^310C33 9200

VALVE MOSAIC ULTRA AORTIC 19MM^305U219 9400

VALVE MOSAIC ULTRA AORTIC 21MM^305U221 9400

VALVE MOSAIC ULTRA AORTIC 23MM^305U223 9400

VALVE MOSAIC ULTRA AORTIC 25MM^305U225 9400

VALVE MOSAIC ULTRA AORTIC 27MM^305U227 9400

VALVE MOSAIC ULTRA AORTIC 29MM^305U229 9400

VALVE NOVAFLEX SAPIEN XT SYSTEM 23MM^9355NF23A 65000

VALVE NOVAFLEX SAPIEN XT SYSTEM 26MM^9355NF26A 65000

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VALVE NOVAFLEX SAPIEN XT SYSTEM 29MM^9355NF29A 65000

VALVE PERICARD TISSUE SZ 29MM^7300TFX 12900

VALVE STRATA REGULAR FP 42866^42866 8374

VALVE STRATA W/SIPHON CTRL \T\ 120CM CATH^46866 9364

VALVE SYSTEM EDWARDS INTUITY ELITE KIT B19A^8300KITB19A 24000

VALVE SYSTEM EDWARDS INTUITY ELITE KIT B21A^8300KITB21A 24000

VALVE SYSTEM EDWARDS INTUITY ELITE KIT B23A^8300KITB23A 24000

VALVE SYSTEM EDWARDS INTUITY ELITE KIT B25A^8300KITB25A 24000

VALVE SYSTEM EDWARDS INTUITY ELITE KIT B27A^8300KITB27A 24000

VALVE TAVR EVOLUT 26^EVOLUTR-26-US 60000

VALVE TAVR EVOLUT 29^EVOLUTR-29-US 60000

VALVE TAVR EVOLUT 34^EVOLUTR-34-US 60000

VALVE TAVR EVOLUT R 23MM -MFRCAT# EVOLUTR-23-US^EVOLUTR-23-US 60000

VALVE TAVR EVOLUTPRO 23^EVOLUTPRO-23-US 60000

VALVE TAVR EVOLUTPRO 26^EVOLUTPRO-26-US 60000

VALVE TAVR EVOLUTPRO 29^EVOLUTPRO-29-US 60000

VALVE TORONTO SPV AORTIC 25MM^SPA-101-25 12200

VERIFY ENS INTERSTIM^353101 600

VERSA-DIAL GLEN +3 40mm^110030777 3315

VERSA-DIAL GLEN +6 40mm^110030778 3315

VIAGRAF DBM CRUNCH 15CC^717915 3042

VIAGRAF DBM CRUNCH 5CC^717914 1797

VIAGRAF DBM FLEX 10X2.5CM^717918 2484

VIAGRAF DBM FLEX 5X2.5CM^717917 1631

VIAGRAF DBM FLEX 5X5CM^717919 2304

VIAGRAF DBM GEL 10CC^717912 2151

VIAGRAF DBM GEL 1CC^717910 344

VIAGRAF DBM GEL 25CC^717913 3537

VIAGRAF DBM GEL 5CC^717911 1392

VIAGRAF DBM PASTE 10CC^717908 2052

VIAGRAF DBM PASTE 1CC^717906 333

VIAGRAF DBM PASTE 5CC^717907 1350

VIAGRAF DBM PUTTY 10CC^717905 2151

VIAGRAF DBM PUTTY 1CC^717902 344

VIAGRAF DBM PUTTY 5CC^717904 1392

VISCOAT 0.5ML ALCON F/WTSC^8065183905 99

VISIPAQUE 320 MG VIAL 00407-2223-66 2.25

VISIPAQUE 320MG 100ML^V-562 2.25

VISIPAQUE 320MG 50ML^V-040 2.25

Vizigo Sheath Medium Curve 71 cm D138502 1640

VOCOM IMPLANT 4MM ENT -MFRCAT# 143001^143001 659

VOCOM IMPLANT 5MM ENT^143002 659

VOCOM IMPLANT 7MM ENT^143008 659

