Service Area|Px Code|Procedure Description|Default Rev Code|CPT(R)/HCPCS Code|Default Mod|Fee Schedule Group Name|Unit Price
WS SERVICE AREA|27289856|Hc Wire Coronary Asahi Gs 3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|372.90
WS SERVICE AREA|27291595|Hc Clamp Multi Pin 4pos Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,776.90
WS SERVICE AREA|27870611|Hc Zz Set Sut Anchor Cope Gi - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1713||WS HB DEFAULT|248.20
WS SERVICE AREA|27879915|Hc Cement Khphx Radiopaque|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1713||WS HB DEFAULT|390.40
WS SERVICE AREA|27885462|Hc Zz Device Kyphx Bone Biopsy - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|457.40
WS SERVICE AREA|27805942|Hc Zz Cath Tenckhoff Quinton D - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|413.00
WS SERVICE AREA|27874248|Hc Zz Cath Dialysis Hemosplit - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|1,485.30
WS SERVICE AREA|27874249|Hc Zz Cath Dialysis Hemosplit - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|1,677.90
WS SERVICE AREA|27881915|Hc Zz Cath Dialysis Palindrome - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|1,677.90
WS SERVICE AREA|27882333|Hc Zz Cath Dialysis Hemosplit - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|1,871.50
WS SERVICE AREA|40010072|Hc Paracentesis Abdominal With Image Guidance|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49083||WS HB DEFAULT|3,422.00
WS SERVICE AREA|27884898|Hc Zz Cath Perm Palindrome 19c - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|1,332.80
WS SERVICE AREA|27884899|Hc Zz Cath Perm Palindrome 23c - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|1,361.70
WS SERVICE AREA|27886311|Hc Zz Cath Palindrome Hep 23cm - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|1,626.40
WS SERVICE AREA|27890877|Hc Zz Cath Perm Palindrome 55c - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|1,837.50
WS SERVICE AREA|27891296|Hc Zz Kit Cath Perm Palindrome - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|1,837.50
WS SERVICE AREA|27891299|Hc Zz Kit Cath Perm Palindrome - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|1,837.50
WS SERVICE AREA|27832030|Hc Zz Kit Cath Internal Jugula - Use Eap 27893780|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1752||WS HB DEFAULT|374.90
WS SERVICE AREA|27874008|Hc Zz Cath Hemodial 14.5 Strt - Use Eap 27893780|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1752||WS HB DEFAULT|1,943.60
WS SERVICE AREA|27875286|Hc Zz Cath Dialysis Bard 23cm - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|1,667.60
WS SERVICE AREA|27877441|Hc Zz Cath Mahurkar Triplelume - Use Eap 27893780|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1752||WS HB DEFAULT|329.50
WS SERVICE AREA|40010075|Hc Abdominal/retroperitoneal Biopsy Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49180||WS HB DEFAULT|4,750.00
WS SERVICE AREA|27881491|Hc Zz Cath Tri-lumen 12frx16cm - Use Eap 27893780|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1752||WS HB DEFAULT|484.10
WS SERVICE AREA|27261250|Hc Ligaclip Horizon 24 Clip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|212.20
WS SERVICE AREA|27880423|Hc Zz Device Closure 6fr Prcls - See Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1760||WS HB DEFAULT|813.90
WS SERVICE AREA|27890458|Hc Zz Device Closure 6-7fr Myn - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1760||WS HB DEFAULT|792.80
WS SERVICE AREA|27883993|Hc Zz Patch Vascu-guard Vg-010 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1768||WS HB DEFAULT|720.00
WS SERVICE AREA|27884406|Hc Zz Patch Femoral 2cmx9cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1768||WS HB DEFAULT|1,019.70
WS SERVICE AREA|27879861|Hc Zz Sling Obtryx - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1771||WS HB DEFAULT|5,538.30
WS SERVICE AREA|27882548|Hc Zz Stem Femoral Integral 13 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1776||WS HB DEFAULT|8,566.50
WS SERVICE AREA|27882952|Hc Zz Stem Fracture 130d 9mm L - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1776||WS HB DEFAULT|14,476.70
WS SERVICE AREA|27889110|Hc Zz Head Fem Lift Anatomic V - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1776||WS HB DEFAULT|7,958.80
WS SERVICE AREA|40010077|Hc Inj Air/cst Peritoneal Cavity|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49400||WS HB DEFAULT|3,266.00
WS SERVICE AREA|27875308|Hc Zz Mesh Sofrad 6"x4" - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1781||WS HB DEFAULT|366.70
WS SERVICE AREA|27883031|Hc Zz Port Chest Plus Jet Mri - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1788||WS HB DEFAULT|1,372.00
WS SERVICE AREA|27287108|Hc Ndl Bio Temno Adj Throw|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|144.90
WS SERVICE AREA|27289974|Hc Guidewire Viper Stiff|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|628.30
WS SERVICE AREA|27831710|Hc Zz Filter Jugular Bnf-75-pb - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1880||WS HB DEFAULT|3,905.80
WS SERVICE AREA|27865424|Hc Zz Filter Ivc Femoral Celec - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1880||WS HB DEFAULT|3,756.10
WS SERVICE AREA|27869950|Hc Zz Filter Tulip Vena Cava J - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1880||WS HB DEFAULT|3,905.80
WS SERVICE AREA|27869962|Hc Zz Filter Vena Tech Lp 40 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1880||WS HB DEFAULT|5,272.60
WS SERVICE AREA|27875322|Hc Zz Filter Optease Vena Cava - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1880||WS HB DEFAULT|4,331.70
WS SERVICE AREA|27882462|Hc Adapter Temp Pacer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|72.10
WS SERVICE AREA|40010078|Hc Fiducial Mrkr Intra Abd/pelvic And Or Retro Peritoneum|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49411||WS HB DEFAULT|3,907.00
WS SERVICE AREA|27881876|Hc Zz Filterwire Ez 190cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1884||WS HB DEFAULT|5,951.30
WS SERVICE AREA|27884075|Hc Zz Device Spider Rx Emb Pro - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1884||WS HB DEFAULT|7,049.30
WS SERVICE AREA|27852192|Hc Zz Kit Lead End Cp - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|127.70
WS SERVICE AREA|27881921|Hc Zz Microsphere Contour 700 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27882450|Hc Zz Wire Temp Pacemaker - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|800.80
WS SERVICE AREA|27886383|Hc Zz Bead Lc Embolization 300 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|8,329.90
WS SERVICE AREA|27887173|Hc Zz Particle Pva Embolization - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|390.40
WS SERVICE AREA|27890207|Hc Zz Insert Fogarty Evergrip - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|99.90
WS SERVICE AREA|27017291|Hc Inflation Device Presto|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|183.30
WS SERVICE AREA|27226075|Hc Cath Stealth 2.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,720.20
WS SERVICE AREA|40010079|Hc Tunnel Ip Cath Insert Complete|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49418||WS HB DEFAULT|20,611.00
WS SERVICE AREA|27226268|Hc Accustick W/o .038 Guide|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|249.80
WS SERVICE AREA|27235536|Hc Device Torque Olcott Otd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.20
WS SERVICE AREA|27235930|Hc Wire Choice 300 .014pt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|355.40
WS SERVICE AREA|27271171|Hc Introducer Fast Cath Hem|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|230.70
WS SERVICE AREA|27891316|Hc Zz Envelope Anti-bacterial - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|3,194.00
WS SERVICE AREA|90010027|Hc Dialysis Other Daily Crrt Capd Ccpd|PERITONEAL DIALYSIS - OUTPATIENT OR HOME - GENERAL CLASSIFICATION [0830]|90945||WS HB DEFAULT|1,102.00
WS SERVICE AREA|27184625|Hc Cannula Lng Softip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,395.70
WS SERVICE AREA|27800041|Hc Zz Tissue Flxhd Uth 8x16cm 128sqcm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4128||WS HB DEFAULT|100.20
WS SERVICE AREA|27807985|Hc Zz Dressing Pad Oas Trilyr Mtrx7x20 140 Sqcm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4124||WS HB DEFAULT|7,290.30
WS SERVICE AREA|27852531|Hc Zz Alloderm Contour Med Rtu 132 Sqcm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4116||WS HB DEFAULT|128.90
WS SERVICE AREA|40010080|Hc Tunnel Ip Cath Insert W/port Implant|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49419||WS HB DEFAULT|8,639.00
WS SERVICE AREA|27899844|Hc Zz Matrix Wound Oasis Fen 3x7 21sqcm -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4102||WS HB DEFAULT|731.30
WS SERVICE AREA|27121619|Hc Splint Orth 30x5in Precut Padfbgls Foam Scst|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|70.00
WS SERVICE AREA|27092293|Hc Adapter Light Source Acmistryker Relieva Luma|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|163.80
WS SERVICE AREA|27279481|Hc Zz Suture Sharpoint 9-0 Usp  -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|200.90
WS SERVICE AREA|27294659|Hc Platform Gelpoint Mini Acc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,211.40
WS SERVICE AREA|27205390|Hc Kit Ergo Max Barrier Picc 50cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,081.00
WS SERVICE AREA|27205391|Hc Kit Ergo Max Barrier Picc 55cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,081.00
WS SERVICE AREA|27205392|Hc Kit Ergo Max Barrier Picc 40cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,091.60
WS SERVICE AREA|27205393|Hc Kit Ergo Max Barrier Picc 50cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,071.90
WS SERVICE AREA|27288148|Hc Catheter Balloon Dil Us Bscp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.80
WS SERVICE AREA|40010081|Hc Tunnel Ip Cath Insert Dialysis Open|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49421||WS HB DEFAULT|3,775.00
WS SERVICE AREA|27803795|Hc Zz Coil 10 Sys 2x6- Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|6,192.40
WS SERVICE AREA|27800044|Hc Zz Plug Cv 100cm 7mm 12mm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|4,366.20
WS SERVICE AREA|27800053|Hc Zz Plug Cv 100cm 6mm 11mm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|4,366.20
WS SERVICE AREA|27800055|Hc Zz Plug Cv 100cm 8mm 13mm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|4,366.20
WS SERVICE AREA|90010310|Hc Trauma No Field Act Criti Care Initial Full Team|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99291||WS HB DEFAULT|12,167.00
WS SERVICE AREA|90010311|Hc Trauma No Field Act Criti Care Initial Partial Team|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99291||WS HB DEFAULT|11,229.00
WS SERVICE AREA|90010312|Hc Trauma No Field Act Criti Care Initial Small Team|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99291||WS HB DEFAULT|12,167.00
WS SERVICE AREA|90010313|Hc Trauma No Field Act Criti Care Ea Add 30 Min|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99292||WS HB DEFAULT|2,676.00
WS SERVICE AREA|90010314|Hc Trauma No Field Act Class V Full Team|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99285||WS HB DEFAULT|9,866.00
WS SERVICE AREA|90010315|Hc Trauma No Field Act Class V Partial Team|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99285||WS HB DEFAULT|8,538.00
WS SERVICE AREA|40010082|Hc Tunnel Ip Cath Removal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49422||WS HB DEFAULT|5,713.00
WS SERVICE AREA|90010316|Hc Trauma No Field Act Class V Small Team|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99285||WS HB DEFAULT|7,214.00
WS SERVICE AREA|70073101|Hc Vl Endovenous Rf 1st Vein|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36475||WS HB DEFAULT|11,029.00
WS SERVICE AREA|27204245|Hc Sheath Dryseal With Hydrophilic Coating Gore 14f 4.8mmx5.5mmx28cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|1,257.60
WS SERVICE AREA|27204248|Hc Sheath Dryseal With Hydrophilic Coating Gore 20f 6.8mmx7.5mmx28cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|1,257.60
WS SERVICE AREA|27207696|Hc Catheter Angio .035in Ruc Crv 5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|78.30
WS SERVICE AREA|27814031|Hc Catheter Occlusion Pruitt 3f 7mmx27cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|900.20
WS SERVICE AREA|27214573|Hc Guidewire Std Taper Flex Tip Ang 3cm 018inx180cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|222.40
WS SERVICE AREA|27215816|Hc Guidewire Newt Llt Tsfnb 35-145|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|41.20
WS SERVICE AREA|27215934|Hc Fastener Tube Endo 5-10m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.40
WS SERVICE AREA|27215941|Hc Cath Femoral Cordis 6f A|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.30
WS SERVICE AREA|40010083|Hc Exchange Drainage Cath|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49423||WS HB DEFAULT|1,871.00
WS SERVICE AREA|27216044|Hc Guidewire Platinum Plus St Floppy 018in 260cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|333.70
WS SERVICE AREA|27118396|Hc Sample Line 10 Ft W/tee|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|6.20
WS SERVICE AREA|27220676|Hc Guidewire Ss 035 180 Angled|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|193.10
WS SERVICE AREA|27221723|Hc Cath Fogarty Clot Adherent 10m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|811.60
WS SERVICE AREA|27225092|Hc Catheter Peripheral Support Straight Usher 130cm 7f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,674.80
WS SERVICE AREA|27226165|Hc Kit Snare Amplatz Goose Neck 6f 25mmx120cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1773||WS HB DEFAULT|1,188.10
WS SERVICE AREA|27226314|Hc Introducer Sheath Pinnacle 6fr 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|40.60
WS SERVICE AREA|27228746|Hc Snare Gooseneck Amplatz 10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1773||WS HB DEFAULT|1,214.40
WS SERVICE AREA|27230679|Hc Cath Guiding Xl Br/tp Al1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|213.20
WS SERVICE AREA|27231523|Hc Catheter Angio Hydrophilic Glide Sim2 5f 038inx100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|199.80
WS SERVICE AREA|40010085|Hc Assess Cyst Contrast Inj|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49424||WS HB DEFAULT|921.00
WS SERVICE AREA|90010341|Hc Lesion Excision Marg 0.5/<|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11420||WS HB DEFAULT|2,915.00
WS SERVICE AREA|27233076|Hc Sheath Pinnacle 7fr 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|41.20
WS SERVICE AREA|27233507|Hc Tray Catheter Insertion Brevia Pre-curved Dual Lumen 20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|439.80
WS SERVICE AREA|27248683|Hc Catheter Micro Echelon 10 45deg Tip 1.7f 017inx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|3,141.50
WS SERVICE AREA|27248709|Hc Guidewire Micro Synch-2 Nitinol 014inx10cm 200cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|2,056.00
WS SERVICE AREA|27248710|Hc Guidewire Transend 300 Es 014in 300cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|2,161.80
WS SERVICE AREA|27248711|Hc Catheter Micro Excelsior Sl-10 2-tip Mark Str 6cmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|3,408.10
WS SERVICE AREA|27274272|Hc Catheter Guiding Envoy Mpc Angled 5f 056inx90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,420.10
WS SERVICE AREA|27248715|Hc Device 3.0-5.5cm 20in Strkrtrvl Solitaire Revasc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28,850.30
WS SERVICE AREA|27248716|Hc Device 3.0-5.5cm 30in Strkrtrvl Solitaire Revasc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28,009.80
WS SERVICE AREA|27248717|Hc Catheter Mic .027in 150mmmarksman|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|30,559.10
WS SERVICE AREA|40010087|Hc Inj Abdominal Shunt|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49427||WS HB DEFAULT|765.00
WS SERVICE AREA|27248718|Hc Microcatheter 18 Trevo Pro 2.7f/2.4fx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,491.60
WS SERVICE AREA|27248719|Hc Catheter Micro Prowler Select Plus Str Tip 2.3f 021inx150cm 5cm 2mkr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|3,320.70
WS SERVICE AREA|27248720|Hc Catheter Marksman 10cm 30cm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|4,371.90
WS SERVICE AREA|27249038|Hc Catheter Micro Reperfusion 5f 054inx132cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|5,822.60
WS SERVICE AREA|27249039|Hc Catheter Reperfusion 4.3fr .041in 143cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|5,822.60
WS SERVICE AREA|27249040|Hc Catheter Reperfusion 3.8fr .035in 157cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|5,822.60
WS SERVICE AREA|27249041|Hc Separator Penumbra Flex 041 0.014 In X 175 Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|12,524.80
WS SERVICE AREA|27249042|Hc Separator Penumbra Flex 054 0.014 In X 175 Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|12,524.80
WS SERVICE AREA|27249048|Hc Separator Penumbra Flex 043 0.012 In X 190 Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|12,524.80
WS SERVICE AREA|27849047|Hc Cement Kyphon Xpede Bone Cement & Mixer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1713||WS HB DEFAULT|658.70
WS SERVICE AREA|40010088|Hc Gastric Tube Placement W Guidance Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49440||WS HB DEFAULT|15,328.00
WS SERVICE AREA|27251067|Hc Introducer Sheath Pinnacle 8fr 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|40.20
WS SERVICE AREA|27257516|Hc System Infusion Ekosonic Mach 4 5f 035in 30cmx106cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|11,367.10
WS SERVICE AREA|27257517|Hc System Infusion Ekosonic Mach 4 5f 035in 24cmx106cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|11,708.00
WS SERVICE AREA|27257518|Hc System Infusion Ekosonic Mach 4 5f 035in 12cmx106cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|11,571.60
WS SERVICE AREA|27257523|Hc System Infusion Ekosonic Mach 4 5f 035in 50cmx106cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|11,708.00
WS SERVICE AREA|27257524|Hc System Infusion Ekosonic Mach 4 5f 035in 50cmx135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|11,708.00
WS SERVICE AREA|27257525|Hc System Infusion Ekosonic Mach 4 5f 035in 40cmx106cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|11,708.00
WS SERVICE AREA|27258704|Hc Blade Saw Long Wide 34.5mmx16.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|27259548|Hc Blade Sag 25.4x90mm .035"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|74.20
WS SERVICE AREA|27260651|Hc Introducer Sheath Peripheral Pinnacle W/ Dilator 5f 2.5cmx10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|41.20
WS SERVICE AREA|40010089|Hc Duoden/jejun Tube Placement W Guidance Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49441||WS HB DEFAULT|15,328.00
WS SERVICE AREA|27260742|Hc Introducer Sheath Pinnacle 5fr 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|224.50
WS SERVICE AREA|27260788|Hc Device Inflation Encore|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|169.00
WS SERVICE AREA|27263108|Hc Cath Berenstein 5fr 65cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|64.90
WS SERVICE AREA|27265571|Hc Sheath Introducer Balkin Kcf 7|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|225.60
WS SERVICE AREA|27265603|Hc Balloon Occlusion Std 7f 11.5mmx100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|1,049.60
WS SERVICE AREA|27266603|Hc Catheter Athr Recann Crosser Cto|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1714||WS HB DEFAULT|12,127.20
WS SERVICE AREA|27270791|Hc Cath Dawson Mueller 8.5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|300.90
WS SERVICE AREA|27273223|Hc Introducer Sheath Flexor Check-flo W/ Rb 8f 038inx30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|197.20
WS SERVICE AREA|27273245|Hc Guidewire Amplatz Deflecting Reuter Tip 10mmx035inx145cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|168.90
WS SERVICE AREA|27273281|Hc Introducer Sheath Peripheral Pinnacle W/ Dilator 9f 2.5cmx10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|40.70
WS SERVICE AREA|40010090|Hc Gastro Conversion To G-j Tube Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49446||WS HB DEFAULT|14,965.00
WS SERVICE AREA|27273337|Hc Introducer Sheath Peripheral Pinnacle W/ Dil  Mini Gwire 4f 035inx2.5cm 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|40.80
WS SERVICE AREA|27273340|Hc Introducer Sheath Guiding Pinnacle Dest W/ Dil Str Curve Cross-cut Valve 6f 45cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|336.00
WS SERVICE AREA|27273343|Hc Introducer Sheath Guiding Pinnacle Dest W/ Dil Str Curve Cross-cut Valve 7f 45cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|338.90
WS SERVICE AREA|27273396|Hc Catheter Thrombectomy Graft Fogarty 5f 5mm/16mmx50cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|1,429.60
WS SERVICE AREA|27273933|Hc Set Sheath Check-flo Performer W/o Guidewire Rb 12f 038in 30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|246.20
WS SERVICE AREA|27273986|Hc Balloon Dil Peripheral Maxi Ld 8f 035in 14mmx4cm 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,118.60
WS SERVICE AREA|27875285|Hc Zz Catheter Hemodialysis Hemosplit Xk 16f - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|1,485.30
WS SERVICE AREA|27275592|Hc Set Sheath Radiopaque Check-flo Valve Lg Rb W/o Guidewire 18f 038inx30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|423.30
WS SERVICE AREA|27275594|Hc Introducer Sheath Flexor Check-flo Ansel 2 5f 018in/038inx45cm Rb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|228.70
WS SERVICE AREA|27276738|Hc Introducer Sheath Flexor Check-flo Ansel 1 5f 018in/038in 45cm Rb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|228.70
WS SERVICE AREA|40010091|Hc Gastro/cecostomy Tube Replacement Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49450||WS HB DEFAULT|6,090.00
WS SERVICE AREA|27277044|Hc Zz Set Filter Vena Cava Retrieval Gunther Tulip Rb 11f 60cm- Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1773||WS HB DEFAULT|1,135.60
WS SERVICE AREA|27278307|Hc Set Sheath Flexor Check-flo Raabe Rb W/o Guidewire 6f 038inx70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|197.80
WS SERVICE AREA|27278455|Hc Introducer W/rb 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|106.10
WS SERVICE AREA|27279417|Hc Introducer Sheath Flexor Check-flo W/ Rb 10f 038inx13cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|181.20
WS SERVICE AREA|27279419|Hc Introducer Sheath Flexor Check-flo Raabe W/ Rb 5f 038inx55cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|201.90
WS SERVICE AREA|27280162|Hc Balloon Dil Coronary Maverick 2 Rx 2mmx20mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|587.10
WS SERVICE AREA|27280166|Hc Balloon Dil Coronary Maverick 2 Rx 3mmx20mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|569.60
WS SERVICE AREA|27280236|Hc Guidewire Exchange Amplatz Ultra Stff Tfe Coated Flex Tip 035inx260cmx7cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|166.50
WS SERVICE AREA|27280796|Hc Catheter Adherent Clot Fogarty 4f 6mmx80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|836.40
WS SERVICE AREA|27280915|Hc Guidewire Peripheral Thruway Short Taper Str Tip 014inx190cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|497.50
WS SERVICE AREA|40010092|Hc Duodenos/jejunos Tube Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49451||WS HB DEFAULT|10,253.00
WS SERVICE AREA|27881919|Hc Zz Embolization Particles Microspheres Embosphere 2ml 700-900m - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|1,101.60
WS SERVICE AREA|27282308|Hc Catheter Angio Slip-cath Beacon Tip Vtk 5f 038inx100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|166.90
WS SERVICE AREA|27282455|HC SET ADMINISTRATION FLUID W/ OUT MICRO FILTER 108IN|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27282458|Hc Tubing Injection Line Polyurethane Fixed Male Adaptor W/ Sherlock Connector 48in 1200psi|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.20
WS SERVICE AREA|27283434|Hc Expandable Lemaitre Valvulotome 1.8mmx110cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,069.80
WS SERVICE AREA|27284073|Hc Zz Filter Wire Spider Fx Embolic Protection Device 3mmx320cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1884||WS HB DEFAULT|7,330.50
WS SERVICE AREA|27284074|Hc Zz Filter Wire Spider Fx Embolic Protection Device 4mmx320cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1884||WS HB DEFAULT|7,330.50
WS SERVICE AREA|27284076|Hc Zz Filter Wire Spider Fx Embolic Protection Device 6mmx320cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1884||WS HB DEFAULT|7,330.50
WS SERVICE AREA|27884077|Hc Zz Filter Wire Spider Fx Embolic Protection Device 7mmx320cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1884||WS HB DEFAULT|7,330.50
WS SERVICE AREA|27884483|Hc Introducer Sheath Guiding Pinnacle Destination W/ Dilator Str Cross-cut Valve 7f 65cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|377.00
WS SERVICE AREA|40010093|Hc Gastro/jejunostomy Tube Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49452||WS HB DEFAULT|14,219.00
WS SERVICE AREA|27285056|Hc Balloon Viatrac 5x30x135|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,016.60
WS SERVICE AREA|27285100|Hc Introducer Sheath Pinnacle R/o Ii Hiflo 6f 035in 4cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|110.30
WS SERVICE AREA|27285101|Hc Introducer Sheath Peripheral Pinnacle R/o Ii Rb W/ Dilator Hiflo 7f 035inx4cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|110.20
WS SERVICE AREA|27285102|Hc Introducer Sheath Peripheral Pinnacle R/o Ii Rb W/ Dilator Hiflo 8f 035inx40cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|110.70
WS SERVICE AREA|27285968|Hc Set Sheath Flexor Check-flo Raabe Rb W/o Guidewire 7f 038inx55cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|201.90
WS SERVICE AREA|27286001|Hc Sheath Flexor Check-flo Raabe Rb 8f 038inx55cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|201.90
WS SERVICE AREA|27286118|Hc Introducer Sheath Guiding Pinnacle Destination W/ Dilator Str Tuohy-borst Valve 6f 90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|386.30
WS SERVICE AREA|27186571|Hc Adapter Feeding Enteral Red|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27286572|Hc Sheath Shuttle Flexor Tuohy-borst Side-arm Sl Rb 7f 038inx90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|449.10
WS SERVICE AREA|27286576|Hc Set Sheath Flexor Check-flo Raabe Rb W/o Gwire 8f 038inx70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|201.90
WS SERVICE AREA|40010094|Hc G Colon Tube Fix W Device Fl Guide|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49460||WS HB DEFAULT|2,428.00
WS SERVICE AREA|27286624|Hc Introducer Sheath Peel-away 6.5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|365.70
WS SERVICE AREA|27287032|Hc Catheter Angio Glide Non-tapered Angled 5f 038in 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|203.40
WS SERVICE AREA|27287151|Hc Guidewire Flexible Roadrunner Nimble Ang 035inx180cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|126.00
WS SERVICE AREA|27287485|Hc Guidewire Exchange Roadrunner Nimble Ang 035inx260cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|148.00
WS SERVICE AREA|27287725|Hc Kit Repair Catheter Groshong Cv 8f Single Lumen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|498.50
WS SERVICE AREA|27288080|Hc Valve Hemostasis Guardian Ii|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|167.90
WS SERVICE AREA|27289769|Hc Guidewire Nitrex Intermediate 5cm Str Tip 018inx60cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|261.30
WS SERVICE AREA|27289770|Hc Guidewire Nitrex Std 2cm Str Tip 018inx80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|262.80
WS SERVICE AREA|27191182|Hc Zz Airway Nasopharyngeal 30  Use 27200060|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|16.50
WS SERVICE AREA|27291935|Hc Catheter Aspiration Export Ap 6f 140cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|1,884.90
WS SERVICE AREA|40010095|Hc G Colon Tube Cst Inj Eval Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49465||WS HB DEFAULT|3,215.00
WS SERVICE AREA|27291972|Hc Sheath Flexor Check-flo Performer Rb W/o Guidewire 5f 038inx30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|198.80
WS SERVICE AREA|27292256|Hc Zz Device Closure 6fr Strcls - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1760||WS HB DEFAULT|751.90
WS SERVICE AREA|27293289|Hc Wand Spine Cavity 8ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,053.80
WS SERVICE AREA|27293291|Hc Wand Spine Cavity 11ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,053.80
WS SERVICE AREA|27293294|Hc Kit Biopsy Bone & Vertebral Body Core-assure|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|285.30
WS SERVICE AREA|27893448|Hc Zz Embolization Particles Microspheres 2ml 300-500m - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|1,113.30
WS SERVICE AREA|27293790|Hc Balloon Dil Nanocross 014in 2.0mmx40mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,273.10
WS SERVICE AREA|27293791|Hc Balloon Dilatation Nanocross 014in 2.0mmx80mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,273.10
WS SERVICE AREA|27293792|Hc Balloon Dilatation Nanocross 014in 2.0mmx120mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,273.10
WS SERVICE AREA|27293793|Hc Balloon Dilatation Nanocross 014in 2.0mmx150mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,545.00
WS SERVICE AREA|40010100|Hc Esophagogastoduodenoscopy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|43235||WS HB DEFAULT|2,781.00
WS SERVICE AREA|90010342|Hc Shave Skin Lesion 0.5 Cm/<|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11300||WS HB DEFAULT|231.00
WS SERVICE AREA|27293810|Hc Balloon Dilatation Nanocross 014in 2.0mmx210mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,545.00
WS SERVICE AREA|27294065|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 6mmx150mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|636.50
WS SERVICE AREA|27294068|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 6mmx200mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|636.50
WS SERVICE AREA|27294070|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 7mmx20mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27294071|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 4mmx20mm 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27294072|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 4mmx20mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|503.70
