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HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 AMNIOEXCEL 1.5X1.5CM PER SQ CM $214.58 Q4137 Q4137 AMNIOEXCEL 12MM DISK PER SQ CM $396.17 Q4137 Q4137 AMNIOEXCEL 15MM DISK PER SQ CM $528.22 Q4137 Q4137 AMNIOEXCEL 18MM DISK PER SQ CM $369.74 Q4137 Q4137 AMNIOEXCEL 24MM DISK PER SQ CM $398.50 Q4137 Q4137 AMNIOEXCEL 4X8 CM PER SQ CM $121.50 Q4137 Q4137 AMNIOEXCEL 5X5CM PER SQ CM $726.30 Q4137 Q4137 AMNIOEXCEL3.5X3.5CM PER SQ CM $107.50 L3999 L3999 BASEBALL SPLINT LG $11.80 1050001349 CATH ANGIO JACKY 5FR 40-5023 $111.00 105000293 CATH COUNCILL 18FR 0196SI $1,104.10 1050000023 DRESSING AQUACEL STRIP .75X18 $59.15 A4649 A4649 D-STAT FLOWABLE HEMOSTAT 4000 $30.00 C1769 C1769 GUIDEWIRE 670-305 $97.20 L3650 L3650 IMMOBILIZER SHOULDER FEMALE $153.40 105000294 KIT KOOL SUB-ZERO 900 $55.20 105000295 MUL-T-BLANKET HP810MUL $30.90 105000297 PAD BED UMP 30X10 1190 $874.53 105000291 SCISSOR IRIS STRAIGHT SSI-0001 $111.80 C1729 C1729 SET DRAIN LL MULTI G10261 $14.75 A4565 A4565 SLING COLLAR & CUFF $233.35 Q4121 Q4121 THERASKIN 2.5X2.5CM (1X1) $109.50 Q4121 Q4121 THERASKIN 2.5X5.1CM PER SQ CM $604.85 Q4121 Q4121 THERASKIN 5.1X7.6CM PER SQ CM $2,241.00 A9558 A9558 133-XE XENON GAS DX / 10MCI $136.80 A9552 A9552 18-F FLUORODEOXYGLUCODE(FDG)DX UPTO 45MC $857.33 A9505 A9505 201-TL THALLOU CHLORIDE(THALLIUM)DX/MCI $145.45 C1725 C1725 272 SUPPLY WITH C1725 $341.00 C1729 C1729 272 SUPPLY WITH C1729 $132.25 L0120 L0120 274 SUPPLY WITH L0120 $17.75 L0150 L0150 274 SUPPLY WITH L0150 $40.60 L0172 L0172 274 SUPPLY WITH L0172 $147.50 Q4101 Q4101 278 SUPPLY WITH Q4101 $111.90

HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

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Page 1: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

HCPCS CHARGE-NBR DESCRIPTION PRICEQ4137 Q4137 AMNIOEXCEL 1.5X1.5CM PER SQ CM $214.58Q4137 Q4137 AMNIOEXCEL 12MM DISK PER SQ CM $396.17Q4137 Q4137 AMNIOEXCEL 15MM DISK PER SQ CM $528.22Q4137 Q4137 AMNIOEXCEL 18MM DISK PER SQ CM $369.74Q4137 Q4137 AMNIOEXCEL 24MM DISK PER SQ CM $398.50Q4137 Q4137 AMNIOEXCEL 4X8 CM PER SQ CM $121.50Q4137 Q4137 AMNIOEXCEL 5X5CM PER SQ CM $726.30Q4137 Q4137 AMNIOEXCEL3.5X3.5CM PER SQ CM $107.50L3999 L3999 BASEBALL SPLINT LG $11.80

1050001349 CATH ANGIO JACKY 5FR 40-5023 $111.00105000293 CATH COUNCILL 18FR 0196SI $1,104.10

1050000023 DRESSING AQUACEL STRIP .75X18 $59.15 A4649 A4649 D-STAT FLOWABLE HEMOSTAT 4000 $30.00C1769 C1769 GUIDEWIRE 670-305 $97.20L3650 L3650 IMMOBILIZER SHOULDER FEMALE $153.40

105000294 KIT KOOL SUB-ZERO 900 $55.20105000295 MUL-T-BLANKET HP810MUL $30.90105000297 PAD BED UMP 30X10 1190 $874.53105000291 SCISSOR IRIS STRAIGHT SSI-0001 $111.80

C1729 C1729 SET DRAIN LL MULTI G10261 $14.75A4565 A4565 SLING COLLAR & CUFF $233.35Q4121 Q4121 THERASKIN 2.5X2.5CM (1X1) $109.50Q4121 Q4121 THERASKIN 2.5X5.1CM PER SQ CM $604.85Q4121 Q4121 THERASKIN 5.1X7.6CM PER SQ CM $2,241.00A9558 A9558 133-XE XENON GAS DX / 10MCI $136.80A9552 A9552 18-F FLUORODEOXYGLUCODE(FDG)DX UPTO 45MC $857.33A9505 A9505 201-TL THALLOU CHLORIDE(THALLIUM)DX/MCI $145.45C1725 C1725 272 SUPPLY WITH C1725 $341.00C1729 C1729 272 SUPPLY WITH C1729 $132.25L0120 L0120 274 SUPPLY WITH L0120 $17.75L0150 L0150 274 SUPPLY WITH L0150 $40.60L0172 L0172 274 SUPPLY WITH L0172 $147.50Q4101 Q4101 278 SUPPLY WITH Q4101 $111.90

Page 2: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

A9556 A9556 67 GA CITRATE DX / MCI $120.97A9557 A9557 99M-TC BICISATE(NEUROLITE)DX UP TO 25MCI $1,736.03A9540 A9540 99M-TC MACROAGG.ALBUMIN(MAA)DX UPTO10MCI $232.56A9537 A9537 99M-TC MEBROFENIN(CHOLETEC)DX UP TO 15MC $161.50A9562 A9562 99M-TC MERTIATIDE (MAG3) DX UP TO 15MCI $747.56A9539 A9539 99M-TC PENTETATE(DTPA) DX UP TO 25MCI $266.80A9500 A9500 99M-TC SESTAMIBI(CARDIOLITE)DX UP TO 40M $335.51A9512 A9512 99M-TC TECHNITATE DX / MCI $237.36A9541 A9541 99M-TC UF SULFUR COLLOID UP TO 20 MCI $247.77

1050001275 ACAPELLA GREEN 26-21-1530ACAPELLA GREEN 26-21-1530 $200.251050001077 ADAPTER VALVED TEE 002061ADAPTER VALVED TEE 002061 $14.751050001167 AIRWAY NASAL 7.5AIRWAY NASAL 7.5 $14.751050001314 AIRWAY NEO LMA 125010AIRWAY NEO LMA 125010 $49.301050001213 AMNIHOOK $10.00

Q4101 Q4101 APLIGRAF 44CM2 $87.051050001164 ASCOPE SLIM AMBU 402001000 $1,150.401050001258 ASPIRATOR MECONIUMASPIRATOR MECONIUM $23.501050001316 ASPIRATOR NASAL 3.25" 93032-02 $23.151050001136 BAG AEROSOL EFFUSIONBAG AEROSOL EFFUSION $14.751050001066 BAG LEG MEDIUMBAG LEG MEDIUM $14.751050001087 BAG LEG W/VALVE LARGE 150732BAG LEG W/VALVE LARG $14.751050001061 BAG PRESSURE INFUSER 1000MLBAG PRESSURE INFUSER 10 $43.501050001115 BAG PRESSURE INFUSER 500MLBAG PRESSURE INFUSER 500 $43.501050001125 BAG URINARY DRAINBAG URINARY DRAIN $29.251050001188 BAG URINE BELLY 133097BAG URINE BELLY 133097 $105.20

c1726 c1726 BALLOON RIGIFLEX $97.851050001104 BANDAGE PLASTER GYP 5" ROLL $6.401050001301 BELT FETAL MONITOR 40000009BELT FETAL MONITOR 40000009 $14.751050001198 BINDER 12" 79-89091BINDER 12" 79-89091 $52.951050001195 BINDER ABDOM XLG 79-89220BINDER ABDOM XLG 79-89220 $52.401050001162 BLADE MAC SIZE 4 350-012-000 $66.851050001206 BLOCK BITE ENDOTUBE 11040 $25.55

L4386 L4386 BOOT ARMOR LGBOOT ARMOR LG $270.40L4385 L4385 BOOT ARMOR MEDBOOT ARMOR MED $270.40

Page 3: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

1050001131 BOOT WALKING XLG W1000BLK $351.00L0460 L0460 BRACE STOP 1 FEM LG $1,106.15

1050001128 BREASTPUMP SYSTEMBREASTPUMP SYSTEM $153.301050001260 BRUSH ORAL SUCTION 6570BRUSH ORAL SUCTION 6570 $98.951050001262 CANNISTER VAC GEL M8275063CANNISTER VAC GEL M8275063 $198.351050001279 CANNULA HIGH FLOW 1600HF-25 $24.101050001199 CANNULA NASAL INF BC2745-20 $58.001050001299 CANNULA NASAL NEONATAL RT092 $58.001050001317 CANNULA NASAL OPTIFLOW OPT544 $141.601050001300 CANNULA NASAL PED RT094 $58.001050001245 CANNULA SALTER INFANTCANNULA SALTER INFANT $14.751050001186 CANNULA SALTER PEDCANNULA SALTER PED $14.75

A6027 A6027 CARDIAC MAINTENANCE $30.001050001207 CATH 3-WAY 30 20FR 1857SI20CATH 3-WAY 30 20FR $103.551050001161 CATH 3-WAY 30 22FR 1857SI22CATH 3-WAY 30 22FR $103.551050001129 CATH COUDE 14FRCATH COUDE 14FR $55.301050001112 CATH COUDE 16FR 0102L 16CATH COUDE 16FR 0102L 16 $55.501050001154 CATH COUDE 18FR 0102L18CATH COUDE 18FR 0102L18 $55.501050001313 CATH DRAIN 10FR NNU10LPTCATH DRAIN 10FR NNU10LPT $323.50

C1729 C1729 CATH DTVN5.0-19 7CM YUEH $45.901050001174 CATH FOLEY 5 12FRCATH FOLEY 5 12FR $41.701050001172 CATH FOLEY 5 14FRCATH FOLEY 5 14FR $45.201050001120 CATH FOLEY 5 18FRCATH FOLEY 5 18FR $41.201050001134 CATH FOLEY 5 20FRCATH FOLEY 5 20FR $45.201050001173 CATH FOLEY PED 3 10FRCATH FOLEY PED 3 10FR $41.70

37500243 CATH FOLEY SILVER 22FR 5 3-WAY $45.201050001280 CATH PACING BIPOLAR 6FR 401767CATH PACING BIPOLAR 6FR 401767 $269.001050001287 CATH POSTPARTUM J-SOS-100500 $1,269.401050001212 CATH POWERGLIDE 20GX10 F120100 $310.501050001171 CATH SILVER 5 16FR 1758SI16CATH SILVER 5 16FR $45.201050001135 CATH THORACIC 32FRCATH THORACIC 32FR $22.401050001141 CATH THORACIC 36FRCATH THORACIC 36FR $22.401050001229 CATH UMBILICAL 3.5FRCATH UMBILICAL 3.5FR $64.401050001230 CATH UMBILICAL 5FRCATH UMBILICAL 5FR $64.40

Page 4: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

1050001292 CIRCUIT INFANT RT132 $89.001050001079 CIRCUIT NONINVASIVECIRCUIT NONINVASIVE $35.101050001069 CO2 DETECTOR EASY CAPCO2 DETECTOR EASY CAP $54.801050001257 CO2 DETECTOR PEDI CAPCO2 DETECTOR PEDI CAP $54.80

L0150 L0150 COLLAR CERV PHIL INFANT 79-830COLLAR CERV PHIL INF $40.60L0150 L0150 COLLAR CERV PHIL LOW 79-83028COLLAR CERV PHIL LOW $40.60L0150 L0150 COLLAR CERV PHIL PED 79-83022COLLAR CERV PHIL PED $40.60

1050001052 COLLAR VISTA ADULT 79-83380COLLAR VISTA ADULT 79-8 $225.451050001234 CONNECTOR AIRWAY SWIVELCONNECTOR AIRWAY SWIVEL $14.751050001239 CONNECTOR Y MX458L W/MLLCONNECTOR Y MX458L W/MLL $21.001050001116 COVER PROBE 96" 9000096COVER PROBE 96" 9000096 $74.951050001302 CUP PALM NEONATAL 26-55-4033 $23.601050001050 DERMABOND ADVANCED DNX12DERMABOND ADVANCED DNX12 $100.95

q4106 q4106 DERMAGRAFT SKIN PER SQ ML $97.851050001113 DEVICE ANTERIOR 4.5 RR450DEVICE ANTERIOR 4.5 RR450 $147.501050001114 DEVICE ANTERIOR 5.5 RR550DEVICE ANTERIOR 5.5 RR550 $155.651050001100 DEVICE POST/ANTER 7.5 RR750DEVICE POST/ANTER 7.5 R $157.351050001326 DRAIN PLEURX 1000ML 50-7510 $344.051050001082 DSG ACE DOUBLE 6"DSG ACE DOUBLE 6" $24.501050001264 DSG AQUACELL AG 4X4 403708DSG AQUACELL AG 4X4 403708 $49.401050001053 DSG BIOPATCH 2150DSG BIOPATCH 2150 $36.601050001204 DSG COLLAGEN AG 4X4 66800122DSG COLLAGEN AG 4X4 66 $111.751050001182 DSG DUODERM 4" X 4"DSG DUODERM 4" X 4" $15.701050001244 DSG DUODERM EXTRA-THIN 4" X 4"DSG DUODERM EXTRA-THIN 4" X 4" $14.751050001130 DSG MEPILEX BORDER 4" 295300BDSG MEPILEX BORDER 4" $18.801050001268 DSG MEPILEX BORDER 6" 295400BDSG MEPILEX BORDER 6" 295400B $31.751050001197 DSG MEPILEX SACRUM 7.2" 896597DSG MEPILEX SACRUM 7 $40.751050001084 DSG NUGAUZE IODOFORM 1/4"DSG NUGAUZE IODOFORM 1/4" $14.751050001175 DSG NUGAUZE PLAIN 1/2"DSG NUGAUZE PLAIN 1/2" $14.751050001106 DSG NUGAUZE PLAIN 1/4"DSG NUGAUZE PLAIN 1/4" $14.751050001216 DSG SPONGE KERLIX SUPERDSG SPONGE KERLIX SUPER $14.751050001240 DSG SPONGE LAP BABYDSG SPONGE LAP BABY $28.301050001193 DSG SUREPRESSDSG SUREPRESS $48.351050001093 DSG TEGADERM 15X20 1628DSG TEGADERM 15X20 1628 $14.75

Page 5: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

1050001049 DSG TEGADERM 4X6 1/8 1650DSG TEGADERM 4X6 1/8 1650 $14.751050001099 DSG TEGADERM CHG 3.5X4.5 1657DSG TEGADERM CHG 3.5X $34.301050001218 DSG VASELINE GAUZE 6" X 36" $5.451050001211 DSG WOUND PROMOGRAN PG004 $43.901050001261 DSG WOUND VAC M8275040DSG WOUND VAC M8275040 $251.201050001203 EDEMA WEAR MED 0960001EDEMA WEAR MED 0960001 $66.201050001070 ELECTRODE QUICK-COMBOELECTRODE QUICK-COMBO $115.751050001248 ELECTRODE RED DOT PEDIATRICELECTRODE RED DOT PEDIATRIC $14.751050001092 ENDO TUBE ATTACHMENT $59.001050001255 ENRICHMENT ATTACHMENTENRICHMENT ATTACHMENT $14.751050001105 EVACUATED CONT 1000CEVACUATED CONT 1000C $55.251050001156 EXTRACTOR KATZ FB5000 $273.851050001290 EZPAP SYSTEM 23-0757 $177.001050001306 EZPAP W/ LG MASK 26-23-3747 $219.251050001196 EZ-STABILIZER 9066 $28.051050001102 FILTERLINE NASAL ADULT 006912FILTERLINE NASAL ADUL $63.701050001089 FILTERLINE NASAL PED 006913FILTERLINE NASAL PED 00 $59.001050001194 FOAM CLEANSING 325208FOAM CLEANSING 325208 $14.751050001090 FORCEP ADSON ST SSI-0027 $10.351050001304 GARMENT CALF LARGE VP501LGARMENT CALF LARGE VP501L $94.951050001201 GARMENT CALF MED VP501MGARMENT CALF MED VP501M $76.701050001298 GENERATOR NCPAP INF 7772020LP $363.801050001157 GLIDESCOPE GVL S3 0270-0626 $100.301050001094 GLIDESCOPE GVL S4 0270-0628 $100.301050001328 HEADGEAR INF XL 777040XL $72.001050001297 HEADGEAR INFANT LG 777040L $74.251050001295 HEADGEAR INFANT SM 777040S. $74.751050001294 HEADGEAR INFANT XSM 77704XS. $74.251050001296 HEADGEAR NCPAP INF MED 777040M $74.251050001083 HEMOSTAT ABSORBHEMOSTAT ABSORB $157.701050001081 HEMOSTAT MOSQUITO CUR 16-1200 $7.851050001163 HEMOSTAT SURGICEL SNOW JJ2082 $484.851050001205 HOLDER NEEDLE ST SSI-0019 $13.751050001312 HUMIDIFIER BUBBLE HF 7900 $30.00

Page 6: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

1050001256 HYDROGELHYDROGEL $48.75A9516 A9516 I-123 SODIUM IODIDE CAP DX / 100UCI $225.93A9528 A9528 I-131 SODIUM IODIDE CAP DX / MCI $50.00A9517 A9517 I-131 SODIUM IODIDE CAP TX / MCI $50.00L3650 L3650 IMMOB ARM LGIMMOB ARM LG $28.60

1050001183 IMMOB ARM MDIMMOB ARM MD $28.60L3999 L3999 IMMOB ARM PAD COLLES LT LGIMMOB ARM PAD COLLES LT $28.95L3999 L3999 IMMOB ARM PAD COLLES RT LGIMMOB ARM PAD COLLES RT $26.30

1050001076 IMMOB ARM XLIMMOB ARM XL $28.75L3650 L3650 IMMOB ARM X-SM 3516-08 $69.35

1050001228 IMMOB BINDER ABDOMEN UNIV 12"IMMOB BINDER ABDOMEN UNIV 12" $48.401050001227 IMMOB BINDER ABDOMINAL 10"IMMOB BINDER ABDOMINAL 10" $41.15

L1830 L1830 IMMOB BRACE KNEE L 79-80027IMMOB BRACE KNEE L 79-8 $48.40L1830 L1830 IMMOB BRACE POST OP KNEE X-LGIMMOB BRACE POST OP K $48.40L3908 L3908 IMMOB BRACE WRISTIMMOB BRACE WRIST $26.60L0150 L0150 IMMOB COLLAR CERV PHIL J17045IMMOB COLLAR CERV PHI $40.75L3999 L3999 IMMOB FOREARM PAD RT LGIMMOB FOREARM PAD RT LG $25.60

1050001140 IMMOB SHOE POST-OP MEN LGIMMOB SHOE POST-OP MEN LG $20.251050001139 IMMOB SHOE POST-OP MEN MEDIMMOB SHOE POST-OP MEN M $20.251050001121 IMMOB SHOE POST-OP MEN SMIMMOB SHOE POST-OP MEN SM $20.251050001107 IMMOB SHOE POST-OP WOMEN LGIMMOB SHOE POST-OP WOME $20.251050001138 IMMOB SHOE POST-OP WOMEN MEDIMMOB SHOE POST-OP WOM $20.251050001137 IMMOB SHOE POST-OP WOMEN SMIMMOB SHOE POST-OP WOME $20.251050001189 IMMOB SHOE POST-OP XLIMMOB SHOE POST-OP XL $20.251050001048 IMMOB SLING ARM LGIMMOB SLING ARM LG $14.751050001064 IMMOB SLING ARM MD 79-84005IMMOB SLING ARM MD 79-8 $14.751050001143 IMMOB SLING ARM PEDIMMOB SLING ARM PED $16.751050001124 IMMOB SLING ARM SMIMMOB SLING ARM SM $14.751050001071 IMMOB SLING ARM XLIMMOB SLING ARM XL $14.751050001133 IMMOB SLING ARMIMMOB SLING ARM $16.75

L3999 L3999 IMMOB SPLINT ARM MED LEFTIMMOB SPLINT ARM MED LEFT $25.60L3999 L3999 IMMOB SPLINT ARM RT MDIMMOB SPLINT ARM RT MD $26.50L3999 L3999 IMMOB SPLINT ARM RT MDIMMOB SPLINT ARM RT MD $26.50

1050001232 IMMOB SPLINT BUCKS MDIMMOB SPLINT BUCKS MD $47.60

Page 7: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

1050001235 IMMOB SPLINT BUCKS SMIMMOB SPLINT BUCKS SM $47.05L1830 L1830 IMMOB SPLINT KNEE 16" 134IMMOB SPLINT KNEE 16" 134 $208.20L1830 L1830 IMMOB SPLINT KNEE 20" 133IMMOB SPLINT KNEE 20" 133 $185.55L1830 L1830 IMMOB SPLINT KNEE MD 7980025IMMOB SPLINT KNEE MD 7 $48.40L1830 L1830 IMMOB SPLINT KNEE SM 7980023IMMOB SPLINT KNEE SM 7 $48.40L3923 L3923 IMMOB SPLINT THUMBIMMOB SPLINT THUMB $36.15L3908 L3908 IMMOB SPLINT WRIST RT MDIMMOB SPLINT WRIST RT MD $29.50L3908 L3908 IMMOB WRIST ELAST SPINT RT LGIMMOB WRIST ELAST SPI $26.60L3908 L3908 IMMOB WRIST ELAST SPLINT LT MDIMMOB WRIST ELAST SP $26.60L3908 L3908 IMMOB WRIST ELAST SPLINT LT SMIMMOB WRIST ELAST SP $26.60L308 L308 IMMOB WRIST ELAST SPLINT LT XLIMMOB WRIST ELAST SP $26.60L3908 L3908 IMMOB WRIST ELAST SPLINT RT XLIMMOB WRIST ELAST SP $26.60A9548 A9548 IN-111 DTPA-DX 0.5MCI $1,000.88A9572 A9572 IN-111 PENTETREOTIDE OCTREOSCAN TO 6 MCI $1,774.60

1050001062 INCENT BREATH INITIAL $163.551050001310 INTERDRY AG 10X36" 7912INTERDRY AG 10X36" 7912 $205.351050001318 INTERFACE NASAL LARGE RT050 $141.601050001319 INTERFACE NASAL SMALL RT051 $141.601050001249 INTRAN PLUSINTRAN PLUS $151.251050001122 INTUBATING STYLET 14FRINTUBATING STYLET 14FR $14.751050001254 INTUBATING STYLET 6FRINTUBATING STYLET 6FR $14.751050001056 KIT ACE AEROSOL CLOUD ENHANCERKIT ACE AEROSOL CLOU $27.301050001210 KIT CASSETTE PRC-1200 $1,105.051050001068 KIT CATH PEDI CKF5050LKIT CATH PEDI CKF5050L $24.251050001145 KIT CENT VEIN M3720KIT CENT VEIN M3720 $149.801050001160 KIT CHEST TUBE PLEURA 17100KIT CHEST TUBE PLEURA 1 $339.951050001276 KIT CIRCUIT NEO M1091335VS $32.951050001047 KIT COMBIPORT/GUARD E10100A $22.251050001208 KIT LARYNGO MAC3 B151923 $106.951050001209 KIT LARYNGO MAC4 B151924 $106.951050001152 KIT MONITOR TRUWAVE PX260KIT MONITOR TRUWAVE PX260 $47.151050001191 KIT NEBULIZER 11320-10 $105.201050001123 KIT NEBULIZER STER 1000MLKIT NEBULIZER STER 1000ML $14.751050001253 KIT NIPPLE FIXEDKIT NIPPLE FIXED $49.90

Page 8: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

1050001293 KIT OXYGEN THERAPY RT329 $208.951050001305 KIT OXYGEN THERAPY RT408 $229.601050001238 KIT PERC INTRODUCERKIT PERC INTRODUCER $133.701050001330 KIT POWERGLIDE 18GX10 F118101 $496.801050001331 KIT POWERGLIDE 20GX10 F120101 $496.801050001165 KIT POWERLOC MAX 22G 2142275 $135.151050001072 KIT SUTURE REMOVAL $9.351050001322 KIT VAC DEL OMNI VAC6000M $135.701050001309 KIT VAC DELIVERY PALM VAC6000SKIT VAC DELIVERY PALM VAC6000S $135.701050001269 KIT VACUUM DELIVERY 505TTKIT VACUUM DELIVERY 505TT $132.751050001277 LATCH-ASSIST $69.351050001181 LENS MORGANLENS MORGAN $111.70

Q9967 Q9967 LOCM 300-399MG/ML IODINE CONCENT /ML $0.501050001215 MASK BILIMASK BILI $14.751050001327 MASK NASAL INF XL 777002XL $118.001050001283 MASK NASAL INFANT LG 777002L $133.251050001282 MASK NASAL INFANT MED 777002M $133.251050001281 MASK NASAL INFANT S 777002S $133.251050001308 MASK ORO-NASAL LG 1072629 $166.151050001159 MASK ORO-NASAL MED 1072628 $166.151050001307 MASK ORO-NASAL SM 1072627 $188.801050001289 MASK PERFORMAX ADULT 1052532 $300.851050001288 MASK PERFORMAX SM AD 1052531 $300.851050001273 MASK RESUSITATOR #3 RD 806MASK RESUSITATOR #3 RD 806 $27.501050001108 MASTISOL ADHESIVEMASTISOL ADHESIVE $14.75

Q4172 Q4172 MATRIX WOUND 2X2CM PURAPLY ANTIMICROBIAL $400.201050001286 NASAL PRONGS INFANT LG 006920 $33.951050001285 NASAL PRONGS INFANT MED 006915 $33.951050001284 NASAL PRONGS INFANT SM 006910 $33.951050001147 NEEDLE HUBER 19X1 1/2" 471743NEEDLE HUBER 19X1 1/2 $21.351050001179 NEEDLE HUBER 19X1NEEDLE HUBER 19X1 $21.401050001241 NEEDLE HUBER 22X1NEEDLE HUBER 22X1 $21.401050001185 NEEDLE HUBER 22X3/4NEEDLE HUBER 22X3/4 $21.401050001200 NEEDLE HUBER 90MM RHUB90NEEDLE HUBER 90MM RHUB90 $35.95

Page 9: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

1050001098 NEEDLE SPINAL 22GX5 405148NEEDLE SPINAL 22GX5 4051 $16.251050001155 OINTMENT PROTECTIVE 324913OINTMENT PROTECTIVE 3249 $14.751050001166 OXYGEN DAILY $- 1050001233 OXYGEN HUMIDIFIERS $- 1050001243 PACKING VAG 4 $4.451050001324 PAD CHAIR UMP 1456 $111.501050001190 PAD THIMBLE 1" $5.901050001177 PEAK FLOW METERPEAK FLOW METER $49.301050001153 PEEP VALVE BM8870 $47.701050001325 PERFORMAX XL ADULT 1080424 $247.50

A4649 A4649 PHYSICAL THERAPY MAINTENANCE $30.001050001311 PLASTIBELL 1.4CM HL9234PLASTIBELL 1.4CM HL9234 $24.951050001220 PLASTIBELL CIRCUMCISION 1.3CMPLASTIBELL CIRCUMCISION 1.3CM $23.151050001219 PLASTIBELL CIRCUMCISION 1.5CMPLASTIBELL CIRCUMCISION 1.5CM $18.55

A4466 A4466 PULMONARY MAINTENANCE $30.001050001085 RESUSCITATOR ADULTRESUSCITATOR ADULT $48.001050001146 RESUSCITATOR CHILDRESUSCITATOR CHILD $102.801050001247 RESUSCITATOR INFANTRESUSCITATOR INFANT $51.751050001045 SAFCLENS WOUND CLEANSERSAFCLENS WOUND CLEANSER $36.551050001041 SALINE LOCK FLUSH 10ML $11.801050001323 SENSOR ACOUSTIC RAS-125C $209.051050001333 SENSOR EAR ADULT LNCS E1 2918 $141.601050001055 SENSOR MASIMO ADULT 1859SENSOR MASIMO ADULT 1859 $48.751050001044 SENSOR MASIMO INFANT 2328SENSOR MASIMO INFANT 2328 $62.701050001265 SENSOR MASIMO NEONATAL 6600082SENSOR MASIMO NEONATAL 6600082 $81.501050001272 SENSOR OXYGEN ADULT MAX-ASENSOR OXYGEN ADULT MAX-A $45.651050001271 SET BLOOD WARMING 24200SET BLOOD WARMING 24200 $51.651050001184 SET CATH ARTERIAL FA04020SET CATH ARTERIAL FA04020 $78.301050001144 SET CATH RADIAL ARTERY RA04020SET CATH RADIAL ARTE $54.401050001291 SET EXTENSION ENTERAL 1018514SET EXTENSION ENTERAL 1018514 $14.751050001080 SET FILTERLINE B203316SET FILTERLINE B203316 $54.001050001051 SET INFUSION POWERLOC 19GX.75SET INFUSION POWERLOC $36.601050001170 SET IRRIGATION BLADDER Y-TYPESET IRRIGATION BLADDE $49.201050001214 SET IRRIGATION BLADDERSET IRRIGATION BLADDER $22.60

Page 10: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

1050001321 SET SPIKE TOP FILL 773662SET SPIKE TOP FILL 773662 $27.451050001320 SET SPIKE W/FLUSH 775100SET SPIKE W/FLUSH 775100 $23.501050001042 SET TRANSFER SVTS $19.651050001266 SHIELD NIPPLE REG 89902S $21.651050001267 SHIELD NIPPLE SMALL 89907S $26.101050001329 SLING LIFT LARGE 0431MFA2000L $163.00

37512083 SODIUM CHLORIDE INJ .9% 1000ML $107.701050001096 SPEC VAG LG LIGHT C020120-2 $20.801050001046 SPEC VAG MED LIGHT C020110-1 $20.801050001075 SPEC VAG SM LIGHT C020100-1 $20.80

L4350 L4350 SPLINT ANKLE AIR REG 79-97867SPLINT ANKLE AIR REG $52.95L4350 L4350 SPLINT ANKLE AIR TRN 79-97865SPLINT ANKLE AIR TRN $52.95

1050001117 STAPLE REMOVER SKIN $4.901050001176 STAPLER SKIN 35 $191.251050001067 STAPLER SKIN DS-5STAPLER SKIN DS-5 $20.551050001101 STAPLER SKIN PMW35STAPLER SKIN PMW35 $30.451050001074 STATLOCK CATH DEVICE FOLEY VFDSTATLOCK CATH DEVICE $17.351050001332 STATLOCK IV ULTRA IV0520 $18.401050001274 STATLOCK PEDIATRIC 2N9241KSTATLOCK PEDIATRIC 2N9241K $25.251050001270 STATLOCK PIC PLUS VPPDFPSTATLOCK PIC PLUS VPPDFP $24.601050001224 STOCKING TED CALF LG PRSTOCKING TED CALF LG PR $15.201050001225 STOCKING TED CALF MED PRSTOCKING TED CALF MED PR $15.201050001223 STOCKING TED CALF XL PRSTOCKING TED CALF XL PR $15.201050001226 STOCKINGS CALF ORTHAWR PR SMSTOCKINGS CALF ORTHAWR PR SM $15.201050001221 STOCKINGS ORTHAWR THIGH XLGSTOCKINGS ORTHAWR THIGH XLG $50.701050001236 STOCKINGS THIGH ORTHAWR LGSTOCKINGS THIGH ORTHAWR LG $28.401050001237 STOCKINGS THIGH ORTHAWR MDSTOCKINGS THIGH ORTHAWR MD $28.301050001222 STOCKINGS THIGH ORTHAWR SMSTOCKINGS THIGH ORTHAWR SM $55.051050001057 SUCTION BOTTLE $28.301050001180 SUCTION FRAZIER 8FRSUCTION FRAZIER 8FR $14.751050001148 SUTURE CHROMIC 5-0 TAPER K895GSUTURE CHROMIC 5-0 T $14.751050001109 SUTURE ETHILON 3-0 REV CUT669HSUTURE ETHILON 3-0 R $14.751050001060 SUTURE ETHILON 4-0 662SUTURE ETHILON 4-0 662 $14.751050001063 SUTURE ETHILON 5-0 698SUTURE ETHILON 5-0 698 $15.90

Page 11: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

1050001078 SUTURE ETHILON 6-0 REVERSE CUTSUTURE ETHILON 6-0 R $16.251050001111 SUTURE NYLON 4-0 REVERSE 699GSUTURE NYLON 4-0 REVE $15.901050001149 SUTURE PLAIN 6-0 1916GSUTURE PLAIN 6-0 1916G $32.601050001150 SUTURE PROLENE 3-0 8684SUTURE PROLENE 3-0 8684 $14.751050001058 SUTURE PROLENE 4-0 8699GSUTURE PROLENE 4-0 8699G $20.101050001086 SUTURE PROLENE 5-0 8698GSUTURE PROLENE 5-0 8698G $21.301050001065 SUTURE PROLENE 6-0 8697GSUTURE PROLENE 6-0 8697G $21.501050001251 SUTURE STRIP 1/2 X 4 $6.901050001250 SUTURE UMBILICAL TAPE U11SUTURE UMBILICAL TAPE U11 $14.751050001073 SUTURE VICRYL 4-0 REV CUTJ422HSUTURE VICRYL 4-0 RE $14.751050001097 SUTURE VICRYL 4-0 REV CUTJ494GSUTURE VICRYL 4-0 RE $17.551050001127 SUTURE VICRYL 5-0 TAPER J303HSUTURE VICRYL 5-0 TAP $14.751050001088 SUTURE VICRYL 6-0 J492GSUTURE VICRYL 6-0 J492G $19.401050001303 SWIVEL CPAP MASK 7041 $21.651050001059 SYSTEM TRACH SUCTION ADULTSYSTEM TRACH SUCTION ADU $52.601050001178 TAPE CASTING SCOTCAST 3"TAPE CASTING SCOTCAST $16.301050001142 TAPE CASTING SCOTCAST 4"TAPE CASTING SCOTCAST $21.35

A9561 A9561 TC 99M OXIDRONATE PER DOSE $189.97Q3014 Q3014 TELEHEALTH FACILITY FEE $26.92

1050001091 TELEMETRY $322.091050000024 TELFA ISLAND 4X10 $103.501050000026 TELFA ISLAND 4X8 $139.651050001126 TEMP CAUTERY HI-TEMPTEMP CAUTERY HI-TEMP $52.401050001259 TENDER GRIP $- 1050001263 TRACH TIE 520000TRACH TIE 520000 $14.751050001246 TRANSFER CHAMBERTRANSFER CHAMBER $50.901050001315 TRAP SPECIMAN 80 0045860TRAP SPECIMAN 80 0045860 $14.751050001110 TRAY EPIDERAL $38.201050001151 TRAY EPIDURAL CONT 332079 $140.941050001043 TRAY SUTURE DELUXE SUT10865TRAY SUTURE DELUXE SUT1 $91.151050001217 TRAY URINE METER W/BAGTRAY URINE METER W/BAG $35.401050001158 TUBE ENDO 7.0MM 124170TUBE ENDO 7.0MM 124170 $97.651050001095 TUBE ENDO 7.5MM 124175TUBE ENDO 7.5MM 124175 $97.701050001168 TUBE ENDO CUFFED MURPH EYE 6.0TUBE ENDO CUFFED MUR $14.75

Page 12: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

1050001202 TUBE GASTROSTOMY 20FR 000720TUBE GASTROSTOMY 20FR $138.051050001119 TUBE GUARD FEEDING ATTACHMENTTUBE GUARD FEEDING AT $14.751050001132 TUBE LUKENS 19510-065TUBE LUKENS 19510-065 $24.351050001252 TUBE SALEM SUMP 10FRTUBE SALEM SUMP 10FR $31.301050001118 TUBE SALEM SUMP 14FRTUBE SALEM SUMP 14FR $31.001050001103 TUBE SALEM SUMP 16FRTUBE SALEM SUMP 16FR $22.401050001169 TUBE SALEM SUMP 18FRTUBE SALEM SUMP 18FR $31.001050001192 TUBE TRACH 15 FR 153014TUBE TRACH 15 FR 153014 $46.75

A9560 A9560 ULTRA TAG KIT $308.751050001242 VALVE ANTI REFLEXVALVE ANTI REFLEX $35.451050001334 VALVE EXHALATION 8414777 $89.351050001278 VALVE LOPEZ M9000VALVE LOPEZ M9000 $14.751050001231 VENT CIRCUIT HUDSONVENT CIRCUIT HUDSON $120.85

364SU270 ACAPELLA DH GREEN W/MOUTHPIECE $8.97C1776 10500C1776 ACETAB CUP $97.33C1776 10500C1776 ACETAB CUP $108.67C1776 10500C1776 ACETAB CUP $1,275.67C1776 10500C1776 ACETAB INSERT 32MM 6299-7-525 $356.53C1776 10500C1776 ACETAB LINER $233.33C1776 10500C1776 ACETAB LINER $423.67C1776 10500C1776 ACETAB LINER $496.67C1776 10500C1776 ACETAB LINER XL105914 $449.00C1776 10500C1776 ACETAB SHELL $341.60C1776 10500C1776 ACETAB SHELL $786.67C1776 10500C1776 ACETAB SHELL $849.67C1776 10500C1776 ACETAB SHELL $866.67C1776 10500C1776 ACETAB SHELL $866.67C1776 10500C1776 ACETAB SHELL $866.67C1776 10500C1776 ACETAB. SHELL $500.67C1776 10500C1776 ACETABULAR CUP $1,171.33C1776 10500C1776 ACETABULAR CUP 28X44MM 104391 $264.67C1776 10500C1776 ACETABULAR CUP 48X42MM $1,322.33C1776 10500C1776 ACETABULAR CUP 50X44MM $1,322.33C1776 10500C1776 ACETABULAR CUP 52X46MM $1,401.67

Page 13: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1776 10500C1776 ACETABULAR CUP 54MM H5-11054 $532.00C1776 10500C1776 ACETABULAR CUP 54X48MM $1,401.67C1776 10500C1776 ACETABULAR CUP 56X50MM $1,322.33C1776 10500C1776 ACETABULAR CUP 58X52MM $1,322.33C1776 10500C1776 ACETABULAR CUP 60X54MM $1,322.33C1776 10500C1776 ACETABULAR CUP 62X56MM $1,322.33C1776 10500C1776 ACETABULAR INSERT H5-44436 $546.67C1713 10500C1713 ACETABULAR LINER $366.13C1776 10500C1776 ACETABULAR LINER $241.00C1776 10500C1776 ACETABULAR LINER $496.67C1776 10500C1776 ACETABULAR LINER $583.00C1776 10500C1776 ACETABULAR LINER 1221-36-054 $396.00C1776 10500C1776 ACETABULAR LINER 1221-36-056 $396.00C1776 10500C1776 ACETABULAR LINER 1221-36-060 $396.00C1776 10500C1776 ACETABULAR LINER 32MM $449.00C1776 10500C1776 ACETABULAR LINER 36MM SIZE 24 $516.67C1776 10500C1776 ACETABULAR LINER 36MM SIZE 25 $516.67C1776 10500C1776 ACETABULAR LINER 36MM SIZE 26 $666.67C1776 10500C1776 ACETABULAR LINER EP-105882 $516.67C1776 10500C1776 ACETABULAR LINER EP-105933 $516.67C1776 10500C1776 ACETABULAR LINER EP-105997 $700.00C1776 10500C1776 ACETABULAR SHELL $849.67C1776 10500C1776 ACETABULAR SHELL $849.67C1776 10500C1776 ACETABULAR SHELL $1,052.33C1776 10500C1776 ACETABULAR SHELL $1,052.33C1776 10500C1776 ACETABULAR SHELL $1,137.00C1776 10500C1776 ACETABULAR SHELL 1217-30-054 $1,180.40C1776 10500C1776 ACETABULAR SHELL 1217-30-056 $1,180.40C1776 10500C1776 ACETABULAR SHELL 1217-30-060 $1,180.33C1776 10500C1776 ACETABULAR SHELL 16-104146 $366.67C1776 10500C1776 ACETABULAR SHELL 16-104148 $366.67C1776 10500C1776 ACETABULAR SHELL 16-104150 $366.67C1776 10500C1776 ACETABULAR SHELL 16-104152 $366.67C1776 10500C1776 ACETABULAR SHELL 16-104154 $366.67

Page 14: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1776 10500C1776 ACETABULAR SHELL 16-104156 $366.67C1776 10500C1776 ACETABULAR SHELL 16-104158 $366.67C1776 10500C1776 ACETABULAR SHELL 16-104160 $366.67C1776 10500C1776 ACETABULAR SHELL 16-104162 $366.67C1776 10500C1776 ACETABULAR SHELL 16-104164 $366.67C1776 10500C1776 ACETABULAR SHELL 16-104166 $366.67C1776 10500C1776 ACETABULAR SHELL 16-104168 $366.67C1776 10500C1776 ACETABULER MOD 00633406636 $1,077.41

364SU270 ACIST HAND CONTROL $4.03364SU270 ACIST SYRINGE $3.57

C1713 10500C1713 ACTIV L PE INLAY 8.5MM SW965 $381.79364SU270 ACTIVATION TOOL $33.81364SU270 ADAPTER AIRWAY WITHOUT FILTER $0.50364SU270 ADAPTER BRONCHO SD300BAPK $169.75364SU270 ADAPTER CARTRIDGE 110030166 $3.67

C1776 10500C1776 ADAPTER FEMORAL 6MM 5570-S-060 $266.62C1776 10500C1776 ADAPTER FEMORAL NEUT 96-0783 $108.20

364SU270 ADAPTER GUIDEWIRE UROLOK $2.13364SU270 ADAPTER LOCK TITANIUM $31.24

C1776 10500C1776 ADAPTER OFFSET $247.75C1776 10500C1776 ADAPTER OFFSET 4MM 5570-S-040 $430.27C1776 10500C1776 ADAPTER SHOULDER 118001 $66.67C1776 10500C1776 ADAPTER SLEEVE +5MM 198706005 $236.00C1776 10500C1776 ADAPTER STABILIZER $169.50C1776 10500C1776 ADAPTER TAPER 42-50MM STD NECK $138.67C1776 10500C1776 ADAPTER TAPER 52-60MM -3 NECK $130.67C1776 10500C1776 ADAPTER TAPER 52-60MM -6 NECK $138.67C1776 10500C1776 ADAPTER TAPER 52-60MM STD NECK $138.67C1776 10500C1776 ADAPTER TAPER BIOLOX 650-1064 $66.67

364SU270 ADAPTER VALVED-TEE LATEX FREE $0.23C1776 10500C1776 ADAPTOR FEMORAL 96-0781 $738.20C1883 10502C1883 ADAPTOR PACKET 1X4 74001 $156.67C1883 10501C1883 ADAPTOR POCKET 2X4 74002 $313.67

364SU270 ADHESIVE MEDICAL MEDTRONIC $6.00

Page 15: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 ADHESIVE MEDICAL SC-4320 $9.08Q4125 10500Q4125 AFLEX100 .35X.35CM PER SQ CM $630.00Q4125 10500Q4125 AFLEX103 5X9CM PER SQ CM (X45) $750.00

364SU270 AIRWAY COPA 10 $2.25364SU270 AIRWAY COPA 11 $2.25364SU270 AIRWAY COPA 8 95704 $2.25364SU270 AIRWAY COPA 9 95705 $2.25364SU270 AIRWAY ESPH LMA 3 175030 $4.04364SU270 AIRWAY ESPH LMA 4 175040 $2.02364SU270 AIRWAY ESPH LMA 5 175050 $2.02364SU270 AIRWAY NASAL 6.5 LATEX FREE $0.28364SU270 AIRWAY NASAL 7.0 LATEX FREE $0.28364SU270 AIRWAY NASAL 7.5 LATEX FREE $0.28364SU270 AIRWAY NASAL 8.0 LATEX FREE $0.28364SU270 AIRWAY NEO LMA 125010 $1.19

Q4116 10500Q4116 ALLODERM 5X10CM 102060 $493.00Q4100 10500Q4100 ALLOGRAFT 4.0X6.0CM $1,408.33C1762 10500C1762 ALLOGRAFT CORTICAL STRUT 404 $150.00C1762 10500C1762 ALLOGRAFT FEMUR CONDY 33547002 $3,890.00C9359 10500C9359 ALLOGRAFT MAP3 CHIPS 5CC (X10) $1,028.33C1762 10500C1762 ALLOGRAFT PATELLA LT 33647002 $3,884.67L8699 10500L8699 ALLOGRAFT PUTTY 10CC VX-EP10 $780.00L8699 10500L8699 ALLOGRAFT PUTTY 1CC EHG-01P $206.00L8699 10500L8699 ALLOGRAFT PUTTY 2.5CC EHG-02P $280.67L8699 10500L8699 ALLOGRAFT STRIP 10CC M3S010 $1,996.67C1762 10500C1762 ALLOGRAFT TENFUSE TFF-2015 $471.67

364SU270 ALLOPURE 8MM EVANS 8666-0800 $944.33L8699 10500L8699 ALLOWEDGE BICORT COTTON 5MM $666.67L8699 10500L8699 ALLOWEDGE BICORT EVANS 12MM $666.67L8699 10500L8699 ALLOWEDGE BICORTICAL COTTON 7M $600.00L8699 10500L8699 ALLOWEDGE BICORTICAL EVAN 10MM $666.67L8699 10500L8699 ALLOWEDGE BICORTICAL EVANS 6MM $600.00L8699 10500L8699 ALLOWEDGE BICORTICAL EVANS 8MM $466.67

364SU270 AMNIHOOK $0.07

Page 16: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

Q4137 10501Q4137 AMNIOEXCEL 1.5X1.5CM PER SQ CM $212.01Q4137 10501Q4137 AMNIOEXCEL 12MM DISK PER SQ CM $88.04Q4137 10501Q4137 AMNIOEXCEL 15MM DISK PER SQ CM $96.04Q4137 10501Q4137 AMNIOEXCEL 18MM DISK PER SQ CM $192.08Q4137 10501Q4137 AMNIOEXCEL 24MM DISK PER SQ CM $224.08Q4137 10501Q4137 AMNIOEXCEL 3.5X3.5CM PER SQ CM $312.12Q4137 10501Q4137 AMNIOEXCEL 4X8CM PER SQ CM $417.00Q4137 10501Q4137 AMNIOEXCEL 5X5CM PER SQ CM $368.15L8699 10500L8699 AMNIOHEAL PLUS 125MG TAH2125 $1,118.83L8699 10500L8699 AMNIOHEAL PLUS 200MG TAH2200 $1,328.83L8699 10500L8699 AMNIOHEAL PLUS 2X2 TAH1202 $418.83L8699 10500L8699 AMNIOHEAL PLUS 4X4CM TAH1404 $1,165.50L8699 10500L8699 AMNIOHEAL PLUS 4X6CM TAH1406 $1,632.17L8699 10500L8699 AMNIOHEAL PLUS 4X6CM TAH1406 $1,632.17L8699 10500L8699 AMNIOHEAL PLUS 4X8CM TAH1408 $2,332.17L8699 10500L8699 AMNIOHEAL PLUS 50MG TAH2050 $1,118.83Q4139 AMNIOMATRIX 2.00ML PER ML $578.20Q4139 AMNIOMATRIX 3.00ML PER ML $674.57Q4100 10500Q4100 AMNION MATRIX 3X6CM ABS4200036 $1,233.33Q4100 10500Q4100 AMNIOTIC MEMBRANE 2X3 ABC-5230 $658.33Q4131 10500Q4131 AMNIOTIC MEMBRANE 2X4CM (X8) $758.33

364SU270 ANCHOR BUMPY INJEX 97791 $43.75364SU270 ANCHOR CLIK SC-4316 NEURO $93.75

C1713 10500C1713 ANCHOR FOOTPRINT 5.5 7220-3776 $110.00C1713 10500C1713 ANCHOR HEALICOIL 5.5 7220-3983 $115.00C1713 10500C1713 ANCHOR HEALICOIL 5.5 7220-3984 $115.00

364SU270 ANCHOR INJEX BI-WING 97792 $43.75C1713 10500C1713 ANCHOR MICROFIX 212855 $183.33C1713 10500C1713 ANCHOR SUTURE 2.4X8.5MM $107.33C1713 10500C1713 ANCHOR SUTURE 2.9X12.5MM $133.33C1713 10500C1713 ANCHOR SUTURE 4.5MM 7220-3103 $90.13C1713 10500C1713 ANCHOR SUTURE 4.5MM TI ULTRA $76.67C1713 10500C1713 ANCHOR SUTURE 4.5MM TI ULTRA $79.73C1713 10500C1713 ANCHOR SUTURE 5.5MM 72290001 $366.67

Page 17: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1713 10500C1713 ANCHOR SUTURE AR-8934BNF $140.67364SU272 ANCHOR SUTURE BIORAPTOR 2.3MM $58.73

C1713 10500C1713 ANCHOR SUTURE FOOTPRINT 4.5MM $110.93C1713 10500C1713 ANCHOR SUTURE FOOTPRINT 5.5MM $110.93C1713 10500C1713 ANCHOR SUTURE OSTEORAPTOR 2.3 $132.77C1713 10500C1713 ANCHOR SUTURE QFIX 72290123 $216.67C1713 10500C1713 ANCHOR TWIN FIX 4.5MM 72202595 $90.13C1713 10500C1713 ANCHOR TWINFIX 4.5MM 72202623 $90.13C1713 10500C1713 ANCHOR TWINFIX 5.5MM 72202625 $86.67

364SU270 ANGIOCATH 12X3.0 382277 $2.38C1760 10500C1760 ANGIO-SEAL VIP 6F 610130 $75.00C1760 10500C1760 ANGIO-SEAL VIP 6F 610130 $75.00C1760 10500C1760 ANGIO-SEAL VIP 8FR 610131 $75.00C1760 10500C1760 ANGIO-SEAL VIP 8FR 610131 $75.00

364SU270 ANTENNA EXTERNAL PATIENT PROGR $16.00364SU270 APERTURE 12G ATEC 01212-20 $46.13

Q4101 10500Q4101 APLIGRAF 44CM $547.00364SU270 APPLICATOR ARISTA 38CM AM0005 $4.17364SU270 APPLICATOR ENDOSCOPIC FLOSEAL $12.91364SU270 APPLICATOR NOSEBLEED POWDER $1.14364SU270 APPLICATOR ULTRAMIST CP-80034 $17.67364SU270 APPLIER BAND REALIZE RLZB32D1 $898.80364SU270 APPLIER LIGACLIP ER420 $15.00364SU270 APPLIER SCALP CLIP $12.90364SU270 AQUASONIC GEL PACKETS 01-01 $0.26364SU270 ARISTA 1GM SM0005-USA $25.70364SU270 ARM IMMOBILIZER UNIVERSAL MED. $0.71364SU270 ARM IMMOBILIZER UNIVERSAL SM. $0.80364SU270 ARM IMMOBILIZER UNIVERSAL X-LG $0.71

Q4125 10500Q4125 ARTHROFLEX 3.0X4.0CM PER SQ CM $324.00C1776 10500C1776 ARTICULAR COMPTOE2 9M52-2535-W $1,002.00C1776 10500C1776 ARTICULAR SURFACE 00599404017 $531.47C1776 10500C1776 ARTICULAR SURFACE 00599404020 $531.47C1776 10500C1776 ARTICULAR SURFACE 10MM $1,075.00

Page 18: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1776 10500C1776 ARTICULAR SURFACE 10MM LEFT $416.67C1776 10500C1776 ARTICULAR SURFACE 10MM RIGHT $250.00C1776 10500C1776 ARTICULAR SURFACE 10MM RIGHT $275.00C1776 10500C1776 ARTICULAR SURFACE 11MM $500.00C1776 10500C1776 ARTICULAR SURFACE 11MM RIGHT $250.00C1776 10500C1776 ARTICULAR SURFACE 12MM LEFT $250.00C1776 10500C1776 ARTICULAR SURFACE 14MM LEFT $770.00C1776 10500C1776 ARTICULAR SURFACE 14MM RIGHT $500.00C1776 10500C1776 ARTICULAR SURFACE 16MM VE LEFT $1,043.67C1776 10500C1776 ARTICULAR SURFACE 42511201012 $350.00C1776 10500C1776 ARTICULAR SURFACE 42511400710 $275.00C1776 10500C1776 ARTICULAR SURFACE 42511400713 $275.00C1776 10500C1776 ARTICULAR SURFACE 42-511400910 $275.00C1776 10500C1776 ARTICULAR SURFACE 42511401010 $298.33C1776 10500C1776 ARTICULAR SURFACE 42512400712 $416.67C1776 10500C1776 ARTICULAR SURFACE 42512400716 $770.00C1776 10500C1776 ARTICULAR SURFACE 42512400810 $1,043.67C1776 10500C1776 ARTICULAR SURFACE 42512401011 $516.67C1776 10500C1776 ARTICULAR SURFACE 42512600416 $770.00C1776 10500C1776 ARTICULAR SURFACE 42512600716 $770.00C1776 10500C1776 ARTICULAR SURFACE 42512600718 $770.00C1776 10500C1776 ARTICULAR SURFACE 42518200608 $333.33C1776 10500C1776 ARTICULAR SURFACE 42521400414 $275.00C1776 10500C1776 ARTICULAR SURFACE 42521400710 $250.00C1776 10500C1776 ARTICULAR SURFACE 42521400712 $250.00C1776 10500C1776 ARTICULAR SURFACE 42521400713 $250.00C1776 10500C1776 ARTICULAR SURFACE 42521400912 $797.67C1776 10500C1776 ARTICULAR SURFACE 42522400810 $500.00C1776 10500C1776 ARTICULAR SURFACE 42522401110 $500.00C1776 10500C1776 ARTICULAR SURFACE 42522600514 $770.00C1776 10500C1776 ARTICULAR SURFACE 5 584209511 $627.00C1776 10500C1776 ARTICULAR SURFACE 5962-20-10 $400.00C1776 10500C1776 ARTICULAR SURFACE LEFT 10MM $500.00C1776 10500C1776 ARTICULAR SURFACE LEFT 10MM $500.00

Page 19: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1776 10500C1776 ARTICULAR SURFACE LEFT 10MM $770.00C1776 10500C1776 ARTICULAR SURFACE RIGHT 10MM $275.00C1776 10500C1776 ARTICULAR SURFACE RIGHT 10MM $516.67C1776 10500C1776 ARTICULAR SURFACE RT 16MM $1,075.00C1776 10500C1776 ARTICULAR SURFACE S. EF 3-4 10 $531.37C1776 10500C1776 ARTICULAR SURGACE 42512400510 $500.00C1887 10500C1887 ASAHI CORSAIR PRO 2.6FR 135CM $265.00C1887 10500C1887 ASAHI CORSAIR PRO 2.6FR 150CM $265.00

364SU270 ASCOPE SLIM AMBU 402001000 $65.91364SU270 ASCOPE3 AMBU 403001000 $66.56364SU270 ASPIRATOR MECONIUM $0.63364SU270 ASPIRATOR NASAL 3.25" $0.25364SU272 ASSEMBLY MICRO LENGTHENER $994.99364SU270 ATTACHMENT DEVICE HORIZONTAL $0.90364SU270 ATTACHMENT DEVICE VERTICAL $0.93

C1776 10500C1776 AUGMENT DISTAL #3 96-0860 $361.00C1776 10500C1776 AUGMENT FEMORAL #4 5540-A-402 $263.56C1776 10500C1776 AUGMENT FEMORAL #4 5541-A-402 $281.54C1776 10500C1776 AUGMENT FEMORAL #4 5543-A-400 $270.59C1776 10500C1776 AUGMENT FEMORAL #5 5540-A-501 $393.00

364SU270 BACTISURE WOUND LAVAGE 1000ML $172.50364SU270 BACTISURE WOUND LAVAGE 1000ML $248.75364SU270 BAG AEROSOL EFFUSION $0.18364SU270 BAG BATH PRIMARY $0.43364SU270 BAG BILE REGULAR $1.25364SU270 BAG DRAIN $1.37364SU270 BAG DRAIN 2 3/4" $0.55364SU270 BAG INFUSOR PRESSURE 1000ML $1.01364SU270 BAG INFUSOR PRESSURE 1000ML $2.08364SU270 BAG INFUSOR PRESSURE 3000 4030 $1.63364SU270 BAG LEG MEDIUM CONTAINS LATEX $0.24364SU270 BAG LEG W/VALVE LARGE $0.34364SU270 BAG PRESSURE INFUSOR 50OML $1.01364SU270 BAG REPLACEMENT FECAL FLEXISEA $0.59

Page 20: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 BAG URINARY DRAINAGE $0.72364SU270 BAG URINE BELLY LATEX FREE $3.75

C1725 10504C1725 BALLOON CUTTING PCB602090 $253.33364SU270 BALLOON OVAL STERILE EXTRAVIEW $78.50

C1725 10504C1725 BALLOON PCB 6X2X90 $258.33C2623 10501C2623 BALLOON STELLAREX 4X120X135 $483.33C2623 10501C2623 BALLOON STELLAREX 4X40X135 $416.67C2623 10501C2623 BALLOON STELLAREX 4X60X135 $416.67C2623 10501C2623 BALLOON STELLAREX 5X120X135 $465.00C2623 10501C2623 BALLOON STELLAREX 5X80X135 $598.33C2623 10501C2623 BALLOON STELLAREX 6X120X135 $465.00C2623 10501C2623 BALLOON STELLAREX 6X40X135 $61.67C1725 10504C1725 BALLOON STERLING .018 4X60 $63.33C1725 10504C1725 BALLOON STERLING .018 4X80 $63.33C1725 10504C1725 BALLOON STERLING .018 5X30 $63.33C1725 10504C1725 BALLOON STERLING .018 6X60 $63.33C1725 10504C1725 BALLOON STERLING OTW 3X100X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 3X120X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 3X150X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 3X20X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 3X220X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 3X40X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 3X60X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 3X80X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 4X100X135 $63.33C1725 10504C1725 BALLOON STERLING OTW 4X120X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 4X150X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 4X20X135 $61.67C1725 10504C1725 BALLOON STERLING OTW 4X220X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 4X30X135 $63.33C1725 10504C1725 BALLOON STERLING OTW 4X40X135 $63.33C1725 10504C1725 BALLOON STERLING OTW 5X100X135 $63.33C1725 10504C1725 BALLOON STERLING OTW 5X120X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 5X150X150 $63.33

Page 21: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1725 10504C1725 BALLOON STERLING OTW 5X200X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 5X20X135 $63.33C1725 10504C1725 BALLOON STERLING OTW 5X220X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 5X40X135 $63.33C1725 10504C1725 BALLOON STERLING OTW 5X80X135 $63.33C1725 10504C1725 BALLOON STERLING OTW 6X100X135 $63.33C1725 10504C1725 BALLOON STERLING OTW 6X120X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 6X150X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 6X200X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 6X20X135 $63.33C1725 10504C1725 BALLOON STERLING OTW 6X220X150 $63.33C1725 10504C1725 BALLOON STERLING OTW 6X40X135 $63.33C1725 10504C1725 BALLOON STERLING OTW 6X80X135 $63.33

364SU270 BALLOON ULTRASONIC MAJ-1351 $7.20364SU270 BANDAGE D-STAT DRY SILVER 3000 $7.60364SU270 BANDAGE D-STAT DRY SILVER 3000 $7.60364SU270 BANDAGE ELASTIC DOUBLE 6" $0.68364SU270 BANDAGE ESMARK 4"X9" $0.27364SU270 BANDAGE ESMARK 6" $0.35364SU270 BANDAGE PLASTER GYPSONA 5X5 $0.17364SU270 BANDAGE PLASTER GYPSONA 6X5 $0.21364SU270 BANDAGE PROFORE $1.99364SU270 BANDAGE SILESIAN $31.00364SU270 BANDAGE UNNA BOOT 4" $0.82364SU270 BAR CONNECTING ANGLED 3.0MM $9.83

C1776 10500C1776 BAR MODULAR TIBIAL 141205 $44.00364SU270 BARRIER FILM NO STING $0.28364SU270 BARRIER SKIN ESTEEM 1 7/8" $0.13364SU270 BARRIER SKIN ESTEEM 2 3/8" $0.13

C1776 10500C1776 BASE TIBIAL #3 1506-40-003 $1,966.67C1776 10500C1776 BASE TIBIAL #4 150640004 $1,966.67C1776 10500C1776 BASE TIBIAL #6 1506-40-005 $1,180.00C1776 10500C1776 BASE TIBIAL #7 1506-40-007 $1,180.00C1776 10500C1776 BASE TIBIAL #8 1506-40-008 $1,180.00

Page 22: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1776 10500C1776 BASE TIBIAL #9 1506-00-009 $583.33C1776 10500C1776 BASE TIBIAL KNEE #6 150640006 $1,966.67C1776 10500C1776 BASE TIBIAL S#3 1506-00-003 $583.33C1776 10500C1776 BASE TIBIAL S#4 1506-00-004 $583.33C1776 10500C1776 BASE TIBIAL S.5 1506-00-005 $583.33C1776 10500C1776 BASE TIBIAL SZ6 1506-00-006 $583.33C1776 10500C1776 BASE TIBIAL SZ7 1506-00-007 $666.67C1776 10500C1776 BASEPLATE KNEE S.4 5536-B-400 $533.33C1776 10500C1776 BASEPLATE KNEE S.7 5536-B-700 $533.33C1776 10500C1776 BASEPLATE MINI 25MM 010000589 $616.67C1776 10500C1776 BASEPLATE TIB S.5 598004701 $673.43

364SU270 BASKET RETRIEVAL $11.24364SU270 BASKET STONE ESCAPE $53.19

C1713 10500C1713 BB-TAK AR-13226 $23.83C1713 10500C1713 BB-TAK THREADED AR-13226T $40.67C1713 10500C1713 BEAM FIXATION 4.5X115 13045115 $600.00C1713 10500C1713 BEAM FIXATION 5.5X125 13055125 $645.00C1713 10500C1713 BEAM FIXATION 6.5X160 13065160 $750.00C1776 10500C1776 BEARING $485.60C1776 10500C1776 BEARING 10-104058 $786.67C1776 10500C1776 BEARING FIXED 11MM 42512400711 $516.67C1776 10500C1776 BEARING HUMERAL 44MM XL115366 $333.33C1776 10500C1776 BEARING HUMERAL XL-115364 $283.33C1776 10500C1776 BEARING SHELL $518.13C1776 10500C1776 BEARING SHELL $551.00C1776 10500C1776 BEARING SHELL 60MM $518.13C1776 10500C1776 BEARING TIBIAL $849.67C1776 10500C1776 BEARING TIBIAL #4 1506-70-004 $583.33C1776 10500C1776 BEARING TIBIAL 10X71 EP189060 $500.00C1776 10500C1776 BEARING TIBIAL 10X79 EP183460 $366.67C1776 10500C1776 BEARING TIBIAL 14X75 EP-189084 $600.00C1776 10500C1776 BEARING TIBIAL SZ4 1024-52-400 $333.33

364SU270 BELT ABDOMINAL FETAL MONITOR $0.34364SU270 BELT LUMBAR $5.60

Page 23: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 BELT OSTOMY APPLIANCE $0.23364SU270 BILIBLANKET $15.00364SU270 BINDER 12" 45-62" $1.32364SU270 BINDER ABDOMINAL $3.50364SU270 BINDER ABDOMINAL 2XL 72-84 $1.25364SU270 BINDER ABDOMINAL 3XL 82-100 $1.39364SU270 BINDER ABDOMINAL 3XL 82-100 $7.16364SU270 BINDER ABDOMINAL XLG 62-74" $1.30364SU270 BINDER PELVIC $45.00364SU270 BINDER UNIVERSAL 12" $1.20364SU270 BINDER UNIVERSAL 9" $1.02

J7330 10500J7330 BIO-GIDE 40X50MM 20153 $165.00C1776 10500C1776 BIOMET ACETAB SHL 56MM $353.67C1776 10500C1776 BIOMET ACETAB SHL 58MM $353.67C1776 10500C1776 BIOMET ACETAB SHL 62MM $586.67C1776 10500C1776 BIOMET ACETAB SHL 64MM $586.67C1776 10500C1776 BIOMET BI-POLAR CUP 28X42 $300.00C1776 10500C1776 BIOMET BI-POLAR CUP 28X43 $300.00C1776 10500C1776 BIOMET BI-POLAR CUP 28X44 $366.67C1776 10500C1776 BIOMET BIPOLAR CUP 28X45 $300.00C1776 10500C1776 BIOMET BIPOLAR CUP 28X46 $300.00C1776 10500C1776 BIOMET BIPOLAR CUP 28X47 $366.67C1776 10500C1776 BIOMET BIPOLAR CUP 28X48 $300.00C1776 10500C1776 BIOMET BIPOLAR CUP 28X49 $300.00C1776 10500C1776 BIOMET BIPOLAR CUP 28X50 $300.00C1776 10500C1776 BIOMET BIPOLAR CUP 28X51 $300.00C1776 10500C1776 BIOMET BIPOLAR CUP 28X52 $300.00C1776 10500C1776 BIOMET BIPOLAR CUP 28X53 $300.00C1776 10500C1776 BIOMET BI-POLAR CUP 28X54 $300.00C1776 10500C1776 BIOMET BI-POLAR CUP 28X55 $427.00C1776 10500C1776 BIOMET BI-POLAR CUP 28X56 $300.00C1776 10500C1776 BIOMET BI-POLAR CUP 28X57 $618.33C1776 10500C1776 BIOMET FEMORAL SOLID STEM 10MM $416.67C1776 10500C1776 BIOMET FEMORAL SOLID STEM 12MM $416.67

Page 24: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1776 10500C1776 BIOMET FEMORAL SOLID STEM 14MM $416.67C1776 10500C1776 BIOMET FEMORAL SOLID STEM 16MM $416.67C1776 10500C1776 BIOMET MODULAR HEAD 28MM $227.00C1776 10500C1776 BIOMET MODULAR HEAD 28MM $233.33C1776 10500C1776 BIOMET MODULAR HEAD 28MM $233.33C1776 10500C1776 BIOMET MODULAR HEAD 28MM $233.33C1776 10500C1776 BIOMET MODULAR HEAD 28MM $233.33C1776 10500C1776 BIOMET MODULAR HEAD 28MM $233.33C1776 10500C1776 BIOMET MODULAR HEAD 28MM $233.33

364SU270 BIOPSY GUN 18X10 43-458 $11.73364SU270 BIOPSY GUN 18X11 ACT1811 $8.40364SU270 BIOPSY GUN 18X15 43-459 $11.73364SU270 BIOPSY INSTRUMENT 18X20 $10.40364SU272 BIOPSY PUNCH 2MM $1.28364SU270 BIOPSY PUNCH 3MM $0.25364SU270 BIOPSY PUNCH 4MM $0.20364SU270 BIOPSY SYSTEM 16GX11CM CT1611 $12.00364SU270 BIOPSY SYSTEM 16GX15CM CT1615 $8.82364SU270 BIOPSY SYSTEM 16GX20CM CT1620 $8.81364SU270 BIOPSY SYSTEM 18GX10CM $11.73

C1776 10500C1776 BIPOLAR CUP $300.00C1776 10500C1776 BIPOLAR HEAD $181.67

364SU272 BIT DRILL 00-4501-076-00 $85.69364SU270 BIT DRILL 1.0 316.396 $16.04364SU270 BIT DRILL 1.0MM 316.236 $12.52364SU270 BIT DRILL 1.1MM 01-7140 $32.00364SU270 BIT DRILL 1.1MM 2318-11-06 $6.44364SU270 BIT DRILL 1.1MM 80-1794 $37.75364SU270 BIT DRILL 1.1MM 80-1795 $32.75364SU270 BIT DRILL 1.3 316.402 $16.04364SU270 BIT DRILL 1.3 P99-100-1310 $66.25364SU270 BIT DRILL 1.5MM 01-8008 $14.00364SU270 BIT DRILL 1.5MM 01-9195 $30.00364SU270 BIT DRILL 1.5MM 310.141 $13.86

Page 25: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 BIT DRILL 1.5MM 310.507 $34.83364SU272 BIT DRILL 1.6X110 P991001611 $51.63364SU270 BIT DRILL 1.7 P99-110-1712 $51.63364SU270 BIT DRILL 1.7MM 80-0868 $47.25364SU270 BIT DRILL 1.7MM AR-8737-17 $43.75364SU270 BIT DRILL 1.7MM AR-8916-14 $15.80364SU270 BIT DRILL 1.7MM IFS-172-17 $55.20364SU270 BIT DRILL 1.8X80MM 317.861 $16.10364SU270 BIT DRILL 1.9MM IS1112 $54.50364SU270 BIT DRILL 1.9MM MXM-072-19 $57.75364SU270 BIT DRILL 12MM 03.617.912 $88.00364SU270 BIT DRILL 12MM 324.151 $89.00364SU270 BIT DRILL 12MM LG 03.010.439 $112.18364SU270 BIT DRILL 14MM 03.617.914 $66.00364SU270 BIT DRILL 14MM 324.153 $89.00364SU272 BIT DRILL 15MM 03.010.028 $116.20364SU270 BIT DRILL 16MM 324.155 $66.75364SU270 BIT DRILL 16MM AT2-2515 $82.25364SU270 BIT DRILL 2.0 323.062 $34.83364SU270 BIT DRILL 2.0 40250020 $47.25364SU270 BIT DRILL 2.0 80-0318 $49.00364SU270 BIT DRILL 2.0 P991002011 $51.63364SU270 BIT DRILL 2.0MM 2318-20-06 $6.44364SU270 BIT DRILL 2.0MM 310.201 $12.44364SU270 BIT DRILL 2.0MM 80-1796 $37.75364SU270 BIT DRILL 2.1X120 P991102112 $51.63364SU270 BIT DRILL 2.3X120 P99-110-2312 $51.63364SU270 BIT DRILL 2.4MM 2318-25-06 $6.44364SU270 BIT DRILL 2.4MM MFT-072-24 $60.50364SU270 BIT DRILL 2.5 03.613.114 $87.25364SU270 BIT DRILL 2.5 03.613.116 $87.25364SU270 BIT DRILL 2.5 AR-8737-09 $43.75364SU270 BIT DRILL 2.5 SHORT 324.210 $43.75364SU270 BIT DRILL 2.5M 03.113.023 $32.81

Page 26: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU272 BIT DRILL 2.5MM 315.92 $43.58364SU270 BIT DRILL 2.5MM 48560323 $34.75364SU270 BIT DRILL 2.5MM AR-4160-25 $15.80364SU270 BIT DRILL 2.5MM AR-8943-30 $17.00364SU270 BIT DRILL 2.5MM AR-8943-42 $17.00364SU272 BIT DRILL 2.5X60MM 58850025 $70.50364SU270 BIT DRILL 2.6MM AR-8943-02 $43.75364SU270 BIT DRILL 2.7MM $48.75364SU270 BIT DRILL 2.7MM 405889 $53.50364SU270 BIT DRILL 2.7MM CSS-072-27 $60.75364SU270 BIT DRILL 2.7X150 IU7427-15 $30.63364SU270 BIT DRILL 2.7X160 214227070 $26.51364SU270 BIT DRILL 2.8 80-0387 $53.00364SU270 BIT DRILL 2.8M 03.113.024 $32.81364SU270 BIT DRILL 2.8MM 2318-27-06 $6.44364SU270 BIT DRILL 2.8MM 324.214 $40.43364SU270 BIT DRILL 2.8MM 80-2008 $29.00364SU272 BIT DRILL 2.8X60MM 58850028 $70.50364SU270 BIT DRILL 2MM AR-8933-20C $43.75364SU270 BIT DRILL 2MM AR-8933-20C $43.75364SU270 BIT DRILL 2MM AR-8943-16 $19.00364SU270 BIT DRILL 3.0MM 48560423 $34.75364SU270 BIT DRILL 3.0MM 59250030 $48.75364SU270 BIT DRILL 3.0X16MM ACP016 $34.75364SU270 BIT DRILL 3.0X16MM ACP016 $34.75364SU270 BIT DRILL 3.2 110017537 $45.50364SU270 BIT DRILL 3.2MM 2318-32-06 $6.44364SU270 BIT DRILL 3.2MM 405883 $52.50364SU270 BIT DRILL 3.3X195 0200024118 $29.58364SU270 BIT DRILL 3.3X245 02.00024.344 $18.20364SU270 BIT DRILL 3.5MM 2318-35-06 $6.44364SU270 BIT DRILL 3.5MM 59250038 $48.75364SU270 BIT DRILL 3.5MM AR-4160-35 $15.80364SU270 BIT DRILL 3.5X110 IU7435-00 $29.06

Page 27: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 BIT DRILL 310.804 $104.18364SU270 BIT DRILL 3MM AR-8933-30C $43.75364SU270 BIT DRILL 3MM AR-8945-30C $43.75364SU270 BIT DRILL 3X12MM ACP-012 $34.75364SU270 BIT DRILL 4.0MM 2318-40-06 $6.44364SU270 BIT DRILL 4.0MM AR-1204D $41.25364SU270 BIT DRILL 4.0X110 P991104011 $66.38364SU270 BIT DRILL 4.2MM 4200-355-42 $26.54364SU270 BIT DRILL 4.2MM 4200-355-42 $27.27364SU270 BIT DRILL 4.3 LONG 2490-054-43 $30.40364SU270 BIT DRILL 4.3MM 02.00024.002 $26.95364SU270 BIT DRILL 4.3MM 310.423 $102.06364SU270 BIT DRILL 4.3X245 02.00024.346 $18.20364SU270 BIT DRILL 4.4MM 77706514 $65.00364SU270 BIT DRILL 4.5 P991102914 $66.38364SU270 BIT DRILL 4.5MM 2318-45-06 $6.44364SU270 BIT DRILL 4.5MM 310.48 $31.95364SU270 BIT DRILL 4.5MM 315.48 $32.20364SU270 BIT DRILL 4.5MM AR-8945-45C $48.75364SU270 BIT DRILL 4.6 P99-110-4622 $65.63364SU270 BIT DRILL 4.7MM 80-0946 $119.00364SU270 BIT DRILL 4.8MM 2318-48-06 $6.44364SU270 BIT DRILL 460MM $103.78364SU270 BIT DRILL 4MM AR-8967-40C $48.75364SU270 BIT DRILL 5.0MM 03.008.008 $67.58364SU270 BIT DRILL 5.0MM 03.111.002 $105.91364SU270 BIT DRILL 6.4 LONG P991104634 $118.13364SU270 BIT DRILL 6.5X330 357.047 $147.53364SU270 BIT DRILL 6MM 200134 $101.25364SU270 BIT DRILL 7.3MM 310.495 $120.38364SU270 BIT DRILL 8.0MM 338.10 $148.03364SU270 BIT DRILL 92-19135 $98.50364SU270 BIT DRILL AO 2MM AR-8944-22 $17.00364SU270 BIT DRILL BIOMET 3.2MMX20MM $15.00

Page 28: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 BIT DRILL BIOMET 3.2MMX30MM $15.00364SU270 BIT DRILL CANN 2.1MM IS1113 $54.50364SU270 BIT DRILL CANN 2.6MM IS1114 $54.50364SU272 BIT DRILL CANN 3.0MM 44112004 $77.00364SU270 BIT DRILL CANN 4.0MM DRUJCB040 $30.50364SU270 BIT DRILL CANN 4.5MM DRUJCB045 $30.50364SU270 BIT DRILL CANN 5.0MM DRUJCB050 $30.50364SU270 BIT DRILL CANN 6.0MM DRUJCB060 $30.50364SU270 BIT DRILL CS1863 $62.50364SU270 BIT DRILL EXTEND LONG MICRO $91.50364SU270 BIT DRILL FEN 9.3 P99-100-2009 $51.63364SU270 BIT DRILL FLEX 16MM 03.037.002 $194.78364SU270 BIT DRILL FLEX 16MM 03.037.002 $194.78364SU270 BIT DRILL FLEX 16MM 03.037.102 $247.92364SU270 BIT DRILL HOLLOW 16MM $338.57364SU270 BIT DRILL HTO AR-13319 $14.40364SU270 BIT DRILL LG 16MM 03.037.003 $199.50364SU270 BIT DRILL MICRO LG 1.5 80-0100 $42.00364SU270 BIT DRILL MINI AO 2.0X3.5 $37.75364SU270 BIT DRILL PROFILE $37.50364SU270 BIT DRILL QC 2.0MM 80-0386 $34.00364SU270 BIT DRILL QC 2.5MM DRUJ-B25 $14.60364SU270 BIT DRILL QC 3.2MM 31-323215 $14.00364SU270 BIT DRILL QR 2.7MM 80-2075 $80.75364SU270 BIT DRILL QUICK CONNECT 15/64 $67.50364SU270 BIT DRILL ROD 2.8MM 80-0642 $38.00364SU270 BIT DRILL SOLID 80-1681 $17.20364SU270 BIT DRILL STD 2.0 00236017520 $52.33364SU270 BIT DRILL STD 2.7 00236020527 $32.20364SU270 BIT DRILL STEP 6/9 03.037.022 $130.55364SU270 BIT DRILL STEP 6/9 03.037.022 $130.55364SU270 BIT DRILL TAP 10MM 03.037.021 $115.15364SU270 BIT DRILL TAP 10MM 03.037.021 $115.15364SU270 BIT DRILL TAPERED $130.55

Page 29: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 BLADE 3.5 $7.40364SU270 BLADE 38MM $119.97364SU270 BLADE 4.0 $7.40364SU270 BLADE 4.5 $7.40364SU270 BLADE 4.5 $11.00364SU270 BLADE 46MM $157.14364SU270 BLADE 60 DEGREE LATEX FREE $47.10364SU270 BLADE 60MM FULL 70536020 $360.00364SU270 BLADE 60MM TRUNCATED 70536010 $360.00364SU270 BLADE ACROM 5.5 $7.40364SU270 BLADE ADENOIDECTOMY LATEX FREE $36.36364SU272 BLADE ANGLE PRECISION 9.0MM $9.15364SU270 BLADE AVG MEDIUM 2296-023-111 $7.29364SU270 BLADE AVG NARROW 2296-23-414 $7.29364SU270 BLADE BEAVER LATEX FREE $0.74364SU270 BLADE BEAVER LATEX FREE $0.91364SU270 BLADE BURR 4.0 72200728 $11.00364SU272 BLADE CHISEL LONG 10MM 399.555 $18.48364SU272 BLADE CHISEL LONG 16MM 399.565 $18.48364SU270 BLADE COATED E1450X LATEX FREE $0.50364SU270 BLADE DERMATOME LATEX FREE $5.54364SU270 BLADE ELECTRODE LATEX FREE $0.53364SU270 BLADE ELECTRODE LATEX FREE $0.54364SU270 BLADE EXPLANT 52MM 00705305210 $366.67364SU270 BLADE EXPLANT 54MM 00705305410 $250.00364SU270 BLADE EXPLANT 54MM 00705305420 $250.00364SU270 BLADE EXPLANT 58MM 00705302510 $250.00364SU270 BLADE EXPLANT 58MM FULL $250.00364SU270 BLADE FULL RAD 2.9MM 72201509 $10.34364SU270 BLADE FULL RAD 2MM 72201507 $10.35

C1713 10500C1713 BLADE HEL TFNA 130MM 04038430S $248.50C1713 10500C1713 BLADE HEL TFNA 70MM 04.038380S $248.50C1713 10500C1713 BLADE HEL TFNA 75MM 04.038385S $248.50C1713 10500C1713 BLADE HELICAL 100MM 04.038300S $248.50

Page 30: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1713 10500C1713 BLADE HELICAL 105MM 04038405S $248.50364SU270 BLADE HELICAL 11.0MMX95MM $150.85364SU270 BLADE HELICAL 11.0X100MM $150.85364SU270 BLADE HELICAL 11.0X105MM $150.85364SU270 BLADE HELICAL 11.0X115 $174.56364SU270 BLADE HELICAL 11.0X90MM $150.85364SU270 BLADE HELICAL 11.1X85MM $150.85364SU270 BLADE HELICAL 120MM 04038420S $186.38

C1713 10500C1713 BLADE HELICAL 125MM 04.038425S $248.50364SU270 BLADE HELICAL 80MM $174.56364SU270 BLADE HELICAL 80MM 04.038.370S $186.38364SU270 BLADE HELICAL 85MM 04.038.375S $186.38364SU270 BLADE HELICAL 90MM 04.038.390S $186.38

C1713 10500C1713 BLADE HELICAL 95MM 04.038.295S $320.32C1713 10500C1713 BLADE HELICAL TFNA 10.5X115MM $248.50C1713 10500C1713 BLADE HELICAL TFNA 10.5X115MM $248.50

364SU270 BLADE HELICAL TITANIUM 11.0 $150.85364SU270 BLADE HILICAL 11.0X120 $150.85364SU270 BLADE ILLUMINATOR 698.605S $684.67364SU270 BLADE INCISOR PLUS 2.9 $67.50364SU270 BLADE LONG MEDIUM 2296-3-125 $4.15364SU270 BLADE LONG NARROW 2296-3-115 $4.15364SU270 BLADE LONG WIDE 2296-003-104 $4.15364SU270 BLADE MAC SIZE 2 350-016-000 $1.50364SU270 BLADE MAC SIZE 3 350-004-000 $1.50364SU270 BLADE MAC SIZE 4 350-013-000 $1.50364SU272 BLADE MICRO SAGITTAL 90D $9.15364SU270 BLADE MYRINGOTOMY LATEX FREE $0.65364SU270 BLADE OSCILLATING 100X17 $43.25364SU270 BLADE OSCILLATOR $8.88364SU270 BLADE OSTEO 10MM 00998602121 $43.00364SU270 BLADE OSTEO 10MM AR-13302-10 $35.50364SU270 BLADE OSTEO 12MM 00998602122 $43.00364SU270 BLADE OSTEO 20MM 00998602123 $43.00

Page 31: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 BLADE OSTEO 25MM AR-13302-25 $35.50364SU270 BLADE OSTEO 35MM AR-13302-35 $35.50364SU270 BLADE OSTEOTOME CURVED 12MM $43.00364SU270 BLADE PLASMA 3MM PS210-030S $71.37364SU270 BLADE POWERMINI 2.9MM 72201513 $62.50364SU270 BLADE QUADCUT BLADE 4.0 $49.20364SU270 BLADE RECIP LONG 277-96-325 $5.14364SU270 BLADE SAW $11.80364SU270 BLADE SAW $17.80364SU270 BLADE SAW $17.80364SU270 BLADE SAW $18.60364SU270 BLADE SAW 12-0901-19S-R1 $37.75364SU270 BLADE SAW 13-0901-27Y-F1 $37.75364SU270 BLADE SAW 60X25MM 2108-105 $3.21364SU270 BLADE SAW 7MM $31.00364SU270 BLADE SAW BONE 6113-119-090 $9.86364SU270 BLADE SAW CRESCENT 5400031176 $18.62364SU270 BLADE SAW NARROW 200138107S $61.00364SU270 BLADE SAW OSCILLATING $9.86364SU272 BLADE SAW OSCILLATING $27.50364SU270 BLADE SAW OSTEO 80-0740-S $18.00364SU270 BLADE SAW RECIP $4.08364SU270 BLADE SAW SAGITAL $0.87364SU270 BLADE SAW SAGITAL 9.5X25.5X0.4 $0.87364SU270 BLADE SAW WIDE 2001381085 $61.00364SU272 BLADE SCREWDRIVER 1.7 6212170 $55.75364SU270 BLADE SCREWDRIVER 62-20130 $98.00364SU270 BLADE SINUS RAD 40 LATEX FREE $46.83364SU270 BLADE SOLID 13MM $2.09364SU270 BLADE SPIRAL $85.75364SU270 BLADE SPIRAL $91.63364SU270 BLADE SPIRAL 100 $115.00364SU270 BLADE SPIRAL 42MM 462.642 $135.80364SU270 BLADE SPIRAL 45 $115.00

Page 32: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 BLADE SPIRAL 50 $115.00364SU270 BLADE SPIRAL 55 $115.00364SU270 BLADE SPIRAL 60 $118.40364SU270 BLADE SPIRAL 65 $115.00364SU270 BLADE SPIRAL 70 $127.93364SU270 BLADE SPIRAL 75 $132.20364SU270 BLADE SPIRAL 80 $115.00364SU270 BLADE SPIRAL 85 $115.00364SU270 BLADE SPIRAL 90 $126.60364SU270 BLADE SPIRAL 95 $115.00364SU270 BLADE TFNA 100MM 04.038.400S $186.38364SU270 BLADE TFNA 100MM 04.038.400S $186.38364SU270 BLADE TFNA 110MM 04.038.410S $186.38364SU270 BLADE TFNA 110MM 04.038.410S $186.38

C1713 10500C1713 BLADE TFNA 95MM 04.038.395S $248.50C1713 10500C1713 BLADE TFNA 95MM 04.038.395S $248.50

364SU270 BLADE TRICUT 3.5MM LATEX FREE $43.33364SU270 BLADE TYMPANOPLASTY $2.32364SU270 BLADE W/TUBING 4.0 LATEX FREE $64.50364SU270 BLADE WIDE AGGRESS 2296-3-515 $4.15364SU270 BLANKET FULL BODY $0.74364SU270 BLANKET LOWER BODY $1.00364SU270 BLANKET UPPER BODY $1.00364SU270 BLANKET UPPERBODY PED $2.22

C1776 10500C1776 BLOCK AUGMENT #3 10MM $523.26C1776 10500C1776 BLOCK AUGMENT 5-10MM 598800510 $429.87C1776 10500C1776 BLOCK AUGMENT F-10MM 599003602 $302.69C1776 10500C1776 BLOCK AUGMENT F-5MM 599003610 $302.69C1776 10500C1776 BLOCK AUGMENT FEM S.E 5MM $523.26C1776 10500C1776 BLOCK AUGMENT KNEE 00597000010 $256.67C1776 10500C1776 BLOCK AUGMENT TIB S.3 10MM $523.26L8699 10500L8699 BLOCK BICORTICAL 10X20 D08600 $208.33

364SU270 BLOCK BITE 712804 $0.29364SU270 BLOCK BITE ENDOTUBE 11040 $0.60

Page 33: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1776 10500C1776 BLOCK BUILD-UP HIP 13/15 10MM $233.33C1713 10500C1713 BLOCKERS SPINE 48230000 $55.00C1776 10500C1776 BODY PROXIMAL S.B 11-301332 $1,429.20

364SU270 BODY SOCK $15.87C1713 10500C1713 BOLT 10MM 12224250 $5.33

364SU270 BOLT 12MM 54-1050 $0.88C1713 10500C1713 BOLT 14MM 12224251 $5.33

364SU270 BOLT 16MM 54-1010 $0.88C1713 10500C1713 BOLT 18MM 12224252 $5.33C1713 10500C1713 BOLT 3.9X34 $52.33C1776 10500C1776 BOLT ADAPTOR FEM 96-0784 $108.20C1713 10500C1713 BOLT FIX 17.5MM 12224218 $56.00C1713 10500C1713 BOLT FIX 23MM 12224219 $59.67C1713 10500C1713 BOLT FUSION 6.5X130 02.111.230 $174.07C1713 10500C1713 BOLT FUSION MIDFOOT6.5X105MM $197.64C1713 10500C1713 BOLT LOCK 95MM 1975-00-095 $94.20C1776 10500C1776 BOLT LOCK HIP 75MM 197500075 $94.20C1713 10500C1713 BOLT LOCKING 4.9X100 $41.91C1713 10500C1713 BOLT LOCKING 4.9X30MM $38.55C1713 10500C1713 BOLT LOCKING 4.9X32MM $56.23C1713 10500C1713 BOLT LOCKING 4.9X34MM $54.00C1713 10500C1713 BOLT LOCKING 4.9X36MM $54.00C1713 10500C1713 BOLT LOCKING 4.9X38 $65.07C1713 10500C1713 BOLT LOCKING 4.9X40MM $56.00C1713 10500C1713 BOLT LOCKING 4.9X42 $50.70C1713 10500C1713 BOLT LOCKING 4.9X50MM $56.23C1713 10500C1713 BOLT LOCKING 4.9X85 $42.33C1713 10500C1713 BOLT LOCKING 4.9X90 $42.33C1713 10500C1713 BOLT LOCKING 4.9X95 $42.33C1776 10500C1776 BOLT LOCKING TIBIAL KC-53000 $33.33C1713 10500C1713 BOLT LOCKING TITANIUM 28 $41.49C1713 10500C1713 BOLT LOCKING TITANIUM 4.9X44 $45.88C1713 10500C1713 BOLT LOCKING TITANIUM 4.9X46 $56.23C1713 10500C1713 BOLT LOCKING TITANIUM 48 $56.23

Page 34: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 BOLT PIN 54-11530 $54.06C1713 10500C1713 BOLT TI LOCKING 4.9X54 $42.33C1713 10500C1713 BOLT TI LOCKING 4.9X56 $50.70C1713 10500C1713 BOLT TI LOCKING 4.9X58 $42.33C1713 10500C1713 BOLT TI LOCKING 4.9X60 $42.33C1713 10500C1713 BOLT TI LOCKING 4.9X64 $42.33C1713 10500C1713 BOLT TI LOCKING 4.9X68 $42.33C1713 10500C1713 BOLT TI LOCKING 4.9X72 $42.33C1713 10500C1713 BOLT TI LOCKING 4.9X76 $42.33C1713 10500C1713 BOLT TI LOCKING 4.9X80 $42.33