VOCOM IMPLANT ENT^143003 666

VOCOM SHIM 0MM ENT^143007 268

VOCOM SHIM 2MM ENT^143005 268

VOCOM SHIM ENT^143004 261

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VOCOM SHIM ENT^143006 261

VORTX DIAMOND 2MM/6MM 5/BX ^M0013822061 190

WALLFLEX DUODENAL 22mmX9cm ^M00565020 4928

WALLSTENT CAROTID 10mm X 24mm^71-904 4790

WALLSTENT CAROTID 10mm X 31mm^71-905 4790

WALLSTENT CAROTID 8mm X 21mm^71-901 4790

WALLSTENT CAROTID 8mm X 29mm^71-902 4624

WASHER 10.0MM FOR 4.5 SCREWS^219.91 54

WASHER 12.7 OD -- MFRCAT# 71101690S^71101690S 101

WASHER 12.7MM X 6.5MM^121680 77

WASHER 13.0MM O.D.^71143113 142

WASHER 13.0MM^419.99 55

WASHER 3.0 F/SCREW^40-30900 133

WASHER 4.5MM^AR-8945W 142

WASHER 7.0MM O.D.^71143107 142

WASHER 7MM FOR SM SCREWS^219.98 50

WASHER 8MM O.D. 4MM I.D.^71120006 56

WASHER CLAVICLE AR-2258-03^AR-2258-03 620

WASHER DOUBLE EVOS 3.5mm SCREWS 72442235 142

WASHER EVOS 3.5mm SCREW^72442135 84

WASHER F/SCREWS^AR-8740W 62

WASHER LARGE 13.0MM^219.99 55

WASHER OVAL 2MM FOR SCFE SCREW^02.207.637 178

WASHER SPIKED 14MM^AR-1349 177

WASHER SPIKED 18mm^AR-1349L 177

WASHER SPIKED LG SCREWS^219.951 254

WASHER SUTURE TITANIUM -MFRCAT# AR-7000-18T^AR-7000-18T 221

WASHER VARIABLE DANEK^8220003 170

WB DERIVED PLASMA SINGLE FFP ^HCPCS-P9017 SINGLE 218

WEDGE 817000 FIB STRUT 70MM^817000 1600

WEDGE BONE OSTEOTOMY GRAFT^45-0779 1620

WEDGE CHRONOS RECTANGULAR 10 DEG^710.050.97S 1348

WEDGE CHRONOS SEMI CIRCULAR 10 DEG^710.060.97S 1648

WEDGE DIST FEM LEGION SCREW ON 10MM^71421733 2373

WEDGE DIST FEM LEGION SCREW ON 5MM^71421752 2373

WEDGE DIST FEM LEGION SCREW ON SZ 5 5MM^71421664 2114

WEDGE DIST FEM LEGION SCREW ON SZ3 10MM^71421722 2373

WEDGE DIST FEM LEGION SCREW ON SZ3 5MM^71421721 2373

WEDGE DIST FEM LEGION SCREW ON SZ4 5MM^71421731 2373

WEDGE DIST FEM LEGION SCRW ON SZ4 10MM^71421662 2114

WEDGE DIST FEM LEGION SZ 4 15MM^71421663 2114

WEDGE DIST FEM SCREW ON SZ 3 5MM^71421657 2114

WEDGE DISTAL FEM GEN SZ 3 5MM^71420666 2207

WEDGE DISTAL FEM GEN SZ 3-4 5MM SHRT^71420688 1935

WEDGE DISTAL FEM GEN SZ 3-4 5MM XSHRT^71420702 1935

WEDGE DISTAL FEM GEN SZ 4 5MM^71420667 2207

WEDGE DISTAL FEM GEN SZ 5 10MM^71420674 1737

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WEDGE DISTAL FEM GEN SZ 5 5MM^71420668 2202