WS SERVICE AREA|27294073|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 7mmx20mm 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27294074|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 4mmx40mm 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27294075|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 4mmx40mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27294076|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 7mmx40mm 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|40010104|Hc Gastro/feeding Tube Insertion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|43241||WS HB DEFAULT|3,140.00
WS SERVICE AREA|27294079|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 7mmx40mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|503.70
WS SERVICE AREA|27294080|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 4mmx200mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|636.50
WS SERVICE AREA|27294082|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx20mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27294085|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx40mm 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27294086|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx40mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27294087|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx100mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|503.70
WS SERVICE AREA|27294089|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx150mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|636.50
WS SERVICE AREA|27294091|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 8mmx20mm 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27294096|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 6mmx100mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27294097|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 8mmx40mm 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|40010109|HC GASTROSTOMY TUBE PLACEMENT PERC|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|43246||WS HB DEFAULT|6,021.00
WS SERVICE AREA|27294104|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 9mmx40mm 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|503.70
WS SERVICE AREA|27294107|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 10mmx40mm 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|503.70
WS SERVICE AREA|27294113|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 12mmx40mm 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|511.40
WS SERVICE AREA|27294114|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 4mmx80mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27894130|Hc Zz Plug Vascular Amplatzer Ii 6mmx6mm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|3,394.90
WS SERVICE AREA|27894132|Hc Zz Plug Vascular Amplatzer Ii 8mmx7mm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|3,359.60
WS SERVICE AREA|27894133|Hc Zz Plug Vascular Amplatzer Ii 10mmx7mm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|3,677.10
WS SERVICE AREA|27894134|Hc Zz Plug Vascular Amplatzer Ii 12mmx9mm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|3,677.10
WS SERVICE AREA|27894139|Hc Plug Vascular Amplatzer Ii 20mmx16mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,351.60
WS SERVICE AREA|27294190|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx200mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|636.50
WS SERVICE AREA|40010118|Hc Ercp Procedure|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|43260||WS HB DEFAULT|6,623.00
WS SERVICE AREA|27294371|Hc Zz Catheter Dialysis Power Trialysis Short Term 13f 15cm - Use Eap 27893780|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1752||WS HB DEFAULT|643.10
WS SERVICE AREA|27294466|Hc Balloon Catheter Occlusion Coda 10fr 14fr 035in 32mmx120cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|1,720.60
WS SERVICE AREA|27894484|Hc Zz Port Slim Implant Power Port W/ Suture Plugs Single Lumen 6f - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1788||WS HB DEFAULT|1,642.50
WS SERVICE AREA|27294531|Hc Snare Expro Elite 30mm 035inx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1773||WS HB DEFAULT|1,655.20
WS SERVICE AREA|27294532|Hc Snare Expro Elite 25mm 035inx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1773||WS HB DEFAULT|1,655.20
WS SERVICE AREA|27294999|Hc Balloon Tri-lobe 26mm-42mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|2,450.40
WS SERVICE AREA|27898285|Hc Zz Set Gastrointestinal Anchor W/ Safe-t Pexy T-fasteners - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|480.70
WS SERVICE AREA|27295437|Hc Osteotome Contour Curved Enhanced 11.6cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,284.00
WS SERVICE AREA|27296298|Hc Sheath Gore Dryseal Valve Attached 2.5ml Valve Inflation Syringe 24f 8.2mm X 9.1mm X 28cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|1,362.70
WS SERVICE AREA|27896300|Hc Zz Lead Vns Therapy 2.00mm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1778||WS HB DEFAULT|29,510.50
WS SERVICE AREA|40010155|HC SIGMOIDOSCOPY FLX ENDOSCOPIC US EXAM|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|45341||WS HB DEFAULT|4,463.00
WS SERVICE AREA|27297050|Hc Microcatheter Renegade Stc-18 Straight 3frx.018inx130cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,670.00
WS SERVICE AREA|27897081|Hc Zz System Filter Option Vena Cava Retrievable 6.5f 70cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1880||WS HB DEFAULT|4,412.50
WS SERVICE AREA|27297280|Hc Catheter Angiographic Torcon Nb Advantage Beacon Tip Kmp 4f 035inx65cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|68.00
WS SERVICE AREA|27897291|Hc Zz Patch Cormatrix Carotid - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1763||WS HB DEFAULT|1,815.90
WS SERVICE AREA|27297402|Hc Balloon Catheter Powercross Pta Otw 5f 018in 6mmx40mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297404|Hc Balloon Catheter Powercross Pta Otw 5f 018in 3mmx40mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297405|Hc Balloon Catheter Powercross Pta Otw 5f 018in 4mmx40mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297406|Hc Balloon Catheter Powercross Pta Otw 5f 018in 6mmx40mm 90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297408|Hc Balloon Catheter Powercross Pta Otw 4f 018in 3mmx60mm 90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297409|Hc Balloon Catheter Powercross Pta Otw 4f 018in 4mmx40mm 90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|34010046|Hc Tc 99m Exametazime Auto Wbc Study Dose|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9569||WS HB DEFAULT|3,185.18
WS SERVICE AREA|27297410|Hc Balloon Catheter Powercross Pta Otw 4f 018in 2mmx40mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297412|Hc Balloon Catheter Powercross Pta Otw 4f 018in 2mmx20mm 90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297413|Hc Balloon Catheter Powercross Pta Otw 4f 018in 4mmx20mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297415|Hc Balloon Catheter Powercross Pta Otw 4f 018in 3mmx20mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297417|Hc Balloon Catheter Powercross Pta Otw 4f 018in 3mmx40mm 90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297418|Hc Balloon Catheter Powercross Pta Otw 5f 018in 3mmx20mm 90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297486|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx60mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27297487|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 4mmx60mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27297488|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 6mmx80mm 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27297491|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 6mmx120mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|40010158|HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|45378||WS HB DEFAULT|4,762.00
WS SERVICE AREA|27297492|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 8mmx60mm 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27297493|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx80mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27297494|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx120mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27297496|Hc Balloon Catheter Powercross Pta Otw 5f 018in 5mmx100mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297497|Hc Balloon Catheter Powercross Pta Otw 4f 018in 5mmx40mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297498|Hc Balloon Catheter Powercross Pta Otw 4f 018in 4mmx120mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|889.90
WS SERVICE AREA|27297499|Hc Balloon Catheter Powercross Pta Otw 5f 018in 4mmx100mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297500|Hc Balloon Catheter Powercross Pta Otw 5f 018in 2.5mmx40mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297502|Hc Balloon Catheter Powercross Pta Otw 4f 018in 3mmx80mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297503|Hc Balloon Catheter Powercross Pta Otw 5f 018in 6mmx20mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|34010047|Hc In-111 Oxyquinoline Auto Wbc Dx  Study Dose|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9570||WS HB DEFAULT|9,243.57
WS SERVICE AREA|27297504|Hc Balloon Catheter Powercross Pta Otw 5f 018in 6mmx20mm 90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27297507|Hc Balloon Catheter Powercross Pta Otw 5f 018in 6mmx200mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,193.80
WS SERVICE AREA|27297508|Hc Balloon Catheter Powercross Pta Otw 4f 018in 4mmx200mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,193.80
WS SERVICE AREA|27297510|Hc Balloon Catheter Powercross Pta Otw 5f 018in 5mmx150mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,193.80
WS SERVICE AREA|27297535|Hc Catheter Drainage Ultrathane Biliary Mac-loc Rb 12f 038in 40cm 32sh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|322.90
WS SERVICE AREA|27297578|Hc Catheter Dilatation Balloon Charger 035in 4.0mmx20mm 75cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|516.00
WS SERVICE AREA|27297579|Hc Catheter Dilatation Balloon Charger 035in 4.0mmx20mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|516.00
WS SERVICE AREA|27297580|Hc Catheter Dilatation Balloon Charger 035in 4.0mmx40mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|500.60
WS SERVICE AREA|27297581|Hc Catheter Dilatation Balloon Charger 035in 4.0mmx40mm 75cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|516.00
WS SERVICE AREA|27297582|Hc Catheter Dilatation Balloon Charger 035in 4.0mmx80mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|516.00
WS SERVICE AREA|50010011|Hc Nephrostolithotomy Up To 2cm Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50080||WS HB DEFAULT|12,349.00
WS SERVICE AREA|27297583|Hc Catheter Dilatation Balloon Charger 035in 4.0mmx100mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|516.00
WS SERVICE AREA|27297584|Hc Catheter Dilatation Balloon Charger 035in 4.0mmx150mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|660.70
WS SERVICE AREA|27294585|Hc Catheter Dilatation Balloon Charger 035in 4.0mmx 200mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|664.00
WS SERVICE AREA|27297592|Hc Catheter Dilatation Balloon Charger 035in 5.0mmx100mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|500.60
WS SERVICE AREA|27297593|Hc Catheter Dilatation Balloon Charger 035in 5.0mmx150mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|639.60
WS SERVICE AREA|27297594|Hc Catheter Dilatation Balloon Charger 035in 5.0mmx 200mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|670.50
WS SERVICE AREA|27297614|Hc Catheter Dilatation Balloon Charger 035in 10.0mmx20mm 75cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|516.00
WS SERVICE AREA|27297615|Hc Catheter Dilatation Balloon Charger 035in 10.0mmx40mm 75cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|506.40
WS SERVICE AREA|27297616|Hc Catheter Dilatation Balloon Charger 035in 12.0mmx20mm 75cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|516.00
WS SERVICE AREA|27297617|Hc Catheter Dilatation Balloon Charger 035in 12.0mmx40mm 75cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|516.00
WS SERVICE AREA|50010012|Hc Renal Needle Biopsy Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50200||WS HB DEFAULT|5,720.00
WS SERVICE AREA|27297718|Hc Zz Kit Bone Tamp First Fracture 2 15/3 1stp - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|14,449.90
WS SERVICE AREA|27297747|Hc Balloon Dilatation Evercross Pta Otw 5f 035in 4mmx120mm 135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27297782|Hc Catheter Support Trailblazer 035inx90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|528.40
WS SERVICE AREA|27297786|Hc Balloon Dilatation Nanocross 014in 1.5mmx20mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,273.10
WS SERVICE AREA|27897849|Hc Balloon Catheter Powercross Pta Otw 4f 018in 5mmx20mm 90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|916.70
WS SERVICE AREA|27298146|Hc Needle Bone Biopsy And Vertebral Body Clear-view Bevel Tip 13gax11.6cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|251.30
WS SERVICE AREA|27298147|Hc Needle Bone Biopsy And Vertebral Body Clear-view Diamond Point 13gax11.6cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|251.30
WS SERVICE AREA|27298306|Hc Catheter Infusion Cragg-mcnamara Valved 5f 038inx135cm 50cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|589.20
WS SERVICE AREA|27298334|Hc Guidewire Lunderquist Dc Double Curved 035inx300cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|393.50
WS SERVICE AREA|27298366|Hc Syringe Mdln Ylw Plunger 10ml Plycrb Sword Handle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|50010015|Hc Ureteral Stent Exchange Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50382||WS HB DEFAULT|23,014.00
WS SERVICE AREA|90010343|Hc Drainage Of Skin Abscess|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10061||WS HB DEFAULT|1,057.00
WS SERVICE AREA|27298911|Hc Balloon Dilatation Coyote Es Otw 4f 2.0mmx20mm 142cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,047.50
WS SERVICE AREA|27298912|Hc Balloon Dilatation Coyote Es Otw 4f 2.0mmx40mm 144cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,047.50
WS SERVICE AREA|27298915|Hc Balloon Dilatation Coyote Es Otw 4f 3.0mmx20mm 143cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,016.60
WS SERVICE AREA|27298916|Hc Balloon Dilatation Coyote Es Otw 4f 3.0mmx40mm 145cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,016.60
WS SERVICE AREA|27298918|Hc Balloon Dilatation Coyote Es Otw 4f 4.0mmx40mm 145cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,016.60
WS SERVICE AREA|27298919|Hc Catheter Balloon Dilatation Coyote Otw 4f 2.00mmx60mmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,307.10
WS SERVICE AREA|27298920|Hc Catheter Balloon Dilatation Coyote Otw 4f 2.50mmx60mmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,307.10
WS SERVICE AREA|27298921|Hc Catheter Balloon Dilatation Coyote Otw 4f 3.00mmx60mmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,307.10
WS SERVICE AREA|27298922|Hc Catheter Balloon Dilatation Coyote Otw 4f 4.00mmx60mmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,269.00
WS SERVICE AREA|27298923|Hc Catheter Balloon Dilatation Coyote Otw 4f 2.00mmx80mmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,307.10
WS SERVICE AREA|50010016|Hc Ureteral Stent Internal Removal Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50384||WS HB DEFAULT|24,899.00
WS SERVICE AREA|27298924|Hc Catheter Balloon Dilatation Coyote Otw 4f 2.50mmx80mmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,307.10
WS SERVICE AREA|27298925|Hc Catheter Balloon Dilatation Coyote Otw 4f 3.00mmx80mmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,307.10
WS SERVICE AREA|27298926|Hc Catheter Balloon Dilatation Coyote Otw 4f 4.00mmx80mmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,307.10
WS SERVICE AREA|27298928|Hc Catheter Balloon Dilatation Coyote Otw 4f 2.50mmx100mmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,307.10
WS SERVICE AREA|27298929|Hc Catheter Balloon Dilatation Coyote Otw 4f 3.00mmx100mmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,269.00
WS SERVICE AREA|27298930|Hc Catheter Balloon Dilatation Coyote Otw 4f 4.00mmx100mmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,307.10
WS SERVICE AREA|27298932|Hc Catheter Balloon Dilatation Coyote Otw 4f 2.50mmx150mmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,607.80
WS SERVICE AREA|27298933|Hc Catheter Balloon Dilatation Coyote Otw 4f 3.00mmx150mmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,607.80
WS SERVICE AREA|27298934|Hc Catheter Balloon Dilatation Coyote Otw 4f 4.00mmx150mmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,607.80
WS SERVICE AREA|27298936|Hc Catheter Balloon Dilatation Coyote Otw 4f 2.50mmx220mmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,586.20
WS SERVICE AREA|50010017|Hc Transnephric Ureteral Stent Int/ext Change W Fl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50387||WS HB DEFAULT|12,459.00
WS SERVICE AREA|27298938|Hc Catheter Balloon Dilatation Coyote Otw 4f 4.00mmx220mmx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,633.60
WS SERVICE AREA|27299442|Hc Tray Cath Dual Lumen Powerline W Microintro 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,352.60
WS SERVICE AREA|27299690|Hc Catheter Guiding Mach 1 Lima 6f 070in 55cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|343.00
WS SERVICE AREA|27299693|Hc Catheter Guiding Mach 1 Rdc 6f 070in 55cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|348.10
WS SERVICE AREA|27299869|Hc Introducer Peel Away 9f 038inx30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|864.20
WS SERVICE AREA|27292197|Hc Set Sheath Intro Per W/ Int Hemo Valve/ Lg Bore Side Pt And Radiopa|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|2,827.40
WS SERVICE AREA|30010359|HC REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|4,959.00
WS SERVICE AREA|97010209|Hc Evaluation Of Speech Fluency- 45 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92521|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010210|Hc Evaluation Of Speech Fluency- 15 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92521|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010211|Hc Evaluation Of Speech Fluency- 30 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92521|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|50010018|Hc Nephrostomy Tube Removal W Fl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50389||WS HB DEFAULT|4,952.00
WS SERVICE AREA|97010212|Hc Evaluation Of Speech Fluency- 60 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92521|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010213|Hc Evaluate Speech Production- 45 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92522|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010214|Hc Evaluate Speech Production- 15 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92522|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010215|Hc Evaluate Speech Production- 30 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92522|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010216|Hc Evaluate Speech Production- 60 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92522|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010217|Hc Eval Speech Sound Lang Compreh- 45 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92523|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010218|Hc Eval Speech Sound Lang Compreh- 15 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92523|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010219|Hc Eval Speech Sound Lang Compreh- 30 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92523|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010220|Hc Eval Speech Sound Lang Compreh- 60 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92523|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010221|HC EVAL BEHAVIORAL QUALITY ANALYSIS VOICE-45 MIN|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92524|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|50010019|Hc Renal/pelvis Cyst Needle Inj/asp Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50390||WS HB DEFAULT|5,167.00
WS SERVICE AREA|97010222|HC EVAL BEHAVIORAL QUALITY ANALYSIS VOICE-15 MIN|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92524|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010223|HC EVAL BEHAVIORAL QUALITY ANALYSIS VOICE-30 MIN|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92524|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010224|HC EVAL BEHAVIORAL QUALITY ANALYSIS VOICE-60 MIN|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92524|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|27880501|Hc Embolization Particle Microsphere 500-700ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|27880501||WS HB DEFAULT|1,022.20
WS SERVICE AREA|27239410|Hc Zz Suture Pds2 4-0 Ps-2 18in  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|27239410||WS HB DEFAULT|18.60
WS SERVICE AREA|27287941|Hc 'sut Gut Chromic 0 Ur6 27in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27282510|Hc Zz Suture Monofil 0 Ct 36in Viol - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.30
WS SERVICE AREA|27295210|Hc Zz Suture Pro 4-0 Ks 30in Monofil  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27280160|Hc Zz Suture Pds2 3-0 Sh Vio Sh Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.40
WS SERVICE AREA|27221685|Hc Catheter Uret 4fr 70cm Olv Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.90
WS SERVICE AREA|50010030|HC RENAL LITHOTRIPSY|EXTRA-CORPOREAL SHOCK WAVE THERAPY (FORMERLY LITHOTRIPSY) - GENERAL CLASSIFICATION [0790]|50590||WS HB DEFAULT|73,708.00
WS SERVICE AREA|27829397|Hc Epifix Graft Amnio Membr 14mm Disk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4186||WS HB DEFAULT|1,527.50
WS SERVICE AREA|27108309|Hc Cannula Nasal Cpap Arygle Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|85.50
WS SERVICE AREA|27292589|Hc Cannula Arthro Clr 75mm Thrd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|134.90
WS SERVICE AREA|27099544|Hc Set Tube Irr Spyglass|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|78.30
WS SERVICE AREA|27242376|Hc Zz Sut Vcrl 0 Ct2 Braid Vio 27in - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|27281510|Hc Zz Suture Vcl+ 0 Ct1 27in Braid - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|27293780|BARD CATH PWR TRIALYSIS 13 FF 30 CM|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1752||WS HB DEFAULT|628.30
WS SERVICE AREA|27293785|Hc Bard Cath Pwr Trialysis (13fr 24cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|27293785||WS HB DEFAULT|619.00
WS SERVICE AREA|27973239|Hc Guidewire Cope Mandril 60 Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|114.40
WS SERVICE AREA|27972833|Hc Set Introducer 21 G 7cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|116.40
WS SERVICE AREA|50010031|Hc Renal Ablation Unilateral|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50592||WS HB DEFAULT|8,004.00
WS SERVICE AREA|93010180|Hc Nm Cv Stress Test|CARDIOLOGY - STRESS TEST [0482]|93017||WS HB DEFAULT|2,446.00
WS SERVICE AREA|27279064|Hc Tubing Press M To M Connect|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.20
WS SERVICE AREA|27235958|Hc Device Stopcock 3 Way 1050 Psi Bl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27282460|Hc Syringe Adenosine Yellow 10cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.30
WS SERVICE AREA|27283685|Hc Zz Device Clos Angioseal Vip6f(x) - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1760||WS HB DEFAULT|800.80
WS SERVICE AREA|27298508|Hc Catheter Excel Xt-27 1 Tip Straight 150cmx6cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,706.60
WS SERVICE AREA|27205328|Hc Guidewire Vasc Std .035in 180cm 3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|325.70
WS SERVICE AREA|27205589|Hc System Inj Syr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|37.40
WS SERVICE AREA|27895995|Hc Zz Port Implant Infus Powerport Lg Body W Sil Sut Hl - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1788||WS HB DEFAULT|1,220.60
WS SERVICE AREA|27893780|Hc Cath Hemodial/peritoneal Short Term|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1752||WS HB DEFAULT|657.30
WS SERVICE AREA|50010032|Hc Ureterography/pyelography Inj|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50684||WS HB DEFAULT|327.00
WS SERVICE AREA|27284753|Hc Needle 2.75in 18ga 1 Part Wing|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27270802|Hc Tubing Disp W Filter F|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|78.30
WS SERVICE AREA|27205433|Hc Needle 21ga 2 75in 7cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27254436|Hc Line Filter Nasal 02 Adlt Lng|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|27276806|Hc Probe 10ga Strtc Tube Encor|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|953.70
WS SERVICE AREA|27247334|Hc Ndl Coaxial 13x7.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|54.60
WS SERVICE AREA|27876810|Hc Zz Marker Ultracor Omega Us Guide - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|A4648||WS HB DEFAULT|348.10
WS SERVICE AREA|27876814|Hc Zz Marker Ultra Encor Omega 10ga - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|A4648||WS HB DEFAULT|329.90
WS SERVICE AREA|27276807|Hc Probe Stero Us 7ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|943.50
WS SERVICE AREA|27876815|Hc Zz Marker Ultra Encor Omega 7ga - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|A4648||WS HB DEFAULT|346.10
WS SERVICE AREA|50010033|Hc Ureterostomy Tube/stent Change|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50688||WS HB DEFAULT|1,693.00
WS SERVICE AREA|27296855|Hc Probe Mri 10gu Encor Blnt Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|415.60
WS SERVICE AREA|27884722|Hc Zz Marker Ultracor Omega Mriguide - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|A4648||WS HB DEFAULT|372.70
WS SERVICE AREA|27299186|Hc Introducer Set Mri Ultracor|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|304.40
WS SERVICE AREA|27299192|Hc Ndl Loc 9cm 20ga 20cm Ghiatas Brb Wire|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|364.30
WS SERVICE AREA|27299193|Hc Ndl Loc 14cm 20ga Ghiatas Beaded Wire|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|344.00
WS SERVICE AREA|27232162|Hc  Ndl Hawkins Iii Local 5.0cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.40
WS SERVICE AREA|27235837|Hc Ndl Hawkins 20gx10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|135.80
WS SERVICE AREA|27291295|Hc Dressing Cls Pad Adh Nonwvn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.50
WS SERVICE AREA|27259104|Hc Tray Nosebleed Ent Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.60
WS SERVICE AREA|27286759|Hc System Inj 96in Spct Mr 2 Syr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.80
WS SERVICE AREA|50010034|Hc Zz Ureteropyelography/ileal Conduit Inj - Use Eap 50010035|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50690||WS HB DEFAULT|1,107.00
WS SERVICE AREA|27289702|Hc Tip Suct Frzr 12fr Control|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|27289703|Hc Tip Suct Frzr 10fr Control|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|27260639|Hc Device Stopcock 3 Way 1050 Psi|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27291266|HC NEEDLE BX 13GA 13.8CM TRGD|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|56.70
WS SERVICE AREA|27885921|Hc Zz Marker Fdcl 5mm .8mm Gold - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|A4648||WS HB DEFAULT|137.90
WS SERVICE AREA|27226267|Hc Accustick Ii .038in J Tip Wire|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|363.10
WS SERVICE AREA|27276803|Hc Ndl Temno 20x6 Biopsy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.10
WS SERVICE AREA|27292257|Probe Radiofrequency 102845|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,901.00
WS SERVICE AREA|27257702|Hc Dissector 39cm Sonicision|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9,676.90
WS SERVICE AREA|27193408|Hc Feeder Inf Hbrmn Mini Hbrmn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|48.40
WS SERVICE AREA|50010035|HC INJECTION VISUALIZATION ILEAL CONDUIT&/URETEROPYELOG|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50690||WS HB DEFAULT|1,107.00
WS SERVICE AREA|90010344|Hc Insert Intrauterine Device - Iud|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|58300||WS HB DEFAULT|1,201.00
WS SERVICE AREA|27162782|Hc Kit Feed Sns Supp Nurs Sys|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|40.10
WS SERVICE AREA|27120040|Hc Shield Std Nbn Sil 24mm Nipple|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|13.70
WS SERVICE AREA|27120037|Hc Breastshield For Pump, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|11.90
WS SERVICE AREA|27120041|Hc Zz Shield Xl Personalfit 30mm 2- Use 27120037|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|7.20
WS SERVICE AREA|27205394|Hc Kit Ergo Barrier Picc55cm5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|27205394||WS HB DEFAULT|1,203.00
WS SERVICE AREA|27294822|Hc Manipulator Laparos Injection|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|77.30
WS SERVICE AREA|27299549|Hc Dressing Ca Alg Medihoney 2x2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|162.70
WS SERVICE AREA|27299550|Hc Dressing Ca Alg Medihoney 4x5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|182.20
WS SERVICE AREA|27299552|Hc Gel Medihoney 1.5fl Oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|54.50
WS SERVICE AREA|27274420|Hc Gel Medihoney .5oz Twistoff|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.10
WS SERVICE AREA|50010036|Hc Bladder Aspiration W-supracath|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51102||WS HB DEFAULT|4,208.00
WS SERVICE AREA|27205333|Hc Catheter Dx Tempo 5fr .038in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,440.40
WS SERVICE AREA|27298520|Hc System Inzone 2mm Detach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|721.00
WS SERVICE AREA|27266536|Hc Device Closure Angioseal Sts 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1760||WS HB DEFAULT|773.50
WS SERVICE AREA|27205058|Hc Catheter Dsc 5f X 125cm, Us|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|5,634.10
WS SERVICE AREA|27205059|Hc Catheter Dsc 5f X 115cm, Us|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|5,524.90
WS SERVICE AREA|27203980|Hc Catheter Env Da 6f 95cm Mpd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,490.50