364SU272 BOLT WIRE FIX 54-1152 $39.49C1713 10500C1713 BOLTS TI LOCKING 4.9X26 $41.49C1713 10500C1713 BOLTS TI LOCKING 4.9X52 $56.23C1713 10500C1713 BONE CANCELLOUS CUBES $186.67

364SU270 BONE CEMENT $11.94C1313 10500C1713 BONE CORTICAL STRUT 2.3X23 $250.33C1713 10500C1713 BONE CRUSHED CANCELLOUS 30CC $150.00

364SU270 BONE FILLER 5CC $431.43C1713 10500C1713 BONE FILLER A-GRIX BGAR(10CC) $665.00

364SU270 BONE GRANULES 5CC $118.25C1762 10500C1762 BONE MATRIX BIO4 PS51010 $1,400.00C1762 10500C1762 BONE MATRIX SPINE PS51005 $833.33

364SU270 BONE OPTEFORM 5CC $218.75C1713 10500C1713 BONE PLUG 16MM $48.67C1713 10500C1713 BONE SOURCE 10.0 GRAM $311.67C1713 10500C1713 BONE SOURCE 25.0 GRAM $860.00C1713 10500C1713 BONE SUBSTITUTE HYDROSET 5CC $489.87

364SU270 BONE WAX $0.61L4386 10500L4386 BOOT BLEDSOE SMALL $17.60L4386 10500L4386 BOOT BODY ARMOR HI LARGE $3.63L4386 10500L4386 BOOT BODY ARMOR HI MEDIUM $3.63L4386 10500L4386 BOOT BODY ARMOR SMALL $3.63

364SU270 BOOT CHARCOT XLG TCC21126 $18.62364SU270 BOOT WALKING XLG W1000BLK $3.63

Page 35: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 BOTTLE VACUUM PLEURX 500ML $7.20364SU270 BOUGIE INTRODUCER PED 9021170 $0.93364SU270 BRA POST SURGICAL LARGE 703 $3.26364SU270 BRA POST SURGICAL MED 702 $3.15364SU270 BRA POST SURGICAL X-LARGE 704 $3.29

L1930 10500L1930 BRACE AFO A508LL $9.84L4350 10500L4350 BRACE ANKLE EVO ASO MEDIUM $6.74L1902 10500L1902 BRACE ANKLE INTER-LOK SMALL $5.96L0472 10500L0472 BRACE CASH LARGE 48" $42.24L0472 10500L0472 BRACE CASH STANDARD 30" $42.24L0472 10500L0472 BRACE CASH STANDARD 42" $44.40L0472 10500L0472 BRACE CASH STANDARD 48" $38.86L3760 10500L3760 BRACE ELBOW LT LG $36.38L3760 10500L3760 BRACE ELBOW LT SM $36.35L3760 10500L3760 BRACE ELBOW RT LG $39.24L3760 10500L3760 BRACE ELBOW RT SM $39.24L3760 10500L3760 BRACE ELBOW XACT LT 11-9122 $15.82L3760 10500L3760 BRACE ELBOW XACT RT 11-9121 $15.82

364SU270 BRACE HIP ABDUCTION FITTED $542.87L3980 10500L3980 BRACE HUMERAL LG 79-97957 $13.73L0472 10500L0472 BRACE JEWITT LARGE $38.75L0472 10500L0472 BRACE JEWITT SMALL $38.75L1810 10500L1810 BRACE KNEE HINGED MED 37350MD $90.00L1832 10500L1832 BRACE KNEE LARGE 1107594 $17.80L1812 10500L1812 BRACE KNEE LARGE 11-7426-4 $19.51

364SU270 BRACE KNEE PROCARE LARGE $17.99L1833 10500L1833 BRACE KNEE TROM ADV 11-9114-9 $18.00L1833 10500L1833 BRACE KNEE TROM XLG 11-9116-9 $28.89L0650 10500L0650 BRACE LUMBAR SACRAL ORTH L0650 $376.62L0460 10500L0460 BRACE STOP 1 FEM LG $65.63L0460 10500L0460 BRACE STOP 1 FEM MED $65.63L0460 10500L0460 BRACE STOP 1 FEM XL $65.63L0460 10500L0460 BRACE STOP 1 MALE LG $65.63L0460 10500L0460 BRACE STOP 1 MALE MED $65.63

Page 36: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

L0460 10500L0460 BRACE STOP 1 MALE XL $65.63L3924 44620031 BRACE THUMB CMC 2804 LT-L/XL $3.33L3924 44620031 BRACE THUMB CMC 2804 LT-SM/MED $3.33L3924 44620031 BRACE THUMB CMC 2804 RT-L/XL $3.33L3924 44620031 BRACE THUMB CMC 2804 RT-SM/MED $3.33

BRACE TLSO $633.59L1686 10500L1686 BRACE TLSO ABDUCTION CONTROL $79.43L3908 10500L3908 BRACE WRIST LEFT X-LG $0.66L3908 10500L3908 BRACE WRIST LG LT LATEX FREE $0.66L3908 10500L3908 BRACE WRIST LG RT LATEX FREE $0.66L3908 10500L3908 BRACE WRIST MED LT LATEX FREE $0.66L3908 10500L3908 BRACE WRIST MED RT LATEX FREE $0.66L3908 10500L3908 BRACE WRIST SM LT LATEX FREE $0.77L3908 10500L3908 BRACE WRIST SM RT LATEX FREE $0.66L3908 10500L3908 BRACE WRIST X-LG RT LATEX FREE $0.66C2641 10500C2641 BRACHYTHERAPY SEED PALLDIUM $11.68

364SU270 BREAST PUMP SHIELD $1.67364SU270 BREASTPUMP LACTINA DOUBLE PUMP $6.65364SU270 BREATHING BAG 1 LITER $0.16364SU270 BREATHING BAG 2 LITER $0.17364SU270 BROSELOW INTUB. MODULE BLUE $7.50364SU270 BROSELOW INTUB. MODULE GREEN $7.50364SU270 BROSELOW INTUB. MODULE ORANGE $7.50364SU270 BROSELOW INTUB. MODULE PINK/RE $7.50364SU270 BROSELOW INTUB. MODULE PURPLE $7.50364SU270 BROSELOW INTUB. MODULE WHITE $7.50364SU270 BROSELOW INTUB. MODULE YELLOW $7.50364SU270 BROSELOW IV MODULE BLUE $7.20364SU270 BROSELOW IV MODULE GREEN $7.20364SU270 BROSELOW IV MODULE ORANGE $7.20364SU270 BROSELOW IV MODULE PINK/RED $7.20364SU270 BROSELOW IV MODULE PURPLE $7.20364SU270 BROSELOW IV MODULE WHITE $7.20364SU270 BROSELOW IV MODULE YELLOW $7.20

Page 37: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 BROSELOW OXYGEN MODULE BLUE $2.17364SU270 BROSELOW OXYGEN MODULE GREEN $2.17364SU270 BROSELOW OXYGEN MODULE ORANGE $2.17364SU270 BROSELOW OXYGEN MODULE PINK/RE $2.58364SU270 BROSELOW OXYGEN MODULE PURPLE $2.17364SU270 BROSELOW OXYGEN MODULE WHITE $2.17364SU270 BROSELOW OXYGEN MODULE YELLOW $2.17364SU270 BRUSH CYTOLOGY WITH SHEATH $1.69364SU270 BRUSH ORAL SUCTION $0.31364SU270 BRUSH ORAL SUCTION $3.26364SU270 BULB & BLADDER DISP D30200-210 $5.18364SU270 BULB & BLADDER DISP D30200-210 $5.18364SU270 BULB DEVICE $0.58

C1776 10500C1776 BUMPER STANDARD $172.33364SU270 BUR DENATL DIAMOND X909C042 $0.37364SU270 BUR DENTAL DIAMOND 368-023 $0.32364SU270 BUR DENTAL DIAMOND 747-0107 $0.25364SU270 BUR DIAMOND RD 1MM 1608006083 $10.97364SU270 BUR DIAMOND RD 2MM 1608006087 $10.97364SU270 BUR EGG 1607-2-35 $7.46364SU270 BUR EGG 5.0 277-10-50 $6.14364SU270 BUR ROUND 5-0 5820-009-050 $58.56364SU270 BUR ROUND 5-0 5820-009-050 $62.50364SU270 BUR ROUND DIAMOND 3.0MM X-COUR $26.44364SU270 BUR ROUND DIAMOND 5.0MM COURSE $26.44364SU270 BUR SURG 3MM ELITE 5820010030 $26.44364SU270 BURR $57.25364SU270 BURR CUTTER BONE 4.5 7206011 $16.00364SU270 BURR CUTTING $54.00364SU270 BURR CUTTING 4X64MM $58.75364SU270 BURR CUTTING DIAMOND 05MMX75MM $31.50364SU270 BURR CUTTING DIAMOND 1MMX75MM $29.20364SU270 BURR CUTTING ROUND $54.00364SU270 BURR CUTTING ROUND 2.0MM $47.25

Page 38: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 BURR DIAMOND FINE ROUND 3MM $31.60364SU270 BURR DIAMOND TAPERED $70.99364SU272 BURR MILLING STD 00-5927-05000 $57.00364SU270 BURR ROUND $1.68364SU270 BURR ROUND 3MM 5820-009-030 $62.50364SU270 BURR ROUND 4MM 5820-009-040 $62.50364SU270 BURR ROUND CUTTING 3X64 $56.50

C1776 10500C1776 BUSHING STANDARD $84.00364SU272 BUTTON CERCLAGE $38.70364SU270 CABLE $51.56

C1713 10500C1713 CABLE BMP $52.00C1713 10500C1713 CABLE CERCLAGE 1.8MM 22320418 $103.37

364SU270 CABLE ESURG 12FT US349SP $1.18364SU270 CABLE EXTENSION 4051A $3.00364SU270 CABLE EXTENSION ATAR D-A $13.00364SU270 CABLE INTERSTEM TWISTLOCK 3576 $16.00364SU270 CABLE PACEMAKER $3.50364SU270 CABLE PATIENT $4.17

C1776 10500C1776 CABLE SLEEVE BONE 2.0 67040510 $113.00364SU270 CABLE SURGICAL DISP 4051L $3.00364SU270 CABLE TEST-STIM 3575-01 $8.00364SU270 CABLE TRIAL MULTILEAD 3013 $55.00364SU270 CABLE TUR/ENDOSCOPIC $0.51364SU272 CABLE W/CRIMP $152.60364SU272 CABLE W/CRIMP 1.0X750MM $153.90364SU270 CABLE W/CRIMP 611.105.01S $152.83

C1713 10500C1713 CAGE CERVICAL AERO-C 48894050 $500.00C1713 10500C1713 CAGE CERVICAL AERO-C 7X14X15X6 $1,500.00C1713 10500C1713 CAGE CERVICAL SA 1055161306 $1,026.67C1713 10500C1713 CAGE FLXFIT 8MM AT0908 $2,165.00C1713 10500C1713 CAGE FLXFIT AT0909 $2,165.00C1713 10500C1713 CAGE INTERBODAY PLIF 11X28X11 $930.00C1713 10500C1713 CAGE INTERBODY ALIF0832-11P $1,000.00C1713 10500C1713 CAGE INTERBODY DLIF 1183-1040 $1,416.67

Page 39: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1713 10500C1713 CAGE INTERBODY DLIF 1183-1045 $1,416.67C1713 10500C1713 CAGE INTERBODY DLIF 1183-1055 $1,416.67C1713 10500C1713 CAGE INTERBODY DLIF 1183-1240 $1,416.67C1713 10500C1713 CAGE INTERBODY DLIF 1183-1250 $1,416.67C1713 10500C1713 CAGE INTERBODY DLIF 1183-1255 $1,416.67C1713 10500C1713 CAGE INTERBODY DLIF 1282-1245 $1,416.67C1713 10500C1713 CAGE INTERBODY DLIF 18X45X12-6 $1,416.67C1713 10500C1713 CAGE INTERBODY DLIF 18X45X14MM $1,416.67C1713 10500C1713 CAGE INTERBODY DLIF 22X55X10,7 $1,416.67C1713 10500C1713 CAGE INTERBODY DLIF 22X55X12 $1,416.67C1713 10500C1713 CAGE INTERBODY DLIF 83-0840 $1,416.67C1713 10500C1713 CAGE INTERBODY LLIF 1183-1050 $1,416.67C1713 10500C1713 CAGE INTERBODY LLIF 18X45X08MM $1,416.67C1713 10500C1713 CAGE INTERBODY LLIF 18X50X08 $1,416.67C1713 10500C1713 CAGE INTERBODY LLIF 18X50X10MM $1,416.67C1713 10500C1713 CAGE INTERBODY LLIF 18X50X10MM $1,416.67C1713 10500C1713 CAGE INTERBODY LLIF 18X50X12MM $1,416.67C1713 10500C1713 CAGE INTERBODY LLIF 18X55X10 $1,416.67C1713 10500C1713 CAGE INTERBODY LLIF 18X55X10MM $1,416.67C1713 10500C1713 CAGE INTERBODY LLIF 18X55X12MM $1,416.67C1713 10500C1713 CAGE INTERBODY LLIF 18X55X8MM $1,416.67C1713 10500C1713 CAGE INTERBODY LLIF 22X50X10 $1,416.67C1713 10500C1713 CAGE INTERBODY LLIF 22X50X8 $1,416.67C1713 10500C1713 CAGE INTERBODY LLIF 22X55X12MM $1,416.67C1713 10500C1713 CAGE INTERBODY PEAK 1108-0409 $930.00C1713 10500C1713 CAGE INTERBODY PEEK 1108-0410 $930.00C1713 10500C1713 CAGE INTERBODY PEEK 1108-0411 $930.00C1713 10500C1713 CAGE INTERBODY PLIP 1108-0412 $930.00C1713 10500C1713 CAGE LUMBAR AERO 11X26X32MM 8D $2,166.67C1713 10500C1713 CAGE LUMBAR AERO 48941312 $2,331.67C1713 10500C1713 CAGE LUMBAR PEEK 1103-3412 $1,000.00C1713 10500C1713 CAGE LUMBAR PEEK 1103-3414 $1,000.00C1713 10500C1713 CAGE LUMBAR PEEK 1103-3810 $1,000.00C1713 10500C1713 CAGE LUMBAR PEEK 1103-3812 $1,000.00

Page 40: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1713 10500C1713 CAGE LUMBAR PEEK 1103-3814 $1,000.00C1713 10500C1713 CAGE LUMBAR PEEK 1103-7414 $1,000.00C1713 10500C1713 CAGE LUMBAR PEEK 1103-7810 $1,260.00C1713 10500C1713 CAGE LUMBAR PEEK 1103-7814 $1,000.00C1713 10500C1713 CAGE LUMBAR POST 10X28X6-11MM $1,650.00C1713 10500C1713 CAGE LUMBER PEEK 1103-7812 $1,000.00C1713 10500C1713 CAGE POSTERIOR 14X12X06MM 7 $1,026.67C1713 10500C1713 CAGE POSTERIOR 14X12X7MM $1,026.67C1713 10500C1713 CAGE POSTERIOR 16X14X6MM $1,026.67C1713 10500C1713 CAGE POSTERIOR 37-CL-6407 $1,026.67C1713 10500C1713 CAGE SPINE VBR CS225012246 $2,133.33C1762 10500C1762 CANCELLOUS CRUSHED 15CC 1404 $750.00L8699 10500L8699 CANCELLOUS MORS 05CC 3039 $300.00

364SU270 CANISTER 300ML HOME VAC $12.05364SU270 CANISTER MAX IAPS2 $90.00364SU270 CANISTER PREVENA 150ML PRE4095 $3.38364SU270 CANISTER PREVENA 150ML PRE4095 $25.35364SU270 CANISTER SUCTION ATEC/EVIVA $0.62364SU272 CANISTER VAC VIA 250ML $6.69364SU270 CANISTER WOUND VAC GEL $5.39364SU270 CANNISTER SUCTION 1200CC $0.57364SU270 CANNULA 11MMX100MM THREADED $3.33364SU270 CANNULA 12MMX100MM THREADED $3.33364SU270 CANNULA 21 FT. LATEX FREE $0.17364SU270 CANNULA 5MMX100MM THREADED $1.43364SU270 CANNULA ACCESS 11G 0306330000 $9.21364SU270 CANNULA ACCESS 11G 0306330000 $69.09364SU270 CANNULA CEMENT 10GA 0306410000 $9.71364SU270 CANNULA CEMENT VERTPORT 11G $9.71364SU270 CANNULA CLEAR-TRAC 72200903 $4.13364SU270 CANNULA CLEARTRAC 8.0X72MM $4.13364SU270 CANNULA CPAP INFANT SZ 1 $2.72364SU270 CANNULA CURVED 50MM 20G 5.0MM $5.92364SU270 CANNULA FOR SIZE 10 TRACH $0.41

Page 41: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 CANNULA FOR SIZE 8 TRACH $0.47364SU270 CANNULA HIGH FLOW $0.52364SU270 CANNULA HIGH FLOW $0.58364SU270 CANNULA INNER DISPOSABLE #6 $0.40364SU270 CANNULA JABCZENSKI DUCTOGRAM $4.00364SU270 CANNULA NASAL INFANT $1.41364SU270 CANNULA NASAL INFANT OPT316 $8.40364SU270 CANNULA NASAL INFT LATEX FREE $0.22364SU270 CANNULA NASAL NEONATAL OPT314 $8.20364SU270 CANNULA NASAL NEONATAL YELLOW $1.42364SU270 CANNULA NASAL OPTI LG OPT546 $3.57364SU270 CANNULA NASAL OPTI SM OPT942 $3.94364SU270 CANNULA NASAL OPTIFLOW MEDIUM $3.54364SU270 CANNULA NASAL PED OPT318 $8.40364SU270 CANNULA NASAL PEDIATRIC $1.38364SU270 CANNULA NASAL PREMATURE RED $1.41364SU270 CANNULA NASAL SALTER ADULT $0.23364SU270 CANNULA NASAL SALTER PEDIATRIC $0.40364SU270 CANNULA PASSPORT 10MM $9.20364SU270 CANNULA PEDIATRIC $0.22364SU270 CANNULA SET 5.5 $2.92364SU270 CANNULA TWIST-IN 6MM AR-6535 $7.20364SU270 CANNULA TWIST-IN AR-6530 $7.20364SU270 CANNULA VENOM 18G 100MM $9.60364SU270 CANNULA VENOM 18G 150MM $10.37364SU270 CANNULA VENOM 20G 100MM $8.36364SU270 CANNULA VENOM 20G 150MM $9.86364SU270 CANOPY AEROSOL TENT PED $1.17

C1713 10500C1713 CAP END 0MM $54.00364SU270 CAP END 0MM 99-T770000 $75.00

C1713 10500C1713 CAP END 5MM EXT 04.001.001 $54.54C1713 10500C1713 CAP END NAIL 3-4MM 475.900 $25.90C1713 10500C1713 CAP END PINK 475.905 $25.90C1713 10500C1713 CAP END T25 04.008.001 $54.93

Page 42: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1713 10500C1713 CAP END TI 0MM TIB $52.53C1713 10500C1713 CAP END TI FEMORAL 10MM $50.13C1713 10500C1713 CAP END TI FEMORAL 15MM $46.50C1713 10500C1713 CAP END TI FEMORAL 20MM $46.50C1713 10500C1713 CAP END TI T25 04.008.001S $81.76C1713 10500C1713 CAP END TI TIBIAL 0MM $59.13C1713 10500C1713 CAP END TI TIBIAL 10MM $65.57C1713 10500C1713 CAP END TI TIBIAL 15MM $67.80C1713 10500C1713 CAP END TI TIBIAL 5MM $75.87C1776 10500C1776 CAP END TITANIUM 0MM $64.63C1776 10500C1776 CAP END TITANIUM 10MM $61.60C1776 10500C1776 CAP END TITANIUM 5MM $61.60C1713 10500C1713 CAP FIXATOR 395.781 $0.68

364SU270 CAP HALF PIN 12224207 $1.83C1713 10500C1713 CAP LOCKING 02.03150.300 $43.87C1713 10500C1713 CAP LOCKING 1797-02-000 $50.00C1713 10500C1713 CAP LOCKING MATRIX 04.632.000 $122.67C1713 10500C1713 CAP SCREW VANE 4242-0001 $52.67

364SU270 CAP TERMINAL 4033 $8.00C1713 10500C1713 CAP TI END 12MM T 40 STARDRIVE $45.00C1713 10500C1713 CAP TI END 12MM T40 STARDRIVE $45.00C1713 10500C1713 CAP TI END 12MM T40 STARDRIVE $45.00C1713 10500C1713 CAP TI END 12MM T40 STARDRIVE $51.10C1713 10500C1713 CAP TI END FEMORAL 5 MM $50.13C1713 10500C1713 CAP TI END STARDRIVE 0MM EXT $51.10C1713 10500C1713 CAP TI END T25 04.008.000 $79.38C1713 10500C1713 CAP TI END T40 STARDRIVE $51.10C1713 10500C1713 CAP TIBIAL NAIL $35.00

364SU270 CAP VALVE PLEURAL 50-7235 $0.83364SU270 CAPS PROTECTIVE FOR PINS $0.37364SU270 CAPS PROTECTIVE FOR WIRES $0.35364SU270 CAPSULE BRAVO PH $67.75

C1721 10501C1721 CARDIO DEF DYNAGEN EL DR D153 $5,576.33C1722 10500C1722 CARDIO DEFIB EMBLEM A219 $7,557.67

Page 43: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1721 10501C1721 CARDIO PROTECTA XTDR D314DRG $6,960.00C1721 10501C1721 CARDIO-DEFIB SECURA DR D224DRG $6,630.00C9399 10500C9399 CARTIFORM DISC ABS-1102-19 $2,166.67

364SU270 CARTRIAGE SNAP VAC 125MM $28.75C1713 10500C1713 CARTRIDGE CEMENT CC02A $26.39C1713 10500C1713 CARTRIDGE CORTOSS 5CC 21010005 $247.19

364SU270 CARTRIDGE CURVETEK 12MM $126.25364SU270 CARTRIDGE CURVETEK 22MM $126.25364SU270 CARTRIDGE FALCON 6725-127-105 $68.88364SU270 CARTRIDGE SAW 90MM 6725127090 $68.88364SU270 CASSETTE PURGE 0043-0003 $50.00364SU270 CASSETTE VERALINK ULTLNK0500 $9.35364SU270 CASTING CONTACT TOTAL TCCEZ 3" $29.93364SU270 CASTING CONTACT TOTAL TCCEZ 4" $29.93364SU270 CATH FOLEY 5CC 18FR. $1.11

C1729 10500C1729 CATH 12FR LOCKING LOOP DRAIN $20.91C1729 10500C1729 CATH 14FR LOCKING LOOP DRAIN $20.91

364SU270 CATH 20GA. 5" SINGLE LUMEN $2.60364SU270 CATH 3-WAY 30CC 18FR $1.69364SU270 CATH 3-WAY 30CC 20FR $1.69364SU270 CATH 3-WAY 30CC 20FR COUDE $2.54364SU270 CATH 3-WAY 30CC 22FR $1.69364SU270 CATH 3-WAY 30CC 22FR COUDE $2.54364SU270 CATH 3-WAY 30CC 24FR $1.84364SU270 CATH 3-WAY 30CC 24FR COUDE $2.54364SU270 CATH 3-WAY 30CC 26FR $1.98364SU270 CATH 3-WAY SILI 30CC 22FR $1.58364SU270 CATH 8.5 LOCKING DRAIN $15.30

C2623 10501C2623 CATH ADMIRAL ADM04015013P $596.67C2623 10501C2623 CATH ADMIRAL ADM05015013P $596.67C2623 10501C2623 CATH ADMIRAL ADM06015013P $596.67C2623 10501C2623 CATH ADMIRAL INP ADM04006013P $496.67C2623 10501C2623 CATH ADMIRAL INP ADM04012013P $546.67C2623 10501C2623 CATH ADMIRAL INP ADM05006013P $496.67

Page 44: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C2623 10501C2623 CATH ADMIRAL INP ADM07004013P $496.67C2623 10501C2623 CATH ADMIRAL INP ADM07006013P $496.67C2623 10501C2623 CATH ADMIRAL INPACT 4X40X130 $496.67C2623 10501C2623 CATH ADMIRAL INPACT 4X40X130 $496.67C2623 10501C2623 CATH ADMIRAL INPACT 4X80X130 $496.67C2623 10501C2623 CATH ADMIRAL INPACT 5X120X130 $546.67C2623 10501C2623 CATH ADMIRAL INPACT 5X40X130 $496.67C2623 10501C2623 CATH ADMIRAL INPACT 5X80X130 $496.67C2623 10501C2623 CATH ADMIRAL INPACT 6X120X130 $546.67C2623 10501C2623 CATH ADMIRAL INPACT 6X40X130 $496.67C2623 10501C2623 CATH ADMIRAL INPACT 6X60X130 $496.67C2623 10501C2623 CATH ADMIRAL INPACT 6X80X130 $496.67C2623 10501C2623 CATH ADMIRAL INPACT 6X80X130 $496.67C2623 10501C2623 CATH ADMIRAL INPACT 7X80X130 $496.67C2623 10501C2623 CATH ADMIRAL INPACT 7X80X130 $496.67C1887 10500C1887 CATH ADROIT 6F JL4 67204025 $14.05C1887 10500C1887 CATH ADROIT 6F XB 3.5 67205425 $14.05C1887 10500C1887 CATH ADROIT XBRCA 5F 55812600 $14.05C1887 10500C1887 CATH ADROIT XBRCA 6F 67212600 $14.05

364SU270 CATH ANDIO EXPO 08641-302 $3.80364SU270 CATH ANGIO EXPO 08526-02 FR4 $1.27364SU270 CATH ANGIO EXPO 08526-122 MPA2 $1.27364SU270 CATH ANGIO EXPO 08526-201 IM $1.27364SU270 CATH ANGIO EXPO 08526-21 FL3.5 $1.27364SU270 CATH ANGIO EXPO 08526-22 FL4 $1.27364SU270 CATH ANGIO EXPO 08526-23 FL4.5 $1.27364SU270 CATH ANGIO EXPO 08526-40 PIG $1.27364SU270 CATH ANGIO EXPO 08526-42 PIG $1.27364SU270 CATH ANGIO EXPO 08526-84 AR1 $1.27364SU270 CATH ANGIO EXPO 08526-86 AR2 $1.27364SU270 CATH ANGIO EXPO 08526-89 ARMOD $1.27364SU270 CATH ANGIO EXPO 08526-96 AL1 $1.27364SU270 CATH ANGIO EXPO 08526-98 AL2 $1.27364SU270 CATH ANGIO EXPO 08641-02 FR4 $1.27

Page 45: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 CATH ANGIO EXPO 08641-117 MPA1 $1.27364SU270 CATH ANGIO EXPO 08641-121 MPA2 $7.60364SU270 CATH ANGIO EXPO 08641-122 MPA2 $1.27364SU270 CATH ANGIO EXPO 08641-195 LCB $1.27364SU270 CATH ANGIO EXPO 08641-201 IM $1.27364SU270 CATH ANGIO EXPO 08641-21 FL3.5 $1.27364SU270 CATH ANGIO EXPO 08641-22 FL4 $1.27364SU270 CATH ANGIO EXPO 08641-23 FL4.5 $1.27364SU270 CATH ANGIO EXPO 08641-24 FL5 $1.27364SU270 CATH ANGIO EXPO 08641-240 IM $1.27364SU270 CATH ANGIO EXPO 08641-40 PIG $1.27364SU270 CATH ANGIO EXPO 08641-42 PIG $1.27364SU270 CATH ANGIO EXPO 08641-50 WR $1.27364SU270 CATH ANGIO EXPO 08641-51 WRP $1.27364SU270 CATH ANGIO EXPO 08641-84 AR1 $1.27364SU270 CATH ANGIO EXPO 08641-86 AR2 $1.27364SU270 CATH ANGIO EXPO 08641-96 AL1 $1.27364SU270 CATH ANGIO EXPO 08641-98 AL2 $1.27364SU270 CATH ANGIO EXPO 3/PK 08526-302 $3.80364SU270 CATH ANGIO EXPO LCB 5F $1.27364SU270 CATH ANGIO EXPO PIG 6F 125CM $1.27364SU270 CATH ANGIO EXPO WR 5F 100CM $1.27

C1887 10500C1887 CATH ANGIO HEADHUNTER 5F 130CM $36.67364SU270 CATH ANGIO IM 4FR 538-460 $1.87364SU270 CATH ANGIO PERFORMA 5F 7532-13 $1.42364SU270 CATH ANGIO PIG D90CM $2.50364SU270 CATH ANGIO VTK 125CM G10755 $2.67

C1887 10500C1887 CATH ANGIOGRAPHIC SOFT-VU $5.00C1887 10500C1887 CATH ANGIOGRAPHIC SOFT-VU SZ 3 $5.00C1725 10501C1725 CATH ANGIOSCULPT 6FR X 137CM $291.67C1725 10504C1725 CATH ANGIOSCULPT OTW 2.0X100 $383.33C1725 10504C1725 CATH ANGIOSCULPT OTW 4.0X200 $408.33C1725 10504C1725 CATH ANGIOSCULPT OTW 5.0X200 $408.33C1725 10504C1725 CATH ANGIOSCULPT OTW 6.0X200 $408.33

Page 46: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1725 10504C1725 CATH ANGIOSCULPT PTA 7.0X40MM $465.00C1725 10504C1725 CATH ANGIOSCULPT PTA 8.0X40MM $366.67C1725 10504C1725 CATH ANGIOSCULPT RX 2.0X10MM $266.67C1725 10504C1725 CATH ANGIOSCULPT RX 2.0X15MM $291.67C1725 10504C1725 CATH ANGIOSCULPT RX 2.0X6MM $266.67C1725 10504C1725 CATH ANGIOSCULPT RX 2.5X10MM $291.67C1725 10504C1725 CATH ANGIOSCULPT RX 2.5X15MM $291.67C1725 10504C1725 CATH ANGIOSCULPT RX 2.5X6MM $291.67C1725 10504C1725 CATH ANGIOSCULPT RX 3.0X10MM $291.67C1725 10504C1725 CATH ANGIOSCULPT RX 3.0X15MM $291.67C1725 10504C1725 CATH ANGIOSCULPT RX 3.0X6MM $291.67C1725 10504C1725 CATH ANGIOSCULPT RX 3.5X10MM $266.67C1725 10504C1725 CATH ANGIOSCULPT RX 3.5X15MM $266.67C1725 10504C1725 CATH ANGIOSCULPT RX 3.5X6MM $266.67

364SU270 CATH APPLICATION DUPLOCATH 35C $10.20C1725 10504C1725 CATH ARMADA 35 10X40 B1100-040 $41.67C1725 10504C1725 CATH ARMADA 35 B2060-100 $31.67C1887 10500C1887 CATH ASAHI CARAVEL CRV150-19P $141.67C1725 10504C1725 CATH ATLAS 16X40MM AT75164 $88.33C1725 10504C1725 CATH ATLAS 18X4X75 AT75184 $88.33C1725 10504C1725 CATH ATLAS 20X4X75 AT75204 $88.33C1725 10504C1725 CATH ATLAS GOLD ATG80164 $98.33C1725 10504C1725 CATH ATLAS GOLD ATG80184 $98.33C1725 10504C1725 CATH ATLAS GOLD ATG80204 $98.33C1725 10504C1725 CATH ATLAS GOLD ATG80224 $141.67C1725 10504C1725 CATH ATLAS GOLD ATG80244 $175.00C1887 10500C1887 CATH ATTAIN DEFLECT 6227DEF $233.33C1725 10504C1725 CATH BALL FORTREX 06X040X80 $62.33C1725 10504C1725 CATH BALL FORTREX 07X040X80 $65.00C1725 10504C1725 CATH BALL FORTREX 08X040X80 $65.00C1725 10504C1725 CATH BALL FORTREX 10X040X80 $65.00C1726 10500C1726 CATH BALLOON DILATION UROMAX $75.24C1726 10500C1726 CATH BALLOON DILATION UROMAX $84.38

364SU270 CATH BALLOON FIBER OPTIC 40CC $232.80

Page 47: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 CATH BALLOON FIBER OPTIC 50CC $232.80C1725 10504C1725 CATH BALLOON INTRA-AORTIC 34CC $254.33

364SU272 CATH BALLOON INTRA-AORTIC 40CC $190.75364SU272 CATH BALLOON INTRA-AORTIC 40CC $197.00

C1725 10500C1725 CATH BALLOON MONORAIL 15MM $61.67c1726 10500c1726 CATH BALLOON NEPHROMAX 210-164 $86.17C1726 10500C1726 CATH BALLOON PASSPORT $98.10

364SU270 CATH BALLOON POSTPARTUM BAKRI $62.25C1887 10500C1887 CATH BALLOON WEDGE 6F AI-07126 $22.33C1725 10504C1725 CATH BALLOON XXL 14-40 $55.33C1725 10504C1725 CATH BALLOON XXL 16-40 $55.33C1725 10504C1725 CATH BALLOON XXL 18-40 $55.33

364SU270 CATH BARTHOLIN GLAND $2.18C1729 10500C1729 CATH BILIARY BALLOON 6FR $11.42C1729 10500C1729 CATH BILIARY LOCKING LOOP 12FR $22.10

364SU270 CATH BREVI-XL 155-2340 $13.24364SU270 CATH BRONCHO 35FR LEFT $10.92364SU270 CATH BRONCHO 39FR LEFT $9.34

C1725 10504C1725 CATH CHARGER 10.0X20 75CM $30.00C1725 10504C1725 CATH CHARGER 10.0X30 75CM $30.00C1725 10504C1725 CATH CHARGER 10.0X40 75CM $30.00C1725 10504C1725 CATH CHARGER 10.0X60 75CM $30.00C1725 10504C1725 CATH CHARGER 12.0X20 75CM $30.00C1725 10504C1725 CATH CHARGER 12.0X30 75CM $30.00C1725 10504C1725 CATH CHARGER 12.0X40 75CM $30.00C1725 10504C1725 CATH CHARGER 12.0X60 75CM $30.00C1725 10504C1725 CATH CHARGER 3.0X100 135CM $30.00C1725 10504C1725 CATH CHARGER 3.0X120 135CM $30.00C1725 10504C1725 CATH CHARGER 3.0X150 135CM $30.00C1725 10504C1725 CATH CHARGER 3.0X20 135CM $30.00C1725 10504C1725 CATH CHARGER 3.0X200 135CM $30.00C1725 10504C1725 CATH CHARGER 3.0X40 135CM $30.00C1725 10504C1725 CATH CHARGER 3.0X80 135CM $30.00C1725 10504C1725 CATH CHARGER 4.0X100 135CM $30.00

Page 48: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1725 10504C1725 CATH CHARGER 4.0X120 135CM $30.00C1725 10504C1725 CATH CHARGER 4.0X150 135CM $30.00C1725 10504C1725 CATH CHARGER 4.0X20 135CM $30.00C1725 10504C1725 CATH CHARGER 4.0X200 135CM $30.00C1725 10504C1725 CATH CHARGER 4.0X40 135CM $30.00C1725 10504C1725 CATH CHARGER 4.0X60 135CM $30.00C1725 10504C1725 CATH CHARGER 4.0X80 135CM $30.00C1725 10504C1725 CATH CHARGER 5.0X100 135CM $30.00C1725 10504C1725 CATH CHARGER 5.0X120 135CM $30.00C1725 10504C1725 CATH CHARGER 5.0X150 135CM $30.00C1725 10504C1725 CATH CHARGER 5.0X20 135CM $30.00C1725 10504C1725 CATH CHARGER 5.0X20 75CM $30.00C1725 10504C1725 CATH CHARGER 5.0X200 135CM $30.00C1725 10504C1725 CATH CHARGER 5.0X30 75CM $30.00C1725 10504C1725 CATH CHARGER 5.0X40 135CM $30.00C1725 10504C1725 CATH CHARGER 5.0X40 75CM $30.00C1725 10504C1725 CATH CHARGER 5.0X60 135CM $30.00C1725 10504C1725 CATH CHARGER 5.0X60 75CM $30.00C1725 10504C1725 CATH CHARGER 5.0X80 135CM $30.00C1725 10504C1725 CATH CHARGER 6.0X100 135CM $30.00C1725 10504C1725 CATH CHARGER 6.0X120 135CM $30.00C1725 10504C1725 CATH CHARGER 6.0X150 135CM $30.00C1725 10504C1725 CATH CHARGER 6.0X20 135CM $30.00C1725 10504C1725 CATH CHARGER 6.0X20 75CM $30.00C1725 10504C1725 CATH CHARGER 6.0X200 135CM $30.00C1725 10504C1725 CATH CHARGER 6.0X30 75CM $30.00C1725 10504C1725 CATH CHARGER 6.0X40 135CM $30.00C1725 10504C1725 CATH CHARGER 6.0X40 75CM $30.00C1725 10504C1725 CATH CHARGER 6.0X60 135CM $30.00C1725 10504C1725 CATH CHARGER 6.0X60 75CM $30.00C1725 10504C1725 CATH CHARGER 6.0X80 135CM $30.00C1725 10504C1725 CATH CHARGER 7.0X100 135CM $30.00C1725 10504C1725 CATH CHARGER 7.0X120 135CM $30.00C1725 10504C1725 CATH CHARGER 7.0X150 135CM $30.00

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C1725 10504C1725 CATH CHARGER 7.0X20 135CM $30.00C1725 10504C1725 CATH CHARGER 7.0X20 75CM $30.00C1725 10504C1725 CATH CHARGER 7.0X200 135CM $30.00C1725 10504C1725 CATH CHARGER 7.0X30 75CM $30.00C1725 10504C1725 CATH CHARGER 7.0X40 135CM $30.00C1725 10504C1725 CATH CHARGER 7.0X40 75CM $30.00C1725 10504C1725 CATH CHARGER 7.0X60 135CM $30.00C1725 10504C1725 CATH CHARGER 7.0X60 75CM $30.00C1725 10504C1725 CATH CHARGER 7.0X80 135CM $30.00C1725 10504C1725 CATH CHARGER 8.0X20 75CM $30.00C1725 10504C1725 CATH CHARGER 8.0X30 75CM $30.00C1725 10504C1725 CATH CHARGER 8.0X40 75CM $30.00C1725 10504C1725 CATH CHARGER 8.0X60 75CM $30.00C1725 10504C1725 CATH CHARGER 8.0X80 75CM $30.00C1725 10504C1725 CATH CHARGER 9.0X20 75CM $30.00C1725 10504C1725 CATH CHARGER 9.0X30 75CM $30.00C1725 10504C1725 CATH CHARGER 9.0X40 75CM $30.00C1725 10504C1725 CATH CHARGER 9.0X60 75CM $30.00C1725 10500C1725 CATH CHOCOLATE 014 2.5X120X150 $265.00C1725 10500C1725 CATH CHOCOLATE 014 2.5X40X150 $265.00C1725 10500C1725 CATH CHOCOLATE 014 2.5X80X150 $265.00C1725 10500C1725 CATH CHOCOLATE 014 3.5X120X135 $265.00C1725 10500C1725 CATH CHOCOLATE 014 3.5X40X135 $250.00C1725 10500C1725 CATH CHOCOLATE 014 3.5X80X135 $265.00C1725 10500C1725 CATH CHOCOLATE 014 3X120X150 $265.00C1725 10500C1725 CATH CHOCOLATE 014 3X40X150 $265.00C1725 10500C1725 CATH CHOCOLATE 014 3X80X150 $265.00C1725 10500C1725 CATH CHOCOLATE 014 4X120X135 $265.00C1725 10500C1725 CATH CHOCOLATE 014 4X40X135 $265.00C1725 10500C1725 CATH CHOCOLATE 014 4X80X135 $265.00C1725 10500C1725 CATH CHOCOLATE 018 5X120X120 $265.00C1725 10500C1725 CATH CHOCOLATE 018 5X40X120 $265.00C1725 10500C1725 CATH CHOCOLATE 018 5X80X120 $265.00C1725 10500C1725 CATH CHOCOLATE 018 6X120X120 $265.00

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C1725 10500C1725 CATH CHOCOLATE 018 6X40X120 $265.00C1725 10500C1725 CATH CHOCOLATE 018 6X80X120 $265.00

364SU270 CATH CHOLANGIOGRAM LATEX FREE $30.50C1758 10500C1758 CATH CONE TIP 8FR $2.45C1885 10500C1885 CATH CORONARY ELCA 0.9 110-004 $998.33C1885 10500C1885 CATH CORONARY ELCA 1.4 114-009 $998.33

364SU270 CATH COUDE 14 FR $1.40364SU270 CATH COUDE 16 FR. $1.40364SU270 CATH COUDE 18 FR. $1.63364SU270 CATH COUDE 20FR $1.63364SU270 CATH COUDE 22 FR. $1.63364SU270 CATH COUNCILL 18FR 5ML 2WAY $2.38

C1725 10504C1725 CATH COYOTE .014 1.5X20X145 $68.00C1725 10504C1725 CATH COYOTE .014 1.5X40X145 $68.00C1725 10504C1725 CATH COYOTE .014 2.5X100X145 $68.00C1725 10504C1725 CATH COYOTE .014 2.5X120X145 $68.00C1725 10504C1725 CATH COYOTE .014 2.5X150X145 $68.00C1725 10504C1725 CATH COYOTE .014 2.5X20X145 $68.00C1725 10504C1725 CATH COYOTE .014 2.5X220X150 $68.00C1725 10504C1725 CATH COYOTE .014 2.5X40X145 $68.00C1725 10504C1725 CATH COYOTE .014 2.5X60X145 $68.00C1725 10504C1725 CATH COYOTE .014 2.5X80X145 $68.00C1725 10504C1725 CATH COYOTE .014 2X100X145 $68.00C1725 10504C1725 CATH COYOTE .014 2X120X145 $68.00C1725 10504C1725 CATH COYOTE .014 2X150X145 $68.00C1725 10504C1725 CATH COYOTE .014 2X20X145 $68.00C1725 10504C1725 CATH COYOTE .014 2X220X145 $68.00C1725 10504C1725 CATH COYOTE .014 2X40X145 $68.00C1725 10504C1725 CATH COYOTE .014 2X60X145 $68.00C1725 10504C1725 CATH COYOTE .014 2X80X145 $68.00C1725 10504C1725 CATH COYOTE .014 3.5X100X150 $68.00C1725 10504C1725 CATH COYOTE .014 3.5X120X145 $68.00C1725 10504C1725 CATH COYOTE .014 3.5X150X145 $68.00C1725 10504C1725 CATH COYOTE .014 3.5X20X145 $68.00

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C1725 10504C1725 CATH COYOTE .014 3.5X220X145 $68.00C1725 10504C1725 CATH COYOTE .014 3.5X40X145 $68.00C1725 10504C1725 CATH COYOTE .014 3.5X60X145 $68.00C1725 10504C1725 CATH COYOTE .014 3.5X80X145 $68.00C1725 10504C1725 CATH COYOTE .014 3X100X150 $68.00C1725 10504C1725 CATH COYOTE .014 3X120X145 $68.00C1725 10504C1725 CATH COYOTE .014 3X150X145 $68.00C1725 10504C1725 CATH COYOTE .014 3X20X145 $68.00C1725 10504C1725 CATH COYOTE .014 3X220X150 $68.00C1725 10504C1725 CATH COYOTE .014 3X40X145 $68.00C1725 10504C1725 CATH COYOTE .014 3X60X145 $68.00C1725 10504C1725 CATH COYOTE .014 3X80X145 $68.00C1725 10504C1725 CATH COYOTE .014 4X100X145 $68.00C1725 10504C1725 CATH COYOTE .014 4X120X145 $68.00C1725 10504C1725 CATH COYOTE .014 4X150X145 $68.00C1725 10504C1725 CATH COYOTE .014 4X20X145 $68.00C1725 10504C1725 CATH COYOTE .014 4X220X145 $68.00C1725 10504C1725 CATH COYOTE .014 4X40X145 $68.00C1725 10504C1725 CATH COYOTE .014 4X60X145 $68.00C1725 10504C1725 CATH COYOTE .014 4X80X145 $68.00C1751 10500C1751 CATH CRAGG-MCNAMARA 41058-01 $46.67C1751 10500C1751 CATH CRAGG-MCNAMARA 41059-01 $44.67C1751 10500C1751 CATH CRAGG-MCNAMARA 41060-01 $44.67C1725 10504C1725 CATH CROSSBOW 135CM M-2000-A $286.67

364SU270 CATH CROSSOVER 6F 80CM .038" $5.67C1750 10500C1750 CATH CURL PERITONEAL 62CM LF $17.33C1887 10500C1887 CATH CXI .018X150CM G50003 $61.68C1887 10500C1887 CATH CXI .018X90CM G50002 $61.68C1887 10500C1887 CATH CXI .035X150CM G52545 $61.68C1887 10500C1887 CATH CXI 2.6FR 150CM G50001 $61.68C1887 10500C1887 CATH CXI 4FR 90CM ANGLE G52547 $61.68C1724 10500C1724 CATH DIAMONDBACK 360 1.25 MICR $1,131.67C1724 10500C1724 CATH DIAMONDBACK 360 1.25 SOLI $1,131.67C1724 10500C1724 CATH DIAMONDBACK 360 1.50 SOLI $1,131.67

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C1724 10500C1724 CATH DIAMONDBACK 360 2.00 SOLI $1,131.67C1724 10500C1724 CATH DIAMONDBACK CLASSIC $1,265.00C1725 10504C1725 CATH DILA TREK 4.0X12MM $71.67C1887 10500C1887 CATH DL LUMEN LANSTON 6FR 5540 $55.00

364SU270 CATH DRAIN 10FR NNU10LPT $39.75C1729 10500C1729 CATH DRAIN 16FR G07254 $17.31C1729 10500C1729 CATH DRAINAGE $20.91C1753 10500C1753 CATH EAGLE EYE PLATINUM 85900P $238.33C1753 10500C1753 CATH EAGLE EYE PLATINUM SHORT $241.67C1753 10500C1753 CATH EKOSONIC 12X106 500-55112 $964.33C1751 10500C1751 CATH EKOSONIC 12X135 500-56112 $1,065.00C1753 10500C1753 CATH EKOSONIC 18X106 500-55118 $964.33C1753 10500C1753 CATH EKOSONIC 24X106 500-55124 $1,065.00C1753 10500C1753 CATH EKOSONIC 30X135 500-56130 $1,065.00C1753 10500C1753 CATH EKOSONIC 40X135 500-56140 $1,065.00C1753 10500C1753 CATH EKOSONIC 50X135 500-56150 $964.33C1757 10500C1757 CATH EMBO FOGARTY 4F 12TLW404F $23.90C1757 10500C1757 CATH EMBO FOGARTY 6F 12TLW406F $23.90C1757 10500C1757 CATH EMBOLECTOMY 3FR $10.68C1757 10500C1757 CATH EMBOLECTOMY 4FR $10.68C1757 10500C1757 CATH EMBOLECTOMY 5FR $10.68

364SU270 CATH EMBOLECTOMY 6FR $6.41C1725 10504C1725 CATH EMERGE MR 12X1.20 $55.00C1725 10504C1725 CATH EMERGE MR 12X1.50 $55.00C1725 10504C1725 CATH EMERGE MR 12X2.00 $55.00C1725 10504C1725 CATH EMERGE MR 12X2.25 $55.00C1725 10504C1725 CATH EMERGE MR 12X2.50 $55.00C1725 10504C1725 CATH EMERGE MR 12X2.75 $55.00C1725 10504C1725 CATH EMERGE MR 12X3.00 $55.00C1725 10504C1725 CATH EMERGE MR 12X3.25 $55.00C1725 10504C1725 CATH EMERGE MR 12X3.50 $55.00C1725 10504C1725 CATH EMERGE MR 12X3.75 $55.00C1725 10504C1725 CATH EMERGE MR 12X4.00 $55.00C1725 10504C1725 CATH EMERGE MR 15X1.20 $55.00

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C1725 10504C1725 CATH EMERGE MR 15X1.50 $55.00C1725 10504C1725 CATH EMERGE MR 15X2.00 $55.00C1725 10504C1725 CATH EMERGE MR 15X2.25 $55.00C1725 10504C1725 CATH EMERGE MR 15X2.50 $55.00C1725 10504C1725 CATH EMERGE MR 15X2.75 $55.00C1725 10504C1725 CATH EMERGE MR 15X3.00 $55.00C1725 10504C1725 CATH EMERGE MR 15X3.25 $55.00C1725 10504C1725 CATH EMERGE MR 15X3.50 $55.00C1725 10504C1725 CATH EMERGE MR 15X3.75 $55.00C1725 10504C1725 CATH EMERGE MR 15X4.00 $55.00C1725 10504C1725 CATH EMERGE MR 20X1.20 $55.00C1725 10504C1725 CATH EMERGE MR 20X1.50 $55.00C1725 10504C1725 CATH EMERGE MR 20X2.00 $55.00C1725 10504C1725 CATH EMERGE MR 20X2.25 $55.00C1725 10504C1725 CATH EMERGE MR 20X2.50 $55.00C1725 10504C1725 CATH EMERGE MR 20X2.75 $55.00C1725 10504C1725 CATH EMERGE MR 20X3.00 $55.00C1725 10504C1725 CATH EMERGE MR 20X3.25 $55.00C1725 10504C1725 CATH EMERGE MR 20X3.50 $55.00C1725 10504C1725 CATH EMERGE MR 20X3.75 $55.00C1725 10504C1725 CATH EMERGE MR 20X4.00 $55.00C1725 10504C1725 CATH EMERGE MR 30X2.00 $55.00C1725 10504C1725 CATH EMERGE MR 30X2.25 $55.00C1725 10504C1725 CATH EMERGE MR 30X2.50 $55.00C1725 10504C1725 CATH EMERGE MR 30X2.75 $55.00C1725 10504C1725 CATH EMERGE MR 30X3.00 $55.00C1725 10504C1725 CATH EMERGE MR 30X3.25 $55.00C1725 10504C1725 CATH EMERGE MR 30X3.50 $55.00C1725 10504C1725 CATH EMERGE MR 30X3.75 $55.00C1725 10504C1725 CATH EMERGE MR 30X4.00 $55.00C1725 10504C1725 CATH EMERGE MR 8X1.20 $55.00C1725 10504C1725 CATH EMERGE MR 8X1.50 $55.00C1725 10504C1725 CATH EMERGE MR 8X2.00 $55.00C1725 10504C1725 CATH EMERGE MR 8X2.25 $55.00

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C1725 10503C1725 CATH EMERGE MR 8X2.50 $55.00C1725 10504C1725 CATH EMERGE MR 8X2.75 $55.00C1725 10504C1725 CATH EMERGE MR 8X3.00 $55.00C1725 10504C1725 CATH EMERGE MR 8X3.25 $55.00C1725 10504C1725 CATH EMERGE MR 8X3.50 $55.00C1725 10504C1725 CATH EMERGE MR 8X3.75 $55.00C1725 10504C1725 CATH EMERGE MR 8X4.00 $55.00C1725 10504C1725 CATH EMERGE MR PUSH 12X1.20 $55.00C1725 10504C1725 CATH EMERGE MR PUSH 12X1.50 $41.33C1725 10504C1725 CATH EMERGE MR PUSH 15X1.20 $55.00C1725 10504C1725 CATH EMERGE MR PUSH 15X1.50 $55.00C1725 10504C1725 CATH EMERGE MR PUSH 20X1.20 $55.00C1725 10504C1725 CATH EMERGE MR PUSH 20X1.50 $55.00C1725 10504C1725 CATH EMERGE MR PUSH 8X1.20 $55.00C1725 10504C1725 CATH EMERGE MR PUSH 8X1.50 $55.00C1725 10504C1725 CATH EMERGE OTW 2.00X12MM $55.00C1725 10504C1725 CATH EMERGE OTW 2.00X15MM $55.00C1725 10504C1725 CATH EMERGE OTW 2.00X8MM $61.67C1725 10504C1725 CATH EMERGE PUSH OTW 1.20X12MM $55.00C1725 10504C1725 CATH EMERGE PUSH OTW 1.20X15MM $55.00C1725 10504C1725 CATH EMERGE PUSH OTW 1.20X8MM $55.00

364SU270 CATH EPISTAT $12.22C1725 10504C1725 CATH EVERCROSS 6F 8X80MM OTW $54.33C1725 10504C1725 CATH EVERCROSS 6X200X135 6FR $72.00C1725 10504C1725 CATH EVERCROSS AB35W05080135 $56.67C1725 10504C1725 CATH EVERCROSS AB35W06100135 $56.67C1725 10504C1725 CATH EVERCROSS AB35W12040080 $54.33

364SU270 CATH EXPO 6F RCB 08641-190 $1.27364SU270 CATH EXPO AL3 08641-100 $1.27364SU270 CATH EXPO FL6 08641-25 $1.27364SU270 CATH EXPO FR3.5 08526-01 $1.27364SU270 CATH EXPO MPB2 5F 08526-146 $1.27364SU270 CATH EXPO MPB2 6F 08641-146 $1.27364SU272 CATH EXPO PIG 5FRX125CM $1.27

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364SU270 CATH EXPO RCB 5FR 08526-190 $1.27364SU270 CATH EXT STAY-SAFE 050-95004 $6.05364SU270 CATH EXTERNAL FEMALE PWF030 $1.08

C1887 10500C1887 CATH FLUSH OMNI 5FR 90CM $6.17C1887 10500C1887 CATH FLUSH OMNI 5FR 90CM $6.17

364SU270 CATH FOLEY 16FR 10ML DYND11756 $0.18364SU270 CATH FOLEY 30CC 14FR 0166L14 $0.59364SU270 CATH FOLEY 30CC 16FR $1.27364SU270 CATH FOLEY 30CC 18FR $1.11364SU270 CATH FOLEY 30CC 20FR $1.08364SU270 CATH FOLEY 30CC 22FR $1.08364SU270 CATH FOLEY 30CC 24FR $1.27364SU270 CATH FOLEY 30CC 24FR 334-24 $0.87364SU270 CATH FOLEY 30CC 26FR $0.54364SU270 CATH FOLEY 30CC 30FR $1.19364SU270 CATH FOLEY 3CC 10FR. $1.02364SU270 CATH FOLEY 3CC 8FR. $1.02364SU270 CATH FOLEY 5CC 16FR 0172SI16 $3.34364SU270 CATH FOLEY 5CC 26FR $0.52

C1887 10500C1887 CATH GLIDE C1 5FR 65CM CG501 $16.88C1887 10500C1887 CATH GLIDE C1 5FR 65CM CG501 $17.13C1887 10500C1887 CATH GLIDE C2 5FR 100CM CG503 $16.88C1887 10500C1887 CATH GLIDE C2 5FR 100CM CG503 $16.88C1887 10500C1887 CATH GLIDE HYDRO 2 5FR 65CM $16.88C1887 10500C1887 CATH GLIDE MP 4FR CG418 $16.88C1887 10500C1887 CATH GLIDE STR TAPER 5F 65CM $16.88C1887 10500C1887 CATH GUIDE ADROIT 5FR XB3 $14.05C1887 10500C1887 CATH GUIDE ADROIT 5FR XB3.5 $14.05C1887 10500C1887 CATH GUIDE ADROIT 5FR XB4 $14.05C1887 10500C1887 CATH GUIDE ATTAIN 6250MP02 $62.00

364SU270 CATH GUIDE EXPO 08526-24 FL5 $1.27C1887 10500C1887 CATH GUIDE LAUNCHER 6F 55CM $17.33C1887 10500C1887 CATH GUIDE LAUNCHER 6F LA6PK1W $17.33C1887 10500C1887 CATH GUIDE LAUNCHER 6F LA6RDCK $17.33

Page 56: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1887 10500C1887 CATH GUIDE LAUNCHER 7F 3.5 JR $14.67C1887 10500C1887 CATH GUIDE LAUNCHER 7F 3.5 JR $14.67C1887 10500C1887 CATH GUIDE LAUNCHER 7F 4.0 JR $14.67C1887 10500C1887 CATH GUIDE LAUNCHER LA6EBU30 $14.67C1887 10500C1887 CATH GUIDE LAUNCHER LA6EBU35 $14.67C1887 10500C1887 CATH GUIDE LAUNCHER LA6EBU40 $14.67C1887 10500C1887 CATH GUIDE LAUNCHER LA7JL30 $14.67C1887 10500C1887 CATH GUIDE MACH 1 AL1 34358-19 $15.68C1887 10500C1887 CATH GUIDE MACH1 AR1SH 3435766 $15.68C1887 10500C1887 CATH GUIDE MACH1 AR1SH 3435866 $18.33C1887 10500C1887 CATH GUIDE MACH1 CLS3SH $15.68C1887 10500C1887 CATH GUIDE MACH1 CLS3SH $15.68C1887 10500C1887 CATH GUIDE MACH1 FCR4 34357280 $15.68C1887 10500C1887 CATH GUIDE MACH1 HS 34357-41 $15.68C1887 10500C1887 CATH GUIDE MACH1 IMC 34357-638 $15.68C1887 10500C1887 CATH GUIDE MACH1 JL4 34358-668 $15.68C1887 10500C1887 CATH GUIDE MACH1 LCB 34356-127 $15.68C1887 10500C1887 CATH GUIDE MACH1 RC4 34357-448 $15.68C1887 10500C1887 CATH GUIDE MP1 LA6MP1SH 6F $17.33C1887 10500C1887 CATH GUIDE RUNWAY 38696-574 $15.68C1887 10500C1887 CATH GUIDE RUNWAY 38969-02 FR4 $15.68C1887 10500C1887 CATH GUIDE RUNWAY 38969-05 FL3 $15.68C1887 10500C1887 CATH GUIDE RUNWAY 38969-06 $15.68C1887 10500C1887 CATH GUIDE RUNWAY 38969-07 FL4 $15.68C1887 10500C1887 CATH GUIDE RUNWAY 38969-08 $15.68C1887 10500C1887 CATH GUIDE RUNWAY 38969-09 FL5 $15.68C1887 10500C1887 CATH GUIDE RUNWAY 38969-129 IM $15.68C1887 10500C1887 CATH GUIDE RUNWAY 38969-25 LCB $15.68C1887 10500C1887 CATH GUIDE RUNWAY 38969-29 FL4 $15.68C1887 10500C1887 CATH GUIDE RUNWAY 38969-38 MP1 $15.68C1887 10500C1887 CATH GUIDE RUNWAY 38969-39 MP2 $15.68C1887 10500C1887 CATH GUIDE RUNWAY 38969-41 HS $15.68C1887 10500C1887 CATH GUIDE RUNWAY 38969-73 VL4 $15.68C1887 10500C1887 CATH GUIDE RUNWAY 6F 38969446 $15.68

Page 57: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1887 10500C1887 CATH GUIDE RUNWAY 6F CLS3.75 $15.68C1887 10500C1887 CATH GUIDE RUNWAY AL1 38969-19 $15.68C1887 10500C1887 CATH GUIDE RUNWAY AL2 38969-20 $15.68C1887 10500C1887 CATH GUIDE RUNWAY AR1 38969-17 $15.68C1887 10500C1887 CATH GUIDE RUNWAY AR2 38969-18 $15.68C1887 10500C1887 CATH GUIDE RUNWAY CLS38969-573 $15.68C1887 10500C1887 CATH GUIDE RUNWAY CLS38969-575 $15.68C1887 10500C1887 CATH GUIDE RUNWAY CLS38969-576 $15.68C1887 10500C1887 CATH GUIDE RUNWAY RC 38969-46 $15.68C1887 10500C1887 CATH GUIDE RUNWAY WRP38969-609 $15.68C1887 10500C1887 CATH GUIDELINER 6F 5571 $132.33C1887 10500C1887 CATH GUIDELINER V2 7F 5572 $132.33C1714 10501C1714 CATH HAWKONE 6F H1-M $1,115.00C1714 10501C1714 CATH HAWKONE 7FR LS H1-LS $1,115.00C1714 10501C1714 CATH HAWKONE 7FR LX H1-LX $1,115.00C1887 10500C1887 CATH HEARTRAIL IKARI LT 406370 $28.00C1887 10500C1887 CATH HEARTRAIL IKARI LT 406372 $28.00C1887 10500C1887 CATH HEARTRAIL IKARI LT 406373 $28.00C1887 10500C1887 CATH HEARTRAIL IKARI RT 406380 $28.00C1887 10500C1887 CATH HEARTRAIL IKARI RT 406381 $28.00C1887 10500C1887 CATH HEARTTRAIL III 6FR 100CM $28.00C1752 10500C1752 CATH HEMODIALYSIS 20CM 12FR $31.43C1752 10500C1752 CATH HEMODIALYSIS 24CM 12FR $36.77C1750 10500C1750 CATH HEMOSTAR PRE CURVED 24CM $73.60C1750 10500C1750 CATH HEMOSTAR PRE CURVED 31CM $73.60C1750 10500C1750 CATH HEMOSTAR PRECURVED 28CM $73.60

364SU270 CATH HYSTEROSONOGRAPHY $6.17364SU272 CATH IAB $93.75364SU272 CATH IAB $123.75364SU272 CATH IAB $197.00364SU270 CATH IMAGER II 5F M001315031 $1.72

C1887 10500C1887 CATH IMPRESS CB1 5FR 565352CB1 $3.57C1887 10500C1887 CATH IMPRESS HH 5FR 510038HH1 $3.57C1887 10500C1887 CATH IMPRESS KA 56538KA2 $3.57

Page 58: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1887 10500C1887 CATH IMPRESS RIM 5FR 56535RIM $3.57C1887 10500C1887 CATH IMPRESS VER 5FR 512535VER $3.57C1887 10500C1887 CATH INDIGO 3 150CM CAT3 $373.33C1887 10500C1887 CATH INDIGO 6 135CM CAT6 $623.33C1887 10500C1887 CATH INDIGO 8 115 CAT8XTORQ115 $983.33C1887 10500C1887 CATH INDIGO 8 85CM CAT8TORQ85 $943.33C1751 10500C1751 CATH INF MICROMEWI 41067-01 $52.67

364SU270 CATH INFINITE 6F 534-615T $1.50364SU270 CATH INFINITI 4F 3DRC 100CM $1.87364SU270 CATH INFINITI 4F AL II 100CM $1.87364SU270 CATH INFINITI 4F ARI MOD 100CM $1.87364SU270 CATH INFINITI 4F JL 3.5 100CM $1.87364SU270 CATH INFINITI 4F MPA2 100CM $1.87364SU270 CATH INFINITI 4F RCB 100CM $2.00364SU270 CATH INFINITI 5F 534-528T $1.37364SU270 CATH INFINITI 5F JR4 SR4986 $6.75364SU270 CATH INFINITI 6F 534-649T $1.42364SU270 CATH INFINITI JL4 538-420 $1.87364SU270 CATH INFINITI JR4 538-421 $1.87364SU270 CATH INFINITI PIG155 538-455S $1.87

C1751 10500C1751 CATH INFUSION 5FR 90X20CM $55.00C1751 10500C1751 CATH INFUSION 5FR 90X20CM $55.00C2623 10501C2623 CATH INPACT ADMIR ADM04020013P $748.33C2623 10501C2623 CATH INPACT ADMIR ADM04025013P $823.33C2623 10501C2623 CATH INPACT ADMIR ADM05020013P $748.33C2623 10501C2623 CATH INPACT ADMIR ADM05025013P $823.33C2623 10501C2623 CATH INPACT ADMIR ADM06020013P $748.33C2623 10501C2623 CATH INPACT ADMIR ADM06025013P $823.33C1755 10500C1755 CATH INTRATHECAL 8780 $355.67C1887 10500C1887 CATH LAUNCHER 5F .058" JL4.0 $15.33C1887 10500C1887 CATH LAUNCHER 5F EBU 4.0 $15.33C1887 10500C1887 CATH LAUNCHER 5F EBU 4.5 $15.33C1887 10500C1887 CATH LAUNCHER 5F JR 3.5 $14.67C1887 10500C1887 CATH LAUNCHER 5F JR 4.0 $14.67

Page 59: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1887 10500C1887 CATH LAUNCHER 5F LA5EBU30 $14.67C1887 10500C1887 CATH LAUNCHER 5F LA5EBU30 $14.67C1887 10500C1887 CATH LAUNCHER 5F LA5EBU35 $14.67C1887 10500C1887 CATH LAUNCHER 5F LA5EBU375 $14.67C1887 10500C1887 CATH LAUNCHER 6F 3 DRC $14.67C1887 10500C1887 CATH LAUNCHER 6F AR 1.0 W/SH $14.67C1887 10500C1887 CATH LAUNCHER 6F EBU 3.75 $14.67C1887 10500C1887 CATH LAUNCHER 6F EBU 4.5 $14.67C1887 10500C1887 CATH LAUNCHER 6F LA63DRCSH $14.67C1887 10500C1887 CATH LAUNCHER 6F LA6AL10SH $14.67C1887 10500C1887 CATH LAUNCHER 6F LA6EBU35SH $14.67C1887 10500C1887 CATH LAUNCHER 6F LA6EBU375SH $14.67C1887 10500C1887 CATH LAUNCHER 6F LA6EBU40SH $14.67C1887 10500C1887 CATH LAUNCHER 6F MP 1.0 W/SH $14.67C1887 10500C1887 CATH LAUNCHER 6F RM HOCKEY STI $14.67C1887 10500C1887 CATH LAUNCHER 6F SCR 3.5 $14.67C1887 10500C1887 CATH LAUNCHER 7F .081" 3DRC $15.00C1887 10500C1887 CATH LAUNCHER 7F JL 3.5 $14.67C1887 10500C1887 CATH LAUNCHER 7F LA7AL10 $14.67C1887 10500C1887 CATH LAUNCHER 7F LA7AL10SH $14.67C1887 10500C1887 CATH LAUNCHER 7F LA7EBU30 $14.67C1887 10500C1887 CATH LAUNCHER 7F LA7EBU35 $14.67C1887 10500C1887 CATH LAUNCHER 7F LA7EBU35SH $14.67C1887 10500C1887 CATH LAUNCHER 7F LA7EBU375 $14.67C1887 10500C1887 CATH LAUNCHER 7F LA7EBU375SH $14.67C1887 10500C1887 CATH LAUNCHER 7F LA7EBU40 $14.67C1887 10500C1887 CATH LAUNCHER 7F LA7EBU40SH $14.67C1887 10500C1887 CATH LAUNCHER 7F LA7EBU45 $14.67C1887 10500C1887 CATH LAUNCHER 7F LA7JL30SH $14.67C1887 10500C1887 CATH LAUNCHER 7F LA7JL35SH $14.67C1887 10500C1887 CATH LAUNCHER 7F LA7JL40SH $14.67C1887 10500C1887 CATH LAUNCHER 7F LA7JL45SH $14.67C1887 10500C1887 CATH LAUNCHER 7F LA7JL50SH $14.67C1887 10500C1887 CATH LAUNCHER 7F LA7JR40SH $14.67

Page 60: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1887 10500C1887 CATH LAUNCHER 7F LA7JR40SH $14.67C1887 10500C1887 CATH LAUNCHER 8F LA8AL10SH $14.67C1887 10500C1887 CATH LAUNCHER 8F LA8EBU35 $14.67C1887 10500C1887 CATH LAUNCHER 8F LA8EBU35SH $14.67C1887 10500C1887 CATH LAUNCHER 8F LA8EBU375SH $14.67C1887 10500C1887 CATH LAUNCHER 8F LA8EBU40SH $14.67C1887 10500C1887 CATH LAUNCHER 8F LA8JL40 $14.67C1887 10500C1887 CATH LAUNCHER 8F LA8JR40SH $14.67C1887 10500C1887 CATH LAUNCHER 8FR 100CM EB375 $14.67C1887 10500C1887 CATH LAUNCHER JL3.5 5FR 90CM $14.67C1885 10500C1885 CATH LAZER ELCA RX1.7 117-016 $998.33C1885 10500C1885 CATH LAZER ELCA RX2.0 120-009 $900.00C1752 10500C1752 CATH LUMEN TRIPLE 12 FR $43.33C2623 10501C2623 CATH LUTONIX 4X100MM $400.00C2623 10501C2623 CATH LUTONIX 4X120MM $433.33C2623 10501C2623 CATH LUTONIX 4X150MM $525.00C2623 10501C2623 CATH LUTONIX 4X40MM $400.00C2623 10501C2623 CATH LUTONIX 4X60MM $400.00C2623 10501C2623 CATH LUTONIX 4X80MM $400.00C2623 10501C2623 CATH LUTONIX 5X100MM $400.00C2623 10501C2623 CATH LUTONIX 5X120MM $433.33C2623 10501C2623 CATH LUTONIX 5X150MM $525.00C2623 10501C2623 CATH LUTONIX 5X220MM $658.33C2623 10501C2623 CATH LUTONIX 5X40MM $400.00C2623 10501C2623 CATH LUTONIX 5X60MM $400.00C2623 10501C2623 CATH LUTONIX 5X80MM $400.00C2623 10501C2623 CATH LUTONIX 6X100MM $400.00C2623 10501C2623 CATH LUTONIX 6X120MM $433.33C2623 10501C2623 CATH LUTONIX 6X150MM $525.00C1725 10504C1725 CATH LUTONIX 6X40MM $400.00C2623 10501C2623 CATH LUTONIX 6X60MM $400.00C2623 10501C2623 CATH LUTONIX 6X80MM $400.00C2623 10501C2623 CATH LUTONIX 7X40MM $400.00C2623 10501C2623 CATH LUTONIX 7X60MM $400.00

Page 61: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1752 10500C1752 CATH MAHURKAR 8888135248 $41.67364SU270 CATH MALECOT 20FR $1.46

C1887 10500C1887 CATH MARINER JB1 5F/130CM/.035 $36.67C1887 10500C1887 CATH MARINER OMNI 4F 11732302 $16.00C1725 10504C1725 CATH METACROSS RX 6F 3X100MM $106.67C1725 10504C1725 CATH METACROSS RX 6F 3X20MM $106.67C1725 10504C1725 CATH METACROSS RX 6F 3X40MM $106.67C1725 10504C1725 CATH METACROSS RX 6F 4X150MM $106.67C1725 10504C1725 CATH METACROSS RX 6F 5X100MM $106.67C1725 10504C1725 CATH METACROSS RX 6F 5X150MM $106.67C1725 10504C1725 CATH METACROSS RX 6F 5X60MM $106.67C1725 10504C1725 CATH METACROSS RX 6F 6X100MM $106.67C1725 10504C1725 CATH METACROSS RX 6F 6X150MM $106.67C1725 10504C1725 CATH METACROSS RX 6F 6X60MM $106.67C1725 10504C1725 CATH METACROSS RX 6F 7X100MM $106.67C1887 10500C1887 CATH MICRO-GUIDE 1.8F 35-1430 $141.67C1887 10500C1887 CATH MICRO-GUIDE 1.8FR 35-1450 $141.67C1725 10504C1725 CATH MUSTANG 10X20X135 $46.67C1725 10504C1725 CATH MUSTANG 10X30X135 $46.67C1725 10504C1725 CATH MUSTANG 10X40X135 $46.67C1725 10504C1725 CATH MUSTANG 10X40X75 $46.67C1725 10504C1725 CATH MUSTANG 10X60X135 $46.67C1725 10504C1725 CATH MUSTANG 10X80X135 $46.67C1725 10504C1725 CATH MUSTANG 12X20X135 $46.67C1725 10504C1725 CATH MUSTANG 12X30X135 $46.67C1725 10504C1725 CATH MUSTANG 12X40X135 $46.67C1725 10504C1725 CATH MUSTANG 12X40X75 $46.67C1725 10504C1725 CATH MUSTANG 12X60X135 $46.67C1725 10504C1725 CATH MUSTANG 12X80X135 $46.67C1725 10504C1725 CATH MUSTANG 5X100X135 $46.67C1725 10504C1725 CATH MUSTANG 5X150X135 $52.33C1725 10504C1725 CATH MUSTANG 5X200X135 $52.33C1725 10504C1725 CATH MUSTANG 6X100X135 $46.67C1725 10504C1725 CATH MUSTANG 6X150X135 $52.33

Page 62: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1725 10504C1725 CATH MUSTANG 6X200X135 $52.33C1725 10504C1725 CATH MUSTANG 6X20X75 $46.67C1725 10504C1725 CATH MUSTANG 6X40X75 $46.67C1725 10504C1725 CATH MUSTANG 7X100X135 $52.33C1725 10504C1725 CATH MUSTANG 7X200X135 $52.33C1725 10504C1725 CATH MUSTANG 7X40X75 $46.67C1725 10504C1725 CATH MUSTANG 8X100X135 $46.67C1725 10504C1725 CATH MUSTANG 8X120X135 $52.33C1725 10504C1725 CATH MUSTANG 8X20X135 $46.67C1725 10504C1725 CATH MUSTANG 8X30X135 $46.67C1725 10504C1725 CATH MUSTANG 8X40X135 $46.67C1725 10504C1725 CATH MUSTANG 8X40X75 $46.67C1725 10504C1725 CATH MUSTANG 8X60X135 $46.67C1725 10504C1725 CATH MUSTANG 8X80X135 $46.67C1725 10504C1725 CATH MUSTANG 9X20X135 $46.67C1725 10504C1725 CATH MUSTANG 9X30X135 $46.67C1725 10504C1725 CATH MUSTANG 9X40X135 $46.67C1725 10504C1725 CATH MUSTANG 9X40X75 $46.67C1725 10504C1725 CATH MUSTANG 9X60X135 $46.67C1725 10504C1725 CATH MUSTANG 9X80X135 $46.67C1887 10500C1887 CATH NAVICROSS .035" 135CM $56.17C1887 10500C1887 CATH NAVICROSS .035" NC35130 $56.17C1887 10500C1887 CATH NAVICROSS .035" NC35150 $56.17C1887 10500C1887 CATH NAVICROSS .035" NC35151 $56.17C1887 10500C1887 CATH NAVICROSS .035" NC35900 $56.17C1887 10500C1887 CATH NAVICROSS .035" NC35901 $56.17C1725 10504C1725 CATH NC EMERGE 3.75X6MM $61.67C1725 10504C1725 CATH NC EMERGE MR 2.00X12 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.00X15 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.00X20 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.00X30 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.00X8 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.25X12 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.25X15 $55.00

Page 63: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1725 10504C1725 CATH NC EMERGE MR 2.25X20 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.25X8 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.50X12 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.50X15 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.50X20 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.50X30 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.50X8 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.75X12 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.75X15 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.75X20 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.75X6 $55.00C1725 10504C1725 CATH NC EMERGE MR 2.75X8 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.00X12 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.00X15 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.00X20 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.00X30 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.00X6 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.00X8 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.25X12 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.25X15 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.25X20 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.25X30 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.25X6 $61.67C1725 10504C1725 CATH NC EMERGE MR 3.25X8 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.50X12 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.50X15 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.50X20 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.50X30 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.50X6 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.50X8 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.75X12 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.75X15 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.75X20 $55.00C1725 10504C1725 CATH NC EMERGE MR 3.75X30 $61.67

Page 64: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1725 10504C1725 CATH NC EMERGE MR 3.75X8 $55.00C1725 10504C1725 CATH NC EMERGE MR 4.00X12 $55.00C1725 10504C1725 CATH NC EMERGE MR 4.00X15 $55.00C1725 10504C1725 CATH NC EMERGE MR 4.00X20 $55.00C1725 10504C1725 CATH NC EMERGE MR 4.00X30 $55.00C1725 10504C1725 CATH NC EMERGE MR 4.00X6 $61.67C1725 10504C1725 CATH NC EMERGE MR 4.00X8 $55.00C1725 10504C1725 CATH NC EMERGE MR 4.50X12 $55.00C1725 10504C1725 CATH NC EMERGE MR 4.50X15 $55.00C1725 10504C1725 CATH NC EMERGE MR 4.50X20 $55.00C1725 10504C1725 CATH NC EMERGE MR 4.50X6 $55.00C1725 10504C1725 CATH NC EMERGE MR 4.50X8 $55.00C1725 10504C1725 CATH NC EMERGE MR 5.00X12 $41.33C1725 10504C1725 CATH NC EMERGE MR 5.00X15 $55.00C1725 10504C1725 CATH NC EMERGE MR 5.00X8 $55.00C1725 10504C1725 CATH NC EMERGE MR 5.50X12 $55.00C1725 10504C1725 CATH NC EMERGE MR 5.50X15 $55.00C1725 10504C1725 CATH NC EMERGE MR 5.50X8 $55.00C1725 10504C1725 CATH NC EMERGE MR 6.00X12 $55.00C1725 10504C1725 CATH NC EMERGE MR 6.00X15 $55.00C1725 10504C1725 CATH NC EMERGE MR 6.00X8 $55.00C1887 10500C1887 CATH NEURON MAX PNML6F088904 $165.00C1887 10500C1887 CATH NEURON MAX PNML6F088904M $165.00C1887 10500C1887 CATH NEURON SELECT PNS6F125BER $41.67C1887 10500C1887 CATH NEURON SELECT PNS6F125H1 $41.67C1887 10500C1887 CATH NEURON SELECT PNS6F125SIM $41.67C1887 10500C1887 CATH OMNI FLUSH 5FR 65CM $6.17C1758 10500C1758 CATH OPEN TIP 5FR $2.07C1887 10500C1887 CATH OPTITORQUE 5F 40-5021 $12.83C1887 10500C1887 CATH OPTITORQUE JACKY 40-5022 $12.83C1887 10500C1887 CATH OPTITORQUE TIGER 40-5011 $12.83

364SU272 CATH PACE PACEL 5F 401761 $27.30364SU270 CATH PACING 5F ST 401762 $16.38364SU270 CATH PACING BIPOLAR 6FR $9.90

Page 65: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU272 CATH PACING PACEL 5F 401764 $16.38C1725 10504C1725 CATH PCB 5.00MM/2.0CM/90CM OTW $258.33C1725 10504C1725 CATH PCB 7.00MM/2.0CM/90CM OTW $258.33C1725 10504C1725 CATH PCB 8.00MM/2.0CM/90CM OTW $258.33

364SU270 CATH PERFORMA 5F JL4.0 7521-63 $1.32C1724 10500C1724 CATH PERIPHERAL 2.00 CL 145CM $1,131.67C1753 10500C1753 CATH PIONEER PLUS 6FX120CM $850.00C1751 10500C1751 CATH POWERGLIDE PRO 18GX10CM $20.00C1751 10500C1751 CATH POWERGLIDE PRO 18GX8CM $20.00C1751 10500C1751 CATH POWERGLIDE PRO 18GX8CM $30.00C1751 10500C1751 CATH POWERGLIDE PRO 20GX10CM $20.00C1751 10500C1751 CATH POWERPICC SOLO TL $41.60C1887 10500C1887 CATH PRESSURE 6F 60CM AI07125 $21.00C1757 10500C1757 CATH PRIORITYONE 7FX140CM $178.00C1887 10500C1887 CATH PROGREAT 2.8F 130CM $103.33C1887 10500C1887 CATH PROGREAT COAXIAL 2.7-2.9F $171.67C1887 10500C1887 CATH PROGREAT MC*PC2713Y $103.33C1757 10500C1757 CATH PRONTO V4 5.5F 4005 $106.33C1887 10500C1887 CATH QC CAPTURE 519-106 $171.67C1887 10500C1887 CATH RADIAL TIGER 5F 110CM $12.83

364SU272 CATH REDIGUARD IAB 9FR $187.50364SU270 CATH REPAIR KIT OPTIFLOW $29.64

C1887 10500C1887 CATH REPERF VELOCITY 6F 139CM $563.33C1887 10500C1887 CATH REPERF VELOCITY 6F 153CM $563.33C1880 10500C1880 CATH RETRIEVAL OPTEASE466C220F $46.67C1887 10500C1887 CATH RUBICON 14 150CM 4FR $46.81C1887 10500C1887 CATH RUBICON 18 150CM 4FR $46.81C1887 10500C1887 CATH RUBICON 35 150CM 5FR $46.81C1887 10500C1887 CATH RUBICON 35 90CM 5FR $46.81C1887 10500C1887 CATH RUNWAY FL6 38969-10 $18.33C1887 10500C1887 CATH RUNWAY JF4 6FR 38969-692 $15.68

364SU270 CATH SELF FEMALE 14FR 4214 $0.23364SU270 CATH SILI FOLEY 5CC 14FR. $1.11364SU270 CATH SILI FOLEY 5CC 16FR $1.11

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364SU270 CATH SILI FOLEY 5CC 20FR. $1.30364SU270 CATH SILI FOLEY 5CC 22FR $1.11364SU270 CATH SILI FOLEY 5CC 24FR $1.12364SU270 CATH SILICONE 10FR. $0.46364SU270 CATH SILICONE 12FR. $0.46364SU270 CATH SILICONE 5CC 12 FR $1.20364SU270 CATH SILICONE 6 FR 1.5CC PED $5.48364SU270 CATH SILICONE 8 FR. $0.46364SU270 CATH SINUS BALLOON 6X16MM $650.00364SU270 CATH SINUS IRRIGATION $38.75

C1887 10500C1887 CATH SOFT-VU 5FX.038INX100CM $5.00C1887 10500C1887 CATH SOFT-VU 5FX65CM 10722703 $5.33C1757 10500C1757 CATH SOLVENT OMNI 120CM $601.67C1887 10500C1887 CATH SPEX SPX35150 $62.33C1725 10504C1725 CATH STERLING OTW 6.0X30X135 $63.33C1725 10504C1725 CATH STERLING 3.5X220X150 $63.33C1725 10504C1725 CATH STERLING OTW 2.0X220X150 $63.33C1725 10504C1725 CATH STERLING OTW 2.0X40X150 $63.33C1725 10504C1725 CATH STERLING OTW 2.5X220X150 $63.33C1725 10504C1725 CATH STERLING OTW 2.5X40X150 $63.33C1725 10504C1725 CATH STERLING SL 2.0X100X150 $63.33C1725 10504C1725 CATH STERLING SL 2.0X150X150 $63.33C1725 10504C1725 CATH STERLING SL 2.5X100X150 $63.33C1725 10504C1725 CATH STERLING SL 2.5X150X150 $63.33C1725 10504C1725 CATH STINGRAY LP 3.2FX135CM $398.33

364SU272 CATH STRAIGHT 14FR 16" M14 $0.67C1887 10500C1887 CATH SUPERCROSS 45DX150CM 5303 $149.67C1887 10500C1887 CATH SUPERCROSS 90DX150CM 5305 $149.67C1887 10500C1887 CATH SUPPORT CXI 18X90 G50004 $61.68C1887 10500C1887 CATH SUPPORT CXI 35X90 G52546 $61.68C1887 10500C1887 CATH SUPPORT CXI 4F G52544 $61.68C2627 10500C2627 CATH SUPRAPUBIC 14FR G55824 $18.00C1751 10500C1751 CATH THERMO SWAN-GANZ 7F 110CM $12.43C1751 10500C1751 CATH THERMODILUTION 139HF75 $45.49

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364SU272 CATH THORA 12 FR $2.74364SU270 CATH THORA 9.6 FR $2.67364SU270 CATH THORACIC 16FR $0.74364SU270 CATH THORACIC 20FR $0.74364SU270 CATH THORACIC 24 FR $0.74364SU270 CATH THORACIC 28 FR $0.64364SU270 CATH THORACIC 32FR $0.74364SU270 CATH THORACIC 32FR CURVED $0.98364SU270 CATH THORACIC 36FR $0.74364SU270 CATH THORACIC 36FR CURVED $0.98364SU270 CATH THORACIC RT ANGLE 28FR $0.98

C1757 10500C1757 CATH THROMBECTOMY 111303-001 $708.33C1887 10500C1887 CATH TRAILBLAZER .035 ANGLED $61.53C1887 10500C1887 CATH TRAILBLAZER 4F SC-018-150 $48.07C1887 10500C1887 CATH TRAILBLAZER SC-014-150 $48.07C1887 10500C1887 CATH TRAILBLAZER SC-035-090 $48.07C1887 10500C1887 CATH TRAILBLAZER SC-035-150 $48.07

364SU270 CATH TROCAR 12FR LATEX FREE $2.41364SU270 CATH TROCAR 16FR LATEX FREE $2.41364SU270 CATH TROCAR 24 FR LATEX FREE $2.41364SU270 CATH TROCAR 28FR LATEX FREE $2.62

C1757 10500C1757 CATH TROMBECTOMY 6FX140CM $116.67364SU270 CATH TUNNELER $19.60

C1714 10500C1885 CATH TURBO POWER 2.0MM 420-050 $1,181.67C1714 10500C1885 CATH TURBO-ELITE 0.9MM 410-152 $966.67C1714 10500C1885 CATH TURBO-ELITE 1.4MM 414-151 $916.67C1714 10500C1885 CATH TURBO-ELITE 1.7MM 417-152 $966.67C1714 10500C1885 CATH TURBO-ELITE 2.0MM 420-006 $966.67C1714 10500C1885 CATH TURBO-ELITE 2.3MM 423-001 $966.67C1714 10501C1714 CATH TURBOHAWK H1-S $1,115.00C1714 10501C1714 CATH TURBOHAWK TH-LX-M $1,065.00C1714 10500C1885 CATH TURBO-POWER 2.3MM 423-050 $1,033.33C1887 10500C1887 CATH TWIN-PASS DUAL ACCESS5200 $118.33C1729 10500C1729 CATH ULT12.0-38-25-P-6S-CLMRH $20.91

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C1729 10500C1729 CATH ULT8.5-38-25-P-6S-CLM-RH $20.91C1725 10504C1725 CATH ULTRAVERSE 014 U41501H12 $78.33C1725 10504C1725 CATH ULTRAVERSE 014 U4150212 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U4150215 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U415022 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U4150222 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U4150230 $75.00C1725 10504C1725 CATH ULTRAVERSE 014 U415024 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U415028 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U41502H12 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U41502H15 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U41502H2 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U41502H22 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U41502H4 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U41502H8 $78.33C1725 10504C1725 CATH ULTRAVERSE 014 U4150312 $78.33C1725 10504C1725 CATH ULTRAVERSE 014 U4150315 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U415032 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U4150322 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U415034 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U415038 $78.33C1725 10504C1725 CATH ULTRAVERSE 014 U41503H15 $78.33C1725 10504C1725 CATH ULTRAVERSE 014 U41503H2 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U41503H22 $75.00C1725 10504C1725 CATH ULTRAVERSE 014 U41503H4 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U41503H8 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U4150412 $75.00C1725 10504C1725 CATH ULTRAVERSE 014 U4150415 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U4150422 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U415044 $60.00C1725 10504C1725 CATH ULTRAVERSE 014 U415048 $60.00C1725 10504C1725 CATH ULTRAVERSE 014P U41502H30 $75.00C1725 10504C1725 CATH ULTRAVERSE 014P U4150330 $78.33C1725 10504C1725 CATH ULTRAVERSE 014P U41503H30 $75.00

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C1725 10504C1725 CATH ULTRAVERSE 014P U4150430 $78.33C1725 10504C1725 CATH ULTRAVERSE 014P U4150530 $75.00C1725 10504C1725 CATH ULTRAVERSE 018 U8130310 $60.00C1725 10504C1725 CATH ULTRAVERSE 018 U813052 $60.00C1725 10504C1725 CATH ULTRAVERSE 018 U8130610 $75.00C1725 10504C1725 CATH ULTRAVERSE 018 U8130612 $60.00C1725 10504C1725 CATH ULTRAVERSE 018 U8130615 $60.00C1725 10504C1725 CATH ULTRAVERSE 018 U813062 $60.00C1725 10504C1725 CATH ULTRAVERSE 018 U8130622 $60.00C1725 10504C1725 CATH ULTRAVERSE 018 U813064 $60.00C1725 10504C1725 CATH ULTRAVERSE 018 U8150230 $60.00C1725 10504C1725 CATH ULTRAVERSE 018 U815032 $75.00C1725 10504C1725 CATH ULTRAVERSE 018 U8150322 $75.00C1725 10504C1725 CATH ULTRAVERSE 018 U815034 $75.00C1725 10504C1725 CATH ULTRAVERSE 018 U8150410 $60.00C1725 10504C1725 CATH ULTRAVERSE 018 U815042 $60.00C1725 10504C1725 CATH ULTRAVERSE 018 U815044 $78.33C1725 10504C1725 CATH ULTRAVERSE 018 U8150510 $75.00C1725 10504C1725 CATH ULTRAVERSE 018 U8150512 $60.00C1725 10504C1725 CATH ULTRAVERSE 018 U8150515 $75.00C1725 10504C1725 CATH ULTRAVERSE 018 U8150522 $75.00C1725 10504C1725 CATH ULTRAVERSE 018 U815054 $60.00C1725 10504C1725 CATH ULTRAVERSE 018 U815058 $75.00C1725 10504C1725 CATH ULTRAVERSE 018P U8130630 $75.00C1725 10504C1725 CATH ULTRAVERSE 018P U81502H30 $60.00C1725 10504C1725 CATH ULTRAVERSE 018P U8150330 $75.00C1725 10504C1725 CATH ULTRAVERSE 018P U81503H30 $60.00C1725 10504C1725 CATH ULTRAVERSE 018P U8150530 $75.00C1725 10504C1725 CATH ULTRAVERSE 035 U35130104 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513032 $38.33C1725 10504C1725 CATH ULTRAVERSE 035 U35130330 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513034 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U35130415 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513042 $30.00