WEDGE DISTAL FEM GEN SZ 7 5MM^71420670 2202

WEDGE DISTAL FEM LEGION SCREW ON 10MM SZ3^71421658 2114

WEDGE DISTAL FEM LEGION SCREW ON 5MM SZ4^71421661 2114

WEDGE DISTAL FEM SZ 7-8 5mm^71420692 1935

WEDGE EVANS ALLOGRAFT 10X22X20MM 3102-1910 1500

WEDGE FEM DIST LEGION SCREW ON SZ4 10MM^71421732 2373

WEDGE FEM DIST LEGION SCREW ON SZ5 5MM^71421741 2373

WEDGE FEM LEGION HK DIS SZ5 5MM^71422159 2261

WEDGE FULL TIBIAL SZ 3-4 7DEG^71420005 1564

WEDGE GEN HEMI TIB SZ 1-2 10MM^71420730 1681

WEDGE GEN HEMI TIB SZ 3-4 10MM^71420732 1681

WEDGE GEN HEMI TIB SZ 3-4 15MM^71420740 1681

WEDGE GEN HEMI TIB SZ 3-4 30MM^71420724 1533

WEDGE GEN HEMI TIB SZ 5-6 10MM^71420734 1681

WEDGE GEN HEMI TIB SZ 5-6 15MM^71420742 1681

WEDGE GEN HEMI TIB SZ 5-6 20MM^71420718 1533

WEDGE GEN MED LAT TIB SZ 3-4^71420748 1533

WEDGE GENESIS TIBIAL SM 10MM^124446 1360

WEDGE HEMI TIB SCREW ON SZ 3-4 10MM RT^71423038 2521

WEDGE HEMI TIB SCREW ON SZ 3-4 10MM^71423034 2521

WEDGE HEMI TIB SCREW ON SZ 5-6 10MM^71423035 2521

WEDGE HEMI TIB SCRW ON SZ 1-2 10MM^71423033 2521

WEDGE HEMI TIB SZ 3-4 15MM^71423046 2521

WEDGE HEMI TIB SZ 5-6 10MM^71423039 2521

WEDGE HEMI-TIB SZ 5-6 15MM^71423043 2521

WEDGE ILIUM TRICORT FREEZE DRIED 10MM^400402 1696

WEDGE LTMD RTLA SZ 5-6 15MM -MFRCAT# 71423042^71423042 2521

WEDGE OSTEOTOMY IRRADIATED 2PC^45-1178 1800

WEDGE POS FEM FEM LGN 5MM SZ5-6^71421805 2114

WEDGE POS FEM LGN 5MM SZ3-4 LNG^71421803 2114

WEDGE POS FEM LGN 5MM SZ7-8^71421807 2114

WEDGE POSTERIOR FEM SZ5-6 5MM 71420704 1935

WEDGE SCREW ON L FEM DIST SZ 5 5MM^71421751 2373

WEDGE SCREW ON LEGION S5 10DX10P 71421744 2373

WEDGE TIBIAL SCREW ON SZ 1-2 10MM 71423057 2818

WEDGE TIBIAL SCREW ON SZ 1-2 15MM 71423061 2818

WEDGE TIBIAL SCREW ON SZ 3-4 10MM 71423058 2818

WEDGE TIBIAL SCREW ON SZ 5-6 10MM -MFRCAT# 71423059 71423059 2818

WHFO INC NONTORS JTS CUST 485

WHFO RIGID WO INTS CUSTOM 357

WHFO W JOINTS PREFAB 217

WHFO W/O JNTS PREFAB 267

WHO W/O JTS CUSTOM 451

WHO WRST EXT CNTRL COCKUP 64

WIRE 1.25 PLATE REDUCTION 02.111.501.10 335

WIRE COMPRESSION 1.6 10X150 03.211.410 93

Page 394: Description CPT-4 Base Price Schedule

Description CPT-4 Base Price Schedule

WIRE COMPRESSION 1.6 30X150^03.211.430 93

WIRE COMPRESSION 1.6 35X150 03.211.435 95

WIRE COMPRESSION 2.8X30^03.118.030 117

WIRE FATHOM 0.014 300CM PRE-SHAPED TIP M001508150 363

WIRE FATHOM 0.014 300CM STRAIGHT TIP M001508140 363

WIRE K-WIRE .062 in X 9 in TROCAR POINT ENDS NS 1600-962NS 5

WIRE NEURO TRANSEND PLATINUM WIRE EX 014/205^M001468080 1012

WIRE SYNCHRO 0.14 35cm TIP^M00313010 1150

WIRE SYNCHRO 2^M00326010 1150

WOC Nurse Consult 8

WOUND DRESS MATRIX 2X2 296

WOUND DRESS MATRIX 2X4 224

WRAP STOMA W SEAL 1.97 in BARRIER RINGS^839006 3

WRIST FIX KIT HOFFMAN II 4940-9-810 5505

WRIST KIT MONOTUBE TRIAX 15X200^5150-9-960 3101

Xenon Gas Xe133 10 mCi^711 10mCi 130

Xenon Gas Xe133 20 mCi^711 20mCi 130

XTENBUTTON FIXATION DEVICE 5.5X20MM^72200134 278

Yes - $ Bronch w/computer assisted imaging 3642

Yes - $ CAPD Bag Charge 46

Yes - $ Circumcision Charge 227

Yes - $ Direct Admit 195

Yes - $ FAST Bedside Ultrasound Completed 180

Yes - $ For 1st 10 minutes-Bronch 1829

Yes - $ JMCGH PACU 1st hr 1782

Yes - $ Laryngoscopy ER 476

Yes - $ Laryngoscopy Flexible 476

Yes - $ Nitric Oxide 4746

Yes - $ Oxygen 166

Yes - $ WTSC PACU 1st hr 1782

Yes - Amniocentesis 536

Yes - Circumcision Charge 227

Yes - Daily Extended Recovery 705

Yes - Delivery 4241

Yes - ER Procedure Time 1-30 Min 349

Yes - External Version 1439

Yes - OB ED Triage Level 130

Yes - Recovery - 1st Hour 742

Yes L&D 1st Hour 357

YOKE REINFORCED COCR MOD 150493 2010

Page 395: Description CPT-4 Base Price Schedule

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