WS SERVICE AREA|27205588|Hc System Detachment Inzone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|775.60
WS SERVICE AREA|27226429|Hc Pouch Wound Eakin Fistula 9.7x6.3 Window|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|539.70
WS SERVICE AREA|27281131|Hc Dressing Profore Lite Multlayr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.60
WS SERVICE AREA|30037242|Hc Zz Ua Procedure Level Iii - Use Eap 30037212|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37242||WS HB DEFAULT|22,629.00
WS SERVICE AREA|50010038|Hc Cystogram Or Voiding Urethrocystgram Inj|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51600||WS HB DEFAULT|1,328.00
WS SERVICE AREA|30037243|Hc Vasc Embolize/occlude Organ|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37243||WS HB DEFAULT|40,382.00
WS SERVICE AREA|97010239|HC ELEC STIM OTHER THAN WOUND 1 OR MORE AREAS|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97014|GP|WS HB DEFAULT|247.00
WS SERVICE AREA|97010240|HC ELEC STIM OTHER THAN WOUND 1 OR MORE AREAS|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97014|GO|WS HB DEFAULT|247.00
WS SERVICE AREA|27296865|Hc Tray Tracheo Perc 6fr Cgl Brhn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,518.20
WS SERVICE AREA|27296290|Hc Tray Trach Perc 6 Dolphin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,487.50
WS SERVICE AREA|27229797|Hc Tray Spnl 4in 24ga Sprt Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.20
WS SERVICE AREA|50020010|Hc Lithotripsy Eswl Extracorp Shock Wave|EXTRA-CORPOREAL SHOCK WAVE THERAPY (FORMERLY LITHOTRIPSY) - GENERAL CLASSIFICATION [0790]|50590||WS HB DEFAULT|10,091.00
WS SERVICE AREA|50020023|Hc Cystourethroscopy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52000||WS HB DEFAULT|2,415.00
WS SERVICE AREA|50020024|HC  CYSTOURETHROSCOPY W EVAC CLOTS|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52001||WS HB DEFAULT|5,922.00
WS SERVICE AREA|50020025|HC  CYSTOURETHROSCOPY W BLADDER BX|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52204||WS HB DEFAULT|5,922.00
WS SERVICE AREA|50010043|Hc Bladder Irrigation Simple|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51700||WS HB DEFAULT|1,254.00
WS SERVICE AREA|50020026|HC  CYSTOURETHROSCOPY W CATH W/WO IRRIGATION|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52005||WS HB DEFAULT|5,922.00
WS SERVICE AREA|50020028|HC  CYSTOURETHROSCOPY W FULGURATION BLADDER NECK|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52214||WS HB DEFAULT|5,922.00
WS SERVICE AREA|50020029|Hc  Cystourethroscopy W Fulguration Tumor <0.5 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52224||WS HB DEFAULT|5,922.00
WS SERVICE AREA|50020030|HC  CYSTOURETHROSCOPY W FULGURATION TUMOR 0.5-2.0 CM|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52234||WS HB DEFAULT|10,091.00
WS SERVICE AREA|50020031|HC  CYSTOURETHROSCOPY W FULGURATION TUMOR 2.0-5.0 CM|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52235||WS HB DEFAULT|10,091.00
WS SERVICE AREA|50020032|HC  CYSTOURETHROSCOPY W HYDRODISTENSION|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52265||WS HB DEFAULT|5,922.00
WS SERVICE AREA|50020033|HC  CYSTOURETHROSCOPY W INT URETHROTOMY|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52275||WS HB DEFAULT|5,922.00
WS SERVICE AREA|50020034|HC  CYSTOURETHROSCOPY W DV INT URETHROTOMY|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52276||WS HB DEFAULT|5,922.00
WS SERVICE AREA|50020035|Hc Cystourethroscopy W Calibration Urethral Stricture|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52281||WS HB DEFAULT|3,469.00
WS SERVICE AREA|50020036|HC  CYSTOURETHROSCOPY W FULGURATION POLYPS|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52285||WS HB DEFAULT|3,383.00
WS SERVICE AREA|50010044|Hc Insertion Straight Cath Bladder|SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761]|51701||WS HB DEFAULT|490.00
WS SERVICE AREA|50020037|HC  CYSTOURETHROSCOPY W INJ CHEMODENERVATION|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52287||WS HB DEFAULT|5,922.00
WS SERVICE AREA|50020038|HC  CYSTOURETHROSCOPY W URETERAL MEATOTOMY|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52290||WS HB DEFAULT|6,178.00
WS SERVICE AREA|50020040|HC UA CYSTOURETHROSCOPY W REMOVAL FB SIMPLE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52310||WS HB DEFAULT|7,117.00
WS SERVICE AREA|50020041|HC  CYSTOURETHROSCOPY W REMOVAL FB COMPLEX|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52315||WS HB DEFAULT|6,178.00
WS SERVICE AREA|50020043|HC  CYSTOURETHROSCOPY W REMOVAL URETERAL CALCULUS|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52320||WS HB DEFAULT|5,922.00
WS SERVICE AREA|50020044|HC  CYSTOURETHROSCOPY W INSERTION URETERAL STENT|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52332||WS HB DEFAULT|10,091.00
WS SERVICE AREA|50020045|HC  CYSTOURETHROSCOPY W TUR PROSTATE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52450||WS HB DEFAULT|10,091.00
WS SERVICE AREA|50020046|HC  CYSTOURETHROSCOPY W TUR BLADDER NECK|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52500||WS HB DEFAULT|10,091.00
WS SERVICE AREA|50020047|HC  CYSTOURETHROSCOPY W TUR BLADDER NECT CONTRACTURE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52640||WS HB DEFAULT|10,091.00
WS SERVICE AREA|50020063|HC  SLITTING PREPUCE > NEWBORN|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54001||WS HB DEFAULT|5,922.00
WS SERVICE AREA|50010045|Hc Insertion Foley Cath Bladder|SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761]|51702||WS HB DEFAULT|490.00
WS SERVICE AREA|50020069|Hc Circumcision Age > 28 Days|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54161||WS HB DEFAULT|6,810.00
WS SERVICE AREA|50020070|Hc  Circumcision Post Adhesion Lysis|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54162||WS HB DEFAULT|6,218.00
WS SERVICE AREA|50020071|HC  CIRCUMCISION INCOMPLETE REPAIR|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54163||WS HB DEFAULT|5,922.00
WS SERVICE AREA|50020072|HC  PENIS FRENULOTOMY|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54164||WS HB DEFAULT|5,922.00
WS SERVICE AREA|50020073|HC  ASPIRATION HYDROCELE TUNICA VAGINALIS W/WO INJ|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|55000||WS HB DEFAULT|2,441.00
WS SERVICE AREA|50020082|Hc Prostate Needle Biopsy Any Approach|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|55700||WS HB DEFAULT|3,743.00
WS SERVICE AREA|50020087|HC  CMG W VOIDING PRESSURE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51728||WS HB DEFAULT|1,862.00
WS SERVICE AREA|50020088|HC  CMG W VOIDING PRESSURE/URETHRAL STUDIES|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51729||WS HB DEFAULT|1,862.00
WS SERVICE AREA|50020089|HC  UROFLOW COMPLEX CALIBRATED ELECTRONIC EQUIP|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51741||WS HB DEFAULT|462.00
WS SERVICE AREA|50020103|HC  INTRA ABDOMINAL VOIDING PRESSURE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51797||WS HB DEFAULT|917.00
WS SERVICE AREA|50010046|Hc Catheterization Urethra Complex|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51703||WS HB DEFAULT|782.00
WS SERVICE AREA|90010011|HC UA ELECTRICAL STIMULATION EA 15 MIN ATTENDED|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97032|GP|WS HB DEFAULT|247.00
WS SERVICE AREA|90010012|HC  MANOMETRY ANORECTAL PRESSURE RECORD|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|91122||WS HB DEFAULT|1,467.00
WS SERVICE AREA|70073103|Hc Srs-complete Stereo Guided Cranial Only|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77372||WS HB DEFAULT|38,863.00
WS SERVICE AREA|70073104|Hc Srs-1st-5th Tx Stereo Guided Full Body Or Cranial|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77373||WS HB DEFAULT|30,980.00
WS SERVICE AREA|30037236|Hc Open/perq Place Stent 1st Arterial Vessel|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37236||WS HB DEFAULT|16,506.00
WS SERVICE AREA|30037237|Hc Open/perq Place Stent Ea Additional Vessel|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37237||WS HB DEFAULT|11,956.00
WS SERVICE AREA|30037238|Hc Open/perq Place Stent Same Venous Vessel|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37238||WS HB DEFAULT|16,506.00
WS SERVICE AREA|30037239|Hc Open/perq Place Stent Ea Additional Vessel|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37239||WS HB DEFAULT|11,956.00
WS SERVICE AREA|30037244|Hc Vasc Embolize/occlude Bleed|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37244||WS HB DEFAULT|21,550.00
WS SERVICE AREA|40049405|Hc Image Cath Fluid Visc Collection Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49405||WS HB DEFAULT|5,315.00
WS SERVICE AREA|50010048|Hc Circumcision W/clamp/oth Dev W/block|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54150||WS HB DEFAULT|2,331.00
WS SERVICE AREA|40049406|Hc Image Cath Fluid Peri/retro Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49406||WS HB DEFAULT|5,188.00
WS SERVICE AREA|10010164|HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10030||WS HB DEFAULT|9,447.00
WS SERVICE AREA|70600030|Hc Mammogram Bx Breast 1st Lesion Stereotactic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19081||WS HB DEFAULT|5,273.00
WS SERVICE AREA|70600031|Hc Mammogram Bx Breast Additional Lesion Stereotactic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19082||WS HB DEFAULT|706.00
WS SERVICE AREA|70600032|Hc Mammogram Perc Device Breast 1st Stereotactic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19283||WS HB DEFAULT|2,571.00
WS SERVICE AREA|70600033|Hc Mammogram Perc Device Breast Additional Stereotactic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19284||WS HB DEFAULT|939.00
WS SERVICE AREA|70600034|Hc Mammogram Perc Device Breast 1st  Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19281||WS HB DEFAULT|1,516.00
WS SERVICE AREA|70600035|Hc Mammogram Perc Device Breast Additional|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19282||WS HB DEFAULT|873.00
WS SERVICE AREA|70400070|Hc Us Bx Breast 1st Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19083||WS HB DEFAULT|5,212.00
WS SERVICE AREA|70400071|Hc Us Bx Breast Additional Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19084||WS HB DEFAULT|1,189.00
WS SERVICE AREA|50010049|Hc Irrigation Corp Cavern Priapism|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54220||WS HB DEFAULT|877.00
WS SERVICE AREA|70400072|Hc Us Perc Device Breast 1st Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19285||WS HB DEFAULT|2,332.00
WS SERVICE AREA|70400073|Hc Us Perc Device Breast Additional Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19286||WS HB DEFAULT|939.00
WS SERVICE AREA|70300077|Hc Mr Bx Breast 1st Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19085||WS HB DEFAULT|7,305.00
WS SERVICE AREA|70300078|Hc Mr Bx Breast Additional Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19086||WS HB DEFAULT|1,189.00
WS SERVICE AREA|70370079|Hc Mr Perc Device Breast 1st Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19287||WS HB DEFAULT|4,282.00
WS SERVICE AREA|70300080|Hc Mr Perc Device Breast Add Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19288||WS HB DEFAULT|6,561.00
WS SERVICE AREA|70500087|Hc Zz Ct Cath Fluid Visceral Perc - Use Eap 40049405|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49405||WS HB DEFAULT|5,315.00
WS SERVICE AREA|70400074|Hc Zz Us Cath Fluid Visceral Perc - Use Eap 40049405|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49405||WS HB DEFAULT|5,315.00
WS SERVICE AREA|70500088|Hc Zz Ct Cath Fluid Peri/retro Perc - Use Eap 40049406|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49406||WS HB DEFAULT|5,188.00
WS SERVICE AREA|70400075|Hc Zz Us Cath Fluid Peri/retro Perc - Use Eap 40049406|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49406||WS HB DEFAULT|5,188.00
WS SERVICE AREA|50010050|Hc I&d Scrotum|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|55100||WS HB DEFAULT|9,384.00
WS SERVICE AREA|70500089|Hc Zz Ct Cath Fluid Peri/transvag-rectal - Use Eap 40049407|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49407||WS HB DEFAULT|4,720.00
WS SERVICE AREA|70400076|Hc Zz Us Cath Fluid Peri/transvag-rectal - Use Eap 40049407|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49407||WS HB DEFAULT|4,720.00
WS SERVICE AREA|70500090|Hc Zz Ct Cath Fluid Drain Soft Tissue Perc - Use Eap 10010164|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10030||WS HB DEFAULT|9,447.00
WS SERVICE AREA|70400077|Hc Zz Us Cath Fluid Drain Soft Tissue Perc  - Use Eap 10010164|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10030||WS HB DEFAULT|9,447.00
WS SERVICE AREA|80083972|Hc T. Vaginalis Rna,qual,tma,pap(q)|LABORATORY - GENERAL CLASSIFICATION [0300]|87661||WS HB DEFAULT|507.00
WS SERVICE AREA|70800085|Hc Nm Iv Inj Radiopharm Drug Dx Study|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78808||WS HB DEFAULT|753.00
WS SERVICE AREA|27876910|Hc Lead Neuro Test Intstm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1897||WS HB DEFAULT|1,557.40
WS SERVICE AREA|27886415|Hc Lead Neuro Test Spnl Cord|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1897||WS HB DEFAULT|588.10
WS SERVICE AREA|27886416|Hc Zz Neurostimulator Interstim Ii - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1767||WS HB DEFAULT|49,611.00
WS SERVICE AREA|27186413|Hc Programmer Neuro Interstim|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1787||WS HB DEFAULT|4,985.20
WS SERVICE AREA|50010051|Hc Vasotomy For Vasogram Unilateral Or Bilateral|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|55300||WS HB DEFAULT|1,315.00
WS SERVICE AREA|90010345|Hc Biopsy Of Uterus Lining|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|58100||WS HB DEFAULT|567.00
WS SERVICE AREA|27286414|Hc Kit Neurostim Intstm Introducer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|1,303.00
WS SERVICE AREA|27876900|Hc Zz Lead Neurostim Tined 28cm Intstm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1778||WS HB DEFAULT|15,096.70
WS SERVICE AREA|27801743|Hc Lead Tined 28cm Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1778||WS HB DEFAULT|13,360.10
WS SERVICE AREA|27111444|Hc Protector Univ Foam Xtrmt Elb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27230695|Hc Catheter Ureth Coude|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.40
WS SERVICE AREA|27266739|Hc Guidewire Endo .035in150cm Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|302.30
WS SERVICE AREA|27291358|Hc Extractor Stone 115cm 3.2fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|736.50
WS SERVICE AREA|27291427|Hc Guidewire Vasc Std .035in145cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|60.80
WS SERVICE AREA|27292082|Hc Zz Set 22cm 14fr Rtnr Nphstm- Use 27200697|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2627||WS HB DEFAULT|258.50
WS SERVICE AREA|27292665|Hc Extractor Stone 115cm 2.8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|736.50
WS SERVICE AREA|50010053|Hc Fiducial Mrkr Placement Prostate|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|55876||WS HB DEFAULT|1,841.00
WS SERVICE AREA|27230109|Hc System Bx Tray 152mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|533.10
WS SERVICE AREA|27279166|Hc Set Crdplg 4 To 1 Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|230.70
WS SERVICE AREA|27894115|Hc Zz Port Powerport 8fr - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1788||WS HB DEFAULT|2,458.60
WS SERVICE AREA|27230168|Hc Blade Mac 2 Mcgrath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27230166|Hc Blade Mac 3 Mcgrath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|54.50
WS SERVICE AREA|27230167|Hc Blade Mac 4 Mcgrath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|54.40
WS SERVICE AREA|27297990|Hc Brush Cyto 2.0mm 1.9mm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.50
WS SERVICE AREA|27829775|Hc Zz Filter Fem Crux Vena Cava 9fr - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1880||WS HB DEFAULT|4,136.50
WS SERVICE AREA|27233800|Hc Kit Art Line 2in 20ga .018in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.30
WS SERVICE AREA|27298550|Hc Cath Micro 150cm 18cm Fle Pshp 1tip Marker|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,780.10
WS SERVICE AREA|50010054|Hc I&d Vulva/perineal Abcess|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|56405||WS HB DEFAULT|2,002.00
WS SERVICE AREA|30010360|Hc Chest Wall Osc/vest Tx Per Session|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94669||WS HB DEFAULT|754.00
WS SERVICE AREA|27261440|Hc Tube Feeding Mic Or Jejunal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|679.20
WS SERVICE AREA|27130822|Hc Cassette Purge Impella|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|818.30
WS SERVICE AREA|27228889|Hc Dermabond Mini Topical Skin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.80
WS SERVICE AREA|30037212|HC VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37242||WS HB DEFAULT|22,629.00
WS SERVICE AREA|30037211|Hc Vasc Embolize/occlude Venous|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37241||WS HB DEFAULT|21,550.00
WS SERVICE AREA|97010227|Hc Static Elbow Splnt-not Incl Wrst|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3702||WS HB DEFAULT|650.40
WS SERVICE AREA|97010228|Hc Static Elbow Splnt-incl Wrst|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3763||WS HB DEFAULT|1,732.80
WS SERVICE AREA|97010229|Hc Dyn/stat Prog Elb Splnt Nt Prefb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3764||WS HB DEFAULT|1,882.80
WS SERVICE AREA|97010230|Hc Dyn/stat Prog Mpj Pipj-inc Wr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3806||WS HB DEFAULT|1,033.70
WS SERVICE AREA|50010055|Hc I&d Bartholin Cyst|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|56420||WS HB DEFAULT|1,064.00
WS SERVICE AREA|97010231|Hc Dbs,rhs,wrst,ulnar Gtr,thumb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3808||WS HB DEFAULT|749.30
WS SERVICE AREA|97010232|HC-WRIST-HAND ORTHOTIC W/O JOINTS,MAY INCLUDE SOFT INTERFACE, STRAPS, CUST FAB, INCLUDE FITTING/ADJ|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3906||WS HB DEFAULT|940.10
WS SERVICE AREA|90710233|Hc Hand Based Cmc Figure 8 Splnt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3913||WS HB DEFAULT|608.10
WS SERVICE AREA|90710234|Hc Metacrpl Fx Brc Web Spcr Splnt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3919||WS HB DEFAULT|614.20
WS SERVICE AREA|90710235|Hc Dyn/stc Progr Thumb Splnt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3921||WS HB DEFAULT|731.40
WS SERVICE AREA|90710236|Hc Prefab Dynamic Pipj Splint|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|117.10
WS SERVICE AREA|90710237|Hc Prefab Resting Hand Splint|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3931||WS HB DEFAULT|485.10
WS SERVICE AREA|90710238|Hc Fngr Gutr Splnts,cust Ring Splnt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3933||WS HB DEFAULT|482.20
WS SERVICE AREA|93091400|Hc Closure Transcath Pda Congential|CARDIOLOGY - CARDIAC CATH LAB [0481]|93582||WS HB DEFAULT|27,840.00
WS SERVICE AREA|27164417|Hc Kit Circuit Anesthesia Lf K/c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|23.10
WS SERVICE AREA|50010057|Hc Insert Vag Brachytx Device|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|57156||WS HB DEFAULT|1,445.00
WS SERVICE AREA|90010051|Hc Interrogation Vad In Person|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93750||WS HB DEFAULT|623.00
WS SERVICE AREA|27894996|Hc Zz Filter Embol 45mm Vc Jug Del - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1880||WS HB DEFAULT|3,606.40
WS SERVICE AREA|27204113|Hc Zz Tube Endotrach 4mm Cuff Nsrorl- Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|97062700|HC EVAL AUGMENTATIVE/COMMUNICATION DEVICE-1 HR|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]||GN|WS HB DEFAULT|657.00
WS SERVICE AREA|50020108|HC  UROFLOW SIMPLE STOP WATCH/MECH METER|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51736||WS HB DEFAULT|364.00
WS SERVICE AREA|27295214|Hc Set Ndl Ezio 3-39kg Pat 15mm Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|452.20
WS SERVICE AREA|27248682|Hc Catheter Microdel Echelon 10 Str Tip 1.7f 014in X 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,884.50
WS SERVICE AREA|27204184|Hc Dilator Ball 3mm 75mm 10mm Cre Pulm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1726||WS HB DEFAULT|1,423.50
WS SERVICE AREA|27204185|Hc Dilator Ball 3mm 75mm 12mm Cre Pulm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1726||WS HB DEFAULT|1,423.50
WS SERVICE AREA|27204182|Hc Dilator Ball 3mm 75mm 15mm Cre Pulm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1726||WS HB DEFAULT|1,423.50
WS SERVICE AREA|50010058|Hc Intrauterine Device Removal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|58301||WS HB DEFAULT|1,112.00
WS SERVICE AREA|27204183|Hc Dilator Ball 3mm 75mm 18mm Cre Pulm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1726||WS HB DEFAULT|1,423.50
WS SERVICE AREA|27298083|Hc Dilator Ball 3mm 75mm 8mm Cre Pulm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1726||WS HB DEFAULT|1,037.20
WS SERVICE AREA|27204181|Hc Dilator Ball 5.5cm 3mm 75mm 12mm Cre Pulm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1726||WS HB DEFAULT|1,423.50
WS SERVICE AREA|27273014|Hc Zz Ndl Stimuplex Insulated 20x6"- Use Eap 27204046|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.40
WS SERVICE AREA|27204046|HC NEEDLE BLOCK US W EXT SET|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.00
WS SERVICE AREA|27207805|Hc Zz Ndl Stimuplex Insulated 20x6"- Use Eap 27204046|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.70
WS SERVICE AREA|27291294|Hc Set Conitplex Nerve Block|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|85.10
WS SERVICE AREA|27284064|Hc Set Contiplex Nerve Block 2"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.20
WS SERVICE AREA|27284065|Hc Set Contiplex Nerve Block 4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.30
WS SERVICE AREA|27284066|Hc Set Contiplex Nerve Block 6"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|133.20
WS SERVICE AREA|50010060|Hc Hysterosalpingogram Cath Intro W/saline Or Cst|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|58340||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27283938|Hc Pump Onq Pain C-bloc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,132.50
WS SERVICE AREA|27291726|Hc Pump Pain Onq Cbloc Dual 600ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,022.70
WS SERVICE AREA|27284049|Hc Pump Onq C-bloc W/ondemand|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,345.50
WS SERVICE AREA|80030100|Hc Zz Thyroglobulin Antibody- Use Eap 80010989|LABORATORY - GENERAL CLASSIFICATION [0300]|86800||WS HB DEFAULT|153.00
WS SERVICE AREA|90010318|Hc Ekg - Clinic|EKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION [0730]|93005||WS HB DEFAULT|586.00
WS SERVICE AREA|90010319|Hc Pap Smear|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88175||WS HB DEFAULT|286.00
WS SERVICE AREA|25010046|Hc Kinevac (sincalide) Inj Per 5mcg|PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636]|J2805||WS HB DEFAULT|551.25
WS SERVICE AREA|97062719|Hc Therapeutic Services Speech Generating Device|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92609|GN|WS HB DEFAULT|308.00
WS SERVICE AREA|97062721|Hc Therapeutic Services Non Speech Generating Device|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92606|GN|WS HB DEFAULT|284.00
WS SERVICE AREA|27237174|Hc Guidewire Nitinol .018in 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|285.30
WS SERVICE AREA|50010061|Hc Transcervical Intro Ft Cath W/wo Hysterosalpingogram|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|58345||WS HB DEFAULT|7,535.00
WS SERVICE AREA|27237175|Hc Guidewire Ptfe .035in 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|58.70
WS SERVICE AREA|27237176|Hc Dilator 8fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.30
WS SERVICE AREA|27237177|Hc Dilator 5fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27237178|Hc Dilator 6fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27237180|Hc Dilator 7fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27237181|Hc Dilator 9fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27237182|Hc Dilator 10fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.00
WS SERVICE AREA|27237184|Hc Dilator 11fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27237185|Hc Dilator 12fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.20
WS SERVICE AREA|27237186|Hc Dilator 13fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|50010069|Hc Amniocentesis Diagnostic Any Method|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|59000||WS HB DEFAULT|2,306.00
WS SERVICE AREA|27237188|Hc Dilator 14fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.30
WS SERVICE AREA|27237189|Hc Dilator 15fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|27237190|Hc Dilator 16fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.40
WS SERVICE AREA|27898994|Hc Zz Graft Amnio Neox1k 2.5 X 2.5cm 6 Sq Cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4148||WS HB DEFAULT|7,858.90
WS SERVICE AREA|27899283|Hc Zz Graft Amnio Neox1k 4x4cm 16 Sq Cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4156||WS HB DEFAULT|9,083.60
WS SERVICE AREA|27899423|Hc Zz Graft Amnio Neox1k 4x3cm 12 Sq Cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4148||WS HB DEFAULT|11,913.00
WS SERVICE AREA|27293919|Hc Needle 1.5in Drsphr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.60
WS SERVICE AREA|27800028|Hc Skin Sub Apligraf Per Sq Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4101||WS HB DEFAULT|144.30
WS SERVICE AREA|27205368|Hc Needle Touhy Epidural|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.20
WS SERVICE AREA|27837080|Hc Zz Tissue Strattice Porcine 20x16 320 Sq Cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4130||WS HB DEFAULT|39,519.00
WS SERVICE AREA|50010071|Hc Ld Oxytocin Stress|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|59020||WS HB DEFAULT|1,373.00
WS SERVICE AREA|27837113|Hc Zz Tissue Strattice Pliable 8x6 48 Sq Cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4130||WS HB DEFAULT|5,942.10
WS SERVICE AREA|27237125|Hc Catheter Fs-pc Fus Push 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|248.20
WS SERVICE AREA|27237081|Hc Tray Spnl Anes 24ga 90mm Sprottle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|76.70
WS SERVICE AREA|27236967|Hc Zz Suture Quill Srs 0 Pdo 1 40cm Half Circle  -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.80
WS SERVICE AREA|27236969|Hc Suture Mono 2-0 40x40cm 24 3/8 Cir Dmd Pt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.90
WS SERVICE AREA|27236970|Hc Zz Suture Mono 3-0 40x40cm 24 Rvrs Cut Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.90
WS SERVICE AREA|27894995|Hc Zz Filter Embol 50mm Vc Jug Del Intro Sheath 30 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1880||WS HB DEFAULT|3,456.70
WS SERVICE AREA|27293087|Hc Introducer Sheath 8fr 2.5cm 10cm Mini Gwire|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|41.30
WS SERVICE AREA|27237137|Hc Remover Staple Skin Premium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|27237141|HC TUBE ENDOTRACH EMG 6.0MM|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,242.20
WS SERVICE AREA|50010072|Hc Ld Non-stress Test|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|59025||WS HB DEFAULT|1,879.00
WS SERVICE AREA|27296426|Hc Catheter Thrmb 132cm 5max Ace|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,430.80
WS SERVICE AREA|27237142|HC TUBE ENDOTRACH EMG 7MM|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,242.20
WS SERVICE AREA|27237143|HC TUBE ENDOTRACH EMG 8MM|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,242.20
WS SERVICE AREA|27237144|HC TUBE ENDOTRACH 5MM|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,206.10
WS SERVICE AREA|27237147|Hc Guidewire Vasc .014in 185cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|2,723.30
WS SERVICE AREA|27237154|Hc Guide Sut Crv 4/pk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|280.20
WS SERVICE AREA|27231026|Hc System Retrival 180cm 1.018cm Provue Trevo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30,559.10
WS SERVICE AREA|27253708|Hc System Retrival 180cm 3x20cm Provue Trevo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29,911.90
WS SERVICE AREA|27236913|Hc Balloon Occlusion 4mmx15mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|5,747.40
WS SERVICE AREA|27236914|Hc Balloon Occlusion 4mmx20mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|5,747.40
WS SERVICE AREA|27236915|Hc Balloon Occlusion 4mmx11mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|5,747.40
WS SERVICE AREA|50010074|Hc Delivery Vaginal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|59409||WS HB DEFAULT|7,299.00
WS SERVICE AREA|27236949|Hc Needle Intro Conf 11ga 6in Dia|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|628.30
WS SERVICE AREA|27236950|Hc Syringe Inj Medrad 150ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.10
WS SERVICE AREA|27254514|Hc Tube Gastric Lavage 36fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27237050|Hc Tube 3cm 20fr Sil Low Prof|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|390.80
WS SERVICE AREA|27230143|Hc Collar Button Pacific|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.10
WS SERVICE AREA|27230151|Hc Dressing Vac Med Sprl Cut 1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|214.60
WS SERVICE AREA|27230152|Hc Dressing Vac Sm Sprl Cut 1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|175.10
WS SERVICE AREA|27230175|Hc Bag Drain Perivc 1000cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|27230705|Hc Kit Intro G-18 Mic Key Laparos|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|942.50
WS SERVICE AREA|27230683|Hc Cath Ureth Bx Rf 5cc 20fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.20
WS SERVICE AREA|50010076|Hc Cystotomy Tube Change Simple|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51705||WS HB DEFAULT|1,402.00
WS SERVICE AREA|27230684|Hc Cath Ureth Bx Rf 5cc 22fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.20
WS SERVICE AREA|27230701|Hc Cath Ureth 2/w Council|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|54.20
WS SERVICE AREA|27284686|Hc Tube Jjnstm 60cm 12fr .035in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|219.40
WS SERVICE AREA|27230706|Hc Dressing Mplx 4x5in 10x12.5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|67.00
WS SERVICE AREA|27230707|Hc Dressing Mplx 8x20in 20x50cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|91.70
WS SERVICE AREA|27230708|Hc Dressing Mplx 6x8in 15x20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|111.00