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C1725 10504C1725 CATH ULTRAVERSE 035 U35130420 $38.33C1725 10504C1725 CATH ULTRAVERSE 035 U35130430 $38.33C1725 10504C1725 CATH ULTRAVERSE 035 U3513044 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U35130510 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U35130512 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U35130515 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U35130520 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513054 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513056 $38.33C1725 10504C1725 CATH ULTRAVERSE 035 U3513058 $35.00C1725 10504C1725 CATH ULTRAVERSE 035 U35130610 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U35130612 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U35130615 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513062 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U35130620 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U35130630 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513064 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513066 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513068 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U35130710 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U35130712 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U35130715 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513072 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U35130720 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513074 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513076 $38.33C1725 10504C1725 CATH ULTRAVERSE 035 U3513078 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513082 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513084 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513086 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513088 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3513092 $48.33C1725 10504C1725 CATH ULTRAVERSE 035 U3513094 $38.33C1725 10504C1725 CATH ULTRAVERSE 035 U3513096 $30.00

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C1725 10504C1725 CATH ULTRAVERSE 035 U3575102 $48.33C1725 10504C1725 CATH ULTRAVERSE 035 U3575104 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3575106 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3575122 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3575124 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3575415 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U357552 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U3575520 $48.33C1725 10504C1725 CATH ULTRAVERSE 035 U357554 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U357556 $38.33C1725 10504C1725 CATH ULTRAVERSE 035 U357558 $48.33C1725 10504C1725 CATH ULTRAVERSE 035 U357562 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U357564 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U357566 $48.33C1725 10504C1725 CATH ULTRAVERSE 035 U357572 $48.33C1725 10504C1725 CATH ULTRAVERSE 035 U357574 $38.33C1725 10504C1725 CATH ULTRAVERSE 035 U357576 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U357582 $48.33C1725 10504C1725 CATH ULTRAVERSE 035 U357584 $30.00C1725 10504C1725 CATH ULTRAVERSE 035 U357586 $48.33C1725 10504C1725 CATH ULTRAVERSE 035 U357588 $48.33C1725 10504C1725 CATH ULTRAVERSE 035 U357592 $48.33C1725 10504C1725 CATH ULTRAVERSE 035 U357594 $48.33C1725 10504C1725 CATH ULTRAVERSE 035 U357596 $30.00C1725 10504C1725 CATH ULTRAVERSE 5MM 130CM $38.33

364SU270 CATH UMBILICAL 3.5FR $1.75364SU270 CATH UMBILICAL 5FR LATEX FREE $1.73

C1758 10500C1758 CATH URET CONE TIP $3.13C1758 10500C1758 CATH URETERAL SPIRAL 5F 137505 $2.02C1726 10500C1726 CATH UROMAX 15F M0062251160 $79.87C1874 10500C1874 CATH VIABAHN 5X15X135 $869.67C1874 10500C1874 CATH VIABAHN 6X15X135 $869.67C1874 10500C1874 CATH VIABAHN 6X59X135 $1,070.67C1874 10500C1874 CATH VIABAHN 8X29 BXA082902A $1,070.67

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C1874 10500C1874 CATH VIABAHN 8X79X135 $1,185.33C1874 10500C1874 CATH VIABAHN 9X29X135 $1,070.67C1874 10500C1874 CATH VIABAHN 9X79X135 $1,185.33C1887 10500C1887 CATH VIANCE 5F VNC-FX-150 $531.67C1887 10500C1887 CATH VIANCE 5F VNC-FX-150 $531.67C1725 10504C1725 CATH VIATRAC 14 PLUS 5.0X40MM $51.67C1725 10500C1725 CATH VIATRAC 14 PLUS 7X30MM $51.67C1725 10504C1725 CATH VIATRAC 14 RX 1008189-20 $51.67C1725 10504C1725 CATH VIATRAC 14 RX 1008189-30 $51.67C1725 10504C1725 CATH VIATRAC 14 RX 1008193-15 $51.67C1725 10504C1725 CATH VIATRAC 14 RX 1008193-20 $51.67C1725 10504C1725 CATH VIATRAC 14 RX 1008193-30 $51.67C1725 10504C1725 CATH VIATRAC 14 RX 1008197-20 $51.67C1725 10504C1725 CATH VIATRAC 14 RX 1008201-20 $51.67C1753 10500C1753 CATH VISIONS PV .014P 85910P $241.67C1753 10500C1753 CATH VISIONS PV .018 86700 $216.67C1753 10500C1753 CATH VISIONS PV .035 90CM $316.67C1887 10500C1887 CATH VISTA 6F XB3 67005200 $14.05C1887 10500C1887 CATH VISTA 6F XB3.5 67005400 $14.05C1887 10500C1887 CATH VISTA 6F XB4 67005600 $14.05C1887 10500C1887 CATH VISTA 7F XB3 77805200 $14.05C1887 10500C1887 CATH VISTA 7F XB3.5 77805400 $14.05C1887 10500C1887 CATH VISTA 7F XB4 77805600 $14.05C2628 10500C1887 CATH WINGMAN WGM18150 $331.67C1725 10504C1725 CATH WOLVERINE CB MR 2.00X10MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 2.00X15MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 2.0X6MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 2.50X10MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 2.50X15MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 2.75X10MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 2.75X6MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 3.00X10MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 3.00X15MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 3.00X6MM $253.33

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C1725 10504C1725 CATH WOLVERINE CB MR 3.25X10MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 3.25X6MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 3.50X10MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 3.50X15MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 3.50X6MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 3.75X6MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 4.00X10MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 4.00X15MM $253.33C1725 10504C1725 CATH WOLVERINE CB MR 4.00X6MM $253.33C1729 10500C1729 CATHETER BILIARY 10.2 X 40 $22.10C1729 10500C1729 CATHETER DTVN5.0-19-7-YUEH $4.34C1729 10500C1729 CATHETER DTVN5.0-19-7-YUEH $6.19C1758 10500C1758 CATHETER DUAL LUMEN $19.09

364SU270 CATHETER HNB5.0-38-40-P-NS-KMP $2.77364SU270 CATHETER INTUBATION AINTREE $8.60

C1758 10500C1758 CATHETER URETERAL FLEXIMA 6 FR $2.65364SU270 CAUTERY 20 GA. $1.85364SU270 CAUTERY HIGH TEMP ESCT003 $1.60364SU270 CAUTERY HIGH TEMP LATEX FREE $1.87364SU270 CEMENT BONE $87.50

C1713 10500C1713 CEMENT BONE ALGEA 458.691S $33.33364SU270 CEMENT BONE AVA-TEX $53.75364SU270 CEMENT BONE COBALT 402439 $84.75

C1713 10500C1713 CEMENT BONE LATEX FREE $82.42364SU270 CEMENT BONE PALACOS 1113-14001 $74.10364SU270 CEMENT BONE REVOLUTION STRYKER $15.42364SU270 CEMENT DELIVERY SYSTEM $63.75

C1713 10500C1713 CEMENT PLUG $40.77C1713 10500C1713 CEMENT ZIMMER 00-5049-045-01 $35.28C1776 10500C1776 CENTRALIZER $57.33C1776 10500C1776 CENTRALIZER DISTAL 7859-12 $16.67C1776 10500C1776 CENTRALIZER DISTAL 13MM 785913 $16.67

364SU272 CERCLAGE WIRE .80X280 $1.32364SU272 CERCLAGE WIRE 1.00 X 600 $1.63

Page 74: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU272 CERCLAGE WIRE 1.0X280 $1.38364SU272 CERCLAGE WIRE 1.25 X 600 $2.06364SU272 CERCLAGE WIRE 1.25X280 $1.63364SU272 CERCLAGE WIRE 1.50 X 280 $1.38364SU272 CERCLAGE WIRE 1.50 X 600 $1.34

L0120 10500L0120 CERVICAL COLLAR FIRM LG $0.83L0120 10500L0120 CERVICAL COLLAR FIRM MED $0.83L0120 10500L0120 CERVICAL COLLAR FIRM SM $0.83L0120 10500L0120 CERVICAL COLLAR LG $0.50L0120 10500L0120 CERVICAL COLLAR MED $0.44L0120 10500L0120 CERVICAL COLLAR SM SOFT $0.50

364SU270 CHARGING SYSTEM 97754 $602.00C1729 10500C1729 CHEST DRAINAGE SYSTEM PLEURVAC $13.60C1713 10500C1713 CHRONOS GRANULES 5.0CC $138.33

364SU270 CIRCUIT BIPAP RT219 $5.10364SU270 CIRCUIT BREATHING 3 LITER $0.58364SU270 CIRCUIT BREATHING IVENT DISP. $1.60364SU270 CIRCUIT INFANT RT132 $2.20364SU270 CIRCUIT INFANT RT132 $2.33364SU270 CIRCUIT NONINVASIVE DISPOSABLE $0.97364SU270 CLAMP 4.0MM $165.75364SU270 CLAMP ADJUSTABLE $105.60

C1713 10500C1713 CLAMP ADJUSTABLE LARGE OPEN $182.93364SU270 CLAMP ADJUSTABLE WIRE/PIN $208.80364SU272 CLAMP BODY DNE6000101 $90.00

C1713 10500C1713 CLAMP COMBINATION $220.73C1713 10500C1713 CLAMP CONNECTING 3MM/3MM $222.60

364SU270 CLAMP DISTAL RADIUS 4.0 $195.83364SU270 CLAMP HALF PIN 12225010 $78.83

C1713 10500C1713 CLAMP HOLDING $148.00C1713 10500C1713 CLAMP HOLDING 1.6MM $239.40

364SU270 CLAMP HOUSING SM BONE SM-5100 $122.50C1713 10500C1713 CLAMP MULTI-PIN $252.47C1713 10500C1713 CLAMP MULTIPIN 4 POSITION $236.37

Page 75: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU272 CLAMP MULTI-PIN 4960-3-020 $247.90364SU270 CLAMP PIN LARGE 390.010 $117.78

C1713 10500C1713 CLAMP PROTECTIVE GREEN $1.44364SU270 CLAMP RING TO ROD $229.05

L3650 10500L3650 CLAVICAL STRAP SM LATEX FREE $1.00L3650 10500L3650 CLAVICAL SUPPORT LG $1.00L3650 10500L3650 CLAVICAL SUPPORT MED $1.00L3650 10500L3650 CLAVICAL SUPPORT X-LG $1.00

364SU270 CLEANSER PERINEAL SKIN $1.07364SU270 CLIP APPLIER $113.01

C1713 10500C1713 CLIP DYNAMIZATION $34.20364SU270 CLIP EXTERNAL FIXATION $14.10364SU270 CLIP HEM-O-LOC $9.16364SU270 CLIP HEM-O-LOK MED/LG 544230 $6.43364SU270 CLIP HORIZON MEDIUM 002200 $0.67364SU270 CLIP HORIZON MED-LG 003200 $0.42364SU270 CLIP HORIZON SMALL 001200 $0.34364SU270 CLIP HORIZON SMALL-WIDE 001201 $1.89

C1713 10500C1713 CLIP MOTO 12X12X12MM 1412-1212 $631.67C1713 10500C1713 CLIP MOTO 25C22MM 1442-2522 $865.00

364SU270 CLIP QUICK ENDO HX-201UR-135.B $10.59364SU270 CLIP RESOLUTION M00521230 $59.75364SU270 CLIP SUTURE ENDO XC200 $12.93364SU270 CLIP TITANIUM HORIZON 005200 $0.79364SU270 CLIPS LIGATING LARGE $0.78364SU270 CLIPS LIGATING MED LT200 $0.41364SU270 CLIPS LIGATING MED/LARGE $0.53364SU270 CLIPS LIGATING SMALL LT100 $0.38364SU270 COAGULATOR HAND SWITCHING $1.30364SU270 COAGULATOR SUCTION $1.30364SU270 COAGULATOR SUCTION HAND $1.26364SU270 COAGULATOR TOUCH SOFT G1120040 $12.00

L8606 10500L8606 COAPTITE INJECTABLE IMPLANT $93.33364SU270 COBAN STERILE 3" X 5 YD $0.27

Page 76: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 COBAN STERILE 4" LATEX FREE $0.33364SU270 COFLEX TLC AND7800 $1.77364SU270 COFLEX TLC LITE AND7802 $1.77

C1884 10500C1884 COIL AZUR 2MM 45-280202 $52.25C1884 10500C1884 COIL AZUR 6MM 45-280606 $87.08C1884 10500C1884 COIL EMBO MICRONESTER G52737 $24.17C1884 10500C1884 COIL EMBO MICRONESTER G52738 $24.17C1884 10500C1884 COIL EMBO MICRONESTER G52739 $24.17C1884 10500C1884 COIL EMBO TORNADO 10-4 G09217 $27.33C1884 10500C1884 COIL EMBO TORNADO 4-2 G08357 $26.17C1884 10500C1884 COIL EMBO TORNADO 6-2 G08259 $27.33C1884 10500C1884 COIL EMBO TORNADO 8-4 G09215 $27.33C1884 10500C1884 COIL EMBOLIZATION $26.17C1884 10500C1884 COIL EMBOLIZATION $30.07C1884 10500C1884 COIL EMBOLIZATION 10MM $30.07C1884 10500C1884 COIL EMBOLIZATION 12MM $30.07C1884 10500C1884 COIL PERIPHERAL AZUR 45281014 $121.92C1884 10500C1884 COIL TORNADO 5MM $26.17

364SU270 COILS .035X40 $12.43364SU270 COILS .035X50 $12.43364SU270 COILS .035X60 $12.43

L0150 10500L0150 COLLAR CERV PHIL INFANT $0.83L0150 10500L0150 COLLAR CERV PHIL LARGE/TALL $1.02L0150 10500L0150 COLLAR CERV PHIL LOW $1.01L0150 10500L0150 COLLAR CERV PHIL MED/REG $0.83L0150 10500L0150 COLLAR CERV PHIL PED $0.83L0172 10500L0172 COLLAR CERVICAL ASPEN (TOT 2") $27.19L0172 10500L0172 COLLAR CERVICAL ASPEN 2 1/2" $27.19L0172 10500L0172 COLLAR CERVICAL ASPEN 21/4" $4.01L0172 10500L0172 COLLAR CERVICAL ASPEN 4 1/2" $4.01L0120 10500L0120 COLLAR CERVICAL M-LONG 7983016 $0.45L0172 10500L0172 COLLAR MIAMI J LARGE $3.94L0172 10500L0172 COLLAR MIAMI J LARGE $3.94L0172 10500L0172 COLLAR MIAMI J AVG FEMALE $5.52

Page 77: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

L0172 10500L0172 COLLAR MIAMI J AVG FEMALE $5.52364SU270 COLLAR MIAMI J SMALL $3.88364SU270 COLLAR MIAMI J SMALL $3.88

L0174 10500L0174 COLLAR MIAMI J STOUT 79-83208 $5.52L0174 10500L0174 COLLAR MIAMI J SUPER SHORT $8.45L0200 COLLAR POST CERVICAL L0200 $141.38

364SU270 COLLAR VISTA ADULT 79-83380 $7.34364SU270 COLLECTOR BONE SHEEHY S-2500 $8.70364SU270 COLLECTOR WOUND DRAIN $1.06

C1713 10500C1713 COMP ARTICULAR 12MM 9122-2025W $871.33C1776 10500C1776 COMP ARTICULAR 15MM 9M52-1535W $1,002.00C1776 10500C1776 COMP DISTAL 30 PIP-200-30DWW $678.00C1776 10500C1776 COMP DISTAL 40D PIP-200-40D-WW $678.00C1776 10500C1776 COMP FEM KNEE #8 42500006401 $800.00C1776 10500C1776 COMP FEMORAL #11 42500607002 $800.00C1776 10500C1776 COMP FEMORAL #2 RT 96-0087 $2,125.80C1776 10500C1776 COMP FEMORAL #4 1504-10-224 $733.33C1776 10500C1776 COMP FEMORAL #4 5512-F-402 $2,418.73C1776 10500C1776 COMP FEMORAL #4 RT 00592601402 $1,524.39C1776 10500C1776 COMP FEMORAL #4 RT 96-0089 $2,125.80C1776 10500C1776 COMP FEMORAL #5 1504-10-225 $733.33C1776 10500C1776 COMP FEMORAL #5 42500605802 $800.00C1776 10500C1776 COMP FEMORAL #5 LT 00592601501 $1,524.39C1776 10500C1776 COMP FEMORAL #6 1504-10-226 $733.33C1776 10500C1776 COMP FEMORAL #6 LT 1504-10-106 $733.33C1776 10500C1776 COMP FEMORAL #6 LT 5512-F-601 $2,260.53C1776 10500C1776 COMP FEMORAL #6 RT 42500606002 $983.33C1776 10500C1776 COMP FEMORAL #7 LT 1504-10-107 $733.33C1776 10500C1776 COMP FEMORAL #7 RIGHT $800.00C1776 10500C1776 COMP FEMORAL #8 42500606401 $800.00C1776 10500C1776 COMP FEMORAL #9 1504-10-209 $733.33C1776 10500C1776 COMP FEMORAL #9L 42500006601 $800.00C1776 10500C1776 COMP FEMORAL 10R 42500006802 $800.00C1776 10500C1776 COMP FEMORAL 42-5006-XXX $800.00

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C1776 10500C1776 COMP FEMORAL 4L 42500605601 $800.00C1776 10500C1776 COMP FEMORAL 5960-12-52 $733.33C1776 10500C1776 COMP FEMORAL 6 RT 42500006002 $983.33C1776 10500C1776 COMP FEMORAL 9L 42500606601 $800.00C1776 10500C1776 COMP FEMORAL C 5842-13-01 $1,983.67C1776 10500C1776 COMP FEMORAL DIST XSM LEFT $3,928.53C1776 10500C1776 COMP FEMORAL E 5842-15-02 $766.67C1776 10500C1776 COMP FEMORAL F-LT 00599401691 $1,642.90C1776 10500C1776 COMP FEMORAL KNEE $2,125.80C1776 10500C1776 COMP FEMORAL RT 12 42500607402 $800.00C1776 10500C1776 COMP FEMORAL S.3 1024-08-300 $850.00C1776 10500C1776 COMP FEMORAL S.7 42500006201 $983.33C1776 10500C1776 COMP FEMORAL S.E LEFT $1,642.90C1776 10500C1776 COMP FEMORAL SIZE 6 LEFT $983.33C1776 10500C1776 COMP FEMORAL SZ4 1024-08-400 $850.00C1776 10500C1776 COMP FEMORAL SZ7 42-5006-06201 $983.33C1776 10500C1776 COMP FIXATION 9P15-S180-A $344.00C1776 10500C1776 COMP FIXATION 9P15-S180-W $344.00C1776 10500C1776 COMP HUMERAL 44MM 115378 $878.00C1776 10500C1776 COMP KNEE FEM #6L 5516-F-601 $833.33C1776 10500C1776 COMP PROXIMAL 30P PIP-20030PWW $678.00C1776 10500C1776 COMP PROXIMAL 40 PIP-200-40PWW $678.00C1776 10500C1776 COMP SEG LPS 30MM 198707030 $663.00C1776 10500C1776 COMP TIBIAL #2 5842-02-01 $1,200.00C1776 10500C1776 COMP TIBIAL #2LT 220252902 $845.67C1776 10500C1776 COMP TIBIAL #5 5842-05-02 $450.00C1776 10500C1776 COMP TIBIAL #6 5536-B-600 $533.33C1776 10500C1776 COMP TIBIAL #H 42532008301 $400.00C1776 10500C1776 COMP TIBIAL 5980-27-01 $400.00C1776 10500C1776 COMP TIBIAL C LT 42532006401 $400.00C1776 10500C1776 COMP TIBIAL D RT 42532006702 $400.00C1776 10500C1776 COMP TIBIAL F 42-5320-075-02 $400.00C1776 10500C1776 COMP TIBIAL RT J 42532008802 $400.00C1776 10500C1776 COMP TIBIAL SIZE D LEFT $416.67

Page 79: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1776 10500C1776 COMP TOE HEMICAP 9122-2030-W $871.33C1776 10500C1776 COMP UNIV HEAD 48MM UH1-48-28 $183.33C1776 10500C1776 COMPONENT ARTICULAR 15MM $1,002.00C1776 10500C1776 COMPONENT SEG 125MM 1987-07125 $663.20C1776 10500C1776 COMPONENT SEG 25MM 1987-07-025 $663.20C1776 10500C1776 COMPONENT SEG 35MM 1987-07-035 $350.00C1776 10500C1776 COMPONENT SEGMENTAL 40MM $663.20

364SU270 COMPRESSOR OPEN 393.76 $130.03364SU270 CONCENTRATOR OXYGEN $10.00

C1776 10500C1776 CONE HIP ACROS #B 11-301312 $2,112.00C1713 10500C1713 CONFORM CUBE 17MM OW1017 $266.33C1776 10500C1776 CONFORM HIGH 3.6MM 9P15-PA01-A $830.00

364SU270 CONNECTOR AIRWAY DBL SWIVEL $0.25364SU270 CONNECTOR ARCONNECT G11-200-20 $2.66

C1713 10500C1713 CONNECTOR AXIAL 1350-5555 $312.67C1713 10500C1713 CONNECTOR ROD AXIAL 1350-5560 $312.67C1713 10500C1713 CONNECTOR ROD AXIAL 62363-000 $231.67C1713 10500C1713 CONNECTOR ROD AXIAL GS01906060 $231.67C1713 10500C1713 CONNECTOR ROD OPEN 1370-5555 $312.67C1713 10500C1713 CONNECTOR ROD OPEN 1370-5560 $231.67C1713 10500C1713 CONNECTOR SPINE 3.5MM 48551000 $46.67

364SU270 CONNECTOR Y DUAL SPIKE $3.87364SU270 CONNECTOR Y LATEX FREE $0.03364SU270 CONNECTOR Y LATEX FREE $0.68364SU270 CONNECTOR Y TRAC $0.23364SU270 CONNECTOR Y TRAC $0.30364SU270 CONTAINER VIAFLEX 250CC $0.78364SU270 CONTROL PUMP $1,637.67

C1713 10500C1713 COPIOS CUBES 4-6MM 30CC $186.67364SU270 CORD CONNECTING BIPOLAR $0.42364SU270 CORD MONOPOLAR DISP E0510 $0.41

C1713 10500C1713 CORKSCREW FT BIOCOM AR8927BC $108.33364SU270 CO-SET DELIVERY SYSTEM 93610 $1.72364SU270 COUNTERSINK 2MM/2.4MM AR873723 $62.50

Page 80: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 COUNTERSINK 3.8MM AO 45-30007 $38.00364SU270 COUNTERSINK 310.86 $98.33364SU270 COUNTERSINK 6.5/7.5 IW230532 $67.00

C1713 10500C1713 COUNTERSINK FOR SCREW 310.972 $54.00364SU270 COUNTERSINK INTRA IFS-070 $55.20364SU270 COUPLER GOLD 3.0MM GEM2754/I $86.50364SU270 COUPLER GREEN 2.0MM GEM2752/I $86.50364SU270 COUPLER ORANGE 4.0MM GEM2756/I $86.50364SU270 COUPLER RED 2.5MM GEM2753/I $86.50364SU270 COVER PROBE 96" 9000096 $2.48364SU270 CPAP SYSTEM $2.96364SU270 CPAP SYSTEM $2.96364SU270 CPAP SYSTEM $3.23364SU270 CPAP SYSTEM $3.23364SU270 CPAP SYSTEM $3.23

C1713 10500C1713 CPR MINI SCORPION DX AR-8690DS $316.67364SU272 CRIMP $29.00

C1713 10500C1713 CROSSLINK 30MM 1306-5630 $312.67C1713 10500C1713 CROSSLINK 35MM 1306-5535 $312.67C1713 10500C1713 CROSSLINK 35MM CL-035 $312.67C1713 10500C1713 CROSSLINK 42MM CL-042 $312.67C1713 10500C1713 CROSSLINK 50MM CL-050 $312.67C1713 10500C1713 CROSSLINK MEDIUM 40MM 1306-554 $312.67C1713 10500C1713 CROUTONS OPT 10CC 65-0210-S $305.00C1882 10502C1882 CRT-D DYNAGEN G150 $7,286.33C1882 10502C1882 CRT-D INOGEN G141 $8,250.00

364SU270 CUBE 1 HOLE 12224222 $35.00364SU270 CUBE 2 HOLE 12224223 $39.33364SU270 CUBE 3 HOLE 12224224 $43.83364SU270 CUBE POLAR BACK COMBO B10611 $26.49364SU270 CUBE POLAR CARE W/KNEE PAD $16.65364SU270 CUFF 4.0 $1,601.33364SU270 CUFF CLEARSIGHT LARGE CSCL $70.00364SU270 CUFF CLEARSIGHT MEDIUM CSCM $70.00

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364SU270 CUFF DISP 24X4 LATEX FREE $5.45364SU270 CUFF DISP 34X4 LATEX FREE $6.49364SU270 CUFF DISPOSABLE 18X4 $5.01364SU270 CUFF DISPOSABLE 42X4 $6.95364SU270 CUFF DISPOSABLE 8X2 $3.21364SU270 CUFF TOURNIQUET 12"X3.5" $3.60

C1815 10500C1815 CUFF URINARY PROSTHESIS 800 $1,115.00364SU270 CUP CERVICAL VCARE LARGE $15.00364SU270 CUP CERVICAL VCARE MEDIUM $15.00364SU270 CUP CERVICAL VCARE SMALL $15.00364SU270 CUP KOH 3.0CM KCP-30 $26.20364SU270 CUP KOH 3.5CM KCP-35 $26.20364SU270 CUP KOH 4.0CM KCP-40 $26.20364SU270 CUP PALM NEONATAL 26-55-4033 $0.42364SU270 CUP PALM PEDIATRIC 26-55-4045 $0.47364SU270 CURETTE 11G 0306-621-000 $129.65364SU270 CURETTE ADENOID LUSK 1423004 $5.74364SU270 CURETTE EXPRESS A13A $89.60364SU270 CURETTE UTERINE EXPLORA $1.15364SU270 CURETTE VACUUM R C 14MM $0.72364SU270 CURETTE VACUUM R C 16MM $0.81364SU270 CURETTE VACUUM R T 10MM $0.66364SU270 CURETTE VACUUM R T 11MM $0.63364SU270 CURETTE VACUUM R T 12MM $0.69364SU270 CURETTE VACUUM R T 7MM $0.66364SU270 CURETTE VACUUM R T 8MM $0.69364SU270 CURETTE VACUUM R T 9MM $0.69364SU270 CUSHION HEAD WITH MIRROR $7.30364SU270 CUTTER ENDO LINEAR LATEX FREE $39.67364SU270 CUTTER LINEAR 55MM NTLC55 $6.86364SU270 CUTTER LINEAR 75MM NTLC75 $10.63364SU270 CUTTER LINEAR 75MM TLC75 $27.71364SU270 CUTTER PROXIMATE 55MM LINEAR $17.54364SU270 CUTTER QUICKFIX 3MM AR-8931R $92.25

Page 82: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 CUTTER RELOAD UNIT PROX $9.08364SU270 CUTTER/STAPLER $82.72364SU270 CUTTING WHEEL $32.00

Q9958 900Q9958 CYSTOGRAFIN DILUTE 300ML $4.10Q4166 10500Q4166 CYTAL BURN MATRIX 10X15CM $630.00C1882 10502C1882 DEFIB CARDIO DYNAGEN G151 $7,210.33C1882 10502C1882 DEFIBRILLATOR INCEPTACDTR N161 $7,750.00C1882 10502C1882 DEFIBRILLATOR VIGILANT X43 CRT $7,276.33Q9957 43520000 DEFINITY 2ML 11994-0011-16 $26.24Q9957 43520000 DEFINITY 2ML 11994-0011-16 $26.24

364SU270 DERMABOND ADVANCED DNX12 $2.78364SU270 DERMABOND HIGH VISCOSITY $3.66364SU270 DERMACARRIER II $3.50

Q4106 10500Q4106 DERMAGRAFT 5X7.5CM 11045 $416.67Q4125 10500Q4125 DERMIS DECELLULARIZED 4X7CM $750.00

364SU270 DERSSING NASAL 5.5CM $1.46364SU270 DEVICE ATOMIZATION MAD700 $1.97364SU270 DEVICE BONE BIOPSY KYPHX F05A $17.96364SU270 DEVICE CLOSURE V-LOC VLOCL0604 $5.20364SU270 DEVICE DELIVER FILLER 658.510S $20.00364SU270 DEVICE DELIVERY ENDO CAPSULE $41.25364SU270 DEVICE FIXATION XTENDOBUTTON $31.20364SU270 DEVICE GRASPING TALON 00711175 $35.75364SU270 DEVICE INFLATION 658.909S $20.00364SU270 DEVICE INFLATION ENCORE 40ATN $10.69364SU270 DEVICE INFLATION SEID $14.91364SU270 DEVICE PULL REDUCTION 03120023 $121.98364SU270 DEVICE RAPTOR RETRIEVAL 711177 $33.00364SU270 DEVICE RELIATACK RELTACK3X10 $124.00364SU270 DEVICE RELIATACK RELTACK5R $16.17

C1884 10500C1884 DEVICE SPIDERFX 4.0MM 320CM $317.00C1884 10500C1884 DEVICE SPIDERFX 5.0MM 320CM $317.00C1884 10500C1884 DEVICE SPIDERFX 6.0MM 320CM $317.00C1884 10500C1884 DEVICE SPIDERFX 7.0MM 320CM $317.00

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C1884 10500C1884 DEVICE SPIDERFX SPD2US-030-190 $317.00C1884 10500C1884 DEVICE SPIDERFX SPD2US-050-190 $317.00C1884 10500C1884 DEVICE SPIDERFX SPD2US-060-190 $317.00

364SU270 DEVICE TORQUE TD01 $0.98364SU270 DEVICE TORQUE TD01 $0.98364SU272 DEVICE TROCHANTERIC $605.03364SU270 DIGET TRAP $1.57364SU270 DIGET TRAP $2.04364SU272 DILATOR 10FR JCD10.0-38-20 $3.15364SU270 DILATOR 12 FR $1.58364SU270 DILATOR 8FRX15CM G00999 $1.58

C1726 10500C1726 DILATOR ESOPH BALLOON 10-12 $66.47C1726 10500C1726 DILATOR ESOPH BALLOON 12-15 $66.47

364SU270 DILATOR ESOPH BALLOON 15-18 $49.85364SU270 DILATOR ESOPH BALLOON 18-20 $49.85

C1726 10500C1726 DILATOR ESOPH BALLOON 6-8 $66.47C1726 10500C1726 DILATOR ESOPH BALLOON 8-10 $66.47

364SU270 DILATOR JCD10.0-35-20 $1.58364SU270 DILATOR JCD14.0-38-20 $1.58364SU270 DILATOR JCD16.0-38-20 $1.58364SU270 DILATOR JCD18.0-38-20 $1.58364SU270 DILATOR JCD5.0-35-20 $1.58364SU270 DILATOR JCD7.0-35-20 $1.58364SU270 DILATOR JCD7.0-35-20 $1.58364SU270 DILATOR JCD8.0-35-20 $1.58364SU270 DILATOR JCD9.0-35-20 $0.75364SU270 DILATOR JCS6.0-35-20 $1.58364SU270 DILATOR VESSEL 10.0-38-15 $1.58

C1713 10500C1713 DISC CERVICAL MOBI-C MB3576 $2,066.67364SU270 DISECTING TOOL $39.00364SU270 DISP A LOOP BLUE $0.33364SU270 DISP A LOOP RED $0.33364SU270 DISPERSIVE PLATE $0.32364SU270 DISSECTOR 10MM BLUNT CHERRY $2.18

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364SU270 DISSECTOR 3.0MMX7CM AR-7300DS $13.20364SU270 DISSECTOR LAP 5MM 28-0804 $1.46

C1776 10500C1776 DISTAL AUGMENT 3,4MM 960861 $361.00C1776 10500C1776 DISTAL AUGMENT 4MM 96-0901 $327.40C1776 10500C1776 DISTAL CENTRALIZER $59.33C1776 10500C1776 DISTAL CENTRALIZER 10MM 162640 $57.33C1776 10500C1776 DISTAL CENTRALIZER 12MM 162641 $57.33C1776 10500C1776 DISTAL CENTRALIZER 14MM $59.33C1776 10500C1776 DISTAL CENTRALIZER 15MM 162659 $59.33C1776 10500C1776 DISTAL CENTRALIZER 162656 $57.33C1776 10500C1776 DISTAL COMPONENT 50MM $298.75C1776 10500C1776 DISTAL F 5MM 00549003610 $523.26C1776 10500C1776 DISTAL STEM 17X140 197617140 $1,357.00

364SU270 DISTRACTOR BONE 2.4MM BD1-410 $13.20364SU270 DISTRACTOR BONE SM BD1-400 $338.67364SU270 DOC EXTENSION 22260 $15.20

C1776 10500C1776 DOME PATELLA 35MM 1518-20-035 $166.67C1776 10500C1776 DOME PATELLA 35MM 96-0111 $67.50C1776 10500C1776 DOME TALAR #1 220220901 $2,151.00C1776 10500C1776 DOME TALAR #3 33630023 $2,811.33C1776 10500C1776 DOME TALAR #4 220220904 $2,151.00C1776 10500C1776 DOME TALAR #5 33630025 $2,811.33C1776 10500C1776 DOME TALAR INFINITY#4 33630024 $2,811.33

364SU270 DRAIN 19FR W/TROCAR 072191 $2.39364SU270 DRAIN CHANNEL 15FR $2.05364SU270 DRAIN FLAT SILICONE BLAKE 7MM $2.05364SU270 DRAIN HEMOVAC 1/8" $1.22364SU270 DRAIN PENROSE 12X1/4 $1.08364SU270 DRAIN PLEURX 1000ML 50-7510 $12.59364SU270 DRAIN ROUND FLUTED 19FR $2.33364SU270 DRAIN SILICONE FLAT 3/8" $0.77364SU270 DRAIN SYSTEM WITH TROCAR 7FR $6.09364SU270 DRAIN TUBE ATTACHMENT DEVICE $1.93364SU270 DRAINAGE SET 8.5FR $25.50

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364SU270 DRESS TEGADERM THIN 4X4 3/4 $0.40364SU270 DRESSING ACTICOAT BURN 4X4 $2.12364SU270 DRESSING ACTICOAT RIBBON $1.61364SU270 DRESSING ADAPTIC 3X2" 500501 $0.27364SU270 DRESSING ALLEVYN 7X7 $2.42364SU270 DRESSING AQUACEL AG .75X18" $1.39364SU270 DRESSING AQUACELL AG 4X4 $1.36364SU270 DRESSING AQUACELL AG 4X4 $1.65364SU270 DRESSING AQUACELL LATEX FREE $0.52364SU270 DRESSING BIOPATCH $0.59364SU270 DRESSING BIOPATCH ANTIMICRO $0.93364SU270 DRESSING CARRASMART WOUND GEL $0.80364SU270 DRESSING CHARCOAL 4X4 $0.58364SU270 DRESSING COLLAGEN AG 4X4 $3.16364SU270 DRESSING COMBIDERM $0.68364SU270 DRESSING FIBRACOL $1.14364SU270 DRESSING FOAM SILVER $9.15364SU270 DRESSING FOAM WHITE LARGE $1.63364SU270 DRESSING INTERCEED 3"X4" $58.01364SU270 DRESSING KALTOSTAT ROPE $0.57364SU270 DRESSING KIT SNAP 10X10 $8.10364SU270 DRESSING KIT SNAP 15X15 $8.64364SU270 DRESSING MEDIUM WOUND VAC $6.95364SU270 DRESSING MEPILEX 7.2X7.2 INCH $1.01364SU270 DRESSING MEPILEX 7.2X7.2 INCH $1.16364SU270 DRESSING MEPILEX BORDER 4X4 $0.47364SU270 DRESSING MEPILEX BORDER 6X6 $0.79364SU270 DRESSING MEPITEL 3X4 289300 $0.76364SU270 DRESSING MEPITEL 3X4 289300 $0.77364SU270 DRESSING MEROCEL 10CM $2.31364SU270 DRESSING MEROCEL NASAL 10CM $2.25364SU270 DRESSING MEROCEL NASAL 8CM $1.28364SU270 DRESSING NASAL 8.0CM $1.57364SU270 DRESSING NASAL 8.0CM $1.88

Page 86: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 DRESSING NASAL MEROCEL 4.5 $1.14364SU270 DRESSING OP-SITE LG 10X5 1/2 $0.42

A6022 10500A6022 DRESSING PROMAGRAN PRISMAMA123 $3.75364SU270 DRESSING SNAP FOAM 14X11CM $10.80364SU270 DRESSING SUREVIEW IV 4X4.5 $0.33364SU270 DRESSING SYSTEM VERAFLO CLEANS $33.00364SU270 DRESSING SYSTEM VERAFLO MEDIUM $28.75364SU270 DRESSING SYSTEM VERAFLO MEDIUM $28.75364SU270 DRESSING TEGADERM 15X20 $0.20364SU270 DRESSING TEGADERM 4 X 6 1/8 $0.17364SU270 DRESSING TEGADERM CHG 3.5X4.5 $0.93364SU270 DRESSING TENDER WET $0.61364SU270 DRESSING VASELINE 6X36 $0.14364SU270 DRESSING WOUND PRISMA MA028 $1.41364SU270 DRESSING WOUND PROMOGRAN PG004 $1.23364SU270 DRESSING WOUND VAC LARGE $87.28364SU270 DRESSING WOUND VAC M8275052 $7.00364SU270 DRILL 1.8 90MM DRILL-1.8/090 $30.00364SU272 DRILL 12MM I31-06-12 $34.75364SU270 DRILL 2.0X140 P99-100-2014 $50.63364SU270 DRILL 2.1MM AO 45-30005 $40.63364SU270 DRILL 2.5X12 30-1005-12 $34.75364SU270 DRILL 2.6X130MM P99-110-2613 $51.63364SU270 DRILL 3.0/4.0 FS3050 $88.00364SU270 DRILL 3.2 220MM DRILL-2.3/220C $87.50364SU270 DRILL 3.2MM 12224028 $65.75364SU272 DRILL 3.5X110 P99-100-3511 $50.63364SU270 DRILL 4.3 177286 $76.25364SU270 DRILL 4MM 4.5MM 7220-3785 $39.38364SU270 DRILL ACCUFIT 58-DA-0100 $70.00364SU270 DRILL ANCHOR 4.5MM 7220-3786 $39.38364SU270 DRILL BIT $101.85364SU270 DRILL BIT .125X4" $8.40364SU270 DRILL BIT 1.1MM $13.51

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364SU270 DRILL BIT 1.5MM $13.51364SU270 DRILL BIT 1.8MM $34.83364SU270 DRILL BIT 1.8X100MM $35.88364SU270 DRILL BIT 10.0MM $136.68364SU270 DRILL BIT 11.0 $115.15364SU270 DRILL BIT 12.0 $123.03364SU270 DRILL BIT 13.0 $163.80364SU270 DRILL BIT 13.0X300 $134.05364SU270 DRILL BIT 17.0 $181.65364SU270 DRILL BIT 2.0 $14.28364SU270 DRILL BIT 2.0MM $15.12364SU270 DRILL BIT 2.4X100 $45.00364SU270 DRILL BIT 2.5 $13.51364SU270 DRILL BIT 2.5MM 310.23 $17.46364SU270 DRILL BIT 2.7 310.26 $13.51364SU270 DRILL BIT 2.7MM $26.95364SU270 DRILL BIT 2.8 $17.20364SU270 DRILL BIT 2.8X165MM $16.80364SU270 DRILL BIT 3.2 $43.75364SU270 DRILL BIT 3.2 $43.75364SU270 DRILL BIT 3.2 $55.48364SU270 DRILL BIT 3.2MM 03.010.103 $39.55364SU270 DRILL BIT 3.2MM 310.31 $13.30364SU270 DRILL BIT 3.5 310.35 $14.28364SU270 DRILL BIT 3.5MM $15.12364SU270 DRILL BIT 32MM $102.38364SU270 DRILL BIT 4.0 $29.93364SU270 DRILL BIT 4.0 $40.67364SU270 DRILL BIT 4.0 $47.08364SU270 DRILL BIT 4.0 $56.60364SU270 DRILL BIT 4.2 $39.55364SU270 DRILL BIT 4.2 $55.48364SU270 DRILL BIT 4.3 $50.63364SU270 DRILL BIT 4.3 $81.73

Page 88: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 DRILL BIT 4.3X180MM $34.21364SU270 DRILL BIT 4.5/QC/145 $13.30364SU270 DRILL BIT 5.0 $39.40364SU270 DRILL BIT 5.0 $55.48364SU270 DRILL BIT 5.0X200MM $81.73364SU270 DRILL BIT 85MM/60MM QC $13.51364SU270 DRILL BIT BIOMET 3.2MMX40MM $15.00364SU270 DRILL BIT CANNULATED 2.0 $98.18364SU270 DRILL BIT XFO 2MM 082001 $61.25364SU270 DRILL BONE 12MM 37-HP-0212 $34.75364SU270 DRILL BONE 14MM 37-HP-0214 $34.75364SU270 DRILL BONE 15MM 37-HP-0215 $34.75364SU270 DRILL BONE 4MM IB200020 $38.75364SU270 DRILL CAL LONG 4.3 2490-044-43 $26.78364SU270 DRILL CALI 4.3 LONG 249006443 $27.83364SU270 DRILL CALI 4.9 LONG 249006449 $38.60364SU272 DRILL CANN 3.0 P99-110-3320 $151.88364SU270 DRILL CANN 3.5MM AR-8956C-35 $62.50364SU270 DRILL CANN 3.5X160 P991103516 $6.30364SU270 DRILL CANN 3.5X160 P991103516 $66.38364SU272 DRILL CANN 3.5X160 P991103517 $118.13364SU270 DRILL CANN 4.5MM 130-00045 $112.50364SU270 DRILL CANN 4.9 LONG 249006450 $105.40364SU272 DRILL CANN 6.5MM 130-00065 $125.00364SU270 DRILL CORNER 4.8MM 33600048 $85.50364SU272 DRILL FRAG-LOC 2.5MM 80-0724 $58.00364SU270 DRILL HAND 10GA 0306-810-000 $9.71364SU270 DRILL HAND 11GA 0306811000 $9.71364SU272 DRILL HAND 13G 0306813000 $14.74364SU270 DRILL LAG QR 3.5MM 80-2503 $46.75364SU270 DRILL LONG ACUTRAK AT2-L2515 $91.25364SU270 DRILL LONG ACUTRAK AT2M-L1813 $79.25364SU270 DRILL NEURO 2.0X3.1 5820-10720 $27.26364SU270 DRILL NEURO 3.0 5820-107-430S1 $60.75

Page 89: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 DRILL NOTCH #2 200178002 $53.75364SU270 DRILL PROFILE 4.5MM 80-0945 $119.00364SU270 DRILL QC 2.0X100 00480610020 $234.75364SU270 DRILL QC 2.5X110 00480611025 $11.90364SU270 DRILL QC 3.5X110 00480611035 $11.90364SU272 DRILL QFIX 2.8MM $150.00364SU270 DRILL QR 3.5MMX5" MS-DC35 $17.80364SU270 DRILL QUICK RELEASE 2.0MM $45.50364SU270 DRILL QUICK RELEASE 2.8MM $45.50364SU270 DRILL REAMER 5.0 ZBD32-180-20 $52.50364SU272 DRILL RELIEF FS4030 $88.00364SU270 DRILL SHORT 4.3 00249007543 $25.03364SU270 DRILL SHORT ATC-1509 $71.50364SU270 DRILL ST 2.5MM 47430904601 $45.00364SU270 DRILL STRAIGHT 12MM 2050002031 $34.75364SU270 DRILL TWIST 20MM 60-16526 $52.00364SU270 DRILL TWIST 5MM 1.35X50MM $54.00364SU272 DRILL TWIST 5MM 60-16005 $43.75364SU270 DRILL TWIST 7MM 60-16007 $49.25364SU270 DRILL TWIST RAINBOW 92-60165 $41.81364SU270 DRILL TWIST RED 92-16135 $89.75364SU270 DRILL ZBD55-240-20 $52.50364SU270 DRILL-REAMER 3.9MM/6.0MM $118.58364SU270 DRIVER HEX 2MM 00598707100 $17.04364SU270 DRIVER HEXALOBE 3.5MM 80-0760 $92.50364SU270 DRIVER PEG 2.0MM FAST $5.80364SU270 DRIVER SCREW P99190TT30 $93.38364SU270 DRIVER SHAFT FIXATION FS3020 $89.50364SU270 DRIVER TIP T6 80-1756 $87.50364SU270 DRIVER TX-10 P99-190-TT10 $93.38364SU270 DRIVER VA 2.3MM 80-0763 $396.00

C1713 10500C1713 DRIVER/RING MINI VAR-032-24 $28.00A6206 10500A6206 DSG ADAPTIC TOUCH 3X4.25 $1.86A6198 10500A6198 DSG BOOT ECLYPSE 60X70 CR4014 $6.66

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364SU270 DSG IV GUARDIVA 4MM FP-23AD008 $0.79364SU270 DSG IV GUARDIVA 7MM FP-24AD012 $0.79

Q4104 10501Q4104 DSG MATRIX BILAYER 2X2 BMW2021 $1,041.67364SU270 DSG MEDIHONEY HYDROGEL 4.3X4.3 $2.04364SU270 DSG PURACOL COLLAGEN MSC8544 $0.99364SU270 DSG PURACOL COLLAGEN MSC8544 $1.06364SU270 DSG THERABOND 3D 3DAC-44 $1.43

A6196 10500A6196 DSG WND ENLUXTRA 4X4 AWD51010 $0.81A6196 10500A6196 DSG WND ENLUXTRA 4X4 AWD51010 $0.92A6196 10500A6196 DSG WND ENLUXTRA 6X6 AWD51515 $2.10A6196 10500A6196 DSG WND ENLUXTRA 6X6 AWD51515 $2.10

364SU270 DUO-DERM 4X4 $0.34364SU270 DUODERM 6X6 $0.71364SU270 DUO-DERM 8X8 $1.12364SU270 DUO-DERM EXTRA THIN 4X4 $0.19364SU272 DURASEAL DS3 SPINE 3ML 206320 $356.38

C1781 10500C1781 DUREPAIR 2.5X2.5CM 62111 $49.87364SU272 EAR IMPLANT $91.00364SU272 EAR IMPLANT PARTIAL $94.50364SU270 EASY CAP CO2 DETECTOR ADULT $1.31364SU270 EDEMA WEAR LARGE UP TO 46" $3.12364SU270 EDEMA WEAR MEDIUM 34" $1.87364SU270 EDEMA WEAR MEDIUM 34" $2.05364SU270 EDEMA WEAR SMALL 22" $2.05364SU270 ELASTIKON 4" $0.69364SU270 ELECTRODE BARREL END 5MM 24FR $18.68364SU270 ELECTRODE COAG BALL 5MM 24-26F $32.03364SU270 ELECTRODE COAG. MONOPOLAR 24FR $32.03364SU270 ELECTRODE EDGE BLADE E1450-4 $0.59364SU270 ELECTRODE LAPAROSCOPIC SEALER $101.91364SU270 ELECTRODE LIGASURE ATLAS $91.66364SU270 ELECTRODE LOOP 24 FR $18.68364SU270 ELECTRODE MEDI-TRACE ADULT $3.14364SU270 ELECTRODE MEDI-TRACE PED $3.30

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364SU270 ELECTRODE NEEDLE COATED E1465 $0.56364SU270 ELECTRODE NEONATAL PEDIATRIC $0.28364SU270 ELECTRODE NEUTRAL $5.21364SU270 ELECTRODE REM POLYHESIVE ADULT $0.41364SU270 ELECTRODE REM POLYHESIVE INFAN $0.71364SU270 ELECTRODE SUBDERMAL $18.03364SU270 ELECTRODE SUPERIOR SILVER 1.25 $0.20364SU270 ELEVATOR LEG LP200 $5.30

C1884 10500C1884 EMBOSHIELD NAV6 5.0MM 22437-19 $491.67C1884 10500C1884 EMBOSHIELD NAV6 7.2MM 22438-19 $491.67C1713 10500C1713 END CAP $47.13C1713 10500C1713 END CAP 12MM $47.00C1713 10500C1713 END CAP/FEM NAIL $49.33C1713 10500C1713 END CAP/FIXATION NAIL $39.67C1713 10500C1713 END CAP/HUMERAL NAIL $59.70C1713 10500C1713 ENDO BUTTON $73.36

364SU270 ENDO LINEAR CUTTER RELOAD $19.15364SU270 ENDO TUBE 4.5 $0.26364SU270 ENDO TUBE 5.0 CUFFED $0.23364SU270 ENDO TUBE 5.5 (86447) $0.23364SU270 ENDO TUBE 6.0 LATEX FREE $0.23364SU270 ENDO TUBE 6.5 86449 LATEX FREE $0.23364SU270 ENDO TUBE 7.0 (86450) $0.23364SU270 ENDO TUBE 7.5 CUFFED (86451) $0.23364SU270 ENDO TUBE 8.0 86452 LATEX FREE $0.23364SU270 ENDO TUBE 8.5 LATEX FREE $0.23364SU270 ENDO TUBE 9.0 LATEX FREE $0.26364SU270 ENDO TUBE CUFF 3.0 86442 $0.23364SU270 ENDOBUTTON ULTRA 15MM 72200146 $59.02364SU270 ENDOBUTTON ULTRA 20MM 72200147 $59.02364SU270 ENDOBUTTON ULTRA 35MM 72200150 $59.02364SU270 ENDOBUTTON ULTRA 72202799 $82.94364SU270 ENDOBUTTON ULTRA 72203331 $77.50364SU270 ENDOCATCH 15 $67.80

Page 92: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 ENDOCLIP ROTATING MCA $14.44364SU270 ENDOPOUCH RETRIEVER 10MM $10.05364SU270 ENDOSTITCH 10MM $92.85364SU270 ENRICHMENT ATTACHMENT O2 $0.44364SU278 ENVELOPE TYRX LG CMRM6133 $331.67364SU278 ENVELOPE TYRX MED CMRM6122 $331.67

Q4131 10500Q4131 EPIFIX 14MM DISK GS-5140 $106.00364SU270 ESOPHAGEAL OVERTUBE 25CM $46.50364SU270 ESOPHAGEAL OVERTUBE 50CM $48.00364SU270 EVACUATED CONTAINER 1000M $2.70364SU270 EVACUATOR ELLIK BLADDER $0.92364SU270 EVACUATOR SILICONE LATEX FREE $0.62

C1713 10500C1713 EXPANDER FLXFIT SD10ST $165.00C1713 10500C1713 EXTENSION PLATE 30-0093 $69.00

364SU270 EXTENTION PLATE 5H 56-14590 $113.95364SU270 EXTERNAL FIXATION DIGIT WIDGET $500.00364SU270 EXTRACTOR KATZ $8.16364SU270 EZPAP SYSTEM W/DISP MANOMETER $5.48364SU270 EZPAP W/LARGE MASK 26-23-3747 $6.25364SU270 EZPAP W/MEDIUM MASK 26-23-2747 $3.72364SU270 EZ-STABILIZER 9066 $3.00364SU270 FASCIAN 1.0MM $33.75364SU270 FASCIOTOMY PLANTAR ENDO 3100-D $225.00364SU270 FASCIOTOMY PLANTAR ENDO 3100-D $225.00364SU270 FAST-FIX 360 CURVED 72202468 $117.50364SU270 FAST-FIX 360 REVERSE 72202469 $117.52364SU270 FAST-FIX 360 STRAIGHT 72202467 $117.52364SU272 FECAL LOWER DELIVERY 250ML $121.25364SU270 FEEDING TUBE 8 FR 42" $0.09

C1776 10500C1776 FEM HEAD $207.67C1776 10500C1776 FEM STEM $749.33C1776 10500C1776 FEMORAL ATTUNE S#3 1504-10-103 $733.33C1776 10500C1776 FEMORAL ATTUNE SZ.8 150410108 $733.33C1776 10500C1776 FEMORAL AUGMENT 10X75 $273.33

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C1776 10500C1776 FEMORAL AUGMENT 6X75 $273.33C1776 10500C1776 FEMORAL BODY $1,100.00C1776 10500C1776 FEMORAL COMP $233.33C1776 10500C1776 FEMORAL COMP $640.00C1776 10500C1776 FEMORAL COMP $742.33C1776 10500C1776 FEMORAL COMP $932.67C1776 10500C1776 FEMORAL COMP $932.67C1776 10500C1776 FEMORAL COMP $979.67C1776 10500C1776 FEMORAL COMP $1,027.67C1776 10500C1776 FEMORAL COMP $1,247.25C1776 10500C1776 FEMORAL COMP $1,247.25C1776 10500C1776 FEMORAL COMP $1,599.00C1776 10500C1776 FEMORAL COMP #1 551-F-102 $366.67C1776 10500C1776 FEMORAL COMP #1 LT 5510-F-101 $633.33C1776 10500C1776 FEMORAL COMP #1 LT 5515-F-101 $633.33C1776 10500C1776 FEMORAL COMP #2 LT 5515-F-201 $623.33C1776 10500C1776 FEMORAL COMP #2 RT 5515-F-202 $623.33C1776 10500C1776 FEMORAL COMP #3 LT 5515-F-301 $623.33C1776 10500C1776 FEMORAL COMP #3 RIGHT $623.33C1776 10500C1776 FEMORAL COMP #3 RT 5515-F-302 $623.33C1776 10500C1776 FEMORAL COMP #4 LT 5515-F-401 $623.33C1776 10500C1776 FEMORAL COMP #5 LEFT $623.33C1776 10500C1776 FEMORAL COMP #5 LT 5515-F-501 $623.33C1776 10500C1776 FEMORAL COMP #5 RT 5512-F-502 $2,260.53C1776 10500C1776 FEMORAL COMP #6 LEFT 5510-F601 $623.33C1776 10500C1776 FEMORAL COMP #7 RT 5515-F-702 $623.33C1776 10500C1776 FEMORAL COMP 37 LFT 5515-F-701 $623.33C1776 10500C1776 FEMORAL COMP 48MM $717.00C1776 10500C1776 FEMORAL COMP 75MM $664.33C1776 10500C1776 FEMORAL COMP 75MM $1,465.67C1776 10500C1776 FEMORAL COMP. $640.00C1776 10500C1776 FEMORAL COMP. $1,247.25C1776 10500C1776 FEMORAL COMPONENT $623.33C1776 10500C1776 FEMORAL COMPONENT $623.33

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C1776 10500C1776 FEMORAL COMPONENT $623.33C1776 10500C1776 FEMORAL COMPONENT $623.33C1776 10500C1776 FEMORAL COMPONENT $623.33C1776 10500C1776 FEMORAL COMPONENT $623.33C1776 10500C1776 FEMORAL COMPONENT $633.33C1776 10500C1776 FEMORAL COMPONENT #2 $623.33C1776 10500C1776 FEMORAL COMPONENT #5 RIGHT $623.33C1776 10500C1776 FEMORAL COMPONENT #8 LEFT $633.33C1713 10500C1713 FEMORAL COMPONENT 5510-F-102 $1,068.96C1776 10500C1776 FEMORAL COMPONENT 5515-F-602 $623.33C1776 10500C1776 FEMORAL COMPONENT TRIATHRON #7 $623.33C1776 10500C1776 FEMORAL COMPONET #4 5515-F-402 $623.33C1776 10500C1776 FEMORAL COMPONET #5 RIGHT $623.33C1776 10500C1776 FEMORAL CR 3 RIGHT KC-1103R $958.33C1776 10500C1776 FEMORAL ECHO RED 10X130 192510 $816.67C1776 10500C1776 FEMORAL ECHO RED 8X120 192408 $816.67C1776 10500C1776 FEMORAL ECHO STD 11M 12-151311 $416.67C1776 10500C1776 FEMORAL ECHO STD 13M 12-151313 $416.67C1713 10500C1713 FEMORAL FIXATION $146.67C1776 10500C1776 FEMORAL HEAD $146.67C1776 10500C1776 FEMORAL HEAD $147.47C1776 10500C1776 FEMORAL HEAD $233.33C1776 10500C1776 FEMORAL HEAD $326.33C1776 10500C1776 FEMORAL HEAD $352.67C1776 10500C1776 FEMORAL HEAD $1,768.33C1776 10500C1776 FEMORAL HEAD $1,768.33C1776 10500C1776 FEMORAL HEAD +3 NECK $320.00C1776 10500C1776 FEMORAL HEAD 28MM $223.00C1776 10500C1776 FEMORAL HEAD 32MM 6280-0-132 $299.13C1776 10500C1776 FEMORAL HEAD 34A 108110 $2,005.33C1776 10500C1776 FEMORAL HEAD 36MM 1365-52-000 $150.00C1776 10500C1776 FEMORAL HEAD 36MM 1365-53-000 $150.00C1776 10500C1776 FEMORAL HEAD 36MM 333635 $377.00C1776 10500C1776 FEMORAL HEAD 55MM $1,603.33

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C1776 10500C1776 FEMORAL HEAD UNIV. $183.33C1776 10500C1776 FEMORAL HIP ECHO 11MMX140MM $416.67C1776 10500C1776 FEMORAL HIP ECHO 12-151307 $400.00C1776 10500C1776 FEMORAL HIP ECHO 12-151309 $400.00C1776 10500C1776 FEMORAL HIP ECHO 13MMX150MM $416.67C1776 10500C1776 FEMORAL HIP ECHO 15MMX160MM $836.00C1776 10500C1776 FEMORAL HIP ECHO 17MMX170MM $836.00C1776 10500C1776 FEMORAL HIP ECHO 9MMX130MM $400.00C1776 10500C1776 FEMORAL NECK W/PLUG 231210 $542.67C1776 10500C1776 FEMORAL POST S.4 1504-10-104 $733.33C1776 10500C1776 FEMORAL POST S.4 1504-10-204 $733.33C1776 10500C1776 FEMORAL POST S.5 1504-10-205 $733.33C1776 10500C1776 FEMORAL POST S5 LT 1504-10-105 $733.33C1776 10500C1776 FEMORAL POST SZ3 1504-10-203 $733.33C1776 10500C1776 FEMORAL POST SZ6 1504-10-206 $733.33C1776 10500C1776 FEMORAL POST SZ7 1504-10-207 $733.33C1776 10500C1776 FEMORAL POST SZ8 1504-10-208 $733.33C1776 10500C1776 FEMORAL POSTERIOR #5 5543-A500 $435.63C1776 10500C1776 FEMORAL PROXIMAL 1987-10-205 $1,992.80C1776 10500C1776 FEMORAL SPACER $132.75C1776 10500C1776 FEMORAL SPACER $132.75C1776 10500C1776 FEMORAL SPACER $177.00C1776 10500C1776 FEMORAL SPACER $261.33C1776 10500C1776 FEMORAL STABILIZER $1,252.67C1776 10500C1776 FEMORAL STEM $784.00C1776 10500C1776 FEMORAL STEM $1,091.12C1776 10500C1776 FEMORAL STEM 13.5X170 $933.67C1776 10500C1776 FEMORAL STEM 1570-11-135 $850.67C1776 10500C1776 FEMORAL STEM 162360 $2,720.00C1776 10500C1776 FEMORAL STEM SIZE 8 130008 $1,002.67C1776 10500C1776 FEMORAL TC3 #3 96-0082 $2,125.80C1776 10500C1776 FEMORAL TC3 S#5 LT 96-0084 $1,928.20

364SU270 FEMOSTOP COMPRESSION DEVICE $18.00C1776 10500C1776 FEMUR PARTIAL #6 42558000601 $600.00

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C1776 10500C1776 FEMUR POST STAB 42500006001 $800.00C1776 10500C1776 FEMUR PS RT S.10 42500606802 $983.33C1776 10500C1776 FEMUR PS STD S.10 42500606801 $2,558.67C1776 10500C1776 FERMORAL COMPONENT #8 RIGHT $633.33

364SU270 FIBER FLEXIVA 1000 $152.77364SU270 FIBER FLEXIVA 200 840-391 $82.51364SU270 FIBER LASER FLEXIVA 840-396 $135.86364SU270 FIBER VERSIVA 365 D $76.82364SU270 FIBERLINK #2 BRAIDED AR-7235 $14.30364SU272 FIBERLOOP #2 BLUE AR-7234 $0.99364SU270 FIBERSTICK #2 FIBERWIRE $9.20364SU270 FIBERWIRE #2 TAPER 38 IN $3.67364SU270 FIBERWIRE #5 CUTTING 38 IN $8.00364SU272 FIBERWIRE 0 38"(BLUE) AR-7250 $3.67364SU270 FIBERWIRE 2-0 18" AR-7220 $3.67364SU272 FIBERWIRE 3-0 AR-7227-01 $3.67364SU272 FIBERWIRE 4-0 AR-7230-01 $3.67

C1713 10500C1713 FILLER BONE VOID 10ML 800-4001 $1,029.60C1713 10500C1713 FILLER BONE VOID 5ML 800-4000 $514.80C1880 37580234 FILTER BIRDS NEST BNF-75-PB $463.33

364SU270 FILTER EPIDURAL CATH $0.83C1880 37580234 FILTER OPT EASE FEMORAL $335.00C1880 10500C1880 FILTER OPTEASE JUGULAR 466F230 $335.00

364SU270 FILTER URINE LATEX FREE $0.04C1880 37580234 FILTER VENA CAVA G34505 $316.67C1880 37580234 FILTER VENA CAVA G34505 $316.67

364SU270 FILTER WITH GAS VENT $2.34364SU270 FILTERLINE NASAL O2/CO2 ADULT $1.62364SU270 FILTERLINE NASAL O2/CO2 PED $1.61364SU270 FINGER STRIP 1" $0.80

C1713 10500C1713 FIXATION SYSTEM $90.08364SU270 FIXATION TOOL $6.00364SU270 FIXATOR EXTERNAL ANKLE LG $1,396.44364SU270 FIXATOR EXTERNAL TRAUMA LG $1,307.73

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C1713 10500C1713 FIXATOR HINGE ELBOW 394.055 $507.30364SU270 FIXATOR LARGE $1,301.33364SU270 FLANGE $0.17364SU270 FLANGE 1 1/8" $0.53364SU270 FLANGE 1" $1.49364SU270 FLANGE 2 3/4" $0.11364SU270 FLANGE 2 3/4" $1.68364SU270 FLANGE 2 3/4" $1.73364SU270 FLANGE 2" $0.85364SU270 FLANGE NEW IMAGE 2 1/4X1 1/2 $0.46364SU270 FLANGE OSTOMY 4" $2.23364SU270 FLEXITRAK LATEX FREE $0.06364SU272 FLOSEAL 10ML 1503352 $77.02364SU270 FLOSEAL HEMOSTATIC MATRIX 5ML $35.70364SU270 FLYTE TOGA PEELAWAY $14.91364SU270 FOAM CLEANSING 8OZ LATEX FREE $0.22364SU270 FOG BLOCKER $0.41364SU270 FOGARTY INSERTS $2.67364SU270 FORCEP ADSON 1X2 TEETH STERILE $0.41364SU270 FORCEP ADSON SERRATED STERILE $0.39364SU270 FORCEP BIOPSY DISP 2.3MMX160CM $1.44364SU270 FORCEP BIOPSY DISP 2.8MMX240C $1.17364SU270 FORCEP BIOPSY HOT 2.3MMX230CM $7.00364SU272 FORCEP BIPOLAR NON-INSL 286101 $3.87364SU270 FORCEP BRONCH BIOPSY DISP $5.80364SU270 FORCEP RAD JAW 4 PED M00513440 $5.89364SU270 FOREIGN BODY REMOVER $8.00

C1751 10500C1751 FOUNTAIN INFUSION 4F 50CM $50.00C1751 10500C1751 FOUNTAIN INFUSION 5F 50CM $36.67C1713 10500C1713 GAMMA-BSM 10CC 76-6010 $1,650.00

364SU270 GARMENT CALF BARIATRIC VP501B $3.13364SU270 GARMENT CALF LARGE VP501L $1.92364SU270 GARMENT CALF MEDIUM VP501M $1.55364SU270 GARMENT CALF PEDIATRIC VP501P $2.61

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364SU270 GARMENT FOOT MED VP520 $5.60364SU270 GARMENT THIGH LARGE VP530L $2.95364SU270 GARMENT THIGH MED VP530M $2.48364SU270 GASTRIC LAVAGE SYSTEM $3.37

Q9963 900Q9963 GASTROGRAFIN 120ML $2.94Q9963 900Q9963 GASTROGRAFIN 30ML $2.44C1767 10500C1767 GENERATOR EON C 3688 $5,277.00

364SU270 GENERATOR NCPAP INF 7772020LP $11.19C1767 10500C1767 GENERATOR PRIMEADVANCED 37702 $4,509.33

364SU270 GIA ENDO STANDARD EGIAUSTND $87.50C1776 10500C1776 GLENIOD POST PT-113950 $185.33C1776 10500C1776 GLENOID $403.67C1776 10500C1776 GLENOID $440.00C1776 10500C1776 GLENOID BASE 113952 $727.33C1776 10500C1776 GLENOID BASE 113954 $727.33C1776 10500C1776 GLENOID BASE 4MM LG 113956 $665.67C1776 10500C1776 GLENOID POST 113951 $108.00C1776 10500C1776 GLENOID REV RT 20807500102 $333.33C1776 10500C1776 GLENOSPHERE 36MM 00434903611 $400.00C1887 10500C1887 GLIDECATH 4FR 100CM CG402 $16.88C1887 10500C1887 GLIDECATH 4FR 120CM CG414 $17.13C1887 10500C1887 GLIDECATH 5F 100CM MP CG509 $16.88C1887 10500C1887 GLIDECATH 5F 100CM SIM 1 CG510 $17.13C1887 10500C1887 GLIDECATH 5F 100CM SIM 2 CG511 $16.88C1887 10500C1887 GLIDECATH 5F 100CM SIM 2 CG511 $16.88C1887 10500C1887 GLIDECATH 5F 100CM SIM 3 CG512 $16.88C1887 10500C1887 GLIDECATH 5F 70CM YOSHIRO $19.42

364SU270 GLIDECATH STRAIGHT 5FR 100CM $10.13364SU270 GLIDECATH STRAIGHT 5FR 100CM $10.28364SU270 GLIDESCOPE LOPRO S3 $7.84364SU270 GLIDESCOPE LOPRO S4 $7.84364SU270 GLIDESCOPE VIDEO LARYNGOSCOPE $2.61364SU270 GLIDESCOPE VIDEO LARYNOSCOPE $2.61

C1894 10500C1894 GLIDESHEATH SLENDER 6FR $18.33

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C1894 10500C1894 GLIDESHEATH SLENDER A-KIT 5FR $31.25C1894 10500C1894 GLIDESHEATH SLENDER A-KIT 6FR $31.25C1894 10500C1894 GLIDESHEATH SLENDER RMRS5F10PA $18.33C1894 10500C1894 GLIDESHEATH SLENDER RMRS7F10PA $20.17C1769 10502C1769 GLIDEWIRE .035" 150CM GR3501 $9.52C1769 10502C1769 GLIDEWIRE .035" 150CM GR3501 $11.00C1769 10502C1769 GLIDEWIRE .035X150 $9.52C1769 10502C1769 GLIDEWIRE 150CM .038" GR3801 $9.52C1769 10502C1769 GLIDEWIRE ADVANTAGE GA3501 $50.00C1769 10502C1769 GLIDEWIRE ADVANTAGE GA3501 $50.00C1769 10502C1769 GLIDEWIRE ADVANTAGE GA3502 $56.67C1769 10502C1769 GLIDEWIRE ADVANTAGE GA3502 $56.67C1769 10502C1769 GLIDEWIRE ANGLE 180CM GS3807 $16.15C1769 10502C1769 GLIDEWIRE ANGLED GS3509 $16.37C1769 10502C1769 GLIDEWIRE ANGLED GS3509 $16.37

364SU270 GLIDEWIRE BLUNT DRUJ-K100B $2.00C1769 10502C1769 GLIDEWIRE GT RG*GW1818SA $52.70C1769 10502C1769 GLIDEWIRE J-TIP 0.035" 1.5MM $14.58

364SU270 GLIDEWIRE POINTED DRUJ-K100P $2.00C1769 10502C1769 GLIDEWIRE STIFF STAFT GS3508 $16.15C1762 10500C1762 GRAFT ALLOMAX 13X15CM 1180090 $2,065.33C1713 10500C1713 GRAFT BONE AUGMENT 3CC $966.67

364SU270 GRAFT FILTER FOR RIA 352.229S $85.66C1763 10500C1763 GRAFT NERVE ADVANCE 211230 $1,016.67

364SU270 GRAFT SLEEVE $52.50C1768 10500C1768 GRAFT VASC PROPATEN 45CM $453.67C1768 10500C1768 GRAFT VASC SRRT08070070L $433.33C1713 10500C1713 GRANULES CHRONOS 10CC $235.00

364SU270 GRANULES CHRONOS 10CC $198.45364SU270 GRID TEMPLATE 18GA 610-906 $10.92

C1751 10500C1751 GROSHONG CV CATH 8FR SINGLE $58.00364SU270 GUARD ANCHORFAST 9800 $1.91364SU270 GUARD IRRIGATION SPLASH $0.25364SU270 GUIDE BONE CUT 5970-000-04 $590.67

Page 100: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 GUIDE DEPTH MINI AR-13120G-2 $112.50364SU270 GUIDE DRILL 2.0 AR-8943-32 $7.00364SU270 GUIDE DRILL 2.0MM 323.061 $109.72364SU270 GUIDE DRILL AR-8949DG $120.00364SU270 GUIDE DRILL FOR 4.0MM SCREW $27.50364SU270 GUIDE DRILL LP AR-13220DG $52.50364SU270 GUIDE DRILL THREADED SHORT $19.80364SU270 GUIDE FRONTAL DEPLOY GC090RS $87.25364SU270 GUIDE GLENOID LEFT 20807500101 $250.00364SU270 GUIDE NEEDLE 9G EVIVA NG09L $1.23

C9352 10500C9352 GUIDE NERVE NEURAGEN PNG320 $631.00C9352 10500C9352 GUIDE NERVE NEURAGEN PNG620 $631.00

364SU270 GUIDE PIN $9.80364SU270 GUIDE PIN 2.4MM AR-1297L $19.50364SU270 GUIDE PIN PS 00597000042 $623.33364SU270 GUIDE PIN PSI 00-5970-000-29 $121.25364SU270 GUIDE SCREW SS K-WIRE 648.010S $870.40364SU270 GUIDE SIZING IMPLANT SG-1 $10.60364SU272 GUIDE TALAR ALIGNMENT PROPINF $615.67364SU270 GUIDE TIBIAL ALIGNMENT PROPINB $586.33364SU272 GUIDE WIRE 1.25X150MM 900.721 $6.03364SU270 GUIDE WIRE 2.0X240MM 03.010025 $7.33364SU270 GUIDE WIRE 2.8X300 02.227.001 $9.15

C1769 10502C1769 GUIDE WIRE AMPLATZ .35X80 $5.58364SU270 GUIDE WIRE BT 3X800 99-177281 $66.25

C1769 10502C1769 GUIDE WIRE VASC .025" 260CM $4.83C1769 10502C1769 GUIDEWIRE $11.92C1769 10502C1769 GUIDEWIRE $13.36C1769 10502C1769 GUIDEWIRE .035-80CM J-TIP $3.06

364SU270 GUIDEWIRE .054X7 WS-1407ST $3.00364SU270 GUIDEWIRE .078" 2.0 AR-8956K01 $7.20

C1769 10502C1769 GUIDEWIRE 035X260CM STIFF $16.37364SU270 GUIDEWIRE 1.2X12 7211138 $6.55364SU272 GUIDEWIRE 1.5X4" WS-1504STT $10.60

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364SU270 GUIDEWIRE 1.6MM 80-0950 $3.33364SU270 GUIDEWIRE 2.5X300MM 338.002 $13.16364SU270 GUIDEWIRE 2.5X800 99-177282 $66.25364SU272 GUIDEWIRE 3.2X100 47249009700 $40.78364SU272 GUIDEWIRE 3.2X475 09.037.010 $28.88

C1769 10500C1769 GUIDEWIRE 8CM RPC35-145 $6.75364SU270 GUIDEWIRE ACU-LOC 0.035X6 $3.67

C1769 10502C1769 GUIDEWIRE ADVANTAGE GA1430 $75.00C1769 10502C1769 GUIDEWIRE ADVANTAGE GA1830 $73.33C1769 10502C1769 GUIDEWIRE AMPLATZ .035"X145CM $8.48C1769 10502C1769 GUIDEWIRE AQUA LINER .035X150 $11.67C1769 10500C1769 GUIDEWIRE AQUATRACK 260CM $15.50C1769 10502C1769 GUIDEWIRE ASAHI FLDR XT-A 300 $45.00C1769 10502C1769 GUIDEWIRE BALANCE 1001780 $25.33C1769 10502C1769 GUIDEWIRE BALANCE 1001780 $25.33C1769 10502C1769 GUIDEWIRE BALANCE 1009664 $25.33C1769 10502C1769 GUIDEWIRE BALANCE 1009665 $25.33C1769 10502C1769 GUIDEWIRE BENTSON G00691 $4.67

364SU270 GUIDEWIRE BLUNT US114-0110 $32.25C1769 10502C1769 GUIDEWIRE CHOICE 12119-01 $25.59C1769 10502C1769 GUIDEWIRE CHOICE 12155-01 $25.59C1769 10502C1769 GUIDEWIRE CHOICE 12161-01 $25.59C1769 10502C1769 GUIDEWIRE CONFIANZA PRO 12 180 $45.00C1769 10502C1769 GUIDEWIRE DREAMWIRE MOO556101 $68.00C1769 10502C1769 GUIDEWIRE ENDOSCOPIC DUAL FLEX $12.53C1769 10502C1769 GUIDEWIRE FIGHTER 190CM $41.67C1769 10502C1769 GUIDEWIRE FIGHTER 300CM $41.67C1769 10502C1769 GUIDEWIRE FIGHTER 39303-1902 $41.67C1769 10500C1769 GUIDEWIRE GAIA THIRD 190CM $45.00C1769 10502C1769 GUIDEWIRE GRAND SLAM 14940-01 $25.33C1769 10502C1769 GUIDEWIRE HI-TORQUE 1001782 $25.33C1769 10502C1769 GUIDEWIRE HI-TORQUE 1001782 $25.33C1769 10502C1769 GUIDEWIRE HORNET 10 190CM $41.67C1769 10502C1769 GUIDEWIRE HORNET 10 300CM $41.67

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C1769 10502C1769 GUIDEWIRE HORNET 14 190CM $41.67C1769 10502C1769 GUIDEWIRE HORNET 14 300CM $41.67C1769 10502C1769 GUIDEWIRE HORNET 190CM $41.67C1769 10502C1769 GUIDEWIRE HORNET 300CM $41.67C1769 10502C1769 GUIDEWIRE INQWIRE .035" 260CM $3.19C1769 10502C1769 GUIDEWIRE INQWIRE IQ35F150J3 $2.02

364SU272 GUIDEWIRE LG 3.2MM 130-00032 $8.10C1769 10500C1769 GUIDEWIRE LUGE 182CM .014" $25.59C1769 10502C1769 GUIDEWIRE LUNDERQUIST G31453 $171.67C1769 10500C1769 GUIDEWIRE MAGIC TORQ 0.035X260 $54.74C1769 10502C1769 GUIDEWIRE MAILMAN 12120-01 $27.38C1769 10502C1769 GUIDEWIRE MARVEL 190CM $28.33C1769 10502C1769 GUIDEWIRE MARVEL 190CM J-TIP $28.33C1769 10502C1769 GUIDEWIRE MARVEL 300CM $28.33C1769 10502C1769 GUIDEWIRE MARVEL 300CM J-TIP $28.33

364SU270 GUIDEWIRE NITINAL 1.4 OM710930 $32.25364SU270 GUIDEWIRE NITINOL 1.2X45 $13.00364SU272 GUIDEWIRE NITINOL 1.4 OM710930 $32.25364SU270 GUIDEWIRE NITINOL 1.4 OM710940 $32.25364SU270 GUIDEWIRE NITINOL 4901-3038 $32.25364SU272 GUIDEWIRE NITINOL LS02-1748 $32.25

C1769 10502C1769 GUIDEWIRE NITREX .018X80CM $16.78C1769 10502C1769 GUIDEWIRE NITREX .025 180CM $20.56C1769 10502C1769 GUIDEWIRE PILOT 1010480-H $25.33C1769 10501C1769 GUIDEWIRE PILOT 200 .014 190CM $25.33C1769 10500C1769 GUIDEWIRE PILOT 200 .014 300CM $25.33C1769 10502C1769 GUIDEWIRE PILOT 50 .014 300CM $25.33C1769 10502C1769 GUIDEWIRE PMG-18-60-COPE $25.84C1769 10502C1769 GUIDEWIRE PPG/ST 0.018X260 $30.71C1769 10502C1769 GUIDEWIRE RUNTHROUGH 25-1011 $33.33C1769 10502C1769 GUIDEWIRE RUNTHROUGH 25-1013 $33.33C1769 10502C1769 GUIDEWIRE RUNTHROUGH 25-3011 $43.33C1769 10502C1769 GUIDEWIRE RUNTHROUGH 25-3013 $43.33C1769 10502C1769 GUIDEWIRE SAMURAI 190CM $28.33

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C1769 10502C1769 GUIDEWIRE SAMURAI 300CM $28.33C1769 10502C1769 GUIDEWIRE SAMURAI 300CM J-TIP $28.33C1769 10502C1769 GUIDEWIRE SAMURAI 39302-190J2 $28.33C1769 10502C1769 GUIDEWIRE SAMURAI 39306-1902 $41.67C1769 10502C1769 GUIDEWIRE SAMURAI RC 300CM $41.67

364SU272 GUIDEWIRE SM 2.0MM 130-00020 $3.15C1769 10500C1769 GUIDEWIRE STEELCORE 18 1003282 $26.67C1769 10500C1769 GUIDEWIRE STINGRAY H749M3004A0 $86.33C1769 10502C1769 GUIDEWIRE STR TIP .038INX150CM $13.36C1769 10502C1769 GUIDEWIRE VASC .018X300CM $30.17C1769 10502C1769 GUIDEWIRE VASC 018X180CM $17.70C1769 10502C1769 GUIDEWIRE VASC 018X260CM $25.62C1769 10502C1769 GUIDEWIRE VASC 035X180CM $12.95C1769 10502C1769 GUIDEWIRE VASC 035X180CM $14.71C1769 10502C1769 GUIDEWIRE VASC 035X260CM $14.58C1769 10502C1769 GUIDEWIRE VASC 035X260CM $14.58

364SU272 GUIDEWIRE W/TROCAR .45 AR8933K $1.67364SU270 GUIDEWIRE W/TROCAR TIP .62 $5.80

C1769 10502C1769 GUIDEWIRE WHISPER ES 1011834H $25.33C1769 10502C1769 GUIDEWIRE WHISPER ES 1011835H $25.33C1769 10502C1769 GUIDEWIRE WHISPER MS 1005357H $25.33C1769 10502C1769 GUIDEWIRE WHOLEY 145CM 50110 $16.67C1769 10502C1769 GUIDEWIRE WHOLEY 145CM 50110 $16.67C1769 10502C1769 GUIDEWIRE WHOLEY MOD J 55435 $18.89

364SU270 GUN BIOPSY 12G CELERO-12 $43.36364SU270 GUN CEMENT/BONE CDS2A $85.10

C1713 10500C1713 GUN CEMENT/BONE CDS3A $113.47364SU270 HABERMAN FEEDER $2.51364SU270 HALTER HEAD DISP 342 $3.40

C1713 10500C1713 HAMMERTOE LARGE 4571-0200 $229.33C1713 10500C1713 HAMMERTOE SMALL 4571-0100 $229.33

364SU270 HANDLE PEDIFUARD P2HE1000 $416.67364SU270 HANDPIECE ACE $89.11364SU270 HANDPIECE INTERPULSE 210114100 $6.00

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364SU270 HANDPIECE PETITE EVIVA0913-12T $48.89364SU270 HANDPIECE STAND EVIVA 0913-20 $48.89364SU270 HARNESS PAVLIK LG 79-90517 $2.45364SU270 HARNESS PAVLIK MED 79-90515 $2.45364SU270 HARNESS PAVLIK SM 79-90513 $2.26364SU270 HARNESS PAVLIK X-SM $2.52364SU270 HARVESTER 5X5CM CT-H50 $102.50

C1776 10500C1776 HEAD ARTICULEZE 36MM 136550000 $150.00C1776 10500C1776 HEAD BIOLOX DELTA 36M 650-1057 $383.33C1776 10500C1776 HEAD BI-POLAR 1035-50-000 $234.67C1776 10500C1776 HEAD BI-POLAR 28MM 1035-45-000 $234.67C1776 10500C1776 HEAD BI-POLAR 28MM 1035-46-000 $234.67C1776 10500C1776 HEAD BI-POLAR 28MM 1035-48-000 $234.67C1776 10500C1776 HEAD BI-POLAR 28MM 1035-49-000 $234.67C1776 10500C1776 HEAD BIPOLAR 28MM 103551000 $266.67C1776 10500C1776 HEAD BI-POLAR 28MM 1035-52-000 $266.67C1776 10500C1776 HEAD BIPOLAR 28MM 10355300 $234.67C1776 10500C1776 HEAD BIPOLAR 28MM 1035-57-000 $234.67C1776 10500C1776 HEAD BIPOLAR 28MM 44MM $266.67C1776 10500C1776 HEAD BIPOLAR 28MM 47MM $234.67C1776 10500C1776 HEAD BIPOLAR 28X43 1035-43-000 $266.67

364SU270 HEAD CASSETTE 12MM CS225612 $63.75C1776 10500C1776 HEAD CERAMIC 28MM 650-1055 $383.33C1776 10500C1776 HEAD CERAMIC BIOLOX 32MM $450.00

364SU270 HEAD CRADLE $0.48C1776 10500C1776 HEAD C-TAPER $158.33C1776 10500C1776 HEAD C-TAPER $158.33C1776 10500C1776 HEAD FEM CALCAR 11-104903 $2,970.67C1776 10500C1776 HEAD FEM UNIV 43X26 UH1-43-26 $183.33L8699 10500L8699 HEAD FEM W/O CARTILAGE 620100 $466.67

364SU270 HEAD FEMER $237.50C1776 10500C1776 HEAD FEMORAL +8.5 1365-36-330 $300.00C1776 10500C1776 HEAD FEMORAL 00-8775-036-02 $743.40C1776 10500C1776 HEAD FEMORAL 1.5MM 1365-36-310 $300.00

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C1776 10500C1776 HEAD FEMORAL 1018-14-000 $288.20C1776 10500C1776 HEAD FEMORAL 1365-21-000 $150.00C1776 10500C1776 HEAD FEMORAL 26MM 06-2605 $158.33C1776 10500C1776 HEAD FEMORAL 28MM +5 $150.00C1776 10500C1776 HEAD FEMORAL 28MM 1365-13-000 $150.00C1776 10500C1776 HEAD FEMORAL 28X56 103556000 $234.67C1776 10500C1776 HEAD FEMORAL 3.5X32 902603235 $261.63C1776 10500C1776 HEAD FEMORAL 36MM 06-3605 $550.43C1776 10500C1776 HEAD FEMORAL 36MM 1365-36-320 $300.00C1776 10500C1776 HEAD FEMORAL 36MM 1365-51-000 $150.00C1776 10500C1776 HEAD FEMORAL 36MM 1365-55-000 $150.00C1776 10500C1776 HEAD FEMORAL 36MM 6280-0-336 $470.40C1776 10500C1776 HEAD FEMORAL 36MM 8018-36-01 $233.33C1776 10500C1776 HEAD FEMORAL 36MM 8018-36-03 $233.33C1776 10500C1776 HEAD FEMORAL 43MM 00781804300 $168.16C1776 10500C1776 HEAD FEMORAL 44MM 7818-44 $168.16C1776 10500C1776 HEAD FEMORAL 51X26 UH15126 $183.33

364SU270 HEAD HALTER UNIV. $1.95C1776 10500C1776 HEAD HUMERAL $1,075.67C1776 10500C1776 HEAD LFIT 28MM 06-2805 $158.33C1776 10500C1776 HEAD MODULAR 46MM 113046 $250.00C1713 10500C1713 HEAD POLYAXIAL MATRIX 04632001 $297.67C1776 10500C1776 HEAD RADIAL 20.0MM $666.67C1776 10500C1776 HEAD RADIAL 24MM 09.402.024S $650.16C1776 10500C1776 HEAD RADIAL 24MM LT TR-H240L-S $908.33C1776 10500C1776 HEAD RADIAL 24MM RT 50010224RS $1,042.33C1776 10500C1776 HEAD RADIAL 26.0MM LEFT $1,075.00C1776 10500C1776 HEAD RADIAL 26.0MM TR-H260R-S $908.33C1776 10500C1776 HEAD RADIAL 28MM LT TR-H280L-S $1,107.33

364SU270 HEAD REAMER $64.20364SU270 HEAD REAMER 13.5MM 352.253S $94.97

C1776 10500C1776 HEAD RIGHT 24MM TR-H240R-S $674.33C1776 10500C1776 HEAD RIGHT 24MM TR-H240R-S $1,795.33C1776 10500C1776 HEAD SLIDELOC 22RT 50010222RS $1,042.33

Page 106: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1776 10500C1776 HEAD UNIVERSAL $183.33C1776 10500C1776 HEAD UNIVERSAL 26X46 $183.33

364SU270 HEADGEAR INF XL 777040XL $2.03364SU270 HEADGEAR NCPAP INF MED 777040M $1.02364SU270 HEADGEAR NCPAP INF SM 777040SM $5.52364SU270 HEADGEAR NCPAP INFANT LG $1.02364SU270 HEADGEAR NCPAP INFANT SM $1.02364SU270 HEADGEAR NCPAP INFANT XSM $1.02364SU270 HEEL-FLOAT MEDIUM WAFFLE $5.46364SU270 HEEL-FLOAT WAFFLE LARGE $5.46364SU270 HEI-MANDILBLE RT TIMESH $670.33364SU270 HEMI-MANDIBLE LEFT TIMESH $647.67364SU270 HEMOSTASIS VALVE MAP152 $2.11364SU272 HEMOSTASIS VALVE WATCHDOG $7.00364SU270 HEMOSTAT ABSORBABLE 2"X.5 $9.70364SU270 HEMOSTAT ABSORBABLE 2X3 $6.33364SU270 HEMOSTAT ABSORBABLE 4X8 $11.56364SU270 HEMOSTAT MOSQUITO CURVED $0.21364SU270 HEMOSTAT MOSQUITO CURVED $0.33364SU270 HEMOSTAT MOSQUITO STRAIGHT $0.36364SU270 HEMOSTAT SURGICEL SNOW 2082 $18.78364SU270 HEMOVAC 1/4 $1.27364SU270 HEX DRIVER $43.13

C1776 10500C1776 HIP BALL $198.33C1776 10500C1776 HIP BALL $231.67

364SU270 HIP PAC DISP. 7209874 $52.65C1776 10500C1776 HIP STEM #8 $433.33C1776 10500C1776 HIP SYSTEM $2,281.67C1776 10500C1776 HIP SYSTEM ACCOLADE $3,009.05C1776 10500C1776 HIP SYSTEM INTERSPACE $833.33C1713 10500C1713 HM BONE PLUG LARGE $38.03C1713 10500C1713 HM BONE PLUG MED $40.00C1713 10500C1713 HM BONE PLUG SM $40.00

364SU270 HOLDER NEEDLE WEBSTER STERILE $1.95

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364SU270 HOLDER TUBE TRACH 240 BLUE $0.46364SU270 HOLDERS VELCRO TRACH TUBES $0.16

C1776 10500C1776 HOLE ELIMINATOR 1246-03-000 $44.00364SU270 HOOK LIGACURE 37CM LF5637 $164.15364SU270 HOSE DRAPE ASSEMBLY $38.25

C1713 10500C1713 HUB CAP PLATE POST PL-WF50 $8.33C1713 10500C1713 HUMERAL HEAD $549.67C1776 10500C1776 HUMERAL HEAD $365.67C1776 10500C1776 HUMERAL HEAD $820.33C1776 10500C1776 HUMERAL HEAD $902.67C1776 10500C1776 HUMERAL HEAD $1,075.67C1776 10500C1776 HUMERAL HEAD 44MM $507.33C1776 10500C1776 HUMERAL HEAD 54MM $247.67C1713 10500C1713 HUMERAL NAIL $431.20C1776 10500C1776 HUMERAL NAIL 7.5X150 $548.10C1776 10500C1776 HUMERAL STEM $1,099.67C1776 10500C1776 HUMERAL STEM $1,198.67C1776 10500C1776 HUMERAL STEM 8MM 11-113558 $1,753.67C1776 10500C1776 HUMERAL TRAY 44MM +5MM 115375 $533.33C1776 10500C1776 HUMERAL TRAY STD 44CM 115370 $397.33C1713 10500C1713 HUMERUS 8.5MM $525.00