WS SERVICE AREA|27258964|Hc Needle Intro Conf 15ga 4in Dia|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|461.40
WS SERVICE AREA|27275219|Hc Needle Intro Conf 13ga 6in Side|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|461.40
WS SERVICE AREA|27875220|Hc Cement Kit Spinal Hgh Visc 5cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|10,110.50
WS SERVICE AREA|27875221|Hc Cement Kit Spinal High Visc 11cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|3,677.10
WS SERVICE AREA|50010078|Hc Cystotomy Tube Change Complex|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51710||WS HB DEFAULT|5,403.00
WS SERVICE AREA|27030963|Hc Protector Heel Boot Std|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|162.80
WS SERVICE AREA|27030966|Hc Protector Heel Boot Brtrc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|163.20
WS SERVICE AREA|27030967|Hc Protector Heel Boot Wedge|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|34.80
WS SERVICE AREA|27230814|Hc Needle Tip 1-pas 3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,725.30
WS SERVICE AREA|27230769|Hc Zz Suture Fbrwire 0 38in Braid Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|105.10
WS SERVICE AREA|27230766|Hc Introducer Sheath 6fr 65cm 3w|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|412.00
WS SERVICE AREA|27230709|Hc Catheter 200cm 4.5fr Tpr Ercp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|223.50
WS SERVICE AREA|27823871|Hc Zz Catheter Picc Dual Tunneled 5f - Use Eap 27299442|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1751||WS HB DEFAULT|1,395.80
WS SERVICE AREA|27882336|Hc Zz Catheter Picc Tunneled Single 5fr - Use Eap 27282337|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1751||WS HB DEFAULT|1,286.50
WS SERVICE AREA|27114731|Hc Valve Passy-muir Pmv2001 15mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|274.90
WS SERVICE AREA|50010079|Hc Bladder Instillation Of Chemo|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - INJECTED [0331]|51720||WS HB DEFAULT|1,076.00
WS SERVICE AREA|27896997|Hc Zz Epifix Graft Amnio Membr 2cmx3cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4186||WS HB DEFAULT|5,490.90
WS SERVICE AREA|27896998|Hc Zz Epifix Graft Amnio Membr 4cmx4cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4186||WS HB DEFAULT|14,646.60
WS SERVICE AREA|27894726|Hc Zz Cath Dialysis Power Trialysis Short Term 13f 20cm - Use Eap 27893780|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1752||WS HB DEFAULT|757.40
WS SERVICE AREA|27827573|Hc Zz Epifix Graft Amnio Membr 5cmx6cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4186||WS HB DEFAULT|27,436.10
WS SERVICE AREA|27237264|Hc Introducer Cath 30cm 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|274.40
WS SERVICE AREA|27209208|Hc Bottle Vacuum Pleurx 1000ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|242.40
WS SERVICE AREA|27830139|Hc Kit Licox Bolt 4fr Tranducer Cath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|3,435.90
WS SERVICE AREA|27830140|Hc Kit Licox Pmodbl Lum Bolt O2 Temp Cath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|5,620.70
WS SERVICE AREA|27237272|Hc Splint Intranasal 0.6inx2in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|482.00
WS SERVICE AREA|27207164|Hc Kit Icp Arterial|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|50010080|HC BLADDERSCAN RESIDUAL DAILY|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|51798||WS HB DEFAULT|490.00
WS SERVICE AREA|27237287|Hc Powder Hemo Topic Ent Nexsta|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|350.20
WS SERVICE AREA|27237716|Hc Tube Gastro Mic-key 20fr Sil 7-10ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|138.30
WS SERVICE AREA|27228700|Hc Tray Cath Bal Temp Pacer Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1730||WS HB DEFAULT|646.80
WS SERVICE AREA|27283903|Hc Biosensor Sys Vasonova|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|504.90
WS SERVICE AREA|27283646|Hc Zz Tube Lma Disp Peds Sz#1 Use 27221007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.70
WS SERVICE AREA|27221006|Hc Zz Mask Airway Laryngeal #3 Use 27221007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.70
WS SERVICE AREA|27236091|Hc Zz Mask Airway Laryngeal #5 Use 27221007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.40
WS SERVICE AREA|27289402|Hc Zz Airway 4.5 Air-q Mercury Use 27221007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.40
WS SERVICE AREA|27218668|Hc Zz Tube Nasal 6.0 Cuff- Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.40
WS SERVICE AREA|27248779|Hc Zz Tube Nasal 6.5 Cuff- Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.10
WS SERVICE AREA|50010082|Hc Injection Corp Cavern Priapism|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54235||WS HB DEFAULT|981.00
WS SERVICE AREA|27248780|Hc Zz Tube Nasal 7.0 Cuff- Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.10
WS SERVICE AREA|27263152|Hc Zz Tube Cuff Rae Oral 4.0- Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.00
WS SERVICE AREA|27208621|Hc Zz Tube Cuff Rae Oral 5 Fr 86200- Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.00
WS SERVICE AREA|27208797|Hc Zz Tube Cuff Rae Oral 5.5 86201- Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.00
WS SERVICE AREA|27210812|Hc Zz Tube Cuff Rae Oral 6fr 86202- Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.10
WS SERVICE AREA|27207636|Hc Zz Tube Cuff Rae Oral 6.5f 86203- Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.10
WS SERVICE AREA|27206272|Hc Zz Tube Cuff Rae Oral 7fr- Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.00
WS SERVICE AREA|27291183|Hc Zz Tube Cuff Rae Oral 7.5- Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.00
WS SERVICE AREA|27213029|Hc Zz Tube Cuff Rae Oral 8fr- Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.00
WS SERVICE AREA|27237193|Hc Glidescope Laryngoscope Sz 1 Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|77.30
WS SERVICE AREA|70020716|Hc Amniocentesis Diagnostic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|59000||WS HB DEFAULT|2,306.00
WS SERVICE AREA|27237194|Hc Glidescope Laryngoscope Sz 2 Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|77.30
WS SERVICE AREA|27294286|Hc Vid Lg Glidescope Laryng Disp Stat Part|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|58.60
WS SERVICE AREA|27294285|Hc Vid Sm Glidescope Laryng Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|58.60
WS SERVICE AREA|27212507|Hc Zz Tube Endotrach 6mm Laser- Use 27219735|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|713.80
WS SERVICE AREA|27219735|Hc Tube Endotrach Laser/reinforced|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|437.30
WS SERVICE AREA|27277033|Hc Zz Tube Endotrach 6.5mm Laser- Use 27219735|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|703.50
WS SERVICE AREA|27275747|Hc Zz Tube Endotrach 8mm Laser- Use 27219735|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|703.50
WS SERVICE AREA|27263156|HC TUBE ENDOBRONCHIAL LT 41FR|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|287.40
WS SERVICE AREA|27287519|Hc Valve Suct Flx Endoscp Intbt Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.90
WS SERVICE AREA|27293330|Hc Kit Spnl Nerve Blk Pbn Support Cust|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.90
WS SERVICE AREA|60010012|Hc Thyroid Needle Biopsy Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|60100||WS HB DEFAULT|2,191.00
WS SERVICE AREA|27224527|Hc Needle Epdrl 18ga 6in Prfx Tuohy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.50
WS SERVICE AREA|27290553|Hc Pump Pain 400cc Ll Tub Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|984.70
WS SERVICE AREA|27283678|Hc Zz Tube Uncuff Oral 3mm Endotrach- Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27283677|Hc Zz Tube Uncuff Oral 3.5 Endotrch- Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27221082|Hc Zz Tube Endotrach 5.0mm Laser- Use 27219735|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|703.50
WS SERVICE AREA|27210123|Hc Zz Tube Endotrach 5.5mm Laser- Use 27219735|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|724.10
WS SERVICE AREA|27205472|Hc Kit Adm 170-260um 57in Dist Ll|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.00
WS SERVICE AREA|97062725|Hc Standardized Cognitive Performance Testing - St|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|96125|GN|WS HB DEFAULT|375.00
WS SERVICE AREA|97062726|Hc Ipr Cognitive Per Test Speech Per Hr|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|96125|GN|WS HB DEFAULT|375.00
WS SERVICE AREA|97062727|Hc Cognitive Perf Test Ot Per Hr|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|96125|GO|WS HB DEFAULT|375.00
WS SERVICE AREA|60010014|Hc Thyroid Cyst Asp And/or Inj|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|60300||WS HB DEFAULT|2,458.00
WS SERVICE AREA|70277003|Hc Zz Fl Guide For Spine Inj In Or - Use Eap 70200057|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|77003||WS HB DEFAULT|756.00
WS SERVICE AREA|70277002|Hc Zz Fl Guidance For Needle Placement In Or - Use Eap 70200056|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77002||WS HB DEFAULT|965.00
WS SERVICE AREA|27257526|Hc Cover Graft Afm Ag Ast 8 X 20in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|293.60
WS SERVICE AREA|27207668|Hc Set Cntiplx 18gx2in Stim Cnt Nv Block|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|207.00
WS SERVICE AREA|27207669|Hc Set Cntiplx 18gx4in Stim Cnt Nv Block|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|207.00
WS SERVICE AREA|27207670|Hc Syringe Resistance Plast Perifix 8ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|329.60
WS SERVICE AREA|27886387|Hc Zz Particles Embol 500-700um 2ml Prefill Syr - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|1,209.20
WS SERVICE AREA|27237248|Hc Catheter Opticross 5fr Ivus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1753||WS HB DEFAULT|2,828.40
WS SERVICE AREA|27203643|Hc Sheath Endo Eshth Sldon 11101|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.00
WS SERVICE AREA|27237161|Hc Catheter Closurefast 7f 100cm 7cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1888||WS HB DEFAULT|4,398.10
WS SERVICE AREA|60010017|Hc Cisternal/lateral C1-c2 Puncture W/injection|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61055||WS HB DEFAULT|1,685.00
WS SERVICE AREA|27298771|Hc Guidewire Snchr2 300cm Std|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|2,548.70
WS SERVICE AREA|27237162|Hc Set Introducer 21gx2.75in 7f 7cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|128.80
WS SERVICE AREA|27214994|Hc Zz Suture Silk 2-0 Ct1 Braid Blk 30in - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5.20
WS SERVICE AREA|27237451|Hc Set Bx Needle 152mm Ib Control|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|492.30
WS SERVICE AREA|27237452|Hc Tray Proc Syst Oncontrol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|209.10
WS SERVICE AREA|27237453|Hc Set Bx Needle 102mm Oncontrol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|482.30
WS SERVICE AREA|27237454|Hc Tray Bx Syst 102mm Oncontrol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|535.40
WS SERVICE AREA|27237455|Hc Set Needle Bn Access Syst 152mm Oncontrol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|388.50
WS SERVICE AREA|27228613|Hc Cath Drain 10-12f 60mm Word Barth|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|59.70
WS SERVICE AREA|27205367|Hc Dressing Endoform 2x2in Collage Fenestrated|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.60
WS SERVICE AREA|27218500|Hc Dressing Afm Alvn Ag 24x36in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|326.00
WS SERVICE AREA|60010018|Hc Cranial Arterial Temp Balloon Occl Test|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61623||WS HB DEFAULT|9,465.00
WS SERVICE AREA|27295433|Hc Cover Graft Afm Ag Ast 6x6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|110.70
WS SERVICE AREA|27229031|Hc Cath Intrauterine Access|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|235.90
WS SERVICE AREA|27294360|Hc Zz Tray Cath 15cm Pwr Crv 3 Lum Trialysis - Use Eap 27893780|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1752||WS HB DEFAULT|617.00
WS SERVICE AREA|27235577|Hc Kit Jjnstm 10.2fr 16fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,026.90
WS SERVICE AREA|27235578|Hc Kit Jjnstm 80cm 16.5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,372.00
WS SERVICE AREA|27871691|Hc Zz Device Cncptv Essure Perm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|5,860.70
WS SERVICE AREA|27899868|Hc Zz Device Clsr Mynxgrip Vasc 5fr Gry - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1760||WS HB DEFAULT|780.80
WS SERVICE AREA|27223140|Hc Tray Drainage|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|868.30
WS SERVICE AREA|27282546|Hc Introducer Sheath 6fr 4fr 20cm Gwire Troc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|328.60
WS SERVICE AREA|27228559|Hc Needle Bx Chba Psy 20ga 5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|58.70
WS SERVICE AREA|60010019|Hc Inpatient Transcath Occlusion Cns/embo|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61624||WS HB DEFAULT|19,794.00
WS SERVICE AREA|27837360|Hc Zz Filter Deliver Femoral - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1880||WS HB DEFAULT|3,796.60
WS SERVICE AREA|27227620|Hc Cannula Nasal O2 Long Smart|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.30
WS SERVICE AREA|27237626|Hc Passer Surg 31cm Ss Polypro Cath Remove|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|412.00
WS SERVICE AREA|27237146|Hc Wire Intuition Sil 180 Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|297.70
WS SERVICE AREA|27291365|Hc Cannula Inr Shly 10 15mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|27291365||WS HB DEFAULT|13.40
WS SERVICE AREA|94010011|Hc Diabetes Education-no Show Fee|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|||WS HB DEFAULT|28.00
WS SERVICE AREA|27135112|Hc Device Biliband Prmie 24-34cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|13.40
WS SERVICE AREA|27135113|Hc Device Biliband Reg 30-38cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27248022|Hc Layer Wcl Cutimed Sorbact4x8in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.40
WS SERVICE AREA|27237665|Hc Cath Set Bx 60cm 19ga Q Cor Lvr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,767.50
WS SERVICE AREA|60010020|Hc Transcath Occlusion Head/neck Non-cns Embo|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61626||WS HB DEFAULT|13,762.00
WS SERVICE AREA|27297197|Hc Pen Adh Skin Closure Drmbnd Adv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.20
WS SERVICE AREA|27882099|Hc Zz Electrode Starburst Xl Rf 10cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1819||WS HB DEFAULT|6,617.80
WS SERVICE AREA|27882100|Hc Zz Electrode Starburst Xl Rf 15cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1819||WS HB DEFAULT|6,617.80
WS SERVICE AREA|27230119|Hc Stylet Rdg Glidescope|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|138.40
WS SERVICE AREA|27836995|Hc Zz Tissue Strattice 10x16cm 160sq Cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4130||WS HB DEFAULT|19,761.60
WS SERVICE AREA|27805490|Hc Zz Tissue Strattice 20x25cm 500sq Cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4130||WS HB DEFAULT|63,105.00
WS SERVICE AREA|27237622|Hc Sealant Pleural Air Leak Progel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2615||WS HB DEFAULT|3,497.90
WS SERVICE AREA|27236979|Hc Evacuator M Connect Tub Ellik|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|707.60
WS SERVICE AREA|27837830|Hc Zz Cath Dial Glidepath Alphacrv 19x25cm - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|959.90
WS SERVICE AREA|27837831|Hc Cath Dialysis Longterm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|979.10
WS SERVICE AREA|60010021|Hc Interdiscal Or Paravertebral Dx Asp Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62267||WS HB DEFAULT|1,626.00
WS SERVICE AREA|27837832|Hc Zz Cath Dial Glidepath Alphacve 28x33cm - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|964.90
WS SERVICE AREA|27837833|Hc Zz Cath Dial Glidepath Alphacrv 31x37cm - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|975.40
WS SERVICE AREA|27237791|Hc Guidewire .018in 150cm J Tip Ptfe|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|43.30
WS SERVICE AREA|27226744|Hc Tube Suct Frzr 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|397.60
WS SERVICE AREA|27237412|Hc Cath Support Trlblzr .035inx90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|916.70
WS SERVICE AREA|27237401|Hc Introducer Dv Adv Osteo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|764.50
WS SERVICE AREA|27837917|Hc Zz Cath Dial Gldpath Strt 19x24cm - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|965.50
WS SERVICE AREA|27837918|Hc Zz Cath Dial Gldpath Strt 23x28cm - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|968.20
WS SERVICE AREA|27837919|Hc Zz Cath Dial Gldpath Strt 27x32cm - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|968.80
WS SERVICE AREA|27837920|Hc Zz Cath Dial Gldpath Strt 31x36cm - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|995.30
WS SERVICE AREA|60010022|Hc Spinal Cord Needle Biopsy Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62269||WS HB DEFAULT|5,264.00
WS SERVICE AREA|27837921|Hc Zz Cath Dial Gldpath Strt 35x40cm -  Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|932.70
WS SERVICE AREA|27837922|Hc Zz Cath Dial Gldpath Strt 42x47cm - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|955.50
WS SERVICE AREA|27837923|Hc Zz Cath Dial Gldpath Strt 50x55cm - Use Eap 27837831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|1,035.20
WS SERVICE AREA|27237986|Hc Catheter Cone Tip 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|41.20
WS SERVICE AREA|27237985|Hc Catheter Whistle Tip 5fr X70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|41.20
WS SERVICE AREA|27237983|Hc Catheter Whistle Tip 4frx70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|41.20
WS SERVICE AREA|27237835|Hc Cautery Hook/monopolar Cautery|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|595.30
WS SERVICE AREA|27237951|Hc Cath Guide Env Da 6f 95cm Strt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,666.70
WS SERVICE AREA|27237954|Hc Cath Guide Env Da 6f 105cm Strt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,666.70
WS SERVICE AREA|27237964|Hc Cath Guide Env Da 6f 95cm Mpc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,589.40
WS SERVICE AREA|60010023|Hc Spinal Puncture Lumbar Diagnostic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62270||WS HB DEFAULT|2,726.00
WS SERVICE AREA|27237965|Hc Cath Guide Env Da 6f 105cm Mpc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,666.70
WS SERVICE AREA|27237946|Hc Needle Slimiline Eus Hndl 25ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|774.60
WS SERVICE AREA|27237949|Hc Needle Slimiline Eus Hndl 19ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|751.90
WS SERVICE AREA|27137888|Hc Set Start Pump Breast Pmp Adv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|482.00
WS SERVICE AREA|80080195|Hc Hla Class Typing, High Resolution; 1 Allele Or Allele Group, Each|LABORATORY - GENERAL CLASSIFICATION [0300]|81381||WS HB DEFAULT|833.00
WS SERVICE AREA|80080199|Hc Hiv-2|LABORATORY - GENERAL CLASSIFICATION [0300]|86702||WS HB DEFAULT|329.00
WS SERVICE AREA|20027093|Hc Inj For Hip Xray Arthrogram|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27093||WS HB DEFAULT|1,140.00
WS SERVICE AREA|80080196|Hc Cytopath Smears, Cerv Or Vag, Collect In Preserv Fl, Auto Thin Layer Prep; Manual Scr Under Phys|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88142||WS HB DEFAULT|412.00
WS SERVICE AREA|34010034|Hc Tc 99m Tilmanocept Dx Up To .5 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9520||WS HB DEFAULT|2,272.83
WS SERVICE AREA|97062017|Hc Ipr Evaluation Of Speech Fluency- 45 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92521|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|60010027|Hc Spinal Puncture Therapeutic By Ndl/cath|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62272||WS HB DEFAULT|1,481.00
WS SERVICE AREA|97062018|Hc Ipr Evaluation Of Speech Fluency- 15 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92521|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97062019|Hc Ipr Evaluation Of Speech Fluency- 30 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92521|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97062020|Hc Ipr Evaluation Of Speech Fluency- 60 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92521|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97062021|HC ipr EVALUATE SPEECH PRODUCTION-45 MIN|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92522|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97062022|Hc Ipr Evaluate Speech Production-15 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92522|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97062023|Hc Ipr Evaluate Speech Production-30 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92522|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97062024|Hc Ipr Evaluate Speech Production-60 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92522|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97062031|Hc Ipr Eval Behavral Qualit Analys Voice-30 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92524|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97062032|Hc Ipr Eval Behavral Qualit Analys Voice-60 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92524|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|80080201|Hc Immunoassay For Analyte Other Than Infect Agent Ab Or Ag;qual Or Semiquant,multi Step Method|LABORATORY - GENERAL CLASSIFICATION [0300]|83516||WS HB DEFAULT|294.00
WS SERVICE AREA|60010029|HC INJECTION EPIDURAL BLOOD/CLOT PATCH|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62273||WS HB DEFAULT|2,644.00
WS SERVICE AREA|80080202|Hc Hla Class Ii Typing,hi Res;1 Locus,each|LABORATORY - GENERAL CLASSIFICATION [0300]|81382||WS HB DEFAULT|618.00
WS SERVICE AREA|80080203|Hc Infectious Agent Detection By Nucleic Acid,not Specified;quantification,ea Org|LABORATORY - GENERAL CLASSIFICATION [0300]|87799||WS HB DEFAULT|983.00
WS SERVICE AREA|97062025|Hc Ipr Eval Speech Sound Lang Compreh-45 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92523|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97062026|Hc Ipr Eval Speech Sound Lang Compreh-15 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92523|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97062027|HHC ipr EVAL SPEECH SOUND LANG COMPREH-30 MIN|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92523|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97062028|Hc Ipr Eval Speech Sound Lang Compreh-60 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92523|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97062029|Hc Ip Eval Behavral Qualit Analys Voice-45 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92524|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97062030|Hc Ipr Eval Behavral Qualit Analys Voice-15 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92524|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|99010024|Hc Burn Icu|INTENSIVE CARE - BURN CARE [0207]|||WS HB DEFAULT|6,530.00
WS SERVICE AREA|27237973|Hc Sheath Acc Nav 11/13x28cm Uret|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|575.80
WS SERVICE AREA|60010036|Hc Myelogram Inj Spinal/lumbar|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62284||WS HB DEFAULT|3,519.00
WS SERVICE AREA|27237972|Hc Sheath Acc Nav 11/13x36cm Uret|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|575.80
WS SERVICE AREA|27237974|Hc Sheath Acc Nav 11/13x46cm Uret|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|575.80
WS SERVICE AREA|27238025|Hc Catheter 5fr Angled Tip U.c.|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|133.90
WS SERVICE AREA|27230826|Hc Sheath Acc Nav 12/14x28cm Uret|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|575.80
WS SERVICE AREA|27230827|Hc Sheath Acc Nav 12/14x36cm Uret|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|575.80
WS SERVICE AREA|27238043|Hc Sheath Acc Nav 12/14x46cm Uret|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|575.80
WS SERVICE AREA|27238060|Hc Dressing Biopad Collagen 2x2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.50
WS SERVICE AREA|272108368|Hc Zz Suture Pds2 3-0 Fs2 27 Mon  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27892892|Hc Zz Dressing Wound Integra 2x2in 25sqcm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4104||WS HB DEFAULT|10,110.50
WS SERVICE AREA|27282337|Hc Catheter Picc Tunneled Single|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,045.70
WS SERVICE AREA|60010041|HC INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62290||WS HB DEFAULT|1,334.00
WS SERVICE AREA|27205346|Hc Catheter Ball Dil .014in/4/135|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,141.20
WS SERVICE AREA|27238071|Hc Catheter 5f X 130cm .058in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|4,065.90
WS SERVICE AREA|27109283|Hc Mask Anes Neonat Ulthn Csh Inf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|5.20
WS SERVICE AREA|27288163|Hc Needle Plex Block Stim 18ga4in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|27288165|Hc Needle Plex Stim 18g 5.6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|68.00
WS SERVICE AREA|27284682|Hc Needle Endo 0-8cm Us Ball Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,056.80
WS SERVICE AREA|27238084|Hc Catheter 6f X 105cm .072in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|4,126.20
WS SERVICE AREA|27238088|Hc Catheter 6f X 115cm .072in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|4,126.20
WS SERVICE AREA|272108365|Hc Balloon Cath 3mm 27mm Nc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|628.30
WS SERVICE AREA|272108352|Hc Dressing Cuticerin 8x16in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.20
WS SERVICE AREA|27238182|Hc Catheter Epdrl 40in 20ga Prfx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|60010043|HC INJ(S) ANES AGT(S)/STEROID TRIGEMINAL EACH BRANCH|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64400||WS HB DEFAULT|1,661.00
WS SERVICE AREA|27237995|Hc Tube 30fr Feed Gast Mic 7-10ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|141.10
WS SERVICE AREA|27237609|Hc Needle Spnl 4-11 25ga Bd Qnck|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|27237445|Hc Dressing Picc Cvc Scr+|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.70
WS SERVICE AREA|27284965|Hc Catheter Ablt 160cm 4mm Halo90|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1886||WS HB DEFAULT|4,273.50
WS SERVICE AREA|27225094|Hc Catheter Ablt 4cm 18mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1886||WS HB DEFAULT|6,304.60
WS SERVICE AREA|27225096|Hc Catheter Ablt Halo60 Esoph|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1886||WS HB DEFAULT|4,109.70
WS SERVICE AREA|27225095|Hc Catheter Ablt Halo90 Esoph|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1886||WS HB DEFAULT|5,885.40
WS SERVICE AREA|27237654|Hc Blade Stnd F King Vision|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|433.60
WS SERVICE AREA|27237653|Hc Blade W Channel Kvl03c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|426.90
WS SERVICE AREA|50020109|HC CYSTOSCOPY W URETERSCOPY/W PYELOSCOPY/W URETERSCOPY AND/OR PYELOSCOPY/ W|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52353||WS HB DEFAULT|11,743.00
WS SERVICE AREA|60010044|HC INJ(S) ANES AGT(S)/STEROID OTHER PERIPHERAL NERVE/BRANCH|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64450||WS HB DEFAULT|2,726.00
WS SERVICE AREA|50020110|HC CYSTOSCOPY W URETEROSCOPY AND/OR PYELOSCOPY W REMOVAL OR MANUP OF CALCUL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52352||WS HB DEFAULT|7,046.00
WS SERVICE AREA|50020111|Hc Cystoscopy With Uretersocpy And/or Pyeloscopy Diagnostic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52351||WS HB DEFAULT|6,526.00
WS SERVICE AREA|50020113|Hc Zz Treatment Of Superficial Wound Dehiscence Simple Close - Use Eap 10010068|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12020||WS HB DEFAULT|2,103.00
WS SERVICE AREA|50020114|Hc Zz Treatment Of Superficial Wound Dehiscence With Packing - Use Eap 10010069|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12021||WS HB DEFAULT|1,640.00
WS SERVICE AREA|60064483|HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64483||WS HB DEFAULT|5,556.00
WS SERVICE AREA|60064484|HC INJ TRANSFORAMIAL EPIDURAL LUMBAR/SAC EA ADDL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64484||WS HB DEFAULT|2,696.00
WS SERVICE AREA|95020012|Hc Elec Alys Implt Npgt Phys/qhp W/o Programming|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95970||WS HB DEFAULT|735.00
WS SERVICE AREA|27804112|Hc Zz Alloderm 1x2cm 2sqcm -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4116||WS HB DEFAULT|102.00
WS SERVICE AREA|27837634|Hc Zz Alloderm 132sqcm Med Thk Contour - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4116||WS HB DEFAULT|19,655.50
WS SERVICE AREA|27838105|Hc Zz Tissue Flex Hd 8x20cm 160sq Cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4128||WS HB DEFAULT|16,499.60
WS SERVICE AREA|60010046|HC PARAVERTEBRAL FACET JOINT C/T INJ 2ND LEVEL W GUIDANCE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64491||WS HB DEFAULT|1,791.00
WS SERVICE AREA|27238069|Hc Zz Tube Cuff Laser-shield 4.5mm- Use 27219735|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,130.90
WS SERVICE AREA|27236992|Hc Suture Drmbnd 3-0 Prineo Sys|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|565.50
WS SERVICE AREA|27262890|HC DRESSING ACTICOAT SILVER 4X8IN|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.50
WS SERVICE AREA|27237594|Hc Cath Cv 9.3fr 45cm Quattro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,670.90
WS SERVICE AREA|272108384|Hc Kit Proc Edge Firm Tip 90d|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,943.60
WS SERVICE AREA|272108385|Hc Kit Proc Edge Firm Tip 45d|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,373.00
WS SERVICE AREA|272108386|Hc Kit Proc Edge Firm Tip 180d|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,373.00
WS SERVICE AREA|27060270|Hc Kit Adapt Dbl Pump Adv Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|35.00
WS SERVICE AREA|27228242|Hc Tube 18fr Mic Peg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|136.60
WS SERVICE AREA|27848686|Hc Zz Helix Ev3 Concerto Nv-5-20 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|3,446.40