364SU270 HUMIDIFIER BUBBLE HIGH FLOW $0.71364SU270 HUMIDIFIER DISP 715-PM500EA $0.34364SU270 HUMID-VENT 14412 $0.29

C1713 10500C1713 HUNERUS 11.0 $525.00364SU270 HYALOFILL DRESSING 5X5 $3.57364SU270 HYDROGEL $1.38364SU270 HYDROGEL SHEET 4X4 RADIA CARE $0.99

C1713 10500C1713 HYDROSET 10CC 397010 $923.20C1713 10500C1713 HYDROSET 15CC 397015 $1,243.58C1882 10502C1882 ICD DYNAGEN CRT-D G158 $7,286.33C1721 10501C1721 ICD DYNAGEN EL DR D152 $6,072.00C1722 10500C1722 ICD DYNAGEN EL ICD VR D150 $5,540.67C1722 10500C1722 ICD DYNAGEN EL ICD VR D151 $5,940.00

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C1721 10501C1721 ICD EVERA XT DR DDBB1D1 $7,226.67C1721 10501C1721 ICD INOGEN EL DR D413 $7,083.33C1882 10502C1882 ICD IONOGEN CRT-D G148 $7,755.00L1830 10500L1830 IMMOB KNEE 3-PANEL 24" 200030 $9.90L3650 10500L3650 IMMOBILIZER ARM UNIVERSAL LG. $0.71L3650 10500L3650 IMMOBILIZER SHOULDER FEMALE LG $0.77L3650 10500L3650 IMMOBILIZER SHOULDER FEMALE MD $0.77L3650 10500L3650 IMMOBILIZER SHOULDER FEMALE SM $0.77L3650 10500L3650 IMMOBILIZER SHOULDER FEMALE XL $0.77L3650 10500L3650 IMMOBILIZER SHOULDER FEMALE XX $1.13L3650 10500L3650 IMMOBILIZER SHOULDER MALE LG $0.73L3650 10500L3650 IMMOBILIZER SHOULDER MALE MED $0.73L3650 10500L3650 IMMOBILIZER SHOULDER MALE SM $0.73L3650 10500L3650 IMMOBILIZER SHOULDER MALE XLG $0.73L3650 10500L3650 IMMOBILIZER SHOULDER MALE XXL $1.16C1776 10500C1776 IMP CMC STABLYX #3 STX-CMA-IS3 $1,166.67C1776 10500C1776 IMP TIBIAL INSERT #5 13MM $366.67C1713 10500C1713 IMPL DEL REPAIR BICEP AR2260BC $500.00C1776 10500C1776 IMPL FEMORAL KNEE MEDIUM $713.33C1776 10500C1776 IMPL FINGER DISTAL SIZE 40 $549.67C1776 10500C1776 IMPL FINGER PROXIMAL SIZE 40 $858.33C1776 10500C1776 IMPL HAMMERFIX MED 132-34015-S $532.00C1776 10500C1776 IMPL HAMMERTOE 3.4X12 20430012 $498.33C1776 10500C1776 IMPL HAMMERTOE 3.4X14 20430014 $631.67C1776 10500C1776 IMPL HAMMERTOE 3.4X16 20430016 $631.67C1776 10500C1776 IMPL HAMMERTOE SM 132-28013-S $532.00C1776 10500C1776 IMPL HEAD RT20.0 TR-H200R-S $1,107.33C1776 10500C1776 IMPL INTRA FIX SM IFS-010-22 $540.00C1713 10500C1713 IMPL LAT ANKLE AR1675BCCP $583.33C1776 10500C1776 IMPL METATARSAL MD104 $1,391.67C1776 10500C1776 IMPL METATARSAL SIZE 1 MD101 $1,391.67L8699 10500L8699 IMPL MTP CARTIVA 10MM CAR10US $1,500.00C1713 10500C1713 IMPL PEEK ALIF 1128-302-611 $1,467.00C1713 10500C1713 IMPL Q-FIX 1.8MM 25-1800 $225.00

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IMPL SINUS PROPEL CONTOUR50011 $298.33C1776 10500C1776 IMPL STABLYX #4 STX-CMA-IS4 $1,166.67C1776 10500C1776 IMPL STEM 9.0X4.0 TR-S0904-S $654.67C1713 10500C1713 IMPLANT COUGAR 18X10X50 $2,306.67C1713 10500C1713 IMPLANT COUGAR 18X12X55 $2,306.67C1713 10500C1713 IMPLANT DELIVERY SYSTEM AR2260 $405.00C1776 10500C1776 IMPLANT ENCOMPASS 17MM 3850017 $900.00C1776 10500C1776 IMPLANT METATARSAL SZ.3 MD103 $1,391.67C1713 10500C1713 IMPLANT OPUS MAGNUM 2 OM-1502 $153.33C2625 10500C2625 IMPLANT PROPEL MINI 60011 $365.00C1713 10500C1713 IMPLANT REPAIR LIGAMENT $464.33C1776 10500C1776 IMPLANT SMART TOE STOA-19P $375.00C1713 10500C1713 IMPLANT SPEED 13X10X10MM $383.33C1713 10500C1713 IMPLANT SYNDESMOSIS REPAIR $293.33C1713 10500C1713 IMPLANT SYNDESMOSIS REPAIR $293.33C1878 10500C1878 IMPLANT VOICE INJECTABLE 1.0CC $86.67C1713 10500C1713 IMPLANT ZERO-P 6MM 04.617.126S $1,400.00C1713 10500C1713 IMPLANT ZERO-P 7MM LORDOTIC/LG $1,400.00C1713 10500C1713 IMPLANT ZERO-P 8MM 04.617.128S $1,066.67C1713 10500C1713 IMPLANT ZERO-P 8MM LORDOTIC/LG $1,066.67C1713 10500C1713 IMPLANT ZERO-P 9MM LORDOTIC/LG $1,400.00C1713 10500C1713 IMPLANT ZERO-P LORDOTIC 7MM $1,066.67C1713 10500C1713 IMPLANT ZERO-P LORDOTIC 9MM $1,066.67C9733 10500C9733 INDOCYANINE GREEN 25MG $210.00C1713 10500C1713 INJECT NORIAN DRILLABLE 10CC $972.60C1713 10500C1713 INJECT NORIAN DRILLABLE 10CC $847.93C1713 10500C1713 INLAY POLYETHYLENE W/MARKER LG $968.33C1776 10500C1776 INSERT 13MM $310.00C1776 10500C1776 INSERT BEARING 5531-G-813 $730.73C1776 10500C1776 INSERT FEMORAL #8 5515-F-801 $623.33C1776 10500C1776 INSERT FEMORAL G 36MM 6430036G $400.00C1776 10500C1776 INSERT PHALANGEAL 1.5MM OFFSET $830.00C1776 10500C1776 INSERT PHALANGEAL 9P15-PA01-W $830.00C1776 10500C1776 INSERT POLY #1+ 220222110E $1,171.67

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C1776 10500C1776 INSERT POLY #3 33654307 $928.00C1776 10500C1776 INSERT POLY #4 33654406 $928.00C1776 10500C1776 INSERT POLY #5 33655508 $928.00C1776 10500C1776 INSERT POLY 4+,7MM 33655407 $928.00

364SU270 INSERT PROFILE ST 6.5 $5.70C1776 10500C1776 INSERT RIM 36MM 643-00-36E $690.67C1776 10500C1776 INSERT TAPER +3MM $21.67C1776 10500C1776 INSERT TAPER -3MM $21.67C1776 10500C1776 INSERT TAPER -6MM $21.67C1776 10500C1776 INSERT TAPER -6MM $33.33C1776 10500C1776 INSERT TAPER STD $21.67C1776 10500C1776 INSERT TIBIAL $665.00C1776 10500C1776 INSERT TIBIAL #2 10MM 96-2321 $1,001.00C1776 10500C1776 INSERT TIBIAL #2 5842-0092-09 $627.00C1776 10500C1776 INSERT TIBIAL #3 1516-40-307 $333.33C1776 10500C1776 INSERT TIBIAL #3 15MM 96-2343 $1,001.00C1776 10500C1776 INSERT TIBIAL #3 96-2345 $1,001.00C1776 10500C1776 INSERT TIBIAL #4 10MM 96-2351 $1,001.00C1776 10500C1776 INSERT TIBIAL #4 1516-40-406 $333.33C1776 10500C1776 INSERT TIBIAL #4 1516-40-407 $333.33C1776 10500C1776 INSERT TIBIAL #4 5532-G-419 $366.67C1776 10500C1776 INSERT TIBIAL #5 13MM 5532G513 $366.67C1776 10500C1776 INSERT TIBIAL #5 1516-40-508 $366.67C1776 10500C1776 INSERT TIBIAL #5 96-2363 $195.00C1776 10500C1776 INSERT TIBIAL #6 5532-G-619 $366.67C1776 10500C1776 INSERT TIBIAL #7 1516-40-706 $333.33C1776 10500C1776 INSERT TIBIAL #8 151640808 $333.33C1776 10500C1776 INSERT TIBIAL #8 5532-G-811 $366.67C1776 10500C1776 INSERT TIBIAL #9 1516-40-905 $333.33C1776 10500C1776 INSERT TIBIAL 14MM 198727114 $1,247.47C1776 10500C1776 INSERT TIBIAL 17.5MM 96-2134 $400.00C1776 10500C1776 INSERT TIBIAL 3,22.5MM 962346 $1,001.00C1776 10500C1776 INSERT TIBIAL 5X16 KC-36056 $671.33C1776 10500C1776 INSERT TIBIAL HINGE XSM 18MM $1,349.07

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C1776 10500C1776 INSERT TIBIAL KNEE $1,001.00C1776 10500C1776 INSERT TIBIAL LG $371.00C1776 10500C1776 INSERT TIBIAL S#3 1516-40-305 $333.33C1776 10500C1776 INSERT TIBIAL S#5 5532-G-511 $366.67C1776 10500C1776 INSERT TIBIAL S#5 96-2365 $908.00C1776 10500C1776 INSERT TIBIAL S#7 5532-G-713 $366.67C1776 10500C1776 INSERT TIBIAL S.3 1024-54-309 $283.33C1776 10500C1776 INSERT TIBIAL S.3 1024-54-311 $333.33C1776 10500C1776 INSERT TIBIAL S.3 96-2344 $1,001.00C1776 10500C1776 INSERT TIBIAL S.4 1516-40-405 $366.67C1776 10500C1776 INSERT TIBIAL S.5 1516-40-505 $333.33C1776 10500C1776 INSERT TIBIAL S.5 151640506 $333.33C1776 10500C1776 INSERT TIBIAL S.5 962365 $908.00C1776 10500C1776 INSERT TIBIAL SZ.4 5532-G-413 $600.00C1776 10500C1776 INSERT TIBIAL SZ.6 5532-G-609 $366.67C1776 10500C1776 INSERT TIBIAL SZ4 1024-54-407 $283.33C1776 10500C1776 INSERT TIBIAL SZ6 1516-40-605 $333.33C1776 10500C1776 INSERT TIBIAL SZ7 1516-40-705 $333.33C1776 10500C1776 INSERT TIBIAL XSM 1987-27-123 $1,244.80

364SU272 INSERTER TIP 42529900301 $12.00364SU270 INST CENTERLINE ENDOSCOPIC $50.00364SU270 INST REDUCTION PULL 324.033 $74.38

Q4105 10500Q4105 INTEGRA DERMAL 4X5 PER SQ CM $1,594.00C1713 10500C1713 INTERBODY OBELISC CS2920-32 $2,906.00C1713 10500C1713 INTERBODY PEEK 11X28X14 8D $930.00C1713 10500C1713 INTERBODY PLIF 1148-0414 $930.00

364SU270 INTERDRY AG 10X36" 7912 $7.50C1776 10500C1776 INTERSPACE KNEE LG SPK0222 $1,273.33C1776 10500C1776 INTERSPACE KNEE SPC0022 $1,110.00C1821 10500C1821 INTERSPINOUS SPACER 1-2212 $1,541.67C1767 10500C1767 INTERSTIM II 3058 $3,741.67

364SU270 INTRAN PLUS LATEX FREE $6.00C1894 10500C1894 INTRO SAFESHEATH 11FR 7097 $29.33

364SU270 INTRO SAFESHEATH 9F 667463-001 $10.00

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364SU270 INTRODUCER 12G AI1212-20 $2.60364SU270 INTRODUCER 12G CELERO INTRO-12 $2.34364SU270 INTRODUCER 6FR $6.88364SU270 INTRODUCER 8FR $6.40364SU270 INTRODUCER 8FR $12.36364SU270 INTRODUCER 9FR $13.00

C1894 10500C1894 INTRODUCER FLEXOR 5FX90 G48189 $33.83C1894 10500C1894 INTRODUCER FLEXOR 7X70 G56222 $26.33C1894 10500C1894 INTRODUCER RCFW-14.0-38-30-RB $19.83C1894 10500C1894 INTRODUCER SAFESHEATH 7FR $21.67

364SU270 INTRODUCER SET PULL APART 16FR $5.91C1894 10500C1894 INTRODUCER SUPRAPUBIC G26655 $31.33C1894 10500C1894 INTRODUCER SUPRAPUBIC G26655 $31.33C1893 10500C1893 INTRODUCER SWARTZ SL0 407451 $51.67C1893 10500C1893 INTRODUCER SWARTZ SL1 407453 $51.67

364SU270 IRRIGATION SYSTEM VISI-FLO $2.78364SU270 ISOMED CATH ACCESS PORT KIT $3.67

Q9967 900Q9967 ISOVUE 300 100ML $3.01Q9967 900Q9967 ISOVUE 300 50ML $1.53Q9967 900Q9967 ISOVUE 370 100ML $3.16Q9966 900Q9966 ISOVUE-250 100ML $3.25Q9966 900Q9966 ISOVUE-250 200ML $5.76Q9966 900Q9966 ISOVUE-M 200 20ML LATEX FREE $4.66Q9967 900Q9967 ISOVUE-M 300 15ML $4.52

364SU270 IUD $103.06C1769 10502C1769 JAGWIRE ST TIP 0.038INX260CM $62.33

364SU270 JOINT TUBING & CANNULA SET $8.53364SU272 KIRSCHNER WIRE 2.0X150MMX15MM $2.96364SU272 KIRSCHNER WIRE 2.5 DI X 200 L $4.44364SU272 KIRSCHNER WIRE 2.5X285MM $1.76364SU270 KIT ACCESS $136.29364SU270 KIT ACCESS $191.00

C1894 10500C1894 KIT ACCESS GLIDESHEATH 4FR $29.73364SU270 KIT ACCESSORY $75.00

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364SU270 KIT ACCESSORY 3550-07 $12.00364SU270 KIT ACCESSORY 3550-14 $9.00364SU270 KIT ACCESSORY 3550-63 $15.00364SU270 KIT ACCESSORY 355531 $71.25364SU272 KIT ACCESSORY ANCHOR TITAN $37.50364SU270 KIT ACCESSORY NEURO 3550-28 $11.00364SU270 KIT ACCESSORY NEURO 3550-29 $37.50364SU272 KIT ACCESSORY NEURO 3550-P4 $62.50364SU272 KIT ACE 68 CATH VELOCITY 132CM $953.33364SU270 KIT ACE/AEROSOL CLOUD ENHR $0.79364SU270 KIT ACP SERIES 1 ABS-10011 $62.50

C1713 10500C1713 KIT ANKLE XCALIBER 99-91647 $2,063.78364SU270 KIT AVA PREP $18.00364SU270 KIT AVA-TEX HANDLE $17.60364SU270 KIT BIOPSY BONE 10GA IVAS $16.71364SU272 KIT BIOPSY CARTILAGE 80006 $147.00364SU270 KIT BIOPSY CORE TOOL SDCT01 $87.50364SU270 KIT BIO-TENODESIS $55.00

C1713 10500C1713 KIT BONE MULCH $133.33364SU270 KIT BRACE INTERNAL AR-1688-CP $358.33364SU270 KIT CASSETTE PTC-1200 $68.69

C1726 10500C1726 KIT CATH NEPHROMAX M0062101600 $86.17C1730 10500C1730 KIT CATH PACING AI-07155-KS $91.00

364SU270 KIT CATH PEDI 5FR LATEX FREE $0.71364SU270 KIT CATH PLEURX $146.67364SU270 KIT CATH PLEURX PERITONEAL $143.75

C1713 10500C1713 KIT CEMENT BONE CX01B W/CX01A $71.02364SU270 KIT CENTRAL VEIN MULTI LUMEN $13.28

C1751 10500C1751 KIT CENTRAL VENOUS 2-LUMEN PED $15.81364SU270 KIT CHEST TUBE PLEURAGUIDE $16.21364SU270 KIT CIRCUIT NEONATAL M1091365 $3.89364SU270 KIT CIRCUIT NEONATAL T-PIECE $1.86

C1888 10500C1888 KIT CLOSUREFAST CATH 100CM $390.00C1888 10500C1888 KIT CLOSUREFAST CATH 100CM $390.00

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C1888 10500C1888 KIT CLOSUREFAST CATH 3CM $390.00C1888 10500C1888 KIT CLOSUREFAST CATH 3CM $390.00

364SU270 KIT CMS MANIFOLD $2.72364SU270 KIT COMBIPORT/GUARD 10100 $0.56364SU270 KIT COMBIPORT/GUARD 10100 $0.61364SU270 KIT CROSSPIN ACL DISPOSABLE $112.50364SU272 KIT DEFENDO VALVE & CONNECTOR $1.21364SU270 KIT DENTAL ER ADULT 01062004 $19.99364SU270 KIT DENTAL ER PUTTY 01062006 $15.60364SU270 KIT DERMACLOSE RC 204010-K $224.75364SU270 KIT DERMACLOSE XL 204020-K $383.00364SU270 KIT DISP BIOTENODESIS AR1676DS $62.50364SU272 KIT DISP CORKSCREW AR-8927DSC $43.75364SU270 KIT DISP FOR 3.5 PUSH LOCK $43.75364SU270 KIT DISP PUSHLOCK 2.9MM SHORT $43.75364SU270 KIT DISP QFIX 1.8MM 72290125 $162.50364SU270 KIT DISP QFIX XL 1.8 72290126 $162.50364SU270 KIT DISP T3 AMZ AR-13217 $124.75364SU270 KIT DISP T3 AMZ AR-13217 $124.75364SU270 KIT DRILL COMP DK-200 $103.75364SU270 KIT ELBOW STANDARD 1072648 $0.83364SU270 KIT ENDOSCOPIC LIGATOR $15.80364SU270 KIT ESOPHAGEAL 48FR $58.43364SU270 KIT ESSENTIAL CARTICEL 82004 $58.75364SU270 KIT EXTENSION VORTRAN 4040 $1.94364SU270 KIT E-Z LOCK $103.00364SU270 KIT FALOPE RING APPLICTION $70.00364SU270 KIT FIXATION 904-891 $0.56

C1713 10500C1713 KIT FIXATOR EXTERNAL FX-4001-S $657.00364SU270 KIT FIXION INSERTION $62.50364SU270 KIT GUN DEL CORTOSS 2110-0039 $143.93364SU270 KIT HEART RIGHT K09-09975 $3.05364SU270 KIT HUMIDFIER HIGH FLOW $0.95

C1713 10500C1713 KIT INFUSE BONE GRAFT MEDIUM $1,666.00

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364SU270 KIT INSERTION $19.00364SU270 KIT INST SMALL JOINT SUTURETAK $36.25364SU270 KIT INSTRUMENT PROTOE 45710500 $65.00364SU270 KIT INSTRUMENT SUTURETAK $43.75364SU270 KIT INSTRUMENT SUTURETAK $62.50

C1894 10500C1894 KIT INTODUCER MICROEZ 5FR $12.60364SU270 KIT INTRA CATH PUMP REV 8596SC $100.00364SU270 KIT INTRODUCER MIC 10229 $55.50364SU272 KIT IVAS 13G 10.0MM 1021310000 $466.67364SU270 KIT IVAS SYSTEM 705-115-000 $243.03

C1776 10500C1776 KIT KNEE 2-POD IASSIST $550.00364SU270 KIT KOOL SUB-ZERO 900 $65.00364SU270 KIT LARYNGO MILLER 4 B161934 $2.67364SU270 KIT LARYNGOSCOPE MAC1 B151921 $2.04364SU270 KIT LARYNGOSCOPE MAC2 $2.04364SU270 KIT LARYNGOSCOPE MAC3 040-333U $2.04364SU270 KIT LARYNGOSCOPE MAC4 040-334U $2.04364SU270 KIT LARYNGOSCOPE MILLER 0 $2.67364SU270 KIT LARYNGOSCOPE MILLER 1 $2.04364SU270 KIT LARYNGOSCOPE MILLER 2 $2.04364SU270 KIT LARYNGOSCOPE MILLER 3 $2.04

C1778 10500C1778 KIT LEAD 3777-60 $795.00C1778 10500C1778 KIT LEAD 50CM $717.00C1778 10500C1778 KIT LEAD 70CM SC-2208-70 $717.00C1778 10500C1778 KIT LEAD 977A260 $760.67

364SU270 KIT LEAD ADAPTER $43.75C1778 10500C1778 KIT LEAD LINEAR 50CM $657.25C1778 10500C1778 KIT LEAD LINEAR 70CM SC221870 $657.25C1778 10500C1778 KIT LEAD LINEAR SC-2218-50E $373.33

364SU270 KIT LEAD REPAIR $20.00C1778 10500C1778 KIT LEAD SNS 3889 $1,138.33C1897 10500C1897 KIT LEAD TRIAL 60CM 3086 $498.33C1897 10500C1897 KIT LEAD TRIAL COMPACT 3874-45 $440.33C1897 10500C1897 KIT LEAD VECTRIS 977D260 $233.33

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364SU270 KIT LIGATOR *** $32.50364SU272 KIT LIGATOR 6-BAND 9.5-13 $52.50364SU270 KIT LINEN $7.80364SU270 KIT MAGELLAN DISP TRU300 $75.00364SU270 KIT MANIFOLD K09-11245C $9.56364SU270 KIT MEMBRANING RADIO 904-308 $3.83

C1773 10501C1773 KIT MICROSNARE AMPLATZ SK401 $188.33C1773 10501C1773 KIT MICROSNARE AMPLATZ SK700 $188.33C1773 10501C1773 KIT MICROSNARE AMPLATZ SK701 $188.33

364SU270 KIT MINI BREVI-XL $18.49364SU270 KIT MIX 206-15 $7.75364SU270 KIT MONITOR PRESSURE TRUWAVE $1.33364SU270 KIT MRI INJECTOR SYSTEM SSQK65 $1.97364SU270 KIT NASAL CANULA SMALL $2.06364SU272 KIT ONCOLOGY 12" EXT CH3943 $1.99

C1713 10500C1713 KIT OSTEOSET BEAD $361.67C1713 10500C1713 KIT OSTEOSET BEAD 25CC $545.00C1713 10500C1713 KIT OSTEOSET BEAD MINI $306.67

364SU270 KIT OXYGEN THERAPY RT329 $6.30364SU270 KIT OXYGEN THERAPY RT408 $7.83364SU270 KIT PATIENT WILSON 5322PV $6.26364SU270 KIT PATIENT WILSON 5322PV $6.26364SU270 KIT PEDIATRIC 2 LUMEN CENTRAL $3.98364SU270 KIT PEG ENDOVIVE 20 FR $38.00364SU270 KIT PERCLOSE PROGLIDE $56.25364SU270 KIT PERCUTANEOUS INTRODUCER $11.38364SU270 KIT PERICARDIOCENTESIS $27.06364SU270 KIT PIN-PLUG MEDTRONIC $16.00

C1729 10500C1729 KIT PLEURAL/PERI DRAIN 4992301 $15.67C1729 10500C1729 KIT PLEURAL/PERI DRAIN 4992301 $19.08C1729 10500C1729 KIT PLEURX CATH ACCESS 50-7280 $7.47

364SU270 KIT POST OP OSTOMY 4" 416915 $0.47C1757 10500C1757 KIT POWER PULSE 104834-0021 $11.33C1751 10500C1751 KIT POWERGLIDE PRO 18GX10CM $36.67

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C1751 10500C1751 KIT POWERGLIDE PRO 18GX8CM $32.00C1751 10500C1751 KIT POWERGLIDE PRO 20GX10CM $32.00

364SU270 KIT POWERLOC MAX 22G 2142275 $2.05364SU270 KIT PREP CEMENT $18.00364SU270 KIT PREP HIP $29.69364SU270 KIT PRESSURE MONITOR K11-00096 $1.89364SU270 KIT PROBE SINERGY 17GA 75MM $187.50364SU270 KIT PROCEDURE DISPOSABLE $350.00364SU270 KIT PROCEDURE EDGE 180 $394.65364SU270 KIT PROCEDURE EWC EDGE 90 $394.65364SU270 KIT PROCEDURE HYSTERSCOPIC $68.75

C1787 10500C1787 KIT PROGRAMMER $317.33364SU270 KIT PROGRAMMER $238.00

C1787 10500C1787 KIT PROGRAMMER SC-5500-4 $317.33C1820 10500C1820 KIT PULSE GENERATOR $5,227.50

364SU270 KIT PUSHLOCK 2.9MM AR-1923DS $62.50364SU270 KIT Q-FIX 1.8MM 25-1810 $137.50

C1713 10500C1713 KIT QUICKSET 5CC ABS-3005 $513.33364SU270 KIT REFILL 3000 $5.80

C1713 10500C1713 KIT REPAIR TIGHTROPE AR-2257 $214.33364SU270 KIT REPAIR TIGHTROPE AR-8911DS $187.50364SU270 KIT SHOULDER DEVICE POSITION $10.11364SU270 KIT SHOULDER SUSPENSION $9.71364SU270 KIT SPINE PATIENT CARE 5808PV $7.26364SU270 KIT SPIROMETRY ACCESSORY $2.54

C1713 10500C1713 KIT STAPLE STAPIX SK101010 $495.00364SU270 KIT STARTER PLEURX 50-0071 $82.59364SU270 KIT STIFFER W/STYLET $33.75364SU270 KIT STIMILATOR TRIAL $15.84364SU270 KIT STYLET 52CM DS06001 $13.00364SU270 KIT STYLET 52CM DS06002 $27.00364SU270 KIT STYLET 58CM DS06002 $27.00364SU270 KIT STYLET PVOT 4141/58CM $19.00364SU270 KIT STYLET RVOT 4141/52CM $19.00

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364SU270 KIT STYLET RVOT 4151/52 $19.00364SU270 KIT STYLET W/CAP $33.75

C1713 10500C1713 KIT SUBCHONDROPLASTY 402.202 $1,000.00364SU272 KIT SUTURE Q-FIX 1.8MM $168.75364SU270 KIT SUTURE REMOVAL LATEX FREE $0.08364SU270 KIT SUTURETAK 3MM AR-1934DS-2 $57.25364SU270 KIT SYNCHROMED REFILL 8551 $3.33364SU270 KIT SYSTEM CHARGING SC-6412-3 $797.33364SU270 KIT TRANSPAC II MONT DOUBLE $35.38364SU270 KIT TRIPORT+ WA58010T $91.58364SU270 KIT TRUMATCH ATTUNE 420946 $200.00364SU270 KIT TRUMATCH LEFT 420945 $200.00364SU270 KIT TUBE OPTIFLOW JUNIOR RT330 $9.20364SU270 KIT TURBINE DISP WW4421PB $0.22364SU270 KIT UNIVERSAL ATRIAL DS06001 $13.00364SU270 KIT URETERAL INFRAVISION $41.75364SU270 KIT VAC DEL OMNI-C VAC6000C $5.72364SU270 KIT VAC DEL OMNICUP VAC6000M $4.03364SU270 KIT VAC DEL PROCUP VAC-6000S $4.03364SU270 KIT VACUUM DELIVERY $3.75364SU270 KIT VERSA-KATH 181-2112 $19.26364SU270 KIT VERTEBREAL $131.25

C2631 10500C2631 KIT VESICA SLING M0068201300 $168.41364SU270 KIT VETEBRAPLAST BASIC $125.00364SU270 KIT WASTE MANAGEMENT K10-03039 $1.50364SU270 KIT WOUND DRAINAGE 3/32 $1.26364SU270 KIT WRENCH $7.20364SU270 KIT WRENCH & SCREW INTERSTIM $12.00364SU270 KIT WRENCH ASSEMBLY 442-2 $3.00364SU270 KNEE PAD (ICEMAN) $8.00364SU270 KNEE SLEEVE MED. $1.67364SU270 KNEE SUPPORT GENUTRAIN $6.28

C1776 10500C1776 KNEE SYSTEM CEMENTED $2,700.45C1776 10500C1776 KNEE SYSTEM HYBRID $2,110.33

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C1776 10500C1776 KNEE SYSTEM ZIMMER $1,657.67364SU270 KNIFE BANANA NON-SERRATED $42.53364SU270 KNIFE BAYONET 193MM 675.405S $222.50364SU270 KNIFE ELECTRODE 24 FR $31.67364SU270 KNIFE LIGAMENT RETROGRADE $123.75364SU270 KNIFE LIGHT $32.20364SU270 KNIFE ROUND STEM $35.94364SU270 KNIFE SACHSE STEM $33.78364SU270 K-PAD 12X17 DISP LATEX FREE $1.38364SU270 K-PAD 14X20 DISP LATEX FREE $1.50364SU270 K-PAD 18X24 LATEX FREE $1.50364SU270 K-PAD 4 3/4 X 19 LATEX FRE $1.33364SU270 K-WIRE .035X5.75 WS-0906ST $3.00364SU270 K-WIRE .045 WS-1106ST $2.17364SU272 K-WIRE .045" AR-8737-04 $3.58364SU270 K-WIRE .045MM AR-8932K $1.67364SU272 K-WIRE .054 WS-1406ST $4.17364SU270 K-WIRE .062 WS-1607ST $3.00364SU272 K-WIRE .80X70MM KW-1105 $3.50364SU272 K-WIRE 1.0X150MM 44112000 $8.60364SU270 K-WIRE 1.15MM KN1116 $5.40364SU272 K-WIRE 1.1MM SS OLIVE ORTHOPRO $10.00364SU270 K-WIRE 1.20MM KN1117 $6.00364SU270 K-WIRE 1.25X150 00-4901-012-15 $13.44364SU270 K-WIRE 1.2X100MM 45-30015 $4.15364SU270 K-WIRE 1.2X150MM P99-192-1215 $5.60364SU270 K-WIRE 1.2X70MM AGK0212070 $8.48364SU270 K-WIRE 1.3X150 80-2039 $2.50364SU270 K-WIRE 1.4MM 500036 $8.60364SU272 K-WIRE 1.4MMX18IN 9080B-18U $32.25364SU272 K-WIRE 1.4X150 P991921415 $7.20364SU270 K-WIRE 1.6 P99-192-1615 $5.60364SU270 K-WIRE 1.6MM MFT-040-16 $6.60364SU272 K-WIRE 1.6MM SS KWO62SS $3.33

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364SU270 K-WIRE 1.6X100MM AGK16100 $8.48364SU270 K-WIRE 1.6X150 00-4901-016-15 $13.44364SU272 K-WIRE 1.6X200MM P99-192-1623 $7.20364SU270 K-WIRE 11.1X150 P991921115 $5.60364SU270 K-WIRE 12.0X150 00-4901-020-15 $13.44364SU272 K-WIRE 16MM X 6 INCH $3.33364SU270 K-WIRE 2.0 P99-192-2015 $7.20364SU272 KWIRE 2.0X152 KW20SS $6.08364SU270 K-WIRE 2.3 P99-192-2323 $5.60364SU270 K-WIRE 2.3X23 P99-193-2323 $7.20364SU272 K-WIRE 2.3X300 P99-192-2330 $5.60364SU270 K-WIRE 2.5 KN1115 $6.00364SU270 K-WIRE 2.5X150 58862515 $7.00364SU270 K-WIRE 2.5X270MM 707092502 $7.20364SU272 K-WIRE 2MM SMOOTH AR-8945K $1.67364SU270 K-WIRE 2X280MM 290.20.280 $3.03364SU270 K-WIRE 3.0 KW-1115 $3.50364SU270 K-WIRE 5.0 K250-200 $8.00364SU270 K-WIRE 5.0 LG K250-205 $8.00364SU272 K-WIRE 6" 1642-06-062 $0.83364SU270 K-WIRE AR-8737-01 $3.58364SU270 K-WIRE K250-205 $8.00364SU270 K-WIRE MINI .9MM MXM-040-09 $5.20364SU270 K-WIRE MINI 0.9 P99-192-0915 $7.20364SU270 K-WIRE OLIVE 1.8MM P992021810 $36.00

C1713 10500C1713 K-WIRE OLIVE 400MM 12220023 $113.67364SU272 KWIRE SHARP ES2 48280233 $19.00364SU270 K-WIRE SMOOTH 1.4MM P991921423 $7.20

C1713 10500C1713 K-WIRE SMOOTH 400MM 12220021 $87.67364SU272 K-WIRE THREAD BLUNT 6133.0399S $49.50364SU272 KWIRE TROCAR .045MM $7.10364SU270 K-WIRE W/17MM STOP 56-40281 $4.13364SU270 KXPHON XPANDER 15/3 KX153 $408.44364SU270 KXPHON XPANDER 20/3 KX203 $408.44

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364SU270 LAG DRILL SURGIBIT 2.7 80-2502 $40.75364SU270 LAPAROSCOPY SCISSOR TIP $7.92364SU270 LAPSAC 2"X5" 50ML G15738 $8.10364SU270 LAPSAC TISSUE POUCH 8X10G11327 $16.50364SU270 LATCH ASSIST $0.86

C1900 10500C1900 LEAD ACUITY X4 4675 $934.00C1900 10500C1900 LEAD ACUITY X4 86CM ST 4671 $934.00C1900 10500C1900 LEAD ACUITY X4 STR 95CM 4672 $1,004.33C1896 10500C1896 LEAD CAMERON Q-TRAK 3400 $2,000.00

364SU270 LEAD CAP KIT $5.40C1898 10500C1898 LEAD CAPSURE SENSE 4074-58 $171.67C1896 10500C1896 LEAD EMBLEM 45CM S-ICD 3401 $1,840.00

364SU270 LEAD END CAP KIT $3.33C1777 10500C1777 LEAD ENDOTAK RELIANCE 0292 $1,577.00C1777 10500C1777 LEAD ENDOTAK RELIANCE SG 64CM $1,577.00

364SU270 LEAD INTRODUCER $14.60C1894 10500C1894 LEAD INTRODUCER 10.5FR $17.33C1898 10500C1898 LEAD INVEVITY 7740 45CM $242.33C1898 10500C1898 LEAD INVEVITY 7741 52CM $242.33C1778 10500C1778 LEAD KIT NEURO 3778-60 $795.00C1900 10500C1900 LEAD PACE ACUITY X4 86CM 4674 $1,004.33C1898 10500C1898 LEAD PACE INGEVITY 59CM 7742 $242.33C1898 10500C1898 LEAD PACE INGEVITY 7731-52 $242.33C1898 10501C1898 LEAD PACE INGEVITY 7735-45 $260.67C1898 10500C1898 LEAD PACEMAKER 5086MRI52 $308.33C1898 10500C1898 LEAD PACEMAKER 5086MRI58 $308.33C1898 10500C1898 LEAD PACING 4456 52CM $194.00C1898 10500C1898 LEAD PACING 4457 58CM $194.00C1898 10500C1898 LEAD PACING 52CM 4473 $200.00C1778 10500C1778 LEAD PATIENT 3873-60 $440.33C1895 10501C1895 LEAD TV RELIANCE 0295 $1,695.67C1900 10500C1900 LEADS EASYTRAK2 4543 $775.00

364SU270 LEG BAG MENTOR $1.33364SU270 LEGGING LITHOTOMY $0.41

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364SU270 LENS MORGAN LATEX FREE $6.11364SU270 LIFEBAND 8700-0706-01 $31.25364SU270 LIGACLIP MCA APPLIER MEDIUM $8.50364SU270 LIGACLIP MCA LARGE APPLIER $8.60364SU270 LIGACLIP MCS SMALL $8.47364SU270 LIGASURE IMPACT INSTR. $86.14364SU270 LIGASURE L-HOOK LF5644 $164.89364SU270 LIGATOR MULTI-BAND HMBL-4 $7.50364SU270 LINE SAMPLING CO2 108210 $5.05364SU270 LINE SAMPLING CO2 108210 $5.11364SU270 LINE SAMPLING NASAL ADULT $0.19364SU270 LINE SAMPLING NASAL PED $0.67364SU270 LINEAR STAPLER RELOAD $8.04

C1776 10500C1776 LINER 36MM $449.00C1776 10500C1776 LINER ACETAB +4 1221-36-154 $1,806.33C1776 10500C1776 LINER ACETAB +4 1221-36-166 $396.00C1776 10500C1776 LINER ACETAB +4 1221-36-452 $450.00C1776 10500C1776 LINER ACETAB +4 1221-36-456 $396.00C1776 10500C1776 LINER ACETAB +4MM 1221-36-162 $396.00C1776 10500C1776 LINER ACETAB 32X48 122132048 $396.00C1776 10500C1776 LINER ACETAB 36MM 00885101336 $1,109.00C1776 10500C1776 LINER ACETAB 36MM 010000741 $357.33C1776 10500C1776 LINER ACETAB 36MM 010000856 $516.67C1776 10500C1776 LINER ACETAB 36MM 1221-36-052 $396.00C1776 10500C1776 LINER ACETAB 36MM 1221-36-058 $396.00C1776 10500C1776 LINER ACETAB 36MM E 010000857 $516.67C1776 10500C1776 LINER ACETAB 36MM F 010000858 $516.67C1776 10500C1776 LINER ACETAB 36X58 875501336 $573.33C1776 10500C1776 LINER ACETAB 36X60 1221-36-460 $396.00C1776 10500C1776 LINER ACETAB C 32MM 010000847 $1,122.33C1776 10500C1776 LINER ACETAB HIP G7 $516.67C1776 10500C1776 LINER ACETAB S.H 32-6732-88-01 $520.13C1776 10500C1776 LINER ACETAB. $458.33C1776 10500C1776 LINER ACTAB 36MM 1221-36-164 $396.00

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C1776 10500C1776 LINER ACTAB 36X64 1221-36-064 $396.00C1776 10500C1776 LINER CONSTRAINED 28X50MM $993.40C1776 10500C1776 LINER POLY 36MM 00434906500 $333.33C1776 10500C1776 LINER POLY PLUS 0 00434903600 $333.33

364SU270 LINK CENTERED PARTIAL MALLEABL $81.50364SU270 LMA 1 $1.46364SU270 LMA 1.5 $1.13364SU270 LMA 1.5 $1.13364SU270 LMA 2 $1.46364SU270 LMA 2.5 $1.13364SU270 LMA 5 DISP $1.46364SU270 LMA UNIQUE SIZE 2.0 125020 $1.19364SU270 LMA UNIQUE SIZE 2.5 125025 $1.01364SU270 LMA UNIQUE SIZE 3.0 125030 $1.01364SU270 LMA UNIQUE SIZE 4 125040 $1.01364SU270 LMA UNIQUE SIZE 5.0 125050 $1.01364SU270 LOADING UNIT 2.5 030451 $87.50364SU270 LOC EXTENSION 52260 $8.67364SU270 LOOP CUTTING MONOPOLAR 24FR $32.03364SU270 LOOP ELECTRODE $2.50364SU270 LOOP ELECTRODE LATEX FREE $2.50364SU270 LOOP ELECTRODE LATEX FREE $2.50

C1764 10500C1764 LOOP RECORDER $1,033.33C1764 10500C1764 LOOP RECORDER 398493 $1,500.00C1764 10500C1764 LOOP RECORDER CONFIRM DM2100 $1,166.67

364SU270 LOOP VESSEL MINI WHITE 2/PK $0.25364SU270 LUBRICATOR DIFFUSER $3.00364SU270 LUQUE WIRE W/LOOPS .048 $9.17

C1776 10500C1776 MALLORY HEAD $1,204.00C1776 10500C1776 MALLORY HEAD $1,856.67

364SU270 MANIFOLD 4-PORT LATEX FREE $2.37364SU270 MANIPULATOR UTERINE $5.92364SU270 MANOMETER INFLATION W/SYRINGE $5.84364SU270 MANOMETER PRESSURE DISPOSABLE $0.80

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C1781 10500C1781 MARLEX MESH 3"X6" LATEX FREE $13.27364SU270 MASK BILI MEDIUM LATEX FREE $0.37364SU270 MASK BILI SMALL $0.55

A7034 10500A7034 MASK COMFORTGEL BLUE L 1070054 $1.50A7034 10500A7034 MASK COMFORTGEL BLUE M 1070055 $1.50A7034 10500A7034 MASK COMFORTGEL BLUE P 1070057 $1.50A7034 10500A7034 MASK COMFORTGEL BLUE S 1070056 $1.50

364SU270 MASK CPAP PETITE 1009040 $8.40364SU270 MASK FACE FOAM (7429) $3.70364SU270 MASK FACE LARGE $0.22364SU270 MASK FACE MEDIUM ADULT $0.21364SU270 MASK FACE SMALL LATEX FREE $0.26364SU270 MASK INFANT OXYGEN LATEX FREE $0.57364SU270 MASK INFLATABLE TODDLER SZ 3 $0.22364SU270 MASK NASAL INF XL 777002XL $3.33364SU270 MASK NASAL INF XS 777002XS $3.33364SU270 MASK NASAL INFANT LG 777002L $3.25364SU270 MASK NASAL INFANT MED 777002M $3.17364SU270 MASK NASAL INFANT S 777002S $3.17364SU270 MASK NASAL INFANT SM 777000S $0.80364SU270 MASK NASAL LARGE $3.00364SU270 MASK NASAL LG A7034 $11.96364SU270 MASK NASAL PED W/CIRCUIT $14.66364SU270 MASK NON-REBREATHER PED HIGH $0.50364SU270 MASK ORO-NASAL LARGE 1072629 $3.94364SU270 MASK ORO-NASAL MED 1072628 $3.94364SU270 MASK ORO-NASAL SMALL 1072627 $3.94364SU270 MASK PERFORMATRAK MEDIUM $3.86364SU270 MASK PERFORMAX FULL FACE ADULT $7.83364SU270 MASK PERFORMAX FULL FACE SM AD $7.60364SU270 MASK RESUS/MANOMETER/ADULT $1.83364SU270 MASK RESUSITATOR #3 $0.93364SU270 MASK SAFE RESPONSE ADULT $1.56364SU270 MASK SAFE RESPONSE INFANT $0.30

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364SU270 MASK TRUFIT ADULT M-3147-10 $5.20364SU270 MASTISOL $0.27

Q4118 10500Q4118 MATRISTEM MICROMATRIX 20MG $14.28Q4118 10500Q4118 MATRISTEM MICROMATRIX 500MG $413.00Q4114 10501Q4114 MATRIX WOUND FLOWABLE FWD301 $1,880.67C1776 10500C1776 MBT REV THICK 3,15MM 129435315 $2,855.60C1713 10500C1713 MENISCAL CINCH AR-4500 $136.00C1781 10500C1781 MESH $203.33C1781 10500C1781 MESH 11X16CM T1116-8X0 $141.67C1781 10500C1781 MESH 14X15CM T1415-5 $241.67C1781 10500C1781 MESH 4.8 ROUND $160.00C1762 10500C1762 MESH ALLOMAX 7CMX10CM $695.60C1781 10500C1781 MESH ANATOMICAL RIGHT 6X4 $56.68C1781 10500C1781 MESH CENTRIFX 4.1X6.3" 31396 $55.67C1781 10500C1781 MESH CENTRIFX MEDIUM 31395 $103.33C1781 10500C1781 MESH C-QUR FX 2.5X5.5 31311 $37.68C1781 10500C1781 MESH EASEGRIP 4.7"X3.1" $50.00C1781 10500C1781 MESH FOR INGUINAL HERNIA LEFT $50.00C1781 10500C1781 MESH FOR INGUINAL HERNIA LEFT $98.54C1781 10500C1781 MESH HERNIA LARGE LEFT $50.00C1781 10500C1781 MESH HERNIA LARGE RIGHT $50.00C1781 10500C1781 MESH HERNIA MED LEFT $45.87C1781 10500C1781 MESH HERNIA MEDIUM RIGHT $45.87C1781 10500C1781 MESH HERNIA VENTRIO 0010303 $390.00C1781 10500C1781 MESH INGUARAL HERNIA RIGHT $96.57C1781 10500C1781 MESH KNITTED 5.2X3 $42.55C1781 10500C1781 MESH KNITTED 6X6 $51.74C1781 10500C1781 MESH KUGEL MEDIUM OVAL $75.58C1781 10500C1781 MESH KUGEL SMALL OVAL 8CMX12CM $74.51C9363 10500C9363 MESH MATRIX WOUND 2X2 MWM2021 $1,427.00C1713 10500C1713 MESH MICRO BONE 60X60X0.1MM $156.37C1781 10500C1781 MESH PARIETEX 5.5X3.5 TEM1409G $116.67C1781 10500C1781 MESH PERFIX PLUG LG 0112770 $49.87C1781 10500C1781 MESH PERFIX PLUG MED 0112760 $48.87

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C1781 10500C1781 MESH PERFIX PLUG XLG 0112780 $60.92C1781 10500C1781 MESH POLYESTER PARIETEX LEFT $42.31C1781 10500C1781 MESH POLYESTER PARIETEX RIGHT $42.31C1781 10500C1781 MESH ROUND 3.6" $130.41C1781 10500C1781 MESH SYMBOTEX 15CM SYM15 $193.76C1781 10500C1781 MESH SYMBOTEX 15X10 SYM1510 $148.03C1781 10500C1781 MESH SYMBOTEX 37X28 SYM3728 $676.57C1781 10500C1781 MESH SYMBOTEX 9CM SYM9 $107.94C1781 10500C1781 MESH SYMBOTEX SYM12 $98.96C1781 10500C1781 MESH SYMBOTEX SYM2015 $256.95C1781 10500C1781 MESH SYMBOTEX SYM2515E $360.93C1781 10500C1781 MESH SYMBOTEX SYM2520 $444.51C1781 10500C1781 MESH SYMBOTEX SYM3020 $493.44C1781 10500C1781 MESH SYMBOTEX SYM3020 $493.44

364SU270 METER PEAK FLOW LOW RANGE $1.17364SU270 METER PEAKFLOW LATEX FREE $1.33364SU270 MICROCATH $143.55

C1887 10500C1887 MICROCATH CANTA 2.5F 135CM $125.00C1887 10500C1887 MICROCATH VELOCITY 160 CM $363.33Q4118 10500Q4118 MICROMATRIX 1000MG PER 1 MG $756.00

364SU270 MILL DISP. MED 5400-701-000 $66.69364SU270 MIRAGE ACTIVA SLM LG 60146 $1.50364SU270 MIRAGE ACTIVA SLM STD 60145 $1.50364SU270 MIXER CEMENT 658.919S $20.00

C1776 10500C1776 MLRY-HD POR FMRL 12X165MM $1,423.33364SU270 MODEL BONE GLENOID 110004347 $400.00

C1776 10500C1776 MODULAR CUP $866.67C1776 10500C1776 MODULAR HEAD $233.33C1776 10500C1776 MODULAR HEAD $352.67C1776 10500C1776 MODULAR HEAD $450.00C1776 10500C1776 MODULAR HEAD $523.00C1776 10500C1776 MODULAR HEAD 12-115115 $450.00C1776 10500C1776 MODULAR HEAD 12-115116 $450.00C1776 10500C1776 MODULAR HEAD 12-115117 $450.00

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C1776 10500C1776 MODULAR HEAD 12-115121 $383.33C1776 10500C1776 MODULAR HEAD 12-115123 $383.33C1776 10500C1776 MODULAR HEAD 28MM +3 NK $450.00C1776 10500C1776 MODULAR HEAD 28MM -3 NK $450.00C1776 10500C1776 MODULAR HEAD -3 NECK $509.33C1776 10500C1776 MODULAR HEAD 32MM $233.33C1776 10500C1776 MODULAR HEAD 32MM +12MM NK $294.67C1776 10500C1776 MODULAR HEAD 32MM +9MM NK $233.33C1776 10500C1776 MODULAR HEAD 32MM -6MM 163667 $233.33C1776 10500C1776 MODULAR HEAD 32MM 6MM NECK $233.33C1776 10500C1776 MODULAR HEAD 32MM STD NK $233.33C1776 10500C1776 MODULAR HEAD 34A 21-108110 $2,398.33C1776 10500C1776 MODULAR HEAD 35X3MM $383.33C1776 10500C1776 MODULAR HEAD 36MM $233.33C1776 10500C1776 MODULAR HEAD 36MM +12MM NK $233.33C1776 10500C1776 MODULAR HEAD 36MM +9MM NK $233.33C1776 10500C1776 MODULAR HEAD 36MM 11-363662 $233.33C1776 10500C1776 MODULAR HEAD 36MM 12-115122 $450.00C1776 10500C1776 MODULAR HEAD 36MM -3MM $233.33C1776 10500C1776 MODULAR HEAD 41MM $122.33C1776 10500C1776 MODULAR HEAD 42MM $147.33C1776 10500C1776 MODULAR HEAD 42MM $501.33C1776 10500C1776 MODULAR HEAD 43MM $183.33C1776 10500C1776 MODULAR HEAD 44MM $183.33C1776 10500C1776 MODULAR HEAD 44MM $501.33C1776 10500C1776 MODULAR HEAD 45MM $100.00C1776 10500C1776 MODULAR HEAD 46MM $100.00C1776 10500C1776 MODULAR HEAD 46MM $531.67C1776 10500C1776 MODULAR HEAD 47MM $100.00C1776 10500C1776 MODULAR HEAD 48MM $100.00C1776 10500C1776 MODULAR HEAD 48MM $531.67C1776 10500C1776 MODULAR HEAD 49MM $183.33C1776 10500C1776 MODULAR HEAD 50MM $183.33C1776 10500C1776 MODULAR HEAD 50MM $501.33

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C1776 10500C1776 MODULAR HEAD 51MM $100.00C1776 10500C1776 MODULAR HEAD 52MM $183.33C1776 10500C1776 MODULAR HEAD 52MM $501.33C1776 10500C1776 MODULAR HEAD 53MM $100.00C1776 10500C1776 MODULAR HEAD 54MM $130.00C1776 10500C1776 MODULAR HEAD 54MM $501.33C1776 10500C1776 MODULAR HEAD 55MM $100.00C1776 10500C1776 MODULAR HEAD 56MM $501.33C1776 10500C1776 MODULAR HEAD -6 NECK $524.67C1776 10500C1776 MODULAR HEAD ENDO II SZ 56 $146.00C1776 10500C1776 MODULAR HEAD ENDO II SZ 57 $109.50C1776 10500C1776 MODULAR HEAD ENDO II SZ 58 $183.33C1776 10500C1776 MODULAR HEAD ENDO II SZ 59 $146.00C1776 10500C1776 MODULAR HEAD ENDO II SZ 60 $147.33C1776 10500C1776 MODULAR HEAD ENDO II SZ 61 $146.00C1776 10500C1776 MODULAR HEAD SHOULDER 113034 $523.00C1776 10500C1776 MODULAR HEAD STD. NECK $320.00C1776 10500C1776 MODULAR REACH SIZE 5 $1,735.33C1776 10500C1776 MODULAR REV SYS 11-301103 $1,997.00C1776 10500C1776 MODURAL HEAD 28MM STD NK $450.00C1776 10500C1776 MOLD SPACER HIP 60MM 431184 $317.00

364SU270 MONITORING LINE 72 INCH $0.24364SU270 MONITORING LINE LATEX FREE $0.23364SU270 MORCELLATOR HYSTERSCOPIC $107.50364SU270 MORCELLATOR HYSTERSCOPIC $182.50364SU270 MOUTHPIECE ISOLITE LARGE $0.33364SU270 MOUTHPIECE ISOLITE PEDO $0.33364SU270 MOUTHPIECE ISOLITE SMALL $0.42364SU270 MOXY FIBER 10-2400 $502.95

C1713 10500C1713 MTP DISC 19X5MM PMTP-19005 $1,020.00C1713 10500C1713 MTP DISC 21X5MM PMTP-21005 $1,020.00

364SU270 MUL-T-BLANKET DHP810 $1.58L4398 10500L4398 MULTIBOOT MEDIUM $6.14L4398 10500L4398 MULTIBOOT SMALL 63145 $15.55

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L4398 10500L4398 MULTIBOOT XLARGE $6.14C1713 10500C1713 MULTIFIX PEEK 5.5MM OM-2300 $110.93A9577 10500A9577 MULTIHANCE 15ML $8.37A9577 10500A9577 MULTIHANCE 20ML $11.16C1713 10500C1713 MULTISCREW 2.3X10 3004-23010 $35.00C1713 10500C1713 MULTISCREW 2.3X11MM 3004-23011 $36.00C1713 10500C1713 MULTISCREW 2.3X12MM 3004-23012 $36.00C1713 10500C1713 MULTISCREW 2.3X13 3004-23013 $36.00C1713 10500C1713 MULTISCREW 2.3X14 3004-23014 $36.00C1713 10500C1713 MULTISCREW 2.3X9MM 3004-23009 $36.00C1760 10500C1760 MYNX GRIP 6/7F VASC CLOS DEVIC $76.67C1760 10500C1760 MYNXGRIP VAXC CLOS MX5021 $76.67C1713 10500C1713 NAIL 3.5MM 440MM 475.935S $139.88C1713 10500C1713 NAIL 4.0MM 440MM 475.940 $109.67C1713 10500C1713 NAIL 440MMX3MM STERILE $89.28C1713 10500C1713 NAIL 7MM TI HUMERAL CANN $664.47C1713 10500C1713 NAIL ANKLE HG 99-T77025 $1,216.67C1713 10500C1713 NAIL ARTHRODESIS 10X180MM RT $556.47C1713 10500C1713 NAIL BEMORAL 10X400 04037061S $728.93C1713 10500C1713 NAIL CANN TI 10MM 04.008.028S $494.67C1713 10500C1713 NAIL CANN TI 10MM 04.008.078S $573.16C1713 10500C1713 NAIL CANN TIBIAL 10X330 $452.90C1713 10500C1713 NAIL CANN TIBIAL 10X345 $452.90C1713 10500C1713 NAIL CANN TIBIAL 10X360 $468.27C1713 10500C1713 NAIL CANN TIBIAL 10X375 $452.90C1713 10500C1713 NAIL CANN TIBIAL 10X390 $452.90C1713 10500C1713 NAIL CANN TIBIAL 10X405 $403.33C1713 10500C1713 NAIL CANN TIBIAL 10X420 $524.07C1713 10500C1713 NAIL CANN TIBIAL 11X270 $403.33C1713 10500C1713 NAIL CANN TIBIAL 11X285 $445.87C1713 10500C1713 NAIL CANN TIBIAL 11X300 $445.87C1713 10500C1713 NAIL CANN TIBIAL 11X315 $445.87C1713 10500C1713 NAIL CANN TIBIAL 11X330 $424.80C1713 10500C1713 NAIL CANN TIBIAL 11X345 $524.07

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C1713 10500C1713 NAIL CANN TIBIAL 11X360 $524.07C1713 10500C1713 NAIL CANN TIBIAL 11X375 $452.90C1713 10500C1713 NAIL CANN TIBIAL 11X390 $452.90C1713 10500C1713 NAIL CANN TIBIAL 11X405 $403.33C1713 10500C1713 NAIL CANN TIBIAL 11X420 $468.27C1713 10500C1713 NAIL CANN TIBIAL 12X270 $403.33C1713 10500C1713 NAIL CANN TIBIAL 12X285 $403.33C1713 10500C1713 NAIL CANN TIBIAL 12X300 $469.20C1713 10500C1713 NAIL CANN TIBIAL 12X315 $468.27C1713 10500C1713 NAIL CANN TIBIAL 12X330 $403.33C1713 10500C1713 NAIL CANN TIBIAL 12X345 $403.33C1713 10500C1713 NAIL CANN TIBIAL 12X360 $468.27C1713 10500C1713 NAIL CANN TIBIAL 12X375 $403.33C1713 10500C1713 NAIL CANN TIBIAL 12X390 $424.80C1713 10500C1713 NAIL CANN TIBIAL 12X405 $403.33C1713 10500C1713 NAIL CANN TIBIAL 12X420 $403.33C1713 10500C1713 NAIL CANN TIBIAL 13X270 $558.36C1713 10500C1713 NAIL CANN TIBIAL 13X285 $403.33C1713 10500C1713 NAIL CANN TIBIAL 13X300 $403.33C1713 10500C1713 NAIL CANN TIBIAL 13X315 $403.33C1713 10500C1713 NAIL CANN TIBIAL 13X330 $403.33C1713 10500C1713 NAIL CANN TIBIAL 13X345 $403.33C1713 10500C1713 NAIL CANN TIBIAL 13X360 $403.33C1713 10500C1713 NAIL CANN TIBIAL 13X375 $403.33C1713 10500C1713 NAIL CANN TIBIAL 13X390 $403.33C1713 10500C1713 NAIL CANN TIBIAL 13X405 $403.33C1713 10500C1713 NAIL CANN TIBIAL 13X420 $403.33C1713 10500C1713 NAIL ELASTIC 2.0 475.920 $76.45C1713 10500C1713 NAIL FEM 11MM LEFT 04.037.161S $728.93C1713 10500C1713 NAIL FEM 11MM RT 04.037.158S $728.93C1713 10500C1713 NAIL FEM 11MM RT 04.037.160S $728.93C1713 10500C1713 NAIL FEM 12X380 04.037.258S $728.93C1713 10500C1713 NAIL FEM 12X400 04.037.260S $728.93C1713 10500C1713 NAIL FEM 13X38 47249238113 $548.57

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C1713 10500C1713 NAIL FEM 13X42 47-2493-420-13 $718.20C1713 10500C1713 NAIL FEM 14MM LT 04.037.463S $728.93C1713 10500C1713 NAIL FEM TFN 11X170 04037142S $520.10C1713 10500C1713 NAIL FEM TFN 12X340 04037255S $728.93C1713 10500C1713 NAIL FEMORAL $416.83C1713 10500C1713 NAIL FEMORAL 10X300 $463.33C1713 10500C1713 NAIL FEMORAL 10X320 $598.32C1713 10500C1713 NAIL FEMORAL 10X340 $479.40C1713 10500C1713 NAIL FEMORAL 10X360 $517.07C1713 10500C1713 NAIL FEMORAL 10X360MM $459.67C1713 10500C1713 NAIL FEMORAL 10X38 47249338110 $718.20C1713 10500C1713 NAIL FEMORAL 10X380 $517.07C1713 10500C1713 NAIL FEMORAL 10X400 $463.33C1713 10500C1713 NAIL FEMORAL 10X420 $517.07C1713 10500C1713 NAIL FEMORAL 10X440 $463.33C1713 10500C1713 NAIL FEMORAL 10X460 $463.33C1713 10500C1713 NAIL FEMORAL 10X480 $463.33C1713 10500C1713 NAIL FEMORAL 11.5X38CM 125D $718.20C1713 10500C1713 NAIL FEMORAL 11MM $310.33C1713 10500C1713 NAIL FEMORAL 11MM 04.037.154S $728.93C1713 10500C1713 NAIL FEMORAL 11X130 04037156S $728.93C1713 10500C1713 NAIL FEMORAL 11X130 04037156S $728.93C1713 10500C1713 NAIL FEMORAL 11X300 $463.33C1713 10500C1713 NAIL FEMORAL 11X320 $616.27C1713 10500C1713 NAIL FEMORAL 11X340 $510.00C1713 10500C1713 NAIL FEMORAL 11X340 04037155S $728.93C1713 10500C1713 NAIL FEMORAL 11X360 $534.67C1713 10500C1713 NAIL FEMORAL 11X380 $598.32C1713 10500C1713 NAIL FEMORAL 11X400 $517.07C1713 10500C1713 NAIL FEMORAL 11X420 $534.67C1713 10500C1713 NAIL FEMORAL 11X440 $463.33C1713 10500C1713 NAIL FEMORAL 11X460 $463.33C1713 10500C1713 NAIL FEMORAL 11X480 $463.33C1713 10500C1713 NAIL FEMORAL 12X300 $598.32

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C1713 10500C1713 NAIL FEMORAL 12X320 $509.07C1713 10500C1713 NAIL FEMORAL 12X340 $598.32C1713 10500C1713 NAIL FEMORAL 12X360 $534.67C1713 10500C1713 NAIL FEMORAL 12X380 $463.33C1713 10500C1713 NAIL FEMORAL 12X400 $534.67C1713 10500C1713 NAIL FEMORAL 12X420 $534.67C1713 10500C1713 NAIL FEMORAL 12X440 $463.33C1713 10500C1713 NAIL FEMORAL 12X460 $534.67C1713 10500C1713 NAIL FEMORAL 12X480 $463.33C1713 10500C1713 NAIL FEMORAL 13MM 47-249340013 $718.00C1713 10500C1713 NAIL FEMORAL 13MM 47249344013 $718.00C1713 10500C1713 NAIL FEMORAL 13X300 $463.33C1713 10500C1713 NAIL FEMORAL 13X320 $463.33C1713 10500C1713 NAIL FEMORAL 13X340 $517.07C1713 10500C1713 NAIL FEMORAL 13X36 47249336013 $718.20C1713 10500C1713 NAIL FEMORAL 13X360 $463.33C1713 10500C1713 NAIL FEMORAL 13X38 47249338013 $718.20C1713 10500C1713 NAIL FEMORAL 13X380 $463.33C1713 10500C1713 NAIL FEMORAL 14X360 04037456S $728.93C1713 10500C1713 NAIL FEMORAL 14X360 04037457S $728.93C1713 10500C1713 NAIL FEMORAL 14X380 04037458S $728.93C1713 10500C1713 NAIL FEMORAL 14X380 04037459S $728.93C1713 10500C1713 NAIL FEMORAL 47-2493-211-10 $477.17C1713 10500C1713 NAIL FEMORAL 9X300 $517.07C1713 10500C1713 NAIL FEMORAL 9X320 $463.33C1713 10500C1713 NAIL FEMORAL 9X340 $463.33C1713 10500C1713 NAIL FEMORAL 9X360 $463.33C1713 10500C1713 NAIL FEMORAL 9X380 $463.33C1713 10500C1713 NAIL FEMORAL 9X400 $476.00C1713 10500C1713 NAIL FEMORAL 9X420 $463.33C1713 10500C1713 NAIL FEMORAL 9X440 $463.33C1713 10500C1713 NAIL FEMORAL 9X460 $476.00C1713 10500C1713 NAIL FEMORAL 9X480 $463.33C1713 10500C1713 NAIL FEMORAL RECON 13MM $523.20

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C1713 10500C1713 NAIL FEMORAL TFN 04.037.XXX $728.93C1713 10500C1713 NAIL FEMORAL TI CANN 13X400MM $510.00C1713 10500C1713 NAIL FEMORAL TI CANN 13X420MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 13X440MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 13X460MM $532.93C1713 10500C1713 NAIL FEMORAL TI CANN 13X480MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 14X200MM $534.67C1713 10500C1713 NAIL FEMORAL TI CANN 14X300MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 14X320MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 14X340MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 14X360MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 14X380MM $517.07C1713 10500C1713 NAIL FEMORAL TI CANN 14X400MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 14X420MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 14X440MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 14X460MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 14X480MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 15X300MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 15X320MM $454.77C1713 10500C1713 NAIL FEMORAL TI CANN 15X340MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 15X360MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 15X380MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 15X400MM $510.00C1713 10500C1713 NAIL FEMORAL TI CANN 15X420MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 15X440MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 15X460MM $463.33C1713 10500C1713 NAIL FEMORAL TI CANN 15X480MM $463.33C1713 10500C1713 NAIL FEMORAL ZMS $198.33C1713 10500C1713 NAIL FIX 12MM/130 300MM LEFT $508.53C1713 10500C1713 NAIL FIX 12MM/130 300MM RIGHT $543.73C1713 10500C1713 NAIL FIX 12MM/130 320MM LEFT $640.71C1713 10500C1713 NAIL FIX 12MM/130 320MM RIGHT $640.71C1713 10500C1713 NAIL FIX 12MM/130 340MM RIGHT $572.53C1713 10500C1713 NAIL FIX 12MM/130 360 RIGHT $640.71

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C1713 10500C1713 NAIL FIX 12MM/130 400MM RIGHT $640.71C1713 10500C1713 NAIL FIX 12X380 LEFT $490.20C1713 10500C1713 NAIL FIX 12X380 LEFT $553.70C1713 10500C1713 NAIL FIX 12X380 RIGHT $553.70C1713 10500C1713 NAIL FIX 360X12 LEFT $572.53C1713 10500C1713 NAIL FIX 400X12 LEFT $640.71C1713 10500C1713 NAIL FIXATION 10MM $420.70C1713 10500C1713 NAIL FIXATION 10X130 340MM $589.87C1713 10500C1713 NAIL FIXATION 10X320MM 456.352 $703.04C1713 10500C1713 NAIL FIXATION 10X320MM 456.353 $508.53C1713 10500C1713 NAIL FIXATION 10X340MM 456.354 $682.56C1713 10500C1713 NAIL FIXATION 10X360 456.336S $572.53C1713 10500C1713 NAIL FIXATION 10X360MM 456.356 $589.87C1713 10500C1713 NAIL FIXATION 10X360MM 456.357 $589.87C1713 10500C1713 NAIL FIXATION 10X380MM 456.358 $703.04C1713 10500C1713 NAIL FIXATION 10X380MM 456.359 $589.87C1713 10500C1713 NAIL FIXATION 10X400MM 456.360 $589.87C1713 10500C1713 NAIL FIXATION 10X400MM 456.361 $682.56C1713 10500C1713 NAIL FIXATION 10X420 456.363S $589.87C1713 10500C1713 NAIL FIXATION 10X440 $310.33C1713 10500C1713 NAIL FIXATION 11X130 400MM $553.70C1713 10500C1713 NAIL FIXATION 11X130 320MM LT $524.10C1713 10500C1713 NAIL FIXATION 11X130 320MM/RT $470.58C1713 10500C1713 NAIL FIXATION 11X130 340MM/LFT $572.53C1713 10500C1713 NAIL FIXATION 11X130 340MM/RT $543.73C1713 10500C1713 NAIL FIXATION 11X130 360MM LT $553.70C1713 10500C1713 NAIL FIXATION 11X130 360MM/RT $640.71C1713 10500C1713 NAIL FIXATION 11X130 380MM LT $553.70C1713 10500C1713 NAIL FIXATION 11X130 380MM RT $553.70C1713 10500C1713 NAIL FIXATION 11X130 400MM LT $553.70C1713 10500C1713 NAIL FIXATION 11X130 420MM LT $572.53C1713 10500C1713 NAIL FIXATION 11X130 420MM RT $543.73C1713 10500C1713 NAIL FIXATION 11X170MM $434.93C1713 10500C1713 NAIL FIXATION 11X300MM 456.410 $524.10

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C1713 10500C1713 NAIL FIXATION 11X300MM 456.411 $524.10C1713 10500C1713 NAIL FIXATION 11X440MM 456.425 $572.53C1713 10500C1713 NAIL FIXATION 11X460MM 456.426 $508.53C1713 10500C1713 NAIL FIXATION 11X460MM 456.427 $572.10C1713 10500C1713 NAIL FIXATION 130X12MM LEFT $640.71C1713 10500C1713 NAIL FIXATION 170MM $434.93C1713 10500C1713 NAIL FIXATION 1MM $398.53C1713 10500C1713 NAIL FIXATION 235MM 456.325S $413.07C1713 10500C1713 NAIL FIXATION 235MM 456.328S $420.70C1713 10500C1713 NAIL FIXATION 235MM 456.511S $386.40C1713 10500C1713 NAIL FIXATION 420M RT 456.482S $640.71C1713 10500C1713 NAIL FIXATION 440M LT 456.485S $572.53C1713 10500C1713 NAIL FIXATION 440M RT 456.484S $572.10C1713 10500C1713 NAIL FIXATION 460M LT 456.487S $640.71C1713 10500C1713 NAIL FIXATION 460M RT 456.486S $572.10C1713 10500C1713 NAIL FIXATION TROCH $470.58C1713 10500C1713 NAIL HINDFOOT 180MM/LT ST $556.47C1713 10500C1713 NAIL HUMERAL 11MM 04.001.610S $684.45C1713 10500C1713 NAIL HUMERAL 7.5X220MM $463.54C1713 10500C1713 NAIL HUMERAL 7.5X270 $511.33C1713 10500C1713 NAIL HUMERAL 7MM $574.23C1713 10500C1713 NAIL HUMERAL 7MM X 210MM $536.70C1713 10500C1713 NAIL HUMERAL 9.5X270MM $431.20C1713 10500C1713 NAIL HUMERAL 9MM 04.001.426S $664.47C1713 10500C1713 NAIL HUMERAL 9MM 04.001.430S $664.47C1776 10500C1776 NAIL HUMERUS $525.00C1713 10500C1713 NAIL TFN 11MM 04.037.157S $728.93C1713 10500C1713 NAIL TFN 11MM 04.037.159S $728.93C1713 10500C1713 NAIL TFN 11X420 04.037.163S $728.93C1713 10500C1713 NAIL TFN 12X360MM 04.037.256S $728.93C1713 10500C1713 NAIL TFN 12X400MM 04037261S $728.93C1713 10500C1713 NAIL TFN 12X420MM 04.037.263S $728.93C1713 10500C1713 NAIL TFN 14X400MM 04.037.461S $728.93C1713 10500C1713 NAIL TFNA 10X170 04.037.042S $520.10

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C1713 10500C1713 NAIL TFNA 10X300 LT 04.037051S $728.93C1713 10500C1713 NAIL TFNA 10X300 RT 04.037050S $728.93C1713 10500C1713 NAIL TFNA 10X320 LT 04.037053S $728.93C1713 10500C1713 NAIL TFNA 10X320 RT 04.037052S $728.93C1713 10500C1713 NAIL TFNA 10X340 LT 04.037055S $728.93C1713 10500C1713 NAIL TFNA 10X340 RT 04.037054S $728.93C1713 10500C1713 NAIL TFNA 10X360 LT 04.037057S $728.93C1713 10500C1713 NAIL TFNA 10X360 RT 04.037056S $728.93C1713 10500C1713 NAIL TFNA 10X380 LT 04.037059S $728.93C1713 10500C1713 NAIL TFNA 10X380 RT 04.037058S $728.93C1713 10500C1713 NAIL TFNA 10X400 RT 04.037060S $728.93C1713 10500C1713 NAIL TFNA 10X420 LT 04.037063S $728.93C1713 10500C1713 NAIL TFNA 10X420 RT 04.037062S $728.93C1713 10500C1713 NAIL TFNA 10X440 LT 04.037065S $728.93C1713 10500C1713 NAIL TFNA 10X440 RT 04.037064S $728.93C1713 10500C1713 NAIL TFNA 10X460 LT 04.037067S $728.93C1713 10500C1713 NAIL TFNA 10X460 RT 04.037066S $728.93C1713 10500C1713 NAIL TFNA 12X300 LT 04.037251S $728.93C1713 10500C1713 NAIL TFNA 12X300 RT 04.037250S $728.93C1713 10500C1713 NAIL TFNA 12X320 LT 04.037253S $728.93C1713 10500C1713 NAIL TFNA 12X320 RT 04.037252S $728.93C1713 10500C1713 NAIL TFNA 12X340 RT 04.037254S $728.93C1713 10500C1713 NAIL TFNA 12X360 LT 04.037257S $728.93C1713 10500C1713 NAIL TFNA 12X420 04037262S $728.93C1713 10500C1713 NAIL TFNA 12X440 04037264S $728.93C1713 10500C1713 NAIL TFNA 12X440 LT 04.037265S $728.93C1713 10500C1713 NAIL TFNA 12X460 LT 04.037267S $728.93C1713 10500C1713 NAIL TFNA 12X460 RT 04.037266S $728.93C1713 10500C1713 NAIL TFNA 14X300 LT 04.037451S $728.93C1713 10500C1713 NAIL TFNA 14X300 RT 04.037450S $728.93C1713 10500C1713 NAIL TFNA 14X320 LT 04.037453S $728.93C1713 10500C1713 NAIL TFNA 14X320 RT 04.037452S $728.93C1713 10500C1713 NAIL TFNA 14X340 LT 04.037455S $728.93C1713 10500C1713 NAIL TFNA 14X340 RT 04.037454S $728.93

Page 137: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1713 10500C1713 NAIL TFNA 14X420 LT 04.037463S $728.93C1713 10500C1713 NAIL TFNA 14X420 RT 04.037462S $728.93C1713 10500C1713 NAIL TFNA 14X440 LT 04.037465S $728.93C1713 10500C1713 NAIL TFNA 14X440 RT 04.037464S $728.93C1713 10500C1713 NAIL TFNA 14X460 LT 04.037467S $728.93C1713 10500C1713 NAIL TFNA 14X460 RT 04.037466S $728.93C1713 10500C1713 NAIL TI CANULA 10X345 $307.00C1713 10500C1713 NAIL TI CANULA 11X330 $285.33C1713 10500C1713 NAIL TIBIAL 11X360MM $307.00C1713 10500C1713 NAIL TIBIAL 9.3 47249536009 $521.50C1713 10500C1713 NAIL TIBIAL 9.3 47249538009 $521.50C1713 10500C1713 NAIL TIBIAL CANN 10X270MM $403.33C1713 10500C1713 NAIL TIBIAL CANN 10X285MM $417.88C1713 10500C1713 NAIL TIBIAL CANN 10X300MM $468.27C1713 10500C1713 NAIL TIBIAL CANN 10X315MM $468.27C1713 10500C1713 NAIL TIBIAL CANN 8X270MM $403.33C1713 10500C1713 NAIL TIBIAL CANN 8X285MM $403.33C1713 10500C1713 NAIL TIBIAL CANN 8X300MM $468.27C1713 10500C1713 NAIL TIBIAL CANN 8X315MM $452.90C1713 10500C1713 NAIL TIBIAL CANN 8X330MM $447.00C1713 10500C1713 NAIL TIBIAL CANN 8X345MM $445.87C1713 10500C1713 NAIL TIBIAL CANN 8X360MM $452.90C1713 10500C1713 NAIL TIBIAL CANN 8X375MM $403.33C1713 10500C1713 NAIL TIBIAL CANN 8X390MM $403.33C1713 10500C1713 NAIL TIBIAL CANN 8X405MM $403.33C1713 10500C1713 NAIL TIBIAL CANN 8X420MM $403.33C1713 10500C1713 NAIL TIBIAL CANN 9X270MM $403.33C1713 10500C1713 NAIL TIBIAL CANN 9X285MM $403.33C1713 10500C1713 NAIL TIBIAL CANN 9X300MM $468.27C1713 10500C1713 NAIL TIBIAL CANN 9X315MM $452.90C1713 10500C1713 NAIL TIBIAL CANN 9X330MM $452.90C1713 10500C1713 NAIL TIBIAL CANN 9X345MM $468.27C1713 10500C1713 NAIL TIBIAL CANN 9X360MM $452.90C1713 10500C1713 NAIL TIBIAL CANN 9X375MM $403.33

Page 138: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1713 10500C1713 NAIL TIBIAL CANN 9X390MM $403.33C1713 10500C1713 NAIL TIBIAL CANN 9X405MM $403.33C1713 10500C1713 NAIL TIBIAL CANN 9X420MM $403.33C1713 10500C1713 NAIL TROCANTERIC 12X420 $553.70C9399 10500C9399 NANOFACTOR FLOW 1ML FUAF-0100 $865.00L8699 10500L8699 NANOSS 10CC 90300251004 $1,006.33L8699 10500L8699 NANOSS 5CC 90-300-25504 $624.67L8699 10500L8699 NANOSS BONE GRAFT 1CC 90-10001 $328.00L8699 10500L8699 NANOSS BONE GRAFT 2CC 90-10002 $393.00

364SU270 NASAL PRONGS INFANT LARGE $0.80364SU270 NASAL PRONGS INFANT MEDIUM $0.80364SU270 NEBULIZER AEROECLIPSE II BAN $0.91364SU270 NEBULIZER KIT HOPE $2.17364SU270 NEBULIZER RESPIRGARD II $0.62364SU270 NEBULIZERS JET PREFILLED $0.92

C1776 10500C1776 NECK ARH SLIDE LOC 3MM $170.00C1776 10500C1776 NECK SLIDELOC +1MM 50010301NS $170.00

364SU270 NEEDLE 111GA $13.00364SU270 NEEDLE 11GA $11.00364SU270 NEEDLE ACCESS BORE 11GA A02C $2.72364SU270 NEEDLE ANCHOR 1859-4D 2/PK $0.72364SU270 NEEDLE ANCHOR DISPOSABLE 2/PK $0.71364SU270 NEEDLE ANGIOGRAPHIC AD21T71W $0.33364SU270 NEEDLE ARTHREX AR-1399-1N $50.00364SU270 NEEDLE ASPIRATION $11.26364SU270 NEEDLE ASPIRATION 15GA. $2.09364SU270 NEEDLE ASPIRATION 91-8300 $39.00364SU270 NEEDLE BIOPSY 18X11 $9.06364SU270 NEEDLE BIOPSY 18X15 $10.82364SU270 NEEDLE BIOPSY 18X20 $8.21364SU270 NEEDLE BIOPSY 20X11 $13.49364SU270 NEEDLE BIOPSY 20X15 $13.47364SU270 NEEDLE BIOPSY 20X20 $12.00364SU270 NEEDLE BIOPSY BONE 16X16.5 $8.20

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364SU270 NEEDLE BIOPSY BONE 4" 13GA $9.75364SU270 NEEDLE BIOPSY ROTEX 4-3/8" 21G $7.55364SU270 NEEDLE BIOPSY ROTEX 6-1/4" 21G $7.55364SU270 NEEDLE BIOPSY TRU-CUT $2.61364SU270 NEEDLE BOLUS 1 3/8" $1.67364SU270 NEEDLE BONE BIOPSY 4" $3.09364SU270 NEEDLE BONE BIOPSY 6" $3.09364SU270 NEEDLE BONE MARROW ASPIRATION $1.81

C1715 NEEDLE BRACHYTHERAPY 1 SEED $1.65C1715 NEEDLE BRACHYTHERAPY 5 SEED $8.25

364SU270 NEEDLE CANN #1 P2ND1001 $70.75364SU270 NEEDLE CHIBA 23GA G00014 $1.70364SU270 NEEDLE CHIBA 23X10 G00934 $1.70364SU270 NEEDLE CHIBA BIOPSY DCHN-20-15 $1.70364SU270 NEEDLE CHIBA BIOPSY DCHN-20-20 $1.70364SU270 NEEDLE CHIBA BIOPSY DCHN-22-15 $1.70364SU270 NEEDLE CHIBA BIOPSY DCHN-22-20 $1.70364SU270 NEEDLE COLORADO N103A $9.44364SU270 NEEDLE CONTIGEN TRANSURTHRAL $3.75364SU270 NEEDLE COUDE SC-4210 $19.80364SU270 NEEDLE DEFLUX 241318 $10.71364SU270 NEEDLE DELIVERY $6.95364SU270 NEEDLE DELIVERY $10.64364SU270 NEEDLE DELIVERY 10GA $6.95364SU270 NEEDLE DELIVERY 12GA $10.64364SU270 NEEDLE EBUS 21G NA-201SX-4021 $27.00364SU270 NEEDLE EBUS 21G NA-201SX-4021 $27.00364SU270 NEEDLE ELECTRODE LATEX FREE $0.52364SU270 NEEDLE ELECTRODE LATEX FREE $0.58364SU270 NEEDLE ENDO 4MM 27GA MAJ656 $11.50364SU270 NEEDLE ENDOPATH PNEUMOPERITON $1.96364SU270 NEEDLE ENDOSCOPIC G25492 $64.75364SU270 NEEDLE EPIDURAL 18X5 $1.33364SU270 NEEDLE EPIDURAL PERIFIX 20GX6" $1.03

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364SU270 NEEDLE EPIDURAL RX-2 107-1416 $3.31364SU270 NEEDLE EZIO ADULT $34.15364SU270 NEEDLE EZIO PEDIATRIC $34.15364SU270 NEEDLE FORAMEN 5.0" $60.00364SU270 NEEDLE GUIDE ENDO 612-061 $2.29364SU270 NEEDLE HAWKINS-AKINS 18X10 $4.03364SU270 NEEDLE HAWKINS-AKINS 18X15 $4.03364SU270 NEEDLE HAWKINS-AKINS 18X20 $4.03364SU270 NEEDLE HUBER 19X1 1/2 LF $0.60364SU270 NEEDLE HUBER 19X1 RIGHT ANGLE $0.66364SU270 NEEDLE HUBER 22X1 LATEX FREE $0.94364SU270 NEEDLE HUBER 22X3/4 LATEX FREE $0.74364SU270 NEEDLE INSERTION 13CM SC-4205 $37.13364SU270 NEEDLE INSUFFLATION/ACCESS $7.07364SU270 NEEDLE IO 15GA X 45MM 9079 $32.85364SU270 NEEDLE KOPAN 15.0 DKBL-21-15-A $5.56364SU272 NEEDLE LOCALIZER DKBL 21X9.0 A $5.56364SU270 NEEDLE NERVE STIM 22X2 $1.77364SU270 NEEDLE PAJUNK SPROTTE 22GA $2.81364SU270 NEEDLE PEDIGUARD #2 P2ND1002 $70.75364SU270 NEEDLE PERC 18GX7CM G04717 $0.60364SU270 NEEDLE PERC 21GX7CM G07411 $0.60364SU270 NEEDLE PERCUTANEOUS 18G/7CM $0.60364SU270 NEEDLE PERCUTANEOUS 21G/15CM $0.60364SU270 NEEDLE PERCUTANEOUS SDN-18-9.0 $0.60364SU270 NEEDLE PROSTATE STABILIZER $16.28364SU270 NEEDLE RIGID SIDEKICK 890-304 $7.40364SU270 NEEDLE SCORPION AR-13991N $50.00364SU270 NEEDLE SHUTTLE $29.69364SU270 NEEDLE SONOPSY 21GX100MM $4.00364SU270 NEEDLE SONOPSY 21GX50 SON2150 $4.00364SU270 NEEDLE SPINAL 20X6" $0.43364SU270 NEEDLE SPINAL 22GAX7" 405149 $0.44364SU270 NEEDLE SPINAL 22X5" $0.44

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364SU270 NEEDLE SPINAL 25GX5" PAIN8025 $0.48364SU270 NEEDLE SPROTTE 24X4 3/4 $2.03364SU270 NEEDLE TARGET 8GAX15CM TNL0815 $49.00364SU270 NEEDLE TEMNO EVOLUTION 20X11 $10.07364SU270 NEEDLE THIN WALL 21G-4CM $0.33364SU270 NEEDLE TRANS ORAL 9010ML $13.00364SU270 NEEDLE TRANSBRONCHIAL 21G $9.80364SU270 NEEDLE TRANSBRONCHIAL ASPIRATE $9.75364SU270 NEEDLE TRANSSEPTAL BRK 407200 $48.75364SU270 NEEDLE TURNER 18X20 $3.74364SU270 NEEDLE TURNER 20X15 $3.74364SU270 NEEDLE VIZISHOT 19GA EBUS-TBNA $64.50364SU270 NEEDLE WEISS FIXED WING 17X5 $0.24364SU270 NEEDLE WHITACRE 22GA $0.68364SU270 NEEDLE WHITACRE 25GAX3 1/2 $0.66364SU270 NEEDLE YUEH 5FR 15CM G09492 $2.17364SU270 NEURO CHARGING SYSTEM 37754 $757.00

C9361 10500C9361 NEUROMEND 4MMX5.0CM CNW4050 $442.50364SU270 NEUROSTIM EXTERNAL 3531 $100.00

C1767 10500C1767 NEUROSTIMULATOR $4,098.33C1767 10500C1767 NEUROSTIMULATOR 7425 $2,598.33C1767 10500C1767 NEUROSTIMULATOR 97702 $5,080.00

364SU270 NEUROSTIMULATOR EXTERNAL 97725 $75.00C1767 10500C1767 NEUROSTIMULATOR INTERSTIM $3,300.00C1820 10500C1820 NEUROSTIMULATOR RESTORE $5,416.67C1820 10500C1820 NEUROSTIMULATOR RESTORE 97714 $5,546.00C1820 10500C1820 NEUROSTIMULATOR ULTRA 97712 $6,898.33

364SU270 NIFOMETER 10-34001 $3.04364SU270 NIPPLE KIT $1.70

Q4160 NUSHIELD 1.6 PER SQ CM $131.67Q4160 NUSHIELD 2X3CM PER SQ CM $265.00

364SU270 NUT EXTENDED 50-13020 $10.49C1713 10500C1713 NUT FOR 4.5 CORTEX SCREW $5.33

364SU270 NUT HEX 10MM 12224255 $1.83

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364SU270 NUTS 10MM 50-1008 $0.80364SU270 OFFSET NOTCHED $88.75364SU270 OINTMENT PROTECTIVE 2OZ $0.13364SU270 ON Q PAIN SYSTEM TBT02100ST $33.75364SU270 OPTIFLOW WIGGLEPADS OPT012 $0.90364SU270 ORTHA WEAR CALF HIGH SM $0.35364SU270 ORTHA WEAR THIGH HIGH SM $0.65364SU270 ORTHA WEAR THIGH HIGH XLG $1.02

C1713 10500C1713 ORTHOBLAST 3CC $129.60C1713 10500C1713 ORTHOBLAST II PUTTY 5 CC $212.11C1713 10500C1713 ORTHOBLAST PUTTY 10CC $400.66

364SU270 OSTEOGEN STIMULATOR $1,500.00E0747 10500E0747 OSTEOGENESIS STIMULATOR 3033 $1,266.67

364SU270 OSTOMY LOOP OR SET 2 3/4 $0.10364SU270 OSTOMY SYSTEM NUHOPE REUSABLE $11.88364SU270 OTO-WICK $0.37364SU270 OXYGEN HUMIDIFIER LATEX FREE $0.15

C1785 10500C1785 PACEMAKE ELUNA 8 DR-T 394969 $2,331.67C1721 10501C1721 PACEMAKER E030 $5,933.33C1785 10500C1785 PACEMAKER 8042 $3,041.67C1786 10500C1786 PACEMAKER ACCENT PM1210 $1,166.67C1785 10500C1785 PACEMAKER ACCENT PM2210 $1,333.33C1786 10500C1786 PACEMAKER ACCENT SR PM1110 $1,416.67C1785 10500C1785 PACEMAKER ACCOLADE L301 $1,996.33C1785 10500C1785 PACEMAKER ACCOLADE MRI DR L311 $1,708.00C1786 10500C1786 PACEMAKER ACCOLADE MRI L310 $1,496.33C1786 10500C1786 PACEMAKER ACCOLADE SR L300 $1,749.00C1785 10500C1785 PACEMAKER ADAPTA ADDR01 $1,136.88C1786 10500C1786 PACEMAKER ADSR01 $1,340.00C1786 10500C1786 PACEMAKER ADSR03 $1,516.67C1785 10500C1785 PACEMAKER ADVISA DRMRI A2DR01 $1,564.52C1786 10500C1786 PACEMAKER ADVISA SR A3SR01 $1,656.67C1785 10500C1785 PACEMAKER AT500 $2,233.33C1785 10500C1785 PACEMAKER ESSENTIO DR L101 $1,916.67

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C1785 10500C1785 PACEMAKER EVIA DR-T 359529 $1,833.33C1721 10501C1721 PACEMAKER INCEPTA DR E163 $6,666.67C1786 10500C1786 PACEMAKER INGENIO K172 SR $1,500.00C1785 10500C1785 PACEMAKER INGENIO K173 DR $1,750.00C1721 10501C1721 PACEMAKER INOGEN EL ICD D142 $7,166.67C1898 10500C1898 PACEMAKER LEAD $157.22C1898 10500C1898 PACEMAKER LEAD 1488TC/46 $250.00C1721 10501C1721 PACEMAKER PLUS DR CD2211-36 $7,508.33C1785 10500C1785 PACEMAKER SENSIA SEDR01 $1,390.00C1786 10500C1786 PACEMAKER SENSIA SR SESR01 $755.35C1882 10502C1882 PACEMAKER SURESCAN DTMA1D1 $7,440.67C2621 10500C2621 PACEMAKER VALITUDE CRT-P U125 $3,210.00C2621 10500C2621 PACEMAKER VALITUDE U128 $3,425.33C1785 10500C1785 PACEMAKER VEDR01 $1,503.33

364SU270 PACER CABLE BIOTRONIK $4.17C1898 10500C1898 PACER LEAD 4136 $194.00C1898 10500C1898 PACER LEAD 4137 $194.00C1898 10500C1898 PACER LEAD 4469 $237.67C1898 10500C1898 PACER LEAD 4470 $178.33

364SU270 PACER TEST CABLE 301C-G $4.17364SU270 PACK ACCESS ULTRA 658.902S $187.50364SU270 PACK BONE 15V 658.352S $433.33364SU270 PACK CEMENT INJ 658.917S $75.00364SU270 PACK DISP MCP MCP-DIS-STR $109.00364SU270 PACK NASAL RAPID RHINO RR900 $14.70364SU270 PACK PIP DISP PIP-DIS-STR $136.50364SU270 PACK PROC RES KNEE 506298 $192.00364SU270 PACKING STRIP 1" IODOFORM $0.33364SU270 PACKING STRIP 1" PLAIN $0.29364SU270 PACKING STRIP 1/2" IODOFORM $0.26364SU270 PACKING STRIP 1/2" PLAIN $0.26364SU270 PACKING STRIP 1/4" IODOFORM $0.25364SU270 PACKING STRIP 1/4" PLAIN $0.24364SU270 PACKING STRIP 2" IODOFORM $0.45

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364SU270 PACKING STRIP 2" PLAIN $0.39364SU270 PAD BED UMP 30X10 1190 $3.90364SU270 PAD CHAIR SENSOR $2.84364SU270 PAD COOLING $7.40364SU270 PAD DEBRISOFT 4"X4" 31222 $1.92364SU270 PAD EKG QUATRO $0.97364SU270 PAD HIP PROSITIONER H0892P $6.13364SU270 PAD HYALITE HY-GF-1818 $37.50364SU270 PAD KNEE 04700 $3.96364SU270 PAD PERINEAL POST $0.93364SU270 PAD PINK THE 40580 $13.80364SU270 PAD STABILIZER KNEE O-TKSP $7.80364SU270 PAD THIMBLE 1" $0.14364SU270 PAD THUMBLE 1 1/2" $0.12364SU270 PASSER PERFECT OM-8010 $27.50364SU270 PASSER SUTURE SHUFFLE 72200419 $27.00364SU270 PASSER SUTURE ST 22-4038 $125.00364SU270 PASTE TUBE MEDIHONEY 31515 $1.89

C1781 10500C1781 PATCH HERNIA MEDIUM VENTRALEX $153.33C1781 10500C1781 PATCH HERNIA SMALL VENTRALEX $128.33C1781 10500C1781 PATCH KUGEL MEDIUM OVAL $261.47C1781 10500C1781 PATCH PARIETEX 8.6CM PCO8VP $184.13C1781 10500C1781 PATCH PARIETEX PCO6VP $139.80C1776 10500C1776 PATELLA $162.33C1776 10500C1776 PATELLA $166.67C1776 10500C1776 PATELLA $166.67C1776 10500C1776 PATELLA $166.67C1776 10500C1776 PATELLA $228.00C1776 10500C1776 PATELLA $239.67C1776 10500C1776 PATELLA 27X8MM $314.00C1776 10500C1776 PATELLA 10.0X41 42540200041 $250.00C1776 10500C1776 PATELLA 10X41MM 42540000041 $150.00C1776 10500C1776 PATELLA 11MM $166.67C1776 10500C1776 PATELLA 29MM 42-5400-000-29 $183.33

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C1776 10500C1776 PATELLA 3 PEG KC-40328 $251.67C1776 10500C1776 PATELLA 32MM 1518-20-032 $166.67C1776 10500C1776 PATELLA 32MM 42540200032 $250.00C1776 10500C1776 PATELLA 32X8.5MM 42540000032 $150.00C1776 10500C1776 PATELLA 35X9.0MM 42540000035 $416.67C1776 10500C1776 PATELLA 35X9.0MM 42540200035 $250.00C1776 10500C1776 PATELLA 38MM 42-5400-000-38 $150.00C1776 10500C1776 PATELLA 38MM 96-0112 $166.67C1776 10500C1776 PATELLA 38X9.5MM 42540200038 $250.00C1776 10500C1776 PATELLA 40X10MM 184770 $166.67C1776 10500C1776 PATELLA 41MM 1518-20-041 $166.67C1776 10500C1776 PATELLA A29X9 5552-L-299 $216.67C1776 10500C1776 PATELLA A35MM 5552-L-350 $216.67C1776 10500C1776 PATELLA A38 11MM 5551-G-381 $166.67C1776 10500C1776 PATELLA A40X11 5552-L-401 $216.67C1776 10500C1776 PATELLA DOME 38MM 1518-20-038 $166.67C1776 10500C1776 PATELLA DOME 38MM 96-0102 $146.67C1776 10500C1776 PATELLA POLY 26MM 00597206626 $250.00C1776 10500C1776 PATELLA POLY 35MM 597206635 $250.00C1776 10500C1776 PATELLA POLY 38MM 00597206638 $369.17C1776 10500C1776 PATELLA S31X9 5556-L-319 $216.67C1776 10500C1776 PATELLA S33X9 5556-L-339 $216.67C1776 10500C1776 PATELLA S36X10 5556-L-360 $216.67C1776 10500C1776 PATELLA S39X11 5556-L-391 $216.67C1776 10500C1776 PATELLA TENDON W/STRUTS $900.00C1776 10500C1776 PATELLA TRIATHLON X3 S27MMX8MM $166.67

364SU270 PATIENT CABLE $3.50C1787 10500C1787 PATIENT PROGRAMMER 97740 $318.67

364SU270 PEDI CAP CO2 DETECTOR $1.31364SU270 PEEP VALVE $1.13

C1713 10500C1713 PEG 2.0 X14 SMOOTH $25.00C1713 10500C1713 PEG 2.0X26 SMOOTH $25.00C1713 10500C1713 PEG COR LOCK 2.3X14 CO-S2314 $36.00C1713 10500C1713 PEG COR LOCK 2.3X16 CO-S2316 $49.67

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C1713 10500C1713 PEG COR LOCK 2.3X18 CO-S2318 $49.67C1713 10500C1713 PEG CORTICAL 2.3X10 CO-S2310 $36.00C1713 10500C1713 PEG CORTICAL 2.3X12 CO-S2312 $36.00C1713 10500C1713 PEG CORTICAL 2.3X26 CO-S2326 $36.00C1713 10500C1713 PEG LOCK 2.3X22 CO-S2322 $36.00C1713 10500C1713 PEG LOCK 2.3X24 CO-S2324 $36.00C1713 10500C1713 PEG LOCK 3.2X34 110025334 $43.33C1713 10500C1713 PEG LOCK 3.2X36 110025336 $43.33C1713 10500C1713 PEG LOCK 3.2X40 110025340 $43.33C1713 10500C1713 PEG LOCK 3.2X42 110025342 $43.33C1713 10500C1713 PEG LOCKING 2.3X20MM CO-S2320 $49.67

364SU270 PEG PARTIAL THREAD 2.5 X14 $15.00364SU270 PEG PARTIAL THREAD 2.5 X16 $15.00

C1713 10500C1713 PEG PARTIAL THREAD 2.5X22 $30.00C1713 10500C1713 PEG SMOOTH 2.0X18 P18000 $30.00

364SU270 PEG SMOOTH 2.0X20 $15.00C1713 10500C1713 PEG SMOOTH 2.0X22 P22000 $30.00C1713 10500C1713 PEG SMOOTH 2.0X24 P24000 $30.00C1713 10500C1713 PEG SMOOTH LOCKING 2.0X16 $25.00C1713 10500C1713 PEG SMOOTH LOCKING 2.0X18 $25.00C1713 10500C1713 PEG SMOOTH LOCKING 2.0X22 $25.00C1713 10500C1713 PEG SMOOTH LOCKING 2.0X24 $25.00

364SU270 PELLETS CALCIUM 5CC $73.75364SU270 PENCIL ELECTROSURGICAL $0.79

C1813 10500C1813 PENILE IMPLANT 700CX MS PUMP $2,738.45C1813 10500C1813 PENILE IMPLANT PUMP 700 LGX $2,790.06C1813 10500C1813 PENILE PROSTHESIS 700 ULTREX $698.41

364SU270 PERFORMAX EE LEAK XS 11083147 $11.90364SU270 PERFORMAX EE LEAK XXS 11083148 $11.54364SU270 PERFORMAX XL ADULT 1080424 $9.77364SU270 PERFORMAX XS EE LEAK 2 $11.90364SU270 PERFORMAX XXS EE LEAK 2 $11.90364SU270 PERI-STRIP DRY PSD6006ECHV $31.00364SU270 PERSONAL THERAPY MANAGER 8835 $192.75

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364SU270 PILLCAM SB3 FGS-0500 $132.50364SU270 PILLOW ABDUCTION SMALL $2.10364SU270 PILLOW ARM ADULT CARTER $12.60364SU270 PILLOW ARM PED CARTER $12.15364SU270 PIN #1 DSG D1PU0001 $124.75

C1713 10500C1713 PIN 2.0 $8.00364SU270 PIN 3.2X127MM 33610001 $11.00

C1713 10500C1713 PIN 6.0MM TRANS FIXATION $45.03364SU270 PIN BEATH 3/32 IN X 10 IN $15.20364SU272 PIN BUTTRESS 1.8X20MM $5.39

C1713 10500C1713 PIN BUTTRESS 1.8X26MM $8.25C1713 10500C1713 PIN BUTTRESS 1.8X28MM $7.59

364SU272 PIN CERCLAGE 4.5 $56.93364SU272 PIN CERCLAGE 4.5MM $65.88

C1713 10500C1713 PIN CROSS RESORBABLE IMPLANT $131.67364SU270 PIN DISP ST 2MM 1007-1200 $29.25364SU270 PIN DISTRACT 12MM 02.600.022 $33.25364SU272 PIN DISTRACTION 14MM DP-14-TY $4.17364SU270 PIN DISTRACTION U44-640-14 $29.93

C1713 10500C1713 PIN DRILL 3.2X75MM 00590102000 $123.40364SU270 PIN DRILL TIP 2.4MM AR-1250L $9.20364SU270 PIN FIX TEMP 2.0MM 59250050 $29.25

C1713 10500C1713 PIN FIXATION 30-1008 $46.33364SU270 PIN FIXATION ACP-009 $18.80364SU270 PIN FIXATION CS1858 $10.00364SU272 PIN FIXATION TEMP I31-08-05 $18.80364SU270 PIN GUIDE 2.4MM AR-13303-2.4 $10.60364SU270 PIN GUIDE 3.0 00249001230 $18.06364SU270 PIN GUIDE 3.0X355 2490-047-30 $31.20364SU270 PIN GUIDE 3.0X476 2490-046-30 $19.46364SU270 PIN GUIDE 3.2 00249004732 $31.50364SU270 PIN GUIDE 3.2MM 177290 $57.50364SU270 PIN GUIDE 3.2X12 1147-099-03 $2.68364SU270 PIN GUIDE 3.2X9 1147-093-00 $2.47

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364SU270 PIN GUIDE ENCOMPASS 386-1100 $15.00364SU272 PIN GUIDE FOR LISS PLATE $12.72364SU270 PIN GUIDE LPS-FLEX $121.25364SU270 PIN GUIDE NITINOL 1.1MM AR1249 $6.00364SU270 PIN GUIDE X6P4062 $15.00

C1713 10500C1713 PIN HALF 4X20MM 12220032 $61.33C1713 10500C1713 PIN HALF 4X40MM 12220034 $61.33

364SU272 PIN HALF 5MM 54-11240 $46.20C1713 10500C1713 PIN HALF 5X40MM 12220036 $68.33

364SU270 PIN HEMORRHAGE OCCLUDER LG $104.38364SU270 PIN PASSING 2.4X432 7207220 $16.81364SU272 PIN PASSING 905844 $31.75364SU270 PIN PASSING DT 2.4MM 72208678 $16.81364SU270 PIN PASSING FLEX 72201594 $26.91

C1713 10500C1713 PIN SCHANZ AR-8954-01 $100.00C1713 10500C1713 PIN SELF-TAP 12MM 5080-1-612 $25.91C1713 10500C1713 PIN SELF-TAP 20MM 5080-1-620 $25.91C1713 10500C1713 PIN SPIN TRIM-IT 2X100MM $114.33

364SU270 PIN ST 2.5MM 47430902501 $26.25364SU272 PIN STEINMAN $0.88364SU272 PIN STEINMAN 2.4 200072 $8.60364SU272 PIN STEINMAN 405800 $42.75364SU272 PIN STEINMAN 5.0MM $53.40364SU272 PIN STEINMANN 1/8X2.5 406669 $72.00364SU272 PIN STEINMANN 3.2X9 110003484 $1,066.67364SU272 PIN TEMP FIX 33610003 $36.25364SU272 PIN TEMP FIX LONG 33610002 $36.25364SU272 PIN TRANSFIX 4X300 DNE4000300 $90.00364SU270 PIN TRANSFIXING 4MM DNE4000300 $90.00

C1713 10500C1713 PITON 2.8MM FIXATION IMPLANT $134.00364SU270 PLASMABLADE PEAK 4.0 PS200-040 $68.88364SU270 PLASTIBELL 1.1 CM $0.76364SU270 PLASTIBELL 1.2 CM $0.82364SU270 PLASTIBELL 1.3 CM $0.76

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364SU270 PLASTIBELL 1.4CM 9234 $0.82364SU270 PLASTIBELL 1.5 CM $0.85

C1713 10500C1713 PLATE $186.60C1713 10500C1713 PLATE $648.67C1713 10500C1713 PLATE 1/3 TUBULAR 5 HOLE 61MM $21.60C1713 10500C1713 PLATE 1/4 TUBULAR 3 HOLE 23MM $18.45C1713 10500C1713 PLATE 1/4 TUBULAR 4 HOLE 31MM $25.90C1713 10500C1713 PLATE 1/4 TUBULAR 5 HOLE 39MM $30.90C1713 10500C1713 PLATE 1/4 TUBULAR 6 HOLE 47MM $29.87C1713 10500C1713 PLATE 1/4 TUBULAR 7 HOLE 55MM $31.73C1713 10500C1713 PLATE 1/4 TUBULAR 8 HOLE 63MM $13.67C1713 10500C1713 PLATE 10 HOLES 137MM 3.5MM LCP $135.71C1713 10500C1713 PLATE 11 HOLE 4.5 BROAD LCP $172.98C1713 10500C1713 PLATE 11 HOLE 4.5 NARROW LCP $212.70C1713 10500C1713 PLATE 12 HOLES 163MM 3.5MM LCP $125.53C1713 10500C1713 PLATE 14 HOLE 4.5 NARROW LCP $230.10C1713 10500C1713 PLATE 14 HOLES 189MM 3.5MM LCP $217.89C1713 10500C1713 PLATE 16 HOLE 4.5 BROAD LCP $249.55C1713 10500C1713 PLATE 16 HOLE 4.5 NARROW LCP $257.83C1713 10500C1713 PLATE 2.0MM 4H 247.344 $88.50C1713 10500C1713 PLATE 2.0MM 5H 247.345 $79.50C1713 10500C1713 PLATE 2.0MM 7HOLE 247.347 $88.50C1713 10500C1713 PLATE 2.4MM DISTAL RADIUS $120.00C1713 10500C1713 PLATE 2.4MM DISTAL RADIUS $138.13C1713 10500C1713 PLATE 3.5MM 241.923 $587.40C1713 10500C1713 PLATE 3.5MM 6 HOLE TIBIA $447.53C1713 10500C1713 PLATE 3.5X119 6H 239.957S $461.77C1713 10500C1713 PLATE 35MM X159MM 10 HOLE $477.30C1713 10500C1713 PLATE 4 HOLE 4.5 NARROW LCP $87.11C1713 10500C1713 PLATE 4 HOLE 78MMX12.6 $166.60C1713 10500C1713 PLATE 4.5 LCP 14 HOLES $544.60C1713 10500C1713 PLATE 4.5 LCP 14 HOLES $544.60C1713 10500C1713 PLATE 4-HOLE 92-10505 $212.67C1713 10500C1713 PLATE 5 HOLE 4.5 NARROW LCP $93.62

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C1713 10500C1713 PLATE 5 HOLE LCP DISTAL $455.40C1713 10500C1713 PLATE 5 HOLES 72MM 3.5MM LCP $108.74C1713 10500C1713 PLATE 6 HOLE 4.5 BROAD LCP $114.70C1713 10500C1713 PLATE 6 HOLE 8162-02-006 $385.33C1713 10500C1713 PLATE 6 HOLES 85MM 3.5MM LCP $97.07C1713 10500C1713 PLATE 6H 02.100.006 $311.31C1713 10500C1713 PLATE 6X15X6H 92-55932 $939.33C1713 10500C1713 PLATE 7 HOLE 4.5 BROAD LCP $113.77C1713 10500C1713 PLATE 7 HOLE 4.5 NARROW LCP $141.17C1713 10500C1713 PLATE 8 HOLE $415.40C1713 10500C1713 PLATE 8 HOLE DISTAL TIBIA 3.5 $407.65C1713 10500C1713 PLATE 8 HOLE STANDARD $363.90C1713 10500C1713 PLATE 8 HOLES 111MM 3.5MM LCP $106.17C1713 10500C1713 PLATE 9 HOLE $211.33C1713 10500C1713 PLATE 9 HOLE 4.5 NARROW LCP $156.33C1713 10500C1713 PLATE 9 HOLES 124MM 3.5MM LCP $110.37C1713 10500C1713 PLATE ACTIV INF S1 L SM SW976K $2,308.57C1713 10500C1713 PLATE ACTIV L SM SW971K $2,241.33C1713 10500C1713 PLATE ACTIV L SUP S SW972K $2,308.57C1713 10500C1713 PLATE ACU-LOC NAR LF 70-0358 $598.00C1713 10500C1713 PLATE ACU-LOC NARROW RIGHT $410.00C1713 10500C1713 PLATE ACULOC VDU ST RT 70-0046 $338.67C1713 10500C1713 PLATE ANKLE 7H 02.100.033S $331.10C1713 10500C1713 PLATE ANT.LAT. LEFT SMALL $1,152.33C1713 10500C1713 PLATE ANTERIOR 14X12X06MM $597.67C1713 10500C1713 PLATE ANTERIOR 14X12X7MM $597.67C1713 10500C1713 PLATE ANTERIOR 16X14X6MM $597.67C1713 10500C1713 PLATE ANTERIOR 37-PA-6407 $597.67C1713 10500C1713 PLATE ANTERIOR CERVICAL 34MM $502.33C1776 10500C1776 PLATE BASE 15MM 00434901500 $666.67C1713 10500C1713 PLATE BETA 2H MXL0022B $528.67C1713 10500C1713 PLATE BONE 15MM P531510002 $665.00C1713 10500C1713 PLATE BONE 60X124 $159.00C1713 10500C1713 PLATE BONE FIB 13H P53203R013 $748.33

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C1713 10500C1713 PLATE BONE LCP BROAD 142X4.5 $506.40C1713 10500C1713 PLATE BROAD 4.5X170 $204.00C1713 10500C1713 PLATE BUTTRESS 21MM FP-1221 $473.67C1713 10500C1713 PLATE BUTTRESS 24MM FP1224 $475.33C1713 10500C1713 PLATE BUTTRESS 2H AR-8958TDS $783.33C1713 10500C1713 PLATE BUTTRESS 2H AR-8958TDS $783.33C1713 10500C1713 PLATE BUTTRESS FANG 21M FP2121 $473.67C1713 10500C1713 PLATE CABLE BMP $224.33C1713 10500C1713 PLATE CALC FX SM AR-8954PL-S $521.67C1713 10500C1713 PLATE CALC FX SMALL AR-8954PRS $521.67C1713 10500C1713 PLATE CALCANEAL 241.61 $161.70C1713 10500C1713 PLATE CALCANEAL MEDIUM RIGHT $521.67C1713 10500C1713 PLATE CALCANEAL SHT RIGHT $223.20C1713 10500C1713 PLATE CALCANEUS STEP 5MM $466.67C1713 10500C1713 PLATE CERV 3L 57MM 30-0357 $502.33C1713 10500C1713 PLATE CERVICAL 2L 40MM 30-0240 $502.33C1713 10500C1713 PLATE CERVICAL 37MM 2L $502.33C1713 10500C1713 PLATE CERVICAL 3L 51MM 300351 $502.33C1713 10500C1713 PLATE CERVICAL 3L 54MM 30-0354 $502.33C1713 10500C1713 PLATE CERVICAL 3L,54MM ACP-354 $502.33C1713 10500C1713 PLATE CERVICAL 4L 72MM 30-4072 $901.00C1713 10500C1713 PLATE CERVICAL ANT 63MM ACP363 $552.67C1713 10500C1713 PLATE CERVICAL ANT 66MM ACP366 $552.67C1713 10500C1713 PLATE CERVICAL ANTERIOR ACP473 $901.00C1713 10500C1713 PLATE CERVICAL ANTERIOR L4 77M $901.00C1713 10500C1713 PLATE CERVICAL C3 4L 76MM $901.00C1713 10500C1713 PLATE CERVICAL L1 14MM 30-0114 $415.67C1713 10500C1713 PLATE CERVICAL L2 32MM 30-0232 $502.33C1713 10500C1713 PLATE CLAV 3.5MM 5H 241.082S $295.92C1713 10500C1713 PLATE CLAV 3.5MM 7H 241.104S $317.25C1713 10500C1713 PLATE CLAV LCP 3.5 5H/RT/94MM $322.11C1713 10500C1713 PLATE CLAV LCP 3.5 6H/LT/85MM $281.40C1713 10500C1713 PLATE CLAV LCP 3.5 6H/RT/105MM $293.10C1713 10500C1713 PLATE CLAV LCP 3.5 6H/RT/85MM $281.40

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C1713 10500C1713 PLATE CLAV LCP 3.5 7H/LT/120MM $288.87C1713 10500C1713 PLATE CLAV LCP 3.5 7H/RT/100MM $344.29C1713 10500C1713 PLATE CLAV LCP 3.5 7H/RT/120MM $300.90C1713 10500C1713 PLATE CLAV LCP 3.5 8H/LT/115MM $344.70C1713 10500C1713 PLATE CLAV LCP 3.5 8H/LT/130MM $308.70C1713 10500C1713 PLATE CLAV LCP 3.5 8H/RT/115MM $296.33C1713 10500C1713 PLATE CLAVICAL 8H MED LEFT $231.67C1713 10500C1713 PLATE CLAVICLE $179.67C1713 10500C1713 PLATE CLAVICLE $231.67C1713 10500C1713 PLATE CLAVICLE 3.5 02.112.008 $281.40C1713 10500C1713 PLATE CLAVICLE 3.5M 02.112.006 $280.50C1713 10500C1713 PLATE CLAVICLE 3.5M 02.112.007 $280.50C1713 10500C1713 PLATE CLAVICLE 3.5M 02.112.009 $327.30C1713 10500C1713 PLATE CLAVICLE 3.5M 02.112.010 $285.00C1713 10500C1713 PLATE CLAVICLE 3.5M 02.112.011 $318.30C1713 10500C1713 PLATE CLAVICLE 3.5M 02.112.013 $278.37C1713 10500C1713 PLATE CLAVICLE 3.5M 02.112.019 $300.90C1713 10500C1713 PLATE CLAVICLE 3.5M 02.112.021 $331.20C1713 10500C1713 PLATE CLAVICLE 3.5M 02.112.026 $281.40C1713 10500C1713 PLATE CLAVICLE 3.5M 02.112.027 $293.10C1713 10500C1713 PLATE CLAVICLE 3.5M 02.112.029 $336.00C1713 10500C1713 PLATE CLAVICLE 3.5M 02.112.030 $308.70C1713 10500C1713 PLATE CLAVICLE 3.5M 02.112.031 $342.90C1713 10500C1713 PLATE CLAVICLE 3.5MM 5H LEFT $295.92C1713 10500C1713 PLATE CLAVICLE 3.5MM 7H/100MM $288.87C1713 10500C1713 PLATE CLAVICLE 6 HOLE SM $211.33C1713 10500C1713 PLATE CLAVICLE 6H 02.112.091 $293.10C1713 10500C1713 PLATE CLAVICLE 8 HOLE $211.33C1713 10500C1713 PLATE CLAVICLE 8 HOLE $231.67C1713 10500C1713 PLATE CLAVICLE 8H RIGHT $344.70C1713 10500C1713 PLATE CLAVICLE 8HOLE LG RT $231.67C1713 10500C1713 PLATE CLAVICLE LARGE RIGHT $211.31C1713 10500C1713 PLATE CLAVICLE LCP 3.5MM $300.90C1713 10500C1713 PLATE CLAVICLE LCP 3.5MM 8H $308.70

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C1713 10500C1713 PLATE CLAVICLE SM/RT 8 HOLE $211.33C1713 10500C1713 PLATE CLAW 4H 20MM 40240420 $868.00C1713 10500C1713 PLATE CLOVERLEAF 3 HOLE 88MM $104.70C1713 10500C1713 PLATE CLOVERLEAF 4 HOLE 104MM $111.90C1713 10500C1713 PLATE COLUMN 2.0 R53109R103 $795.00C1713 10500C1713 PLATE COMP 10H 95D 281.900 $288.17C1713 10500C1713 PLATE COMP 3H P53-101-3022 $555.00C1713 10500C1713 PLATE COMP 4H LT P53110L001 $675.00C1713 10500C1713 PLATE COMP 6H 1.3MM 700513006 $162.67C1713 10500C1713 PLATE COMP 6H 7005-08006 $126.00C1713 10500C1713 PLATE COMP DHS 4H 281.540 $166.60C1713 10500C1713 PLATE COMP RT 4H P53-106-R001 $735.00C1713 10500C1713 PLATE COMPR RATCHETING 17X14 $424.33C1713 10500C1713 PLATE COMPRESSION 4H 55-15570 $95.47C1713 10500C1713 PLATE CONDULAR 8HRT 02.124.408 $529.67C1713 10500C1713 PLATE CONDULAR CURVED 16H R $543.20C1713 10500C1713 PLATE CONDYLAR 4.5 10H LEFT $660.77C1713 10500C1713 PLATE CONDYLAR 4.5 12H RIGHT $674.70C1713 10500C1713 PLATE CONDYLAR 7H 247.349 $240.10C1713 10500C1713 PLATE CONDYLAR 95D 5H 60X92MM $190.80C1713 10500C1713 PLATE CONDYLAR CURVED 14H R $532.93C1776 10500C1776 PLATE CONDYLE RIGHT $2,059.00C1713 10500C1713 PLATE COVER LOCK 1050-003-001 $597.67C1713 10500C1713 PLATE COVER LOCK 1128-003-001 $450.00C1713 10500C1713 PLATE DEPUY $246.67C1713 10500C1713 PLATE DHS 135D 2H/46 281.102S $216.64C1713 10500C1713 PLATE DIST FIB 4H AR-8943BR-04 $262.00C1713 10500C1713 PLATE DISTAL $140.79C1713 10500C1713 PLATE DISTAL $276.00C1713 10500C1713 PLATE DISTAL 2.4MM 6H LT $336.60C1713 10500C1713 PLATE DISTAL 2.7 3H 02.118.400 $298.96C1713 10500C1713 PLATE DISTAL 2.7 4H 02.118.402 $303.48C1713 10500C1713 PLATE DISTAL 3.5MM 02.104.026 $435.40C1713 10500C1713 PLATE DISTAL 3.5MM 10H 0210401 $494.70

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C1713 10500C1713 PLATE DISTAL 3.5MM 10H 0210403 $494.70C1713 10500C1713 PLATE DISTAL 3.5MM 10H 236.510 $330.90C1713 10500C1713 PLATE DISTAL 3.5MM 10H 236.511 $330.90C1713 10500C1713 PLATE DISTAL 3.5MM 12H 236.512 $336.90C1713 10500C1713 PLATE DISTAL 3.5MM 12H 236.513 $336.90C1713 10500C1713 PLATE DISTAL 3.5MM 14H 241.300 $453.30C1713 10500C1713 PLATE DISTAL 3.5MM 14H 241.301 $406.50C1713 10500C1713 PLATE DISTAL 3.5MM 14H 241.302 $479.10C1713 10500C1713 PLATE DISTAL 3.5MM 14H 241.303 $429.60C1713 10500C1713 PLATE DISTAL 3.5MM 14H 241.304 $406.50C1713 10500C1713 PLATE DISTAL 3.5MM 14H 241.305 $406.50C1713 10500C1713 PLATE DISTAL 3.5MM 3H 241.262 $287.47C1713 10500C1713 PLATE DISTAL 3.5MM 3H 241.263 $287.47C1713 10500C1713 PLATE DISTAL 3.5MM 3H 241.272 $383.40C1713 10500C1713 PLATE DISTAL 3.5MM 3H 241.282 $287.47C1713 10500C1713 PLATE DISTAL 3.5MM 3H 241.283 $287.47C1713 10500C1713 PLATE DISTAL 3.5MM 5H 241.264 $318.97C1713 10500C1713 PLATE DISTAL 3.5MM 5H 241.285 $332.40C1713 10500C1713 PLATE DISTAL 3.5MM 6H 236.506 $294.00C1713 10500C1713 PLATE DISTAL 3.5MM 7H 241.266 $365.70C1713 10500C1713 PLATE DISTAL 3.5MM 7H 241.267 $365.70C1713 10500C1713 PLATE DISTAL 3.5MM 7H 241.277 $406.50C1713 10500C1713 PLATE DISTAL 3.5MM 7H 241.287 $365.67C1713 10500C1713 PLATE DISTAL 3.5MM 8H 02104028 $499.80C1713 10500C1713 PLATE DISTAL 3.5MM 8H 236.508 $322.50C1713 10500C1713 PLATE DISTAL 3.5MM 8H 236.509 $322.50C1713 10500C1713 PLATE DISTAL 3.5MM 9H 241.268 $395.10C1713 10500C1713 PLATE DISTAL 3.5MM 9H 241.269 $395.10C1713 10500C1713 PLATE DISTAL 3.5MM 9H 241.278 $441.00C1713 10500C1713 PLATE DISTAL 3.5MM 9H 241.279 $441.00C1713 10500C1713 PLATE DISTAL 3.5MM 9H 241.288 $395.10C1713 10500C1713 PLATE DISTAL 3.5MM 9H 241.289 $395.10C1713 10500C1713 PLATE DISTAL 65MM 70-0365 $488.33C1713 10500C1713 PLATE DISTAL 6H RT 00235701706 $197.40

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C1713 10500C1713 PLATE DISTAL 8H 00235701808 $210.93C1713 10500C1713 PLATE DISTAL FEMUR 13H LEFT $594.27C1713 10500C1713 PLATE DISTAL FIB 2.7MM 6H RT $334.80C1713 10500C1713 PLATE DISTAL LCP 3.5 02112530 $455.70C1713 10500C1713 PLATE DISTAL LEFT/SHORT $255.03C1713 10500C1713 PLATE DISTAL RADIUS $204.82C1713 10500C1713 PLATE DISTAL RADIUS $205.00C1713 10500C1713 PLATE DISTAL RADIUS $260.40C1713 10500C1713 PLATE DISTAL RIGHT/LONG $306.60C1713 10500C1713 PLATE DISTAL RT $152.88C1713 10500C1713 PLATE DISTAL TIBIA 10 HOLES $437.70C1713 10500C1713 PLATE DORSAL NAR LT 70-0057 $319.33C1713 10500C1713 PLATE DRS 70-0331 $293.67C1713 10500C1713 PLATE DVR ANATOMIC STANDARD L $248.33C1713 10500C1713 PLATE DVR ANATOMIC STANDARD RT $248.33C1713 10500C1713 PLATE DVR STD LT DVRA-L $280.00C1713 10500C1713 PLATE DVRAS-R $248.33C1713 10500C1713 PLATE END INF LG PDL-L-IP00S $2,293.33C1713 10500C1713 PLATE END LG 6" PDL-L-SP06S $2,293.33C1713 10500C1713 PLATE EX NARROW 70-0064 $276.00C1713 10500C1713 PLATE FEM 12H LT 02.03263.112 $421.17C1713 10500C1713 PLATE FEM HOOK 4.5 12H 242.125 $674.46C1713 10500C1713 PLATE FEM HOOK 4.5 8H 242.123 $621.27C1713 10500C1713 PLATE FEM LCP 6H 4.5MM 242.122 $517.77C1713 10500C1713 PLATE FEM OST AR-13100T-12.5 $426.33C1713 10500C1713 PLATE FEMUR 12H 0203265012 $185.83C1713 10500C1713 PLATE FEMUR 355MM 02.03264.018 $467.83C1713 10500C1713 PLATE FEMUR 4.5 RT 6H 242.806 $451.27C1713 10500C1713 PLATE FIB DIST 2.7 02.118.404 $318.60C1713 10500C1713 PLATE FIB DIST AR-8943BL-04 $262.00C1713 10500C1713 PLATE FIB LAT 4HR 7007-0104R $308.00C1713 10500C1713 PLATE FIB LAT 5H 86MM LT $313.67C1713 10500C1713 PLATE FIB LAT 6H 7007-0106R $319.00C1713 10500C1713 PLATE FIBULA 11HL 02.112.153 $238.33

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C1713 10500C1713 PLATE FIBULA 11HR 02.112.152 $215.13C1713 10500C1713 PLATE FIBULA 13H 70-0173 $356.00C1713 10500C1713 PLATE FIBULA 3HL 02.112.137 $190.40C1713 10500C1713 PLATE FIBULA 3HL 02.112.137 $221.40C1713 10500C1713 PLATE FIBULA 3HR 02.112.136 $220.32C1713 10500C1713 PLATE FIBULA 4HL 02.112.139 $193.67C1713 10500C1713 PLATE FIBULA 4HR 02.112.138 $193.67C1713 10500C1713 PLATE FIBULA 5HL 02.112.141 $196.23C1713 10500C1713 PLATE FIBULA 5HR 02.112.140 $196.23C1713 10500C1713 PLATE FIBULA 6HL 02.112.143 $231.60C1713 10500C1713 PLATE FIBULA 6HR 02.112.142 $199.27C1713 10500C1713 PLATE FIBULA 7HL 02.112.145 $202.07C1713 10500C1713 PLATE FIBULA 7HR 02.112.144 $202.07C1713 10500C1713 PLATE FIBULA 9HL 02.112.149 $228.60C1713 10500C1713 PLATE FIBULA 9HR 02.112.148 $235.00C1713 10500C1713 PLATE FIBULA LAT 7H 7007-0107L $324.67

364SU270 PLATE FOOT 140MM 56-13610 $212.50C1713 10500C1713 PLATE FOOT 180MM 12224120 $682.67C1713 10500C1713 PLATE FRACTURE 14H 55-15514 $339.67C1713 10500C1713 PLATE FRACTURE 4H 55-15505 $186.67C1713 10500C1713 PLATE FRACTURE 6H 55-15536 $327.00C1713 10500C1713 PLATE FRAG 2.7X60 7010-0106N $132.00C1713 10500C1713 PLATE FUSION TMT 02.211.266 $324.00C1713 10500C1713 PLATE FUSION TMT STD 02.211246 $356.40C1713 10500C1713 PLATE H EXT LT 221.321 $85.32C1713 10500C1713 PLATE H EXT RT 221.320 $85.32C1713 10500C1713 PLATE HEVANS LEFT SMALL 16MM $660.00C1713 10500C1713 PLATE HEVANS MED RT P53105R002 $660.00C1713 10500C1713 PLATE HEVANS SM RT P53105R001 $660.00C1713 10500C1713 PLATE HOOK 2H 7007-0602 $203.67C1713 10500C1713 PLATE HOOK 57MM 3H 7007-0603 $221.33C1713 10500C1713 PLATE HOOK 7H MHOOK-7 $241.67C1713 10500C1713 PLATE HOOK LOCK 3H AR-8943H-03 $275.00C1713 10500C1713 PLATE HUMERAL $493.97

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C1713 10500C1713 PLATE HUMERAL $525.60C1713 10500C1713 PLATE HUMERAL 8H 241.921 $533.40C1713 10500C1713 PLATE HUMERUS 11H LT 70-0378 $454.00C1713 10500C1713 PLATE HUMERUS 1H LEFT-SHORT $410.67C1713 10500C1713 PLATE HUMERUS 2H LT 02.117.702 $423.36C1713 10500C1713 PLATE HUMERUS 3.5M 5H 241.275 $416.07C1713 10500C1713 PLATE HUMERUS 3.5MM LCP $439.20C1713 10500C1713 PLATE HUMERUS 3.5MM LCP $474.37C1713 10500C1713 PLATE HUMERUS 3H LT 110030100 $548.17C1713 10500C1713 PLATE HUMERUS 6 HOLE 241.919 $597.30C1713 10500C1713 PLATE HUMERUS 70-0375 $388.67C1713 10500C1713 PLATE L 2.0MM 2 HOLE 19MM LEFT $17.15C1713 10500C1713 PLATE L 2.0MM 2 HOLE 19MM RIGH $14.65C1713 10500C1713 PLATE L 2.4MM DISTAL RADIUS $116.33C1713 10500C1713 PLATE L 2.4MM DISTAL RADIUS $122.33C1713 10500C1713 PLATE L 2.4MM DISTAL RADIUS $122.33C1713 10500C1713 PLATE L 2.4MM DISTAL RADIUS $122.33C1713 10500C1713 PLATE L 2.4MM DISTAL RADIUS $131.00C1713 10500C1713 PLATE L 2.4MM DISTAL RADIUS $135.60C1713 10500C1713 PLATE L 2.4MM DISTAL RADIUS $140.70C1713 10500C1713 PLATE L 2.4MM DISTAL RADIUS $140.70C1713 10500C1713 PLATE L 2.4MM DISTAL RADIUS $143.40C1713 10500C1713 PLATE L 2.4MM DISTAL RADIUS $147.70C1713 10500C1713 PLATE L 2.4MM DISTAL RADIUS $159.60C1713 10500C1713 PLATE L 2.4MM DISTAL RADIUS $167.69C1713 10500C1713 PLATE L 2.7MM 3 HOLE 34MM LEFT $8.25C1713 10500C1713 PLATE L 2.7MM 3 HOLE 34MM RIGH $8.25C1713 10500C1713 PLATE L MIDFACE 1.7X8MM 6HOLE $105.00C1713 10500C1713 PLATE L TCP 35MM LEFT $398.33C1713 10500C1713 PLATE LAPIDUS 2MM P53-106-R202 $735.00C1713 10500C1713 PLATE LAPIDUS AR-8941 $3.33C1713 10500C1713 PLATE LAPIDUS P53-106-L001 $735.00C1713 10500C1713 PLATE LAPIDUS P53-106-L202 $735.00C1713 10500C1713 PLATE LATERAL 20H LT PL-LEL20L $434.67

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C1713 10500C1713 PLATE LATERAL 32MM 58-LP-0032 $1,316.67C1713 10500C1713 PLATE LATERAL FIB 11H 70-0151 $322.67C1713 10500C1713 PLATE LATERAL POST 02.117.303 $410.67C1713 10500C1713 PLATE LC-DCP 2.4 X 35MM $135.85C1713 10500C1713 PLATE LC-DCP 2.4MM 4H 249.924 $108.46C1713 10500C1713 PLATE LCP 2.0MM 10H 247.360 $88.50C1713 10500C1713 PLATE LCP 2.4 6H 52MM $122.03C1713 10500C1713 PLATE LCP 2.4MM 7H 249.679 $211.95C1713 10500C1713 PLATE LCP 2.4X44 5H 247.375 $122.03C1713 10500C1713 PLATE LCP 2.7 6H $128.10C1713 10500C1713 PLATE LCP 2.7MM 12H 247.370 $148.20C1713 10500C1713 PLATE LCP 2.7MM 2/3H 249.685 $224.23C1713 10500C1713 PLATE LCP 2H LEFT 02.117.902 $410.67C1713 10500C1713 PLATE LCP 2H RIGHT 02.107.202 $373.68C1713 10500C1713 PLATE LCP 3.5 2H 236.502 $273.00C1713 10500C1713 PLATE LCP 3.5 3H 02.113.103 $171.00C1713 10500C1713 PLATE LCP 3.5 4H 236.504 $284.90C1713 10500C1713 PLATE LCP 3.5 LEFT 236.505 $302.70C1713 10500C1713 PLATE LCP 3.5MM 223.407 $337.34C1713 10500C1713 PLATE LCP 3.5MM 4H/76MM/LEFT $461.10C1713 10500C1713 PLATE LCP 3.5MM 7H/RT/110MM $344.29C1713 10500C1713 PLATE LCP 3H RIGHT 02.117.203 $410.67C1713 10500C1713 PLATE LCP 4.5 $433.67C1713 10500C1713 PLATE LCP 4.5 $459.11C1713 10500C1713 PLATE LCP 4.5 $516.60C1713 10500C1713 PLATE LCP 4.5MM 12H CURVED $521.97C1713 10500C1713 PLATE LCP 4.5MM 16H LEFT $615.77C1713 10500C1713 PLATE LCP 4.5X115MM $161.05C1713 10500C1713 PLATE LCP 4.5X152MM $140.33C1713 10500C1713 PLATE LCP 4.5X170MM $395.87C1713 10500C1713 PLATE LCP 4.5X170MM $479.27C1713 10500C1713 PLATE LCP 4.5X278 $459.11C1713 10500C1713 PLATE LCP 4H LT 242.104 $442.63C1713 10500C1713 PLATE LCP 6H LEFT 236.507 $312.30

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C1713 10500C1713 PLATE LCP 7H 2.4X55 02.111.730 $311.03C1713 10500C1713 PLATE LCP BOARD 4.5MM 12H/229M $222.37C1713 10500C1713 PLATE LCP BOARD 4.5MM 13H/247M $243.90C1713 10500C1713 PLATE LCP BROAD 4.5MM 14H/265M $247.57C1713 10500C1713 PLATE LCP BROAD 4.5MM 15H/282M $274.87C1713 10500C1713 PLATE LCP BROAD 4.5MM 16H/300M $312.60C1713 10500C1713 PLATE LCP BROAD 4.5MM 17H/318M $334.20C1713 10500C1713 PLATE LCP BROAD 4.5MM 18H/336M $343.23C1713 10500C1713 PLATE LCP BROAD 4.5X152 $169.17C1713 10500C1713 PLATE LCP BROAD 4.5X188 $196.70C1713 10500C1713 PLATE LCP BROAD 4.5X224 $222.37C1713 10500C1713 PLATE LCP BROAD 4.5X260 $276.00C1713 10500C1713 PLATE LCP COND 14H 02124414 $604.10C1713 10500C1713 PLATE LCP CONDYLAR 12H $623.70C1713 10500C1713 PLATE LCP CONDYLAR 4.5 14H LT $604.10C1713 10500C1713 PLATE LCP CONDYLE 7H 249.684 $199.73C1713 10500C1713 PLATE LCP CURVED 16 HOLE 4.5 $480.19C1713 10500C1713 PLATE LCP DISTAL $210.49C1713 10500C1713 PLATE LCP DISTAL $240.33C1713 10500C1713 PLATE LCP DISTAL $240.33C1713 10500C1713 PLATE LCP DISTAL $269.97C1713 10500C1713 PLATE LCP DISTAL $276.00C1713 10500C1713 PLATE LCP DISTAL $277.50C1713 10500C1713 PLATE LCP DISTAL $295.11C1713 10500C1713 PLATE LCP DISTAL $303.96C1713 10500C1713 PLATE LCP DISTAL 02.112.136S $208.20C1713 10500C1713 PLATE LCP DISTAL 02.112.137S $208.20C1713 10500C1713 PLATE LCP DISTAL 02.112.138S $208.83C1713 10500C1713 PLATE LCP DISTAL 02.112.139S $211.20C1713 10500C1713 PLATE LCP DISTAL 02.112.140S $214.20C1713 10500C1713 PLATE LCP DISTAL 02.112.141S $211.40C1713 10500C1713 PLATE LCP DISTAL 02.112.142S $217.20C1713 10500C1713 PLATE LCP DISTAL 02.112.143S $217.20C1713 10500C1713 PLATE LCP DISTAL 02.112.144S $220.20

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C1713 10500C1713 PLATE LCP DISTAL 02.112.145S $220.20C1713 10500C1713 PLATE LCP DISTAL 02.112.148S $223.20C1713 10500C1713 PLATE LCP DISTAL 02.112.149S $223.20C1713 10500C1713 PLATE LCP DISTAL 02.112.152S $226.20C1713 10500C1713 PLATE LCP DISTAL 02.112.153S $226.20C1713 10500C1713 PLATE LCP DISTAL 02.112.156S $229.20C1713 10500C1713 PLATE LCP DISTAL 02.112.157S $229.20C1713 10500C1713 PLATE LCP DISTAL 02.112.160S $232.20C1713 10500C1713 PLATE LCP DISTAL 02.112.161S $253.20C1713 10500C1713 PLATE LCP DISTAL 3.5 8H RIGHT $467.40C1713 10500C1713 PLATE LCP DISTAL4.5 $521.97C1713 10500C1713 PLATE LCP FEMUR 10 HOLE $672.72C1713 10500C1713 PLATE LCP META 9/5H 424.759 $478.17C1713 10500C1713 PLATE LCP NARROW 4.5X116 $141.90C1713 10500C1713 PLATE LCP NARROW 4.5X152 $149.33C1713 10500C1713 PLATE LCP NARROW 4.5X188 $196.56C1713 10500C1713 PLATE LCP NARROW 4.5X224 $196.70C1713 10500C1713 PLATE LCP TIBIA 3.5 02.124204S $462.70C1713 10500C1713 PLATE LCP TIBIA 3.M $442.17C1713 10500C1713 PLATE LCP VA 3.5 02.211.421 $513.00C1713 10500C1713 PLATE LCP VOLAR 02.110.330 $259.20C1713 10500C1713 PLATE LCP VOLAR 02.110.331 $244.50C1713 10500C1713 PLATE LCP VOLAR 02.110.340 $268.80C1713 10500C1713 PLATE LCP VOLAR 02.110.341 $280.80C1713 10500C1713 PLATE LCP VOLAR 02.110.350 $288.90C1713 10500C1713 PLATE LCP VOLAR 02.110.351 $288.90C1713 10500C1713 PLATE LCP VOLAR 02.110.431 $260.63C1713 10500C1713 PLATE LCP VOLAR 02.110.440 $280.80C1713 10500C1713 PLATE LCP VOLAR 02.110.441 $312.60C1713 10500C1713 PLATE LCP VOLAR 02.110.450 $276.73C1713 10500C1713 PLATE LCP VOLAR 02.110.451 $288.90C1713 10500C1713 PLATE LCP VOLAR 60.110.039 $240.00C1713 10500C1713 PLATE LCP VOLAR 8 HOLE RIGHT $260.63C1713 10500C1713 PLATE LCP VOLAR DISTAL $523.60

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C1713 10500C1713 PLATE LEFT BONE 9HOLE $506.40C1713 10500C1713 PLATE LISS 13 HOLE 316MM RIGHT $482.40C1713 10500C1713 PLATE LOCK 5H AR-8952MT-05 $311.00C1713 10500C1713 PLATE LOCK RT 10H PL-LEL10R $372.00C1713 10500C1713 PLATE LOCKING 1.7X8H 55-05779 $136.33C1713 10500C1713 PLATE LOCKING 10 HOLE $89.33C1713 10500C1713 PLATE LOCKING 10H AR-8943T-10 $133.33C1713 10500C1713 PLATE LOCKING CALCANEAL LONG-R $238.50C1713 10500C1713 PLATE LOCKING SHT LEFT $223.20C1713 10500C1713 PLATE LOCKING ST 7H AR-8943C07 $175.00C1713 10500C1713 PLATE LP ST 7H 3.5X91 02100107 $193.90C1713 10500C1713 PLATE MAMBO 6HOLE CS182040 $671.67C1713 10500C1713 PLATE MAMBO EXT CS182002 $193.00C1713 10500C1713 PLATE MANDIBLE FULL $759.67C1713 10500C1713 PLATE MEDIAL DIST HUM RT LG $353.33C1713 10500C1713 PLATE MEDIAL LATERAL CURVE 0.8 $162.67C1713 10500C1713 PLATE MEDIAL SM RT P99109R211 $1,048.33C1713 10500C1713 PLATE MESH VALOCK 2.4/2.7 5X12 $571.11C1713 10500C1713 PLATE MIDSHAFT ULNA 8H 70-0071 $313.00C1713 10500C1713 PLATE MIDSHAFT VOLAR 6H 700066 $313.00C1713 10500C1713 PLATE MINI 4 HOLE 55-10504 $28.50C1713 10500C1713 PLATE MINI BLUE 16H 55-10516 $81.67C1713 10500C1713 PLATE MTP 5RT P53-103-R054 $709.33C1713 10500C1713 PLATE MTP GRAFT P53-103-L252 $868.33C1713 10500C1713 PLATE MTP LP SHORT LEFT $381.00C1713 10500C1713 PLATE MTP MAXLOCK MXM002MTPPB $822.67C1713 10500C1713 PLATE MTP MED 10H P53-103-L102 $709.50C1713 10500C1713 PLATE MTP REV MD LT P53103L152 $868.50C1713 10500C1713 PLATE MTP SHORT AR-8944CR-P $381.00C1713 10500C1713 PLATE MTP SHORT RIGHT 2H $709.50C1713 10500C1713 PLATE MTP SMALL RT P53103R001 $709.50C1713 10500C1713 PLATE NARROW LONG LT 70-0370 $410.00C1713 10500C1713 PLATE NARROW RIGHT $248.33C1713 10500C1713 PLATE NAVICULAR 02.211.220 $350.23

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C1713 10500C1713 PLATE NECK 1.3MM RT 7005-1303R $187.33C1713 10500C1713 PLATE OBELISC 20MM CS2920-23 $2,906.00C1713 10500C1713 PLATE OBELISC 45MM CS2915-00 $882.80C1713 10500C1713 PLATE OBELISC CS2914-00 $859.33C1713 10500C1713 PLATE OLECRAN RT LONG 70-0315 $445.33C1713 10500C1713 PLATE OLECRANAN 6H 02.107.306 $373.68C1713 10500C1713 PLATE OLECRANON 2H 02.107.102 $287.23C1713 10500C1713 PLATE OLECRANON 2H LT 2.7/3.5 $322.93C1713 10500C1713 PLATE OLECRANON 5H 70-0313 $392.33C1713 10500C1713 PLATE OLECRANON 6H 629346 $307.47C1713 10500C1713 PLATE OLECRANON 70-0305 $392.33C1713 10500C1713 PLATE OLECRANON LCP 2H RIGHT $349.92C1713 10500C1713 PLATE OLECRANON LT 2H 236.503 $273.00C1713 10500C1713 PLATE OLECRANON SMALL $333.33C1713 10500C1713 PLATE ORBITAL FLOOR MED 0.3MM $277.60C1713 10500C1713 PLATE ORBITAL FLOOR MEDIUM $277.83C1713 10500C1713 PLATE ORBITAL LG .4MM 54-04001 $295.92C1713 10500C1713 PLATE PLANTAR 3.5MM 02.211.419 $443.33C1713 10500C1713 PLATE PLANTER LAP RT AR8941PR $712.00C1713 10500C1713 PLATE POSTERIOR 5H P53207R005 $597.00C1713 10500C1713 PLATE PROX NAR LEFT 70-0352 $410.00C1713 10500C1713 PLATE RADIAL 20-15MM DRUJ-LP20 $1,579.00C1713 10500C1713 PLATE RADIUS 2.4MM 02.111.620 $336.60C1713 10500C1713 PLATE RADIUS 2.4MM 02.111.651 $339.00C1713 10500C1713 PLATE RADIUS VA-LCP 2.4 6H RT $311.03C1713 10500C1713 PLATE RECON 17H 20MM 92-55922 $452.27C1713 10500C1713 PLATE RECON MAND 78-20020 $3,500.00C1713 10500C1713 PLATE RECONSTRUCTION 12 HOL $153.30C1713 10500C1713 PLATE RECONSTRUCTION 3.5MM LCP $134.40C1713 10500C1713 PLATE RECONSTRUCTION 3.5MM LCP $155.40C1713 10500C1713 PLATE RECONSTRUCTION 3.5MM LCP $163.10C1713 10500C1713 PLATE RECONSTRUCTION 3.5MM LCP $181.50C1713 10500C1713 PLATE RECONSTRUCTION 3.5MM LCP $187.50C1713 10500C1713 PLATE RECONSTRUCTION 3.5MM LCP $195.30

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C1713 10500C1713 PLATE REG CURVED $41.00C1713 10500C1713 PLATE REV MTP RT MTP-002-RR $586.67C1713 10500C1713 PLATE RIGHT BONE 6 HOLE $496.80C1713 10500C1713 PLATE SLANT T 4H P53-110-R001 $675.00C1713 10500C1713 PLATE SLAT-T 3H P53-110-L000 $675.00C1713 10500C1713 PLATE SMARTLOCK HMMF 55-02950 $108.33C1713 10500C1713 PLATE SPIDER $216.67C1713 10500C1713 PLATE SPINE 20X8MM 187.008 $1,802.00C1713 10500C1713 PLATE SPINE 2-L 34MM 30-0234 $502.33C1713 10500C1713 PLATE STR 3.5 7H PG3555-07-2 $173.75C1713 10500C1713 PLATE STRAIGHT 2.0 3 HOLE 17MM $17.15C1713 10500C1713 PLATE STRAIGHT 2.0 4 HOLE 23MM $22.17C1713 10500C1713 PLATE STRAIGHT 2.4MM 6 HOLE $331.00C1713 10500C1713 PLATE STRAIGHT 2MM 5 HOLE 29MM $20.18C1713 10500C1713 PLATE STRAIGHT 8-HOLE $24.00C1713 10500C1713 PLATE T 0.8MM 7005-08003 $162.67C1713 10500C1713 PLATE T 1.3 4H 221.334 $85.32C1713 10500C1713 PLATE T 1.3MM 7005-13002 $158.00C1713 10500C1713 PLATE T 10-HOLE 249.669 $234.30C1713 10500C1713 PLATE T 2.0MM 2 HOLE 18MM $20.25C1713 10500C1713 PLATE T 2.7MM 3 HOLE 32MM $22.00C1713 10500C1713 PLATE T 2MM 8H 247.232 $73.73C1713 10500C1713 PLATE T COMP 5H P53-152-0002 $598.50C1713 10500C1713 PLATE T LCP 2.0MM 247.351 $134.87C1713 10500C1713 PLATE T LOCK 2.5 $165.00C1713 10500C1713 PLATE T TIBIA 6H 02.118.307S $340.50

364SU270 PLATE TACK .062X3 80-2430 $8.80C1713 10500C1713 PLATE TACK 40250010 $59.67

364SU270 PLATE TACK PL-PTACK $10.20C1713 10500C1713 PLATE TENSION BAND 2.0MM X 22 $91.69C1713 10500C1713 PLATE TENSION BAND 2MM X 25 $95.68C1713 10500C1713 PLATE T-FUSION 2H SHORT $308.07C1713 10500C1713 PLATE T-GUIDE STD L 80-0695 $421.00C1713 10500C1713 PLATE TIB DIST 10H 202MM LEFT $473.90

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C1713 10500C1713 PLATE TIB LCP 12H 02.112.526 $449.87C1713 10500C1713 PLATE TIBIA $398.33C1713 10500C1713 PLATE TIBIA 118MM $413.40C1713 10500C1713 PLATE TIBIA 142MM $340.39C1713 10500C1713 PLATE TIBIA 3.5 $426.25C1713 10500C1713 PLATE TIBIA 3.5 $442.17C1776 10500C1776 PLATE TIBIA 3.5 $412.00C1713 10500C1713 PLATE TIBIA 3.5 02.118.103S $613.44C1713 10500C1713 PLATE TIBIA 3.5 10H 02.127.341 $666.21C1713 10500C1713 PLATE TIBIA 3.5 14H 02.112.531 $527.31C1713 10500C1713 PLATE TIBIA 3.5 4H 02.127.210 $476.70C1713 10500C1713 PLATE TIBIA 3.5 8H 147MM RIGHT $634.50C1713 10500C1713 PLATE TIBIA 3.5MM 10 HOLE RT $423.00C1713 10500C1713 PLATE TIBIA 3.5MM 14 HOLE LEFT $432.90C1713 10500C1713 PLATE TIBIA 3.5MM 14 HOLE RT $432.90C1713 10500C1713 PLATE TIBIA 3.5MM 16 HOLE LEFT $482.40C1713 10500C1713 PLATE TIBIA 3.5MM 6 HOLE RIGHT $447.53C1713 10500C1713 PLATE TIBIA 3.5MM 6H 239.956S $461.77C1713 10500C1713 PLATE TIBIA 3.5MM 8 HOLE RIGHT $418.50C1713 10500C1713 PLATE TIBIA 3.5MM 8H 02127231 $548.33C1713 10500C1713 PLATE TIBIA 3.5X116 $399.33C1713 10500C1713 PLATE TIBIA 3.5X133 $526.50C1713 10500C1713 PLATE TIBIA 3.5X185 $516.90C1713 10500C1713 PLATE TIBIA 4.5 X82MM 4 HOLE L $393.39C1713 10500C1713 PLATE TIBIA 4.5 X82MM 4 HOLE R $393.33C1713 10500C1713 PLATE TIBIA 4.5X154MM 8 HOLE L $418.20C1713 10500C1713 PLATE TIBIA 4.5X154MM 8 HOLE R $469.80C1713 10500C1713 PLATE TIBIA 4.5X190 $377.00C1713 10500C1713 PLATE TIBIA 4.5X190MM10 HOLE R $377.00C1713 10500C1713 PLATE TIBIA 4.5X222MM12 HOLE R $538.80C1713 10500C1713 PLATE TIBIA 4.5X226 $381.33C1713 10500C1713 PLATE TIBIA 4.5X262MM L14 HOLE $385.67C1713 10500C1713 PLATE TIBIA 4.5X262MM R 14 HOL $385.67C1713 10500C1713 PLATE TIBIA 4H RT 02.118.002 $459.20

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C1713 10500C1713 PLATE TIBIA 4H/L 239.955S $455.93C1713 10500C1713 PLATE TIBIA 9H 22MM 422.224 $518.70C1713 10500C1713 PLATE TIBIA DISTAL 3.5 6 HOLE $403.67C1713 10500C1713 PLATE TIBIA MEDIAL 02.118.006 $542.70C1713 10500C1713 PLATE TIBIA VA-LCP 3.5MM 10H $554.63C1713 10500C1713 PLATE TIBIA VA-LCP 3.5MM SMALL $764.91C1713 10500C1713 PLATE TIBIAL 3.5X187 02.112523 $444.97C1713 10500C1713 PLATE TIBIAL 79MM $681.00C1776 10500C1776 PLATE TIBIAL SZ6 00598004702 $673.43C1713 10500C1713 PLATE TIVECTRA 34MM 04.613.134 $675.33C1713 10500C1713 PLATE TMT SM LT P53-110-L211 $868.50C1713 10500C1713 PLATE TRACHANTER 02.02263.301 $303.33C1713 10500C1713 PLATE TUBULAR 1/3 4H 7008-0104 $32.00C1713 10500C1713 PLATE TUBULAR 8H AR-8943T-08 $126.33C1713 10500C1713 PLATE ULNA 12H 70-0073 $303.67C1713 10500C1713 PLATE ULNAR 6H PL-UL06 $321.33C1713 10500C1713 PLATE UNIVERAL AR895601 $440.67C1713 10500C1713 PLATE VA LCP 4.5X195 02124409 $529.67C1713 10500C1713 PLATE VA-LCP 9H LEFT XLONG 153 $354.90C1713 10500C1713 PLATE VDR NAR 70-0353 $422.33C1713 10500C1713 PLATE VDR NAR LG 70-0383 $422.33C1713 10500C1713 PLATE VDR NARROW LONG 70-0382 $422.33C1713 10500C1713 PLATE VDR STD LG 70-0356 $598.00C1713 10500C1713 PLATE VDR STD LONG LEFT 700372 $422.33C1713 10500C1713 PLATE VECTRA 16MM 04.613.016 $366.67C1713 10500C1713 PLATE VECTRA 24H 04.613.024 $629.33C1713 10500C1713 PLATE VECTRA 30MM 04.613.130 $675.33C1713 10500C1713 PLATE VECTRA 38MM 04.613.138 $400.00C1713 10500C1713 PLATE VECTRA 51MM 04.613.251 $433.33C1713 10500C1713 PLATE VECTRA 54MM 04.613.254 $433.33C1713 10500C1713 PLATE VECTRA 57MM 04.613.257 $433.33C1713 10500C1713 PLATE VOLAR 2.4 6H LEFT $359.91C1713 10500C1713 PLATE VOLAR 49MM 70-0351 $422.33C1713 10500C1713 PLATE VOLAR LT 49MM 70-0350 $422.33

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C1713 10500C1713 PLATE VOLAR STD RT 70-0357 $598.00C1713 10500C1713 PLATE W/BAR 6H 92-10507 $290.33C1713 10500C1713 PLATE WEDGE AR-13100-12.5 $347.67C1713 10500C1713 PLATE WRIST $250.00C1713 10500C1713 PLATE WRIST FUSION 8 HOLE $363.90C1713 10500C1713 PLATE WRIST LT SM 70-0327 $406.67C1713 10500C1713 PLATE WRIST SPAN 7006-1190N-S $398.00C1713 10500C1713 PLATE X 3MM SIZE M AR-8952XM $381.00C1713 10500C1713 PLATE Y LCP 2.0MM 247.350 $140.70C1713 10500C1713 PLATE-L LCP 2.7MM 249.689 $127.80C1713 10500C1713 PLATE-T 2.4MM 3HHEAD/3H SHAFT $141.30C1713 10500C1713 PLATE-T 2.4MM 3HHEAD/4H SHAFT $154.80C1713 10500C1713 PLATE-T 3.5MM LCP 3H HEAD/ $98.23C1713 10500C1713 PLATE-T 3.5MM LCP 3H HEAD/ $101.27C1713 10500C1713 PLATE-T 3.5MM LCP 3H HEAD/ $111.53C1713 10500C1713 PLATE-T 3.5MM LCP 3H HEAD/ $117.30C1713 10500C1713 PLATE-T 3.5MM LCP 3H HEAD/ $117.30C1713 10500C1713 PLATE-T 3.5MM LCP 3H HEAD/ $123.00C1713 10500C1713 PLATE-T 3.5MM LCP 3H HEAD/ $123.00C1713 10500C1713 PLATE-T 3.5MM LCP 3H HEAD/ $128.10C1713 10500C1713 PLATE-T 3.5MM LCP 3H HEAD/ $128.10C1713 10500C1713 PLATE-T 3.5MM LCP 3H HEAD/ $139.20C1713 10500C1713 PLATE-T 3.5MM LCP 3H HEAD/ $139.20C1713 10500C1713 PLATE-T 3.5MM LCP 3H HEAD/ $162.87C1713 10500C1713 PLATE-T 3.5MM LCP 4H HEAD/ $137.70C1713 10500C1713 PLATE-T LCP 4.5X147 $206.33C1713 10500C1713 PLATE-T LCP 4.5X83 $219.30C1713 10500C1713 PLATE-TUBULAR LCP 1/3 W/ $52.50C1713 10500C1713 PLATE-TUBULAR LCP 1/3 W/ $52.50C1713 10500C1713 PLATE-TUBULAR LCP 1/3 W/ $53.67C1713 10500C1713 PLATE-TUBULAR LCP 1/3 W/ $56.47C1713 10500C1713 PLATE-TUBULAR LCP 1/3 W/ $56.47C1713 10500C1713 PLATE-TUBULAR LCP 1/3 W/ $66.30C1776 10500C1776 PLATFORM TIBIAL 1294-35-125 $1,776.60

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364SU270 PLEDGET 5/8"X1/4"X1/16" $1.36C1776 10500C1776 PLUG APICAL HOLE 010000994 $74.67C1776 10500C1776 PLUG BONE ALLEN 8011-10-01 $30.52C1713 10500C1713 PLUG CANAL IM LG 14-17 130613 $69.33C1713 10500C1713 PLUG CANAL IM SMALL 8-10MM $49.67C1763 10500C1763 PLUG FISTULA C-FPS-0.4 $348.33C1776 10500C1776 PLUG STEM TAPER $196.67C1776 10500C1776 PLUG STEM TAPER 5960-99 $150.00C1713 10500C1713 POCKETLOCK MINI MXM-040-14-MTP $10.67

364SU270 POST 1 HOLE 54-11600 $61.48364SU270 POST 2 HOLE 54-11610 $50.48364SU270 POST DISTRACTION U44-640-16 $33.25

C1776 10500C1776 POST FEMORAL SZ.5 96-0906 $327.40364SU270 POST OUTRIGGER ST 11MM 390.011 $35.84

C1776 10500C1776 POST STAB FEMUR RT SIZE 8 $800.00C1713 10500C1713 POST TAPER 7.0MM 9070-0013-W $172.00C1776 10500C1776 POST TAPER 9.5MM 9095-0018-W $172.00C1776 10500C1776 POSTERIOR AUGMENT 3,4MM 960866 $361.00C1776 10500C1776 POSTERIOR F 5MM 00549003601 $523.26C1776 10500C1776 POSTERIOR S#2.5 4MM 96-0846 $327.40

364SU270 POST-OP DEVICE $430.50L1830 10500L1830 POST-OP KNEE BRACE XLG $1.20

364SU270 POUCH 1 3/4" $0.55364SU270 POUCH DRAIN $0.18364SU270 POUCH DRAIN 1 3/4" $0.41364SU270 POUCH DRAIN 1 3/4" $0.80364SU270 POUCH DRAIN 2 3/4" LOCK'N ROLL $0.07364SU270 POUCH DRAIN HIGH OUTPUT 401557 $0.28364SU270 POUCH DRAIN W/PANEL 2 1/2" LOC $0.16364SU270 POUCH DRAIN W/PANEL 2" LOCK'N $2.27364SU270 POUCH DRAINABLE 2 3/4" $0.43364SU270 POUCH DRAINABLE 2 3/4" $0.43364SU270 POUCH NEW IMAGE 2 1/4 $0.32364SU270 POUCH OSTOMY 1 7/8 $0.32

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364SU270 POUCH OSTOMY 1-PIECE 416908 $0.52364SU270 POUCH OSTOMY 4" $0.65364SU270 POUCH OSTOMY 6.9X4.3 839252 $1.63364SU270 POUCH OSTOMY ESTEEM LATEX FREE $0.16364SU270 POUCH UROSTOMY ESTEEM $0.23364SU270 POWDER LACERATION & SKIN TEARS $5.16

C1788 10500C1788 POWER PORT IMPLANTABLE LF $86.00C1751 10500C1751 POWERPICC SOLO DUAL LUMEN $77.97C1751 10500C1751 POWERPICC SOLO RAD 135CM NIT $34.67C1751 10500C1751 POWERPICC SOLO SINGLE LUMEN $74.07C1751 10500C1751 POWERPICC SOLO TRIPLE LUMEN $89.40C1788 10500C1788 POWERPORT SLIM 1716000 $139.87C1769 10502C1769 PRIMEWIRE PRESTIGE 185CM $215.00

364SU270 PROBE $19.80364SU270 PROBE ARCSMART G11-400-01 $49.39364SU270 PROBE DEPTH GAUGE .035 80-0357 $84.25364SU270 PROBE DISP GAYMAR DP400CE $1.31364SU270 PROBE FINGER SAS-AP $1.77364SU270 PROBE HEMO 7 FR 350CM $38.32364SU270 PROBE NEURO 03.809.692S $183.75364SU270 PROBE NIM SPINE 23CM 9450015 $50.50364SU270 PROBE SAPH. $42.28364SU270 PROBE STIMULATOR $26.36364SU270 PROBE TAC-C2 $71.01364SU270 PROBE ULTRASONIC W/BURR TIP $36.37364SU270 PROBE WAND CYBER CW-RBPBX $124.56364SU272 PROGRAMMER CHARGING SYSTEM $796.67

C1787 10500C1787 PROGRAMMER ITREL 7434A $331.67C1787 10500C1787 PROGRAMMER PATIENT $396.67C1787 10500C1787 PROGRAMMER PATIENT 37744 $396.67

364SU270 PROGRAMMER PATIENT 37746 $377.00C1787 10501C1787 PROGRAMMER PATIENT SACRAL 3037 $396.67C1878 10500C1878 PROLARYN PLUS 1.0CC INJECTABLE $191.67C1781 10500C1781 PROLENE MESH 3 X 6 INCH $26.50

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364SU270 PRONG NASAL INF XL 777000XL $1.33364SU270 PRONG NASAL INF XSM 777000XS $1.33364SU270 PROP KNEE LG 7"X9" 7907W $2.29364SU270 PROSTH ALIGNMENT SYSTEM $96.00

C1889 364C1889 PROSTH DISC CERV 15X19 MB3595 $2,066.67364SU270 PROSTH SHRINKER $16.60364SU270 PROSTH SOCK WOOL $6.60364SU270 PROSTH STORING FOOT $167.50

C1776 10500C1776 PROSTH TIBIAL #4 33650004 $2,650.00C1776 10500C1776 PROSTH TIBIAL #4 33650014 $2,650.00C1776 10500C1776 PROSTHESIS HIP 20X75 197520075 $1,622.80C1776 10500C1776 PROSTHESIS HIP 24X75 197524075 $1,622.80

364SU270 PROSTHESIS VOICE BLOM-SINGER $69.75364SU270 PROSTHETIC SHRINKER L8440 $10.75364SU270 PROTECTOR CAST $1.69364SU270 PROTECTOR EYE OPTIC-GARD $0.77364SU270 PROTECTOR WOUND ALEXIS C8301 $10.40364SU270 PROTECTOR WOUND ALEXIS C8312 $10.40364SU270 PROTECTOR WOUND ALEXIS XX-SM $10.40

C1776 10500C1776 PROXIMAL BODY $1,768.33C1776 10500C1776 PROXIMAL BODY 20X85 197520085 $1,472.60

364SU270 PSOT OUTRIGGER ST 12MM 390.012 $30.98C1813 10500C1813 PUMP AMS 700 LGX 72404251 $2,483.33

364SU270 PUMP BREAST SPRING EXPRESS $2.54364SU270 PUMP HARMONY BREAST $2.92

C1772 10500C1772 PUMP MORPHINE MEDTRONIC $3,802.33C1813 10500C1813 PUMP PENILE 700MS CX $2,794.33C1772 10500C1772 PUMP SYNCHROMED 8637-40 $3,621.33Q4172 10500Q4172 PURAPLY AM 2X2(CHARGE 4 SQ CM) $216.67Q4172 10500Q4172 PURAPLY AM 2X4 PER SQ CM (X8) $298.67Q4172 10500Q4172 PURAPLY AM 5X5 PER SQ CM $933.33Q4172 10500Q4172 PURAPLY AM 6X9 PER SQ CM $2,016.00Q4172 10500Q4172 PURAPLY AM 8X16 PER SQ CM $4,500.00C1762 10500C1762 PUTTY BIO DBM 7775001 $115.00

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C1713 10500C1713 PUTTY DBM 2.5CC ABS-2012-02 $146.67C1713 10500C1713 PUTTY DBX 1.0CC $54.67C1713 10500C1713 PUTTY FAST SET 10CC 07.704110S $847.93

364SU270 PUTTY FAST SET NORIAN $843.33364SU270 QUICKTRACH 2.0MM AE-1330 $46.25364SU270 QUICKTRACH 4.0MM AE-1325 $45.00364SU270 RADPAD EP LT SUBCLAVIAN ORANGE $6.21364SU270 RAIL BODY COMPLETE LONG $600.00364SU270 RAIL CLAMPS COMPLETE $90.00

C1713 10500C1713 RAPID CURE PASTE 10CC 620-010 $416.67C1713 10500C1713 RAPID CURE PASTE 5CC 620-005 $283.33

364SU270 RAPID RHINO ANTERIOR 4.5CM $7.34364SU270 RAPID RHINO ANTERIOR 5.5CM $7.12364SU270 RAPID RHINO ANTERIOR 5.5CM COP $6.40364SU270 RAPID RHINO POSTERIOR/ANTERIOR $5.98364SU270 RAPID RHINO POSTERIOR/ANTERIOR $7.58364SU270 RASP HELIO 3.2X18.3 5120-80-30 $27.19364SU270 REAMER 12.0MM STERILE $82.08364SU270 REAMER 12.5MM 352.251S $81.60364SU270 REAMER CANNULATED 5MM AR1405.5 $53.75364SU270 REAMER CONCAVE XFR004118 $168.00364SU272 REAMER CONNEX 10MM 200432010 $70.00364SU270 REAMER CONVEX .018 XFR004218 $168.00

C1713 10500C1713 REAMER CROSS MTP RT PLP14342 $547.73364SU270 REAMER CROSS PLATE XFR006100 $151.80364SU270 REAMER DEPTH XDR20 $71.25364SU270 REAMER DRIVE SHAFT SEAL STERIL $3.59364SU270 REAMER FEMALE 21MM P019002102 $117.00364SU270 REAMER GUIDE 5.5MM 130-00055 $112.50364SU270 REAMER HEAD $30.00364SU270 REAMER HEAD 14.5 352.255S $94.97

C1776 10500C1776 REAMER HEAD 15.0MM 352.256S $108.80364SU270 REAMER HEAD 15.5 352.257S $94.97364SU270 REAMER HEAD 16 352.258S $94.97

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364SU270 REAMER HEAD 16.5 352.259S $94.97364SU270 REAMER HEAD 17 352.261S $93.96364SU270 REAMER MALE 21MM P019002103 $117.00364SU270 REAMER MDDRLG $81.25364SU270 REAMER META 16MM AR-8944MR-16 $160.75364SU270 REAMER METATARSAL 20MM $112.50364SU270 REAMER METATARSAL AR-8944MR-18 $112.50364SU270 REAMER P.H. 8.5MM AR-1455 $73.25364SU270 REAMER PHAL 16MM AR-8944PR-16 $160.75364SU270 REAMER PHALANGEAL 20MM $112.50364SU270 REAMER PHALANGEAL AR-8944PR-18 $112.50364SU270 REAMER PILOTE HEAD 7.5 AR-1453 $73.25364SU270 REAMER SURGICAL 14MM HEAD ST $82.08364SU272 REAMER TALAR 1-3 33600123 $116.25364SU272 REAMER TALAR 4-5 33600126 $116.25

C1764 10500C1764 RECORDER CARDIAC REVEAL XT9529 $1,283.33C1764 10500C1764 RECORDER REVEAL LINQ LNQ11 $1,765.00

364SU270 RELIATRACK RELTACK10R $35.29364SU270 RELIATRACK RELTACK10R $35.44364SU270 RELIEVA SPIN BALLOON SINUPLAST $558.33364SU270 RELIEVA SPIN F GUIDE RSF70 $80.00364SU270 RELIEVA SPIN PLUS 5X16 $650.00364SU270 RELIEVA SPIN S GUIDE RSSO $80.00364SU270 RELIEVA SPIN SYSTEM RS0616M $558.33364SU270 RELIEVA VORTEX RV02 $38.75364SU270 RELOAD 45 VASCULAR/MEDIUM $102.50364SU270 RELOAD 60MM MEDIUM/THICK $113.75364SU270 RELOAD BLUE FOR STAPLER & CUT $38.22364SU270 RELOAD BLUE REGULAR ECR45B $34.48364SU270 RELOAD CUTTER LINEAR 55MM SR55 $10.83364SU270 RELOAD CUTTER LINEAR 75MM SR75 $16.60364SU270 RELOAD GREEN THICK ECR45G $29.80364SU270 RELOAD STAPLER ECHELON 60 $33.53364SU272 RELOAD STAPLER GOLD 3.8 ECR60D $31.41

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364SU270 RELOAD STAPLER GREEN $38.22364SU270 RELOAD STAPLER L45 GRAY ECR45M $27.18364SU270 RELOAD WHITE VASC/THIN ECR45W $29.80364SU270 RESECTOR/OBLATOR $36.25

C1813 10500C1813 RESERVOIR AMS 700 72404155 $698.41364SU270 RESERVOIR MINIMED 3.0ML MMT332 $1.17

C1820 10500C1820 RESTORESENSOR 37714 $6,634.33364SU270 RESUSCITATOR ADULT LATEX FREE $1.26364SU270 RESUSCITATOR AUTOMATIC VOTRAN $13.35364SU270 RESUSCITATOR CHILD $2.81364SU270 RESUSCITATOR INFANT LATEX FREE $1.38364SU270 RETRACTOR SKW $83.06364SU270 RETRIEVAL POLYP $18.80364SU270 RETRIEVER MINI 00711168 $28.75364SU270 RETRIEVER TWISTER PLUS 26MM $14.85

C1773 10501C1773 RETRIEVER VASC 4 LOOP G53008 $200.00C1773 10501C1773 RETRIVAL DEVICE GTRS-200-RB $83.33C1773 10501C1773 RETRIVAL DEVICE GTRS-200-RB $83.33

364SU270 RING 3/4 115MM ID $51.75364SU270 RING 3/4 140MM ID $60.75364SU270 RING 3/4 165MM ID $83.33364SU270 RING 3/4 205MM ID $141.53364SU270 RING FULL 140MM 56-10910 $555.00364SU270 RING FULL 180MM 12224122 $262.50364SU270 RING HALF 140MM 56-11610 $208.82364SU270 RING HALF ANT 180MM 12224124 $262.50

C1776 10500C1776 RING LOCK 50MM 1249-50-000 $104.20C1776 10500C1776 RING LOCKING SZ 22 $19.33C1776 10500C1776 RING LOCKING SZ 24 $50.00C1776 10500C1776 RING LOCKING SZ 25 $19.33C1776 10500C1776 RING LOCKING SZ 26 $19.33C1776 10500C1776 RING LOCKLING SZ 23 $30.67

364SU270 RING RETRACTOR LONESTAR 3304G $12.63C1713 10500C1713 RING ROD SPINE 48281202 $116.67

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364SU270 RINGE ADAPTER BARRIER 2 INCH $0.40C1776 10500C1776 RINGLOC +REP RING S.24 106024 $45.00C1776 10500C1776 RINGLOC SIZE 22 106022 $45.00

364SU270 ROCKER BTTOM 12225400 $280.00C1713 10500C1713 ROD 11.0MM CARBON FIBER 300MM $81.20C1713 10500C1713 ROD 11.0MMX350MM CARBON $81.20C1713 10500C1713 ROD 11MM X 100MM CARBON FIBER $87.48C1713 10500C1713 ROD 11MM X 150MM CARBON FIBER $75.60C1713 10500C1713 ROD 11MM X 200MM CARBON FIBER $75.60C1713 10500C1713 ROD 40MM 1797-71-040 $116.67C1713 10500C1713 ROD 55MM 9251-0055 $83.33C1713 10500C1713 ROD 70MM 04.636.070 $205.00C1713 10500C1713 ROD ATTACHMENT $141.40C1713 10500C1713 ROD BONE ES3 5.5X40 482806040 $116.67C1713 10500C1713 ROD BONE ST 5.5X150MM 110-5150 $70.33

364SU270 ROD CARBON FIBER $39.40C1713 10500C1713 ROD CARBON FIBER 11.0X250 $58.47C1713 10500C1713 ROD CARBON FIBER 11.0X250 $81.20

364SU272 ROD CARBON FIBER 3.0MMX25MM $3.83C1713 10500C1713 ROD CARBON FIBER 3.0MMX45MM $7.67

364SU272 ROD CARBON FIBER 3.0MMX60MM $9.48364SU272 ROD CARBON FIBER 3.0MMX75MM $8.19364SU270 ROD CARBON FIBER 60MM SMC5060 $29.25364SU272 ROD CARBON FIBER 8.0 $51.10364SU272 ROD CARBON FIBER 8.0X220 $59.13

C1713 10500C1713 ROD CURVE NOTCH 110MM 10706110 $83.33C1713 10500C1713 ROD CURVE NOTCH 130MM 10706130 $83.33C1713 10500C1713 ROD CURVE NOTCH 40MM 10706-040 $83.33C1713 10500C1713 ROD CURVE NOTCH 45MM 10706-045 $83.33C1713 10500C1713 ROD CURVE NOTCH 50MM 10706-050 $83.33C1713 10500C1713 ROD CURVE NOTCH 60MM 10706060 $83.33C1713 10500C1713 ROD CURVE NOTCH 65MM 10706-065 $83.33C1713 10500C1713 ROD CURVE NOTCH 75MM 10706-075 $83.33C1713 10500C1713 ROD CURVED 5.5MM 04.636.045 $79.00

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C1713 10500C1713 ROD CURVED 5.5MM 04.636.050 $79.00C1713 10500C1713 ROD CURVED 55MM 10706-055 $83.33C1713 10500C1713 ROD CURVED 70MM 10706-070 $83.33C1713 10500C1713 ROD CURVED 85MM 10706-085 $83.33C1713 10500C1713 ROD CURVED 90MM 10706-090 $83.33C1713 10500C1713 ROD CUSTOM 5.5X400MM 110-5400 $100.00C1713 10500C1713 ROD EXTERNAL FIXATION 400X11 $89.13C1713 10500C1713 ROD EXTERNAL FIXATION 400X11 $89.13

364SU270 ROD FIBER CARBON 90MM SMC-5090 $32.00C1713 10500C1713 ROD FIBULA 3X110MM 40-0026S $501.00

364SU270 ROD GUIDE 3.0 $19.70C1713 10500C1713 ROD MIS 65MM 9251-0065 $83.33C1713 10500C1713 ROD NOTCH 140MM 10706-140 $83.33C1713 10500C1713 ROD PREBENT 110MM 4340-5511 $83.33C1713 10500C1713 ROD PREBENT 120MM 4340-5512 $83.33C1713 10500C1713 ROD PREBENT 20MM 4340-5502 $83.33C1713 10500C1713 ROD PREBENT 25MM 4340-5503 $83.33C1713 10500C1713 ROD PRE-BENT 5.5X200 4340-5520 $83.33C1713 10500C1713 ROD PREBENT 5.5X40 4340-5504 $83.33C1713 10500C1713 ROD PREBENT 50MM 4340-5505 $83.33C1713 10500C1713 ROD PREBENT 50MM GS01611050 $83.33C1713 10500C1713 ROD PREBENT 80MM GS0161-1080 $83.33

364SU270 ROD REAMING 3.0 $19.70364SU270 ROD REAMING 3.0 $19.70364SU270 ROD REAMING W/BALL TIP $35.70364SU270 ROD REAMING W/BALL TIP & EXTEN $26.78

C1713 10500C1713 ROD SPINAL 3.5X40 48552040 $68.33C1713 10500C1713 ROD SPINAL 3.5X50 48552050 $68.33C1713 10500C1713 ROD SPINAL 3.5X60 48552060 $68.33C1713 10500C1713 ROD SPINE 3.5X70 48552070 $46.33C1713 10500C1713 ROD SPINE 5.5X35 482806035 $116.67C1713 10500C1713 ROD STR NOTCH 125MM 10705-125 $83.33C1713 10500C1713 ROD STR T 125MM 10704-125 $52.67C1713 10500C1713 ROD STR T 400MM 10704-400 $100.00

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C1713 10500C1713 ROD STR T 60MM 10704-060 $52.67C1713 10500C1713 ROD STRAIGHT 10704 $83.33C1713 10500C1713 ROD STRAIGHT 200MM 110-5200 $70.33C1713 10500C1713 ROD STRAIGHT NOTCH 60MM $83.33C1713 10500C1713 ROD THREAD 115MM 12224243 $52.67C1713 10500C1713 ROD THREAD 165MM 12224244 $52.67

364SU272 ROD THREADED 115MM 55-10060 $13.20C1713 10500C1713 ROD TI 35MM 04.636.035 $79.00C1713 10500C1713 ROD VANE 5.5X30 4340-5530 $83.33C1713 10500C1713 ROD VANE 5.5X31 4340-5531 $83.33C1713 10500C1713 ROD VANE 5.5X36 4340-5536 $83.33C1713 10500C1713 ROD VANE 5.5X45 4340-5545 $83.33C1713 10500C1713 ROD VANE 5.5X50 4340-5550 $83.33C1713 10500C1713 ROD VANE 5.5X55 4340-5555 $83.33C1713 10500C1713 ROD VANE PREBENT 4340-55XX $83.33C1713 10500C1713 ROD VANE PREBENT 60MM 43405506 $83.33C1713 10500C1713 RODE CURVE NOTCH 95MM 10706095 $83.33

364SU270 ROSEN WIRE $2.42364SU270 ROUTER $9.40364SU270 ROUTER-QUICK COUPLING $34.55364SU272 RUSH PIN 1/4X11 $18.63364SU272 RUSH PIN 1/4X14 3/4X1 $18.63364SU272 RUSH PIN 1/4X15 1/2X2 $18.63364SU272 RUSH PIN 1/4X16 1/4X1 $20.83364SU272 RUSH PIN 1/8X10 1/2 $45.00364SU272 RUSH PIN 3/16X101/4 $21.33364SU272 RUSH PIN 3/16X11 $13.75364SU272 RUSH PIN 3/16X14 $15.50364SU272 RUSH PIN 3/32X10 $8.13364SU272 RUSH PIN 3/32X9.5 $9.58364SU272 RUSH PIN 91/2X1/8 $17.00364SU272 RUSH PIN3/16X91/2 $13.75364SU270 SABRE SJ 3.0MM AR-7300SR $13.20364SU270 SAFCLENS WOUND CLEANSER $0.78

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364SU270 SAFESHEATH II 6FR 667469-001 $16.00364SU270 SAFESHEATH II 9FR 667472-001 $16.00364SU270 SAMPLE LINE 73319 $0.19364SU270 SAMPLE LINE CO2 $0.14364SU270 SCALPEL SAFETY #10 $0.27364SU270 SCALPEL SAFETY #11 $0.27364SU270 SCALPEL SAFETY #15 $0.27364SU270 SCALPEL SAFETY #20 $0.27364SU270 SCISSOR IRIS STRAIGHT 4 1/2" $0.53

C1713 10500C1713 SCREW 17.5MM $140.00C1713 10500C1713 SCREW 2.0MM $11.00C1713 10500C1713 SCREW 2.0MM $11.00C1713 10500C1713 SCREW 2.0MM $11.00C1713 10500C1713 SCREW 2.0MM $16.67C1713 10500C1713 SCREW 2.1X10MM $10.00C1713 10500C1713 SCREW 2.1X14MM $10.00C1713 10500C1713 SCREW 2.1X16MM $10.00C1713 10500C1713 SCREW 2.1X6MM $10.00C1713 10500C1713 SCREW 2.1X8MM $10.00C1713 10500C1713 SCREW 2.3X8MM $11.06C1713 10500C1713 SCREW 2.7X10 $10.00C1713 10500C1713 SCREW 2.7X12 $10.00C1713 10500C1713 SCREW 2.7X14 $10.00C1713 10500C1713 SCREW 2.7X16 $10.00C1713 10500C1713 SCREW 2.7X6 $10.00C1713 10500C1713 SCREW 2.7X8 $10.00C1713 10500C1713 SCREW 24 $25.00C1713 10500C1713 SCREW 25.0MM $140.00C1713 10500C1713 SCREW 2X10MM $8.77C1713 10500C1713 SCREW 2X12MM $8.77C1713 10500C1713 SCREW 2X14MM $8.77C1713 10500C1713 SCREW 3.0X12MM 04.617.812 $96.33C1713 10500C1713 SCREW 3.0X14MM 04.617.814 $91.67C1713 10500C1713 SCREW 3.5X46MM P20-135-046S $105.00

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C1713 10500C1713 SCREW 32MM X 4.5MM $56.00C1713 10500C1713 SCREW 4.0MM LOCKING 38MM $46.20C1713 10500C1713 SCREW 4.5 X 44MM CANNULATED $68.10C1713 10500C1713 SCREW 4.5 X 46MM CANNULATED $60.00C1713 10500C1713 SCREW 42MM X 4.5MM $56.00C1713 10500C1713 SCREW 48MM $26.33C1713 10500C1713 SCREW 5.0MM SELF DRILL SCHANZ $59.03C1713 10500C1713 SCREW 8.0MM F80-155T-20 $211.67C1713 10500C1713 SCREW ACETAB 6.5X20 010000997 $41.67C1713 10500C1713 SCREW ACETAB 6.5X30 010000999 $41.67C1713 10500C1713 SCREW ACETAB 6.5X40 010001001 $49.33C1713 10500C1713 SCREW ACETAB G7 010000998 $41.67C1713 10500C1713 SCREW ACU-LOC 2.3X18 30-2318 $52.67C1713 10500C1713 SCREW ACUTRAK 18MM AT2-S18 $176.00C1713 10500C1713 SCREW ACUTRAK 22MM AT2-S22 $176.00C1713 10500C1713 SCREW ACUTRAK 30.0MM AT2-M30-S $152.67C1713 10500C1713 SCREW ACUTRAK 4.5X45 30-0029 $180.33C1713 10500C1713 SCREW ACUTRAK 4.7X40 30-0640 $177.67C1713 10500C1713 SCREW ACUTRAK 50MM $108.33C1713 10500C1713 SCREW ACUTRAK2 34MM AT2-S34 $176.00C1713 10500C1713 SCREW ASNIS MICRO 3.0 40-30124 $59.48C1713 10500C1713 SCREW ATIAL 7.5X45 0911-7545 $233.33C1713 10500C1713 SCREW AXIAL 6.5X45 0911-6545 $233.33C1713 10500C1713 SCREW BICORT 5X24 02.03150.024 $47.37C1713 10500C1713 SCREW BIO 11X30MM $33.00C1713 10500C1713 SCREW BIOSURE 10X20 72202275 $78.00C1713 10500C1713 SCREW BIOSURE 10X25MM 72202276 $78.00C1713 10500C1713 SCREW BIOSURE 10X30MM 72202277 $75.00C1713 10500C1713 SCREW BIOSURE 11X25 72202279 $78.00C1713 10500C1713 SCREW BIOSURE 6X20MM 72204391 $199.67C1713 10500C1713 SCREW BIOSURE 6X25 72202260 $78.00C1713 10500C1713 SCREW BIOSURE 6X25MM 72204392 $86.67C1713 10500C1713 SCREW BIOSURE 7X20 72201771 $71.07C1713 10500C1713 SCREW BIOSURE 7X20 72202262 $78.00