WS SERVICE AREA|60010048|HC PARAVERTEBRAL FACET JOINT C/T INJ 3RD+ LEVEL W GUIDANCE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64492||WS HB DEFAULT|824.00
WS SERVICE AREA|278108500|Hc Zz Tissue Flexhd 16x20cm 320sqcm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4128||WS HB DEFAULT|34,350.50
WS SERVICE AREA|270108608|Hc Pouch Fecal Ostomy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|49.80
WS SERVICE AREA|272108598|Hc Zz Suture Ethib Exc 2-0 5-5 30i Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|773.50
WS SERVICE AREA|272108525|Hc Zz Suture Pro 6-0 Pc-3 18in  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.00
WS SERVICE AREA|272108501|Hc Filter Intraven Flow .2 Micron|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.40
WS SERVICE AREA|272108451|Hc Dressing Exsalt 4x5in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|272108452|Hc Dressing Exsalt 6x6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.10
WS SERVICE AREA|272108453|Hc Dressing Exsalt 8x16in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|109.20
WS SERVICE AREA|272108454|Hc Dressing Exsalt 16x16in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|217.30
WS SERVICE AREA|272108448|Hc Catheter Simmons 2 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.70
WS SERVICE AREA|60010050|HC PARAVERTEBRAL FACET JOINT C/T INJ 1 LEVEL W GUIDANCE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64490||WS HB DEFAULT|3,618.00
WS SERVICE AREA|272108422|Hc Cath Guid Mp2 Sim W/inner 6fr 95cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,641.80
WS SERVICE AREA|272108423|Hc Cath Guid Str/sim W/inner 6fr 95cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,641.80
WS SERVICE AREA|272108424|Hc Cath Micro Duo Str 16.5 Id 2.1frx167cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|3,818.20
WS SERVICE AREA|27294372|Hc Zz Tray Cath 20cm Pwr Trialysis 3 - Use Eap 27893780|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1752||WS HB DEFAULT|686.00
WS SERVICE AREA|27209384|Hc Tube Naso 28fr Thnwl Intrr Srr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|93091403|HC REPOSITION PREVIOUSLY IMPLANTED PM/DFB R ATRIAL/R VENTRICULAR ELECTRODE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33215||WS HB DEFAULT|4,959.00
WS SERVICE AREA|93091404|Hc Zz Icd Insert Single Lead Electrode Only - Use Eap 30010051|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33216||WS HB DEFAULT|7,300.00
WS SERVICE AREA|93091405|Hc Zz Icd Insert Dual Lead Electrodes Only - Use Eap 30010052|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33217||WS HB DEFAULT|7,500.00
WS SERVICE AREA|93091406|Hc Icd Repair Single Lead|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33218||WS HB DEFAULT|9,224.00
WS SERVICE AREA|93091407|Hc Icd Repair Dual Leads|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33220||WS HB DEFAULT|9,224.00
WS SERVICE AREA|60010051|HC PARAVERTEBRAL FACET JOINT L/S INJ 1 LEVEL W GUIDANCE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64493||WS HB DEFAULT|4,046.00
WS SERVICE AREA|93091408|Hc Zz Pcmrk Lv Lead Replacement - Use Eap 30010058|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33224||WS HB DEFAULT|9,793.00
WS SERVICE AREA|93091409|HC INSERTION ELECTRODE CARDIAC VENOUS SYSTEM TIME INSERTION DFB/PM PLUSE GENERATOR09|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33225||WS HB DEFAULT|5,774.00
WS SERVICE AREA|93091410|HC REPOSITION PREVIOUSLY IMPLANTED CARDIAC VENOUS SYSTEM LEFT VENTRICULAR ELECTRODE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33226||WS HB DEFAULT|5,579.00
WS SERVICE AREA|272108836|Hc Zz Sut Silk 6-0 P3 Braid Black - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.50
WS SERVICE AREA|27105386|Hc Immobilizer Orth Univ Shoulder|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|38.40
WS SERVICE AREA|27232018|Hc Stylet 6054-52 Glbl Strght|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|185.40
WS SERVICE AREA|27235590|Hc Tray Spnl 2.5in 21ga Ped Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.50
WS SERVICE AREA|27211471|Hc Tip Suct Frzr 10fr Flx Stylet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|27205413|Hc Cath Drain 20fr 16in Arg Strt Troc Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.60
WS SERVICE AREA|27209633|Hc Device 5-40fr Drain Hrzn Tube Attach Strl Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|60010053|HC PARAVERTEBRAL FACET JOINT L/S INJ 2ND LEVEL W GUIDANCE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64494||WS HB DEFAULT|1,791.00
WS SERVICE AREA|27209726|Hc Zz Suture Vcl 6-0 P-3 18in Braid Abs - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.50
WS SERVICE AREA|27223524|Hc Catheter Drain 28fr 2 Eylt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.30
WS SERVICE AREA|27223525|Hc Catheter Drain 32fr 2 Eylt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.40
WS SERVICE AREA|27232787|Hc Zz Suture Eth 5-0 P1 18in Mono  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.50
WS SERVICE AREA|27135258|Hc Post Op Shoe Female Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|37.60
WS SERVICE AREA|27237290|Hc Needle Io 3cm 18ga Ped Std|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|176.10
WS SERVICE AREA|27283788|Hc Valve Drain 30mm Collect Chst|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|144.20
WS SERVICE AREA|27893785|Hc Zz Tray Cath 30cm Pwr-trialysis 3 - Use Eap 27893780|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1752||WS HB DEFAULT|718.30
WS SERVICE AREA|27096871|Hc Device Pelvic Trma Orthotic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|497.50
WS SERVICE AREA|27096955|Hc Splint Tract Fem Spd Splint|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|349.20
WS SERVICE AREA|60010055|HC PARAVERTEBRAL FACET JOINT L/S INJ 3RD+ LEVEL W GUIDANCE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64495||WS HB DEFAULT|1,791.00
WS SERVICE AREA|97062706|HC-APPLICATION SHORT LEG CAST-BELOW KNEE TO TOES-PT|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29405|GP|WS HB DEFAULT|1,188.00
WS SERVICE AREA|97062707|HC APPLY MULTLAY COMPRESSION LOWER LEG|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29581|GP|WS HB DEFAULT|613.00
WS SERVICE AREA|97062704|HC-APPLY MULTLAY COMPRES ARM/HAND-PT|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29584|GP|WS HB DEFAULT|451.00
WS SERVICE AREA|80081130|Hc Infectious Agent Ag Detect By Ia W Direct Optical Observation; Not Specified|LABORATORY - GENERAL CLASSIFICATION [0300]|87899||WS HB DEFAULT|216.00
WS SERVICE AREA|80081156|Hc Protoporphyrin,rbc;quantitative|LABORATORY - GENERAL CLASSIFICATION [0300]|84202||WS HB DEFAULT|287.00
WS SERVICE AREA|80081157|Hc Herpes Simplex Virus, Direct Probe Technique|LABORATORY - GENERAL CLASSIFICATION [0300]|87530||WS HB DEFAULT|564.00
WS SERVICE AREA|272108607|Hc Introducer Ped 10fr 70cm Coude|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|270108659|Hc Tape 3in X4yds Dark Blu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|9.30
WS SERVICE AREA|270108660|Hc Tape 4in X4yds Dark Blu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.40
WS SERVICE AREA|270108661|Hc Tape 3in X4yds Grn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|9.30
WS SERVICE AREA|60010058|Hc Celiac Plexus Destruct Neuro Agent Inj|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64680||WS HB DEFAULT|5,257.00
WS SERVICE AREA|270108662|Hc Tape 4in X4yds Grn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.40
WS SERVICE AREA|270108663|Hc Tape 3in X4yds Pink|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|9.30
WS SERVICE AREA|270108664|Hc Tape 4in X4yds Pink|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.40
WS SERVICE AREA|272108676|Hc Zz Suture Cr 5-0 G3 18in  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|272108730|Hc Guidewire Wholey .035in 300 J|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|391.70
WS SERVICE AREA|27296894|Hc Catheter Jetstream 1.6mm G3 Sf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1724||WS HB DEFAULT|13,014.10
WS SERVICE AREA|27236581|Hc Zz Suture Vasc Grtx Pfte Cv5 Pt13 36in  -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|133.90
WS SERVICE AREA|27283769|Hc Zz Sut Grtx Cv-6 Ttc-9 30in 2 Mono Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|119.50
WS SERVICE AREA|27292610|Hc Needle 18ga 1.0x3.0mm W Gld Mk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|162.70
WS SERVICE AREA|27138670|Hc Pouch 9in 2.75in Uros 2 Pc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.70
WS SERVICE AREA|60010059|HC UNLISTED PROCEDURE NERVOUS SYSTEM|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64999||WS HB DEFAULT|868.00
WS SERVICE AREA|27823031|Hc Cement Bn Cds Kyp Balloon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1713||WS HB DEFAULT|405.70
WS SERVICE AREA|27105915|Hc System Ost Mini 1 Drain Port|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|181.30
WS SERVICE AREA|27105916|Hc System 8 7/8inx6 1/3in Ost|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|192.60
WS SERVICE AREA|27115548|Hc System Ost Max 1 Drain Port|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|202.90
WS SERVICE AREA|27192290|Hc Bag Ost Prmr 2in 12in 1 Pc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|66.30
WS SERVICE AREA|27290516|Hc Cannula Inr Trchsf Xlt 5 Twl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.70
WS SERVICE AREA|27212293|Hc Drain Sf Vent Circuit Drain|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|13.40
WS SERVICE AREA|27837358|Hc Zz Filter Deliver Jugular - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1880||WS HB DEFAULT|3,819.20
WS SERVICE AREA|27238177|Hc Probe Ablation 15cm 17ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2618||WS HB DEFAULT|7,608.10
WS SERVICE AREA|278109310|Hc Zz Tissue Flex Hd 8x16cm Perf - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4128||WS HB DEFAULT|14,495.20
WS SERVICE AREA|272109278|Hc Zz Suture Ethib Exc 0 Braid Grn Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|60010060|Hc Fb Remove Eye Superficial|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|65205||WS HB DEFAULT|545.00
WS SERVICE AREA|27095328|Hc Zz Shoe Walker Royce Sm- Use 27000135|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|229.00
WS SERVICE AREA|278109240|Hc Zz Alloderm Rtu Cont Lg 164 Perf - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4116||WS HB DEFAULT|25,152.60
WS SERVICE AREA|278109239|Hc Zz Alloderm Rtu Cont Med 132 Perf - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4116||WS HB DEFAULT|20,244.70
WS SERVICE AREA|272109217|Hc Guidewire Gldwire Shape Tip 3cm 035inx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|194.90
WS SERVICE AREA|272109185|Hc Catheter Uret 6-10/5.8/75 Uromax|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1726||WS HB DEFAULT|1,163.90
WS SERVICE AREA|272109184|Hc Catheter Uret 6-4/5.8/75 Uromax|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1726||WS HB DEFAULT|1,163.90
WS SERVICE AREA|272109183|Hc Catheter Uret 5-4/5.8/75 Uromax|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1726||WS HB DEFAULT|1,163.90
WS SERVICE AREA|272108970|Hc Zz Tube Esoph 1.5 Laryng Mask Use 27221007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.10
WS SERVICE AREA|80081136|Hc Natural Killer (nk) Cells, Total Count|LABORATORY - GENERAL CLASSIFICATION [0300]|86357||WS HB DEFAULT|220.00
WS SERVICE AREA|80081137|Hc Brucella Screen|LABORATORY - GENERAL CLASSIFICATION [0300]|87081||WS HB DEFAULT|342.00
WS SERVICE AREA|60010061|Hc Fb Remove Eye Embedded|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|65210||WS HB DEFAULT|627.00
WS SERVICE AREA|80084646|Hc Vitamin K|LABORATORY - GENERAL CLASSIFICATION [0300]|84597||WS HB DEFAULT|348.00
WS SERVICE AREA|272109336|Hc Tube Corflo Feed 43in 12fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|202.70
WS SERVICE AREA|272109333|Hc Guidewire 2.5/3.0 Smooth|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|74.20
WS SERVICE AREA|272109332|Hc Guidewire 3.0/4.0 Thrd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|83.40
WS SERVICE AREA|272109327|Hc Dressing Aquacel 3.2x3.2  Foam|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|67.80
WS SERVICE AREA|272109539|Hc Kit Xpansion Microautograft|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,257.80
WS SERVICE AREA|270109536|Hc Zz Shoe Cast Canvas Cmr-m- Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|26.80
WS SERVICE AREA|270109537|Hc Zz Shoe Cast Canvas Cmr-l- Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|25.80
WS SERVICE AREA|270109535|Hc Zz Shoe Cast Canvas Cmr-xl- Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27221607|Hc Catheter Epidural Thera 19ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|83.40
WS SERVICE AREA|60010062|Hc Fb Remove Cornea W/o Lamp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|65220||WS HB DEFAULT|627.00
WS SERVICE AREA|27261977|Hc Needle Spnl 2.5in 25ga Shrt Bvl Plast Hub|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.50
WS SERVICE AREA|27261976|Hc Needle Epid 20ga 3.5in Tuo Asp Plast Hub|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.70
WS SERVICE AREA|27269238|Hc Needle Spnl 3.5in 22ga Sb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|140.80
WS SERVICE AREA|27273707|Hc Needle Spnl 6in 20ga Chba|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.30
WS SERVICE AREA|27264864|Hc Set Spnl 6in 22ga Chba 2 Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.20
WS SERVICE AREA|27262920|Hc Needle Spnl 3.5in 25ga Sb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.10
WS SERVICE AREA|27402187|Hc Immobilizer Lg Shoulder Abd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|243.10
WS SERVICE AREA|27424494|Hc Immobilizer Md Shoulder Abd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|215.30
WS SERVICE AREA|27421676|Hc Immobilizer Sm 5-7in Shoulder Abd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|243.10
WS SERVICE AREA|272109387|Hc Foam Dressing Hydrofera Blu 4x5in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.20
WS SERVICE AREA|60010063|Hc Fb Remove Cornea W Lamp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|65222||WS HB DEFAULT|627.00
WS SERVICE AREA|278109548|Hc Zz Flex Hd Pliable 8x20 Perf - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4128||WS HB DEFAULT|16,499.60
WS SERVICE AREA|70476818|Hc Us Fetal Biophysical Profile Non-stress Testing|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76818||WS HB DEFAULT|1,407.00
WS SERVICE AREA|270109534|Hc Cast Total Contact Bsn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|349.20
WS SERVICE AREA|272109791|Hc Wash Wound Vashe 118ml/4oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.40
WS SERVICE AREA|80081391|Hc Tissue Culture For Neoplastic Disorders; Bone Marrow,blood Cells|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88237||WS HB DEFAULT|659.00
WS SERVICE AREA|27889096|Hc Zz Graft Alloderm Thin 4x2cm 8 Sqcm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4116||WS HB DEFAULT|2,502.90
WS SERVICE AREA|27893882|Hc Zz Guide Nerve Neuragen 3mmx3cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C9352||WS HB DEFAULT|9,289.60
WS SERVICE AREA|27893886|Hc Zz Guide Nerve Neuragen 5mmx3cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C9352||WS HB DEFAULT|9,289.60
WS SERVICE AREA|270109792|Hc Sealant Glucan 3000 3.5oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|128.80
WS SERVICE AREA|77010092|Hc Teletherapy Isodose Plan Smpl|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77306||WS HB DEFAULT|2,906.00
WS SERVICE AREA|60010065|Hc Drain Abscess Eyelid|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|67700||WS HB DEFAULT|2,106.00
WS SERVICE AREA|77010096|Hc Brachytherapy Isodose Plan Complx|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77318||WS HB DEFAULT|4,003.00
WS SERVICE AREA|77010097|Hc Intensity Modulated Rad Tx (imrt) Simple|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77385||WS HB DEFAULT|6,102.00
WS SERVICE AREA|77010098|Hc Intensity Modulated Rad Tx (imrt) Complex|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77386||WS HB DEFAULT|6,514.00
WS SERVICE AREA|77010099|Hc Guidance For Loclzj Target Vol For Radj Tx Dlvr|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77387||WS HB DEFAULT|2,232.00
WS SERVICE AREA|90010320|Hc Neg Press Wound Tx Using Disposable Equipment <50 Scm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|97607||WS HB DEFAULT|925.00
WS SERVICE AREA|90010321|Hc Neg Press Wound Tx Using Disposable Equipment >50 Scm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|97608||WS HB DEFAULT|917.00
WS SERVICE AREA|93010036|Hc Interventional Tee|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93355||WS HB DEFAULT|4,694.00
WS SERVICE AREA|70400389|Hc Us Aaa Screening|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76706||WS HB DEFAULT|718.00
WS SERVICE AREA|70476641|Hc Us Breast Unilateral Complete|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76641||WS HB DEFAULT|1,023.00
WS SERVICE AREA|20020606|HC ARTHROCENTESIS ASPIR&/INJ INTERM JOINT/BURSA W/US|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20606||WS HB DEFAULT|1,857.00
WS SERVICE AREA|60010066|Hc Fb Remove Eyelid Embedded|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|67938||WS HB DEFAULT|1,251.00
WS SERVICE AREA|70420611|HC ARTHROCENTESIS ASPIR&/INJ MAJOR JOINT/BURSA W/US|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20611||WS HB DEFAULT|2,736.00
WS SERVICE AREA|60062302|Hc Myelography Injection Cervical|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62302||WS HB DEFAULT|4,141.00
WS SERVICE AREA|60062303|HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I THORACIC|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62303||WS HB DEFAULT|4,141.00
WS SERVICE AREA|60062304|Hc Myelography Injection Lumbosacral|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62304||WS HB DEFAULT|4,141.00
WS SERVICE AREA|60062305|Hc Myelography Injection 2 Or More Regions|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62305||WS HB DEFAULT|5,319.00
WS SERVICE AREA|20022510|Hc Vertebroplasty Cervicothoracic Inj Percutaneous|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|22510||WS HB DEFAULT|17,170.00
WS SERVICE AREA|20022511|Hc Vertebroplacty Lumbosacral Inj Percutaneous|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|22511||WS HB DEFAULT|15,436.00
WS SERVICE AREA|20022512|Hc Vertebroplasty Inj Each Additional|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|22512||WS HB DEFAULT|4,554.00
WS SERVICE AREA|20022513|HC VERTEBRAL AUGMENTATION/KYPHOPLASTY THORACIC|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|22513||WS HB DEFAULT|14,932.00
WS SERVICE AREA|20022514|HC VERTEBRAL AUGMENTATION/KYPHOPLASTY LUMBAR|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|22514||WS HB DEFAULT|13,971.00
WS SERVICE AREA|60010067|Hc Drain Abscess Ear Simp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|69000||WS HB DEFAULT|1,057.00
WS SERVICE AREA|20022515|HC VERTEBRAL AUGMENTATION/KYPHOPLASTY EACH ADDITIONAL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|22515||WS HB DEFAULT|2,526.00
WS SERVICE AREA|70520983|Hc Ct Cryoblation Bone Tumor Percutaneous W-guid|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20983||WS HB DEFAULT|8,520.00
WS SERVICE AREA|70400078|Hc Zz Us Fetal Biophys Profile W/nst Each Add On - Use Eap 70476818|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76818||WS HB DEFAULT|1,407.00
WS SERVICE AREA|70508032|HC CT THORAX LW DOSE LNG CA SCR NO CONTRAST|CT SCAN - GENERAL CLASSIFICATION [0350]|71271||WS HB DEFAULT|4,799.00
WS SERVICE AREA|70508033|HC CT THORAX LW DOSE LNG CA SCR NO CONTRAST|CT SCAN - GENERAL CLASSIFICATION [0350]|71271||WS HB DEFAULT|4,799.00
WS SERVICE AREA|70532557|Hc Zz Pleural Drainage Percutaneous Ic With Imaging - Use Eap 30010321|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32557||WS HB DEFAULT|4,713.00
WS SERVICE AREA|40047383|Hc Ct Ablation 1 Or More Liver Tumor(s) Percutaneous Cryoblation|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47383||WS HB DEFAULT|4,618.00
WS SERVICE AREA|278098995|Hc Zz Graft Amnio Neox 100 7x7cm 49 Sq Cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4156||WS HB DEFAULT|12,061.30
WS SERVICE AREA|77010100|Hc Radiation Tmt Delivery > = 1 Mev Simple|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77402||WS HB DEFAULT|592.00
WS SERVICE AREA|77010101|Hc Radiation Tmt Delivery > = 1 Mev Intermediate|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77407||WS HB DEFAULT|804.00
WS SERVICE AREA|60010068|Hc Drain Abscess Ear Comp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|69005||WS HB DEFAULT|12,911.00
WS SERVICE AREA|77010102|Hc Radiation Tmt Delivery > = 1 Mev Complex|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77412||WS HB DEFAULT|1,385.00
WS SERVICE AREA|77010103|Hc Teletherapy Isodose Plan Complex|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77307||WS HB DEFAULT|3,242.00
WS SERVICE AREA|77010104|Hc Brachytherapy Isodose Plan Simple|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77316||WS HB DEFAULT|2,813.00
WS SERVICE AREA|80084637|Hc Antidepressant Tricyclic 1/2|LABORATORY - GENERAL CLASSIFICATION [0300]|80335||WS HB DEFAULT|276.00
WS SERVICE AREA|80084638|Hc Benzodiazepines 1-12|LABORATORY - GENERAL CLASSIFICATION [0300]|80346||WS HB DEFAULT|244.00
WS SERVICE AREA|80084639|Hc Analgesics Non-opioid 3-5|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|216.00
WS SERVICE AREA|80084641|Hc Drug Screen Quantalcohols|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|272.00
WS SERVICE AREA|80084642|Hc Opiates 1 Or More|LABORATORY - GENERAL CLASSIFICATION [0300]|80361||WS HB DEFAULT|360.00
WS SERVICE AREA|80084644|Hc Alkaloids Nos|LABORATORY - GENERAL CLASSIFICATION [0300]|80323||WS HB DEFAULT|271.00
WS SERVICE AREA|80084645|Hc Hpv Low-risk Types|LABORATORY - GENERAL CLASSIFICATION [0300]|87623||WS HB DEFAULT|319.00
WS SERVICE AREA|60010069|Hc I&d Auditory Canal External|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|69020||WS HB DEFAULT|945.00
WS SERVICE AREA|80084647|Hc Hpv High-risk Types|LABORATORY - GENERAL CLASSIFICATION [0300]|87624||WS HB DEFAULT|403.00
WS SERVICE AREA|272095216|Hc Set Ndl Ezio 45mm Str|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|525.30
WS SERVICE AREA|278109886|Hc Zz Port 8fr Sgl Lumen Powerport Clear - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1788||WS HB DEFAULT|1,307.00
WS SERVICE AREA|97062715|Hc Strapping Of Toes Phyiscal Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29550||WS HB DEFAULT|244.00
WS SERVICE AREA|77010105|Hc Brachytx Isodose Plan Sim 76|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77316|76|WS HB DEFAULT|2,813.00
WS SERVICE AREA|77010107|Hc Brachytx Isodose Plan Complex 76|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77318|76|WS HB DEFAULT|4,003.00
WS SERVICE AREA|20020611|Hc Zz Inj/drain-asp Major Joint/bursa W/us - Use Eap 70420611|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20611||WS HB DEFAULT|2,736.00
WS SERVICE AREA|70420606|Hc Zz Inj/asp Intermediate Joint/bursa W/us - Use Eap 20020606|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20606||WS HB DEFAULT|1,857.00
WS SERVICE AREA|80020302|Hc Ag Detect Nos, Eia, Mult Step|LABORATORY - GENERAL CLASSIFICATION [0300]|87449||WS HB DEFAULT|284.00
WS SERVICE AREA|80020303|Hc Leishmania Antibody, Igg|LABORATORY - GENERAL CLASSIFICATION [0300]|86717||WS HB DEFAULT|115.00
WS SERVICE AREA|60010070|Hc Fb Remove Ear|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|69200||WS HB DEFAULT|490.00
WS SERVICE AREA|27223033|Hc Gun Cement Bn Sz 2 Cds Kyp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,347.80
WS SERVICE AREA|271108956|Hc Mask Laf421 Ee Leek Na|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|84.60
WS SERVICE AREA|80020304|Hc Aspergillus Ag, Eia|LABORATORY - GENERAL CLASSIFICATION [0300]|87305||WS HB DEFAULT|357.00
WS SERVICE AREA|80020305|Hc Zz Herpesvirus 6 Antibody - Use Eap 80010987|LABORATORY - GENERAL CLASSIFICATION [0300]|86790||WS HB DEFAULT|299.00
WS SERVICE AREA|80020307|Hc Dna/rna Amplified Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87150||WS HB DEFAULT|341.00
WS SERVICE AREA|80020308|Hc Blood Lipoprotein, Nmr|LABORATORY - GENERAL CLASSIFICATION [0300]|83704||WS HB DEFAULT|333.00
WS SERVICE AREA|80020309|Hc Apolipoprotein Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82172||WS HB DEFAULT|185.00
WS SERVICE AREA|80020311|Hc Zz Chikungunya Virus Ab, Igg & Igm - Use Eap 80010987|LABORATORY - GENERAL CLASSIFICATION [0300]|86790||WS HB DEFAULT|299.00
WS SERVICE AREA|70262302|Hc Zz Fl Myelography Injection Cervical - Use Eap 60062302|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62302||WS HB DEFAULT|4,141.00
WS SERVICE AREA|70262303|Hc Zz Myelography Injection Thoracic - Use Eap 60062303|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62303||WS HB DEFAULT|4,141.00
WS SERVICE AREA|70262304|HC FL MYELOGRAPHY INJECTION LUMBOSACRAL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62304||WS HB DEFAULT|4,141.00
WS SERVICE AREA|70262305|Hc Zz Fl Myelography Injection 2 Or More Regions - Use Eap 60062305|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62305||WS HB DEFAULT|5,319.00
WS SERVICE AREA|60010071|Hc Removal Impacted Cerumen Instrumentation Unilat|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|69210||WS HB DEFAULT|490.00
WS SERVICE AREA|34010037|Hc Nm Ra 223 Dichloride Xofigo Thx Per Uci|NUCLEAR MEDICINE - THERAPEUTIC RADIOPHARMACEUTICALS [0344]|A9606||WS HB DEFAULT|514.50
WS SERVICE AREA|80080432|Hc Detect Agent Nos Dna Amp|LABORATORY - GENERAL CLASSIFICATION [0300]|87798||WS HB DEFAULT|554.00
WS SERVICE AREA|80080433|Hc Chylmd Pneum Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87486||WS HB DEFAULT|498.00
WS SERVICE AREA|80080434|Hc Legion Pneumo Dna Amp Prob|LABORATORY - GENERAL CLASSIFICATION [0300]|87541||WS HB DEFAULT|522.00
WS SERVICE AREA|80080435|Hc Strep A Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87651||WS HB DEFAULT|522.00
WS SERVICE AREA|80080436|Hc M.pneumon Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87581||WS HB DEFAULT|253.00
WS SERVICE AREA|80080437|Hc Staph A Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87640||WS HB DEFAULT|372.00
WS SERVICE AREA|80080438|Hc Resp Virus 12-25 Targets|LABORATORY - GENERAL CLASSIFICATION [0300]|87633||WS HB DEFAULT|2,317.00
WS SERVICE AREA|80080439|Hc Enterovirus Probe&revrs Trns|LABORATORY - GENERAL CLASSIFICATION [0300]|87498||WS HB DEFAULT|538.00
WS SERVICE AREA|97062033|HC LOW FREQUENCY NON-THERMAL ULTRASOUND|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97610|GO|WS HB DEFAULT|353.00
WS SERVICE AREA|70010010|HC UA ULTRASOUND MEASURE POST VOID RESIDUAL|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74420||WS HB DEFAULT|1,278.00
WS SERVICE AREA|36010101|Hc Ecmo Insertion >6yo Percutaneous|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33952||WS HB DEFAULT|17,343.00
WS SERVICE AREA|36010107|Hc Ecmo Initial Day Veno Venous|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33946||WS HB DEFAULT|19,365.00
WS SERVICE AREA|36010108|Hc Ecmo Initial Day Veno Arterial|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33947||WS HB DEFAULT|19,365.00
WS SERVICE AREA|36010109|Hc Ecmo Veno Venous Mgmt Daily Maintenance|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33948||WS HB DEFAULT|15,379.00
WS SERVICE AREA|36010110|Hc Ecmo Veno Arterial Mgmt Daily Maintenance|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33949||WS HB DEFAULT|16,204.00
WS SERVICE AREA|36010102|Hc Ecmo Insertion >6yo Open|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33954||WS HB DEFAULT|17,343.00
WS SERVICE AREA|36010103|Hc Ecmo Insertion >6yo Sternotomy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33956||WS HB DEFAULT|15,599.00
WS SERVICE AREA|36010104|Hc Ecmo Reposition >6yo Percutaneous|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33958||WS HB DEFAULT|8,671.00
WS SERVICE AREA|36010105|Hc Ecmo Reposition >6yo Open|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33962||WS HB DEFAULT|7,799.00
WS SERVICE AREA|36010106|Hc Ecmo Reposition >6yo Sternotomy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33964||WS HB DEFAULT|7,799.00
WS SERVICE AREA|70010012|HC ELEC STIM OTHER THAN WOUND 1 OR MORE AREAS|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|G0283|GP|WS HB DEFAULT|323.00
WS SERVICE AREA|36010111|Hc Ecmo Removal >6yo Percutaneous|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33966||WS HB DEFAULT|8,671.00
WS SERVICE AREA|36010112|Hc Ecmo Removal >6yo Open|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33984||WS HB DEFAULT|7,799.00
WS SERVICE AREA|36010113|Hc Ecmo Removal >6yo Sternotomy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33986||WS HB DEFAULT|7,799.00
WS SERVICE AREA|80020350|Hc Immunohisto Antibody Slide|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88341||WS HB DEFAULT|539.00
WS SERVICE AREA|80020312|Hc Analgesics Non-opioid 1 Or 2|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|272.00
WS SERVICE AREA|80020349|Hc Immunohistochem/immunocytochem Per Specimen Ea Multiplex Ab|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88344||WS HB DEFAULT|569.00
WS SERVICE AREA|97065005|Hc Oral Speech Device Eval-lvl 1|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92597|GN|WS HB DEFAULT|517.00
WS SERVICE AREA|97065006|Hc Oral Speech Device Eval-lvl 2|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92597|GN|WS HB DEFAULT|517.00
WS SERVICE AREA|97065007|Hc Oral Speech Device Eval-lvl 3|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92597|GN|WS HB DEFAULT|517.00
WS SERVICE AREA|97065008|Hc Oral Speech Device Eval-lvl 4|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92597|GN|WS HB DEFAULT|517.00
WS SERVICE AREA|70300076|Hc Mr Angio Upper Extremity W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|C8936||WS HB DEFAULT|2,912.00
WS SERVICE AREA|97065004|HC CAST/STRAP PROCEDURE UNLISTED|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29799|GP|WS HB DEFAULT|781.00
WS SERVICE AREA|91501288|HC OP LACT CONS LEVEL 1|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|S9443||WS HB DEFAULT|221.00
WS SERVICE AREA|91501289|Hc Lact Cons Level 2|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|S9443||WS HB DEFAULT|261.00
WS SERVICE AREA|91501290|Hc Lact Cons Level 3|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|S9443||WS HB DEFAULT|327.00
WS SERVICE AREA|80020315|Hc Surg Path Gross And Micro Prostate Bx, Any Mthd|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|G0416||WS HB DEFAULT|802.00
WS SERVICE AREA|80020316|HC UA SURG PATH GROSS AND MICRO PROSTATE BX, ANY MTHD|LABORATORY PATHOLOGICAL - HISTOLOGY [0312]|G0416||WS HB DEFAULT|3,813.00