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C1713 10500C1713 SCREW BIOSURE 7X25 72201772 $71.07C1713 10500C1713 SCREW BIOSURE 7X25MM 72202263 $78.00C1713 10500C1713 SCREW BIOSURE 8X20MM 72202266 $78.00C1713 10500C1713 SCREW BIOSURE 8X25MM $86.67C1713 10500C1713 SCREW BIOSURE 8X25MM 72202267 $78.00C1713 10500C1713 SCREW BIOSURE 9X25MM 72202272 $75.00C1713 10500C1713 SCREW BIO-TENODESIS 6.25X15MM $136.00C1713 10500C1713 SCREW BIO-TENODESIS 8X12MM $115.00C1713 10500C1713 SCREW BONE 18X5 LISS LOCKING $65.57C1713 10500C1713 SCREW BONE 2.0X10MM 50-20410 $28.00C1713 10500C1713 SCREW BONE 2.0X5MM 50-20405 $17.00C1713 10500C1713 SCREW BONE 2.0X6MM 50-20406 $28.00C1713 10500C1713 SCREW BONE 2.0X8MM 50-20408 $27.33C1713 10500C1713 SCREW BONE 2.0X8MM 50-20408 $28.00C1713 10500C1713 SCREW BONE 2.3X10MM 50-23410 $31.33C1713 10500C1713 SCREW BONE 2.3X8MM 50-23408 $33.00C1713 10500C1713 SCREW BONE 2.7X10 30-0325 $50.00C1713 10500C1713 SCREW BONE 20.0MM AT2-C20-S $176.00C1713 10500C1713 SCREW BONE 24.0MM AT2-C24-S $176.00C1713 10500C1713 SCREW BONE 3.5X10 48552310 $283.33C1713 10500C1713 SCREW BONE 3.5X12 48552312 $283.33C1713 10500C1713 SCREW BONE 3.5X12MM 614812 $8.68C1713 10500C1713 SCREW BONE 3.5X14 48552314 $283.33C1713 10500C1713 SCREW BONE 3.5X22MM 614822 $8.68C1713 10500C1713 SCREW BONE 3.5X38 30-0247 $50.00C1713 10500C1713 SCREW BONE 3.5X65 204.865 $8.85C1713 10500C1713 SCREW BONE 4.0X12 48552412 $46.33C1713 10500C1713 SCREW BONE 4.0X14 48552414 $283.33C1713 10500C1713 SCREW BONE 4.0X16MM SDF-4016 $69.33C1713 10500C1713 SCREW BONE 4.0X18MM SDF-4018 $69.33C1713 10500C1713 SCREW BONE 4.5X18 0104223018 $33.33C1713 10500C1713 SCREW BONE 4.5X27 0104223027 $33.33C1713 10500C1713 SCREW BONE 4.5X40 AR904540PT $378.67C1713 10500C1713 SCREW BONE 4.5X42 0104223042 $33.33

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C1713 10500C1713 SCREW BONE 4.5X48 0104223048 $33.33C1713 10500C1713 SCREW BONE 4X42 207.742 $70.73C1713 10500C1713 SCREW BONE 5.0X80 $54.13C1713 10500C1713 SCREW BONE 50X430 $36.58C1713 10500C1713 SCREW BONE 55X7.3 $75.95C1713 10500C1713 SCREW BONE 6.0X45 04.639.645 $262.67C1713 10500C1713 SCREW BONE 6.0X5.0 04.639.650 $197.00C1713 10500C1713 SCREW BONE 7.0X45MM 04.639.745 $262.67C1713 10500C1713 SCREW BONE 7.0X5.0 04.639.750 $262.67C1713 10500C1713 SCREW BONE 7.0X55MM 04.639.755 $197.00C1713 10500C1713 SCREW BONE 7.0X70 P20-570-070S $302.17C1713 10500C1713 SCREW BONE 7.3X85MM 02.207.085 $105.30C1713 10500C1713 SCREW BONE 90MMX3.5 $45.00C1713 10500C1713 SCREW BONE 90X7.3 $105.03C1713 10500C1713 SCREW BONE CAN 80X7.3 222.573 $90.77C1713 10500C1713 SCREW BONE CANC 6.5 1217-25500 $29.33C1713 10500C1713 SCREW BONE CANC 6.5 1217-35500 $29.33C1713 10500C1713 SCREW BONE CANC 6.5X20MM $29.33C1713 10500C1713 SCREW BONE CANN LOCK 50X5MM $61.13C1713 10500C1713 SCREW BONE CANNULATED CONNICAL $67.89C1713 10500C1713 SCREW BONE FIX 4.0X14 SDF-4014 $69.33C1713 10500C1713 SCREW BONE LISS LOCKING 26X5 $65.57C1713 10500C1713 SCREW BONE LISS LOCKING 40X5 $65.57C1713 10500C1713 SCREW BONE LISS LOCKING 55X5 $62.10C1713 10500C1713 SCREW BONE LISS LOCKING 65X5 $66.73C1713 10500C1713 SCREW BONE LISS LOCKING 75X5 $66.73C1713 10500C1713 SCREW BONE LISS LOCKING 85X5 $62.10C1713 10500C1713 SCREW BONE MULCH $122.33

364SU270 SCREW BONE REMOVAL IB200051 $57.50C1713 10500C1713 SCREW BONE SS L90MMX3.5MM $5.75C1713 10500C1713 SCREW BONE ST 6.5X30 62506530 $16.67C1713 10500C1713 SCREW BONE ST 6.5X35 62506535 $16.67C1713 10500C1713 SCREW BONE STARDRIVE 10X5 $70.50C1713 10500C1713 SCREW BONE STARDRIVE 5 $70.50

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C1713 10500C1713 SCREW BONE STARDRIVE 5X12 $70.50C1713 10500C1713 SCREW BUTTRESS 25MM FP-1220 $75.00C1713 10500C1713 SCREW BUTTRESS FANG 25M FP1225 $75.00C1713 10500C1713 SCREW CANC 3.0X22 AR-8730-22PT $71.67C1713 10500C1713 SCREW CANC 3.0X28 AR-8730-28PT $62.00C1713 10500C1713 SCREW CANC 3.0X30 AR-8730-30PT $71.67C1713 10500C1713 SCREW CANC 3.5X110 47248311060 $68.60C1713 10500C1713 SCREW CANC 3.5X125 47248312560 $68.60C1713 10500C1713 SCREW CANC 3.5X24 110017724 $21.67C1713 10500C1713 SCREW CANC 3.5X28 110017728 $16.67C1713 10500C1713 SCREW CANC 3.5X60 47248406060 $63.70C1713 10500C1713 SCREW CANC 4.0X32 8161-40-032 $28.41C1713 10500C1713 SCREW CANC 4.0X34 8161-40-034 $28.41C1713 10500C1713 SCREW CANC 4.0X45 00484004500 $5.37C1713 10500C1713 SCREW CANC 4.0X50 00484005000 $5.37C1713 10500C1713 SCREW CANC 4.0X50 00484005000 $5.37C1713 10500C1713 SCREW CANC 4.0X55 207.055 $6.07C1713 10500C1713 SCREW CANC 4.0X60 207.060 $6.07C1713 10500C1713 SCREW CANC 5X120 47248312060 $68.60C1713 10500C1713 SCREW CANC 6.5X30 1217-30-500 $29.33C1713 10500C1713 SCREW CANC 6.5X40 1217-40-500 $29.33C1713 10500C1713 SCREW CANC 6.5X45 1217-45-500 $29.33C1713 10500C1713 SCREW CANCEL 4.0X12 CA-4120 $29.33C1713 10500C1713 SCREW CANCEL 4.0X14 CA-4140 $29.33C1713 10500C1713 SCREW CANCEL 4.0X50 CA-4500 $36.33C1713 10500C1713 SCREW CANCEL 4.0X55 CA-4550 $36.33C1713 10500C1713 SCREW CANCELLOUS 4.0 X 20MM $7.05C1713 10500C1713 SCREW CANCELLOUS 4.0 X 60MM $5.42C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 10MM $5.04C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 10MM $5.13C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 12MM $5.25C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 12MM $5.42C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 14MM $5.25C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 14MM $5.42

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C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 16MM $5.25C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 16MM $5.42C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 18MM $5.25C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 18MM $5.42C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 20MM $5.25C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 22MM $5.25C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 22MM $7.42C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 24MM $5.25C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 24MM $6.28C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 26MM $5.25C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 26MM $7.42C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 28MM $5.25C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 28MM $7.42C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 30MM $5.25C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 30MM $7.42C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 35MM $5.25C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 35MM $6.67C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 40 $5.42C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 40MM $5.13C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 45MM $5.13C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 45MM $5.42C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 50MM $5.42C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 50MM $7.05C1713 10500C1713 SCREW CANCELLOUS 4.0MM X 55MM $5.42C1713 10500C1713 SCREW CANCELLOUS 4MM 24MM $28.67C1713 10500C1713 SCREW CANCELLOUS 4X14 AR884014 $11.67C1713 10500C1713 SCREW CANCELLOUS 4X16 AR884016 $11.67C1713 10500C1713 SCREW CANCELLOUS 6.5MM 95MM $9.23C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 100MM $6.50C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 100MM $10.17C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 105MM $6.50C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 105MM $10.97C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 110 $6.50C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 110MM $6.83

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C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 25MM $5.92C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 30 $5.92C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 30MM $6.17C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 35MM $8.33C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 35MM $12.45C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 40MM $7.19C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 40MM $8.33C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 45MM $7.68C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 45MM $8.33C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 50MM $8.33C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 50MM $10.31C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 55MM $6.92C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 55MM $12.45C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 60MM $6.58C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 60MM $8.33C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 65MM $7.68C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 65MM $11.85C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 70MM $5.67C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 70MM $13.35C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 75 $13.35C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 75MM $10.15C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 80MM $10.15C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 80MM $12.45C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 85MM $6.50C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 85MM $9.23C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 90MM $6.50C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 90MM $10.97C1713 10500C1713 SCREW CANCELLOUS 6.5MM X 95MM $6.50C1713 10500C1713 SCREW CANN 2.4X12 AR872412PT $52.67C1713 10500C1713 SCREW CANN 3.5X28 P20-135-028S $81.67C1713 10500C1713 SCREW CANN 3.5X36 P20-535-036S $124.50C1713 10500C1713 SCREW CANN 3.5X40 P20-535-040S $124.50C1713 10500C1713 SCREW CANN 3.5X42 P20135034S $105.00C1713 10500C1713 SCREW CANN 3.5X42 P20135042S $105.00

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C1713 10500C1713 SCREW CANN 3.5X44 P20135044S $105.00C1713 10500C1713 SCREW CANN 3MM AR-8730-36PT $71.67C1713 10500C1713 SCREW CANN 3X14 AR-8730-14PT $71.67C1713 10500C1713 SCREW CANN 3X20MM AR-8730-20PT $71.67C1713 10500C1713 SCREW CANN 3X20MM AR-8933-20PT $57.33C1713 10500C1713 SCREW CANN 3X24MM AR-8730-24PT $71.67C1713 10500C1713 SCREW CANN 3X26 AR-8933-26PT $57.33C1713 10500C1713 SCREW CANN 3X26MM AR-8730-26PT $71.67C1776 10500C1776 SCREW CANN 3X28 AR-8933-28PT $35.00C1776 10500C1776 SCREW CANN 3X28 AR-8933-28PT $40.00C1713 10500C1713 SCREW CANN 3X34 AR-8933-34PT $40.00C1713 10500C1713 SCREW CANN 3X36 AR-8933-36PT $40.00C1713 10500C1713 SCREW CANN 4.0X34 207.734 $61.13C1713 10500C1713 SCREW CANN 4.0X34 207.734 $61.13C1713 10500C1713 SCREW CANN 4.0X38 207.738 $61.13C1713 10500C1713 SCREW CANN 4.0X38 P20-540-038S $136.50C1713 10500C1713 SCREW CANN 4.0X40MM 207.740 $61.13C1713 10500C1713 SCREW CANN 4.0X46 207.746 $61.13C1713 10500C1713 SCREW CANN 4.0X48 207.748 $61.13C1713 10500C1713 SCREW CANN 4.0X48 3006-40048 $54.67C1713 10500C1713 SCREW CANN 4.0X50 207.750 $61.13C1713 10500C1713 SCREW CANN 4.0X50 207.750 $61.13C1713 10500C1713 SCREW CANN 4.0X50 407.750 $61.13C1713 10500C1713 SCREW CANN 4.0X54 207.654 $61.13C1713 10500C1713 SCREW CANN 4.0X54 207.754 $61.13C1713 10500C1713 SCREW CANN 4.0X56 207.656 $54.90C1713 10500C1713 SCREW CANN 4.0X56 207.756 $61.13C1713 10500C1713 SCREW CANN 4.0X60MM 207.760 $70.74C1713 10500C1713 SCREW CANN 4.0X64 207.664 $70.74C1713 10500C1713 SCREW CANN 4.0X72MM 207.672 $70.74C1713 10500C1713 SCREW CANN 4.5X50 AR894550FT $83.33C1713 10500C1713 SCREW CANN 4MM AR-8740-44PTS $78.67C1713 10500C1713 SCREW CANN 4X35 AR-8840C-35 $78.67C1713 10500C1713 SCREW CANN 4X46MM AR-874046PTS $78.67

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C1713 10500C1713 SCREW CANN 4X52 AR-8740-52PTS $78.67C1713 10500C1713 SCREW CANN 5.5X35 10-03-5535 $316.67C1713 10500C1713 SCREW CANN 5.5X40 10-03-5540 $316.67C1713 10500C1713 SCREW CANN 6.5X35 10036535 $316.67C1713 10500C1713 SCREW CANN 6.5X40 10-03-6540 $316.67C1713 10500C1713 SCREW CANN 6.5X45 10-03-6545 $316.67C1713 10500C1713 SCREW CANN 6.5X45 SCN654562 $208.33C1713 10500C1713 SCREW CANN 6.5X50MM 10-03-6550 $316.67C1713 10500C1713 SCREW CANN 6.5X60 SCN656062 $208.33C1713 10500C1713 SCREW CANN 7.5X35 10-03-7535 $316.67C1713 10500C1713 SCREW CANN 7.5X40 0983-7540 $283.33C1713 10500C1713 SCREW CANN 7.5X40 10-03-7540 $316.67C1713 10500C1713 SCREW CANN 7.5X40 482804740 $325.00C1713 10500C1713 SCREW CANN 7.5X45 0983-7545 $283.33C1713 10500C1713 SCREW CANN 7.5X45 10-03-7545 $316.67C1713 10500C1713 SCREW CANN 7.5X45 482804745 $325.00C1713 10500C1713 SCREW CANN 8.0X45 LCT8045 $316.67C1713 10500C1713 SCREW CANN HT 7.5X60 1003756 $316.67C1713 10500C1713 SCREW CANN LP 2.4 AR-8724-10PT $69.33C1713 10500C1713 SCREW CANN LP 2.4 AR-8724-14PT $52.67C1713 10500C1713 SCREW CANN LP 2.4 AR-8724-18PT $69.33C1713 10500C1713 SCREW CANNALATED 6.5X95MM $93.42C1713 10500C1713 SCREW CANNLUATED 3.0 X 17MM $69.00C1713 10500C1713 SCREW CANNULATE 4X45 AR8840C45 $50.00C1713 10500C1713 SCREW CANNULATED 3.0 X 14MM $71.55C1713 10500C1713 SCREW CANNULATED 3.0 X 14MM $73.50C1713 10500C1713 SCREW CANNULATED 3.0 X 15MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 15MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 16MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 16MM $73.50C1713 10500C1713 SCREW CANNULATED 3.0 X 17MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 18MM $48.35C1713 10500C1713 SCREW CANNULATED 3.0 X 18MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 19MM $69.00

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C1713 10500C1713 SCREW CANNULATED 3.0 X 19MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 20MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 20MM $71.55C1713 10500C1713 SCREW CANNULATED 3.0 X 21MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 21MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 22MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 22MM $73.70C1713 10500C1713 SCREW CANNULATED 3.0 X 23MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 23MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 24MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 24MM $76.80C1713 10500C1713 SCREW CANNULATED 3.0 X 25MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 26MM $76.80C1713 10500C1713 SCREW CANNULATED 3.0 X 26MM $76.80C1713 10500C1713 SCREW CANNULATED 3.0 X 27MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 27MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 28MM $73.70C1713 10500C1713 SCREW CANNULATED 3.0 X 28MM $76.80C1713 10500C1713 SCREW CANNULATED 3.0 X 29MM $69.00C1713 10500C1713 SCREW CANNULATED 3.0 X 29MM $71.55C1713 10500C1713 SCREW CANNULATED 3.0 X 30MM $61.83C1713 10500C1713 SCREW CANNULATED 3.0 X 30MM $76.80C1713 10500C1713 SCREW CANNULATED 3.0 X 32MM $71.55C1713 10500C1713 SCREW CANNULATED 3.0 X 32MM $76.80C1713 10500C1713 SCREW CANNULATED 3.0 X 34MM $61.83C1713 10500C1713 SCREW CANNULATED 3.0 X 34MM $76.80C1713 10500C1713 SCREW CANNULATED 3.0 X 36MM $73.70C1713 10500C1713 SCREW CANNULATED 3.0 X 36MM $76.80C1713 10500C1713 SCREW CANNULATED 3.0 X 38MM $61.83C1713 10500C1713 SCREW CANNULATED 3.0 X 38MM $76.80C1713 10500C1713 SCREW CANNULATED 3.0 X 40MM $61.83C1713 10500C1713 SCREW CANNULATED 3.0 X 40MM $76.80C1713 10500C1713 SCREW CANNULATED 3.0 X25MM $69.00C1713 10500C1713 SCREW CANNULATED 4.0 X 10MM $74.67

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C1713 10500C1713 SCREW CANNULATED 4.0 X 12MM $66.90C1713 10500C1713 SCREW CANNULATED 4.0 X 14MM $70.74C1713 10500C1713 SCREW CANNULATED 4.0 X 16MM $66.90C1713 10500C1713 SCREW CANNULATED 4.0 X 18MM $66.90C1713 10500C1713 SCREW CANNULATED 4.0 X 20MM $66.90C1713 10500C1713 SCREW CANNULATED 4.0 X 22MM $74.70C1713 10500C1713 SCREW CANNULATED 4.0 X 24MM $74.70C1713 10500C1713 SCREW CANNULATED 4.0 X 26MM $70.74C1713 10500C1713 SCREW CANNULATED 4.0 X 28MM $61.13C1713 10500C1713 SCREW CANNULATED 4.0 X 30MM $61.13C1713 10500C1713 SCREW CANNULATED 4.0 X 32MM $70.74C1713 10500C1713 SCREW CANNULATED 4.0 X 34MM $61.13C1713 10500C1713 SCREW CANNULATED 4.0 X 36MM $61.13C1713 10500C1713 SCREW CANNULATED 4.0 X 38MM $61.13C1713 10500C1713 SCREW CANNULATED 4.0 X 40MM $61.13C1713 10500C1713 SCREW CANNULATED 4.0 X 42MM $61.13C1713 10500C1713 SCREW CANNULATED 4.0 X 44MM $61.13C1713 10500C1713 SCREW CANNULATED 4.0 X 46MM $61.13C1713 10500C1713 SCREW CANNULATED 4.0 X 48MM $66.90C1713 10500C1713 SCREW CANNULATED 4.0 X 50MM $61.13C1713 10500C1713 SCREW CANNULATED 4.5 X 20MM $35.33C1713 10500C1713 SCREW CANNULATED 4.5 X 20MM $68.10C1713 10500C1713 SCREW CANNULATED 4.5 X 22MM $33.67C1713 10500C1713 SCREW CANNULATED 4.5 X 22MM $68.10C1713 10500C1713 SCREW CANNULATED 4.5 X 24MM $33.67C1713 10500C1713 SCREW CANNULATED 4.5 X 24MM $68.10C1713 10500C1713 SCREW CANNULATED 4.5 X 26MM $35.33C1713 10500C1713 SCREW CANNULATED 4.5 X 26MM $35.33C1713 10500C1713 SCREW CANNULATED 4.5 X 28MM $35.33C1713 10500C1713 SCREW CANNULATED 4.5 X 28MM $68.10C1713 10500C1713 SCREW CANNULATED 4.5 X 30MM $40.67C1713 10500C1713 SCREW CANNULATED 4.5 X 30MM $40.67C1713 10500C1713 SCREW CANNULATED 4.5 X 32MM $40.67C1713 10500C1713 SCREW CANNULATED 4.5 X 32MM $76.20

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C1713 10500C1713 SCREW CANNULATED 4.5 X 34MM $38.42C1713 10500C1713 SCREW CANNULATED 4.5 X 34MM $76.20C1713 10500C1713 SCREW CANNULATED 4.5 X 36MM $62.53C1713 10500C1713 SCREW CANNULATED 4.5 X 36MM $74.52C1713 10500C1713 SCREW CANNULATED 4.5 X 38MM $62.53C1713 10500C1713 SCREW CANNULATED 4.5 X 38MM $74.52C1713 10500C1713 SCREW CANNULATED 4.5 X 40MM $53.01C1713 10500C1713 SCREW CANNULATED 4.5 X 40MM $62.53C1713 10500C1713 SCREW CANNULATED 4.5 X 42MM $53.00C1713 10500C1713 SCREW CANNULATED 4.5 X 42MM $62.53C1713 10500C1713 SCREW CANNULATED 4.5 X 44MM $53.00C1713 10500C1713 SCREW CANNULATED 4.5 X 46MM $74.52C1713 10500C1713 SCREW CANNULATED 4.5 X 48MM $53.00C1713 10500C1713 SCREW CANNULATED 4.5 X 48MM $68.10C1713 10500C1713 SCREW CANNULATED 4.5 X 50MM $48.35C1713 10500C1713 SCREW CANNULATED 4.5 X 50MM $68.10C1713 10500C1713 SCREW CANNULATED 4.5 X 52MM $38.42C1713 10500C1713 SCREW CANNULATED 4.5 X 52MM $62.53C1713 10500C1713 SCREW CANNULATED 4.5 X 54MM $49.33C1713 10500C1713 SCREW CANNULATED 4.5 X 54MM $62.53C1713 10500C1713 SCREW CANNULATED 4.5 X 56MM $57.35C1713 10500C1713 SCREW CANNULATED 4.5 X 56MM $76.20C1713 10500C1713 SCREW CANNULATED 4.5 X 60MM $38.42C1713 10500C1713 SCREW CANNULATED 4.5 X 60MM $60.00C1713 10500C1713 SCREW CANNULATED 4.5 X 64MM $57.35C1713 10500C1713 SCREW CANNULATED 4.5 X 64MM $64.40C1713 10500C1713 SCREW CANNULATED 4.5 X 68MM $40.67C1713 10500C1713 SCREW CANNULATED 4.5 X 68MM $64.80C1713 10500C1713 SCREW CANNULATED 4.5 X 72MM $48.35C1713 10500C1713 SCREW CANNULATED 4.5 X 72MM $64.40C1713 10500C1713 SCREW CANNULATED 5.0X75MM $48.33C1713 10500C1713 SCREW CANNULATED 6.5X100MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X100MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X100MM $83.70

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C1713 10500C1713 SCREW CANNULATED 6.5X105MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X105MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X105MM $83.70C1713 10500C1713 SCREW CANNULATED 6.5X110MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X110MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X110MM $83.70C1713 10500C1713 SCREW CANNULATED 6.5X115MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X115MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X115MM $83.70C1713 10500C1713 SCREW CANNULATED 6.5X120MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X120MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X120MM $83.70C1713 10500C1713 SCREW CANNULATED 6.5X125MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X125MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X125MM $83.70C1713 10500C1713 SCREW CANNULATED 6.5X130MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X130MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X130MM $83.70C1713 10500C1713 SCREW CANNULATED 6.5X135MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X135MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X140MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X140MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X145MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X145MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X150MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X150MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X20MM $83.70C1713 10500C1713 SCREW CANNULATED 6.5X25MM $80.73C1713 10500C1713 SCREW CANNULATED 6.5X30MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X30MM $83.70C1713 10500C1713 SCREW CANNULATED 6.5X32MM $61.74C1713 10500C1713 SCREW CANNULATED 6.5X35MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X35MM $83.70C1713 10500C1713 SCREW CANNULATED 6.5X40MM $72.59

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C1713 10500C1713 SCREW CANNULATED 6.5X40MM $83.70C1713 10500C1713 SCREW CANNULATED 6.5X45MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X45MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X45MM $83.70C1713 10500C1713 SCREW CANNULATED 6.5X50MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X50MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X50MM $83.70C1713 10500C1713 SCREW CANNULATED 6.5X55MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X55MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X55MM $83.70C1713 10500C1713 SCREW CANNULATED 6.5X60MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X60MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X60MM $80.73C1713 10500C1713 SCREW CANNULATED 6.5X65MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X65MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X65MM $80.73C1713 10500C1713 SCREW CANNULATED 6.5X70MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X70MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X70MM $83.70C1713 10500C1713 SCREW CANNULATED 6.5X75MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X75MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X75MM $93.42C1713 10500C1713 SCREW CANNULATED 6.5X80MM $80.73C1713 10500C1713 SCREW CANNULATED 6.5X80MM $80.73C1713 10500C1713 SCREW CANNULATED 6.5X80MM $80.73C1713 10500C1713 SCREW CANNULATED 6.5X85MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X85MM $80.73C1713 10500C1713 SCREW CANNULATED 6.5X85MM $93.42C1713 10500C1713 SCREW CANNULATED 6.5X90MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X90MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X90MM $80.73C1713 10500C1713 SCREW CANNULATED 6.5X95MM $72.59C1713 10500C1713 SCREW CANNULATED 6.5X95MM $72.59C1713 10500C1713 SCREW CANNULATED 7.3 $61.74

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C1713 10500C1713 SCREW CANNULATED 7.3 25MM $90.77C1713 10500C1713 SCREW CANNULATED 7.3 X 100MM $80.27C1713 10500C1713 SCREW CANNULATED 7.3 X 100MM $116.67C1713 10500C1713 SCREW CANNULATED 7.3 X 105MM $80.27C1713 10500C1713 SCREW CANNULATED 7.3 X 105MM $97.50C1713 10500C1713 SCREW CANNULATED 7.3 X 110 $93.60C1713 10500C1713 SCREW CANNULATED 7.3 X 110MM $116.67C1713 10500C1713 SCREW CANNULATED 7.3 X 115 $87.30C1713 10500C1713 SCREW CANNULATED 7.3 X 115MM $93.60C1713 10500C1713 SCREW CANNULATED 7.3 X 120MM $87.30C1713 10500C1713 SCREW CANNULATED 7.3 X 120MM $87.30C1713 10500C1713 SCREW CANNULATED 7.3 X 125MM $87.30C1713 10500C1713 SCREW CANNULATED 7.3 X 125MM $87.30C1713 10500C1713 SCREW CANNULATED 7.3 X 130MM $87.30C1713 10500C1713 SCREW CANNULATED 7.3 X 130MM $87.30C1713 10500C1713 SCREW CANNULATED 7.3 X 30 $87.30C1713 10500C1713 SCREW CANNULATED 7.3 X 35MM $87.30C1713 10500C1713 SCREW CANNULATED 7.3 X 40MM $87.30C1713 10500C1713 SCREW CANNULATED 7.3 X 45MM $80.27C1713 10500C1713 SCREW CANNULATED 7.3 X 50MM $48.33C1713 10500C1713 SCREW CANNULATED 7.3 X 50MM $87.30C1713 10500C1713 SCREW CANNULATED 7.3 X 55MM $80.27C1713 10500C1713 SCREW CANNULATED 7.3 X 55MM $80.27C1713 10500C1713 SCREW CANNULATED 7.3 X 60MM $80.27C1713 10500C1713 SCREW CANNULATED 7.3 X 60MM $87.30C1713 10500C1713 SCREW CANNULATED 7.3 X 65MM $76.80C1713 10500C1713 SCREW CANNULATED 7.3 X 65MM $93.60C1713 10500C1713 SCREW CANNULATED 7.3 X 70MM $87.30C1713 10500C1713 SCREW CANNULATED 7.3 X 70MM $87.30C1713 10500C1713 SCREW CANNULATED 7.3 X 75MM $80.27C1713 10500C1713 SCREW CANNULATED 7.3 X 75MM $80.27C1713 10500C1713 SCREW CANNULATED 7.3 X 80MM $80.27C1713 10500C1713 SCREW CANNULATED 7.3 X 80MM $80.27C1713 10500C1713 SCREW CANNULATED 7.3 X 85MM $80.27

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C1713 10500C1713 SCREW CANNULATED 7.3 X 85MM $80.27C1713 10500C1713 SCREW CANNULATED 7.3 X 90MM $80.27C1713 10500C1713 SCREW CANNULATED 7.3 X 90MM $80.27C1713 10500C1713 SCREW CANNULATED 7.3 X 95MM $80.27C1713 10500C1713 SCREW CANNULATED 7.3 X 95MM $80.27C1713 10500C1713 SCREW CANNULATED 7.3X75 $75.95C1713 10500C1713 SCREW CENTER DRIVE 1.8X5MM $18.67C1713 10500C1713 SCREW CENTER DRIVE 2.0 $11.00C1713 10500C1713 SCREW CENTRAL 6.5X35 115397 $23.33C1713 10500C1713 SCREW CENTRAL 6.5MM 115381 $70.67C1713 10500C1713 SCREW CENTRAL 6.5MM 115383 $70.67C1713 10500C1713 SCREW CENTRAL 6.5MM 115395 $23.33C1713 10500C1713 SCREW CENTRAL 6.5MM 115396 $23.33C1713 10500C1713 SCREW COMP 12MM AT2-C12 $176.00C1713 10500C1713 SCREW COMP 2.4X20MM 02.226.320 $123.12C1713 10500C1713 SCREW COMP 2.4X30MM 02.226.230 $123.12C1713 10500C1713 SCREW COMP 2.4X30MM 02.226.330 $123.12C1713 10500C1713 SCREW COMP 2.5X16MM IH2516 $106.67C1713 10500C1713 SCREW COMP 3.0X30 02.226.130 $123.12C1713 10500C1713 SCREW COMP 3.0X34MM 02.226.134 $123.12C1713 10500C1713 SCREW COMP 3.0X38 02.226.138 $123.12C1713 10500C1713 SCREW COMP 3.0X40 02.226.140 $123.12C1713 10500C1713 SCREW COMP 30X32 02.226.032 $123.12C1713 10500C1713 SCREW COMP 30X40 02.226.040 $123.12C1713 10500C1713 SCREW COMP 6.5X45MM 115399 $23.33C1713 10500C1713 SCREW COMP 6.5X50 115400 $66.67C1713 10500C1713 SCREW COMP 6.5X75MM 02.227.075 $124.74C1713 10500C1713 SCREW COMP 6.5X85 04.227.085 $124.74C1776 10500C1776 SCREW COMP 6.5X90 04.227.090 $124.74C1713 10500C1713 SCREW COMPRESSION 2.4MM 22MM $123.12C1713 10500C1713 SCREW COMPRESSION 26MM $58.33C1713 10500C1713 SCREW COMPRESSION 36MM $13.65C1713 10500C1713 SCREW CONICAL 3.5MM FULL 65MM $42.70C1713 10500C1713 SCREW CONICAL 3.5MM FULL 70MM $42.70

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C1713 10500C1713 SCREW CONICAL 3.5MM FULL 75MM $49.41C1713 10500C1713 SCREW CONICAL 3.5MM FULL 80MM $42.70C1713 10500C1713 SCREW CONICAL 3.5MM FULL 85MM $49.20C1713 10500C1713 SCREW CONICAL 3.5MM FULL 90MM $49.20C1713 10500C1713 SCREW CONICAL 3.5MM FULL 95MM $38.70C1713 10500C1713 SCREW CONICAL 3.5MM PART 65MM $49.20C1713 10500C1713 SCREW CONICAL 3.5MM PART 70MM $42.70C1713 10500C1713 SCREW CONICAL 3.5MM PART 75MM $49.41C1713 10500C1713 SCREW CONICAL 3.5MM PART 80MM $42.70C1713 10500C1713 SCREW CONICAL 3.5MM PART 85MM $49.20C1713 10500C1713 SCREW CONICAL 3.5MM PART 90MM $49.20C1713 10500C1713 SCREW CONICAL 3.5MM PART 95MM $38.70C1713 10500C1713 SCREW CONICAL 5.0X45 $56.70C1713 10500C1713 SCREW CONICAL 5.0X60 $64.50C1713 10500C1713 SCREW CONICAL 7.3X50 $85.20C1713 10500C1713 SCREW CONICAL 7.3X55 $85.20C1713 10500C1713 SCREW CONICAL 7.3X60 $80.97C1713 10500C1713 SCREW CONICAL 7.3X65 $80.97C1713 10500C1713 SCREW CONICAL 7.3X70 $85.20C1713 10500C1713 SCREW CONICAL 7.3X75 $80.97C1713 10500C1713 SCREW CONICAL 7.3X75 $85.20C1713 10500C1713 SCREW CONICAL 7.3X80 $85.20C1713 10500C1713 SCREW CONICAL 7.3X85 $80.97C1713 10500C1713 SCREW CONICAL 7.3X90 $85.20C1713 10500C1713 SCREW CONICAL 7.3X95 $80.97C1713 10500C1713 SCREW CONICAL CANN 5.0X55MM $56.70C1713 10500C1713 SCREW CONICAL CANN 5.0X60 $56.70C1713 10500C1713 SCREW CONICAL CANN 5.0X65 $54.13C1713 10500C1713 SCREW CONICAL CANN 5.0X70 $62.70C1713 10500C1713 SCREW CONICAL CANN 5.0X75 $54.13C1713 10500C1713 SCREW CONICAL CANN 5.0X85 $54.13C1713 10500C1713 SCREW CONICAL CANN 5.0X90 $54.13C1713 10500C1713 SCREW CONICAL CANN 5.0X95 $54.13C1713 10500C1713 SCREW CONICAL PT 7.3X50 $85.20

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C1713 10500C1713 SCREW CONICAL PT 7.3X55 $85.20C1713 10500C1713 SCREW CONICAL PT 7.3X60 $80.97C1713 10500C1713 SCREW CONICAL PT 7.3X65 $80.97C1713 10500C1713 SCREW CONICAL PT 7.3X70 $85.20C1713 10500C1713 SCREW CONICAL PT 7.3X80 $85.20C1713 10500C1713 SCREW CONICAL PT 7.3X85 $85.20C1713 10500C1713 SCREW CONICAL PT 7.3X90 $85.20C1713 10500C1713 SCREW CONICAL PT 7.3X95 $80.97C1713 10500C1713 SCREW CORT 1.3X6 200.686 $27.54C1713 10500C1713 SCREW CORT 1.3X8 200.688 $27.54C1713 10500C1713 SCREW CORT 1.3X9 200.689 $27.54C1713 10500C1713 SCREW CORT 2.3C24 CO-N2324 $36.00C1713 10500C1713 SCREW CORT 2.3X10 CO-T2310 $36.00C1713 10500C1713 SCREW CORT 2.3X10 TRX2.3-10 $27.67C1713 10500C1713 SCREW CORT 2.3X12 CO-N2312 $35.00C1713 10500C1713 SCREW CORT 2.3X12 CO-T2312 $54.67C1713 10500C1713 SCREW CORT 2.3X14 CO-N2314 $46.33C1713 10500C1713 SCREW CORT 2.3X14 CO-T2314 $54.67C1713 10500C1713 SCREW CORT 2.3X16 CO-T2316 $46.33C1713 10500C1713 SCREW CORT 2.3X16 TRX2.3-16 $27.67C1713 10500C1713 SCREW CORT 2.3X18 CO-N2318 $36.00C1713 10500C1713 SCREW CORT 2.3X18 CO-T2318 $46.33C1713 10500C1713 SCREW CORT 2.3X20 CO-N2320 $46.33C1713 10500C1713 SCREW CORT 2.3X20 CO-T2320 $46.33C1713 10500C1713 SCREW CORT 2.3X26 CO-N2326 $36.00C1713 10500C1713 SCREW CORT 2.3X28 CO-N2328 $46.33C1713 10500C1713 SCREW CORT 2.3X8 TRX2.3-08 $27.67C1713 10500C1713 SCREW CORT 2.4X28MM 201.628 $17.80C1713 10500C1713 SCREW CORT 2.7X12 00482701201 $19.83C1713 10500C1713 SCREW CORT 2.7X14 00482701401 $6.07C1713 10500C1713 SCREW CORT 2.7X16 00482701601 $313.00C1713 10500C1713 SCREW CORT 2.7X36 202.896 $11.90C1713 10500C1713 SCREW CORT 2.7X42 202.242 $36.87C1713 10500C1713 SCREW CORT 2.7X44 202.244 $36.87

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C1713 10500C1713 SCREW CORT 2.7X44 202.963 $11.90C1713 10500C1713 SCREW CORT 2.7X48 202.966 $11.90C1713 10500C1713 SCREW CORT 3.0X10 AR-8933-10 $52.67C1713 10500C1713 SCREW CORT 3.5MM 472484047-50 $61.37C1713 10500C1713 SCREW CORT 3.5X10 30-0256 $38.67C1713 10500C1713 SCREW CORT 3.5X12 00234801235 $9.13C1713 10500C1713 SCREW CORT 3.5X12 00483501201 $6.77C1713 10500C1713 SCREW CORT 3.5X12 02206212 $11.20C1713 10500C1713 SCREW CORT 3.5X14 00234801435 $9.80C1713 10500C1713 SCREW CORT 3.5X14 00483501401 $6.77C1713 10500C1713 SCREW CORT 3.5X16 00234801635 $9.80C1713 10500C1713 SCREW CORT 3.5X16 00483501601 $6.77C1713 10500C1713 SCREW CORT 3.5X16 AR-8935-16 $28.67C1713 10500C1713 SCREW CORT 3.5X18 00234801835 $19.83C1713 10500C1713 SCREW CORT 3.5X18 AR-8935-18 $28.67C1713 10500C1713 SCREW CORT 3.5X18 AR-8935L-18 $40.67C1713 10500C1713 SCREW CORT 3.5X20 00483502001 $6.77C1713 10500C1713 SCREW CORT 3.5X20 02.206.220 $11.20C1713 10500C1713 SCREW CORT 3.5X20 DRUJ-SC20 $27.67C1713 10500C1713 SCREW CORT 3.5X22MM CO-3220 $27.00C1713 10500C1713 SCREW CORT 3.5X22MM DRUJ-SC22 $27.67C1713 10500C1713 SCREW CORT 3.5X24 02.206.224 $11.20C1713 10500C1713 SCREW CORT 3.5X24 DRUJ-SC24 $27.67C1713 10500C1713 SCREW CORT 3.5X26 02.206.226 $13.35C1713 10500C1713 SCREW CORT 3.5X26 AR-8935-26 $28.67C1713 10500C1713 SCREW CORT 3.5X28 AR-8935-28 $28.67C1713 10500C1713 SCREW CORT 3.5X30 02206230 $11.20C1713 10500C1713 SCREW CORT 3.5X32 02.206.232 $11.20C1713 10500C1713 SCREW CORT 3.5X34 02.206.234 $11.20C1713 10500C1713 SCREW CORT 3.5X55 204.858 $68.28C1713 10500C1713 SCREW CORT 3.5X8 204.808 $6.57C1713 10500C1713 SCREW CORT 4.5X28 SK4525-28-2 $73.75C1713 10500C1713 SCREW CORT 4.5X30 SK4525-30-2 $73.75C1713 10500C1713 SCREW CORT 4.5X40 214.040 $6.05

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C1713 10500C1713 SCREW CORT 4.5X42 414.042 $5.87C1713 10500C1713 SCREW CORT 4.5X44 214.044 $6.05C1713 10500C1713 SCREW CORT 4.5X70 414.070 $5.87C1713 10500C1713 SCREW CORT 4X36 AR-8940-36 $28.67C1713 10500C1713 SCREW CORT 4X38 AR-8940-38 $28.67C1713 10500C1713 SCREW CORT 5.0MM 47248404050 $61.37C1713 10500C1713 SCREW CORT 5.0X22 02.03150.022 $47.37C1713 10500C1713 SCREW CORT 5.0X30 02.03150.030 $47.37C1713 10500C1713 SCREW CORT 5.0X38 02.03150.038 $47.37C1713 10500C1713 SCREW CORT 5.0X60 02.03150.060 $47.37C1713 10500C1713 SCREW CORT 5.0X70 02.03150.070 $47.37C1713 10500C1713 SCREW CORT 5.0X80 02.03150.080 $47.37C1713 10500C1713 SCREW CORT 5X25MM 47248402550 $61.37C1713 10500C1713 SCREW CORT 5X38 458.938 $56.00C1713 10500C1713 SCREW CORT 5X52.5 47248405250 $61.37C1713 10500C1713 SCREW CORT 6.5X20 6250-65-20 $16.67C1713 10500C1713 SCREW CORT 6.5X25 6250-65-25 $16.67C1713 10500C1713 SCREW CORT FIX 6.0 1867-31-645 $533.33C1713 10500C1713 SCREW CORT FIX 6.0 1867-31-650 $533.33C1713 10500C1713 SCREW CORT FIX 7X35 186731735 $508.33C1713 10500C1713 SCREW CORT FIX 7X50 186731750 $508.33C1713 10500C1713 SCREW CORT LOCK 3.5MM 18MM $27.30C1713 10500C1713 SCREW CORT LOCK 3.5MM 20MM $27.30C1713 10500C1713 SCREW CORT LOCK 3.5MM 22MM $27.30C1713 10500C1713 SCREW CORT LOCK 3.5MM 24MM $27.30C1713 10500C1713 SCREW CORT LOCK 3.5MM 26MM $27.30C1713 10500C1713 SCREW CORT LOCK 3.5MM 48MM $27.30C1713 10500C1713 SCREW CORT LOW PRO 3.5MM 16MM $19.67C1713 10500C1713 SCREW CORT LOW PRO 3.5MM 20MM $19.67C1713 10500C1713 SCREW CORT LOW PRO 3.5MM 22MM $19.67C1713 10500C1713 SCREW CORT LOW PRO 3.5MM 24MM $19.67C1713 10500C1713 SCREW CORT LOW PRO 3.5MM 26MM $19.67C1713 10500C1713 SCREW CORT LOW PRO 3.5MM 28MM $19.67C1713 10500C1713 SCREW CORT LOW PRO 3.5MM 30MM $19.67

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C1713 10500C1713 SCREW CORT LOW PRO 3.5MM 50MM $19.67C1713 10500C1713 SCREW CORT LOW PRO 3.5MM 65MM $19.67C1713 10500C1713 SCREW CORT PELVIC 3.5 204.650 $9.52C1713 10500C1713 SCREW CORT PELVIC 3.5 204.695 $9.52C1713 10500C1713 SCREW CORT PELVIC 3.5 204.700 $9.52C1713 10500C1713 SCREW CORT PELVIC 3.5 204.705 $9.52C1713 10500C1713 SCREW CORT. 2.3X18 AR13120T18C $45.33C1713 10500C1713 SCREW CORTEX 2.0X13MM $12.75C1713 10500C1713 SCREW CORTEX 2.0X8MM $11.02C1713 10500C1713 SCREW CORTEX 1.3MM 400.689 $27.54C1713 10500C1713 SCREW CORTEX 1.3X12MM 200.692 $28.83C1713 10500C1713 SCREW CORTEX 1.3X14 200.694 $27.54C1713 10500C1713 SCREW CORTEX 1.5MM X 10MM $10.09C1713 10500C1713 SCREW CORTEX 1.5MM X 11MM $3.58C1713 10500C1713 SCREW CORTEX 1.5MM X 12MM $10.09C1713 10500C1713 SCREW CORTEX 1.5MM X 14MM $12.52C1713 10500C1713 SCREW CORTEX 1.5MM X 16MM $10.09C1713 10500C1713 SCREW CORTEX 1.5MM X 6MM $4.65C1713 10500C1713 SCREW CORTEX 1.5MM X 7MM $12.03C1713 10500C1713 SCREW CORTEX 1.5MM X 8MM $12.52C1713 10500C1713 SCREW CORTEX 1.5MM X 9MM $3.67C1713 10500C1713 SCREW CORTEX 2.0 X 8MM $10.09C1713 10500C1713 SCREW CORTEX 2.0MM 201.360.97 $11.02C1713 10500C1713 SCREW CORTEX 2.0MM 201.362.97 $11.02C1713 10500C1713 SCREW CORTEX 2.0MM 201.368.97 $12.75C1713 10500C1713 SCREW CORTEX 2.0MM X 10MM $10.09C1713 10500C1713 SCREW CORTEX 2.0MM X 12MM $10.09C1713 10500C1713 SCREW CORTEX 2.0MM X 14MM $11.68C1713 10500C1713 SCREW CORTEX 2.0MM X 16MM $10.09C1713 10500C1713 SCREW CORTEX 2.0MM X 18MM $10.09C1713 10500C1713 SCREW CORTEX 2.0MM X 20MM $10.09C1713 10500C1713 SCREW CORTEX 2.0MM X 6MM $4.00C1713 10500C1713 SCREW CORTEX 2.0X14 201.364.97 $11.02C1713 10500C1713 SCREW CORTEX 2.0X16 201.366.97 $12.75

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C1713 10500C1713 SCREW CORTEX 2.0X20 201.370 $11.02C1713 10500C1713 SCREW CORTEX 2.0X22 201.372 $11.02C1713 10500C1713 SCREW CORTEX 2.0X24 201.374 $11.02C1713 10500C1713 SCREW CORTEX 2.0X26 201.375.97 $11.40C1713 10500C1713 SCREW CORTEX 2.0X28 201.376 $11.02C1713 10500C1713 SCREW CORTEX 2.0X32 201.378.97 $11.40C1713 10500C1713 SCREW CORTEX 2.4 X 14MM $10.21C1713 10500C1713 SCREW CORTEX 2.4 X 22MM $10.21C1713 10500C1713 SCREW CORTEX 2.4 X 26MM $10.21C1713 10500C1713 SCREW CORTEX 2.4MM 201.788 $17.50C1713 10500C1713 SCREW CORTEX 2.4MM AR-8724-16 $52.67C1713 10500C1713 SCREW CORTEX 2.4X10 $20.25C1713 10500C1713 SCREW CORTEX 2.4X11MM 201.761 $17.40C1713 10500C1713 SCREW CORTEX 2.4X12 $20.25C1713 10500C1713 SCREW CORTEX 2.4X14 $17.50C1713 10500C1713 SCREW CORTEX 2.4X16 $12.17C1713 10500C1713 SCREW CORTEX 2.4X16 $14.94C1713 10500C1713 SCREW CORTEX 2.4X18 $17.50C1713 10500C1713 SCREW CORTEX 2.4X20 $17.50C1713 10500C1713 SCREW CORTEX 2.4X22 $17.50C1713 10500C1713 SCREW CORTEX 2.4X24 $14.94C1713 10500C1713 SCREW CORTEX 2.4X24 $20.25C1713 10500C1713 SCREW CORTEX 2.4X24MM $11.02C1713 10500C1713 SCREW CORTEX 2.4X26 $20.25C1713 10500C1713 SCREW CORTEX 2.4X28 $14.94C1713 10500C1713 SCREW CORTEX 2.4X28 $17.50C1713 10500C1713 SCREW CORTEX 2.4X32MM 201.782 $17.50C1713 10500C1713 SCREW CORTEX 2.4X32MM 201.782 $17.50C1713 10500C1713 SCREW CORTEX 2.4X6 $17.40C1713 10500C1713 SCREW CORTEX 2.4X8 $20.25C1713 10500C1713 SCREW CORTEX 2.4X9 201.759 $17.50C1713 10500C1713 SCREW CORTEX 2.7MM X 10MM $10.21C1713 10500C1713 SCREW CORTEX 2.7MM X 12MM $10.21C1713 10500C1713 SCREW CORTEX 2.7MM X 14MM $11.81

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C1713 10500C1713 SCREW CORTEX 2.7MM X 16MM $10.21C1713 10500C1713 SCREW CORTEX 2.7MM X 18MM $10.21C1713 10500C1713 SCREW CORTEX 2.7MM X 20MM $10.21C1713 10500C1713 SCREW CORTEX 2.7MM X 22MM $10.21C1713 10500C1713 SCREW CORTEX 2.7MM X 24MM $10.21C1713 10500C1713 SCREW CORTEX 2.7MM X 32MM $11.90C1713 10500C1713 SCREW CORTEX 2.7MM X 6MM $4.41C1713 10500C1713 SCREW CORTEX 2.7MM X 8MM $10.21C1713 10500C1713 SCREW CORTEX 2.7X10 $11.27C1713 10500C1713 SCREW CORTEX 2.7X10 $11.90C1713 10500C1713 SCREW CORTEX 2.7X12 $11.90C1713 10500C1713 SCREW CORTEX 2.7X12 $12.25C1713 10500C1713 SCREW CORTEX 2.7X14 $11.27C1713 10500C1713 SCREW CORTEX 2.7X14 $11.90C1713 10500C1713 SCREW CORTEX 2.7X16 $11.27C1713 10500C1713 SCREW CORTEX 2.7X16 $11.90C1713 10500C1713 SCREW CORTEX 2.7X18 $11.27C1713 10500C1713 SCREW CORTEX 2.7X18 $11.90C1713 10500C1713 SCREW CORTEX 2.7X20 $13.77C1713 10500C1713 SCREW CORTEX 2.7X22 $11.47C1713 10500C1713 SCREW CORTEX 2.7X24 $11.90C1713 10500C1713 SCREW CORTEX 2.7X26 $11.27C1713 10500C1713 SCREW CORTEX 2.7X26 $11.90C1713 10500C1713 SCREW CORTEX 2.7X28 $10.95C1713 10500C1713 SCREW CORTEX 2.7X30 $11.47C1713 10500C1713 SCREW CORTEX 2.7X34MM 202.894 $13.77C1713 10500C1713 SCREW CORTEX 2.7X34MM 202.894 $13.77C1713 10500C1713 SCREW CORTEX 2.7X38MM 202.898 $13.77C1713 10500C1713 SCREW CORTEX 2.7X38MM 202.898 $13.77C1713 10500C1713 SCREW CORTEX 2.7X44 $5.75C1713 10500C1713 SCREW CORTEX 2.7X50 202.967 $11.47C1713 10500C1713 SCREW CORTEX 3.5 32MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 60MM 204.660 $10.26C1713 10500C1713 SCREW CORTEX 3.5 75MM 204.675 $8.87

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C1713 10500C1713 SCREW CORTEX 3.5 X 10MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 X 12MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 X 14MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 X 16MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 X 18MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 X 20MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 X 22MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 X 24MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 X 26MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 X 28MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 X 30MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 X 34MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 X 36MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 X 38MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 X 40MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 X 45MM $6.59C1713 10500C1713 SCREW CORTEX 3.5 X 50MM $6.59C1713 10500C1713 SCREW CORTEX 3.5MM 204.860 $6.59C1713 10500C1713 SCREW CORTEX 3.5X10 02.206.210 $11.20C1713 10500C1713 SCREW CORTEX 3.5X14 02.206.214 $11.20C1713 10500C1713 SCREW CORTEX 3.5X14 02.206.24 $12.96C1713 10500C1713 SCREW CORTEX 3.5X16 02.206.216 $12.96C1713 10500C1713 SCREW CORTEX 3.5X18 02.206.218 $13.35C1713 10500C1713 SCREW CORTEX 3.5X20 02.200.020 $8.10C1713 10500C1713 SCREW CORTEX 3.5X26 $8.10C1713 10500C1713 SCREW CORTEX 3.5X28 $8.10C1713 10500C1713 SCREW CORTEX 3.5X30 $8.10C1713 10500C1713 SCREW CORTEX 3.5X32 02.200.032 $8.10C1713 10500C1713 SCREW CORTEX 3.5X34 $8.10C1713 10500C1713 SCREW CORTEX 3.5X35 204.835 $49.33C1713 10500C1713 SCREW CORTEX 3.5X36 $8.10C1713 10500C1713 SCREW CORTEX 3.5X38 $8.10C1713 10500C1713 SCREW CORTEX 3.5X40 02.200.40 $9.07C1713 10500C1713 SCREW CORTEX 3.5X40 02.206.240 $12.96

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C1713 10500C1713 SCREW CORTEX 3.5X40MM 204.640 $10.57C1713 10500C1713 SCREW CORTEX 3.5X42 02.200.042 $8.10C1713 10500C1713 SCREW CORTEX 3.5X42 204.842 $6.59C1713 10500C1713 SCREW CORTEX 3.5X43 204.843 $6.59C1713 10500C1713 SCREW CORTEX 3.5X44 $8.10C1713 10500C1713 SCREW CORTEX 3.5X44 204.844 $6.59C1713 10500C1713 SCREW CORTEX 3.5X45MM 204.645 $10.57C1713 10500C1713 SCREW CORTEX 3.5X46 204.846 $7.65C1713 10500C1713 SCREW CORTEX 3.5X48 204.848 $6.59C1713 10500C1713 SCREW CORTEX 3.5X55 204.855 $6.59C1713 10500C1713 SCREW CORTEX 3.5X60 02.206.260 $12.96C1713 10500C1713 SCREW CORTEX 4.5 X 16MM $6.65C1713 10500C1713 SCREW CORTEX 4.5 X 22MM $6.52C1713 10500C1713 SCREW CORTEX 4.5 X 24MM $6.65C1713 10500C1713 SCREW CORTEX 4.5 X 26MM $6.65C1713 10500C1713 SCREW CORTEX 4.5 X 28MM $6.65C1713 10500C1713 SCREW CORTEX 4.5 X 30MM $6.65C1713 10500C1713 SCREW CORTEX 4.5 X 32MM $6.65C1713 10500C1713 SCREW CORTEX 4.5 X 38MM $6.65C1713 10500C1713 SCREW CORTEX 4.5 X 40MM $6.65C1713 10500C1713 SCREW CORTEX 4.5MM X 14MM $6.65C1713 10500C1713 SCREW CORTEX 4.5MM X 18MM $6.52C1713 10500C1713 SCREW CORTEX 4.5MM X 20MM $6.65C1713 10500C1713 SCREW CORTEX 4.5MM X 34MM $6.65C1713 10500C1713 SCREW CORTEX 4.5MM X 36MM $6.65C1713 10500C1713 SCREW CORTEX 4.5MM X 42MM $6.65C1713 10500C1713 SCREW CORTEX 4.5MM X 44MM $6.65C1713 10500C1713 SCREW CORTEX 4.5MM X 46MM $7.69C1713 10500C1713 SCREW CORTEX 4.5MM X 48MM $6.65C1713 10500C1713 SCREW CORTEX 4.5MM X 50MM $6.65C1713 10500C1713 SCREW CORTEX 4.5MM X 52MM $6.65C1713 10500C1713 SCREW CORTEX 4.5MM X 54MM $6.65C1713 10500C1713 SCREW CORTEX 4.5MM X 56MM $7.72C1713 10500C1713 SCREW CORTEX 4.5MM X 58MM $6.65

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C1713 10500C1713 SCREW CORTEX 4.5MM X 60MM $6.65C1713 10500C1713 SCREW CORTEX 4.5MM X 62MM $6.65C1713 10500C1713 SCREW CORTEX 4.5MM X 64MM $6.65C1713 10500C1713 SCREW CORTEX 4.5MM X 66MM $6.65C1713 10500C1713 SCREW CORTEX 4.5MM X 68MM $6.52C1713 10500C1713 SCREW CORTEX 4.5MM X 70MM $6.65C1713 10500C1713 SCREW CORTEX 4.5X28 214.028 $5.07C1713 10500C1713 SCREW CORTEX 4.5X34 214.034 $5.07C1713 10500C1713 SCREW CORTEX 4.5X36 214.036 $61.13C1713 10500C1713 SCREW CORTEX 4.5X36MM $6.00C1713 10500C1713 SCREW CORTEX 4.5X38MM $6.00C1713 10500C1713 SCREW CORTEX 4.5X40MM $6.00C1713 10500C1713 SCREW CORTEX LOCKING 24MM $51.30C1713 10500C1713 SCREW CORTEX LOCKING 36MM $51.30C1713 10500C1713 SCREW CORTEX LOCKING 40MM $51.30C1713 10500C1713 SCREW CORTEX LOCKING 42MM $51.30C1713 10500C1713 SCREW CORTEX PELVIC $10.26C1713 10500C1713 SCREW CORTEX PELVIC 204.670 $8.87C1713 10500C1713 SCREW CORTEX PELVIC 204.680 $8.87C1713 10500C1713 SCREW CORTEX PELVIC 204.690 $10.57C1713 10500C1713 SCREW CORTEX PELVIC 204.710 $10.26C1713 10500C1713 SCREW CORTEX PELVIC 3.5X85MM $10.26C1713 10500C1713 SCREW CORTIAL LOCK 3.5MM 12MM $27.30C1713 10500C1713 SCREW CORTICAL 2.7 12MM $20.00C1713 10500C1713 SCREW CORTICAL 2.7 14MM $20.00C1713 10500C1713 SCREW CORTICAL 2.7X18 $20.00C1713 10500C1713 SCREW CORTICAL 2.7X20 $20.00C1713 10500C1713 SCREW CORTICAL 3.5 $27.00C1713 10500C1713 SCREW CORTICAL 3.5X10 $25.00C1713 10500C1713 SCREW CORTICAL 3.5X10 $43.67C1713 10500C1713 SCREW CORTICAL 3.5X12 $25.00C1713 10500C1713 SCREW CORTICAL 3.5X12 $27.00C1713 10500C1713 SCREW CORTICAL 3.5X12 $43.67C1713 10500C1713 SCREW CORTICAL 3.5X14 $25.00

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C1713 10500C1713 SCREW CORTICAL 3.5X14 $27.00C1713 10500C1713 SCREW CORTICAL 3.5X14 AR883514 $16.67C1713 10500C1713 SCREW CORTICAL 3.5X16 $25.00C1713 10500C1713 SCREW CORTICAL 3.5X16 $27.00C1713 10500C1713 SCREW CORTICAL 3.5X18 $27.00C1713 10500C1713 SCREW CORTICAL 3.5X20 $27.00C1713 10500C1713 SCREW CORTICAL 3.5X22 AR883522 $11.67C1713 10500C1713 SCREW CORTICAL 3.5X26 AR883526 $16.67C1713 10500C1713 SCREW CORTICAL 3.5X30 AR883530 $11.67C1713 10500C1713 SCREW CORTICAL 3.5X8 $23.33C1713 10500C1713 SCREW CORTICAL 3X16 AR-8933-16 $52.67C1713 10500C1713 SCREW CORTICAL 3X18 AR-8933-18 $52.67C1713 10500C1713 SCREW CORTICAL 5.0 47248403050 $61.37C1713 10500C1713 SCREW CORTICAL 5.0 47248403250 $61.37C1713 10500C1713 SCREW CORTICAL 5.0 47248403550 $61.37C1713 10500C1713 SCREW CORTICAL 5.0 47248403750 $61.37C1713 10500C1713 SCREW CORTICAL 5.0 47248404250 $61.37C1713 10500C1713 SCREW CORTICAL 5.0 47248404550 $61.37C1713 10500C1713 SCREW CORTICAL 5.0 47248406550 $61.33C1713 10500C1713 SCREW CORTICAL LP 2.3X10MM $31.67C1713 10500C1713 SCREW CORTICAL LP 2.3X12MM $21.67C1776 10500C1776 SCREW DOME LP 6.5X35 010001000 $88.33C1713 10500C1713 SCREW DUAL CORE LOCKING 5X30MM $58.20C1713 10500C1713 SCREW DUAL CORE LOCKING 5X35MM $62.07C1713 10500C1713 SCREW DUAL CORE LOCKING 5X40MM $62.07C1713 10500C1713 SCREW DUAL CORE LOCKING 5X45MM $62.07C1713 10500C1713 SCREW DUAL CORE LOCKING 5X50MM $62.07C1713 10500C1713 SCREW DUAL CORE LOCKING 5X55MM $62.07C1713 10500C1713 SCREW DUAL CORE LOCKING 5X60MM $55.00C1713 10500C1713 SCREW DUAL CORE LOCKING 5X65MM $62.07C1713 10500C1713 SCREW DUAL CORE LOCKING 5X70MM $62.07C1713 10500C1713 SCREW DUAL CORE LOCKING 5X75MM $55.00C1713 10500C1713 SCREW DUAL CORE LOCKING 5X80MM $55.00C1713 10500C1713 SCREW DUAL CORE LOCKING 5X85MM $62.07

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C1713 10500C1713 SCREW DUAL CORE LOCKING 5X90MM $55.00C1713 10500C1713 SCREW FEMORAL 9X20MM $33.00C1713 10500C1713 SCREW FIXED 4.0X14MM 32-4014 $69.33C1713 10500C1713 SCREW FIXED 4.5X16 SDF-4516 $69.33C1713 10500C1713 SCREW FULLTH 4.0X40 P20140040F $118.50C1713 10500C1713 SCREW FULLTH 4.0X44 P20140044F $118.50C1713 10500C1713 SCREW HA 5.5MM 187.240S $254.33C1713 10500C1713 SCREW HEAD 2.5X20 IC2520 $49.23C1713 10500C1713 SCREW HEAD 4.0X36 IC4036 $100.00C1713 10500C1713 SCREW HEADED 33MM 00598304033 $43.33C1713 10500C1713 SCREW HEADED 4.0X40 IC4040 $6.07C1713 10500C1713 SCREW HEADED 4.0X50 IC4050 $6.07C1713 10500C1713 SCREW HEADLESS 2.5X14 TH-2514 $123.33C1713 10500C1713 SCREW HEADLESS 2.5X20 IH2520 $106.67C1713 10500C1713 SCREW HEADLESS 3.0X14 TH3014 $129.67C1713 10500C1713 SCREW HEADLESS 3.0X16 TH3016 $123.33C1713 10500C1713 SCREW HEADLESS 3.0X18 TH3018 $123.33C1713 10500C1713 SCREW HEADLESS 3.0X28 IH3028 $110.67C1713 10500C1713 SCREW HEADLESS 3.0X40 IH3040 $110.67C1713 10500C1713 SCREW HEADLESS 3.5X30 $124.50C1713 10500C1713 SCREW HEADLESS 4.0X32 IH4032 $135.00C1713 10500C1713 SCREW HEADLESS 4.0X40 IH4040 $135.00C1713 10500C1713 SCREW HEADLESS 5.0X45 F5045T20 $211.67C1713 10500C1713 SCREW HEADLESS 5.0X75 F5075T20 $211.67C1713 10500C1713 SCREW HEADLESS 5X100 F50100T20 $211.67C1776 10500C1776 SCREW HEX F 2.5MM 42509902525 $54.20C1713 10500C1713 SCREW HEX L 3.5X10 30-0233 $50.00C1713 10500C1713 SCREW HEX L 3.5X12 30-0234 $64.67C1713 10500C1713 SCREW HEX L 3.5X14 30-0235 $76.00C1713 10500C1713 SCREW HEX L 3.5X16 30-0236 $64.67C1713 10500C1713 SCREW HEX L 3.5X18 30-0237 $502.33C1713 10500C1713 SCREW HEX L 3.5X22 30-0239 $50.00C1713 10500C1713 SCREW HEX NL 2.7X14 30-0346 $29.00C1713 10500C1713 SCREW HEX NL 3.0X14 30-0304 $29.00

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C1713 10500C1713 SCREW HEX NL 3.5X12 30-0257 $38.67C1713 10500C1713 SCREW HEXALOBE 30-0258 $38.67C1713 10500C1713 SCREW HEXALOBE 30-0259 $38.67C1713 10500C1713 SCREW HEXALOBE 30-0326-S $48.67C1713 10500C1713 SCREW HEXALOBE 30-0327-S $48.67C1713 10500C1713 SCREW INV/REV 4.5 0104223036 $33.33C1713 10500C1713 SCREW JONES 5.5X45 AR-905545PT $378.67C1713 10500C1713 SCREW LAG 1.5X11 3012-15011 $36.00C1713 10500C1713 SCREW LAG 1.5X12 3012-15012 $36.00C1713 10500C1713 SCREW LAG 1.5X16 3012-15016 $36.00C1713 10500C1713 SCREW LAG 1.5X18 3012-15018 $36.00C1713 10500C1713 SCREW LAG 10.5MM 47248510010 $172.90C1713 10500C1713 SCREW LAG 10.5MM 47248510510 $172.90C1713 10500C1713 SCREW LAG 10.5MM 47248511010 $172.90C1713 10500C1713 SCREW LAG 10.5X75 47248507510 $172.90C1713 10500C1713 SCREW LAG 10.5X80 47248508010 $172.90C1713 10500C1713 SCREW LAG 10.5X85 47248508510 $52.90C1713 10500C1713 SCREW LAG 10.5X90MM $172.90C1713 10500C1713 SCREW LAG 110MM $116.40C1713 10500C1713 SCREW LAG 12.7X145 280.345 $126.81C1713 10500C1713 SCREW LAG 12.7X80MM 280.280 $106.40C1713 10500C1713 SCREW LAG 18MM AR-8967-1880 $105.00C1713 10500C1713 SCREW LAG 18MM AR-8967-1885 $119.33C1713 10500C1713 SCREW LAG 2.3X10 3012-23010 $36.00C1713 10500C1713 SCREW LAG 2.3X11 3012-23011 $36.00C1713 10500C1713 SCREW LAG 2.3X14MM 3012-23014 $35.00C1713 10500C1713 SCREW LAG 2.3X16 AR-13120T-16C $38.33C1713 10500C1713 SCREW LAG 2.3X16 AR-13120T-16C $38.33C1713 10500C1713 SCREW LAG 2.3X16MM 3012-23016 $36.00C1713 10500C1713 SCREW LAG 2.3X18 3012-23018 $36.00C1713 10500C1713 SCREW LAG 2.3X20 3012-23020 $36.00C1713 10500C1713 SCREW LAG 2.3X8 3012-23008 $35.00C1713 10500C1713 SCREW LAG 6.7MM 18MMX65MM $105.00C1713 10500C1713 SCREW LAG 75X12.7 280.275 $106.40

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C1713 10500C1713 SCREW LAG 90MM $106.40C1713 10500C1713 SCREW LAG DHS 100MM 280.301S $121.57C1713 10500C1713 SCREW LAG DHS 12.7 95MM 280295 $123.12C1713 10500C1713 SCREW LAG DHS 85MM 280.285 $106.40C1713 10500C1713 SCREW LAG DHS/DCS 12.7X75MM $87.73C1713 10500C1713 SCREW LAG HEXALOBE 1.5X13MM $36.00C1713 10500C1713 SCREW LAG HEXALOBE 1.5X14MM $36.00C1713 10500C1713 SCREW LAG HEXALOBE 1.5X8MM $36.00C1713 10500C1713 SCREW LAG HEXALOBE 2.3X12MM $36.00C1713 10500C1713 SCREW LOCK 2.0MM 201.884 $35.70C1713 10500C1713 SCREW LOCK 2.0MM 201.888 $41.10C1713 10500C1713 SCREW LOCK 2.0MM 201.890 $41.10C1713 10500C1713 SCREW LOCK 2.0X10MM 201.880 $35.70C1713 10500C1713 SCREW LOCK 2.0X16MM 201.886 $35.70C1713 10500C1713 SCREW LOCK 2.3X22 CO-T2322 $46.33C1713 10500C1713 SCREW LOCK 2.3X5 3004-23005 $36.00C1713 10500C1713 SCREW LOCK 2.3X6 3004-23006 $35.00C1713 10500C1713 SCREW LOCK 2.3X7 3012-23007 $35.00C1713 10500C1713 SCREW LOCK 2.3X8 3004-23008 $35.00C1713 10500C1713 SCREW LOCK 2.4 AR-8724L-10 $59.67C1713 10500C1713 SCREW LOCK 2.4 AR-8724L-12 $59.67C1713 10500C1713 SCREW LOCK 2.4MM 212.813 $41.10C1713 10500C1713 SCREW LOCK 2.7MM 02.211.048 $51.30C1713 10500C1713 SCREW LOCK 2.7MM 24MM 202.224 $36.87C1713 10500C1713 SCREW LOCK 2.7MM 24MM 202.224 $38.10C1713 10500C1713 SCREW LOCK 2.7MM 34MM 202.234 $42.60C1713 10500C1713 SCREW LOCK 2.7MM 48MM 202.248 $36.87C1713 10500C1713 SCREW LOCK 2.7X10 30-0325-S $48.67C1713 10500C1713 SCREW LOCK 2.7X10 P50-053-2710 $97.50C1713 10500C1713 SCREW LOCK 2.7X10MM 02.211.010 $51.30C1713 10500C1713 SCREW LOCK 2.7X12 00482801202 $28.70C1713 10500C1713 SCREW LOCK 2.7X12 30-0326 $50.00C1713 10500C1713 SCREW LOCK 2.7X12 P50-053-2712 $97.50C1713 10500C1713 SCREW LOCK 2.7X14 00482801402 $28.70

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C1713 10500C1713 SCREW LOCK 2.7X14 30-0327 $50.00C1713 10500C1713 SCREW LOCK 2.7X14 P500532714 $97.50C1713 10500C1713 SCREW LOCK 2.7X14MM 02.211.014 $51.30C1713 10500C1713 SCREW LOCK 2.7X15 P50-353-2715 $72.33C1713 10500C1713 SCREW LOCK 2.7X16 00482801602 $28.70C1713 10500C1713 SCREW LOCK 2.7X16 30-0328-S $48.67C1713 10500C1713 SCREW LOCK 2.7X16 MXM0212716 $50.67C1713 10500C1713 SCREW LOCK 2.7X16 P500532716 $97.50C1713 10500C1713 SCREW LOCK 2.7X16MM 30-0328 $50.00C1713 10500C1713 SCREW LOCK 2.7X18 00482801802 $28.70C1713 10500C1713 SCREW LOCK 2.7X18 30-0329 $50.00C1713 10500C1713 SCREW LOCK 2.7X18 MXM0212718 $50.67C1713 10500C1713 SCREW LOCK 2.7X18 P50-053-2718 $97.50C1713 10500C1713 SCREW LOCK 2.7X18 P503532718 $93.00C1713 10500C1713 SCREW LOCK 2.7X19 P50-053-2719 $103.50C1713 10500C1713 SCREW LOCK 2.7X20 30-0330 $50.00C1713 10500C1713 SCREW LOCK 2.7X22 P500532720 $103.50C1713 10500C1713 SCREW LOCK 2.7X22 P500532722 $103.50C1713 10500C1713 SCREW LOCK 2.7X22MM 02.211.022 $44.33C1713 10500C1713 SCREW LOCK 2.7X24 P200532724 $103.50C1713 10500C1713 SCREW LOCK 2.7X28 30-0334 $48.67C1713 10500C1713 SCREW LOCK 2.7X28 P503532728 $93.00C1713 10500C1713 SCREW LOCK 2.7X30 02.211.030 $51.30C1713 10500C1713 SCREW LOCK 2.7X30 30-0335 $48.67C1713 10500C1713 SCREW LOCK 2.7X32 P503532732 $93.00C1713 10500C1713 SCREW LOCK 2.7X38MM 02.211.038 $51.30C1713 10500C1713 SCREW LOCK 2.7X40MM 202.240 $42.60C1713 10500C1713 SCREW LOCK 2.7X40MM 202.240 $42.60C1713 10500C1713 SCREW LOCK 2.7X52 02.211.052 $51.30C1713 10500C1713 SCREW LOCK 2.7X8 MXM-021-27-08 $50.67C1713 10500C1713 SCREW LOCK 3.0 04.617.816 $91.67C1713 10500C1713 SCREW LOCK 3.0X16 AR-8933L-16 $52.67C1713 10500C1713 SCREW LOCK 3.0X16 PLSL3016 $89.33C1713 10500C1713 SCREW LOCK 3.0X22 30-0285 $48.67

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C1713 10500C1713 SCREW LOCK 3.0X32 30-0290 $48.67C1713 10500C1713 SCREW LOCK 3.0X60 30-0298 $59.00C1713 10500C1713 SCREW LOCK 3.5 70MM 02.200.070 $9.07C1713 10500C1713 SCREW LOCK 3.5 75MM 02.200.075 $9.07C1713 10500C1713 SCREW LOCK 3.5 HEX 180552 $23.33C1713 10500C1713 SCREW LOCK 3.5X12 P500533512 $103.50C1713 10500C1713 SCREW LOCK 3.5X14 AR-8935L-14 $40.67C1713 10500C1713 SCREW LOCK 3.5X14 MFT0213514 $84.00C1713 10500C1713 SCREW LOCK 3.5X14 P50-053-3514 $103.50C1713 10500C1713 SCREW LOCK 3.5X14MM 614614 $36.16C1713 10500C1713 SCREW LOCK 3.5X16 DRUJ-LSC16 $34.67C1713 10500C1713 SCREW LOCK 3.5X16 P50-053-3516 $80.50C1713 10500C1713 SCREW LOCK 3.5X16MM 614616 $36.16C1713 10500C1713 SCREW LOCK 3.5X18 MFT0213518 $84.00C1713 10500C1713 SCREW LOCK 3.5X18 P50-053-3518 $80.50C1713 10500C1713 SCREW LOCK 3.5X20 P50-053-3520 $80.50C1713 10500C1713 SCREW LOCK 3.5X20MM DRUJ-LSC20 $34.67C1713 10500C1713 SCREW LOCK 3.5X22 02.127.122 $54.27C1713 10500C1713 SCREW LOCK 3.5X22 DRUJ-LSC22 $34.67C1713 10500C1713 SCREW LOCK 3.5X22 P500533522 $97.50C1713 10500C1713 SCREW LOCK 3.5X22 P500533522 $97.50C1713 10500C1713 SCREW LOCK 3.5X24 DRUJ-LSC24 $34.67C1713 10500C1713 SCREW LOCK 3.5X24 P50-053-3524 $103.50C1713 10500C1713 SCREW LOCK 3.5X26 30-0241 $50.00C1713 10500C1713 SCREW LOCK 3.5X26 P500533526 $97.50C1713 10500C1713 SCREW LOCK 3.5X26 P500533526 $97.50C1713 10500C1713 SCREW LOCK 3.5X28 00236902835 $26.37C1713 10500C1713 SCREW LOCK 3.5X28 AR-8935L-28 $40.67C1713 10500C1713 SCREW LOCK 3.5X28 P500533528 $103.50C1713 10500C1713 SCREW LOCK 3.5X28MM 02.127.128 $54.27C1713 10500C1713 SCREW LOCK 3.5X30 P500533530 $103.50C1713 10500C1713 SCREW LOCK 3.5X30MM 614630 $36.16C1713 10500C1713 SCREW LOCK 3.5X32 P500533532 $97.50C1713 10500C1713 SCREW LOCK 3.5X325 MFT02135325 $84.00

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C1713 10500C1713 SCREW LOCK 3.5X34 30-0245 $48.67C1713 10500C1713 SCREW LOCK 3.5X36 P50-053-3536 $103.50C1713 10500C1713 SCREW LOCK 3.5X4.75X40 180555 $18.33C1713 10500C1713 SCREW LOCK 3.5X40 30-0248 $48.67C1713 10500C1713 SCREW LOCK 3.5X45 30-0249 $48.67C1713 10500C1713 SCREW LOCK 3.5X55MM 614655 $36.16C1713 10500C1713 SCREW LOCK 3.5X60 30-0252 $38.00C1713 10500C1713 SCREW LOCK 3.5X60MM 02.127.160 $54.27C1713 10500C1713 SCREW LOCK 3.5X65MM 02.127.165 $54.27C1713 10500C1713 SCREW LOCK 3.5X90 02.127.190 $56.25C1713 10500C1713 SCREW LOCK 34.X32 P50-053-4232 $105.00C1713 10500C1713 SCREW LOCK 3X10MM AR-8933L-10 $52.67C1713 10500C1713 SCREW LOCK 3X12 AR-8933L-12 $52.67C1713 10500C1713 SCREW LOCK 3X12MM PLSL3012 $73.87C1713 10500C1713 SCREW LOCK 3X14 AR-8933L-14 $52.67C1713 10500C1713 SCREW LOCK 3X18MM AR-8933L-18 $52.67C1713 10500C1713 SCREW LOCK 4.0 04.802.203 $125.00C1776 10500C1776 SCREW LOCK 4.0X25 04.802.202 $201.67C1713 10500C1713 SCREW LOCK 4.0X25 04.802.212 $201.67C1713 10500C1713 SCREW LOCK 4.5X26MM 59214526 $115.00C1713 10500C1713 SCREW LOCK 4.5X28MM 59214528 $115.00C1713 10500C1713 SCREW LOCK 4.75X35 180554 $73.00C1713 10500C1713 SCREW LOCK 5.0X10 02.231.010 $92.07C1713 10500C1713 SCREW LOCK 5.0X12 02.231.012 $79.57C1713 10500C1713 SCREW LOCK 5.0X14 02.231.014 $79.57C1713 10500C1713 SCREW LOCK 5.0X16 02.231.016 $79.57C1713 10500C1713 SCREW LOCK 5.0X18 02.231.018 $79.57C1713 10500C1713 SCREW LOCK 5.0X28 02.231.228 $56.70C1713 10500C1713 SCREW LOCK 5.0X30 02.231.230 $56.70C1713 10500C1713 SCREW LOCK 5.0X32 02.231.232 $65.61C1713 10500C1713 SCREW LOCK 5.0X34 02.231.234 $65.61C1713 10500C1713 SCREW LOCK 5.0X36 02.231.236 $56.70C1713 10500C1713 SCREW LOCK 5.0X40 458.940 $56.00C1713 10500C1713 SCREW LOCK 5.0X44 02.231.244 $56.70

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C1713 10500C1713 SCREW LOCK 5.0X44 458.944 $56.00C1713 10500C1713 SCREW LOCK 5.0X48 458.948 $56.00C1713 10500C1713 SCREW LOCK 5.0X50 02.231.250 $56.70C1713 10500C1713 SCREW LOCK 5.0X50MM 458.950 $56.00C1713 10500C1713 SCREW LOCK 5.0X55 02.231.255 $67.58C1713 10500C1713 SCREW LOCK 5.0X60 02.231.260 $56.70C1713 10500C1713 SCREW LOCK 5.0X60 02.231.660 $77.00C1713 10500C1713 SCREW LOCK 5.0X65 02.231.265 $67.58C1713 10500C1713 SCREW LOCK 5.0X65 02.231.665 $89.10C1713 10500C1713 SCREW LOCK 5.0X70 02.231.270 $56.70C1713 10500C1713 SCREW LOCK 5.0X70 02.231.670 $77.00C1713 10500C1713 SCREW LOCK 5.0X75 02.231.675 $89.10C1713 10500C1713 SCREW LOCK 5.0X85 02.231.285 $56.70C1713 10500C1713 SCREW LOCK 5.5X34MM 59215534 $115.00C1713 10500C1713 SCREW LOCK 5.5X38MM 59215538 $115.00C1713 10500C1713 SCREW LOCK 5X34 458.934 $56.00C1713 10500C1713 SCREW LOCK 5X68MM 458.968 $56.00C1713 10500C1713 SCREW LOCK CANN 5.0X100 $66.00C1713 10500C1713 SCREW LOCK CANN 5.0X105 $66.00C1713 10500C1713 SCREW LOCK CANN 5.0X110 $66.00C1713 10500C1713 SCREW LOCK CANN 5.0X115 $66.00C1713 10500C1713 SCREW LOCK CANN 5.0X120 $66.00C1713 10500C1713 SCREW LOCK CANN 5.0X125 $66.00C1713 10500C1713 SCREW LOCK CANN 5.0X130 $66.00C1713 10500C1713 SCREW LOCK CANN 5.0X135 $66.00C1713 10500C1713 SCREW LOCK CANN 5.0X140 $66.00C1713 10500C1713 SCREW LOCK CANN 5.0X145 $66.00C1713 10500C1713 SCREW LOCK CANN 5.0X90 $70.74C1713 10500C1713 SCREW LOCK CANN 5.0X95 $64.50C1713 10500C1713 SCREW LOCK CANN 7.3X100 $92.87C1713 10500C1713 SCREW LOCK CANN 7.3X105 $97.80C1713 10500C1713 SCREW LOCK CANN 7.3X110 $92.87C1713 10500C1713 SCREW LOCK CANN 7.3X115 $97.80C1713 10500C1713 SCREW LOCK CANN 7.3X120 $97.80

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C1713 10500C1713 SCREW LOCK CANN 7.3X125 $97.80C1713 10500C1713 SCREW LOCK CANN 7.3X130 $97.80C1713 10500C1713 SCREW LOCK CANN 7.3X135 $97.80C1713 10500C1713 SCREW LOCK CANN 7.3X140 $97.80C1713 10500C1713 SCREW LOCK CANN 7.3X145 $97.80C1713 10500C1713 SCREW LOCK CANN 7.3X20 $90.77C1713 10500C1713 SCREW LOCK CANN 7.3X30 $95.40C1713 10500C1713 SCREW LOCK CANN 7.3X35 $95.40C1713 10500C1713 SCREW LOCK CANN 7.3X40 $95.40C1713 10500C1713 SCREW LOCK CANN 7.3X45 $90.77C1713 10500C1713 SCREW LOCK CANN 7.3X50 $90.77C1713 10500C1713 SCREW LOCK CANN 7.3X55 $95.40C1713 10500C1713 SCREW LOCK CANN 7.3X60 $90.77C1713 10500C1713 SCREW LOCK LP 2.7 AR-8827L-12 $55.00C1713 10500C1713 SCREW LOCK SHOULDER 180553 $23.33C1713 10500C1713 SCREW LOCK SPINE CS2259 $35.67C1713 10500C1713 SCREW LOCK STD CS2901 $46.67C1713 10500C1713 SCREW LOCK VA 2.3X14 30-2314 $52.67C1713 10500C1713 SCREW LOCK VA 2.3X16 30-2316 $52.67C1713 10500C1713 SCREW LOCK VA 2.3X20 30-2320 $52.67C1713 10500C1713 SCREW LOCK VA 2.3X22 30-2322 $52.67C1713 10500C1713 SCREW LOCK VA 2.4MM AR8724V14 $66.67C1713 10500C1713 SCREW LOCK VA 3.5 02.127.116 $54.27C1713 10500C1713 SCREW LOCK VA 3.5 02.127.118 $54.27C1713 10500C1713 SCREW LOCK VA 3.5 02.127.120 $54.27C1713 10500C1713 SCREW LOCK VA 3.5X26 02127126 $46.90C1713 10500C1713 SCREW LOCKING $25.00C1713 10500C1713 SCREW LOCKING 12MM 02.221.512 $69.30C1713 10500C1713 SCREW LOCKING 12MM 02.221.512S $81.00C1713 10500C1713 SCREW LOCKING 2.0X10M 50-20510 $48.00C1713 10500C1713 SCREW LOCKING 2.0X12M 50-20512 $47.67C1713 10500C1713 SCREW LOCKING 2.0X12MM $35.70C1713 10500C1713 SCREW LOCKING 2.0X14MM $50.00C1713 10500C1713 SCREW LOCKING 2.0X30 201.900 $36.60

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C1713 10500C1713 SCREW LOCKING 2.0X5MM 50-20505 $42.67C1713 10500C1713 SCREW LOCKING 2.0X6MM 50-20506 $48.00C1713 10500C1713 SCREW LOCKING 2.0X8MM 201.878 $39.30C1713 10500C1713 SCREW LOCKING 2.0X8MM 50-20508 $48.00C1713 10500C1713 SCREW LOCKING 2.3X10MM $55.00C1713 10500C1713 SCREW LOCKING 2.3X6MM 50-23506 $55.00C1713 10500C1713 SCREW LOCKING 2.4MM 02.210.112 $45.30C1713 10500C1713 SCREW LOCKING 2.4MM 02.210.120 $45.30C1713 10500C1713 SCREW LOCKING 2.4MM 02.210.122 $42.23C1713 10500C1713 SCREW LOCKING 2.4MM 16MM $42.23C1713 10500C1713 SCREW LOCKING 2.4MM 18MM $45.30C1713 10500C1713 SCREW LOCKING 2.4X10 $41.10C1713 10500C1713 SCREW LOCKING 2.4X10MM $29.24C1713 10500C1713 SCREW LOCKING 2.4X12 $36.40C1713 10500C1713 SCREW LOCKING 2.4X14 $36.40C1713 10500C1713 SCREW LOCKING 2.4X16 $17.50C1713 10500C1713 SCREW LOCKING 2.4X16 $36.40C1713 10500C1713 SCREW LOCKING 2.4X18MM $29.24C1713 10500C1713 SCREW LOCKING 2.4X18MM $36.40C1713 10500C1713 SCREW LOCKING 2.4X20 $36.40C1713 10500C1713 SCREW LOCKING 2.4X24 $36.40C1713 10500C1713 SCREW LOCKING 2.4X26 $41.10C1713 10500C1713 SCREW LOCKING 2.4X30 $17.40C1713 10500C1713 SCREW LOCKING 2.7 10MM 202.210 $36.87C1713 10500C1713 SCREW LOCKING 2.7 10MM 202.210 $38.10C1713 10500C1713 SCREW LOCKING 2.7 12MM 202.212 $36.87C1713 10500C1713 SCREW LOCKING 2.7 12MM 202.212 $36.87C1713 10500C1713 SCREW LOCKING 2.7 14MM 202.214 $36.87C1713 10500C1713 SCREW LOCKING 2.7 14MM 202.214 $36.87C1713 10500C1713 SCREW LOCKING 2.7 16MM 202.216 $36.87C1713 10500C1713 SCREW LOCKING 2.7 16MM 202.216 $40.80C1713 10500C1713 SCREW LOCKING 2.7 18MM 202.218 $38.10C1713 10500C1713 SCREW LOCKING 2.7 18MM 202.218 $42.66C1713 10500C1713 SCREW LOCKING 2.7 20MM 202.220 $36.87

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C1713 10500C1713 SCREW LOCKING 2.7 22MM 202.222 $36.87C1713 10500C1713 SCREW LOCKING 2.7 8MM 202.208 $42.60C1713 10500C1713 SCREW LOCKING 2.7 8MM 202.208 $42.60C1713 10500C1713 SCREW LOCKING 2.7MM 02.211.012 $51.30C1713 10500C1713 SCREW LOCKING 2.7MM 02.211.016 $51.30C1713 10500C1713 SCREW LOCKING 2.7MM 02.211.018 $44.33C1713 10500C1713 SCREW LOCKING 2.7MM 202.236 $42.60C1713 10500C1713 SCREW LOCKING 2.7X12 $23.33C1713 10500C1713 SCREW LOCKING 2.7X12 40232712 $95.67C1713 10500C1713 SCREW LOCKING 2.7X14 $23.33C1713 10500C1713 SCREW LOCKING 2.7X14 40232714 $95.67C1713 10500C1713 SCREW LOCKING 2.7X16 $23.33C1713 10500C1713 SCREW LOCKING 2.7X18 $23.33C1713 10500C1713 SCREW LOCKING 2.7X20MM $52.84C1713 364SU278 SCREW LOCKING 2.7X26MM $36.67C1713 364SU278 SCREW LOCKING 2.7X26MM $36.87C1713 10500C1713 SCREW LOCKING 2.7X26MM $44.33C1713 10500C1713 SCREW LOCKING 2.7X28MM $38.10C1713 10500C1713 SCREW LOCKING 2.7X28MM $49.50C1713 10500C1713 SCREW LOCKING 2.7X30MM $36.87C1713 10500C1713 SCREW LOCKING 2.7X32MM $44.33C1713 10500C1713 SCREW LOCKING 2.7X34MM $44.33C1713 10500C1713 SCREW LOCKING 2.7X46MM $51.30C1713 10500C1713 SCREW LOCKING 2.7X50MM $51.30C1713 10500C1713 SCREW LOCKING 2.7X5MM 50-27505 $195.00C1713 10500C1713 SCREW LOCKING 3.5 $45.00C1713 10500C1713 SCREW LOCKING 3.5 20MM $40.67C1713 10500C1713 SCREW LOCKING 3.5 34MM $40.67C1713 10500C1713 SCREW LOCKING 3.5 AR-8935L-22 $40.67C1713 10500C1713 SCREW LOCKING 3.5 AR-8935L-30 $40.67C1713 10500C1713 SCREW LOCKING 3.5 AR-8935L-32 $40.67C1713 10500C1713 SCREW LOCKING 3.5 HEX 180551 $23.33C1713 10500C1713 SCREW LOCKING 3.5 X 70 $38.97C1713 10500C1713 SCREW LOCKING 3.5MM 02.127.170 $46.90

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C1713 10500C1713 SCREW LOCKING 3.5MM 02.127.185 $56.25C1713 10500C1713 SCREW LOCKING 3.5X10 $38.97C1713 10500C1713 SCREW LOCKING 3.5X14 $23.33C1713 10500C1713 SCREW LOCKING 3.5X14MM COL3140 $43.67C1713 10500C1713 SCREW LOCKING 3.5X16 $43.67C1713 10500C1713 SCREW LOCKING 3.5X18 $23.33C1713 10500C1713 SCREW LOCKING 3.5X18 $27.17C1713 10500C1713 SCREW LOCKING 3.5X20 $23.33C1713 10500C1713 SCREW LOCKING 3.5X22 $38.97C1713 10500C1713 SCREW LOCKING 3.5X26MM $36.00C1713 10500C1713 SCREW LOCKING 3.5X28MM $27.30C1713 10500C1713 SCREW LOCKING 3.5X30 $27.17C1713 10500C1713 SCREW LOCKING 3.5X32 $27.17C1713 10500C1713 SCREW LOCKING 3.5X35MM 212.114 $45.00C1713 10500C1713 SCREW LOCKING 3.5X36 $27.17C1713 10500C1713 SCREW LOCKING 3.5X36 $38.97C1713 10500C1713 SCREW LOCKING 3.5X36MM $27.30C1713 10500C1713 SCREW LOCKING 3.5X40 $26.30C1713 10500C1713 SCREW LOCKING 3.5X40 $38.97C1713 10500C1713 SCREW LOCKING 3.5X40MM $27.30C1713 10500C1713 SCREW LOCKING 3.5X42MM $27.30C1713 10500C1713 SCREW LOCKING 3.5X42MM 212.118 $38.97C1713 10500C1713 SCREW LOCKING 3.5X44 212.134 $38.97C1713 10500C1713 SCREW LOCKING 3.5X45 $23.33C1713 10500C1713 SCREW LOCKING 3.5X46 212.136 $38.97C1713 10500C1713 SCREW LOCKING 3.5X48MM 212.120 $38.97C1713 10500C1713 SCREW LOCKING 3.5X52 212.122 $38.97C1713 10500C1713 SCREW LOCKING 3.5X54 02.212054 $45.09C1713 10500C1713 SCREW LOCKING 3.5X56 02.212056 $43.20C1713 10500C1713 SCREW LOCKING 3.5X58 02.212058 $45.00C1713 10500C1713 SCREW LOCKING 3.5X65 $38.97C1713 10500C1713 SCREW LOCKING 3.5X75 $38.97C1713 10500C1713 SCREW LOCKING 3.5X75MM $46.90C1713 10500C1713 SCREW LOCKING 3.5X80 $38.97

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C1713 10500C1713 SCREW LOCKING 3.5X80MM $46.90C1713 10500C1713 SCREW LOCKING 3.5X85 $38.97C1713 10500C1713 SCREW LOCKING 3.7MM 65MM $61.50C1713 10500C1713 SCREW LOCKING 3.7MM 70MM $61.50C1713 10500C1713 SCREW LOCKING 3.7MM 85MM $61.50C1713 10500C1713 SCREW LOCKING 3X20MM $52.67C1713 10500C1713 SCREW LOCKING 4.0 $39.85C1713 10500C1713 SCREW LOCKING 4.0MM X 62M $41.10C1713 10500C1713 SCREW LOCKING 4.0X14 $51.84C1713 10500C1713 SCREW LOCKING 4.0X14MM $36.33C1713 10500C1713 SCREW LOCKING 4.0X16 $44.80C1713 10500C1713 SCREW LOCKING 4.0X18 $32.67C1713 10500C1713 SCREW LOCKING 4.0X18 $36.58C1713 10500C1713 SCREW LOCKING 4.0X22 $32.67C1713 10500C1713 SCREW LOCKING 4.0X22 $36.58C1713 10500C1713 SCREW LOCKING 4.0X26 $32.67C1713 10500C1713 SCREW LOCKING 4.0X26 $36.58C1713 10500C1713 SCREW LOCKING 4.0X28 $58.80C1713 10500C1713 SCREW LOCKING 4.0X30 $36.58C1713 10500C1713 SCREW LOCKING 4.0X30MM $39.33C1713 10500C1713 SCREW LOCKING 4.0X30MM $47.00C1713 10500C1713 SCREW LOCKING 4.0X34 $39.33C1713 10500C1713 SCREW LOCKING 4.0X34 $44.80C1713 10500C1713 SCREW LOCKING 4.0X36 $47.00C1713 10500C1713 SCREW LOCKING 4.0X38 $39.33C1713 10500C1713 SCREW LOCKING 4.0X42 $39.33C1713 10500C1713 SCREW LOCKING 4.0X42M $46.20C1713 10500C1713 SCREW LOCKING 4.0X44MM $39.85C1713 10500C1713 SCREW LOCKING 4.0X48 $47.00C1713 10500C1713 SCREW LOCKING 4.75X15 180500 $62.33C1713 10500C1713 SCREW LOCKING 4.75X20MM 180501 $62.33C1713 10500C1713 SCREW LOCKING 4.75X30 180503 $62.33C1713 10500C1713 SCREW LOCKING 4.75X35 180504 $62.33C1713 10500C1713 SCREW LOCKING 4.75X40MM 180505 $55.67

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C1713 10500C1713 SCREW LOCKING 4MM X 24MM $48.67C1713 10500C1713 SCREW LOCKING 4MM X 26MM $51.20C1713 10500C1713 SCREW LOCKING 4MM X 28MM $54.60C1713 10500C1713 SCREW LOCKING 4MM X 30MM $54.60C1713 10500C1713 SCREW LOCKING 4MM X 32MM $54.60C1713 10500C1713 SCREW LOCKING 4MM X 34MM $54.60C1713 10500C1713 SCREW LOCKING 4MM X 36MM $54.60C1713 10500C1713 SCREW LOCKING 4MM X 38MM $54.60C1713 10500C1713 SCREW LOCKING 4MM X 40MM $56.27C1713 10500C1713 SCREW LOCKING 4MM X 42MM $56.27C1713 10500C1713 SCREW LOCKING 4MM X 44MM $54.60C1713 10500C1713 SCREW LOCKING 4MM X 46M $46.20C1713 10500C1713 SCREW LOCKING 4MM X 46MM $54.60C1713 10500C1713 SCREW LOCKING 4MM X 48MM $54.60C1713 10500C1713 SCREW LOCKING 4MM X 50M $41.10C1713 10500C1713 SCREW LOCKING 4MM X 50MM $54.40C1713 10500C1713 SCREW LOCKING 4MM X 52MM $65.08C1713 10500C1713 SCREW LOCKING 4MM X 54 $41.10C1713 10500C1713 SCREW LOCKING 4MM X 54MM $56.27C1713 10500C1713 SCREW LOCKING 4MM X 56MM $56.27C1713 10500C1713 SCREW LOCKING 4MM X 58MM $45.00C1713 10500C1713 SCREW LOCKING 4MM X 60MM $56.27C1713 10500C1713 SCREW LOCKING 4MM X 62MM $56.27C1713 10500C1713 SCREW LOCKING 4MM X 64MM $54.60C1713 10500C1713 SCREW LOCKING 4MM X 66MM $45.00C1713 10500C1713 SCREW LOCKING 4MM X 68MM $56.27C1713 10500C1713 SCREW LOCKING 4MM X 70MM $45.00C1713 10500C1713 SCREW LOCKING 4MM X 72MM $45.00C1713 10500C1713 SCREW LOCKING 4MM X 74MM $45.00C1713 10500C1713 SCREW LOCKING 4MM X 76MM $45.00C1713 10500C1713 SCREW LOCKING 4MM X 78MM $54.60C1713 10500C1713 SCREW LOCKING 4MM X 80MM $45.00C1713 10500C1713 SCREW LOCKING 5.0 $56.70C1713 10500C1713 SCREW LOCKING 5.0 $61.13

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C1713 10500C1713 SCREW LOCKING 5.0 04.025.528S $69.00C1713 10500C1713 SCREW LOCKING 5.0 04.025.530S $69.00C1713 10500C1713 SCREW LOCKING 5.0 04.025.540S $69.00C1713 10500C1713 SCREW LOCKING 5.0 04.025.554S $69.00C1713 10500C1713 SCREW LOCKING 5.0 CAN 90 $57.30C1713 10500C1713 SCREW LOCKING 5.0M 04.025.526S $69.00C1713 10500C1713 SCREW LOCKING 5.0MM 25MM $61.13C1713 10500C1713 SCREW LOCKING 5.0MM 30MM $61.13C1713 10500C1713 SCREW LOCKING 5.0X10 02.221510 $69.30C1713 10500C1713 SCREW LOCKING 5.0X14 $45.50C1713 10500C1713 SCREW LOCKING 5.0X14MM $37.00C1713 10500C1713 SCREW LOCKING 5.0X20 $45.50C1713 10500C1713 SCREW LOCKING 5.0X24 $45.50C1713 10500C1713 SCREW LOCKING 5.0X25MM $64.50C1713 10500C1713 SCREW LOCKING 5.0X26 $52.65C1713 10500C1713 SCREW LOCKING 5.0X28 $45.50C1713 10500C1713 SCREW LOCKING 5.0X28MM $37.00C1713 10500C1713 SCREW LOCKING 5.0X30 $52.80C1713 10500C1713 SCREW LOCKING 5.0X30MM $55.00C1713 10500C1713 SCREW LOCKING 5.0X32 $52.87C1713 10500C1713 SCREW LOCKING 5.0X32MM $37.00C1713 10500C1713 SCREW LOCKING 5.0X34 $47.10C1713 10500C1713 SCREW LOCKING 5.0X36 $45.50C1713 10500C1713 SCREW LOCKING 5.0X36MM $37.00C1713 10500C1713 SCREW LOCKING 5.0X36MM $49.20C1713 10500C1713 SCREW LOCKING 5.0X38 $45.50C1713 10500C1713 SCREW LOCKING 5.0X38MM $63.60C1713 10500C1713 SCREW LOCKING 5.0X40 $45.50C1713 10500C1713 SCREW LOCKING 5.0X40MM $37.00C1713 10500C1713 SCREW LOCKING 5.0X40MM $56.70C1713 10500C1713 SCREW LOCKING 5.0X40MM $61.13C1713 10500C1713 SCREW LOCKING 5.0X42 $45.50C1713 10500C1713 SCREW LOCKING 5.0X42MM $49.20C1713 10500C1713 SCREW LOCKING 5.0X44 $45.50

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C1713 10500C1713 SCREW LOCKING 5.0X45MM $64.50C1713 10500C1713 SCREW LOCKING 5.0X46 $45.50C1713 10500C1713 SCREW LOCKING 5.0X46MM $56.70C1713 10500C1713 SCREW LOCKING 5.0X48 $47.10C1713 10500C1713 SCREW LOCKING 5.0X50 $52.65C1713 10500C1713 SCREW LOCKING 5.0X54 $39.85C1713 10500C1713 SCREW LOCKING 5.0X55 $45.50C1713 10500C1713 SCREW LOCKING 5.0X55 $61.13C1713 10500C1713 SCREW LOCKING 5.0X60 $39.85C1713 10500C1713 SCREW LOCKING 5.0X60 $45.50C1713 10500C1713 SCREW LOCKING 5.0X60 $71.10C1713 10500C1713 SCREW LOCKING 5.0X65 $45.50C1713 10500C1713 SCREW LOCKING 5.0X70 $45.50C1713 10500C1713 SCREW LOCKING 5.0X70MM $61.13C1713 10500C1713 SCREW LOCKING 5.0X75 $45.50C1713 10500C1713 SCREW LOCKING 5.0X75MM $56.70C1713 10500C1713 SCREW LOCKING 5.0X75MM $61.13C1713 10500C1713 SCREW LOCKING 5.0X8 02.221.508 $76.41C1713 10500C1713 SCREW LOCKING 5.0X80 $52.80C1713 10500C1713 SCREW LOCKING 5.0X80MM $56.70C1713 10500C1713 SCREW LOCKING 5.0X80MM $61.13C1713 10500C1713 SCREW LOCKING 5.0X85 $52.65C1713 10500C1713 SCREW LOCKING 5.0X85MM $70.74C1713 10500C1713 SCREW LOCKING 5.0X90 $47.10C1713 10500C1713 SCREW LOCKING 5.OX22 $45.50C1713 10500C1713 SCREW LOCKING 5.X50 02.205.250 $56.70C1713 10500C1713 SCREW LOCKING 58 $51.84C1713 10500C1713 SCREW LOCKING 5MMX100MM $58.20C1713 10500C1713 SCREW LOCKING 5MMX16 $45.50C1713 10500C1713 SCREW LOCKING 5MMX18 $45.50C1713 10500C1713 SCREW LOCKING 5MMX26MM $63.18C1713 10500C1713 SCREW LOCKING 5MMX28MM $63.18C1713 10500C1713 SCREW LOCKING 5MMX30MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX32MM $63.18

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C1713 10500C1713 SCREW LOCKING 5MMX34MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX36MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX38MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX40MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX42MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX44MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX46MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX48MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX50MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX52MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX54MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX56MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX58MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX60MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX62MM $56.27C1713 10500C1713 SCREW LOCKING 5MMX64MM $61.20C1713 10500C1713 SCREW LOCKING 5MMX66MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX68MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX70MM $65.08C1713 10500C1713 SCREW LOCKING 5MMX72MM $61.20C1713 10500C1713 SCREW LOCKING 5MMX74MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX76MM $58.20C1713 10500C1713 SCREW LOCKING 5MMX78MM $65.08C1713 10500C1713 SCREW LOCKING 5MMX80MM $54.60C1713 10500C1713 SCREW LOCKING 5MMX85MM $56.27C1713 10500C1713 SCREW LOCKING 5MMX90MM $63.18C1713 10500C1713 SCREW LOCKING 5MMX95MM $58.20C1713 10500C1713 SCREW LOCKING 5X65 02.205.065 $71.10C1713 10500C1713 SCREW LOCKING 6.0 $42.47C1713 10500C1713 SCREW LOCKING 6.0 $42.47C1713 10500C1713 SCREW LOCKING 6.0X80 $45.73C1713 10500C1713 SCREW LOCKING 6.0X90 $45.73C1713 10500C1713 SCREW LOCKING 6MM X 100MM $54.60C1713 10500C1713 SCREW LOCKING 6MMX 28MM $48.33

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C1713 10500C1713 SCREW LOCKING 6MMX26MM $48.33C1713 10500C1713 SCREW LOCKING 6MMX30MM $54.40C1713 10500C1713 SCREW LOCKING 6MMX32MM $61.20C1713 10500C1713 SCREW LOCKING 6MMX34MM $48.33C1713 10500C1713 SCREW LOCKING 6MMX36MM $61.20C1713 10500C1713 SCREW LOCKING 6MMX38MM $48.36C1713 10500C1713 SCREW LOCKING 6MMX40MM $48.33C1713 10500C1713 SCREW LOCKING 6MMX42MM $61.20C1713 10500C1713 SCREW LOCKING 6MMX44MM $58.20C1713 10500C1713 SCREW LOCKING 6MMX46MM $48.33C1713 10500C1713 SCREW LOCKING 6MMX48MM $48.33C1713 10500C1713 SCREW LOCKING 6MMX50MM $48.33C1713 10500C1713 SCREW LOCKING 6MMX52MM $54.90C1713 10500C1713 SCREW LOCKING 6MMX54MM $48.33C1713 10500C1713 SCREW LOCKING 6MMX56MM $48.33C1713 10500C1713 SCREW LOCKING 6MMX58MM $48.33C1713 10500C1713 SCREW LOCKING 6MMX60MM $48.33C1713 10500C1713 SCREW LOCKING 6MMX64MM $56.27C1713 10500C1713 SCREW LOCKING 6MMX68MM $54.90C1713 10500C1713 SCREW LOCKING 6MMX72MM $48.36C1713 10500C1713 SCREW LOCKING 6MMX76MM $65.08C1713 10500C1713 SCREW LOCKING 6MMX80MM $48.33C1713 10500C1713 SCREW LOCKING 6MMX85MM $48.33C1713 10500C1713 SCREW LOCKING 6MMX90MM $63.18C1713 10500C1713 SCREW LOCKING 6MMX95MM $63.18C1713 10500C1713 SCREW LOCKING 7.3 CAN 95 $95.40C1713 10500C1713 SCREW LOCKING 7.3X70 $105.03C1713 10500C1713 SCREW LOCKING 7.3X75MM $90.77C1713 10500C1713 SCREW LOCKING 7.3X85 $75.95C1713 10500C1713 SCREW LOCKING SLF-TAP 2.4X22M $36.40C1713 10500C1713 SCREW LOCKING SLF-TAP 2.4X28M $41.10C1713 10500C1713 SCREW LOCKING SLF-TAP 2.4X30MM $33.00C1713 10500C1713 SCREW LOCKING SLF-TAP 2.4X6MM $41.10C1713 10500C1713 SCREW LOCKING SLF-TAP 2.4X8MM $43.38

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C1713 10500C1713 SCREW LONG 4.5X42 P20145042L $124.50C1713 10500C1713 SCREW LONG 4.5X44 P20145044L $118.50C1713 10500C1713 SCREW LONG 4.5X48 P20145048L $118.50C1713 10500C1713 SCREW LOW PROFILE 3.5X30MM $26.33C1713 10500C1713 SCREW LP 2.7X14MM AR-8827L-14 $55.00C1713 10500C1713 SCREW LP 2.7X16MM AR-8827L-16 $55.00C1713 10500C1713 SCREW LP 2.7X18MM AR-8827L-18 $55.00C1713 10500C1713 SCREW LP 2.7X20MM AR-8827L-20 $55.00C1713 10500C1713 SCREW LP 3.0MM AR-8933-22PT $40.00C1713 10500C1713 SCREW LP 3.0MM AR-8933-22PT $40.00C1713 10500C1713 SCREW LP 3.0MM AR-8933-24PT $40.00C1713 10500C1713 SCREW LP 3X18 AR-8933-18PT $52.67C1713 10500C1713 SCREW LTH 4.0X50MM P20-140050L $118.50C1713 10500C1713 SCREW MALLEOLAR 4.5MM X 25 $6.00C1713 10500C1713 SCREW MALLEOLAR 4.5MM X 30 $8.75C1713 10500C1713 SCREW MALLEOLAR 4.5MM X 35 $7.92C1713 10500C1713 SCREW MALLEOLAR 4.5MM X 40MM $6.25C1713 10500C1713 SCREW MALLEOLAR 4.5MM X 45MM $8.91C1713 10500C1713 SCREW MALLEOLAR 4.5MM X 50MM $6.78C1713 10500C1713 SCREW MALLEOLAR 4.5MM X 60MM $8.08C1713 10500C1713 SCREW MALLEOLAR 4.5MM X 65MM $7.92C1713 10500C1713 SCREW MALLEOLAR 4.5MM X 70MM $6.78C1713 10500C1713 SCREW MAMBO 3.5MM $85.67C1713 10500C1713 SCREW MAMBO CS182602 $53.67C1713 10500C1713 SCREW MDTP 2.5X15 $53.33C1713 10500C1713 SCREW MED 7.0X65 P20-170-065M $240.00C1713 10500C1713 SCREW MED 7.0X80 P20-170-080M $216.00C1713 10500C1713 SCREW META 2.7X12 02.118.512 $16.47C1713 10500C1713 SCREW META 2.7X14 02.118.514 $16.47C1713 10500C1713 SCREW META 2.7X16 02.118.516 $16.96C1713 10500C1713 SCREW META 2.7X24 02.118.524 $16.47C1713 10500C1713 SCREW META 2.7X40MM 02.118.540 $16.47C1713 10500C1713 SCREW META 2.7X42 02.118.542 $14.23C1713 10500C1713 SCREW META 2.7X44 02.118.544 $16.47

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C1713 10500C1713 SCREW META 2.7X46 02.118.546 $14.23C1713 10500C1713 SCREW META 2.7X50 02.118.550 $14.23C1713 10500C1713 SCREW METAPHYSEAL 02.118.520 $16.96C1713 10500C1713 SCREW METAPHYSEAL 2.7X18MM $16.47C1713 10500C1713 SCREW METAPHYSEAL 2.7X22MM $16.96C1713 10500C1713 SCREW METAPHYSEAL 2.7X28MM $17.10C1713 10500C1713 SCREW METAPHYSEAL 2.7X30MM $17.10C1713 10500C1713 SCREW METAPHYSEAL 2.7X32MM $16.47C1713 10500C1713 SCREW METAPHYSEAL 2.7X48MM $14.23C1713 10500C1713 SCREW MICRO 16MM AT2-C16 $176.00C1713 10500C1713 SCREW MINI 2.5X15 P20125015X $105.00C1713 10500C1713 SCREW MINI 4.0X38 P20-140-038S $92.17C1713 10500C1713 SCREW MINI M 4.0X30 P20540030S $136.50C1713 10500C1713 SCREW MINIM 2.5X18 P20525018S $124.50C1713 10500C1713 SCREW MINIM 2.5X40 P20-525040L $124.50C1713 10500C1713 SCREW MINIM 3.0X16 P20530016S $124.50C1713 10500C1713 SCREW MINI-M 3.5X20 P20135020S $105.00C1713 10500C1713 SCREW MINIM 3.5X22 P20135022S $105.00C1713 10500C1713 SCREW MINIM 3.5X22 P20535022S $124.50C1713 10500C1713 SCREW MINI-M 3.5X26 P20135026S $105.00C1713 10500C1713 SCREW MINI-M 3.5X28 P20535028S $96.83C1713 10500C1713 SCREW MINIM 3.5X30 P20135030F $105.00C1713 10500C1713 SCREW MINI-M 3.5X30 P20135030S $105.00C1713 10500C1713 SCREW MINIM 3.5X32 P20135032S $105.00C1713 10500C1713 SCREW MINI-M 3.5X34 P20535034S $124.50C1713 10500C1713 SCREW MINIM 3.5X38 P20135038S $105.00C1713 10500C1713 SCREW MINIM 3.5X40 P20135040S $105.00C1713 10500C1713 SCREW MINIM 3.5X50 P20135050S $105.00C1713 10500C1713 SCREW MINIM 4.0X34 P20540034S $136.50C1713 10500C1713 SCREW MMF 12MM 50-20362 $66.67C1713 10500C1713 SCREW MMF 8MM 50-20358 $66.67C1713 10500C1713 SCREW MONS 4.5X40 P20545040S $184.50C1713 10500C1713 SCREW MONS 4.5X48 P20-145-048S $124.50C1713 10500C1713 SCREW MONS 4.5X60 P20-145-060L $124.50

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C1713 10500C1713 SCREW MONS 4.5X60 P20545060S $184.50C1713 10500C1713 SCREW MONS 5.5X38 P20555038S $238.33C1713 10500C1713 SCREW MONS 5.5X54 P20155054S $165.00C1713 10500C1713 SCREW MONS 5.5X60 P20555060S $238.50C1713 10500C1713 SCREW MONS 5.5X80 P20555080S $238.33C1713 10500C1713 SCREW MONS 5.5X8520555085L $238.50C1713 10500C1713 SCREW MONS 7.0X50 P20570050S $388.50C1713 10500C1713 SCREW MONS 7.0X60 P20-570-060S $302.17C1713 10500C1713 SCREW MONS 7.0X82 P20570082S $388.50C1713 10500C1713 SCREW MULTI HEXALOBE 1.5X10MM $36.00C1713 10500C1713 SCREW MULTI HEXALOBE 1.5X11MM $36.00C1713 10500C1713 SCREW MULTI HEXALOBE 1.5X13MM $36.00C1713 10500C1713 SCREW MULTI HEXALOBE 1.5X14MM $36.00C1713 10500C1713 SCREW MULTI HEXALOBE 1.5X16MM $36.00C1713 10500C1713 SCREW MULTI HEXALOBE 1.5X18MM $36.00C1713 10500C1713 SCREW MULTI HEXALOBE 2.3X16MM $36.00C1713 10500C1713 SCREW MULTIDIRECT 3.5MM 20MM $48.17C1713 10500C1713 SCREW NCB 5.0X20 02.03151.020 $45.03C1713 10500C1713 SCREW NCB 50X34 02.03150.034 $47.37C1713 10500C1713 SCREW NCB 50X36 02.03150.036 $47.37C1713 10500C1713 SCREW NCB 50X40 02.03150.040 $47.37C1713 10500C1713 SCREW NCB 50X40 02.03150.048 $47.37C1713 10500C1713 SCREW NLOCK 2.7X15 P504532715 $72.00C1713 10500C1713 SCREW NLOCK 2.7X20 P504532720 $72.00C1713 10500C1713 SCREW NLOCK 2.7X30 P504532730 $72.00C1713 10500C1713 SCREW NON-L 2.7X10 MXM-0112710 $50.67C1713 10500C1713 SCREW NONL 2.7X10 P50-153-2710 $85.50C1713 10500C1713 SCREW NONL 2.7X10 P50-453-2710 $72.00C1713 10500C1713 SCREW NON-L 2.7X12 MXM-0112712 $50.67C1713 10500C1713 SCREW NONL 2.7X12 P50-453-2712 $56.00C1713 10500C1713 SCREW NONL 2.7X14 P50-153-2714 $85.50C1713 10500C1713 SCREW NONL 2.7X14 P504532714 $72.00C1713 10500C1713 SCREW NONL 2.7X15 P50-153-2715 $85.50C1713 10500C1713 SCREW NON-L 2.7X16 MFT0112716 $50.67

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C1713 10500C1713 SCREW NONL 2.7X16 P50-153-2716 $85.50C1713 10500C1713 SCREW NONL 2.7X16 P50-453-2716 $72.00C1713 10500C1713 SCREW NONL 2.7X17 P50-453-2717 $72.00C1713 10500C1713 SCREW NON-L 2.7X18 MFT0112718 $84.00C1713 10500C1713 SCREW NONL 2.7X18 P50-153-2718 $85.50C1713 10500C1713 SCREW NONL 2.7X19 P501532719 $85.50C1713 10500C1713 SCREW NON-L 2.7X20 MFT0112720 $50.67C1713 10500C1713 SCREW NONL 2.7X20 P50-153-2720 $85.50C1713 10500C1713 SCREW NONL 2.7X24 P501532724 $85.50C1713 10500C1713 SCREW NONL 2.7X26 P501532726 $85.50C1713 10500C1713 SCREW NONL 2.7X26 P504532726 $72.00C1713 10500C1713 SCREW NONL 2.7X32 30-0355 $30.00C1713 10500C1713 SCREW NONL 2.7X34 30-0356 $30.00C1713 10500C1713 SCREW NONL 2.7X36 30-0357 $30.00C1713 10500C1713 SCREW NONL 2.7X36 P501532736 $85.50C1713 10500C1713 SCREW NONL 3.5X10 P50-153-3510 $67.50C1713 10500C1713 SCREW NONL 3.5X12 P50-153-3512 $85.50C1713 10500C1713 SCREW NONL 3.5X14 P501533514 $85.50C1713 10500C1713 SCREW NONL 3.5X16 AR-8835-16 $16.67C1713 10500C1713 SCREW NON-L 3.5X16 MFT0113516 $84.00C1713 10500C1713 SCREW NONL 3.5X16 P50-153-3516 $66.50C1713 10500C1713 SCREW NON-L 3.5X18 MFT0113518 $84.00C1713 10500C1713 SCREW NONL 3.5X18 P50-153-3518 $66.50C1713 10500C1713 SCREW NON-L 3.5X20 MFT0113520 $84.00C1713 10500C1713 SCREW NONL 3.5X20 P50-153-3520 $85.50C1713 10500C1713 SCREW NONL 3.5X22 P50-153-3522 $85.50C1713 10500C1713 SCREW NONL 3.5X24 P501533524 $95.00C1713 10500C1713 SCREW NONL 3.5X26 P501533526 $85.50C1713 10500C1713 SCREW NONL 3.5X30 P501533530 $85.50C1713 10500C1713 SCREW NONL 3.5X32 P501533532 $85.50C1713 10500C1713 SCREW NONL 3.5X42 30-3542 $30.00C1713 10500C1713 SCREW NONL 3.5X42 P501533542 $85.50C1713 10500C1713 SCREW NONL 3.5X44 30-3544 $30.00C1713 10500C1713 SCREW NONL 34.X22 P50-153-4222 $85.50

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C1713 10500C1713 SCREW NON-L 4.0X22 MFT0114022 $84.00C1713 10500C1713 SCREW NONL 4.25X32 P502534232 $85.50C1713 10500C1713 SCREW NON-L 4.2X16 P50-2534216 $85.50C1713 10500C1713 SCREW NON-L 4.2X18 P50-2534218 $85.50C1713 10500C1713 SCREW NON-L 4.2X20 P50-1534220 $85.50C1713 10500C1713 SCREW NONL 4.5X28 SK4514-28-2 $13.75C1713 10500C1713 SCREW NON-L 4.5X32MM 59224532 $48.33C1713 10500C1713 SCREW NONL 4.5X34 SK4514-34-2 $13.75C1713 10500C1713 SCREW NON-LOCK 2.7X16MM $48.33C1713 10500C1713 SCREW NON-LOCK 2.7X18MM $48.33C1713 10500C1713 SCREW NON-LOCK 2.7X20MM $48.33C1713 10500C1713 SCREW NON-LOCK 2.7X26MM $48.33C1713 10500C1713 SCREW NON-LOCK 3.5 12MM $55.00C1713 10500C1713 SCREW NON-LOCK 3.5 14MM $55.00C1713 10500C1713 SCREW NON-LOCK 3.5 16MM $55.00C1713 10500C1713 SCREW NON-LOCK 3.5 180550 $23.33C1713 10500C1713 SCREW NON-LOCK 3.5 180557 $66.00C1713 10500C1713 SCREW NON-LOCK 3.5 180559 $66.00C1713 10500C1713 SCREW NONLOCK 3.5X12 AR883512 $16.67C1713 10500C1713 SCREW NON-LOCK 3.5X18 30-0260 $30.00C1713 10500C1713 SCREW NONLOCK 3.5X20 AR883520 $16.67C1713 10500C1713 SCREW NONLOCK 3.5X22 30-0262 $30.00C1713 10500C1713 SCREW NONLOCK 3.5X24 30-0263 $30.00C1713 10500C1713 SCREW NON-LOCK 3.5X24 PLSS3524 $50.67C1713 10500C1713 SCREW NONLOCK 3.5X26 30-0264 $29.00C1713 10500C1713 SCREW NONLOCK 3.5X28 CO-3280 $27.00C1713 10500C1713 SCREW NON-LOCK 3.5X30 30-0266 $30.00C1713 10500C1713 SCREW NONLOCK 3.5X32 30-0267 $29.00C1713 10500C1713 SCREW NONLOCK 3.5X36 30-0269 $29.00C1713 10500C1713 SCREW NONLOCK 3.5X40 30-0271 $29.00C1713 10500C1713 SCREW NONLOCK 3.5X50 30-0273 $38.00C1713 10500C1713 SCREW NON-LOCK 3.5X60 30-0275 $38.00C1713 10500C1713 SCREW NON-LOCK 3.5X65 30-0276 $38.00C1713 10500C1713 SCREW NON-LOCK 3X24MM PLSS3024 $50.67

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C1713 10500C1713 SCREW NONLOCK 4.0X45 CA-4450 $30.00C1713 10500C1713 SCREW NON-LOCK 4.75X15 180507 $62.33C1713 10500C1713 SCREW NON-LOCK CORTICAL 3.5 18 $16.67C1713 10500C1713 SCREW NONLOCKING 3.5X10 $80.00C1713 10500C1713 SCREW NONLOCKING 3.5X12 $84.00C1713 10500C1713 SCREW NONLOCKING 3.5X16 $80.00C1713 10500C1713 SCREW NON-LOCKING 3.5X26MM $6.53C1713 10500C1713 SCREW NON-LOCKING 3.5X30MM $8.52C1713 10500C1713 SCREW NON-LOCKING 3.5X30MM $19.67C1713 10500C1713 SCREW NON-LOCKING 3.5X40MM $8.52C1713 10500C1713 SCREW NON-LOCKING 3.5X48MM $19.67C1713 10500C1713 SCREW NUT 5.0MM $52.80C1713 10500C1713 SCREW PEG 2.5X13 SP13000 $30.00C1713 10500C1713 SCREW PEG 2.5X14 SP14000 $30.00C1713 10500C1713 SCREW PEG 2.5X20 SP20000 $30.00C1713 10500C1713 SCREW PEG 2.5X26 SP26000 $30.00C1713 10500C1713 SCREW PEG 2.5X30MM $25.00C1713 10500C1713 SCREW PEG FULL THREAD FP11 $30.00C1713 10500C1713 SCREW PEG FULL THREAD FP14 $30.00C1713 10500C1713 SCREW PEG FULL THREAD FP20 $30.00C1713 10500C1713 SCREW PELVIC 204.665 $8.87C1713 10500C1713 SCREW Q-FIX 3.5MM ALL SIZES $140.67C1713 10500C1713 SCREW QUICKFIX 2.0 AR-872010PT $66.67C1713 10500C1713 SCREW QUICKFIX 2.0 AR872012PT $57.33C1713 10500C1713 SCREW QUICKFIX 2.0 AR-872014PT $57.33C1713 10500C1713 SCREW QUICKFIX 2X12 AR-8930-12 $80.00C1713 10500C1713 SCREW QUICKFIX 4.0 AR874030PTS $78.67C1713 10500C1713 SCREW QUICKFIX 4.0 AR874032PTS $78.67C1713 10500C1713 SCREW QUICKFIX 4X40MM SHORT TH $78.67C1713 10500C1713 SCREW QUICKFIX AR-8720-16PT $57.33C1713 10500C1713 SCREW QUICKFIX AR-8720-18PT $57.33C1713 10500C1713 SCREW QUICKFIX AR-8720-24PT $57.33C1713 10500C1713 SCREW QUICKFIX AR-8724-20PT $59.67C1713 10500C1713 SCREW QUICKFIX AR-8730-32PT $71.67

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C1713 10500C1713 SCREW QUICKFIX AR-8730-34PT $71.67C1713 10500C1713 SCREW QUICKFIX AR-8730-40PT $71.67C1713 10500C1713 SCREW QUICKFIX AR-8740-34PTS $78.67C1713 10500C1713 SCREW QUICKFIX AR-8740-36PTS $78.67C1713 10500C1713 SCREW QUICKFIX AR-8740-38PTS $78.67C1713 10500C1713 SCREW QUICKFIX AR-8740-50PTS $71.67C1713 10500C1713 SCREW QUICKFIX AR-8930-10 $80.00C1713 10500C1713 SCREW QUICKFIX AR-8930-11 $80.00C1713 10500C1713 SCREW QUICKFIX AR-8930-14 $105.00C1713 10500C1713 SCREW QUICKFIX AR-8931-15 $105.00C1713 10500C1713 SCREW QUICKSNAP 2X16 TQ-2016 $147.33C1713 10500C1713 SCREW REDUCTION 2.6X20MM $50.00C1713 10500C1713 SCREW REDUCTION 2.6X26MM $50.00C1713 10500C1713 SCREW REV SHOULDER 6.5X20MM $45.00C1713 10500C1713 SCREW SCHANZ 4MM TI SELF DRILL $58.33C1713 10500C1713 SCREW SCHANZ 5.0X175MM $41.67C1713 10500C1713 SCREW SCHANZ 5.0X175MM $59.03C1713 10500C1713 SCREW SCHANZ 5.0X200 $21.72C1713 10500C1713 SCREW SCHANZ 5MM BLUNTED 170MM $34.30C1713 10500C1713 SCREW SCHANZ 5MMX200 $59.03C1713 10500C1713 SCREW SCHANZ 6.0MM 190MM $24.13C1713 10500C1713 SCREW SCHANZ 6MMX150 $56.40C1713 10500C1713 SCREW SCHANZ 6MMX175 $63.00C1713 10500C1713 SCREW SCHANZ 6MMX200 $45.00C1713 10500C1713 SCREW SD 1.2X3MM 50-12903 $26.89C1713 10500C1713 SCREW SD 3.5X14 1050-135-014 $69.33C1713 10500C1713 SCREW SD STANDARD 3.5X14MM $69.33C1713 10500C1713 SCREW SELF DRILL 4.0X14 314014 $69.33C1713 10500C1713 SCREW SELF DRILL STD 3.5X17MM $69.33C1713 10500C1713 SCREW SELF DRILLING $52.27C1713 10500C1713 SCREW SELF TAP 1.2MM GOLD $21.60C1713 10500C1713 SCREW SELF TAPPING 2.4 X 8MM $25.45C1713 10500C1713 SCREW SELF TAPPING 26MM CORTEX $10.21C1713 10500C1713 SCREW SELF TAPPING 28MM CORTEX $10.21

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C1713 10500C1713 SCREW SELF TAPPING 30MM CORTEX $10.21C1713 10500C1713 SCREW SELF TAPPING 32MM CORTEX $11.81C1713 10500C1713 SCREW SELF TAPPING 34MM CORTEX $10.21C1713 10500C1713 SCREW SELF TAPPING 36MM CORTEX $10.21C1713 10500C1713 SCREW SELF TAPPING 38MM CORTEX $11.81C1713 10500C1713 SCREW SELF TAPPING 40MM CORTEX $10.21C1713 10500C1713 SCREW SELF TAPPING 45MM CORTEX $10.21C1713 10500C1713 SCREW SELF TAPPING 50MM CORTEX $12.00C1713 10500C1713 SCREW SELF TAPPING 55MM CORTEX $12.00C1713 10500C1713 SCREW SELF TAPPING COARSE 2MM $17.17C1713 10500C1713 SCREW SELF-DRILL 1.7X4MM $33.67C1713 10500C1713 SCREW SELF-DRILLING 1.2 X 4MM $31.33C1713 10500C1713 SCREW SELF-DRILLING 4.0X16 $69.33C1713 10500C1713 SCREW SELF-TAP 1.2X5MM $34.00C1713 10500C1713 SCREW SELF-TAP 1.7X4MM 5017004 $28.00C1713 10500C1713 SCREW SELF-TAP 4.0X30MM $29.87C1713 10500C1713 SCREW SELF-TAP 4.5 16MM $110.00C1713 10500C1713 SCREW SELFTAPPING W/STARDRIVE $38.97C1713 10500C1713 SCREW SELFTAPPING W/STARDRIVE $38.97C1713 10500C1713 SCREW SELFTAPPING W/STARDRIVE $38.97C1713 10500C1713 SCREW SELFTAPPING W/STARDRIVE $38.97C1713 10500C1713 SCREW SELFTAPPING W/STARDRIVE $38.97C1713 10500C1713 SCREW SELFTAPPING W/STARDRIVE $38.97C1713 10500C1713 SCREW SELFTAPPING W/STARDRIVE $38.97C1713 10500C1713 SCREW SELFTAPPING W/STARDRIVE $38.97C1713 10500C1713 SCREW SELFTAPPING W/STARDRIVE $38.97C1713 10500C1713 SCREW SELFTAPPING W/STARDRIVE $38.97C1713 10500C1713 SCREW SELFTAPPING W/STARDRIVE $38.97C1713 10500C1713 SCREW SELFTAPPING W/STARDRIVE $38.97C1713 10500C1713 SCREW SELFTAPPING W/STARDRIVE $38.97C1713 10500C1713 SCREW SELFTAPPING W/STARDRIVE $38.97C1713 10500C1713 SCREW SELFTAPPING W/STARDRIVE $38.97C1713 10500C1713 SCREW SELFTAPPING W/STARDRIVE $42.90C1713 10500C1713 SCREW SH 7.0X88 P20-170-088S $216.00

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C1713 10500C1713 SCREW SHAFT 3.5 X 16MM $5.70C1713 10500C1713 SCREW SHAFT 3.5 X 18MM $5.70C1713 10500C1713 SCREW SHAFT 3.5 X 20MM $5.70C1713 10500C1713 SCREW SHAFT 3.5 X 22MM $5.70C1713 10500C1713 SCREW SHAFT 3.5 X 24MM $5.70C1713 10500C1713 SCREW SHAFT 3.5 X 26MM $3.33C1713 10500C1713 SCREW SHAFT 3.5 X 28MM $5.70C1713 10500C1713 SCREW SHAFT 3.5 X 30MM $5.70C1713 10500C1713 SCREW SHAFT 3.5 X 32MM $5.70C1713 10500C1713 SCREW SHAFT 3.5 X 34MM $5.70C1713 10500C1713 SCREW SHAFT 3.5 X 36MM $5.70C1713 10500C1713 SCREW SHAFT 3.5 X 38MM $5.70C1713 10500C1713 SCREW SHAFT 4.5MM X 28MM $4.96C1713 10500C1713 SCREW SHAFT 4.5MM X 30MM $4.96C1713 10500C1713 SCREW SHAFT 4.5MM X 32MM $4.96C1713 10500C1713 SCREW SHAFT 4.5MM X 34MM $4.42C1713 10500C1713 SCREW SHAFT 4.5MM X 36MM $4.96C1713 10500C1713 SCREW SHAFT 4.5MM X 38MM $3.67C1713 10500C1713 SCREW SHAFT 4.5MM X 40 $3.03C1713 10500C1713 SCREW SHAFT 4.5MM X 42MM $3.50C1713 10500C1713 SCREW SHAFT 4.5MM X 44MM $3.83C1713 10500C1713 SCREW SHAFT 4.5MM X 46MM $3.50C1713 10500C1713 SCREW SHAFT 4.5MM X 48MM $3.50C1713 10500C1713 SCREW SHAFT 4.5MM X 50MM $5.89C1713 10500C1713 SCREW SHOULDER 6.5MM 115382 $72.00C1713 10500C1713 SCREW SHT 4.5X50 P20145050S $138.33C1713 10500C1713 SCREW SHT 7.0X60 P20-170-060S $240.00

364SU270 SCREW SPEED OPUS OM-6500 $90.00C1713 10500C1713 SCREW ST/VA 18MM 04.613.618 $100.67C1713 10500C1713 SCREW ST/VA 4.0X14 04.613.614 $100.67C1713 10500C1713 SCREW ST/VA 4.0X16 04.613.616 $100.67C1713 10500C1713 SCREW TAPERED 8X10X30 $31.17C1713 10500C1713 SCREW TAPLOC 2.7X16 30-0347 $30.00C1713 10500C1713 SCREW TAPLOC 2.7X8 30-0324 $50.00

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C1713 10500C1713 SCREW TAPLOC 3.5X20 30-0261 $30.00C1713 10500C1713 SCREW TAPLOC 35X8 30-0255 $30.00C1713 10500C1713 SCREW TC 2.5X16 TC2516 $115.67C1713 10500C1713 SCREW TENODESIS 8MM AR-1655PS $136.00C1713 10500C1713 SCREW TENODESIS AR-165PS-10 $136.00C1713 10500C1713 SCREW TFNA 110MM 04.038.110S $252.45C1713 10500C1713 SCREW TI LP 6.5X15MM $49.33C1713 10500C1713 SCREW TI LP 6.5X20MM $41.67C1713 10500C1713 SCREW TI LP 6.5X25MM $49.33C1713 10500C1713 SCREW TI LP 6.5X35MM $49.33C1713 10500C1713 SCREW TI LP 6.5X40MM $49.33C1713 10500C1713 SCREW TI LP 6.5X45MM $51.33C1713 10500C1713 SCREW TI LP 6.5X50MM 103537 $51.33C1713 10500C1713 SCREW TI LP 6.5X60MM 103538 $51.33C1713 10500C1713 SCREW TII LP 6.5X30MM $49.33C1713 10500C1713 SCREW TIT LP 5X20 99-T774020 $100.00C1713 10500C1713 SCREW TIT LP 5X22.5 99-T774022 $100.00C1713 10500C1713 SCREW TIT LP 5X70.5 99-T775070 $125.00C1713 10500C1713 SCREW TRANSFIX 50MM AR-1351L $52.67C1713 10500C1713 SCREW UCS $31.67C1713 10500C1713 SCREW UNICORTICAL 5.0X10MM $45.03C1713 10500C1713 SCREW UNICORTICAL 5.0X12MM $45.03C1713 10500C1713 SCREW UNICORTICAL 5.0X14MM $45.03C1713 10500C1713 SCREW UNICORTICAL 5.0X16MM $45.03C1713 10500C1713 SCREW VAIST 4.5X18 04.613.668 $83.33C1713 10500C1713 SCREW VAL 5.0X48 02.231.248 $56.70C1713 10500C1713 SCREW VANE 5.5X40 4055-5540 $316.67C1713 10500C1713 SCREW VANE 6.5X40 4055-6540 $316.67C1713 10500C1713 SCREW VANE 7.5MM 4055-75XX $316.67C1713 10500C1713 SCREW VANE 7.5X40 4055-7540 $316.67C1713 10500C1713 SCREW VANE 7.5X45 4055-7545 $316.67C1713 10500C1713 SCREW VANE 7.5X45 4056-7545 $316.67C1713 10500C1713 SCREW VANE 7.5X50 4055-7550 $316.67C1713 10500C1713 SCREW VARI 4.5X25 1128-453-025 $60.00

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C1713 10500C1713 SCREW VARI 5.5X35 58-VS-5535 $165.00C1713 10500C1713 SCREW VAULT-C 3.5X12 37SD3512 $69.33C1713 10500C1713 SCREW VAULT-C 3.5X15 37SD3515 $69.33C1713 10500C1713 SCREW VAULT-C 4.0X15 37SB4015 $69.33C1713 10500C1713 SCREW WRIST $6.67C1713 10500C1713 SCREW WRIST $6.67C1713 10500C1713 SCREW WRIST $6.67C1713 10500C1713 SCREW-BIO 7X25 $33.00C1713 10500C1713 SCREW-BIO 9X25 $33.00C1713 10500C1713 SCREWBONE 46MM LOCKING $39.33C1713 10500C1713 SCREWBONE 54MM LOCKING $36.58C1713 10500C1713 SCREWBONE 65MM CANN LOCKING $90.77

364SU270 SCRUB SPONGE (LONG HANDLE) $1.08364SU270 SEALANT TISSEEL 2ML. $29.98

A4649 10500A4649 SEALANT TISSEEL 4ML 1501262 $54.11A4649 10500A4649 SEALANT TISSEEL 4ML 1501262 $54.11

364SU270 SEALER BIPOLAR 2.3 23-113-1 $110.56364SU270 SEALER BIPOLAR AQAMANTIS $110.56364SU270 SEALER CURVED JAW LG LF4418 $163.23364SU270 SEALER TISSUE ENSEAL G2 $133.19364SU270 SEALER TISSUE ENSEAL NSLG2C45 $151.44364SU270 SEALER/DIVIDER LIGASURE 5MM $105.82364SU270 SECURMARK MINI-CORK EVIVA-13 $12.10364SU270 SECURMARK S-MARK-CELERO $12.10364SU270 SECURMARK S-MARK-CELERO-2S $12.10364SU270 SECURMARK TOP HAT EVIVA-2S-13 $12.10364SU270 SECURRING HYDROCOLLOID $0.75364SU270 SENSOR ACOUSTIC ADULT/PED $7.74364SU270 SENSOR EAR ADULT LNCS E1 2918 $3.38364SU270 SENSOR EAR E1 M-LNCS $3.80364SU270 SENSOR FLOWTRAC MHD6AZ $73.75364SU272 SENSOR FOREHEAD LNCS TFA-1 $4.06364SU272 SENSOR FOREHEAD LNCS TFA-1 $4.06364SU270 SENSOR MASIMO ADULT 1859 $1.18

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364SU270 SENSOR MASIMO INFANT LNCS INF $1.56364SU270 SENSOR MASIMO NEONATAL DISP $1.56364SU270 SENSOR MASIMO NEONATAL DISP $3.72364SU270 SENSOR OXYGEN ADULT MAX-A $1.26364SU270 SENSOR OXYTIP PREEMIE $2.81364SU270 SEPARATOR 11MMX100MM THREADED $9.04364SU270 SEPARATOR 11MMX150MM THREADED $9.04364SU270 SEPARATOR 12MMX150MM THREADED $9.04

C1757 10500C1757 SEPARATOR 3 .028 190CM SEP3 $230.00C1757 10500C1757 SEPARATOR 6 .055 175CM SEP6 $385.00C1757 10500C1757 SEPARATOR 8 .072 150CM SEP8 $651.67

364SU270 SEPRAFILM SHEET 5X6 $72.73C1781 10500C1781 SEPRAMESH 8X12 $405.43

364SU270 SET BIOPSY ONCONTROL 9402 $29.38364SU270 SET BLOOD WARMING STANDARD $1.70

C1713 10500C1713 SET BONE SCREW 10-07 $52.67364SU270 SET CANNULA STRAIGHT 72202674 $31.72

C1881 10500C1881 SET CATH 7FR DIALYSIS ACCESS $16.67364SU270 SET CATH ARTERIAL 20X4 1/4" $2.43

C1751 10500C1751 SET CATH CENTRAL QUAD-LUMEN $23.67C1769 10502C1769 SET CATH CRICOTHYROTOMY $56.51

364SU270 SET CATH CRICOTHYROTOMY $32.50C1729 10500C1729 SET CATH DRAINAGE 10.2F G10050 $38.81C1729 10500C1729 SET CATH DRAINAGE 8.5FR G10049 $38.81

364SU270 SET CATH RADIAL ARTERY 20 GA. $1.82C2627 10500C2627 SET CATH SUPRAPUBIC $25.00

364SU270 SET COLLECTION LATEX FREE $1.04364SU270 SET COLOSTOMY/ILEOSTOMY 1 3/4" $0.30364SU272 SET DILATOR URETH S-CURVE $1.73

C1729 10500C1729 SET DRAIN ABSCESS G10261 $38.81364SU270 SET DRILL/PIN 200100000 $11.97364SU270 SET EXTENSION BREATHING 40" $0.36364SU270 SET EXTENSION ENTERAL NM-60ENE $0.15364SU270 SET EXTENSION ENTERAL NM-60ENE $0.15

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364SU270 SET EXTENSION HIGH FLOW $7.87364SU270 SET FILTERLINE H ADULT/PED $2.49364SU270 SET FILTERLINE XS-04620 $1.31364SU270 SET FILTERLINE XS-04620 $1.31364SU270 SET INFILTRATION ITS-10 $2.50364SU270 SET INFILTRATION ITS-10 $2.50364SU270 SET INFUSION POWERLOC 19GX.75 $1.00364SU270 SET INFUSION POWERLOC 19GX1" $1.00364SU270 SET INTRO MICRO 7F MIS-7F07 $6.10364SU270 SET INTRO MICRO 7F MIS-7F07 $6.10364SU270 SET INTRO MICRO 7F MIS-7F11 $6.10364SU270 SET INTRO MICRO 7F MIS-7F11 $6.10

C1892 364SU272 SET INTRODUCER PEELAWAY G04499 $15.92364SU270 SET IRRIG. CYSTO/BLADDER 81" $0.63364SU270 SET IRRIGATION BLADDER Y-TYPE $1.25364SU270 SET KANGAROO EPUMP BAG 773662 $0.75364SU270 SET KANGAROO W/SPIKE 775100 $0.62

C1729 10500C1729 SET KAYE NEPHROSTOMY TAMPONADE $80.67364SU270 SET NEEDLE STIMUPLEX 20X4 $1.17364SU270 SET NEEDLE STIMUPLEX 20X4 $1.94364SU270 SET PKA GUIDE/MODEL 42-411562 $621.33364SU270 SET PRESSURE MONITOR PXVP2272 $3.56364SU272 SET PUMP IMPELLA CP 0048-0003 $8,333.33

C1894 10500C1894 SET PUNCTURE 5FR MICRO $6.67C1713 10500C1713 SET SCREW 0954-0002 $52.67

364SU270 SET STAPLER PROXIMATE HCS $79.62C1757 10500C1757 SET THROMBECTOMY SPIROFLEX $604.00C1757 10500C1757 SET THROMBECTOMY ZELANTEDVT 8F $1,139.00

364SU270 SET TRACH INTRODUCER 6 PERC $98.95364SU270 SET TRACH INTRODUCER 8 PERC $98.95364SU270 SET TRANSFER $0.54364SU270 SET UF 500 AQUADEX CIRCUIT $225.00364SU270 SETOPRESS LATEX FREE $1.26364SU270 SHEAR HARMONIC FOCUS 9CM $91.48

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C1894 10500C1894 SHEATH 10FR RSS002 $2.65C1894 10500C1894 SHEATH 10FR RSS102 $2.65

364SU270 SHEATH 6FR $2.92364SU270 SHEATH 6FR 401623M $3.83364SU270 SHEATH 6FR 401623M $3.83364SU270 SHEATH 7F 23CM $3.83364SU270 SHEATH 7F 23CM $3.83364SU270 SHEATH 7FRX5.5CM $4.00364SU270 SHEATH ACCESS URETHERAL $19.15

C1894 10500C1894 SHEATH ANSEL 4X45 G48186 $18.67C1894 10500C1894 SHEATH ANSEL 4X90 G48188 $35.00

364SU270 SHEATH BRITE TIP 10FR X11CM $2.92364SU270 SHEATH BRITE TIP 10FR X11CM $2.92

C1894 10500C1894 SHEATH BRITE TIP 10FR X23CM $7.67C1894 10500C1894 SHEATH BRITE TIP 11FR 401-111M $6.80C1894 10500C1894 SHEATH BRITE TIP 5FR 11CM $5.83C1894 10500C1894 SHEATH BRITE TIP 6F 401-655M $8.00C1894 10500C1894 SHEATH BRITE TIP 6FR 35CM $7.67C1894 10500C1894 SHEATH BRITE TIP 6FR 45CM $8.00C1894 10500C1894 SHEATH BRITE TIP 7FR 45CM $8.00C1894 10500C1894 SHEATH BRITE TIP 9FR 11CM $5.83C1894 10500C1894 SHEATH BRITETIP 5FR 23CM $7.67

364SU270 SHEATH COAXIAL INTRODUCER 8FR $7.56364SU270 SHEATH CORDIS 6FR 11CM $2.92364SU270 SHEATH CORDIS 8FR 23CM $3.83

C1894 10500C1894 SHEATH DEST SLENDER 6FR 119CM $83.33C1894 10500C1894 SHEATH DEST SLENDER 6FR 149CM $83.33C1887 10500C1887 SHEATH DESTINATION 6F 45CM $25.75C1887 10500C1887 SHEATH DESTINATION 6F 65CM $29.67C1887 10500C1887 SHEATH DESTINATION 6FR 45CM $25.75C1894 10500C1894 SHEATH DESTINATION 6FR 90CM $30.25C1887 10500C1887 SHEATH DESTINATION 7F 45CM $25.75C1894 10500C1894 SHEATH DESTINATION 7FR 90CM $30.25C1887 10500C1887 SHEATH DESTINATION 8F 45CM $30.67

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C1887 10500C1887 SHEATH DESTINATION 8F 65CM $29.67C1894 10500C1894 SHEATH DESTINATION 8FX90CM $30.25C1894 10500C1894 SHEATH FLEXOR 5F G44153 $18.67C1894 10500C1894 SHEATH FLEXOR 6F G44154 $18.67C1894 10500C1894 SHEATH GUIDE ANSEAL 6F 40CM $18.13C1894 10500C1894 SHEATH GUIDE ANSEAL 6F 45CM $18.67C1894 10500C1894 SHEATH GUIDE ANSEAL 6F 45CM $18.67C1894 10500C1894 SHEATH GUIDE FLEXOR G44155 $18.67C1894 10500C1894 SHEATH GUIDE FLEXOR G56221 $26.33C1894 10500C1894 SHEATH GUIDE FLEXOR G56279 $23.00C1894 10500C1894 SHEATH INTRO PINN 9FR 25CM $7.00C1894 10500C1894 SHEATH INTRO PINN 9FR RSS902 $2.65C1894 10500C1894 SHEATH INTRO PINNACLE 4F $2.65C1894 10500C1894 SHEATH INTRO PINNACLE 4F $2.65C1894 10500C1894 SHEATH INTRO PINNACLE 6F $2.65C1894 10500C1894 SHEATH INTRO PINNACLE 6F $2.65C1894 10500C1894 SHEATH INTRO PINNACLE 7F $2.65C1894 10500C1894 SHEATH INTRO PINNACLE 8F $2.65C1894 10500C1894 SHEATH INTRO PRELUDE 5F $2.65C1894 10500C1894 SHEATH INTRO PRELUDE 5F $2.65C1892 10500C1892 SHEATH INTRODUCER 8FR $166.67C1894 10500C1894 SHEATH NAVIGATOR 12/14FR X46CM $38.38C1894 10500C1894 SHEATH NAVIGATOR HD 12/14FX36C $38.38C1887 10500C1887 SHEATH PINNACLE 5FR $25.75C1892 10500C1887 SHEATH PINNACLE 6.0FR 45CM $25.75C1887 10500C1887 SHEATH PINNACLE 7FR X 65CM $29.67C1887 10500C1887 SHEATH PINNACLE 8FRX45CM $25.75C1894 10500C1894 SHEATH SAFE 7V 23CM 7470 $26.67

364SU270 SHEATH URET 46X11-13 250-204 $26.85C1894 10500C1894 SHEATH/INTRODUCER 6FX35 $9.75C1894 10500C1894 SHEATH/INTRODUCER 8FX35 $7.67C1776 10500C1776 SHELL $518.13C1776 10500C1776 SHELL ACETAB 3H 110017102 $366.67C1776 10500C1776 SHELL ACETAB 48MM 110017101 $366.67

Page 235: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1776 10500C1776 SHELL ACETAB 48MM 121722048 $350.00C1776 10500C1776 SHELL ACETAB 4H 110017104 $366.67C1776 10500C1776 SHELL ACETAB 52MM 121722052 $350.00C1776 10500C1776 SHELL ACETAB 52MM 121732052 $566.67C1776 10500C1776 SHELL ACETAB 54MM 110010245 $1,017.00C1776 10500C1776 SHELL ACETAB 54MM 1217-22-054 $350.00C1776 10500C1776 SHELL ACETAB 54MM 121732054 $498.67C1776 10500C1776 SHELL ACETAB 56MM 1217-32-056 $498.67C1776 10500C1776 SHELL ACETAB 58MM G 110010247 $1,017.00C1776 10500C1776 SHELL ACETAB 58MM 110017106 $366.67C1776 10500C1776 SHELL ACETAB 58MM 1217-22-058 $350.00C1776 10500C1776 SHELL ACETAB 60MM 1217-22-060 $350.00C1776 10500C1776 SHELL ACETAB 60MM G 110010248 $1,017.00C1776 10500C1776 SHELL ACETAB 62MM 1217-30-062 $1,180.40C1776 10500C1776 SHELL ACETAB 64MM 1217-30-064 $1,180.40C1776 10500C1776 SHELL ACETAB 66MM 1217-30-066 $1,180.40C1776 10500C1776 SHELL ACETAB C 48MM 010000661 $1,091.00C1776 10500C1776 SHELL ACETAB FINNED G7 $366.67C1776 10500C1776 SHELL ACETAB G7 3H 010000665 $466.67C1776 10500C1776 SHELL ACETABULAR 3H 110017103 $46.33C1776 10500C1776 SHELL ACETABULAR 4H 110017105 $366.67C1776 10500C1776 SHELL ACETABULAR 56 121722056 $350.00C1776 10500C1776 SHELL ACETABULAR 60MM $786.67C1776 10500C1776 SHELL FEMORAL 58MM 00875705802 $1,058.67

364SU270 SHIELD NIPPLE 24MM MEDELA $2.86364SU270 SHIELD NIPPLE REGULAR $0.86364SU270 SHIELD NIPPLE SMALL $0.36364SU270 SHIELD NIPPLE XL $0.36

L3260 10500L3260 SHOE ORTHOWEDGE LG 79-81727 $2.07L4387 10500L4387 SHOE ORTHOWEDGE MED 79-81725 $2.07L3260 10500L3260 SHOE ORTHOWEDGE SM 79-98443 $2.07L3260 10500L3260 SHOE ORTHOWEDGE XLG 79-81728 $2.07L3260 10500L3260 SHOE ORTHOWEDGE XSM 79-98442 $2.19L3260 10500L3260 SHOE POSTOP CT LG DARAPQ3B $2.99

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L3260 10500L3260 SHOE POSTOP CT MED APQ2B $2.99L3260 10500L3260 SHOE POSTOP CT SM 2045-02 $2.99L3260 10500L3260 SHOE POSTOP CT XL 2045-05 $2.99L3260 10500L3260 SHOE POSTOP CT XSM 2045-01 $2.32

364SU270 SHOOTER MBL-10 G22614 9.5-11.5 $75.53C1776 10500C1776 SHOULDER BIO-MODULAR $441.00C1776 10500C1776 SHOULDER GLENOSPHERE 115313 $678.33C1776 10500C1776 SHOULDER GLENOSPHERE 115320 $646.00C1776 10500C1776 SHOULDER GLENOSPHERE BASEPLATE $719.33C1776 10500C1776 SHOULDER HEAD 54MMX22MM $692.67C1776 10500C1776 SHOULDER HUM. BEARING XL115367 $439.33C1776 10500C1776 SHOULDER HUMERAL 44MM 115340 $663.67C1776 10500C1776 SHOULDER HUMERAL XL-115363 $283.33C1776 10500C1776 SHOULDER MODULAR HEAD 113022 $523.00C1776 10500C1776 SHOULDER MODULAR HEAD 113044 $523.00C1776 10500C1776 SHOULDER MODULAR HEAD 113053 $523.00C1776 10500C1776 SHOULDER MODULAR HEAD 113063 $523.00C1776 10500C1776 SHOULDER REVERSE 36MM 115310 $333.33C1776 10500C1776 SHOULDER STEM 113627 7X83MM $1,565.00C1776 10500C1776 SHOULDER STEM 113632 $1,066.67C1776 10500C1776 SHOULDER STEM 113648 $1,509.67C1776 10500C1776 SHOULDER STEM 113652 $1,609.67C1776 10500C1776 SHOULDER STEM 113655 $1,609.67C1776 10500C1776 SHOULDER STEM 113658 $1,405.67C1713 10500C1713 SHOULDER STEM 13X122MM 113653 $1,431.00C1776 10500C1776 SHOULDER STEM 13X83MM 113633 $1,916.67C1776 10500C1776 SHOULDER STEM 14MMX122MM $1,405.67C1776 10500C1776 SHOULDER STEM 16X122MM $1,562.67C1776 10500C1776 SHOULDER STEM 9X122 $1,609.67

364SU272 SHUTTLE TENDON QUICK AR8090L $17.00364SU272 SHUTTLE TENDON QUICK AR8090S $17.00364SU270 SIALOGRAPHY SET SCS-P-12S $12.60

C1722 10500C1722 S-ICD EMBLEM A209 $8,833.33364SU270 SIGMOID SUCTION TUBING $0.34

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364SU270 SIGMOIDOSCOPE DISPOSABLE $0.62364SU270 SILICONE DRAIN 7036 $0.77364SU270 SILICONE FLAT DRAIN LATEX FREE $0.77364SU270 SILICONE SHEET 3X4.030 $6.93

Q9963 900Q9963 SINOGRAFIN 10ML $6.67364SU270 SKIN CLOSURE ZIP 8I 7614 $15.00364SU270 SLEEVE 5X100 ADV FIX CFS02 $2.92

C1776 10500C1776 SLEEVE ADAPTER +10MM 198706010 $255.20364SU270 SLEEVE CARPAL GEL LG/XLG LEFT $3.28364SU270 SLEEVE CARPAL GEL LG/XLG RIGHT $3.28364SU270 SLEEVE CARPAL GEL SM/MED LEFT $3.14364SU270 SLEEVE CARPAL GEL SM/MED RIGHT $3.14364SU270 SLEEVE CONNECTOR EX3151 $27.00364SU272 SLEEVE DRILL 2.7MM 110017661 $32.50364SU272 SLEEVE DRILL 3.2MM 110017561 $58.50

C1776 10500C1776 SLEEVE FEMORAL 1294-53-216 $1,198.00C1776 10500C1776 SLEEVE FEMORAL 20MM 129453205 $1,016.60C1776 10500C1776 SLEEVE FEMORAL 40MM 1294-53236 $1,198.00C1776 10500C1776 SLEEVE FEMORAL UNIVERSAL 34MM $1,198.00

364SU270 SLEEVE LAP 5X100 CTS02 $1.33C1776 10500C1776 SLEEVE META 29MM 1294-54-140 $1,044.40C1776 10500C1776 SLEEVE META 53MM 1294-54-120 $1,044.40C1776 10500C1776 SLEEVE METAPHYSEAL 29MM $1,044.40C1776 10500C1776 SLEEVE METAPHYSEAL TIBIAL 37MM $912.20

364SU270 SLEEVE PRESS FIT 30CM 406500 $1.57364SU270 SLEEVE PRESS FIT 60CM 406501 $1.57364SU270 SLEEVE PROTECT 18.0/8.0 188MM $56.70364SU272 SLEEVE PROTECT OUTER 12MM $18.76364SU272 SLEEVE PROTECTIVE 4501-065-01 $25.31364SU270 SLEEVE RESORBABLE FOR 5.0MM $35.00364SU270 SLEEVE SCD KNEE LENGTH $3.96364SU270 SLEEVE TROCAR 5MM 2CB5LT $3.98

C1771 10500C1771 SLING ADVANTAGE FIT 850-211 $388.01A4565 1050001354 SLING ARM CUFF & COLLAR $1.76

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364SU270 SLING ARM LG LATEX FREE $0.35364SU270 SLING ARM MED LATEX FREE $0.35364SU270 SLING ARM PEDI LATEX FREE $0.42364SU270 SLING ARM SM CHILD LATEX FREE $0.42364SU270 SLING ARM SM LATEX FREE $0.35

L3670 SLING ARM ULTRA IV MED 11-0445 $50.00364SU270 SLING ARM XLG LATEX FREE $0.35364SU270 SLING LIFT FLITES LARGE $6.03364SU270 SLING ULTRA LARGE $8.76364SU270 SLING ULTRA MEDIUM LATEX FR $8.76264SU274 SLING ULTRA II AB LARGE $13.60364SU272 SLING ULTRA SMALL $8.76

C1771 10500C1771 SLING URETHRAL SOLYX 850-7000 $438.98C1773 10501C1773 SNARE ENDOVASC 7F EN2007030 $105.40

364SU270 SNARE GOOSENECK GN-2000 $66.50364SU270 SNARE POLYP MED OVAL M00562570 $3.22364SU270 SNARE POLYPECTOMY DISPOSABLE $2.99364SU270 SNARE RETRIEVAL GN-1000 $70.00364SU270 SNARE RETRIEVAL GN-1001 $66.50364SU270 SNARE RETRIEVAL GN-2501 $66.50364SU270 SOCK SPECIMAN MEDI-VAC 65652 $0.19

C1776 10500C1776 SPACER $187.00L8699 10500L8699 SPACER 20X45MM 8MM 375.228 $2,332.00C1713 10500C1713 SPACER 5MM $29.33C1713 10500C1713 SPACER 5MM $215.50C1776 10500C1776 SPACER CEMENT FEMORAL $633.33C1776 10500C1776 SPACER CEMENT TIBIAL $300.00C1713 10500C1713 SPACER CERVICAL 15X13X6 1506L $449.33C1713 10500C1713 SPACER CERVICAL 17X14X6 1706L $449.33C1713 10500C1713 SPACER CERVICAL 17X14X9 1709L $449.33C1713 10500C1713 SPACER CERVICAL 5MM ACIF05-05P $449.33C1713 10500C1713 SPACER CERVICAL 6MM ACIF05-06P $449.33C1713 10500C1713 SPACER CERVICAL 7MM ACIF05-07P $449.33C1713 10500C1713 SPACER CERVICAL 7MM ACIF10-07P $449.33

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C1713 10500C1713 SPACER CERVICAL PEEK 1705L $449.33C1713 10500C1713 SPACER CERVICAL PEEK 1707L $449.33C1776 10500C1776 SPACER FEMORAL 10MM $215.50C1776 10500C1776 SPACER FEMORAL 5MM $215.50C1713 10500C1713 SPACER KNEE $966.67C1776 10500C1776 SPACER KNEE $733.33

364SU270 SPACER MICROFLOW BC1417RS $198.75C1713 10500C1713 SPACER OPAL 10X28X12 08.803132 $1,837.67C1713 10500C1713 SPACER TPAL 10MM 08.812.210 $1,441.67C1713 10500C1713 SPACER TPAL 12X32X8 08.812.208 $1,441.67C1776 10500C1776 SPACER UNIV DIST 12MM 10670012 $42.40C1776 10500C1776 SPACER UNIV DIST 13MM 10670013 $42.40

364SU270 SPATULA $71.25364SU270 SPEAKING VALVE $6.59364SU270 SPEC VAG MED LIGHT C020110-1 $0.55364SU270 SPEC VAG SM LIGHT C020100-1 $0.56364SU270 SPECIMAN TRAP (LUKI TUBE) $0.69

C1713 10500C1713 SPEEDBRIDGE IMPLANT AR8928BCCP $580.00L4350 10500L4350 SPLINT ANKLE AIR SM. $1.32L4350 10500L4350 SPLINT ANKLE AIR TRN UNIV. $1.32L4350 10500L4350 SPLINT ANKLE AIR UNIV. REG. $1.32L3999 10500L3999 SPLINT BASEBALL LARGE $0.19L3999 10500L3999 SPLINT BASEBALL SMALL $0.20

364SU270 SPLINT BUCK TRACTION LG $2.49364SU270 SPLINT BUCK TRACTION SM $1.30364SU270 SPLINT BUCKS TRACTION MED $1.32

L3999 10500L3999 SPLINT COLLES LG LT $0.73L3999 10500L3999 SPLINT COLLES LG RT $0.76L3999 10500L3999 SPLINT COLLES LT MED $0.65L3999 10500L3999 SPLINT COLLES MED RT $0.76

364SU270 SPLINT FINGER FLEX SIZE A $2.42364SU270 SPLINT FINGER FLEX SIZE C $2.42364SU270 SPLINT FINGER ZIM $0.56

L3999 10500L3999 SPLINT FOREARM LATEX FREE $0.75

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L3999 10500L3999 SPLINT FOREARM LG. LEFT $0.64L3999 10500L3999 SPLINT FOREARM LG. RIGHT $0.64L3999 10500L3999 SPLINT FOREARM MED. LEFT $0.63L3999 10500L3999 SPLINT FOREARM MED. RIGHT $0.64L3999 10500L3999 SPLINT FOREARM SM RT $0.64L3999 10500L3999 SPLINT FOREARM SM. LEFT $0.64L1830 10500L1830 SPLINT KNEE LARGE (POST-OP) $1.20L1830 10500L1830 SPLINT KNEE MED (POST-OP) $1.20L1830 10500L1830 SPLINT KNEE POST-OP 16" $2.14L1830 10500L1830 SPLINT KNEE POST-OP 20" $2.35L1830 10500L1830 SPLINT KNEE SM (POST-OP) $1.20

364SU270 SPLINT MOD SAFETY PIN LARGE $1.74364SU270 SPLINT MOD SAFETY PIN MEDIUM $1.74364SU270 SPLINT MOD SAFETY PIN SMALL $1.74364SU270 SPLINT NASAL $1.31364SU270 SPLINT NASAL MED 15-28120 $3.52364SU270 SPLINT NASAL SMALL $1.31364SU270 SPLINT NEIMAN SEPTAL (2/BOX) $18.60

L3923 10501L3923 SPLINT THUMB UNIV. LATEX FREE $0.90L3908 10500L3908 SPLINT WRIST SM RIGHT $0.99L3908 10500L3908 SPLINT WRIST XLG RIGHT $1.17L3908 10500L3908 SPLINT WRIST/THUMB 22461LGBLK $7.00

364SU270 SPONGE GAUZE SUPERABSORBMENT $0.15364SU270 SPONGE LAP BABY LATEX FREE $0.83364SU270 SPONGE LAP LATEX FREE $0.19364SU270 SPONGE NEURO 1/2X1/2 $0.95364SU270 SPONGE NEURO 1/2X3 LATEX FREE $0.95364SU270 SPONGE NEURO 3/4X3/4" 30-058 $0.78364SU270 SPONGE PEANUT LATEX FREE $0.13364SU270 SPONGE TONSIL LARGE 1 1/4 $0.19364SU270 SPONGE TONSIL MEDIUM 7/8" $0.17364SU270 SPOT DYE $7.20364SU270 SPRING FINGER EXT SPLINT-C $2.29364SU270 SPRING FINGER EXTENSION LARGE $2.29

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364SU270 SPRING FINGER EXTENSION MEDIUM $2.29364SU270 SPRING FINGER EXTENSION XL $2.29364SU270 STABILIZER OLIVE X6P2545 $33.75

C1713 10500C1713 STAPLE LIGAMENT 5.5 SM*** $33.33C1713 10500C1713 STAPLE LIGAMENT 6.7 LG $33.33

364SU270 STAPLE REMOVER SKIN DISPOSABLE $0.25364SU270 STAPLER 60MM $72.80364SU270 STAPLER CONTOUR RELOAD $46.27364SU270 STAPLER DUET TRS 45-4.8MM $100.31364SU270 STAPLER ECHELON FLEX 60 LONG $90.41364SU270 STAPLER ECHELON FLEX L45 $64.90364SU270 STAPLER ENDO 12MM $73.14364SU270 STAPLER ENDO 21MM ECS21A $66.90364SU270 STAPLER ENDO 25MM ECS25A $56.66364SU270 STAPLER ENDO 33MM ECS33A $56.66364SU270 STAPLER ENDO DUET6035A $105.68364SU270 STAPLER ENDO GIA DUET6048A $105.68364SU270 STAPLER ENDO GIA E61AUXL $38.45364SU270 STAPLER INTRALUMINAL ECS29A $56.66364SU270 STAPLER REFILL TCR75 $11.82364SU270 STAPLER RELOAD $46.27364SU270 STAPLER RELOAD $64.17364SU270 STAPLER RELOAD $89.32364SU270 STAPLER SKIN 35W PROXIMATE $0.75364SU270 STAPLER SKIN ABSORB $10.39364SU270 STAPLER SKIN PRECISE $0.58364SU270 STAPLER TX60 $15.01364SU270 STATLOCK CATH DEVICE FOLEY $0.41364SU270 STATLOCK CATH SECURMENT $1.57364SU270 STATLOCK DEVICE MAQUET IAB $2.99364SU270 STATLOCK IV ULTRA IV0520 $0.49364SU270 STATLOCK PEDIATRIC LATEX FREE $0.68364SU270 STATLOCK PIC PLUS LATEX FREE $0.63364SU270 STAY ELASTIC 12MM $12.63

Page 242: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU272 STEINMAN PIN $10.00364SU272 STEINMAN PIN PL 3/16X9 $5.33364SU272 STEINMAN PIN PL 3/32X9 $1.91364SU272 STEINMAN PIN PL 5/32X9 $2.77364SU272 STEINMAN PIN PL 5/64X9 $2.56364SU272 STEINMAN PIN PL 7/64X9 $2.56364SU272 STEINMAN PIN PL 9/64X9 $3.91364SU272 STEINMAN PIN PLAIN 1/8X9 $1.97364SU272 STEINMAN PIN THR 3/16X9 $9.69364SU272 STEINMAN PIN THR 3/32X9 $4.53364SU272 STEINMAN PIN THR 5/64X9 $7.91364SU272 STEINMAN PIN THR 7/64X9 $4.33364SU272 STEINMAN PIN THREAD 1/8X9 $2.34364SU272 STEINMAN PIN THREAD 5/32X9 $5.11364SU272 STEINMAN PIN THREAD 9/64X9 $5.07

C1776 10500C1776 STEM $496.46C1776 10500C1776 STEM $787.00C1776 10500C1776 STEM $822.13C1776 10500C1776 STEM $1,426.93C1776 10500C1776 STEM $1,504.67C1776 10500C1776 STEM $1,808.00C1776 10500C1776 STEM 7.0X2.0MM TR-S0702-S $674.33C1776 10500C1776 STEM ARH SLIDE-LOC 7MM $611.67C1776 10500C1776 STEM ATTUNE 14X50 151214050 $379.00C1776 10500C1776 STEM BI-METRIC $1,456.00C1776 10500C1776 STEM CEM TAPER 13X120 86-6498 $325.00C1776 10500C1776 STEM CEMENTED 12X50 $266.67C1776 10500C1776 STEM CENTRAL 10MM 1376-48-000 $33.33C1776 10500C1776 STEM CENTRALIZER $55.33C1776 10500C1776 STEM CENTRALIZER 1376-46-000 $29.33C1776 10500C1776 STEM CENTRALIZER 1376-47-000 $29.33C1776 10500C1776 STEM DISTAL $296.00C1776 10500C1776 STEM DISTAL 13X166 11-135162 $863.33C1776 10500C1776 STEM DISTAL 14X150 11-300814 $884.19

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C1776 10500C1776 STEM DISTAL 15MM 51-103150 $816.67C1776 10500C1776 STEM DISTAL 20X160 $816.67C1776 10500C1776 STEM DISTAL 22.5X165 $1,399.33C1776 10500C1776 STEM DISTAL 25.0X170 $1,399.33C1776 10500C1776 STEM EVOLVE 7.5MM +2 496-S275 $747.33C1776 10500C1776 STEM EXTENDER $172.50C1776 10500C1776 STEM EXTENDER $172.50C1776 10500C1776 STEM EXTENDER 18X80 $249.50C1776 10500C1776 STEM EXTENDER 25MM 5571-S-025 $416.67C1776 10500C1776 STEM EXTENSION 18X80 $347.67C1776 10500C1776 STEM EXTENSION 42-5570-001-14 $600.00C1776 10500C1776 STEM EXTRACTION $196.00C1776 10500C1776 STEM FEM 19X140MM 197619140 $1,357.00C1776 10500C1776 STEM FEM 20X240 1977-20-240 $1,436.60C1776 10500C1776 STEM FEM HIP 11X180MM 166011 $2,371.00C1776 10500C1776 STEM FEMORAL $850.33C1776 10500C1776 STEM FEMORAL $1,185.00C1776 10500C1776 STEM FEMORAL $1,221.67C1776 10500C1776 STEM FEMORAL #11 L20311 $966.67C1776 10500C1776 STEM FEMORAL #13 193013 $850.00C1776 10500C1776 STEM FEMORAL #13 7871-13-60 $1,458.67C1713 10500C1713 STEM FEMORAL #13 L20313 $850.67C1776 10500C1776 STEM FEMORAL #14 12-150314 $400.00C1776 10500C1776 STEM FEMORAL #14 3L93714 $966.67C1776 10500C1776 STEM FEMORAL #15 193015 $850.00C1776 10500C1776 STEM FEMORAL #4 1010-11-040 $950.67C1776 10500C1776 STEM FEMORAL #4 1010-12-040 $950.67C1776 10500C1776 STEM FEMORAL #4 STD 140MM $850.67C1776 10500C1776 STEM FEMORAL #5 1010-11-050 $950.67C1776 10500C1776 STEM FEMORAL #6 101011060 $950.67C1776 10500C1776 STEM FEMORAL #6 1010-12-060 $950.67C1776 10500C1776 STEM FEMORAL #6 1570-01-120 $850.67C1776 10500C1776 STEM FEMORAL #7 101011070 $950.67C1776 10500C1776 STEM FEMORAL #7 1570-01-135 $850.67

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C1776 10500C1776 STEM FEMORAL #7 6052-0730S $733.33C1776 10500C1776 STEM FEMORAL #8 6052-0830S $733.33C1776 10500C1776 STEM FEMORAL 10X140 3L93710 $850.67C1776 10500C1776 STEM FEMORAL 10X140 51-103100 $866.67C1776 10500C1776 STEM FEMORAL 10X140 51-104100 $816.67C1776 10500C1776 STEM FEMORAL 11X142 51-104110 $816.67C1776 10500C1776 STEM FEMORAL 11X142 51-105110 $816.67C1776 10500C1776 STEM FEMORAL 12X144 51-103120 $816.67C1776 10500C1776 STEM FEMORAL 12X144 51-104120 $816.67C1776 10500C1776 STEM FEMORAL 12X144 51-105120 $866.67C1776 10500C1776 STEM FEMORAL 12X145 598801012 $325.37C1776 10500C1776 STEM FEMORAL 12X150 3L93712 $850.67C1776 10500C1776 STEM FEMORAL 13X146 51-103130 $816.67C1776 10500C1776 STEM FEMORAL 13X146 51-104130 $816.67C1776 10500C1776 STEM FEMORAL 13X146 51-105130 $866.67C1776 10500C1776 STEM FEMORAL 13X150 12-150313 $400.00C1776 10500C1776 STEM FEMORAL 13X155 3L92503 $850.67C1776 10500C1776 STEM FEMORAL 13X175 598801613 $325.37C1776 10500C1776 STEM FEMORAL 13X90 86-6468 $325.00C1776 10500C1776 STEM FEMORAL 14X148 51-103140 $816.67C1776 10500C1776 STEM FEMORAL 14X148 51-105140 $866.67C1776 10500C1776 STEM FEMORAL 14X148MM $866.67C1776 10500C1776 STEM FEMORAL 15X127 $769.00C1776 10500C1776 STEM FEMORAL 15X145MM $234.67C1776 10500C1776 STEM FEMORAL 15X150 51-105150 $866.67C1776 10500C1776 STEM FEMORAL 15X150MM 51104150 $816.67C1776 10500C1776 STEM FEMORAL 15X165 3L92505 $850.67C1776 10500C1776 STEM FEMORAL 16X150 11-300816 $1,088.33C1776 10500C1776 STEM FEMORAL 16X152 51-103160 $816.67C1776 10500C1776 STEM FEMORAL 16X152 51-104160 $866.67C1776 10500C1776 STEM FEMORAL 16X170 3L92506 $850.67C1776 10500C1776 STEM FEMORAL 17X100 5565-S-017 $276.41C1776 10500C1776 STEM FEMORAL 17X154 51-103170 $816.67C1776 10500C1776 STEM FEMORAL 17X154 51-103170 $866.67

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C1776 10500C1776 STEM FEMORAL 17X154 51-104170 $816.67C1776 10500C1776 STEM FEMORAL 18X156 51-103180 $866.67C1776 10500C1776 STEM FEMORAL 18X156 51-104180 $866.67C1776 10500C1776 STEM FEMORAL 20.0X160 $816.67C1776 10500C1776 STEM FEMORAL 20X160 51-103200 $816.67C1776 10500C1776 STEM FEMORAL 20X180 197620190 $1,421.40C1776 10500C1776 STEM FEMORAL 21X190 1976-21190 $1,421.40C1776 10500C1776 STEM FEMORAL 22.5X165 $1,469.67C1776 10500C1776 STEM FEMORAL 25.0X170 $1,469.67C1776 10500C1776 STEM FEMORAL 4X128 51-102040 $866.67C1776 10500C1776 STEM FEMORAL 5X130 51-101050 $866.67C1776 10500C1776 STEM FEMORAL 5X130 51-102050 $866.67C1776 10500C1776 STEM FEMORAL 6X132 51-10060 $816.67C1776 10500C1776 STEM FEMORAL 6X132 51-102060 $866.67C1776 10500C1776 STEM FEMORAL 7X134 51-101070 $816.67C1776 10500C1776 STEM FEMORAL 7X134 51-102070 $816.67C1776 10500C1776 STEM FEMORAL 8X136 51-100080 $816.67C1776 10500C1776 STEM FEMORAL 8X136 51-101080 $866.67C1776 10500C1776 STEM FEMORAL 8X136 51-102080 $866.67C1776 10500C1776 STEM FEMORAL 9X137 51-103090 $816.67C1776 10500C1776 STEM FEMORAL 9X137 51-104090 $816.67C1776 10500C1776 STEM FEMORAL 9X137 51-105090 $866.67C1776 10500C1776 STEM FEMORAL CORAIL #10 L20310 $966.67C1776 10500C1776 STEM FEMORAL KHO S.14 L20314 $850.67C1776 10500C1776 STEM FEMORAL S#14 3L92504 $850.67C1776 10500C1776 STEM FEMORAL S#3 108MM $700.00C1776 10500C1776 STEM FEMORAL S.10 3L92500 $850.67C1776 10500C1776 STEM FEMORAL S.11 193111 $866.67C1776 10500C1776 STEM FEMORAL S.11 3L92501 $850.67C1776 10500C1776 STEM FEMORAL S.12 3L92502 $850.67C1776 10500C1776 STEM FEMORAL S.2 1570-01-080 $966.67C1776 10500C1776 STEM FEMORAL S.3 1521-22-000 $1,588.80C1776 10500C1776 STEM FEMORAL S.3 1570-01-090 $850.67C1776 10500C1776 STEM FEMORAL S.3 1570-05-090 $800.00

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C1776 10500C1776 STEM FEMORAL S.3 RT 96-0088 $2,125.80C1776 10500C1776 STEM FEMORAL S.4 1570-06-100 $616.00C1776 10500C1776 STEM FEMORAL S.8 3L92498 $966.67C1776 10500C1776 STEM FEMORAL S.9 3L92499 $850.67C1776 10500C1776 STEM FEMORAL SZ.10 1570-01-180 $966.67C1776 10500C1776 STEM FEMORAL SZ.4 1570-11-100 $850.67C1776 10500C1776 STEM FEMORAL SZ.5 1570-01-110 $850.67C1776 10500C1776 STEM FEMORAL SZ.5 1570-06-110 $616.00C1776 10500C1776 STEM FEMORAL SZ.5 1570-11-110 $850.67C1776 10500C1776 STEM FEMORAL SZ.5 96-0090 $1,928.20C1776 10500C1776 STEM FEMORAL SZ.6 1570-11-120 $850.67C1776 10500C1776 STEM FEMORAL SZ.8 1570-11-150 $966.67C1776 10500C1776 STEM FEMORAL SZ11 42500607001 $983.33C1776 10500C1776 STEM FEMORAL SZ2 1570-06-080 $616.00C1776 10500C1776 STEM FEMORAL SZ7 42500606202 $983.33C1776 10500C1776 STEM FEMORAL SZ9 42500606602 $800.00C1776 10500C1776 STEM FERMORAL F RT 00599401692 $1,576.24C1776 10500C1776 STEM FLUTED 11X80 $249.50C1776 10500C1776 STEM FLUTED 12X80 $249.50C1776 10500C1776 STEM FLUTED 13X80MM $249.50C1776 10500C1776 STEM FLUTED 14MM 5565-S-014 $445.43C1776 10500C1776 STEM FLUTED 15MM 5565-S-015 $561.07C1776 10500C1776 STEM FLUTED 15X80 $249.50C1776 10500C1776 STEM FLUTED 16MM 5565-S-016 $476.70C1776 10500C1776 STEM FLUTED 16X120 00598801516 $325.37C1776 10500C1776 STEM FLUTED 16X175 00598801616 $325.37C1776 10500C1776 STEM FLUTED 17X80MM $249.50C1776 10500C1776 STEM FLUTED 19MM 5565-S-019 $445.43C1776 10500C1776 STEM FLUTED 20X100 5565-S-020 $278.12C1776 10500C1776 STEM HEMERAL 8X130 00434900813 $1,916.67C1776 10500C1776 STEM HIP #5 6050-0530 $483.33C1776 10500C1776 STEM HIP #7 $433.33C1776 10500C1776 STEM HIP SECUR-FIT MAX $733.33C1776 10500C1776 STEM HUMERA 12X130 00434901213 $1,916.67

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C1776 10500C1776 STEM HUMERA 18X130 00434901813 $1,916.67C1776 10500C1776 STEM HUMERAL $1,294.67C1776 10500C1776 STEM HUMERAL 12X122 12113562 $933.33C1776 10500C1776 STEM HUMERAL 18X83 113638 $1,916.67C1776 10500C1776 STEM HUMERAL 8MM 12-113558 $1,806.33C1776 10500C1776 STEM LATERALIZED 13X170 $1,423.33C1776 10500C1776 STEM LPS 14X125 1987-25-414 $1,587.73C1776 10500C1776 STEM MALLORY HEAD CALCAR 45A $1,768.33C1776 10500C1776 STEM MODULAR $803.00C1776 10500C1776 STEM MODULAR 13X60 86-6402 $358.20C1776 10500C1776 STEM MULLER SZ 5 01.06010.005 $1,568.99C1776 10500C1776 STEM RADIAL 7.0MM $1,093.33C1776 10500C1776 STEM RADIAL 8X0MM TR-S0800-S $674.33C1776 10500C1776 STEM RADIAL 8X6MM TR-S0806-S $636.33C1776 10500C1776 STEM RADIAL 9X2MM TR-S0902-S $543.33C1776 10500C1776 STEM RADIAL 9X6MM TR-S0906-S $654.67C1776 10500C1776 STEM RADIAL ST TI 9MM 30MM $650.16C1776 10500C1776 STEM REG. FLUTED $249.50C1776 10500C1776 STEM SHOULDER 10X122MM $1,609.67C1776 10500C1776 STEM SHOULDER 10X83 113630 $1,066.67C1776 10500C1776 STEM SHOULDER 11X122 $1,609.67C1776 10500C1776 STEM SHOULDER 11X83MM 113631 $1,945.33C1776 10500C1776 STEM SHOULDER 14MMX83MM $1,926.00C1776 10500C1776 STEM SHOULDER 15MM 113635 $944.00C1776 10500C1776 STEM SHOULDER 16X83 113636 $1,066.67C1776 10500C1776 STEM SHOULDER 17MM 113637 $1,916.67C1776 10500C1776 STEM SHOULDER 8X83 113628 $69.33C1776 10500C1776 STEM SHOULDER HUMERAL 10X122 $2,244.00C1776 10500C1776 STEM SIZE E RT 42532007102 $183.33C1776 10500C1776 STEM SLIDELOC 9MM 50010109NS $611.67C1776 10500C1776 STEM TALAR 10LG 200347901 $658.67C1776 10500C1776 STEM TAPERED 13.5 $1,399.33C1776 10500C1776 STEM TIBIA F LEFT 42532007501 $1,111.00C1776 10500C1776 STEM TIBIA H RT 42532008302 $400.00