WS SERVICE AREA|80080447|HC IADNA HUMAN PAPILLOMAVIRUS TYPES 16 & 18 ONLY|LABORATORY - GENERAL CLASSIFICATION [0300]|88175||WS HB DEFAULT|286.00
WS SERVICE AREA|80080442|HC OPIOID & OPIATE ANALOG 5 OR MORE|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|248.00
WS SERVICE AREA|17020743|Hc Sp3 Polysomnography|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95810||WS HB DEFAULT|7,822.00
WS SERVICE AREA|39010010|Hc Blood Transfusion|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - ADMINISTRATION (E.G., TRANS [0391]|36430||WS HB DEFAULT|2,371.00
WS SERVICE AREA|70010033|HC PLACEMENT OCCLUSIVE DEVICE VEIN OR ARTERY|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|G0269||WS HB DEFAULT|2,307.00
WS SERVICE AREA|99010045|Hc Intermediate Care/high Risk|INTENSIVE CARE - INTERMEDIATE ICU [0206]|||WS HB DEFAULT|4,304.00
WS SERVICE AREA|99010046|Hc Surgical Critical Care|INTENSIVE CARE - SURGICAL [0201]|||WS HB DEFAULT|5,441.00
WS SERVICE AREA|99010047|Hc Trauma Critical Care|INTENSIVE CARE - TRAUMA [0208]|||WS HB DEFAULT|6,530.00
WS SERVICE AREA|70020695|Hc Ct Fiducial Marker Placement Other|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C9728||WS HB DEFAULT|3,160.00
WS SERVICE AREA|70020010|Hc Fl Myelogram Posterior Fossa *|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70010||WS HB DEFAULT|1,515.00
WS SERVICE AREA|70020173|Hc Zz Arthrography Hip With Fluoro - Use Eap 70200022|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|73525||WS HB DEFAULT|863.00
WS SERVICE AREA|70020216|Hc Peritoneogram|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|74190||WS HB DEFAULT|460.00
WS SERVICE AREA|70020225|Hc Abscess/fistula/sinus Tract Study|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|76080||WS HB DEFAULT|854.00
WS SERVICE AREA|27830159|Hc Zz Cement Bn Xpede Tap Sz 2 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1713||WS HB DEFAULT|735.10
WS SERVICE AREA|70020239|Hc Transhepatic Dilation Of Biliary Duct Stricture W-w/o Stent Percu|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|74363||WS HB DEFAULT|2,270.00
WS SERVICE AREA|70020247|HC UROGRAPHY ANTEGRADE|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|74425||WS HB DEFAULT|1,008.00
WS SERVICE AREA|70020250|Hc Zz Cystography 3+vw - Use Eap 70200044|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|74430||WS HB DEFAULT|528.00
WS SERVICE AREA|70020253|Hc Urethrocystography Retrograde S&i|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|74450||WS HB DEFAULT|522.00
WS SERVICE AREA|70020258|Hc Dilitation Of Ureter(s) Or Urethra|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|74485||WS HB DEFAULT|1,693.00
WS SERVICE AREA|70020269|Hc Zz Hysterosalpingography - Use Eap 70200049|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|74740||WS HB DEFAULT|662.00
WS SERVICE AREA|70020270|Hc Transcervical Cath Fallopian Tube/ Recanalization|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|74742||WS HB DEFAULT|1,255.00
WS SERVICE AREA|70020278|Hc Aortagraphy Thoracic By Serialography Contrast|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75605||WS HB DEFAULT|4,391.00
WS SERVICE AREA|70020279|Hc Aortography Abdominal By Serialography|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75625||WS HB DEFAULT|3,722.00
WS SERVICE AREA|70020281|Hc Aortography Abdominal +bilat Iliofemoral Lower Ext W-run Off|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75630||WS HB DEFAULT|3,933.00
WS SERVICE AREA|27885359|Hc Zz System Embol 190cm 4.5mm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1884||WS HB DEFAULT|7,719.90
WS SERVICE AREA|70020300|Hc Angiography Spinal Selective|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75705||WS HB DEFAULT|4,391.00
WS SERVICE AREA|70020301|Hc Angiography Extremity Unilateral|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75710||WS HB DEFAULT|2,940.00
WS SERVICE AREA|70020303|Hc Angiography Extremity Bilateral|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75716||WS HB DEFAULT|3,810.00
WS SERVICE AREA|70020305|Hc Angiography Visceral Selective Or Supra W-w/o Flush Aortogram|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75726||WS HB DEFAULT|4,391.00
WS SERVICE AREA|70020306|Hc Angiography Adrenal Unilatal Selective|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75731||WS HB DEFAULT|3,675.00
WS SERVICE AREA|70020307|Hc Angiography Adrenal Bilatal Selective|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75733||WS HB DEFAULT|3,879.00
WS SERVICE AREA|70020308|Hc Angiography Pelvic Selective-supraselective|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75736||WS HB DEFAULT|4,391.00
WS SERVICE AREA|70020310|Hc Angiography Pulmonary Unilatal Selective|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75741||WS HB DEFAULT|4,358.00
WS SERVICE AREA|70020312|Hc Angiography Pulmonary Bilatal Selective|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75743||WS HB DEFAULT|5,059.00
WS SERVICE AREA|70020314|Hc Angiography Pulmonary Nonselective Cath Or Venous Inj|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75746||WS HB DEFAULT|3,189.00
WS SERVICE AREA|27286468|Hc Introducer Orth Kphpk Xpr 1st|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|12,590.10
WS SERVICE AREA|70020316|Hc Angiography Internal Mammary|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75756||WS HB DEFAULT|3,188.00
WS SERVICE AREA|70020317|Hc Angiography Selective Ea Additional Vessel|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75774||WS HB DEFAULT|2,950.00
WS SERVICE AREA|70020320|Hc Lymphangiography Extremity Unilateral|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75801||WS HB DEFAULT|1,026.00
WS SERVICE AREA|70020321|Hc Lymphangio Pelvic/abdominal Unilat W S&i|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75805||WS HB DEFAULT|2,083.00
WS SERVICE AREA|70020322|Hc Lymphangio Pelvic/abdominal Bilat W S&i|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75807||WS HB DEFAULT|2,648.00
WS SERVICE AREA|70300033|Hc Mri Cervical Spine W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612]|72156||WS HB DEFAULT|6,378.00
WS SERVICE AREA|70020127|HC MYELOGRAM CERVICAL|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|72240||WS HB DEFAULT|1,646.00
WS SERVICE AREA|70020129|HC MYELOGRAM THORACIC|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|72255||WS HB DEFAULT|1,646.00
WS SERVICE AREA|70020131|HC MYELOGRAM LUMBAR|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|72265||WS HB DEFAULT|1,646.00
WS SERVICE AREA|70020145|Hc Zz Arthrography Shoulder With Fluoro Use Eap 70200019|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|73040||WS HB DEFAULT|732.00
WS SERVICE AREA|27294762|Hc Device Revasc 40mm 4mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|558.30
WS SERVICE AREA|70020326|Hc Venography Extremity Unilateral|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75820||WS HB DEFAULT|728.00
WS SERVICE AREA|70020328|Hc Venography Extremity Bilateral|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75822||WS HB DEFAULT|1,559.00
WS SERVICE AREA|70020330|Hc Venography Caval Inferior W Serialography|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75825||WS HB DEFAULT|2,975.00
WS SERVICE AREA|70020332|Hc Venography Caval Superior W Serialography|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75827||WS HB DEFAULT|3,221.00
WS SERVICE AREA|70020335|Hc Venography Renal Bilateral|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75833||WS HB DEFAULT|3,912.00
WS SERVICE AREA|70020336|Hc Venography Adrenal Unilateral Selective|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75840||WS HB DEFAULT|2,648.00
WS SERVICE AREA|70020337|Hc Venography Adrenal Bilateral Selective|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75842||WS HB DEFAULT|4,391.00
WS SERVICE AREA|70020338|Hc Venography Venous Sinus Or Jugular, Catheter|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75860||WS HB DEFAULT|2,940.00
WS SERVICE AREA|70020340|Hc Transhepatic Port W/o Hemodynamic Eval Percutaneous|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75887||WS HB DEFAULT|3,007.00
WS SERVICE AREA|70020341|Hc Hepatic Venography W Hemodynamic Eval|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75889||WS HB DEFAULT|3,643.00
WS SERVICE AREA|272109708|Hc Balloon Apex Rx 2.5x12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|23,040.10
WS SERVICE AREA|70020342|Hc Hepatic Venography W/o Hemodynamic Eval|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75891||WS HB DEFAULT|3,588.00
WS SERVICE AREA|70020343|Hc Venous Sampling Through Cath W-w/o Angiography|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75893||WS HB DEFAULT|4,391.00
WS SERVICE AREA|70020345|Hc Transcath Therapy/embolization Any Method|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75894||WS HB DEFAULT|9,303.00
WS SERVICE AREA|70020349|Hc Angiography Transcath Inf/embo Follow Up Study|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75898||WS HB DEFAULT|1,559.00
WS SERVICE AREA|70020350|Hc Iliac Atherectomy Each Vessel|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0238T||WS HB DEFAULT|15,241.00
WS SERVICE AREA|70020351|Hc Cvd Pericath Obstruction Mechanical Removal|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75901||WS HB DEFAULT|8,130.00
WS SERVICE AREA|70020352|Hc Cvd Intracath Obstruction Mechanical Removal|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75902||WS HB DEFAULT|8,215.00
WS SERVICE AREA|70020361|Hc Inpatient Endovas  Thoracic Aorta/not Lt Subclavian Repair|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75957||WS HB DEFAULT|11,917.00
WS SERVICE AREA|70020366|Hc Inpatient Extracranial Vert Artery Stent Initial Pta|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0075T||WS HB DEFAULT|22,784.00
WS SERVICE AREA|70020367|Hc Inpt S&i  For Trans Cath Stent Plcmnt Extra Cranial Vert Art Ea Addl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0076T||WS HB DEFAULT|11,675.00
WS SERVICE AREA|93492928|Hc Robotic Asst Stent Des Ld/lad Artery Or Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9600|LD|WS HB DEFAULT|20,822.00
WS SERVICE AREA|70020375|Hc Transcather Biopsy|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75970||WS HB DEFAULT|4,063.00
WS SERVICE AREA|70020380|Hc Change Percutaneous Tube/drainage Cath With Contrast Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|75984||WS HB DEFAULT|1,465.00
WS SERVICE AREA|70020382|HC THERAPEUTIC ENEMA REDUCTION INTUSSUSCEPTION/OBSTRUCTON|CT SCAN - GENERAL CLASSIFICATION [0350]|75989||WS HB DEFAULT|2,409.00
WS SERVICE AREA|70020391|Hc Zz Arthrography Wrist With Fluoro - Use Eap 70200021|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|73115||WS HB DEFAULT|650.00
WS SERVICE AREA|70020393|Hc Io Radiation Tx Delivery By Xray, Sngl Tx|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77424||WS HB DEFAULT|25,242.00
WS SERVICE AREA|70020394|Hc Radiation Implant Secure System|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|341.50
WS SERVICE AREA|70020402|Hc Radiation Therapy Simulation Simple 76|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77280|76|WS HB DEFAULT|1,110.00
WS SERVICE AREA|70020403|Hc Radiation Therapy Simulation Simple|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77280||WS HB DEFAULT|1,110.00
WS SERVICE AREA|70020404|Hc Radiation Therapy Simulation Intermediate|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77285||WS HB DEFAULT|1,796.00
WS SERVICE AREA|70020405|Hc Radiation Therapy Simulation Complex 76|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77290|76|WS HB DEFAULT|2,169.00
WS SERVICE AREA|27298581|Hc Guidewire Snchr2 200cm Std|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|2,145.70
WS SERVICE AREA|70020406|Hc Radiation Therapy Simulation Complex|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77290||WS HB DEFAULT|2,169.00
WS SERVICE AREA|70020408|Hc Radiation Therapy Simulation 3 Dimensional|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77295||WS HB DEFAULT|9,922.00
WS SERVICE AREA|70020409|Hc Basic Radiation Dosimetry Calculation 59|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77300|59|WS HB DEFAULT|843.00
WS SERVICE AREA|70020411|Hc Basic Radiation Dosimetry Calculation|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77300||WS HB DEFAULT|843.00
WS SERVICE AREA|70020412|Hc Intensity Modulated Radiotherapy Plan|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77301||WS HB DEFAULT|10,804.00
WS SERVICE AREA|70020416|Hc Special Teletherapy Port Plan Total Body|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77321||WS HB DEFAULT|1,480.00
WS SERVICE AREA|70020423|Hc Microdosimetry|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77331||WS HB DEFAULT|750.00
WS SERVICE AREA|70020427|Hc Treatment Device Simple|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77332||WS HB DEFAULT|851.00
WS SERVICE AREA|70020431|Hc Treatment Device Intermediate|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77333||WS HB DEFAULT|878.00
WS SERVICE AREA|70020432|Hc Treatment Devices Complex Blocks 76|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77334|76|WS HB DEFAULT|1,649.00
WS SERVICE AREA|27205060|Hc Catheter Dsc 6f X 105cm Us|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|4,126.20
WS SERVICE AREA|70020433|Hc Treatment Devices Complex Blocks|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77334||WS HB DEFAULT|1,649.00
WS SERVICE AREA|70020434|Hc Treatment Device Complex 76|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77334|76|WS HB DEFAULT|1,649.00
WS SERVICE AREA|70020435|Hc Treatment Device Complex|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77334||WS HB DEFAULT|1,649.00
WS SERVICE AREA|70020436|Hc Continuing Medical Physics Consult|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77336||WS HB DEFAULT|1,040.00
WS SERVICE AREA|70020437|Hc Radiation Therapy Mlc Device Design Imrt|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77338||WS HB DEFAULT|9,895.00
WS SERVICE AREA|70020438|Hc Special Medical Radiation Physics Consult|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77370||WS HB DEFAULT|1,014.00
WS SERVICE AREA|70020439|Hc Radiation Tmt Delivery Special|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77401||WS HB DEFAULT|546.00
WS SERVICE AREA|70020452|Hc Therapeutic Radiology Port Films|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77417||WS HB DEFAULT|796.00
WS SERVICE AREA|70020458|Hc Radiation Thy Special Treatment Procedure|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77470||WS HB DEFAULT|3,219.00
WS SERVICE AREA|70020464|Hc Interstitial Radiation Source App Complex|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77778||WS HB DEFAULT|6,170.00
WS SERVICE AREA|93592928|Hc Robotic Asst Stent Des Lc/lcx Artery Or Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9600|LC|WS HB DEFAULT|20,822.00
WS SERVICE AREA|70020470|Hc Radiation Source Surface Application|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77789||WS HB DEFAULT|534.00
WS SERVICE AREA|70020471|Hc Handling/loading Radioelement|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77790||WS HB DEFAULT|705.00
WS SERVICE AREA|70020472|Hc Sacroplasty Perc Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0200T||WS HB DEFAULT|22,913.00
WS SERVICE AREA|70020473|Hc Sacroplasty Perc Bilat|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0201T||WS HB DEFAULT|20,875.00
WS SERVICE AREA|70020566|Hc Vl Us Chest|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|76604||WS HB DEFAULT|1,012.00
WS SERVICE AREA|70020571|Hc Zz Vl Us Abdominal Limited/single Organ Or Follow Up - Use Eap 70400016|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|76705||WS HB DEFAULT|1,313.00
WS SERVICE AREA|70020593|Hc Zz Sonohysterography W/saline + Color Flow Doppler If Performed - Use Eap 70400031|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|76831||WS HB DEFAULT|1,200.00
WS SERVICE AREA|70020597|Hc Zz Vl Us Pelvic Nonobstetric Limited/follow-up - Use Eap 70400033|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|76857||WS HB DEFAULT|991.00
WS SERVICE AREA|70020599|Hc Zz Ultrasound Transrectal - Use Eap 70400035|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76872||WS HB DEFAULT|1,594.00
WS SERVICE AREA|70020600|Hc Us Prostate Volume Study/brachytherapy Treatment Planning|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76873||WS HB DEFAULT|704.00
WS SERVICE AREA|27294769|Hc Balloon Apex Rx 3.0x12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|541.80
WS SERVICE AREA|271108958|Hc Mask S Af421 Ee Leak I Na|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|84.40
WS SERVICE AREA|70020607|Hc Venography Renal Unilateral|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75831||WS HB DEFAULT|2,993.00
WS SERVICE AREA|70020611|Hc Transhepatic Port W Hemodynamic Eval Percutaneous|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75885||WS HB DEFAULT|3,517.00
WS SERVICE AREA|70020615|Hc Zz Ultrasound Guide For Interstital Radioelement - Use Eap 70400048|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76965||WS HB DEFAULT|3,218.00
WS SERVICE AREA|70020618|Hc Fluoro Guidance Central Venous Access|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|77001||WS HB DEFAULT|700.00
WS SERVICE AREA|70020624|Hc Fluoro Guidance For Needle Placement Bx/asp/inj/loc|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|77002||WS HB DEFAULT|965.00
WS SERVICE AREA|70020632|Hc Zz Fluoro Guide For Spine Injection - Use Eap 70200057|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|77003||WS HB DEFAULT|756.00
WS SERVICE AREA|70020633|Hc Zz Vl Ct Guidance For Needle Placement Bx/asp/inj/loc - Use Eap 70500076|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|77012||WS HB DEFAULT|5,007.00
WS SERVICE AREA|70020659|Hc Zz Fluoro Up To 1 Hr - Use Eap 70200052|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|76000||WS HB DEFAULT|731.00
WS SERVICE AREA|70300056|Hc Mri Spectroscopy|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|76390||WS HB DEFAULT|4,122.00
WS SERVICE AREA|70020663|Hc Vl Us Compres Repair Arterial Pseudo Aneurysm/arteriovenous Fist|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|76936||WS HB DEFAULT|2,892.00
WS SERVICE AREA|93692928|Hc Robotic Asst Stent Des Rc/rca Artery Or Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9600|RC|WS HB DEFAULT|20,822.00
WS SERVICE AREA|70020665|Hc Ultrasound Guidance Vascular Access W Perm Record|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|76937||WS HB DEFAULT|777.00
WS SERVICE AREA|70020667|Hc Zz Vl Us Monitor Parenchymal Tissue Ablation - Use Eap 70400043|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|76940||WS HB DEFAULT|1,582.00
WS SERVICE AREA|77010089|Hc Fiducial Marker Placement Other|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C9728||WS HB DEFAULT|3,160.00
WS SERVICE AREA|80010126|Hc Delta Aminolevulinic Acid,24hr|LABORATORY - GENERAL CLASSIFICATION [0300]|82135||WS HB DEFAULT|326.00
WS SERVICE AREA|80010128|Hc Amino Acids 6/> Amino Acids Quantitative Ea Spe|LABORATORY - GENERAL CLASSIFICATION [0300]|82139||WS HB DEFAULT|267.00
WS SERVICE AREA|80010129|Hc Ammonia Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82140||WS HB DEFAULT|418.00
WS SERVICE AREA|80010131|Hc Assay Of Amylase|LABORATORY - GENERAL CLASSIFICATION [0300]|82150||WS HB DEFAULT|223.00
WS SERVICE AREA|80010176|HC CALCIUM URINE QUANTITATIVE TIMED SPECIMEN|LABORATORY - GENERAL CLASSIFICATION [0300]|82340||WS HB DEFAULT|373.00
WS SERVICE AREA|80010177|Hc Kyh Risk Assessment Non-inv|PATIENT CONVENIENCE ITEMS - OTHER PATIENT CONVENIENCE ITEMS [0999]|||WS HB DEFAULT|145.00
WS SERVICE AREA|80010218|Hc Citrate,urine|LABORATORY - GENERAL CLASSIFICATION [0300]|82507||WS HB DEFAULT|583.00
WS SERVICE AREA|80030101|Hc  Rbc Ab Elution Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86860||WS HB DEFAULT|345.00
WS SERVICE AREA|80010327|Hc Gases Blood O2 Saturation Only Direct Meas|LABORATORY - GENERAL CLASSIFICATION [0300]|82810||WS HB DEFAULT|183.00
WS SERVICE AREA|80010770|HC SEROTONIN RA,LOW MOL WT HEP|LABORATORY - GENERAL CLASSIFICATION [0300]|86022||WS HB DEFAULT|493.00
WS SERVICE AREA|90010014|Hc Hemodialysis|SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761]|G0257||WS HB DEFAULT|6,255.00
WS SERVICE AREA|90010020|Hc Esophageal Motility Study W/interp&rpt|GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750]|91010||WS HB DEFAULT|3,153.00
WS SERVICE AREA|90010021|Hc Gastroesophag Reflx Test W/cath Ph Eltrd Plcmt|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|91034||WS HB DEFAULT|5,635.00
WS SERVICE AREA|90010025|Hc Zz Audiometry Testing Limited - No Replacement|AUDIOLOGY - OTHER AUDIOLOGY [0479]|92586||WS HB DEFAULT|513.00
WS SERVICE AREA|90010026|Hc Audiometry Testing Distortion Ltd|AUDIOLOGY - OTHER AUDIOLOGY [0479]|92587||WS HB DEFAULT|442.00
WS SERVICE AREA|90010053|Hc Spirometry|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94010||WS HB DEFAULT|538.00
WS SERVICE AREA|90010054|Hc Spirometry-b&a Bronchodilator|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94060||WS HB DEFAULT|949.00
WS SERVICE AREA|90010055|Hc Pft Disability Screening B&a|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94060||WS HB DEFAULT|949.00
WS SERVICE AREA|80030102|Hc Coombs Indirect Titer Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86886||WS HB DEFAULT|415.00
WS SERVICE AREA|90010056|Hc Bronchial Provacation Challenge|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94070||WS HB DEFAULT|1,136.00
WS SERVICE AREA|90010057|Hc Maximum Voluntary Ventilation|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94200||WS HB DEFAULT|237.00
WS SERVICE AREA|90010059|Hc Pulmonary Stress Test - Complex|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94621||WS HB DEFAULT|1,358.00
WS SERVICE AREA|90010061|Hc Nebulizer Rx|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94640||WS HB DEFAULT|504.00
WS SERVICE AREA|90010062|Hc Multi Dose Inhaler|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94640||WS HB DEFAULT|504.00
WS SERVICE AREA|90010065|Hc Aerosol Rx Initial|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94640||WS HB DEFAULT|504.00
WS SERVICE AREA|90010066|Hc Nebulizer Rx Subsequent|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94640||WS HB DEFAULT|504.00
WS SERVICE AREA|90010067|Hc Indirect Calorimetry|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94690||WS HB DEFAULT|676.00
WS SERVICE AREA|90010068|Hc Neb Initial Daily Tx|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94640||WS HB DEFAULT|504.00
WS SERVICE AREA|90010069|Hc Pft Pentam 300 Rx|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94642||WS HB DEFAULT|928.00
WS SERVICE AREA|93792928|Hc Robotic Asst Stent Des Lm Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9600|LM|WS HB DEFAULT|20,822.00
WS SERVICE AREA|90010070|Hc Initial Cont Nebulizer Rx|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94644||WS HB DEFAULT|1,265.00
WS SERVICE AREA|90010071|Hc Continuous Nebulizer Rx|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94645||WS HB DEFAULT|549.00
WS SERVICE AREA|90010072|Hc Adult Cpap/per Day|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94660||WS HB DEFAULT|1,319.00
WS SERVICE AREA|90010073|Hc Bipap/day|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94660||WS HB DEFAULT|2,466.00
WS SERVICE AREA|90010074|Hc Infant Cpap/day|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94660||WS HB DEFAULT|1,786.00
WS SERVICE AREA|90010075|Hc Mdi/neb Instruct/demo|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94664||WS HB DEFAULT|305.00
WS SERVICE AREA|90010076|Hc Oscillating Pep Therapy, Initial|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94667||WS HB DEFAULT|684.00
WS SERVICE AREA|90010077|Hc Chest Percussion/vibration, Initial|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94667||WS HB DEFAULT|684.00
WS SERVICE AREA|90010078|Hc Oscillating Pep Therapy,subsq|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94668||WS HB DEFAULT|534.00
WS SERVICE AREA|90010079|Hc Chest Percussion Vibration Subsq|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94668||WS HB DEFAULT|534.00
WS SERVICE AREA|80030103|Hc Rbc Pretreat W Chemical Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86970||WS HB DEFAULT|248.00
WS SERVICE AREA|90010080|Hc Plethysmography|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94726||WS HB DEFAULT|690.00
WS SERVICE AREA|90010081|Hc Gas Dilutions|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94727||WS HB DEFAULT|746.00
WS SERVICE AREA|90010082|Hc Diffusing Capacity|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94729||WS HB DEFAULT|703.00
WS SERVICE AREA|90010083|Hc Pulse Ox Single|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94760||WS HB DEFAULT|144.00
WS SERVICE AREA|90010084|Hc Home Oxygen Assessment|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94761||WS HB DEFAULT|339.00
WS SERVICE AREA|90010085|HC CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95250||WS HB DEFAULT|111.00
WS SERVICE AREA|90010086|Hc Pulse Ox Multiple|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94761||WS HB DEFAULT|339.00
WS SERVICE AREA|90010087|Hc Nocturnal Pulse Oximetry|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94762||WS HB DEFAULT|511.00
WS SERVICE AREA|90010088|Hc Eeg Awake & Drowsy Recording|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95816||WS HB DEFAULT|1,652.00
WS SERVICE AREA|90010089|Hc Pulse-ox Continuous/day|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94762||WS HB DEFAULT|511.00
WS SERVICE AREA|80030104|Hc Rbc Pretreat W Enzyme Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86971||WS HB DEFAULT|271.00
WS SERVICE AREA|90010090|Hc Ep-somatosensory Upper|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95925||WS HB DEFAULT|3,210.00
WS SERVICE AREA|90010091|Hc Ep-somatosensory Lower|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95926||WS HB DEFAULT|2,993.00
WS SERVICE AREA|90010092|Hc Short-latency Somatosens Ep Std Upr & Low Limb|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95938||WS HB DEFAULT|5,169.00
WS SERVICE AREA|90010097|Hc Eeg Digital Analysis|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95957||WS HB DEFAULT|1,104.00
WS SERVICE AREA|90010098|Hc Genetic Counseling Ea 30 Min|OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940]|96040||WS HB DEFAULT|377.00
WS SERVICE AREA|90010099|Hc Chemotherapy Sq Im Non-hormonal|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - INJECTED [0331]|96401||WS HB DEFAULT|739.00
WS SERVICE AREA|90010100|Hc Chemotherapy Sq Im Hormonal|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - INJECTED [0331]|96402||WS HB DEFAULT|659.00
WS SERVICE AREA|90010101|Hc Chemotherapy Administration Intralesional </7|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335]|96405||WS HB DEFAULT|923.00
WS SERVICE AREA|90010102|Hc Chemotherapy Administration Intralesional >7|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335]|96406||WS HB DEFAULT|1,130.00
WS SERVICE AREA|90010103|Hc Chemo Iv Push Initial Drug|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335]|96409||WS HB DEFAULT|652.00
WS SERVICE AREA|93892928|Hc Robotic Asst Stent Des Ramus Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9600|RI|WS HB DEFAULT|20,822.00
WS SERVICE AREA|90010104|Hc Chemo Iv Push Each Addition Drug|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335]|96411||WS HB DEFAULT|590.00
WS SERVICE AREA|90010105|Hc Chemo Inf 1st Hr Initial Drug|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335]|96413||WS HB DEFAULT|1,037.00
WS SERVICE AREA|90010106|Hc Chemo Inf Each Additional Hr|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335]|96415||WS HB DEFAULT|296.00
WS SERVICE AREA|90010107|Hc Chemo Inf >8 Hrs W/pump|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335]|96416||WS HB DEFAULT|1,066.00
WS SERVICE AREA|90010108|Hc Chemo Ia Push|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335]|96420||WS HB DEFAULT|923.00
WS SERVICE AREA|90010109|Hc Chemo Ia Inf <1 Hr|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335]|96422||WS HB DEFAULT|902.00
WS SERVICE AREA|90010110|Hc Chemo Ia Inf Ea Addl Hour|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335]|96423||WS HB DEFAULT|296.00
WS SERVICE AREA|90010111|Hc Chemo Ia Inf>8hrs W/pump|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335]|96425||WS HB DEFAULT|851.00
WS SERVICE AREA|90010112|Hc Chemo Intracavity W/thoracentesis|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335]|96440||WS HB DEFAULT|652.00
WS SERVICE AREA|90010113|Hc Chemo Intrac. W/peritoneocentesis|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335]|96446||WS HB DEFAULT|652.00
WS SERVICE AREA|80030105|Hc Rbc Pretreat W Density Gradient|LABORATORY - GENERAL CLASSIFICATION [0300]|86972||WS HB DEFAULT|380.00
WS SERVICE AREA|90010114|Hc Chemo Into Cns W/spinal Puncture|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - INJECTED [0331]|96450||WS HB DEFAULT|652.00
WS SERVICE AREA|90010117|Hc Debride Skn Wc 1st 20/< Sq Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|97597||WS HB DEFAULT|1,135.00
WS SERVICE AREA|90010118|Hc Debride Skn Wc Ea Add 20/< Sq Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|97598||WS HB DEFAULT|1,377.00
WS SERVICE AREA|90010121|Hc Wound Care Non-selective|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|97602||WS HB DEFAULT|265.00
WS SERVICE AREA|90010123|HC NEG. PRESS WOUND TX <50 CM|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|97605||WS HB DEFAULT|281.00
WS SERVICE AREA|90010125|HC NEG. PRESS WOUND TX >50 CM|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|97606||WS HB DEFAULT|469.00
WS SERVICE AREA|90010127|Hc Zz Np L&d Assist - Use Eap 90010151|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|99464||WS HB DEFAULT|1,634.00
WS SERVICE AREA|90010129|Hc Er Service Class I|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99281||WS HB DEFAULT|498.00
WS SERVICE AREA|90010131|Hc Er Service Class Ii|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99282||WS HB DEFAULT|720.00
WS SERVICE AREA|80081416|Hc Human Papillomavirus (hpv), High-risk Types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52,56,58, 59,68)|LABORATORY - GENERAL CLASSIFICATION [0300]|87624||WS HB DEFAULT|403.00
WS SERVICE AREA|80030106|Hc Serum Pretreat W/drugs Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86975||WS HB DEFAULT|332.00
WS SERVICE AREA|90010133|Hc Er Service Class Iii|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99283||WS HB DEFAULT|1,447.00
WS SERVICE AREA|80081417|Hc Column Chromatography/mass Spectrometry, Non-drug Analyte Not Elsewhere Specified; Quantitative, Single Stationary And Mobile Phase|LABORATORY - GENERAL CLASSIFICATION [0300]|82542||WS HB DEFAULT|913.00
WS SERVICE AREA|90010135|Hc Er Service Class Iv|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99284||WS HB DEFAULT|2,027.00
WS SERVICE AREA|80081418|Hc Immunofluoescent Study, Each Antibody; Direct Method|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88346||WS HB DEFAULT|785.00
WS SERVICE AREA|90010137|Hc Er Service Class V|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99285||WS HB DEFAULT|2,791.00
WS SERVICE AREA|80081419|Hc Immunofluorescence, Per Specimen; Each Additional Single Antibody Stain Procedure|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88350||WS HB DEFAULT|376.00
WS SERVICE AREA|90010138|Hc Er Critical Care 30-74min|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99291||WS HB DEFAULT|5,347.00
WS SERVICE AREA|90010139|Hc Er Critical Care Ea Addtl 30 Min|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99292||WS HB DEFAULT|2,676.00
WS SERVICE AREA|90010141|Hc Er Level B 1|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|G0380||WS HB DEFAULT|349.00
WS SERVICE AREA|80081421|Hc Antidepressants,not Otherwise Specified|LABORATORY - GENERAL CLASSIFICATION [0300]|80338||WS HB DEFAULT|248.00
WS SERVICE AREA|93092929|Hc Robotic Asst Stent Des Ld/lad Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9601|LD|WS HB DEFAULT|6,101.00
WS SERVICE AREA|27164539|Hc Zz Airway Esoph 7mm Lma Fst Cuff Use 27221007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|312.10
WS SERVICE AREA|90010142|Hc Er Level B Ii|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|G0381||WS HB DEFAULT|507.00
WS SERVICE AREA|90010143|Hc Er Level B Iii|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|G0382||WS HB DEFAULT|1,014.00
WS SERVICE AREA|80081422|Hc Antidepressants,serotonergic Class; 1 Or 2|LABORATORY - GENERAL CLASSIFICATION [0300]|80332||WS HB DEFAULT|248.00
WS SERVICE AREA|90010144|Hc Er Level B Iv|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|G0383||WS HB DEFAULT|1,419.00
WS SERVICE AREA|90010145|Hc Er Level B V|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|G0384||WS HB DEFAULT|1,955.00
WS SERVICE AREA|80081423|Hc Antidepressants, Serotonergic Class; 6 Or More|LABORATORY - GENERAL CLASSIFICATION [0300]|80337||WS HB DEFAULT|260.00
WS SERVICE AREA|90010146|Hc Introduction Long Gi Tube Separate Procedure|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|44500||WS HB DEFAULT|610.00
WS SERVICE AREA|90010147|HC TRAUMA 2 FULL TEAM W HOSP CRITICAL CARE|TRAUMA RESPONSE - LEVEL II TRAUMA [0682]|G0390||WS HB DEFAULT|9,024.00
WS SERVICE AREA|80081424|Hc Organic Acids: Qualitative, Each Specimen|LABORATORY - GENERAL CLASSIFICATION [0300]|83918||WS HB DEFAULT|291.00
WS SERVICE AREA|90010151|Hc Attn At Delivery 1st Stabilization Of Newborn|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|99464||WS HB DEFAULT|1,362.00
WS SERVICE AREA|80030107|Hc Serum Pretreat By Dilution|LABORATORY - GENERAL CLASSIFICATION [0300]|86976||WS HB DEFAULT|166.00
WS SERVICE AREA|90010152|Hc Inhaled Epoprostenol Neb (cont) Therapy, Initial|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94644||WS HB DEFAULT|1,177.00
WS SERVICE AREA|90010153|Hc Inhaled Epoprostenol Neb (cont) Therapy, Subsq|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94645||WS HB DEFAULT|510.00
WS SERVICE AREA|80081425|Hc Drug Test Def 1-7 Classes|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|559.00
WS SERVICE AREA|80081428|Hc Drug Test Def 8-14 Classes|LABORATORY - GENERAL CLASSIFICATION [0300]|G0481||WS HB DEFAULT|559.00
WS SERVICE AREA|80081426|Hc Drug Test Def 15-21 Classes|LABORATORY - GENERAL CLASSIFICATION [0300]|G0482||WS HB DEFAULT|559.00
WS SERVICE AREA|80081427|Hc Drug Test Def 22+ Classes|LABORATORY - GENERAL CLASSIFICATION [0300]|G0483||WS HB DEFAULT|587.00
WS SERVICE AREA|90010202|Hc Cell Saver Procedure|LABORATORY - GENERAL CLASSIFICATION [0300]|86891||WS HB DEFAULT|2,324.00
WS SERVICE AREA|90010203|Hc Reh Sputum Collection W/o Tx|LABORATORY - GENERAL CLASSIFICATION [0300]|89220||WS HB DEFAULT|152.00
WS SERVICE AREA|90010204|Hc Reh Pulm Rehab Phase Iii/month|RESPIRATORY SERVICES - OTHER RESPIRATORY SERVICES [0419]|||WS HB DEFAULT|51.00
WS SERVICE AREA|90010205|Hc Reh-respiratory Group|RESPIRATORY SERVICES - OTHER RESPIRATORY SERVICES [0419]|G0239||WS HB DEFAULT|258.00
WS SERVICE AREA|80030108|Hc Serum Pretreat W Inhibitors Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86977||WS HB DEFAULT|282.00
WS SERVICE AREA|90010206|Hc Reh Water Aerobics|RESPIRATORY SERVICES - OTHER RESPIRATORY SERVICES [0419]|||WS HB DEFAULT|57.00
WS SERVICE AREA|90010207|Hc Reh Phase Iii/water Aerobics|RESPIRATORY SERVICES - OTHER RESPIRATORY SERVICES [0419]|||WS HB DEFAULT|107.00
WS SERVICE AREA|90010208|Hc Reh-respiratory 1-1 Breathing 15min|RESPIRATORY SERVICES - OTHER RESPIRATORY SERVICES [0419]|G0237||WS HB DEFAULT|71.00
WS SERVICE AREA|90010209|Hc Rt Breathing Retraining 1-1 15min|RESPIRATORY SERVICES - OTHER RESPIRATORY SERVICES [0419]|G0237||WS HB DEFAULT|71.00
WS SERVICE AREA|90010210|Hc No Show Charge|PATIENT CONVENIENCE ITEMS - OTHER PATIENT CONVENIENCE ITEMS [0999]|||WS HB DEFAULT|189.00
WS SERVICE AREA|90010211|Hc Inhaled Nitric Oxide/day|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|26,074.00
WS SERVICE AREA|70172074|Hc Xr Spine Thoracic Min 4+vws|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72074||WS HB DEFAULT|1,109.00
WS SERVICE AREA|60061645|Hc Arterial M-thrombect &/nfs Perq W Fl Guide|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|44,132.00
WS SERVICE AREA|60061650|Hc Inpt Intracranial Art  Prolonng Admn  Non Thromblytic Rx Initial Vasc Lvl W Img Guide|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|43,806.00
WS SERVICE AREA|60061651|Hc Inpt Intracranial Art  Prolonng Admn  Non Thromblytic Rx Ea Addtl Vasc Brnch W Img Guide|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|27,079.00
WS SERVICE AREA|93192929|Hc Robotic  Asst Stent Des Lc/lcx Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9601|LC|WS HB DEFAULT|6,101.00
WS SERVICE AREA|90010227|Hc Zz Recovery =< 1 Hour - Use Eap 36052312|RECOVERY ROOM - GENERAL CLASSIFICATION [0710]|||WS HB DEFAULT|483.00
WS SERVICE AREA|90010228|Hc Zz Recovery Ea Add Hour - Use Eap 36052313|RECOVERY ROOM - GENERAL CLASSIFICATION [0710]|||WS HB DEFAULT|249.00
WS SERVICE AREA|90010244|Hc Newborn Cpr/resuscitation|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|99465||WS HB DEFAULT|2,714.00
WS SERVICE AREA|90010246|Hc Vent Initial Day*|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94002||WS HB DEFAULT|3,401.00
WS SERVICE AREA|90010247|Hc Vent-hifreqoscill/day Subsq|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94003||WS HB DEFAULT|3,437.00
WS SERVICE AREA|90010248|Hc Ventilator Day/sub Sq|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94003||WS HB DEFAULT|3,272.00
WS SERVICE AREA|90010250|Hc Np Survanta Procedure|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94610||WS HB DEFAULT|535.00
WS SERVICE AREA|90010251|Hc Polysomnography W/cpap|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95811||WS HB DEFAULT|8,526.00
WS SERVICE AREA|90010263|Hc Sputum Induction W/tx|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94640||WS HB DEFAULT|504.00
WS SERVICE AREA|90010264|Hc Chemo Iv Inf Ea Add Seq|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335]|96417||WS HB DEFAULT|680.00
WS SERVICE AREA|80030109|Hc Serum Pretreat By Adsorbtion Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86978||WS HB DEFAULT|399.00
WS SERVICE AREA|90010266|Hc Lactation Outpatient No Show|PATIENT CONVENIENCE ITEMS - OTHER PATIENT CONVENIENCE ITEMS [0999]|||WS HB DEFAULT|26.00
WS SERVICE AREA|90010267|Hc Protective Equipment Charge|PATIENT CONVENIENCE ITEMS - GENERAL CLASSIFICATION [0990]|||WS HB DEFAULT|26.00
WS SERVICE AREA|91010010|Hc Eval Psych Diag Without E/m|BEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900]|90791||WS HB DEFAULT|800.00
WS SERVICE AREA|91010011|Hc Eval Add-on Psych Diag Complex|OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940]|90785||WS HB DEFAULT|558.00
WS SERVICE AREA|91010012|Hc Re-eval Psych Diag Without E/m|BEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900]|90791||WS HB DEFAULT|800.00
WS SERVICE AREA|91010013|Hc Therapy Ind And Family 30 Mins|OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940]|90832||WS HB DEFAULT|459.00
WS SERVICE AREA|91010014|Hc Therapy Ind And Family 45 Mins|OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940]|90834||WS HB DEFAULT|581.00
WS SERVICE AREA|91010015|Hc Therapy Ind And Family 60 Mins|OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940]|90837||WS HB DEFAULT|1,132.00
WS SERVICE AREA|91010016|Hc Therapy Crisis Intervention 60 Mins|OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940]|90839||WS HB DEFAULT|800.00
WS SERVICE AREA|91010017|Hc Therapy Add-on Crisis Intervention Ea 30 Min|OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940]|90840||WS HB DEFAULT|290.00
WS SERVICE AREA|93292929|Hc Robitic Asst Stent Des Rc/rca Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9601|RC|WS HB DEFAULT|6,101.00
WS SERVICE AREA|91010018|Hc Family Therapy W Pt|OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940]|90847||WS HB DEFAULT|439.00
WS SERVICE AREA|91010020|Hc Ipm Therapy Group|OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940]|90853||WS HB DEFAULT|476.00
WS SERVICE AREA|92010012|Hc Home Sleep Test Unattended 4 Channel|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|G0399||WS HB DEFAULT|1,263.00
WS SERVICE AREA|92010013|Hc Reh-pul Rehab W/exercise|OTHER THERAPEUTIC SERVICES - PULMONARY REHABILITATION [0948]|G0424||WS HB DEFAULT|125.00
WS SERVICE AREA|92010014|Hc Misc Procedure|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|5,190.00
WS SERVICE AREA|93010010|Hc Cardiopulmonary Resuscitation Cpr|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|92950||WS HB DEFAULT|1,921.00
WS SERVICE AREA|93010012|Hc Cardioversion Conversion Arrythmia External Elective|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|92960||WS HB DEFAULT|3,296.00
WS SERVICE AREA|93010013|Hc Coronary Thrombectomy (angiojet)|CARDIOLOGY - CARDIAC CATH LAB [0481]|92973||WS HB DEFAULT|6,431.00
WS SERVICE AREA|93010014|Hc Inpatient Thrombolys/intracoronry Infusion  Selective|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|92975||WS HB DEFAULT|6,916.00
WS SERVICE AREA|93010015|Hc Thrombolysis Coronary Iv Infusion|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|92977||WS HB DEFAULT|2,992.00
WS SERVICE AREA|80084649|Hc Zz Immunoassay For Infectious Agent Ab, Quant, Not Specified - Use Eap 80010835|LABORATORY - GENERAL CLASSIFICATION [0300]|86317||WS HB DEFAULT|209.00
WS SERVICE AREA|93010016|Hc Ivus Initial Vessel|CARDIOLOGY - CARDIAC CATH LAB [0481]|92978||WS HB DEFAULT|6,025.00
WS SERVICE AREA|93010017|Hc Ivus Additional Vessel|CARDIOLOGY - CARDIAC CATH LAB [0481]|92979||WS HB DEFAULT|2,585.00
WS SERVICE AREA|93010018|Hc Holter Xtrnl Ecg & 48 Hr Recording|EKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731]|93225||WS HB DEFAULT|885.00
WS SERVICE AREA|93010020|HC TTE 2D W/WO M-MODE REC COMP|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93307||WS HB DEFAULT|1,421.00
WS SERVICE AREA|93010022|Hc Pulm Art Balloon Angio Add Ld|CARDIOLOGY - CARDIAC CATH LAB [0481]|92998||WS HB DEFAULT|7,471.00
WS SERVICE AREA|93010023|HC TTE 2D W/WO M-MODE REC F-UP/LMTD|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93308||WS HB DEFAULT|1,365.00
WS SERVICE AREA|93010024|Hc Pulm Art Balloon Angio Add Rc|CARDIOLOGY - CARDIAC CATH LAB [0481]|92998||WS HB DEFAULT|7,471.00
WS SERVICE AREA|93010028|Hc Eecp-per Treatment|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|G0166||WS HB DEFAULT|856.00
WS SERVICE AREA|93010030|Hc Valvuloplasty Aortic|CARDIOLOGY - CARDIAC CATH LAB [0481]|92986||WS HB DEFAULT|11,834.00
WS SERVICE AREA|93010031|Hc Valvuloplasty Mitral|CARDIOLOGY - CARDIAC CATH LAB [0481]|92987||WS HB DEFAULT|11,834.00
WS SERVICE AREA|93592933|Hc Robotic Asst Atherectomy And Des Stent Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9602|LD|WS HB DEFAULT|23,604.00
WS SERVICE AREA|93010032|Hc Valvuloplasty Pulmonary|CARDIOLOGY - CARDIAC CATH LAB [0481]|92990||WS HB DEFAULT|11,834.00
WS SERVICE AREA|MUSE50154|MUSE5HC ELECTROCARDIOGRAM  TRACING W/WO MAGNET 0154|EKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION [0730]|93005||WS HB DEFAULT|586.00
WS SERVICE AREA|93010039|Hc Pulm Arterial Balloon Angioplasty Single Vessel Ld|CARDIOLOGY - CARDIAC CATH LAB [0481]|92997||WS HB DEFAULT|10,674.00
WS SERVICE AREA|93010041|Hc Pulm Arterial Balloon Angio Ea Add On Lc|CARDIOLOGY - CARDIAC CATH LAB [0481]|92998||WS HB DEFAULT|7,471.00
WS SERVICE AREA|93010043|Hc Pulm Arterial Balloon Angio Ea Add On Rc|CARDIOLOGY - CARDIAC CATH LAB [0481]|92998||WS HB DEFAULT|7,471.00
WS SERVICE AREA|MUSE50152|Hc Electrocardiogram  12lead Tracing Only|EKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION [0730]|93005||WS HB DEFAULT|586.00
WS SERVICE AREA|93010045|Hc Cardiovascular Stress Test|CARDIOLOGY - STRESS TEST [0482]|93017||WS HB DEFAULT|2,446.00
WS SERVICE AREA|93010046|Hc Microvolt T-wave Alternans Assessment Ventricular Arrythmias|EKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION [0730]|93025||WS HB DEFAULT|1,506.00
WS SERVICE AREA|MUSE50172|HC RHYTHM STRIP ECG 1-3 LEADS TRACING ONLY|EKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION [0730]|93041||WS HB DEFAULT|227.00
WS SERVICE AREA|93010048|Hc Pulm Art Balloon Angioplas Lc|CARDIOLOGY - CARDIAC CATH LAB [0481]|92997||WS HB DEFAULT|10,674.00
WS SERVICE AREA|93692933|Hc Robotic Asst Atherectomy Des Stent Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9602|LC|WS HB DEFAULT|23,604.00
WS SERVICE AREA|93010049|Hc Holter External Ecg Scanning Analysis Report|EKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731]|93226||WS HB DEFAULT|1,120.00
WS SERVICE AREA|93010051|Hc Pulm Art Balloon Angioplas Lc|CARDIOLOGY - CARDIAC CATH LAB [0481]|92998||WS HB DEFAULT|7,471.00
WS SERVICE AREA|93010053|Hc Ecg (hookup/recording/disconnect) 24hrs Up To 30days|EKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION [0730]|93270||WS HB DEFAULT|121.00
WS SERVICE AREA|MUSE50150|Hc Ekg Signal Averaging|EKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION [0730]|93278||WS HB DEFAULT|1,561.00
WS SERVICE AREA|93010064|Hc Ide In-person Any Pcmkr Leaded Or Leadless|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93288||WS HB DEFAULT|186.00
WS SERVICE AREA|93010065|Hc Ide In-person Any Defib|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93289||WS HB DEFAULT|139.00
WS SERVICE AREA|93010071|Hc Transthoracic Echo Congenital Anomalies Complete Without Cst|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93303||WS HB DEFAULT|2,706.00
WS SERVICE AREA|93010072|Hc Transthoracic Echo Congenital Anomalies Ltd Without Cst|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93304||WS HB DEFAULT|1,298.00
WS SERVICE AREA|93010076|Hc Echo 2d Tee W/o Contrast|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93312||WS HB DEFAULT|3,112.00
WS SERVICE AREA|93010077|Hc Echo 2d Tee Probe Placement Only No Image|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93313||WS HB DEFAULT|899.00
WS SERVICE AREA|93792933|Hc Robotic Asst Atherectomy And Des Stent Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9602|RC|WS HB DEFAULT|23,604.00
WS SERVICE AREA|93010080|Hc Transesophageal Echo Tee Monitor Tlc 2d Only W/o Cst|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93318||WS HB DEFAULT|2,423.00
WS SERVICE AREA|93010081|Hc Echo Doppler Complete|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93320||WS HB DEFAULT|865.00
WS SERVICE AREA|93010082|Hc Echo Doppler F/u Or Ltd|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93321||WS HB DEFAULT|541.00
WS SERVICE AREA|93010083|Hc Echo Doppler Colorflow|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93325||WS HB DEFAULT|764.00
WS SERVICE AREA|93010084|Hc Echo 2d Stress Tte Only W/o Contrast|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93350||WS HB DEFAULT|5,098.00
WS SERVICE AREA|93010085|Hc Echo 2d Stress Tte Complete Continuous Monitor W/o Cst|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93351||WS HB DEFAULT|2,652.00
WS SERVICE AREA|93010086|HC RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT|CARDIOLOGY - OTHER CARDIOLOGY [0489]|93451||WS HB DEFAULT|10,165.00
WS SERVICE AREA|93010087|Hc Lhc With Or Without Lv Gram|CARDIOLOGY - OTHER CARDIOLOGY [0489]|93452||WS HB DEFAULT|16,413.00
WS SERVICE AREA|93010088|HC RLHC WITH OR WITHOUT LV GRAM|CARDIOLOGY - OTHER CARDIOLOGY [0489]|93453||WS HB DEFAULT|18,756.00
WS SERVICE AREA|93010089|HC DIAGNOSTIC CORONARY ANGIOGRAMS|CARDIOLOGY - OTHER CARDIOLOGY [0489]|93454||WS HB DEFAULT|12,702.00
WS SERVICE AREA|93892933|Hc Robotic Asst Atherectomy And Des Stent Lm Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9602|LM|WS HB DEFAULT|23,604.00
WS SERVICE AREA|27164541|Hc Zz Airway Esoph 8mm Lma Fst Cuff Use 27221007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|312.10
WS SERVICE AREA|93010090|HC CORONARY ANGIOGRAMS WITH GRAFTS|CARDIOLOGY - OTHER CARDIOLOGY [0489]|93455||WS HB DEFAULT|13,995.00
WS SERVICE AREA|93010091|HC RHC CORONARY ANGIOGRAMS|CARDIOLOGY - OTHER CARDIOLOGY [0489]|93456||WS HB DEFAULT|18,185.00
WS SERVICE AREA|93010092|Hc Rhc Coronary Angiograms And Grafts|CARDIOLOGY - OTHER CARDIOLOGY [0489]|93457||WS HB DEFAULT|19,476.00
WS SERVICE AREA|93010093|Hc Heart Lt Coronary Artery Angio W/wo Lt Ventriculography|CARDIOLOGY - OTHER CARDIOLOGY [0489]|93458||WS HB DEFAULT|21,093.00
WS SERVICE AREA|93010094|Hc Heart Lt Coronary Artery Angio W/grafts|CARDIOLOGY - OTHER CARDIOLOGY [0489]|93459||WS HB DEFAULT|22,384.00
WS SERVICE AREA|93010095|Hc Heart Lt+rt Coronary Angio W/wo Lt Ventriculography|CARDIOLOGY - OTHER CARDIOLOGY [0489]|93460||WS HB DEFAULT|23,436.00
WS SERVICE AREA|80085101|Hc Brca1 Brca2 Gene Analysis Full Sequence Analysis|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81163||WS HB DEFAULT|1,635.00
WS SERVICE AREA|93010096|Hc Rlhc Coronary Angio Grafts W/wo Lv Gram|CARDIOLOGY - OTHER CARDIOLOGY [0489]|93461||WS HB DEFAULT|24,729.00
WS SERVICE AREA|93010097|Hc Pharmacologic Admin W/measure+|CARDIOLOGY - OTHER CARDIOLOGY [0489]|93463||WS HB DEFAULT|640.00
WS SERVICE AREA|80085102|Hc Brca1 Brca2 Gene Analysis Full Dup/del Analysis|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81164||WS HB DEFAULT|2,041.00
WS SERVICE AREA|93992933|Hc Robotic Asst Atherectomy And Des Stent Ramus Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9602|RI|WS HB DEFAULT|23,604.00
WS SERVICE AREA|93010098|HC SWAN GANZ INSERTION|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|93503||WS HB DEFAULT|4,150.00
WS SERVICE AREA|93010099|Hc Rhc Congenital Study|CARDIOLOGY - CARDIAC CATH LAB [0481]|93530||WS HB DEFAULT|4,705.00
WS SERVICE AREA|80085103|Hc Brca1 Gene Analysis Full Sequence Analysis|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81165||WS HB DEFAULT|989.00
WS SERVICE AREA|93010100|Hc Rlhc Congenital Study|CARDIOLOGY - CARDIAC CATH LAB [0481]|93531||WS HB DEFAULT|9,536.00
WS SERVICE AREA|93010101|Hc Injection  Lv/la Gram Congenital Study|CARDIOLOGY - CARDIAC CATH LAB [0481]|93565||WS HB DEFAULT|2,655.00
WS SERVICE AREA|80085104|Hc Brca1 Gene Analysis Full Dup/del Analysis|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81166||WS HB DEFAULT|1,052.00
WS SERVICE AREA|93010102|Hc Injection Rv/ra Gram Congenital Study|CARDIOLOGY - CARDIAC CATH LAB [0481]|93566||WS HB DEFAULT|2,926.00
WS SERVICE AREA|93010103|Hc Injection Supravalvular Aortagram|CARDIOLOGY - CARDIAC CATH LAB [0481]|93567||WS HB DEFAULT|3,787.00
WS SERVICE AREA|80085105|Hc Brca2 Gene Analysis Full Dup/del Analysis|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81167||WS HB DEFAULT|989.00
WS SERVICE AREA|93010104|Hc Injection Pulmonary Angiography|CARDIOLOGY - CARDIAC CATH LAB [0481]|93568||WS HB DEFAULT|3,497.00
WS SERVICE AREA|93392934|Hc Robotic Asst Atherectomy Des Stent Additional Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9603|LD|WS HB DEFAULT|17,512.00
WS SERVICE AREA|93010105|HC IV DOP VEL&/OR PRESS C/FLO RSRV MEAS 1ST VSL|CARDIOLOGY - CARDIAC CATH LAB [0481]|93571||WS HB DEFAULT|3,158.00
WS SERVICE AREA|80085106|Hc Aff2 Gene Analysis Eval Detect Abnormal Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81171||WS HB DEFAULT|479.00
WS SERVICE AREA|93010106|HC IV DOP VEL&/OR PRESS C/FLO RSRV MEAS ADDL VSL|CARDIOLOGY - CARDIAC CATH LAB [0481]|93572||WS HB DEFAULT|2,903.00
WS SERVICE AREA|93010107|Hc Asd Closure|CARDIOLOGY - CARDIAC CATH LAB [0481]|93580||WS HB DEFAULT|27,840.00
WS SERVICE AREA|93010108|Hc Vsd Closure|CARDIOLOGY - CARDIAC CATH LAB [0481]|93581||WS HB DEFAULT|27,840.00
WS SERVICE AREA|80085107|Hc Aff2 Gene Analysis Characterization Of Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81172||WS HB DEFAULT|961.00
WS SERVICE AREA|93010109|Hc His Bundle Recording|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93600||WS HB DEFAULT|5,622.00
WS SERVICE AREA|93010110|HC INTRA-ATRIAL RECORDING|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93602||WS HB DEFAULT|5,622.00
WS SERVICE AREA|93010111|Hc Right Ventricle Recording|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93603||WS HB DEFAULT|1,329.00
WS SERVICE AREA|80085108|Hc Ar Gene Analysis Full Gene Sequence|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81173||WS HB DEFAULT|1,052.00
WS SERVICE AREA|93492934|Hc Robotic Asst Atherectomy Des Stent Additional Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9603|LC|WS HB DEFAULT|17,512.00
WS SERVICE AREA|93010112|HC CATHETER MAPPING TACHYCARDIA|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93609||WS HB DEFAULT|5,851.00
WS SERVICE AREA|93010113|Hc Intra-atrial Pacing|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93610||WS HB DEFAULT|5,847.00
WS SERVICE AREA|80085109|Hc Ar Gene Analysis Known Familial Variant|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81174||WS HB DEFAULT|647.00
WS SERVICE AREA|93010114|Hc Intraventricular Pacing|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93612||WS HB DEFAULT|5,847.00
WS SERVICE AREA|93010115|HC 3D MAPPING|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93613||WS HB DEFAULT|5,851.00
WS SERVICE AREA|93010116|Hc Arrhythmia Induction Pacing|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93618||WS HB DEFAULT|5,847.00
WS SERVICE AREA|80085110|Hc Atn1 Gene Analysis Eval Detect Abnormal Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81177||WS HB DEFAULT|479.00
WS SERVICE AREA|93010117|Hc Eps Eval Complete W/o Induction|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93619||WS HB DEFAULT|8,966.00
WS SERVICE AREA|93010118|Hc Eps Eval Complete With Induction|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93620||WS HB DEFAULT|14,735.00
WS SERVICE AREA|93010120|HC EPS EVAL W / LA PACE AND RECORD|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93621||WS HB DEFAULT|4,194.00
WS SERVICE AREA|93592934|Hc Robotic Asst Atherectomy Des Stent Additional Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9603|RC|WS HB DEFAULT|17,512.00
WS SERVICE AREA|93010121|HC EPS EVAL W / LV PACE AND RECORD|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93622||WS HB DEFAULT|5,259.00
WS SERVICE AREA|93010122|HC DRUG STIMULATION STUDY|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93623||WS HB DEFAULT|5,847.00
WS SERVICE AREA|93010123|Hc Eps F/u With Attempted Induction|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93624||WS HB DEFAULT|6,491.00
WS SERVICE AREA|93010124|HC EPS EVAL ICD TESTING LEADS ONLY IMPLANT|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93640||WS HB DEFAULT|8,264.00
WS SERVICE AREA|80085111|Hc Atxn1 Gene Analysis Eval Detect Abnormal Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81178||WS HB DEFAULT|479.00
WS SERVICE AREA|93010125|HC EPS EVAL ICD TESTING GEN/LEADS IMPLANT|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93641||WS HB DEFAULT|6,580.00
WS SERVICE AREA|80085112|Hc Atxn2 Gene Analysis Eval Detect Abnormal Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81179||WS HB DEFAULT|479.00
WS SERVICE AREA|93010126|Hc Eps Eval Icd Gen/leads Not At Implant|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93642||WS HB DEFAULT|7,501.00
WS SERVICE AREA|80085113|Hc Atxn3 Gene Analysis Eval Detect Abnormal Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81180||WS HB DEFAULT|479.00
WS SERVICE AREA|93010127|Hc Ablation Supraventricular Tachycardia|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93653||WS HB DEFAULT|19,520.00
WS SERVICE AREA|93392937|Hc Robotic Asst Graft Ptca And Des Stent To Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9604|LD|WS HB DEFAULT|24,518.00
WS SERVICE AREA|93010128|Hc Ablation Atrioventricular Node|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93650||WS HB DEFAULT|14,559.00
WS SERVICE AREA|93010131|Hc Cardiovascular Eval Tilt Table|CARDIOLOGY - STRESS TEST [0482]|93660||WS HB DEFAULT|2,219.00
WS SERVICE AREA|93010132|Hc Intracardiac Echo During Intervention W/imaging Add On|CARDIOLOGY - CARDIAC CATH LAB [0481]|93662||WS HB DEFAULT|9,700.00
WS SERVICE AREA|80085114|Hc Atxn7 Gene Analysis Eval Detect Abnormal Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81181||WS HB DEFAULT|479.00
WS SERVICE AREA|93010133|HC OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR|OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943]|93797||WS HB DEFAULT|207.00
WS SERVICE AREA|93010134|HC OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR|OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943]|93797|KX|WS HB DEFAULT|207.00
WS SERVICE AREA|80085115|Hc Atxn8os Gene Analysis Eval Detect Abnor Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81182||WS HB DEFAULT|479.00
WS SERVICE AREA|80085116|Hc Atxn10 Gene Analysis Eval Detc Abnormal Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81183||WS HB DEFAULT|479.00
WS SERVICE AREA|93010138|HC OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING|OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943]|93798||WS HB DEFAULT|282.00
WS SERVICE AREA|93010139|HC OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING|OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943]|93798|KX|WS HB DEFAULT|282.00
WS SERVICE AREA|93492937|Hc Robotic Asst Graft Ptca And Des Stent To Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9604|LC|WS HB DEFAULT|24,518.00
WS SERVICE AREA|93010141|HC OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING|OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943]|93797||WS HB DEFAULT|52.00
WS SERVICE AREA|93010142|HC UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE|CARDIOLOGY - CARDIAC CATH LAB [0481]|93799||WS HB DEFAULT|894.00
WS SERVICE AREA|93010143|Hc Phase Iii Self Pay Cardiac Rehab Daily|OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943]|93797||WS HB DEFAULT|4.00
WS SERVICE AREA|93010144|Hc Phase Iii Self Pay Cardiac Rehab Monthly|OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943]|93797||WS HB DEFAULT|50.00
WS SERVICE AREA|93010145|Hc Zz Us Duplex Extracranial Arteries Compl Bilateral - Use Eap 70400051|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93880||WS HB DEFAULT|781.00
WS SERVICE AREA|93010173|HC 2D TTE W OR W/O FOL W/CON COMPLETE|CARDIOLOGY - ECHOCARDIOLOGY [0483]|C8923||WS HB DEFAULT|3,175.00
WS SERVICE AREA|93010174|Hc Echo 2d Tte W Or W/o Fol W/con F/u|CARDIOLOGY - ECHOCARDIOLOGY [0483]|C8924||WS HB DEFAULT|1,365.00
WS SERVICE AREA|93010192|Hc Tte W Or W/o Fol W/con Stress|CARDIOLOGY - ECHOCARDIOLOGY [0483]|C8928||WS HB DEFAULT|2,893.00
WS SERVICE AREA|93010199|HC 2D TEE W OR W/O FOL W/CON,IN|CARDIOLOGY - ECHOCARDIOLOGY [0483]|C8925||WS HB DEFAULT|3,246.00
WS SERVICE AREA|93010200|HC TTE W OR WO FOL WCON,DOPPLER COMPLETE|CARDIOLOGY - ECHOCARDIOLOGY [0483]|C8929||WS HB DEFAULT|4,590.00
WS SERVICE AREA|93592937|Hc Robotic Asst Graft Ptca And Des Stent To Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9604|RC|WS HB DEFAULT|24,518.00
WS SERVICE AREA|93010203|Hc Tte W Or W/o Contr Cont Ecg|CARDIOLOGY - ECHOCARDIOLOGY [0483]|C8930||WS HB DEFAULT|2,652.00
WS SERVICE AREA|93010251|Hc Echo Tthrc R-t 2d W/wom-mode Compl Spec&colr D|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93306||WS HB DEFAULT|4,068.00
WS SERVICE AREA|93010254|Hc Echo Ped Doppler Colorflow|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93325||WS HB DEFAULT|764.00
WS SERVICE AREA|93010255|HC ABLATION VT|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93654||WS HB DEFAULT|19,520.00
WS SERVICE AREA|93010258|HC US DUPLEX VENOUS LOWER EXTREMITY LTD/UNILATERAL|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93971||WS HB DEFAULT|1,078.00
WS SERVICE AREA|93010260|Hc Lhrt Cath Trnsptl Puncture|CARDIOLOGY - OTHER CARDIOLOGY [0489]|93462||WS HB DEFAULT|10,696.00
WS SERVICE AREA|94010012|Hc Mnt Ind Init Assessment Ea 15mins|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|97802||WS HB DEFAULT|48.00
WS SERVICE AREA|94010013|Hc Mnt Ind Re-assessment Ea 15mins  |OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|97803||WS HB DEFAULT|48.00
WS SERVICE AREA|94010014|Hc Mnt Group Each 30 Mins|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|97804||WS HB DEFAULT|64.00
WS SERVICE AREA|94010015|HC EDUCATION & TRAINING SELF-MGMT NONPHYS 2-4 PTS|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|98961||WS HB DEFAULT|214.00
WS SERVICE AREA|93792937|Hc Robotic Asst Graft Ptca And/or Des Stent Ramus Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9604|RI|WS HB DEFAULT|24,518.00
WS SERVICE AREA|94010016|HC EDUCATION & TRAINING SELF-MGMT NONPHYS 5-8 PTS|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|98962||WS HB DEFAULT|216.00
WS SERVICE AREA|94010017|Hc Cessation Smoking Counsel <10 Min|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|99406||WS HB DEFAULT|78.00
WS SERVICE AREA|94010018|Hc Cessation Smoking Counsel >10 Min|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|99407||WS HB DEFAULT|158.00
WS SERVICE AREA|94010019|Hc De Ind Assess 30m/u-2units|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|G0108||WS HB DEFAULT|120.00
WS SERVICE AREA|94010020|Hc De Ind Instructon 30m/u-units Var|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|G0108||WS HB DEFAULT|120.00
WS SERVICE AREA|94010021|Hc Diabetes Management Training Individual/group|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|G0109||WS HB DEFAULT|79.00
WS SERVICE AREA|94010022|Hc Php Edu/train Group 45> Min|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|G0177||WS HB DEFAULT|430.00