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C1776 10500C1776 STEM TIBIA S.G RT 42532007902 $416.67C1776 10500C1776 STEM TIBIA SIZE G LEFT $400.00C1776 10500C1776 STEM TIBIAL #3 66X42MM $673.43C1776 10500C1776 STEM TIBIAL 14MM 200010901 $320.00C1776 10500C1776 STEM TIBIAL 14MM 200011901 $300.00C1776 10500C1776 STEM TIBIAL 16MM 200009901 $326.67C1776 10500C1776 STEM TIBIAL 75X12 86-7412 $564.40C1776 10500C1776 STEM TIBIAL KNEE $564.40C1776 10500C1776 STEM ULNAR 5.0MM DRUJ-IS150 $789.00C1776 10500C1776 STEM ULNAR 6.0MMX1CM DRUJIS160 $789.00C1776 10500C1776 STEM UNIVERSAL 115X14MM 867428 $512.00C1776 10500C1776 STEM WAGNER 12/14 01.00102.216 $1,987.17C1876 10501C1876 STENT CAROTID XACT 6X30 $648.33C1876 10501C1876 STENT CAROTID XACT 6X40 $648.33C1876 10500C1876 STENT CAROTID XACT 82088-01 $648.33C1876 10501C1876 STENT CAROTID XACT 8X30 $648.33C1876 10501C1876 STENT COLON WALLFLEX M00565050 $831.67C1874 10501C1874 STENT ESOPH WALLFLEX M00516720 $750.00C1874 10501C1874 STENT ESOPH WALLFLEX M00516750 $750.00C1874 10501C1874 STENT ESOPH WALLFLEX M00516910 $733.33C1874 10501C1874 STENT ESOPH WALLFLEX M00516920 $733.33C1874 10501C1874 STENT ESOPHAGEAL WALLFLEX 1690 $841.67C1876 10501C1876 STENT EVERFLEX 5X120X120 $456.67C1876 10501C1876 STENT EVERFLEX 5X20X120 $254.33C1876 10501C1876 STENT EVERFLEX 5X60X120 $254.33C1876 10501C1876 STENT EVERFLEX 6F 0356X200 120 $768.33C1876 10501C1876 STENT EVERFLEX 6F 0357X200 120 $768.33C1876 10501C1876 STENT EVERFLEX 6F 0358X200 120 $768.33C1876 10501C1876 STENT EVERFLEX 6X100X120 $441.67C1876 10501C1876 STENT EVERFLEX 6X120X120 $456.67C1876 10501C1876 STENT EVERFLEX 6X150X120 $490.00C1876 10501C1876 STENT EVERFLEX 6X40X120 $254.33C1876 10501C1876 STENT EVERFLEX 6X40X80 $331.67C1876 10501C1876 STENT EVERFLEX 6X80X120 $285.00

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C1876 10501C1876 STENT EVERFLEX 7X100X120 $292.67C1876 10501C1876 STENT EVERFLEX 7X120X120 $359.00C1876 10501C1876 STENT EVERFLEX 7X150X120 $389.67C1876 10501C1876 STENT EVERFLEX 7X40X120 $254.33C1876 10501C1876 STENT EVERFLEX 7X80X120 $254.33C1876 10501C1876 STENT EVERFLEX 8X100X120 $292.67C1876 10501C1876 STENT EVERFLEX 8X120X120 $359.00C1876 10501C1876 STENT EVERFLEX 8X150X120 $359.00C1876 10501C1876 STENT EVERFLEX 8X40X120 $254.33C1876 10501C1876 STENT EVERFLEX 8X40X80 $325.00C1876 10501C1876 STENT EVERFLEX 8X60X120 $254.33C1876 10501C1876 STENT EVERFLEX 8X80X120 $254.33C1876 10501C1876 STENT EVERFLEX EVD3506060120 $285.00C1876 10501C1876 STENT EXPRESS LD 10.0X25X135 $301.04C1876 10501C1876 STENT EXPRESS LD 10X37X135 $324.29C1876 10501C1876 STENT EXPRESS LD 5.0X17X135 $301.04C1876 10501C1876 STENT EXPRESS LD 5.0X27X135 $324.29C1876 10501C1876 STENT EXPRESS LD 6.0X17X135 $301.04C1876 10501C1876 STENT EXPRESS LD 6.0X27X135 $324.29C1876 10501C1876 STENT EXPRESS LD 6.0X37X135 $324.29C1876 10501C1876 STENT EXPRESS LD 7.0X17X135 $301.04C1876 10501C1876 STENT EXPRESS LD 7.0X27X135 $324.29C1876 10501C1876 STENT EXPRESS LD 7.0X37X135 $324.29C1876 10501C1876 STENT EXPRESS LD 7.0X57X135 $324.29C1876 10501C1876 STENT EXPRESS LD 8.0X17X135 $301.04C1876 10501C1876 STENT EXPRESS LD 8.0X27X135 $324.29C1876 10501C1876 STENT EXPRESS LD 8.0X37X135 $324.29C1876 10501C1876 STENT EXPRESS LD 8.0X57X135 $324.29C1876 10501C1876 STENT EXPRESS LD 9.0X25X135 $301.04C1876 10501C1876 STENT EXPRESS LD 9.0X37X135 $324.29C1876 10501C1876 STENT EXPRESS SD 4.0X15X150 $324.29C1876 10501C1876 STENT EXPRESS SD 4.0X19X150 $324.29C1876 10501C1876 STENT EXPRESS SD 5.0X15X150 $324.29C1876 10501C1876 STENT EXPRESS SD 5.0X19X150 $324.29

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C1876 10501C1876 STENT EXPRESS SD 6.0X14X150 $324.29C1876 10501C1876 STENT EXPRESS SD 6.0X18X150 $324.29C1876 10501C1876 STENT EXPRESS SD 7.0X15X150 $324.29C1876 10501C1876 STENT EXPRESS SD 7.0X19X150 $324.29C1874 10501C1874 STENT FLUENCY FTL06060 $666.67C1874 10501C1874 STENT FLUENCY FTL08060 $666.67C1874 10501C1874 STENT GRAFTMASTER 2.8X16 $798.33C1874 10501C1874 STENT GRAFTMASTER 3.5X16 $798.33C1874 10501C1874 STENT GRAFTMASTER 4.0X16 $798.33C1876 10501C1876 STENT LIFESTAR 135X10X100 $216.67C1876 10501C1876 STENT LIFESTAR 135X10X120 $216.67C1876 10501C1876 STENT LIFESTAR 135X10X80 $216.67C1876 10501C1876 STENT LIFESTAR 135X12X100 $200.00C1876 10501C1876 STENT LIFESTAR 135X12X120 $216.67C1876 10501C1876 STENT LIFESTAR 135X14X100 $200.00C1876 10501C1876 STENT LIFESTAR 135X14X120 $200.00C1876 10501C1876 STENT LIFESTAR 135X14X80 $200.00C1876 10501C1876 STENT LIFESTAR 135X8X100 $216.67C1876 10501C1876 STENT LIFESTAR 135X8X120 $200.00C1876 10501C1876 STENT LIFESTAR 135X8X80 $216.67C1876 10501C1876 STENT LIFESTAR 135X9X100 $216.67C1876 10501C1876 STENT LIFESTAR 135X9X120 $216.67C1876 10501C1876 STENT LIFESTAR 135X9X80 $216.67C1876 10501C1876 STENT LIFESTAR VIUL12060 $200.00C1876 10501C1876 STENT LIFESTAR VIUL12080 $200.00C1876 10501C1876 STENT LIFESTAR VIUL14040 $200.00C1876 10501C1876 STENT LIFESTAR VIUL14060 $200.00C2625 10501C2625 STENT NEPH COPE G48160 $26.33C2625 10501C2625 STENT NEPH COPE G48170 $26.33C2625 10501C2625 STENT NEPHRO COPE G48180 $26.33C2625 10501C2625 STENT NEPHRO URETER 10.2X26 $26.33C2617 364C2617 STENT POLARIS 6FX26CM 192133 $46.40C2617 364C2617 STENT POLARIS 6FX28CM 192134 $41.37C2617 364C2617 STENT POLARIS ULTRA 5X16 $46.40

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C2617 364C2617 STENT POLARIS ULTRA 5X18 $46.40C2617 364C2617 STENT POLARIS ULTRA 5X22 $46.40C2617 364C2617 STENT POLARIS ULTRA 5X24 $60.96C2617 364C2617 STENT POLARIS ULTRA 5X26 $41.37C2617 364C2617 STENT POLARIS ULTRA 5X28 $41.37C2617 364C2617 STENT POLARIS ULTRA 5X30 $41.37C2617 364C2617 STENT POLARIS ULTRA 6X24 $46.40C2617 364C2617 STENT POLARIS ULTRA 7X26 $60.96C2617 364C2617 STENT POLARIS ULTRA 8X20 $46.40C2617 364C2617 STENT POLARIS ULTRA 8X22 $46.40C2617 364C2617 STENT POLARIS ULTRA 8X24 $46.40C2617 364C2617 STENT POLARIS ULTRA 8X26 $46.40C2617 364C2617 STENT POLARIS ULTRA 8X28 $41.37C2617 364C2617 STENT POLARIS ULTRA 8X30 $46.40C2617 364C2617 STENT POLARIS URETERAL LOOP $58.47C1876 10501C1876 STENT PROTEGE 10X40X120 $261.67C1876 10501C1876 STENT PROTEGE 10X80X120 $261.67C1876 10501C1876 STENT PROTEGE 9X40X120 $261.67C1876 10501C1876 STENT PROTEGE 9X60X120 $261.67C1876 10501C1876 STENT PROTEGE 9X80X120 $261.67C1876 10501C1876 STENT PROTEGE EF PRB3505040120 $254.33C1876 10501C1876 STENT PROTEGE EF PRB3505080120 $301.33C1876 10501C1876 STENT PROTEGE EF PRB3505100120 $410.00C1876 10501C1876 STENT PROTEGE EF PRB3506060120 $254.33C1876 10501C1876 STENT PROTEGE EF PRB3507060120 $254.33C1876 10501C1876 STENT PROTEGE GPS 10X60X120 $261.67C1876 10501C1876 STENT PROTEGE RX SECX10730-135 $431.67C1876 10501C1876 STENT PROTEGE RX SECX10740-135 $431.67C1876 10501C1876 STENT PROTEGE RX SECX-6-20-135 $431.67C1876 10501C1876 STENT PROTEGE RX SECX-6-30-135 $431.67C1876 10501C1876 STENT PROTEGE RX SECX-7-20-135 $431.67C1876 10501C1876 STENT PROTEGE RX SECX-7-30-135 $431.67C1876 10501C1876 STENT PROTEGE RX SECX-8-30-135 $431.67C1876 10501C1876 STENT PROTEGE RX SECX-8-40-135 $431.67

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C1876 10501C1876 STENT PROTEGE RX SECX86-30-135 $431.67C1876 10501C1876 STENT PROTEGE RX SECX86-40-135 $431.67C1876 10501C1876 STENT PROTEGE RX SECX-9-30-135 $431.67C1876 10501C1876 STENT PROTEGE RX SECX-9-40-135 $431.67C1876 10501C1876 STENT PROTEGE SERB65-12-40-120 $261.67C1876 10501C1876 STENT PROTEGE SERB65-12-60-120 $261.67C1876 10501C1876 STENT PROTEGE SERB65-12-80-120 $261.67C1876 10501C1876 STENT PROTEGE SERB65-14-40-120 $261.67C1876 10501C1876 STENT PROTEGE SERB65-14-60-120 $261.67C1876 10501C1876 STENT PROTEGE SERB65-14-80-120 $261.67C1876 10501C1876 STENT PULSAR-18 5X100X135 $250.00C1876 10501C1876 STENT PULSAR-18 5X120X135 $250.00C1876 10501C1876 STENT PULSAR-18 5X150X135 $250.00C1876 10501C1876 STENT PULSAR-18 5X80X135 $250.00C1876 10501C1876 STENT PULSAR-18 6X100X135 $250.00C1876 10501C1876 STENT PULSAR-18 6X120X135 $250.00C1876 10501C1876 STENT PULSAR-18 6X150X135 $250.00C1876 10501C1876 STENT PULSAR-18 6X80X135 $250.00C1876 10501C1876 STENT PULSAR-18 7X100X135 $250.00C1876 10501C1876 STENT PULSAR-18 7X120X135 $250.00C1876 10501C1876 STENT PULSAR-18 7X150X135 $250.00C1876 10501C1876 STENT PULSAR-18 7X80X135 $250.00C1876 10501C1876 STENT REBEL MR 12X2.50 $211.67C1876 10501C1876 STENT REBEL MR 12X2.75 $211.67C1876 10501C1876 STENT REBEL MR 12X3.00 $211.67C1876 10501C1876 STENT REBEL MR 12X3.50 $211.67C1876 10501C1876 STENT REBEL MR 12X4.00 $211.67C1876 10501C1876 STENT REBEL MR 12X4.50 $211.67C1876 10501C1876 STENT REBEL MR 16X2.25 $211.67C1876 10501C1876 STENT REBEL MR 16X2.50 $211.67C1876 10501C1876 STENT REBEL MR 16X2.75 $211.67C1876 10501C1876 STENT REBEL MR 16X3.00 $211.67C1876 10501C1876 STENT REBEL MR 16X3.50 $211.67C1876 10501C1876 STENT REBEL MR 16X4.00 $211.67

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C1876 10501C1876 STENT REBEL MR 16X4.50 $211.67C1876 10501C1876 STENT REBEL MR 20X2.50 $211.67C1876 10501C1876 STENT REBEL MR 20X2.75 $211.67C1876 10501C1876 STENT REBEL MR 20X3.00 $211.67C1876 10501C1876 STENT REBEL MR 20X3.50 $211.67C1876 10501C1876 STENT REBEL MR 20X4.00 $211.67C1876 10501C1876 STENT REBEL MR 20X4.50 $211.67C1876 10501C1876 STENT REBEL MR 24X2.50 $211.67C1876 10501C1876 STENT REBEL MR 24X2.75 $211.67C1876 10501C1876 STENT REBEL MR 24X3.00 $211.67C1876 10501C1876 STENT REBEL MR 24X3.50 $211.67C1876 10501C1876 STENT REBEL MR 24X4.00 $211.67C1876 10501C1876 STENT REBEL MR 24X4.50 $211.67C1876 10501C1876 STENT REBEL MR 28X2.50 $211.67C1876 10501C1876 STENT REBEL MR 28X2.75 $211.67C1876 10501C1876 STENT REBEL MR 28X3.00 $211.67C1876 10501C1876 STENT REBEL MR 28X3.50 $211.67C1876 10501C1876 STENT REBEL MR 28X4.00 $211.67C1876 10501C1876 STENT REBEL MR 28X4.50 $211.67C1876 10501C1876 STENT REBEL MR 32X3.00 $211.67C1876 10501C1876 STENT REBEL MR 32X3.50 $211.67C1876 10501C1876 STENT REBEL MR 32X4.00 $211.67C1876 10501C1876 STENT REBEL MR 32X4.50 $211.67C1876 10501C1876 STENT REBEL MR 8X2.50 $211.67C1876 10501C1876 STENT REBEL MR 8X2.75 $211.67C1876 10501C1876 STENT REBEL MR 8X3.00 $211.67C1876 10501C1876 STENT REBEL MR 8X3.50 $211.67C1876 10501C1876 STENT REBEL MR 8X4.00 $211.67C1874 10501C1874 STENT RESOLUTE ONLYX 5.0X26MM $456.67C1874 10501C1874 STENT RESOLUTE ONYX 4.5X30 $456.67C1874 10501C1874 STENT RESOLUTE ONYX 5X12MM $456.67C1874 10501C1874 STENT RESOLUTE ONYX 5X15MM $456.67C1874 10501C1874 STENT RESOLUTE ONYX 5X18MM $456.67C1874 10501C1874 STENT RESOLUTE ONYX 5X22MM $456.67

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C1874 10501C1874 STENT RESOLUTE ONYX 5X30MM $456.67C1874 10501C1874 STENT RESOLUTE ONYX4.5X12MM $456.67C1874 10501C1874 STENT RESOLUTE ONYX4.5X15MM $430.00C1874 10501C1874 STENT RESOLUTE ONYX4.5X18MM $430.00C1874 10501C1874 STENT RESOLUTE ONYX4.5X22MM $456.67C1874 10501C1874 STENT RESOLUTE ONYX4.5X26MM $456.67C1874 10501C1874 STENT RESOLUTE RONY 2.00X12CM $430.00C1874 10501C1874 STENT RESOLUTE RONY 2.00X15CM $430.00C1874 10501C1874 STENT RESOLUTE RONY 2.00X18CM $430.00C1874 10501C1874 STENT RESOLUTE RONY 2.00X22CM $430.00C1874 10501C1874 STENT RESOLUTE RONY 2.00X26CM $430.00C1874 10501C1874 STENT RESOLUTE RONY 2.00X30CM $430.00C1874 10501C1874 STENT RESOLUTE RONY 2.00X8CM $430.00C1874 10501C1874 STENT RESOLUTE RONY 2.50X15CM $405.00C1874 10501C1874 STENT RESOLUTE RONY 2.50X22CM $431.67C1874 10501C1874 STENT RESOLUTE RONY 2.75X15CM $431.67C1874 10501C1874 STENT RESOLUTE RONY 2.75X22CM $431.67C1874 10501C1874 STENT RESOLUTE RONY 3.00X15CM $431.67C1874 10501C1874 STENT RESOLUTE RONY 3.00X22CM $431.67C1874 10501C1874 STENT RESOLUTE RONY 3.50X15CM $431.67C1874 10501C1874 STENT RESOLUTE RONY 3.50X22CM $431.67C1874 10501C1874 STENT RESOLUTE RONY 4.00X15CM $431.67C1874 10501C1874 STENT RESOLUTE RONY 4.00X22CM $405.00C1725 10504C1725 STENT STERLING 5X60X135 $63.33C1876 10501C1876 STENT SUPERA 5.0X120MM $516.67C1876 10501C1876 STENT SUPERA 5.0X80MMX120MM $516.67C1876 10501C1876 STENT SUPERA 5.5X150MM $516.67C1876 10501C1876 STENT SUPERA 5.5X80MMX120MM $516.67C1876 10501C1876 STENT SUPERA 6.0X150MM $516.67C1876 10501C1876 STENT SUPERA 6.0X80MMX120MM $516.67C1876 10501C1876 STENT SUPERA 6.5X150MM $516.67C1876 10501C1876 STENT SUPERA 6.5X80MMX120MM $516.67C1874 10501C1874 STENT SYNERGY MR 2.25X12 $366.67C1874 10501C1874 STENT SYNERGY MR 2.25X16 $366.67

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C1874 10501C1874 STENT SYNERGY MR 2.25X20 $366.67C1874 10501C1874 STENT SYNERGY MR 2.25X24 $366.67C1874 10501C1874 STENT SYNERGY MR 2.25X28 $433.33C1874 10501C1874 STENT SYNERGY MR 2.25X32 $433.33C1874 10501C1874 STENT SYNERGY MR 2.25X38 $433.33C1874 10501C1874 STENT SYNERGY MR 2.25X8 $433.33C1874 10501C1874 STENT SYNERGY MR 2.50X12 $433.33C1874 10501C1874 STENT SYNERGY MR 2.50X16 $366.67C1874 10501C1874 STENT SYNERGY MR 2.50X20 $433.33C1874 10501C1874 STENT SYNERGY MR 2.50X24 $366.67C1874 10501C1874 STENT SYNERGY MR 2.50X28 $433.33C1874 10501C1874 STENT SYNERGY MR 2.50X32 $366.67C1874 10501C1874 STENT SYNERGY MR 2.50X38 $366.67C1874 10501C1874 STENT SYNERGY MR 2.50X8 $433.33C1874 10501C1874 STENT SYNERGY MR 2.75X12 $366.67C1874 10501C1874 STENT SYNERGY MR 2.75X16 $366.67C1874 10501C1874 STENT SYNERGY MR 2.75X20 $366.67C1874 10501C1874 STENT SYNERGY MR 2.75X24 $366.67C1874 10501C1874 STENT SYNERGY MR 2.75X28 $433.33C1874 10501C1874 STENT SYNERGY MR 2.75X32 $366.67C1874 10501C1874 STENT SYNERGY MR 2.75X38 $433.33C1874 10501C1874 STENT SYNERGY MR 2.75X8 $426.67C1874 10501C1874 STENT SYNERGY MR 3.00X12 $366.67C1874 10501C1874 STENT SYNERGY MR 3.00X16 $366.67C1874 10501C1874 STENT SYNERGY MR 3.00X20 $433.33C1874 10501C1874 STENT SYNERGY MR 3.00X24 $366.67C1874 10501C1874 STENT SYNERGY MR 3.00X28 $366.67C1874 10501C1874 STENT SYNERGY MR 3.00X32 $433.33C1874 10501C1874 STENT SYNERGY MR 3.00X38 $366.67C1874 10501C1874 STENT SYNERGY MR 3.00X8 $433.33C1874 10501C1874 STENT SYNERGY MR 3.50X12 $433.33C1874 10501C1874 STENT SYNERGY MR 3.50X16 $366.67C1874 10501C1874 STENT SYNERGY MR 3.50X20 $433.33C1874 10501C1874 STENT SYNERGY MR 3.50X24 $366.67

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C1874 10501C1874 STENT SYNERGY MR 3.50X28 $366.67C1874 10501C1874 STENT SYNERGY MR 3.50X32 $426.67C1874 10501C1874 STENT SYNERGY MR 3.50X38 $366.67C1874 10501C1874 STENT SYNERGY MR 3.50X8 $366.67C1874 10501C1874 STENT SYNERGY MR 4.00X12 $366.67C1874 10501C1874 STENT SYNERGY MR 4.00X16 $433.33C1874 10501C1874 STENT SYNERGY MR 4.00X20 $366.67C1874 10501C1874 STENT SYNERGY MR 4.00X24 $366.67C1874 10501C1874 STENT SYNERGY MR 4.00X28 $366.67C1874 10501C1874 STENT SYNERGY MR 4.00X32 $433.33C1874 10501C1874 STENT SYNERGY MR 4.00X38 $366.67C1874 10501C1874 STENT SYNERGY MR 4.00X8 $433.33C2625 10500C2625 STENT ULT10.2-10.2-22-NUCL-BHC $26.33C2625 10501C2625 STENT ULT10.2-10.2-24-NUCL-BHC $26.33C2625 10501C2625 STENT ULT8.5-8.5-22-NUCL-B-RH $26.33C2625 10500C2625 STENT ULT8.5-8.5-24-NUCL-B-HC $26.33C2617 364C2617 STENT UNIVERSA 8X18 G23419 $46.33C2617 364C2617 STENT UNIVERSA 8X18 G23419 $46.33C2617 364C2617 STENT URET 7FR24CM M0061921420 $46.40C2617 364C2617 STENT URET 7FR28CM M0061921440 $41.37C2625 10501C2625 STENT URET AMPLATZ 10.2FR 26CM $31.30C2625 10501C2625 STENT URET AMPLATZ 10.2FR 28CM $31.30C2625 10501C2625 STENT URET AMPLATZ 10.2FR 30CM $31.30C2625 10501C2625 STENT URET RESONANCE 6FR 24CM $297.25C2617 364C2617 STENT URINARY OPEN TIP 7FR $62.31C1874 10501C1874 STENT VIABAHN 10X10 VBH101002A $1,160.00C1874 10501C1874 STENT VIABAHN 10X39X135 $855.89C1874 10501C1874 STENT VIABAHN 10X5 VBH100502A $1,160.00C1874 10501C1874 STENT VIABAHN 11FR VBH100502A $1,058.33C1874 10501C1874 STENT VIABAHN 11FR VBH100502A $1,058.33C1874 10500C1874 STENT VIABAHN 13X5.0X120 $1,052.33C1874 10501C1874 STENT VIABAHN 5X10 VBJR051002A $1,215.00C1874 10501C1874 STENT VIABAHN 5X15 VBJR051502A $1,322.33C1874 10501C1874 STENT VIABAHN 5X25 VBJR052502A $2,172.67

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C1874 10501C1874 STENT VIABAHN 5X39X135 $733.33C1874 10501C1874 STENT VIABAHN 5X5 VBJR050502A $1,091.67C1874 10501C1874 STENT VIABAHN 6MMX7.5CM 6FR $1,215.00C1874 10501C1874 STENT VIABAHN 6X10 VBJR061002A $1,186.67C1874 10501C1874 STENT VIABAHN 6X15 VBJR061502A $1,322.33C1874 10501C1874 STENT VIABAHN 6X25 VBJR062502A $2,172.67C1874 10501C1874 STENT VIABAHN 6X39X135 $1,052.33C1874 10501C1874 STENT VIABAHN 6X5 VBJR060502A $1,091.67C1874 10501C1874 STENT VIABAHN 7FR VBJR080202A $1,084.67C1874 10501C1874 STENT VIABAHN 7X10 VBJR071002A $1,186.67C1874 10501C1874 STENT VIABAHN 7X15 VBJR071502A $1,330.00C1874 10501C1874 STENT VIABAHN 7X19X135 $919.00C1874 10501C1874 STENT VIABAHN 7X25 VBJR072502A $2,185.00C1874 10501C1874 STENT VIABAHN 7X39X135 $1,052.33C1874 10501C1874 STENT VIABAHN 7X5 VBJR070502A $1,102.00C1874 10501C1874 STENT VIABAHN 7X59X135 $1,070.67C1874 10501C1874 STENT VIABAHN 7X79X135 $1,185.33C1874 10501C1874 STENT VIABAHN 8X10 VBJR081002A $1,215.00C1874 10501C1874 STENT VIABAHN 8X39X135 $1,070.67C1874 10501C1874 STENT VIABAHN 8X5 VBJR080502A $1,102.00C1874 10501C1874 STENT VIABAHN 8X59X135 $1,070.67C1874 10501C1874 STENT VIABAHN 9X39X135 $1,052.33C1874 10501C1874 STENT VIABAHN 9X59X135 $1,052.33C1874 10501C1874 STENT VIABAHN VBX BXA067902A $1,154.33C1876 10500C1876 STENT VISI PRO PXB35-06-57-135 $229.00C1876 10501C1876 STENT VISIPRO 10X17X135 $229.00C1876 10501C1876 STENT VISIPRO 10X37X135 $229.00C1876 10501C1876 STENT VISIPRO 7X27X135 $305.00C1876 10501C1876 STENT VISIPRO 7X37X135 $229.00C1876 10501C1876 STENT VISI-PRO 8X17X135 $305.00C1876 10501C1876 STENT VISIPRO 8X27X135 $229.00C1876 10501C1876 STENT VISI-PRO 8X27X135 $229.00C1876 10501C1876 STENT VISIPRO 8X37X135 $229.00C1876 10501C1876 STENT VISI-PRO 8X57X135 $229.00

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C1876 10501C1876 STENT VISIPRO 9X27X135 $258.33C1876 10501C1876 STENT VISIPRO 9X37X135 $305.00C1876 10501C1876 STENT VISI-PRO PXB35-05-17-135 $305.00C1876 10501C1876 STENT VISI-PRO PXB35-05-27-135 $305.00C1876 10501C1876 STENT VISI-PRO PXB35-06-17-135 $305.00C1876 10501C1876 STENT VISI-PRO PXB35-06-27-135 $305.00C1876 10501C1876 STENT VISI-PRO PXB35-06-37-135 $229.00C1876 10501C1876 STENT VISI-PRO PXB35-07-17-135 $229.00C1876 10501C1876 STENT VISI-PRO PXB35-07-27-135 $229.00C1876 10501C1876 STENT VISI-PRO PXB35-07-57-135 $229.00C1874 10501C1874 STENT WALLFLEX 23X105 1673 $750.00C1876 10501C1876 STENT WALLFLEX 25X120MM $1,171.67C1876 10501C1876 STENT WALLFLEX COLONIC 25X60MM $831.67C1876 10500C1876 STENT XACT 10X40 82096-01 $648.33

364SU270 STETHOSCOPE ESOPHAGEAL 12FR $0.32364SU270 STETHOSCOPE ESOPHAGEAL 18FR $0.73

C1778 10500C1778 STIMULATOR LEAD KIT $717.00C1820 10500C1820 STIMULATOR NEURO $5,916.67

364SU270 STIMULATOR TRIAL KIT $17.10A6533 10500A6533 STOCKING COMP THIGH FF 14158 $11.38A6533 10500A6533 STOCKING COMP THIGH FF 14159 $11.38A6533 10500A6533 STOCKING COMP THIGH FF 14160 $11.38A6533 10500A6533 STOCKING COMP THIGH FF 14161 $11.38A6533 10500A6533 STOCKING COMP THIGH FF 14162 $11.38A6533 10500A6533 STOCKING COMP THIGH OT 06490 $11.38A6533 10500A6533 STOCKING COMP THIGH OT 06491 $11.38A6533 10500A6533 STOCKING COMP THIGH OT 06492 $11.38A6533 10500A6533 STOCKING COMP THIGH OT 06493 $11.38A6533 10500A6533 STOCKING COMP THIGH OT 06494 $11.38

364SU270 STOCKING JOBST $11.10364SU270 STOCKING JOBST KNEE MED. $5.60364SU270 STOCKING JOBST LG $5.19364SU270 STOCKING JOBST THIGH MED $5.80364SU270 STOCKING JOBST THIGH MED. $11.41

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364SU270 STOCKING JOBST WAIST HIGH SM $9.07364SU270 STOCKING JOBST X-LG $5.19364SU270 STOCKING JOBST X-LG $6.34364SU270 STOCKING T.E.D. THIGH HIGH MED $0.65364SU270 STOCKING TED THIGH LENGTH LG. $0.65364SU270 STOCKING THIGH HIGH X-LARGE $11.60364SU270 STOCKINGS JOBST $4.00364SU270 STOCKINGS JOBST $16.25364SU270 STOCKINGS JOBST X-LG $7.51364SU270 STOCKINGS T.E.D. CALF HIGH LG $0.35364SU270 STOCKINGS T.E.D. CALF HIGH MED $0.35364SU270 STOCKINGS T.E.D. CALF HIGH XLG $0.35364SU270 STOCKINGS WAIST-HI JOBST $16.26364SU270 STOMA PASTE LATEX FREE $0.13364SU270 STOMA POWDER LATEX FREE $0.10364SU270 STOPPER BROWN 54-1183 $1.73364SU270 STOPPER GRAY 54-1136 $1.73364SU270 STRAP DISTRACTOR AR-1712 $9.00364SU270 STRAP LEG MED SPTAM $1.83364SU270 STRAP MONTGOMERY $0.30364SU270 STRAP PERSONAL STIRRUP $0.38

C1762 10500C1762 STRIP BICORTICAL 5X5X50MM 313 $750.00L8699 10500L8699 STRIP SPONGE DBM DBM-SS-35 $303.33A4649 10500A4649 STRIP TRICORTICAL 58+MM 330060 $833.33

364SU270 STRUT QUICK ADJ MED 50-10180 $461.67364SU270 STYLET 58CM $10.00364SU270 STYLET 58CM $10.00364SU270 STYLET 59CM $5.80364SU270 STYLET 59CM $5.80364SU270 STYLET 59CM STR 6601 $7.00364SU270 STYLET BIOTRONIK $4.17364SU270 STYLET CLEANING TOOL 2.3MM $11.70

C1888 10500C1888 STYLET CLOSURERFS 6FR RFS2-612 $221.67364SU272 STYLET DUAL 8120-11R-15 $49.00

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364SU270 STYLET INTUBATING 10FR $0.29364SU270 STYLET INTUBATING 14FR $0.27364SU270 STYLET INTUBATING 6FR $0.27364SU270 STYLET LEAD 45CM 6053 $18.00364SU270 STYLET LEAD 52CM 6054-52 $47.50364SU270 STYLET LEAD 6057-58 $6.40364SU270 STYLET RIGID DSA1005429 $6.86364SU270 STYLET TUNNELING $1.73364SU270 SUCTION FRAZIER 10FR 166025A $0.32364SU270 SUCTION FRAZIER 12FR $0.40364SU270 SUCTION FRAZIER 8FR $0.40364SU270 SUCTION IRRIGATOR $8.13364SU270 SUPPLEMENTAL NURSING SYSTEM $6.22

A4467 10500A4467 SUPPORT ELBOW TENNIS 79019 $3.75364SU270 SUPPORT FOOT CUSTOM $32.25

A4467 10500A4467 SUPPORT LUMBAR STANDARD $6.00364SU270 SUPPORT LUMBAR XL 317011LSTD $6.83364SU270 SURGIFLO 2994 $39.84364SU270 SUSPENSORY LG CONTAINS LATEX $1.64364SU270 SUSPENSORY MED $1.58364SU270 SUSPENSORY X-LG CONTAINS LATEX $1.64364SU272 SUTURE 0 SILK ON KS STRAIGHT $0.20

C1713 10500C1713 SUTURE ANCHOR 1X4.5MM 72203981 $115.00C1713 10500C1713 SUTURE ANCHOR 1X4.5MM 72203982 $115.00C1713 10500C1713 SUTURE ANCHOR 5.5MM AR1927BCF $155.00C1713 10500C1713 SUTURE ANCHOR 905576 $84.67

364SU272 SUTURE ANCHOR AR-1318FT $71.25364SU272 SUTURE ANCHOR AR-1318FT-40 $71.25364SU272 SUTURE ANCHOR AR-1319FT $71.25

C1713 10502C1713 SUTURE ANCHOR AR-1662BC-7 $207.33C1713 10501C1713 SUTURE ANCHOR AR-1934BCF $145.33C1713 10500C1713 SUTURE ANCHOR AR-2324BCCT $190.67C1713 10500C1713 SUTURE ANCHOR QFIX 2.8MM $233.33

364SU270 SUTURE BOOT (5 PER BOX) $0.42

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364SU270 SUTURE BOOT INST JAW COVER $0.41364SU270 SUTURE BUTTON 31MM $192.25364SU270 SUTURE CARTRIDGE OM-8175 $28.83364SU270 SUTURE CARTRIDGE OM-8176 $28.83364SU272 SUTURE CHROMIC 2-0 811H LF $0.36364SU272 SUTURE CHROMIC 2-0 G123H $0.36364SU272 SUTURE CHROMIC 2-0 N878H LF $0.43364SU272 SUTURE CHROMIC 2-0 U245H $0.47364SU272 SUTURE CHROMIC 3-0 G122H LF $0.37364SU272 SUTURE CHROMIC 3-0 N877H $0.43364SU272 SUTURE CHROMIC 4-0 1654G LF $0.74364SU272 SUTURE CHROMIC 4-0 U203H $0.39364SU270 SUTURE CHROMIC 5-0 687G $0.85364SU272 SUTURE CHROMIC 5-0 K895H $0.84364SU270 SUTURE CHROMIC GUT 1 GL30G $0.82364SU272 SUTURE CHROMIC GUT 4-0 798G $2.05364SU270 SUTURE CHROMIC GUT 4-0 G181H $0.39364SU270 SUTURE CHROMIC GUT 5-0 $0.25364SU272 SUTURE COTTON U-TAPE U11T $0.18364SU270 SUTURE ENDO LOOP EZ10G $6.50364SU272 SUTURE ENDOSTITCH SURGIDAC 2-0 $13.18364SU272 SUTURE ETHIBOND 0 CX41D LF $1.55364SU272 SUTURE ETHIBOND 0 PXX87 $9.05364SU270 SUTURE ETHIBOND 0 X834H $0.26364SU272 SUTURE ETHIBOND 2 X519H $0.29364SU272 SUTURE ETHIBOND 5 MB47G $2.38364SU270 SUTURE ETHIBOND CX21D $1.35364SU270 SUTURE ETHIBOND EXCEL CX74T $0.91364SU270 SUTURE ETHIBOND EXCEL X517H $0.30364SU270 SUTURE ETHIBOND X964H $0.38364SU272 SUTURE ETHILON 1 RETEN 489T $0.39364SU270 SUTURE ETHILON 2 490T $0.40364SU270 SUTURE ETHILON 2-0 1674H $0.21364SU270 SUTURE ETHILON 2-0 664G $0.20

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364SU272 SUTURE ETHILON 3-0 663G $0.21364SU272 SUTURE ETHILON 3-0 669H LF $0.19364SU272 SUTURE ETHILON 4-0 1670H $0.22364SU272 SUTURE ETHILON 4-0 662H $0.19364SU272 SUTURE ETHILON 4-0 699G LF $0.42364SU272 SUTURE ETHILON 5-0 1668H $0.41364SU272 SUTURE ETHILON 5-0 1740G $1.31364SU272 SUTURE ETHILON 5-0 698G LF $0.37364SU272 SUTURE ETHILON 6-0 697G $0.42364SU270 SUTURE GORTEX CV-2 2N01B $3.80

C1713 10500C1713 SUTURE INSITE FT TI 2.5MM $176.67364SU272 SUTURE MAXON 2-0 6247-53 $3.11364SU272 SUTURE MERSILENE 4-0 R691G $0.47364SU270 SUTURE MON0CRYL 5-0 Y495G $0.65364SU272 SUTURE MONOCRYL 0 YB978 LF $0.35364SU272 SUTURE MONOCRYL 0 YY31G LF $0.90364SU272 SUTURE MONOCRYL 2/0 Y345H LF $0.29364SU272 SUTURE MONOCRYL 2-0 Y333H $0.24364SU272 SUTURE MONOCRYL 2-0 Y605H LF $0.29364SU272 SUTURE MONOCRYL 2-0 Y945H LF $0.26364SU272 SUTURE MONOCRYL 2-0 YB257 LF $0.40364SU272 SUTURE MONOCRYL 3-0 Y416H $0.24364SU272 SUTURE MONOCRYL 3-0 Y931H $0.54364SU272 SUTURE MONOCRYL 4-0 $0.58364SU272 SUTURE MONOCRYL 4-0 Y415H $0.24364SU272 SUTURE MONOCRYL 4-0 Y426H LF $0.65364SU270 SUTURE MONOCRYL 5-0 Y493G $0.68364SU270 SUTURE MONOCRYL PS-2 Y427H $0.65364SU272 SUTURE MONOCRYL-0 Y946H $0.27364SU270 SUTURE NYLON 8-0 AA-0122 $6.21364SU270 SUTURE NYLON 9-0 AA-0112 $8.62364SU272 SUTURE OPDS II CTX Z990G $0.65364SU270 SUTURE PASSER 12" 72201406 $5.12364SU272 SUTURE PDS 0 Z346H $0.32

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364SU270 SUTURE PDS 1 Z371T LF $0.34364SU272 SUTURE PDS 2-0 Z317H $0.30364SU270 SUTURE PDS II 2-0 Z333H $0.33364SU272 SUTURE PDS II 2-0 Z339H $0.30364SU272 SUTURE PDS II Z320H $0.85364SU270 SUTURE PDS II ZB371 LF $0.43364SU270 SUTURE PDS PLUS 3-0 Z774D $2.33364SU270 SUTURE PDS Z880G LF $0.57364SU272 SUTURE PLAIN 0 S104H $0.36364SU272 SUTURE PLAIN 3-0 842H $0.37364SU272 SUTURE PLAIN 4-0 1828H $0.76364SU272 SUTURE PLAIN 4-0 742G $0.39364SU272 SUTURE PLAIN 5-0 1772G LF $2.11364SU272 SUTURE PLAIN 6-0 1916G $0.81364SU270 SUTURE POLYSORB 2-0 GL-61-MG $3.39364SU272 SUTURE PROLENE 0 8434H $0.33364SU272 SUTURE PROLENE 0 8834H $0.39364SU270 SUTURE PROLENE 1 8435H $0.33364SU270 SUTURE PROLENE 1 8824G $0.46364SU272 SUTURE PROLENE 2-0 8523H $0.68364SU272 SUTURE PROLENE 2-0 8623H $0.35364SU272 SUTURE PROLENE 2-0 8685H $0.35364SU272 SUTURE PROLENE 2-0 8833H $0.35364SU270 SUTURE PROLENE 3-0 $0.57364SU272 SUTURE PROLENE 3-0 8522H $0.69364SU272 SUTURE PROLENE 3-0 8665G LF $0.35364SU270 SUTURE PROLENE 3-0 8684G LF $0.34364SU272 SUTURE PROLENE 4-0 $0.57364SU272 SUTURE PROLENE 4-0 8557H LF $0.71364SU272 SUTURE PROLENE 4-0 8683G $0.35364SU270 SUTURE PROLENE 4-0 8699G LF $0.61364SU272 SUTURE PROLENE 5-0 $0.71364SU272 SUTURE PROLENE 5-0 8661G $0.34364SU272 SUTURE PROLENE 5-0 8698G LF $0.63

Page 264: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU272 SUTURE PROLENE 6-0 8697G $0.65364SU270 SUTURE PROLENE 6-0 8711H $0.65364SU272 SUTURE RETENTION BOLSTER 450G $0.27364SU270 SUTURE RETRIEVER HEWSON $41.13364SU272 SUTURE SILK 0 680H $0.20364SU272 SUTURE SILK 0 A306H $0.16364SU272 SUTURE SILK 0 K834H $0.15364SU272 SUTURE SILK 2-0 685H $0.19364SU270 SUTURE SILK 2-0 C012D $0.98364SU270 SUTURE SILK 2-0 C026D $1.00364SU272 SUTURE SILK 2-0 K833H $0.15364SU272 SUTURE SILK 2-0 SA65H $0.26364SU272 SUTURE SILK 2-0 SA85H $0.27364SU272 SUTURE SILK 3-0 622H LF $0.18364SU272 SUTURE SILK 3-0 684H $0.20364SU272 SUTURE SILK 3-0 C013D LF $0.97364SU272 SUTURE SILK 3-0 K832H $0.15364SU272 SUTURE SILK 3-0 SA64H $0.26364SU270 SUTURE SILK 3-0 SA84H $0.26364SU272 SUTURE SILK 4-0 683G $0.20364SU272 SUTURE SILK 4-0 K881H $0.25364SU272 SUTURE SILK 5-0 640G $0.45364SU272 SUTURE SILK 6-0 706G $0.86364SU270 SUTURE SIZE 0 TAPERCUTS $5.96364SU270 SUTURE STRIP 1/2"X4" $0.20364SU270 SUTURE STRIP 1X5 $0.34364SU270 SUTURE SUPRAMID 4-0 LCW-40-20 $2.52364SU272 SUTURE SURGIDAC 0 $12.05364SU272 SUTURE SURGIPRO 4-0 SP670 $1.06364SU272 SUTURE TICRON 5 8886312879 $1.74364SU272 SUTURE VICRYL 0 COATED J467H $0.22364SU272 SUTURE VICRYL 0 J346H LF $0.22364SU272 SUTURE VICRYL 0 J370H $0.23364SU272 SUTURE VICRYL 0 J418H $0.21

Page 265: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU272 SUTURE VICRYL 0 J603H LF $0.25364SU272 SUTURE VICRYL 0 J616H $0.24364SU272 SUTURE VICRYL 0 J740D $1.44364SU270 SUTURE VICRYL 0 J946H $0.22364SU272 SUTURE VICRYL 0 JB978 $0.28364SU272 SUTURE VICRYL 0-COATED J334H $0.21364SU272 SUTURE VICRYL 1 J335H $0.21364SU272 SUTURE VICRYL 1 J347H $0.22364SU270 SUTURE VICRYL 1 J371H $0.22364SU272 SUTURE VICRYL 1 J468H LF $0.23364SU270 SUTURE VICRYL 2 J195H $0.25364SU270 SUTURE VICRYL 2/0 BLUNT B945H $0.29364SU272 SUTURE VICRYL 2-0 J269H LF $0.22364SU272 SUTURE VICRYL 2-0 J317H LF $0.20364SU272 SUTURE VICRYL 2-0 J345H LF $0.22364SU270 SUTURE VICRYL 2-0 J417H $0.20364SU272 SUTURE VICRYL 2-0 J443H LF $0.29364SU272 SUTURE VICRYL 2-0 J602H LF $0.25364SU270 SUTURE VICRYL 2-0 J726D $1.43364SU272 SUTURE VICRYL 2-0 J775D $1.41364SU270 SUTURE VICRYL 2-0 J839D $1.43364SU272 SUTURE VICRYL 2-0 J945H LF $0.22364SU272 SUTURE VICRYL 3/0 CTB-1 B944H $0.62364SU272 SUTURE VICRYL 3-0 J205G $0.28364SU272 SUTURE VICRYL 3-0 J316H LF $0.20364SU272 SUTURE VICRYL 3-0 J356H LF $0.22364SU272 SUTURE VICRYL 3-0 J416H LF $0.20364SU272 SUTURE VICRYL 3-0 J427H $0.51364SU272 SUTURE VICRYL 3-0 J442H $0.28364SU272 SUTURE VICRYL 3-0 J774D LF $1.41364SU270 SUTURE VICRYL 3-0 J864D $1.44364SU272 SUTURE VICRYL 4-0 J310H LF $0.21364SU270 SUTURE VICRYL 4-0 J415H LF $0.21364SU272 SUTURE VICRYL 4-0 J422H LF $0.28

Page 266: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 SUTURE VICRYL 4-0 J434H $0.27364SU272 SUTURE VICRYL 4-0 J494G LF $0.55364SU272 SUTURE VICRYL 4-0 J496H $0.50364SU272 SUTURE VICRYL 5-0 J421H $0.29364SU272 SUTURE VICRYL 5-0 J493G $0.56364SU272 SUTURE VICRYL 5-0 J500G $0.51364SU270 SUTURE VICRYL 6-0 J212H $0.25364SU272 SUTURE VICRYL 6-0 J489G $0.57364SU270 SUTURE W/NEEDLE ULTRABRAID $3.45364SU270 SUTURELASSO 25 AR-4068-25TR $50.00364SU270 SUTURELASSO 45 CURVE LEFT $35.00364SU270 SUTURELASSO 45 CURVE RIGHT $35.00364SU270 SUTURELASSO 90 AR-4068-90R $35.00364SU270 SUTURETAK MINI 2.4X8.5MM $81.25364SU270 SUTURETAK W/NDL 3.0MM $81.25364SU270 SUTURETAK W/NDL 3.0MM $109.00

C1751 10500C1751 SWAN-GANZ CCOMBO 746F8 $61.75C1751 10500C1751 SWAN-GANZ CCOMBO W/HEP 746HF8 $61.75

364SU270 SWIVEL CPAP MASK 7041 $0.62C1781 10500C1781 SYMBOTEX 15X10CM SYM15100S $252.85C1713 10500C1713 SYNFIX 12X7MM 08.802.019S $3,465.00C1713 10500C1713 SYNFIX 13.5MM 08.802.012S $3,823.33C1713 10500C1713 SYNFIX 13.5X8D 08.802.000S $2,500.00C1713 10500C1713 SYNFIX 15X7MM 08.802.013S $3,823.33C1713 10500C1713 SYNFIX 15X8D 08.802.009S $2,500.00C1713 10500C1713 SYNFIX LR 12D 08.802.014S $2,500.00C1713 10500C1713 SYNFIX LR 26D 08.802.005S $2,500.00C1713 10500C1713 SYNFIX-LR 30MM 8D 08.802.010S $3,823.33

364SU270 SYRINGE CONTROL 10CC $0.20364SU270 SYRINGE CONTROL 20CC $0.22364SU270 SYRINGE CONTROL 8ML CCSW880 $0.60364SU270 SYRINGE DEFLUX PREFILL 1ML $633.15364SU270 SYRINGE DISP STERILE 200ML $1.78364SU270 SYRINGE INFLATION $3.67

Page 267: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 SYRINGE INJECT10 CCX010 $0.60364SU270 SYRINGE KIT 150ML ART700SYR $1.38364SU270 SYRINGE LOR LUER SLIP 7ML $0.31364SU270 SYRINGE SIDE-PORT 1CC 21100513 $11.98364SU270 SYSTEM 12MMX100MM FIOS AD $19.04364SU270 SYSTEM 5MMX100MM THREADED $6.95364SU270 SYSTEM 5MMX150MM THREADED $5.30364SU270 SYSTEM ACCESS PINN 4FR 70-4160 $6.60364SU270 SYSTEM ACCESS PINN 5FR 70-5165 $6.60364SU270 SYSTEM ACCESS PINNACLE 5F $6.60364SU270 SYSTEM ACCESS PINNACLE 6F $6.60364SU270 SYSTEM ACCESS PINNACLE 7F $6.60364SU270 SYSTEM ANGIASSIST AA0608 $19.00364SU270 SYSTEM AUTOPLEX 0607-687-000 $181.25364SU270 SYSTEM BIOPSY EASY CORE 18X15 $11.73364SU270 SYSTEM BIOPSY EASY CORE 18X21 $11.73

C1713 10500C1713 SYSTEM CABLE GRIP 00223200418 $103.37364SU272 SYSTEM CEMENT 4501-090-00 $32.81364SU270 SYSTEM CLOSURE CTI-512N $28.20364SU270 SYSTEM CLOSURE XL CTXL $38.71364SU270 SYSTEM COMPRESSION WRAP $12.40364SU270 SYSTEM EXTRACT ALEXIS GTK14 $62.50364SU270 SYSTEM EXTRACT ALEXIS GTK17 $62.50364SU270 SYSTEM FECAL FLEXI-SEAL $18.39364SU270 SYSTEM INCISION MGT PRE1101US $99.00

C1894 10500C1894 SYSTEM INTRO WITH .038 GUIDEWR $23.16364SU270 SYSTEM ISNARE OVAL 25GA $33.00364SU270 SYSTEM LAPAROSCOP ALEXIS C8701 $62.50364SU270 SYSTEM LAPAROSCOPIC GELPORT $143.75364SU270 SYSTEM MIX ACCUMIX 311.100 $50.00364SU270 SYSTEM PIN ATTUNE 254400111 $75.00364SU270 SYSTEM PIN ATTUNE 254400121 $96.75364SU270 SYSTEM PREVENA CUST. PRE2001US $119.00364SU270 SYSTEM RETRIEVAL 10MM CD001 $9.00

Page 268: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 SYSTEM S/I SINONASAL CC-100 $63.75C1726 10500C1726 SYSTEM SINUS DIL SCT0624MFS $325.00C2617 364C2617 SYSTEM STENT URETRAL 8FRX22CM $43.84C2617 364C2617 SYSTEM STENT URETRAL 8FRX26CM $43.84C2617 364C2617 SYSTEM STENT URETRAL 8FRX28CM $43.84

364SU270 SYSTEM TRACH SUCTION ADULT $1.48364SU270 SYSTEM TRACH SUCTION NEO/PED $2.18364SU270 SYSTEM TRACH SUCTION PED $2.36364SU270 SYSTEM URETERAL DILATION $35.79364SU270 SYSTEM VENASEAL VS-402 $613.00364SU270 TACK PLATE .040 80-1759 $18.60364SU270 TAP BONE 4.5MM AR8956C45T $43.75364SU270 TAP CANN 5.5MM AR-8956C-55T $43.75364SU270 TAP QC 3.5MM DRUJ-T35 $30.75364SU270 TAPE CASTING SCOTCHCAST 2" $0.38364SU270 TAPE CASTING SCOTCHCAST 3" $0.47364SU270 TAPE CASTING SCOTCHCAST 4" $0.60364SU270 TAPE ET $0.65364SU270 TAPE STENT GUIDE 550MM 1109-20 $16.29

C1776 10500C1776 TAPER ADAPTER 42-50MM -3 NECK $138.67C1776 10500C1776 TAPER INSERT 42-50MM -6 NECK $147.00

364SU270 TEMPLATE ORBITAL PLATE 5403000 $8.13364SU270 TEMPLATE ORBITAL PLATE 5403000 $8.13364SU270 TENDER GRIP $0.16

L8699 10500L8699 TENDON ACHILLES 453042 $1,066.67L8699 10500L8699 TENDON ACHILLES PC# 10017000 $863.33L8699 10500L8699 TENDON GRACILIS 453014 $550.00L8699 10500L8699 TENDON PATELLAR 443002 $1,200.00L8699 10500L8699 TENDON PERONEUS 443043 $500.00L8699 10500L8699 TENDON PERONEUS 453043 $866.67C1762 10500C1762 TENDON SEMITENDINOSUS BIOCLEAN $550.00L8699 10500L8699 TENDON TIBIALIS 453017 $866.67Q4121 10500Q4121 THERASKIN 2.5X2.5CM (1X1) $308.33Q4121 10500Q4121 THERASKIN 2.5X5.1CM PER SQ CM $339.67

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Q4121 10500Q4121 THERASKIN 5.1X7.6CM PER SQ CM $425.00Q4121 10500Q4121 THERASKIN 5.1X7.6CM PER SQ CM $425.00

364SU270 THERMAL ANGEL WARMER $17.00364SU270 THRESHOLD IMT HS730-010 $8.05364SU270 THUNDERBEAT 5MM 35CM TB-0535FC $111.00

C1776 10500C1776 TIB MBT REVISION SZ3 129435130 $1,776.60C1776 10500C1776 TIBIA NATURAL SZE 42532007101 $400.00C1776 10500C1776 TIBIAL ANKLE #5L 33650015 $2,650.00C1776 10500C1776 TIBIAL BASE SZ 8 1506-00-008 $583.33C1776 10500C1776 TIBIAL BASEPLATE $366.67C1776 10500C1776 TIBIAL BASEPLATE $366.67C1776 10500C1776 TIBIAL BASEPLATE $864.00C1776 10500C1776 TIBIAL BASEPLATE #2 5521-B-200 $458.33C1776 10500C1776 TIBIAL BASEPLATE #3 $366.67C1776 10500C1776 TIBIAL BASEPLATE #3 5521-B-300 $458.33C1776 10500C1776 TIBIAL BASEPLATE #4 $366.67C1776 10500C1776 TIBIAL BASEPLATE #4 5521-B-400 $458.33C1776 10500C1776 TIBIAL BASEPLATE #5 5520-B-500 $366.67C1776 10500C1776 TIBIAL BASEPLATE #5 5521-B-500 $458.33C1776 10500C1776 TIBIAL BASEPLATE #6 5520-B-600 $366.67C1776 10500C1776 TIBIAL BASEPLATE #6 5521-B-600 $458.33C1776 10500C1776 TIBIAL BASEPLATE #7 5520-B-700 $458.33C1776 10500C1776 TIBIAL BASEPLATE #7 5521-B-700 $458.33C1776 10500C1776 TIBIAL BASEPLATE 5520-B-800 $366.67C1776 10500C1776 TIBIAL BASEPLATE KC-2203R $378.00C1776 10500C1776 TIBIAL BEARING $250.33C1776 10500C1776 TIBIAL BEARING $351.33C1776 10500C1776 TIBIAL BEARING $369.00C1776 10500C1776 TIBIAL BEARING $372.67C1776 10500C1776 TIBIAL BEARING $808.00C1776 10500C1776 TIBIAL BEARING 12MM $315.33C1776 10500C1776 TIBIAL BEARING 179223 $333.33C1776 10500C1776 TIBIAL BEARING INSERT $332.67C1776 10500C1776 TIBIAL BEARING INSERT SZE 6-19 $730.73

Page 270: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1776 10500C1776 TIBIAL BONE WEDGE $215.25C1776 10500C1776 TIBIAL COMP $232.00C1776 10500C1776 TIBIAL COMP $515.95C1776 10500C1776 TIBIAL COMP 34.5X6.5 $260.00C1776 10500C1776 TIBIAL HALF BLOCK 5545-A-602 $410.43C1713 10500C1713 TIBIAL IMPLANT W/INSERT 11X30 $120.67C1776 10500C1776 TIBIAL INSERT $363.01C1776 10500C1776 TIBIAL INSERT $366.67C1776 10500C1776 TIBIAL INSERT $366.67C1776 10500C1776 TIBIAL INSERT $366.67C1776 10500C1776 TIBIAL INSERT $366.67C1776 10500C1776 TIBIAL INSERT $366.67C1776 10500C1776 TIBIAL INSERT $600.00C1776 10500C1776 TIBIAL INSERT $600.00C1776 10500C1776 TIBIAL INSERT $600.00C1776 10500C1776 TIBIAL INSERT $697.28C1776 10500C1776 TIBIAL INSERT $697.28C1776 10500C1776 TIBIAL INSERT $697.28C1776 10500C1776 TIBIAL INSERT $730.73C1776 10500C1776 TIBIAL INSERT $972.06C1776 10500C1776 TIBIAL INSERT $972.06C1776 10500C1776 TIBIAL INSERT #2 5532-G-211 $366.67C1776 10500C1776 TIBIAL INSERT #2 11MM 5537G211 $756.04C1776 10500C1776 TIBIAL INSERT #2 16MM 5537G216 $433.33C1776 10500C1776 TIBIAL INSERT #2 19MM 5537G219 $756.04C1776 10500C1776 TIBIAL INSERT #2 9MM 5532G209 $366.67C1776 10500C1776 TIBIAL INSERT #2 9MM 5537-G209 $756.04C1776 10500C1776 TIBIAL INSERT #3 11MM 5537G311 $433.33C1776 10500C1776 TIBIAL INSERT #3 13MM $366.67C1776 10500C1776 TIBIAL INSERT #3 13MM 5537G313 $835.80C1776 10500C1776 TIBIAL INSERT #3 16MM 5537G316 $835.80C1776 10500C1776 TIBIAL INSERT #3 19MM 5537G319 $756.04C1776 10500C1776 TIBIAL INSERT #3 5532-G-311 $366.67C1776 10500C1776 TIBIAL INSERT #3 5532-G-313 $366.67

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C1776 10500C1776 TIBIAL INSERT #3 9MM 5537G309 $835.80C1776 10500C1776 TIBIAL INSERT #4 11MM 5532G411 $366.67C1776 10500C1776 TIBIAL INSERT #4 11MM 5537G411 $835.80C1776 10500C1776 TIBIAL INSERT #4 13MM 5537G413 $835.80C1776 10500C1776 TIBIAL INSERT #4 16MM $600.00C1776 10500C1776 TIBIAL INSERT #4 16MM 5537G416 $835.80C1776 10500C1776 TIBIAL INSERT #4 19MM 5537G419 $600.00C1776 10500C1776 TIBIAL INSERT #4 5532-G-409 $366.67C1776 10500C1776 TIBIAL INSERT #4 5532-G-416 $366.67C1776 10500C1776 TIBIAL INSERT #4 9MM 5537G409 $756.04C1776 10500C1776 TIBIAL INSERT #5 11MM $366.67C1776 10500C1776 TIBIAL INSERT #5 11MM 5537G511 $756.04C1776 10500C1776 TIBIAL INSERT #5 13MM 5537G513 $756.04C1776 10500C1776 TIBIAL INSERT #5 16MM 5537G516 $835.80C1776 10500C1776 TIBIAL INSERT #5 19MM 5537G519 $756.04C1776 10500C1776 TIBIAL INSERT #5 9MM 5537G509 $835.80C1776 10500C1776 TIBIAL INSERT #6 11MM 5537G611 $600.00C1776 10500C1776 TIBIAL INSERT #6 13MM 5537G613 $756.04C1776 10500C1776 TIBIAL INSERT #6 16MM 5537G616 $835.80C1776 10500C1776 TIBIAL INSERT #6 19MM 5537G619 $600.00C1776 10500C1776 TIBIAL INSERT #6 5531-G-613 $600.00C1776 10500C1776 TIBIAL INSERT #6 5531-G-616 $500.00C1776 10500C1776 TIBIAL INSERT #6 9MM 5537G609 $756.04C1776 10500C1776 TIBIAL INSERT #7 11MM 5537G711 $600.00C1776 10500C1776 TIBIAL INSERT #7 13MM $366.67C1776 10500C1776 TIBIAL INSERT #7 13MM 5537G713 $835.80C1776 10500C1776 TIBIAL INSERT #7 16MM 5537G716 $835.80C1776 10500C1776 TIBIAL INSERT #7 19MM 5537G719 $756.04C1776 10500C1776 TIBIAL INSERT #7 5532-G-719 $433.33C1776 10500C1776 TIBIAL INSERT #7 9MM 5537G709 $756.04C1776 10500C1776 TIBIAL INSERT #8 11MM 5537G811 $835.80C1776 10500C1776 TIBIAL INSERT #8 13MM 5537G813 $756.04C1776 10500C1776 TIBIAL INSERT #8 16MM 5537G816 $756.04C1776 10500C1776 TIBIAL INSERT #8 19MM 5537G819 $756.04

Page 272: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1776 10500C1776 TIBIAL INSERT #8 9MM 5537G809 $756.04C1776 10500C1776 TIBIAL INSERT 11.0 $383.67C1776 10500C1776 TIBIAL INSERT 13MM $371.00C1776 10500C1776 TIBIAL INSERT 13MM 5531-G-213 $730.73C1776 10500C1776 TIBIAL INSERT 16MM $730.73C1776 10500C1776 TIBIAL INSERT 16MM 6642-1-916 $412.67C1776 10500C1776 TIBIAL INSERT 19MM $371.00C1776 10500C1776 TIBIAL INSERT 20MM 1850-0138 $1,040.00C1776 10500C1776 TIBIAL INSERT 5531-G-211 $366.67C1776 10500C1776 TIBIAL INSERT 5531-G-516 $600.00C1776 10500C1776 TIBIAL INSERT 5531-G-811 $730.73C1776 10500C1776 TIBIAL INSERT 5532-G-709 $366.67C1776 10500C1776 TIBIAL INSERT 5532-G-711 $366.67C1776 10500C1776 TIBIAL INSERT CR KC-35030 $371.67C1776 10500C1776 TIBIAL INSERT S#7 5531-G-719 $600.00C1776 10500C1776 TIBIAL INSERT S5 5532-G-509 $366.67C1776 10500C1776 TIBIAL INSERT S5 5532-G-509 $600.00C1776 10500C1776 TIBIAL INSERT S6 5532-G-613 $366.67C1776 10500C1776 TIBIAL INSERT SIZE #7 11MM $600.00C1776 10500C1776 TIBIAL INSERT SIZE #7 9MM $366.67C1776 10500C1776 TIBIAL INSERT SIZE #7 9MM $730.73C1776 10500C1776 TIBIAL INSERT SIZE #8 9MM $730.73C1776 10500C1776 TIBIAL INSERT SIZE 3 16MM $600.00C1776 10500C1776 TIBIAL INSERT SIZE 4 11MM $366.67C1776 10500C1776 TIBIAL INSERT SIZE 6 11MM $366.67C1776 10500C1776 TIBIAL INSERT SMALL 13MM $412.53C1776 10500C1776 TIBIAL INSERT SZ 8 1516-40-805 $333.33C1776 10500C1776 TIBIAL INSERT SZ.6 5532-G-616 $366.67C1776 10500C1776 TIBIAL INSERT SZ2 5532-G-216 $600.00C1776 10500C1776 TIBIAL INSERT SZ3 5532-G-309 $366.67C1776 10500C1776 TIBIAL INSERT SZ3 5532-G-316 $366.67C1776 10500C1776 TIBIAL INSERT SZ6 5532-G-611 $366.67C1776 10500C1776 TIBIAL INSERT SZ7 5532-G-716 $366.67C1776 10500C1776 TIBIAL PARTIAL F 42538000601 $400.00

Page 273: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

C1713 10500C1713 TIBIAL PLATE $420.67C1713 10500C1713 TIBIAL PLATE $591.00C1713 10500C1713 TIBIAL PLATE $591.00C1776 10500C1776 TIBIAL PLATE $620.67C1776 10500C1776 TIBIAL PLATFORM S#2 1294-35120 $1,776.60C1776 10500C1776 TIBIAL PLATFORM S#5 129435150 $1,776.60C1776 10500C1776 TIBIAL SLEEVE $144.67C1776 10500C1776 TIBIAL WEDGE $215.25

364SU270 TIGERWIRE #2 AR-7209T $13.20C1713 10500C1713 TIGHTROPE 1.1MM AR-8919DS $298.33

364SU270 TIP FEMORAL CANAL LATEX FREE $1.86364SU270 TIP SCISSOR DISP 3122 $7.92364SU270 TIP SCISSOR DISP 3132 $10.00364SU270 TIP SCISSORS $7.70

Q4116 10500Q4116 TISSUE ALLODERM 2X4CM $53.67Q4116 10500Q4116 TISSUE ALLODERM 4X16CM $581.67

364SU270 TOGA FLYTE XL 0408-830-000 $13.07364SU270 TOOL INSERT DELIVERY 9P15-0100 $75.00364SU270 TOOL INSERTION EMBLEM 4711 $250.00364SU270 TOOL TUNNELING 338MM 6996T $100.00364SU270 TOURNIQUET C-A-T BLACK 30-0001 $3.92364SU270 TR BAND COMPRESSION DEVICE LON $7.80364SU270 TR BAND COMPRESSION DEVICE REG $7.80364SU270 TRACH CUFF SHILEY 7.0 5CN70H1 $7.38364SU270 TRACH DIRECT CONNECTION RT052 $- 364SU270 TRACH PEDIA $47.50364SU270 TRACH TUBE 3.0 PED $3.48364SU270 TRACH TUBE 3.5 PED $3.68364SU270 TRACH TUBE 4.0 PED $3.48364SU270 TRACH TUBE 4.5 PED $3.48364SU270 TRACH TUBE 5.5 PED LATEX FREE $3.48364SU270 TRACH TUBE 6LPC $7.68364SU270 TRACH TUBE 8 UNCUFF NON FEN $8.60364SU270 TRACH TUBE FENESTRATED UNCUFF7 $8.80

Page 274: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 TRACH TUBE ORAL 4.0 UNCUFFED $0.65364SU270 TRACH TUBE ORAL 4.5 UNCUFFED $0.43364SU270 TRACH TUBE ORAL 5.0 CUFFED $0.65364SU270 TRACH TUBE ORAL 5.0 UNCUFFED $0.43364SU270 TRACH TUBE ORAL 5.5 CUFFED $0.66364SU270 TRACH TUBE ORAL 5.5 UNCUFFED $0.37364SU270 TRACH TUBE ORAL 6.0 CUFFED $0.66364SU270 TRACH TUBE ORAL 6.5 CUFFED $0.69364SU270 TRACH TUBE ORAL 7.0 CUFFED $0.66364SU270 TRACH TUBE ORAL 7.5 CUFFED $0.66364SU270 TRACH TUBE ORAL 8.0 CUFFED $0.66364SU270 TRACH TUBE SHILEY SIZE 4 $8.12364SU270 TRACH TUBE SHILEY SIZE 6 $8.98

C1713 10500C1713 TRANSCONNECTOR 04.633.338 $483.33C1713 10500C1713 TRANSCONNECTOR 47-62MM 7 CALIP $483.33

364SU270 TRANSFER CHAMBER LATEX FREE $1.53364SU270 TRAP POLYP $1.79364SU270 TRAP SPECIMAN IN-LINE $1.81364SU270 TRAP SPECIMAN MUCOUS 80CC $0.35364SU270 TRAP WATER DRYLINE 60-13100-00 $42.22364SU270 TRAXTION HEXAGONAL 00711113 $7.00364SU270 TRAY BIOPSY 3.0MM 152MM 11GX6" $35.00364SU270 TRAY BIOPSY ONCONTROL 9411 $34.13364SU270 TRAY CATH DUAL LUMEN SHORTTERM $28.19364SU270 TRAY EPIDURAL CONTINUOUS $3.70364SU270 TRAY EPIDURAL SS $2.03364SU270 TRAY FRACTURE II KPX103RB $931.99364SU270 TRAY FRACTURE II KPX153RB $931.99364SU270 TRAY FRACTURE II KPX203RB $931.99364SU270 TRAY INTRODUCER $19.00364SU270 TRAY MOLD FLEX 92-2010 $63.45364SU270 TRAY PARACENTESIS TURKEL $13.51364SU270 TRAY PROCEDURE PICC PEDIATRIC $8.97364SU270 TRAY PROCEDURE THORACIC TV1110 $57.00

Page 275: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 TRAY SUTURE DELUXE LATEX FREE $3.11C1776 10500C1776 TRAY TIBIAL S#4 1294-35-140 $1,776.60C1776 10500C1776 TRAY TIBIAL S.3 1024-52-300 $333.33

364SU270 TRAY URETHRAL UROLOGIST 123400 $35.16364SU270 TRAY URINE METER W/BAG $0.98364SU270 TREPHINE COIN $98.75364SU270 TROCAR 10MM BLUNT OMST10BTS $49.47364SU270 TROCAR 11MM $8.46364SU270 TROCAR 12MM $8.72364SU270 TROCAR 15X100 Z TGREAD C0R37 $9.40364SU270 TROCAR 5MMX100MM $8.59364SU270 TROCAR 5X100 ADV FIX CFF03 $2.83364SU270 TROCAR 5X100 Z THREAD CTF03 $2.83364SU270 TROCAR AND SLEEVE 5MM $6.92364SU270 TROCAR BALLOON OMST10SB $57.15364SU270 TROCAR BLUNT TIP 12MM $56.32364SU270 TROCAR ENDOPATH 12/150MM B12XT $10.32364SU270 TROCAR ENDOPATH 5/150MM B5XT $7.64364SU270 TROCAR ENDOPATH BLUNT 100X12 $9.00364SU270 TROCAR FIOS 12X150MM CFF71 $40.50364SU270 TROCAR KII ST 11X100 W/BALLON $9.00364SU270 TROCAR LAP 100X15MM B15LT $19.75364SU270 TROCAR VISIPORT 5-12 176674P $36.38364SU272 TROCHANTERIC DEVICE-LONG $940.80364SU270 T-TUBE 12FR CONTAINS LATEX $1.24364SU270 T-TUBE MODIFIED 24-0072 $6.73364SU270 TUBE ATTACHMENT DEVICE ETAD $1.22364SU270 TUBE ATTACHMENT DEVICE SUCTION $0.37364SU270 TUBE BAKER INTESTINAL $19.05364SU270 TUBE BLAKEMORE 20FR 0092100 $89.93364SU270 TUBE BLAKEMORE SENGSTAKEN $89.21364SU270 TUBE BLAKEMORE SENGSTAKEN $95.60364SU270 TUBE CATH EXTENSION $0.67364SU270 TUBE CONNECTING 22-910 $1.62

Page 276: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 TUBE CONNECTING 22-910 $2.93364SU270 TUBE ENDO 4.0 CUFFED $0.23364SU270 TUBE ENDO NASAL CUFF 4.0MM LF $0.91364SU270 TUBE ENDO NASAL CUFF 4.5MM LF $0.78364SU270 TUBE ENDO NASAL CUFF 5.0MM LF $0.78364SU270 TUBE ENDO NASAL CUFF 5.5MM LF $0.78364SU270 TUBE ENDO NASAL/ORAL CUFF 7.0 $2.27364SU270 TUBE ENDO NASAL/ORAL CUFF 7.5 $2.27364SU270 TUBE ENDO NASAL/ORAL CUFF 8.0 $2.27364SU270 TUBE ENDO NASAL/ORAL CUFF 8.0 $2.27364SU270 TUBE ENDO ORAL NASAL PED 3.0MM $2.50364SU270 TUBE ENDO ORAL NASAL PED 3.5MM $2.37364SU270 TUBE ET NIM 7 $78.53364SU270 TUBE ET NIM 8MM $78.53364SU270 TUBE FEED GASTRO MICKEY 20X2.5 $26.39364SU270 TUBE FEED GASTRO-ENTERIC 26FR $39.75364SU270 TUBE FEED MIC JEJUNAL 16FX22CM $54.50364SU272 TUBE FEED MICKEY 16FR $80.00364SU270 TUBE FEEDING FLEXIFLO 10FR. $1.46364SU270 TUBE FEEDING GASTROTOMY 20FR $18.50364SU270 TUBE FEEDING JEJUNAL 9X35 $12.24364SU270 TUBE FEEDING MIC 3.0 20FR $17.30364SU270 TUBE FEEDING MIC JEJUNAL 12FR $31.23364SU270 TUBE FEEDING MIC JEJUNAL 14FR $30.93364SU270 TUBE FEEDING MIC JEJUNAL 22FR $53.25364SU272 TUBE FEEDING MIC KEY 18FR X2.0 $18.50364SU270 TUBE FEEDING MIC KEY 18FRX3.0 $18.50364SU270 TUBE FEEDING MICKEY 3.5 20FR $18.50364SU270 TUBE FEEDING NASOJEJUNAL 10 FR $15.00364SU270 TUBE FEEDING WEIGHTED 10 FR $1.43364SU270 TUBE FEEDING WEIGHTED 12FR 45" $1.43364SU270 TUBE GASTRIC LAVAGE 32FR $0.95364SU270 TUBE GASTROSTOMY 20FR 000720 $3.90364SU270 TUBE GASTROSTOMY TRI FUNNEL 12 $3.90

Page 277: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 TUBE GASTROSTOMY TRI FUNNEL 14 $3.90364SU270 TUBE GASTROSTOMY TRI FUNNEL 16 $3.90364SU270 TUBE GASTROSTOMY TRI FUNNEL 18 $3.90364SU272 TUBE MIC FEEDING PED 1.2 $35.44364SU270 TUBE MIC KEY LOW FEED TUBE 2.5 $18.50364SU270 TUBE NASAL RAE 3.5 CUFF $0.98364SU270 TUBE NASAL RAE 4.0 86544 $0.39364SU270 TUBE NASAL RAE 5.0 86287 $0.43364SU270 TUBE NASAL RAE 5.5 86288 $0.39364SU270 TUBE REAMER 309.038 $61.65364SU270 TUBE REAMER 309.068 $61.65364SU270 TUBE REAMER 309.080 $47.70364SU270 TUBE REAMER 309.280 $47.70364SU270 TUBE REAMER 309.480 $61.65364SU270 TUBE REAMER 390.180 $47.70364SU270 TUBE SALEM SUMP 10FR $0.21364SU270 TUBE SALEM SUMP 10FR $0.88364SU270 TUBE SALEM SUMP 12FR $2.67364SU270 TUBE SALEM SUMP 14 FR $0.62364SU270 TUBE SALEM SUMP 16FR $0.62364SU270 TUBE SALEM SUMP 18FR $0.62364SU272 TUBE STANDARD DNE6000100L $600.00364SU270 TUBE TRACH 3.0 NEONATAL $3.68364SU270 TUBE TRACH 4.0 UNCUFFED 60MM $35.00364SU270 TUBE TRACH 5 EXTENDED LENGTH $12.40364SU270 TUBE TRACH 7.0 CUFF XL SHILEY $10.56364SU270 TUBE TRACH 7.0 UNCUFF XL $10.23364SU270 TUBE TRACH 8 CUFFED FENESTRATE $8.83364SU270 TUBE TRACH 8.0 CUFF XL SHILEY $10.71364SU270 TUBE TRACH CUFF REINF. 7.0 $2.75364SU270 TUBE TRACH CUFFED REINF 6.0 $1.38364SU270 TUBE TRACH CUFFED SHILEY 6DCT $5.59364SU270 TUBE TRACH INTRODUCER 15FR $0.94364SU270 TUBE TRACH LASER 4.5 $8.22

Page 278: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 TUBE TRACH LASER 5.0 $8.21364SU270 TUBE TRACH LASER 5.5 $8.22364SU270 TUBE TRACH LASER 6.0 $7.64364SU270 TUBE TRACH MOORE 8.0 $46.04364SU270 TUBE TRACH NASAL 6.0 CUFF $0.66364SU270 TUBE TRACH NASAL 6.5 CUFF $0.69364SU270 TUBE TRACH NASAL 7.0 CUFF $0.69364SU270 TUBE TRACH NEO 4.5 $3.68364SU270 TUBE TRACH NEONATAL 3.5 $5.22364SU270 TUBE TRACH NEONATAL 4.0 $5.22364SU270 TUBE TRACH ORAL RAE 4.0 CUFFED $0.69364SU270 TUBE TRACH ORAL RAE 4.5 CUFFED $0.69364SU270 TUBE TRACH PED 5.0 $3.48364SU270 TUBE TRACH REINFORCED 6.5 $3.17364SU270 TUBE TRACH SHILEY 6 $4.07364SU270 TUBE TRACH SHILEY 8 $5.71364SU270 TUBE TRACH SIZE 8 $5.59364SU270 TUBE TRACH UNCUFFED SZ8 $10.58364SU270 TUBE VENT COLLAR BUTTON $2.58364SU270 TUBE VENT SHEPARD GORMMET $3.28364SU270 TUBING 48" CONN DCT148 $0.81364SU270 TUBING ASPIRATION IST3 $111.25364SU270 TUBING GOFLO PUMP $10.37364SU270 TUBING HEATED/MOISTURE $12.00364SU270 TUBING INSUFFLATION HEATED $6.00364SU270 TUBING IRRIGATOR XOMED $6.00364SU270 TUBING SET GRAVITY 2 SPIKE $1.29364SU270 TUBING STRAIGHTSHOT IRRIG. $5.57364SU270 TUBING SUCTION/IRRIGATION $105.94364SU270 TUNNEL TOOL $56.25364SU270 TURNKEY FCS FCS-400 $458.33364SU270 TWIST DRILL $17.00364SU270 TWIST DRILL .9X46MM 60-09504 $31.83364SU270 TWIST DRILL 1.5X50 $11.18

Page 279: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 ULTRA DRIVE TOOL $124.75364SU270 ULTRA DRIVE TOOL $124.75364SU270 ULTRA DRIVE TOOL $124.75364SU270 ULTRA DRIVE TOOL TIP $55.00364SU270 ULTRA DRIVE TOOL TIP $62.75364SU270 ULTRA DRIVE TOOL TIP $62.75364SU270 ULTRA DRIVE TOOL TIP EXTENDER $82.00364SU270 ULTRA DRIVE TUBING KIT $27.50364SU270 ULTRATAPE BLUE 72203896 $10.52364SU270 ULTRATAPE COBRAID 72203897 $10.52364SU270 UNIT THERAPY PREVENA 125 $126.75

C1763 10500C1763 UPHOLD VAGINAL SUPPORT SYSTEM $553.83C1815 10500C1815 URINARY PROSTHESIS 800 W/INHIB $782.33L8699 10500L8699 UROLIFT IMPLANT UL400-4 $316.67

364SU270 VACUUM HOSE 7/8"X10' $1.54364SU270 VAG PACKING $0.10364SU270 VALVE ADULT DISPOSABLE $0.45364SU270 VALVE ANTI REFLUX LATEX FREE $1.04364SU270 VALVE BIOPSY BIOSHIELD $0.29364SU270 VALVE BIOPSY MAJ-210 $0.47364SU270 VALVE CHEST DRAIN HEIMLICK SET $14.49364SU270 VALVE CONTROL COPILOT 1003331 $3.33364SU270 VALVE EXHALATION 8414777 $2.40364SU270 VALVE LOPEZ $0.30364SU270 VALVE STERILE DISP MAJ-1414 $1.21364SU270 VALVE SUCTION MAJ-209 $0.98364SU270 VARICES INJECTOR LDVI-25-240 $5.80364SU270 VARI-STIM III $10.77

C1762 10500C1762 VEGAGRAFT STRIP 50X20X07MM $303.33364SU272 VEIN SAPHENOUS 65CM X 5MM $800.00364SU270 VENT CIRCUIT ADULT HEATED $3.80364SU270 VENT CIRCUIT INFANT HEATED $7.77364SU270 VENT CIRCUIT INFANT RT131 $2.19364SU270 VENT TUBE W/MEMBRANE $3.72

Page 280: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU270 VENTILATOR RENTAL $6.00C9354 10500C9354 VERITAS 12X12CM PER SQ CM $1,529.28C9354 10500C9354 VERITAS COLLAGEN MATRIX 6X8 $432.64C1762 10500C1762 VERSAFRAFT TENDON VRG-001 $4,666.67

364SU270 VEST AIRWAY STARTER KIT $13.80L8699 10500L8699 VIA FORM-M 10CC VCAFM-100000 $2,050.00L8699 10500L8699 VIA FORM-M 2.5CC VCAFM-025000 $541.67L8699 10500L8699 VIA FORM-M 5.00CC VCAFM-050000 $1,191.67

364SU270 VIAFLEX EMPTY CONTAINER $0.30C1713 10500C1713 VIBONE GRAFT 10CC VIB-0010 $1,996.67

364SU270 VIPERSLIDE 100ML VPR-SLD2 $16.80C1769 10502C1769 VIPERWIRE .014 VPR-GW-14 $50.00C1769 10502C1769 VIPERWIRE .017 VPR-GW-17 $50.00C1769 10502C1769 VIPERWIRE ADV .018 VPRGWFT18 $50.00C1769 10502C1769 VIPERWIRE ADV 14 GWC12325LGFLP $65.00C1769 10502C1769 VIPERWIRE FLEX .014 VPR-GWFT14 $50.00

364SU270 VISERA RETAINER LATEX FREE $7.45Q9966 900Q9966 VISIPAQUE 270 100ML $33.67

364SU270 VITAL VUE YANKAUER BULB TIP $41.66C1713 10500C1713 VITOSS BA2X 10CC 2102-2110 $1,243.67C1713 10500C1713 VITOSS BA2X 2102-2102 $355.33C9359 10500C9359 VITOSS BA2X 5CC 2102-2105 $666.33C1713 10500C1713 VITOSS BBTRAUMA 10CC 2102-2210 $1,386.00L8699 10500L8699 VIVEX DBM PLUS 1CC VX-EP1 $206.00C1713 10500C1713 VIVEX DBM PLUS 3CC VX-EP3 $336.00L8699 10500L8699 VIVEX DBM PLUS 5CC VX-EP5 $561.33

364SU270 WAFER NATURA $2.00364SU270 WAFER NATURA FLEXIBLE 2 3/4 $0.28

C1876 10501C1876 WALLSTENT 14X40 10FR $304.52C1876 10501C1876 WALLSTENT UNI PLUS 10FR 18X60 $321.60C1876 10501C1876 WALLSTENT UNI PLUS 10FR 18X90 $491.01C1876 10501C1876 WALLSTENT UNI PLUS 10FR 20X55 $321.60C1876 10501C1876 WALLSTENT UNI PLUS 10FR 20X80 $491.01C1876 10501C1876 WALLSTENT UNI PLUS 10FR 22X45 $321.60

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C1876 10501C1876 WALLSTENT UNI PLUS 10FR 22X70 $491.01C1876 10501C1876 WALLSTENT UNI PLUS 11FR 24X45 $321.60C1876 10501C1876 WALLSTENT UNI PLUS 11FR 24X70 $491.01C1876 10501C1876 WALLSTENT UNI PLUS 9FR 16X60 $289.29C1876 10501C1876 WALLSTENT UNI PLUS 9FR 16X90 $491.01

364SU270 WAND COBLATION 50 72290037 $87.50364SU270 WAND ENT PROCISE EZ EIC8872-01 $68.00364SU270 WAND INSULSCAN MDS2000 $3.30364SU270 WAND MICROBLATER 30 AC4050-01 $113.25364SU270 WAND PROCISE MAX PLASMA $70.50364SU270 WAND REFLEX ULTRA 35 EIC483501 $65.25364SU270 WAND REFLEX ULTRA 55 $51.25364SU270 WAND SUPER MULTIVAC 50 $38.75364SU270 WAND SUPER TURBOVAC 90 $38.75

C1713 10500C1713 WASHER 10.0MM FOR 4.5MM $7.21C1713 10500C1713 WASHER 13MM FOR LARGE SCREW $8.75C1713 10500C1713 WASHER 2.7MM P50153WS00 $46.50C1713 10500C1713 WASHER 4MM 12224202 $17.67C1713 10500C1713 WASHER 6.5MM FOR 3.0MM $9.27C1713 10500C1713 WASHER 7.0MM $7.87C1713 10500C1713 WASHER CORT LOW PRO 3.5MM $21.33

364SU270 WASHER SPACING 54-1142 $1.73C1713 10500C1713 WASHER SPIKED 219.951 $39.00C1713 10500C1713 WASHER THREADED 2.5 $8.33C1713 10500C1713 WASHER THREADED FOR 3.0MM $44.40C1776 10500C1776 WASHER TI 7MM AR-8740W $16.67

364SU270 WATERBOOM SUCTION STRIP 94030 $2.22L8699 10500L8699 WEDGE HTO 8X72MM 30016520 $308.33C1776 10500C1776 WEDGE KNEE #3 5MM 1294-56-130 $695.80C1776 10500C1776 WEDGE KNEE DISTAL $361.00C1713 10500C1713 WEDGE LAPIDUS 12MM PLP-3012 $840.00C1713 10500C1713 WEDGE LAPIDUS 5MM PLP-3005 $808.50L8699 10500L8699 WEDGE LAPIDUS 8MM PLP3008 $840.00L8699 10500L8699 WEDGE SUBTALAR 10MM PSBT-1005 $1,065.00

Page 282: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

L8699 10500L8699 WEDGE SUBTALAR 16MM PSBT-1608 $1,065.00364SU272 WHIP KNOT $14.70364SU270 WIRE 1.8 MM SPADE-POINT 350MM $28.89364SU272 WIRE 1.8MM SPADE-PT RED 400MM $67.43364SU272 WIRE 2.0MM SPADE POINT 350 MM $13.36364SU270 WIRE 2.MM SPADE PT REDUCT 400M $58.50

C1713 10500C1713 WIRE BAYONET 54-1216 $55.00C1713 10500C1713 WIRE BAYONET W/STOPPER 54-1215 $90.13C1713 10500C1713 WIRE COMP 1.6X15MM 03.211.415 $16.47C1713 10500C1713 WIRE COMP 1.6X20MM 03.211.420 $16.47C1713 10500C1713 WIRE COMP 1.6X25MM 03.211.425 $16.47

364SU272 WIRE COMP 2.8X200MM 03.118.020 $12.47C1713 10500C1713 WIRE COMPRESS 1.6MM 03.211.410 $16.47

364SU270 WIRE CUTTER $0.61C1769 10502C1769 WIRE EXT STRETCH 150CM 39308-0 $28.33C1769 10502C1769 WIRE GUIDE $6.75C1769 10502C1769 WIRE GUIDE $6.75

364SU270 WIRE GUIDE $18.00364SU270 WIRE GUIDE 2.4MM 2228-024-00 $27.83

C1769 10502C1769 WIRE GUIDE THSCF-35-180-3-AES $6.75C1769 10502C1769 WIRE GUIDE TSCF-25-145-3-BH $4.00C1769 10502C1769 WIRE GUIDE TSFB-35-14-BH $4.83C1769 10502C1769 WIRE GUIDE TSFB-35-14-BH $4.83C1769 10502C1769 WIRE J 3MM 49-118 $3.13

364SU270 WIRE K DEPUY $2.50364SU272 WIRE KIRSCHNER 0.6MM 70MM $2.75364SU272 WIRE KIRSCHNER 0.8MM X 70MM $1.95364SU272 WIRE KIRSCHNER 1.0MM X 150MM $3.19364SU272 WIRE KIRSCHNER 1.25MM X 150MM $2.75364SU272 WIRE KIRSCHNER 1.25X100MM $7.96364SU272 WIRE KIRSCHNER 1.6MM W/5MM $5.18364SU270 WIRE KIRSCHNER 1.6MM X 150MM $1.52364SU272 WIRE KIRSCHNER 1.6MMX100MM $13.26364SU272 WIRE KIRSCHNER 1.6X150 $1.13

Page 283: HCPCS CHARGE-NBR DESCRIPTION PRICE Q4137 Q4137 … · l0150 l0150 collar cerv phil infant 79-830collar cerv phil inf $40.60 ... 1050001326 drain pleurx 1000ml 50-7510 $344.05 1050001082

364SU272 WIRE KIRSCHNER 2.0MM X 150MM $2.75364SU272 WIRE KIRSCHNER PLAIN 4X.028 $1.92364SU272 WIRE KIRSCHNER PLAIN 4X.035 $2.77364SU272 WIRE KIRSCHNER PLAIN 4X.045 $2.77364SU272 WIRE KIRSCHNER PLAIN 4X.054 $2.77364SU272 WIRE KIRSCHNER PLAIN 4X.062 $2.77364SU272 WIRE KIRSCHNER PLAIN 9X.028 $0.87364SU272 WIRE KIRSCHNER PLAIN 9X.03 $0.86364SU272 WIRE KIRSCHNER PLAIN 9X.045 $1.92364SU272 WIRE KIRSCHNER PLAIN 9X.054 $2.36364SU272 WIRE KIRSCHNER PLAIN 9X.062 $2.86364SU272 WIRE KIRSCHNER THREADED 9X.03 $2.50364SU272 WIRE KIRSCHNER THREADED 9X.04 $2.50364SU272 WIRE KIRSCHNER THREADED 9X.05 $2.50364SU272 WIRE KIRSCHNER THREADED 9X.06 $1.06

C1769 10502C1769 WIRE MICRO $21.67C1769 10502C1769 WIRE MICRO $21.67

364SU270 WIRE OLIVE 1.4 P992001406 $28.00364SU272 WIRE OLIVE 2.0X72 P992512007 $50.63364SU270 WIRE OLIVE MFT-040 $11.60364SU272 WIRE OLIVE THREADED 1.4MM $37.13

C1769 10502C1769 WIRE ROSEN 150CM X1.5 $3.67364SU270 WIRE SUTURELASSO AR-4068-05SD $8.00364SU270 WIRE TROCAR 1.6MM 02.226.001 $7.78

C1769 10502C1769 WIREGUIDE TSCF-38-260-3-BH $5.58364SU270 WOUND IRRIG SYSTEM $1.55364SU270 WRENCH TORQUE $4.17364SU270 WRENCH TORQUE $10.80364SU270 WRENCH TORQUE #2 $6.80364SU270 WRENCH TORQUE INTERSTIM 355080 $11.00364SU270 XEROGEL NASAL PACK XG-102 $25.00364SU270 XPRESS LOPROFILE ULF-106 $503.00364SU270 XPRESS LOPROFILE ULF-106 $503.00364SU270 XPRESS ULTRA SINUS 5X8 ULF-205 $503.00