WS SERVICE AREA|94010023|Hc Mnt Ind Subs Dx Change|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|G0270||WS HB DEFAULT|38.00
WS SERVICE AREA|94010024|Hc Heart Fit Wellness Cancel|OTHER DIAGNOSTIC SERVICES - ALLERGY TEST [0924]|||WS HB DEFAULT|26.00
WS SERVICE AREA|80085117|Hc Cacna1a Gene Analysis Eval Detect Abnor Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81184||WS HB DEFAULT|479.00
WS SERVICE AREA|93092938|Hc  Robotic Asst Graft Ptca And/or Des Stent Addtl Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9605|LD|WS HB DEFAULT|18,425.00
WS SERVICE AREA|94010025|Hc Heart Fit Wellness Fit Assess|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|||WS HB DEFAULT|31.00
WS SERVICE AREA|94010026|Hc Heart Fit Wellness Coach 1 Mo|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|||WS HB DEFAULT|37.00
WS SERVICE AREA|80085118|Hc Cacna1a Gene Analysis Full Gene Sequence|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81185||WS HB DEFAULT|2,955.00
WS SERVICE AREA|94010027|Hc Heart Wellness-diet Consult|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|||WS HB DEFAULT|63.00
WS SERVICE AREA|93091422|Hc Ip Only- Replace Aortic Valve Perq|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|28,260.00
WS SERVICE AREA|94010028|Hc Heart Fit Wellness Coach 3 Mo|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|||WS HB DEFAULT|103.00
WS SERVICE AREA|94010029|Hc Heart Fit Wellness Option|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|||WS HB DEFAULT|209.00
WS SERVICE AREA|80085119|Hc Cacna1a Gene Analysis Known Familial Variant|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81186||WS HB DEFAULT|647.00
WS SERVICE AREA|94010030|Hc Heart Fit Wellness Employee|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|||WS HB DEFAULT|261.00
WS SERVICE AREA|80085120|Hc Cnbp Gene Analysis Eval Detect Abnormal Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81187||WS HB DEFAULT|479.00
WS SERVICE AREA|93492938|Hc  Robotic Asst Graft Ptca And/or Des Stent Addtl Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9605|LC|WS HB DEFAULT|18,425.00
WS SERVICE AREA|272110037|Hc Dressing Ag 2x3 Mepitel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.50
WS SERVICE AREA|94010031|Hc Heart Fit Wellness Program|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|||WS HB DEFAULT|313.00
WS SERVICE AREA|80085121|Hc Cstb Gene Analysis Eval Detect Abnormal Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81188||WS HB DEFAULT|479.00
WS SERVICE AREA|94010032|Hc Heart Fit Wellness-couple|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|||WS HB DEFAULT|470.00
WS SERVICE AREA|80085122|Hc Cstb Gene Analysis Full Gene Sequence|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81189||WS HB DEFAULT|612.00
WS SERVICE AREA|80085123|Hc Cstb Gene Analysis Known Familial Variants|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81190||WS HB DEFAULT|647.00
WS SERVICE AREA|80085124|Hc Ar Gene Analysis Characterization Of Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81204||WS HB DEFAULT|479.00
WS SERVICE AREA|80085125|Hc Btk Gene Analysis Common Variants|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81233||WS HB DEFAULT|615.00
WS SERVICE AREA|80085126|Hc Dmpk Gene Analysis Eval Detect Abnormal Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81234||WS HB DEFAULT|479.00
WS SERVICE AREA|80085127|Hc Ezh2 Gene Analysis Full Gene Sequence|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81236||WS HB DEFAULT|989.00
WS SERVICE AREA|80085128|Hc Ezh2 Gene Analysis Common Variants|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81237||WS HB DEFAULT|612.00
WS SERVICE AREA|93592938|Hc  Robotic Asst Graft Ptca And/or Des Stent Addtl Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9605|RC|WS HB DEFAULT|18,425.00
WS SERVICE AREA|80085129|Hc Dmpk Gene Analysis Characterization Of Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81239||WS HB DEFAULT|961.00
WS SERVICE AREA|95010010|Hc Zz Ep-auditory Brainstem - No Replacement|AUDIOLOGY - DIAGNOSTIC [0471]|92585||WS HB DEFAULT|2,418.00
WS SERVICE AREA|80085130|Hc Htt Gene Analysis Detect Abnormal Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81271||WS HB DEFAULT|479.00
WS SERVICE AREA|80085131|Hc Htt Gene Analysis Characterization Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81274||WS HB DEFAULT|961.00
WS SERVICE AREA|80085132|Hc Fxn Gene Analysis Eval Detect Abnormal Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81284||WS HB DEFAULT|479.00
WS SERVICE AREA|95010013|Hc Pap Nap Full 2 Or More Hours|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95807||WS HB DEFAULT|3,154.00
WS SERVICE AREA|80085133|Hc Fxn Gene Analysis Characterization Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81285||WS HB DEFAULT|961.00
WS SERVICE AREA|80085134|Hc Fxn Gene Analysis Full Gene Sequence|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81286||WS HB DEFAULT|961.00
WS SERVICE AREA|95010015|HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTENDED|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95810||WS HB DEFAULT|7,822.00
WS SERVICE AREA|80085135|Hc Fxn Gene Analysis Known Familial Variants|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81289||WS HB DEFAULT|647.00
WS SERVICE AREA|93192941|Hc Ip Only-robotic Asst Prq Card Des Revasc Mi 1vsl Ld|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9606|LD|WS HB DEFAULT|34,323.00
WS SERVICE AREA|80085136|Hc Myd88 Gene Analysis P.leu265 (l265p) Variant|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81305||WS HB DEFAULT|615.00
WS SERVICE AREA|80085137|Hc Nudt15 Gene Analysis Common Variants|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81306||WS HB DEFAULT|1,017.00
WS SERVICE AREA|80085138|Hc Pabpn1 Gene Analysis Eval Detc Abnormal Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81312||WS HB DEFAULT|479.00
WS SERVICE AREA|80085139|Hc Plcg2 Gene Analysis Common Variants|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81320||WS HB DEFAULT|1,017.00
WS SERVICE AREA|80085140|Hc Smn1 Gene Analysis Dosage/delet Alys W/smn2 Alys|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81329||WS HB DEFAULT|479.00
WS SERVICE AREA|80085141|Hc Tgfbi Gene Analysis Common Variants|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81333||WS HB DEFAULT|479.00
WS SERVICE AREA|80085142|Hc Smn1 Gene Analysis Full Gene Sequence|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81336||WS HB DEFAULT|1,052.00
WS SERVICE AREA|95010023|Hc Mslt/mwt|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95805||WS HB DEFAULT|3,904.00
WS SERVICE AREA|80085143|Hc Smn1 Gene Analysis Known Familial Seq Variants|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81337||WS HB DEFAULT|647.00
WS SERVICE AREA|95010025|Hc Eeg Awake & Asleep Recording|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95819||WS HB DEFAULT|1,799.00
WS SERVICE AREA|93392941|Hc Ip Only-robotic Asst Prq Card Des Revasc Mi 1vsl Lc|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9606|LC|WS HB DEFAULT|34,452.00
WS SERVICE AREA|80085144|Hc Ppp2r2b Gene Analysis Eval Detc Abnormal Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81343||WS HB DEFAULT|479.00
WS SERVICE AREA|95010026|Hc Eeg Coma Or Sleep Only|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95822||WS HB DEFAULT|2,331.00
WS SERVICE AREA|80085145|Hc Tbp Gene Analysis Eval Detect Abnormal Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81344||WS HB DEFAULT|479.00
WS SERVICE AREA|95010027|Hc Eeg Cerebral Death Evaluation Only|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95824||WS HB DEFAULT|2,308.00
WS SERVICE AREA|80085146|Hc Tert Gene Analysis Targeted Sequence Analysis|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81345||WS HB DEFAULT|647.00
WS SERVICE AREA|80085147|Hc Genetic Testing For Severe Inherited Conditions|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81443||WS HB DEFAULT|8,555.00
WS SERVICE AREA|95010029|Hc Emg 1  W/wo Related Paraspinal Areas|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95860||WS HB DEFAULT|580.00
WS SERVICE AREA|80085148|Hc Oncology Breast Mrna Gene Expression 11 Genes|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81518||WS HB DEFAULT|13,631.00
WS SERVICE AREA|80085149|Hc Nfct Ds Chrnc Hcv 6 Biochem Assay Srm Alg Lvr|LABORATORY - GENERAL CLASSIFICATION [0300]|81596||WS HB DEFAULT|253.00
WS SERVICE AREA|80085150|Hc Dihydrotestosterone (dht)|LABORATORY - GENERAL CLASSIFICATION [0300]|82642||WS HB DEFAULT|133.00
WS SERVICE AREA|93492941|Hc Ip Only-robotic Asst Prq Card Des Revasc Mi 1vsl Rc|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9606|RC|WS HB DEFAULT|34,452.00
WS SERVICE AREA|80085151|Hc Dir Meas Lipoprotein Small Dense Ldl Cholesterol|LABORATORY - GENERAL CLASSIFICATION [0300]|83722||WS HB DEFAULT|141.00
WS SERVICE AREA|97010233|HC-ELBOW ORTHOSIS FOREARM/ARM CUFFS FREE MOTION|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3720||WS HB DEFAULT|607.70
WS SERVICE AREA|95010035|HC VISUAL EVOKED POTENTIAL TEST|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95930||WS HB DEFAULT|2,055.00
WS SERVICE AREA|10110021|Hc Fine Needle Aspiration Bx W/o Img Gdn 1st Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10021||WS HB DEFAULT|1,323.00
WS SERVICE AREA|97010234|HC-ELBOW ORTHOSIS FOREARM/ARM CUFFS EXT FLEX-ASST|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3730||WS HB DEFAULT|687.00
WS SERVICE AREA|97010094|Hc Whirlpool 3 Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97022|GP|WS HB DEFAULT|227.00
WS SERVICE AREA|97010235|Hc-ewhfo Rigid W/o Jnts Cf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3765||WS HB DEFAULT|1,882.80
WS SERVICE AREA|97010096|Hc Fluidotherapy Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97022|GO|WS HB DEFAULT|227.00
WS SERVICE AREA|97010097|Hc Application Modality 1/> Areas Whirlpool - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97022|GO|WS HB DEFAULT|227.00
WS SERVICE AREA|97010236|HC-EWHFO W/JOINT(S) CF|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3766||WS HB DEFAULT|1,666.50
WS SERVICE AREA|27204887|Hc Kit Cath Cvc 16cm 4 Lum Cntrl Vp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|613.60
WS SERVICE AREA|97010098|Hc Whirlpool 2 Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97022|GO|WS HB DEFAULT|227.00
WS SERVICE AREA|97010099|Hc Whirlpool 3 Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97022|GO|WS HB DEFAULT|227.00
WS SERVICE AREA|97010100|Hc Diathermy Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97024|GP|WS HB DEFAULT|135.00
WS SERVICE AREA|97010238|HC-WHO W/NONTORSION JNT(S) CF|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3905||WS HB DEFAULT|887.90
WS SERVICE AREA|97010102|Hc Appl Modality 1/> Areas Elec Stimj Ea 15 Min - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97032|GP|WS HB DEFAULT|248.00
WS SERVICE AREA|97010103|Hc Appl Modality 1/> Areas Elec Stim Ea 15 Min - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97032|GO|WS HB DEFAULT|248.00
WS SERVICE AREA|97010104|Hc Iontophoresis Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97033|GP|WS HB DEFAULT|209.00
WS SERVICE AREA|97010243|HC-DRY NEHC UNLISTED THERAPEUTIC REHAB -PTEDLING PHYSICAL THERAPY|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97139|GP|WS HB DEFAULT|209.00
WS SERVICE AREA|97010105|Hc Iontophoresis Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97033|GO|WS HB DEFAULT|209.00
WS SERVICE AREA|97010107|Hc Contrast Bath Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97034|GO|WS HB DEFAULT|204.00
WS SERVICE AREA|272110694|Hc Cath Picc Sgl Lum 4.5frx55cm Cg Vps|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|734.40
WS SERVICE AREA|97010108|Hc Appl Modality 1/> Areas Ultrasound Ea 15 Min - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97035|GP|WS HB DEFAULT|156.00
WS SERVICE AREA|97010109|Hc Appl Modality 1/> Areas Ultrasound Ea 15 Min - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97035|GO|WS HB DEFAULT|156.00
WS SERVICE AREA|97010110|Hc Hubbard Tank Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97036|GP|WS HB DEFAULT|184.00
WS SERVICE AREA|97010112|Hc Therapeutic Exercise Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97110|GP|WS HB DEFAULT|236.00
WS SERVICE AREA|97010242|HC-FINGER ORTHOSIS,NONTORSION JOINT, CUSTOM FAB, INCL FIT/ADJ|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3935||WS HB DEFAULT|475.30
WS SERVICE AREA|97010115|Hc Therapeutic Exercise Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97110|GO|WS HB DEFAULT|236.00
WS SERVICE AREA|97010118|Hc Neuromuscular Reeducation Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97112|GP|WS HB DEFAULT|236.00
WS SERVICE AREA|97010120|Hc Neuromuscular Reeducation Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97112|GO|WS HB DEFAULT|236.00
WS SERVICE AREA|97010121|Hc Aquatic Therapy Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97113|GP|WS HB DEFAULT|205.00
WS SERVICE AREA|97010122|Hc Aquatic Therapy Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97113|GO|WS HB DEFAULT|205.00
WS SERVICE AREA|93792941|Hc Ip Only- Robotic Asst Prq Card Des Revasc Mi 1vsl Lm|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9606|LM|WS HB DEFAULT|34,452.00
WS SERVICE AREA|97010124|Hc Gait Training Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97116|GP|WS HB DEFAULT|222.00
WS SERVICE AREA|97010125|Hc Gait Training/bilat Asst Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97116|GP|WS HB DEFAULT|222.00
WS SERVICE AREA|97010126|Hc Gait Training/bilat Asst Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97116|GO|WS HB DEFAULT|222.00
WS SERVICE AREA|97010127|Hc Massage Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97124|GP|WS HB DEFAULT|223.00
WS SERVICE AREA|97010128|Hc Massage Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97124|GO|WS HB DEFAULT|223.00
WS SERVICE AREA|80084650|Hc Human Papillomavirus (hpv), Types 16 And 18 Only, Includes Type 45, If Performed|LABORATORY - GENERAL CLASSIFICATION [0300]|87625||WS HB DEFAULT|300.00
WS SERVICE AREA|80084651|Hc Morphometric Analysis, Ihc, Quant/semiquant, Per Specimen, Using Computer-assisted Technology|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88361||WS HB DEFAULT|760.00
WS SERVICE AREA|97010133|Hc Manual Therapy Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97140|GP|WS HB DEFAULT|261.00
WS SERVICE AREA|97010134|Hc Manual Therapy Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97140|GO|WS HB DEFAULT|261.00
WS SERVICE AREA|97010137|Hc Therapeutic Procedures Group 2/> Individuals - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97150|GO|WS HB DEFAULT|170.00
WS SERVICE AREA|272110695|Hc Cath Picc Sgl Lum 4.5frx50cm Cg Vps|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|779.70
WS SERVICE AREA|97010138|Hc Therapeutic Procedures Group 2/> Individuals - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97150|GP|WS HB DEFAULT|170.00
WS SERVICE AREA|97010139|Hc Group Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97150|GO|WS HB DEFAULT|170.00
WS SERVICE AREA|97010140|Hc Therapeutic Activities Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97530|GO|WS HB DEFAULT|209.00
WS SERVICE AREA|97010143|Hc Sensory Integration Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97533|GP|WS HB DEFAULT|131.00
WS SERVICE AREA|97010144|Hc Sensory Integration Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97533|GO|WS HB DEFAULT|131.00
WS SERVICE AREA|97010145|Hc Selfcare/home Mgmt Trng Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97535|GP|WS HB DEFAULT|224.00
WS SERVICE AREA|97010146|Hc Selfcare/home Mgmt Trng Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97535|GO|WS HB DEFAULT|224.00
WS SERVICE AREA|97010149|Hc Community Reintegration Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97537|GP|WS HB DEFAULT|159.00
WS SERVICE AREA|97010150|Hc Community Reintegration Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97537|GO|WS HB DEFAULT|159.00
WS SERVICE AREA|97010151|Hc Wheelchair Mgmt Training Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97542|GP|WS HB DEFAULT|316.00
WS SERVICE AREA|272110696|Hc Cath Picc Dbl Lum 5.5frx55cm Cg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|774.90
WS SERVICE AREA|97010152|Hc Wheelchair Mgmt Training Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97542|GO|WS HB DEFAULT|316.00
WS SERVICE AREA|97010153|HC WORK HARDENING/CONT PT  1ST 2 HOURS|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97545|GP|WS HB DEFAULT|312.00
WS SERVICE AREA|97010154|HC WORK HARDENING/CONT OT  1ST 2 HOURS|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97545|GO|WS HB DEFAULT|312.00
WS SERVICE AREA|97010155|Hc Add-on Work Hardening/cond Pt Each Add'l Hour|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97546|GP|WS HB DEFAULT|132.00
WS SERVICE AREA|97010156|HC ADD-ON WORK HARDENING/COND OT EACH ADD'L HOUR|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97546|GO|WS HB DEFAULT|132.00
WS SERVICE AREA|97010157|Hc Debridement Open Wound 20 Sq Cm/< - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97597|GP|WS HB DEFAULT|1,135.00
WS SERVICE AREA|97010159|HC SELECTIVE DEBRID < 20SQCM OCCUPATIONAL THERAPY|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97597|GO|WS HB DEFAULT|1,135.00
WS SERVICE AREA|97010161|Hc Debridement Open Wound Each Additional 20 Sq Cm - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97598|GP|WS HB DEFAULT|1,377.00
WS SERVICE AREA|97010163|Hc Selective Debride/dressing > 20 Sqcm Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97598|GO|WS HB DEFAULT|1,377.00
WS SERVICE AREA|97010165|Hc Physical Performance Testing Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97750|GP|WS HB DEFAULT|134.00
WS SERVICE AREA|93992941|Hc Ip Only-robotic Asst Prq Card Des Revasc Mi 1vsl Ri|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9606|RI|WS HB DEFAULT|34,452.00
WS SERVICE AREA|272110038|Hc Dressing Ag 3x4 Mepitel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|51.00
WS SERVICE AREA|97010167|Hc Physical Performance Testing Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97750|GO|WS HB DEFAULT|134.00
WS SERVICE AREA|97010169|Hc Ortho Fitting/training Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97760|GP|WS HB DEFAULT|161.00
WS SERVICE AREA|97010171|Hc Ortho Fitting/training Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97760|GO|WS HB DEFAULT|161.00
WS SERVICE AREA|97010173|Hc Prosthetic Training/ Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97761|GP|WS HB DEFAULT|266.00
WS SERVICE AREA|97010175|Hc Prosthetic Training/ Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97761|GO|WS HB DEFAULT|266.00
WS SERVICE AREA|97010182|Hc Job Placement Assessment/physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97799|GP|WS HB DEFAULT|306.00
WS SERVICE AREA|97010184|Hc Job Placement Assessment Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97799|GO|WS HB DEFAULT|306.00
WS SERVICE AREA|97010185|HC ELEC STIM OTHER THAN WOUND 1 OR MORE AREAS|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|G0283|GP|WS HB DEFAULT|284.00
WS SERVICE AREA|97010186|HC ELEC STIM OTHER THAN WOUND 1 OR MORE AREAS|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|G0283|GO|WS HB DEFAULT|284.00
WS SERVICE AREA|97010190|Hc No Show Land|PATIENT CONVENIENCE ITEMS - OTHER PATIENT CONVENIENCE ITEMS [0999]|||WS HB DEFAULT|31.00
WS SERVICE AREA|93192943|Hc Robotic Asst Cto Des Stent Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9607|LD|WS HB DEFAULT|34,452.00
WS SERVICE AREA|97010191|Hc No Show Pool|PATIENT CONVENIENCE ITEMS - OTHER PATIENT CONVENIENCE ITEMS [0999]|||WS HB DEFAULT|42.00
WS SERVICE AREA|61010001|HC INJ(S) ANES AGT(S)/STEROID PARACERVICAL NERVE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64435||WS HB DEFAULT|3,077.00
WS SERVICE AREA|99010011|HC MED/SURG/GYN|ROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - MEDICAL/SURGICAL/GYN [0121]|||WS HB DEFAULT|1,466.00
WS SERVICE AREA|99010013|Hc Bh State Program|ROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - PSYCHIATRIC [0124]|||WS HB DEFAULT|2,632.00
WS SERVICE AREA|99010014|Hc Detoxification|ROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - DETOXIFICATION [0126]|||WS HB DEFAULT|2,424.00
WS SERVICE AREA|99010016|Hc Zz Newborn Care Level I - Use Eap 99010017|NURSERY - NEWBORN - LEVEL I [0171]|||WS HB DEFAULT|825.00
WS SERVICE AREA|99010017|Hc Newborn Care Level I|NURSERY - NEWBORN - LEVEL I [0171]|||WS HB DEFAULT|825.00
WS SERVICE AREA|70476816|Hc Us Follow Up Per Fetus|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76816||WS HB DEFAULT|866.00
WS SERVICE AREA|99010018|Hc Newborn Care Level Ii|NURSERY - NEWBORN - LEVEL II [0172]|||WS HB DEFAULT|3,682.00
WS SERVICE AREA|99010019|Hc Newborn Care Level Iii|NURSERY - NEWBORN - LEVEL III [0173]|||WS HB DEFAULT|5,000.00
WS SERVICE AREA|272110812|Hc Tray Cath Adafl W Mtr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.60
WS SERVICE AREA|70476826|Hc Fetal Cardiovasc 2d Fu Us|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76826||WS HB DEFAULT|639.00
WS SERVICE AREA|99010020|Hc Nursery Level Iv Nicu|NURSERY - NEWBORN - LEVEL IV [0174]|||WS HB DEFAULT|6,890.00
WS SERVICE AREA|99010021|Hc Icu Overflow|INTENSIVE CARE - GENERAL CLASSIFICATION [0200]|||WS HB DEFAULT|4,842.00
WS SERVICE AREA|70476828|Hc Fetal Doppler Echocardiogram Limited/fu|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76828||WS HB DEFAULT|1,134.00
WS SERVICE AREA|99010022|HC ICU BED CHARGES|INTENSIVE CARE - GENERAL CLASSIFICATION [0200]|||WS HB DEFAULT|4,842.00
WS SERVICE AREA|99010023|Hc Ltac Intermediate Care|INTENSIVE CARE - INTERMEDIATE ICU [0206]|||WS HB DEFAULT|4,304.00
WS SERVICE AREA|99010025|Hc Ltac Icu|CORONARY CARE - PULMONARY CARE [0212]|||WS HB DEFAULT|4,842.00
WS SERVICE AREA|99010026|Hc Ltac Telemetry|CORONARY CARE - INTERMEDIATE CCU [0214]|||WS HB DEFAULT|4,304.00
WS SERVICE AREA|51010003|Hc Zz Biopsy Of Vaginal Mucosa, Simple- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|57100||WS HB DEFAULT|5,040.00
WS SERVICE AREA|99010027|Hc Telemetry|CORONARY CARE - INTERMEDIATE CCU [0214]|||WS HB DEFAULT|4,304.00
WS SERVICE AREA|93392943|Hc Robotic Asst Cto Des Stent Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9607|LC|WS HB DEFAULT|34,452.00
WS SERVICE AREA|99010028|Hc Zz Telemetry Ii - Use Eap 99010027|CORONARY CARE - INTERMEDIATE CCU [0214]|||WS HB DEFAULT|4,304.00
WS SERVICE AREA|99010029|Hc Tele/high Risk Pp|INTENSIVE CARE - INTERMEDIATE ICU [0206]|||WS HB DEFAULT|4,304.00
WS SERVICE AREA|51010007|Hc Zz Biopsy Of Vulva/perineum 1 Lesion- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|56605||WS HB DEFAULT|5,095.00
WS SERVICE AREA|99010037|HC SEMI PRIV/IP ONE DAY BED CHARGE|ROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - MEDICAL/SURGICAL/GYN [0121]|||WS HB DEFAULT|1.00
WS SERVICE AREA|99010038|Hc Standard Gyn|ROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - MEDICAL/SURGICAL/GYN [0121]|||WS HB DEFAULT|1,466.00
WS SERVICE AREA|99010039|Hc Post Partum|ROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - OB [0122]|||WS HB DEFAULT|1,466.00
WS SERVICE AREA|99010040|Hc Long Term Acute Care|ROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - MEDICAL/SURGICAL/GYN [0111]|||WS HB DEFAULT|1,508.00
WS SERVICE AREA|99010041|Hc Behavioral Health|ROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - PSYCHIATRIC [0124]|||WS HB DEFAULT|2,424.00
WS SERVICE AREA|99010042|Hc Zz Newborn Care Level Ii - Use Eap 99010018|NURSERY - NEWBORN - LEVEL II [0172]|||WS HB DEFAULT|3,682.00
WS SERVICE AREA|10010203|Hc Destruction Of Benign Lesions 1-14|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|17110||WS HB DEFAULT|3,579.00
WS SERVICE AREA|272110814|Hc Tray Cath Adafl W Drain Bag|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.60
WS SERVICE AREA|51010013|Hc Zz Insertion Of Cervical Dilator- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|59200||WS HB DEFAULT|1,933.00
WS SERVICE AREA|70020478|Hc Placement Occlusive Device Vein Or Artery|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|G0269||WS HB DEFAULT|2,307.00
WS SERVICE AREA|10010209|Hc Zz Ca Screening Pelvic/breast Exam- No Replacement|CLINIC - GENERAL CLASSIFICATION [0510]|G0101||WS HB DEFAULT|188.00
WS SERVICE AREA|51010014|Hc Zz Colposcopy Of Vagina- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|57420||WS HB DEFAULT|2,707.00
WS SERVICE AREA|51010015|Hc Zz Colposcopy Of Vagina W/biopsy- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|57421||WS HB DEFAULT|5,339.00
WS SERVICE AREA|51010016|Hc Zz Colposcopy Of Cervix- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|57452||WS HB DEFAULT|1,563.00
WS SERVICE AREA|51010017|Hc Zz Colposcopy Of Cervix W/bx And Endocerv Curett- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|57454||WS HB DEFAULT|2,349.00
WS SERVICE AREA|51010018|Hc Zz Colposcopy Of Cervix W/biopsy- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|57455||WS HB DEFAULT|1,932.00
WS SERVICE AREA|51010019|Hc Zz Colposcopy Of Cervix W/endocerv Curettage- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|57456||WS HB DEFAULT|1,672.00
WS SERVICE AREA|51010022|Hc Zz Cervical Biopsy, Single Or Multiple- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|57500||WS HB DEFAULT|5,285.00
WS SERVICE AREA|93592943|Hc Robotic Asst Cto Des Stent Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9607|RC|WS HB DEFAULT|34,452.00
WS SERVICE AREA|51010023|Hc Zz Endocervical Curettage- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|57505||WS HB DEFAULT|6,458.00
WS SERVICE AREA|51010026|Hc Zz Conization Of Cervix Leep, Loop Electrode- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|57522||WS HB DEFAULT|11,324.00
WS SERVICE AREA|70020507|Hc Zz Nm Heart Muscle Spect Single - Use Eap 70800044|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78451||WS HB DEFAULT|6,605.00
WS SERVICE AREA|70020508|Hc Zz Nm Heart Muscle Spect Multiple - Use Eap 70800045|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78452||WS HB DEFAULT|7,514.00
WS SERVICE AREA|51010029|Hc Zz Hysteroscopy W/bx Endom Or Polpect W/wo D&c- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|58558||WS HB DEFAULT|11,989.00
WS SERVICE AREA|10010204|Hc Excision, Benign Lesion 1.1 - 2.0 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11422||WS HB DEFAULT|6,603.00
WS SERVICE AREA|10010205|Hc Excision, Benign Lesion 2.1 - 3.0 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11423||WS HB DEFAULT|7,569.00
WS SERVICE AREA|10010206|Hc Excision, Benign Lesion 0.6 - 1.0 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11421||WS HB DEFAULT|5,330.00
WS SERVICE AREA|10010207|Hc Insertion Of Non-bio Drug Implant|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11981||WS HB DEFAULT|5,183.00
WS SERVICE AREA|10010208|Hc Zz Removal Of Implantable Contraceptive Capsules- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11976||WS HB DEFAULT|2,445.00
WS SERVICE AREA|272110816|Hc Tray Cath 16fr Lbrcath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.30
WS SERVICE AREA|51010033|Hc Zz Pessary Fit Or Insertion- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|57160||WS HB DEFAULT|9,400.00
WS SERVICE AREA|70476811|Hc Us Pregnant Uterus W/detail Fetal Anatomic 1st Gestation|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76811||WS HB DEFAULT|1,444.00
WS SERVICE AREA|70476812|Hc Us Pregnant Uterus Detail Fetal Anatomic Exam Ea Gestation|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76812||WS HB DEFAULT|544.00
WS SERVICE AREA|70020543|Hc Vl Us 3-d Rendering Independent Station|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76377||WS HB DEFAULT|915.00
WS SERVICE AREA|70020544|Hc Physics Review End Of Treatment|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77336||WS HB DEFAULT|1,040.00
WS SERVICE AREA|95020011|Hc Sleep Study Unattended|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95806||WS HB DEFAULT|1,098.00
WS SERVICE AREA|96010019|Hc Zz Admin Vacc W Counsel, =<18, 1st Vac Or Compt, Any Rte- Use 96010022|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|90460||WS HB DEFAULT|99.00
WS SERVICE AREA|96010022|HC ADMIN VACC INJECT SGL OR COMBO VACC 1ST|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|90471||WS HB DEFAULT|133.00
WS SERVICE AREA|96010023|HC ADMIN VACC INJECT SGL OR COMBO VACC EA ADD|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|90472||WS HB DEFAULT|133.00
WS SERVICE AREA|96010024|Hc Admin Vacc Nasal/oral, Wo Counsel, Sgl Or Combo, 1st|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|90473||WS HB DEFAULT|133.00
WS SERVICE AREA|93792943|Hc Robotic Asst Cto Des Stent Lm Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9607|LM|WS HB DEFAULT|34,452.00
WS SERVICE AREA|96010025|Hc Admin Vacc Nasal/oral, Wo Counsel, Sgl Or Combo, Ea Add|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|90474||WS HB DEFAULT|133.00
WS SERVICE AREA|96010027|Hc Iv Inf Hydration|IV THERAPY - GENERAL CLASSIFICATION [0260]|96360||WS HB DEFAULT|907.00
WS SERVICE AREA|96010028|Hc Iv Inf Hydration Ea Addl Hr|IV THERAPY - GENERAL CLASSIFICATION [0260]|96361||WS HB DEFAULT|110.00
WS SERVICE AREA|96010030|Hc Iv Inf Tx/dx 1st Hr|IV THERAPY - GENERAL CLASSIFICATION [0260]|96365||WS HB DEFAULT|907.00
WS SERVICE AREA|96010031|Hc Iv Inf Tx/dx Ea Addl Hr|IV THERAPY - GENERAL CLASSIFICATION [0260]|96366||WS HB DEFAULT|110.00
WS SERVICE AREA|96010032|Hc Iv Inf Sequential 1st Hr (not An Initial)|IV THERAPY - GENERAL CLASSIFICATION [0260]|96367||WS HB DEFAULT|907.00
WS SERVICE AREA|96010033|Hc Iv Inf Tx/dx Concurrent|IV THERAPY - GENERAL CLASSIFICATION [0260]|96368||WS HB DEFAULT|907.00
WS SERVICE AREA|96010035|Hc Inj Im/subq|IV THERAPY - GENERAL CLASSIFICATION [0260]|96372||WS HB DEFAULT|167.00
WS SERVICE AREA|96010037|Hc Iv Inj Initial|IV THERAPY - GENERAL CLASSIFICATION [0260]|96374||WS HB DEFAULT|651.00
WS SERVICE AREA|96010039|Hc Iv Inj Ea New Med|IV THERAPY - GENERAL CLASSIFICATION [0260]|96375||WS HB DEFAULT|267.00
WS SERVICE AREA|272110818|Hc Tray Cath Lbrcth 16fr W Mtr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|96010041|Hc Iv Inj Ea Add Seq Same Drug|IV THERAPY - GENERAL CLASSIFICATION [0260]|96376||WS HB DEFAULT|267.00
WS SERVICE AREA|96010042|Hc Maintain Implanted Pump|IV THERAPY - GENERAL CLASSIFICATION [0260]|96522||WS HB DEFAULT|688.00
WS SERVICE AREA|96010043|HC IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST|IV THERAPY - GENERAL CLASSIFICATION [0260]|96523||WS HB DEFAULT|491.00
WS SERVICE AREA|96010044|Hc Influenza Admin|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|G0008||WS HB DEFAULT|133.00
WS SERVICE AREA|96010045|HC PNEUMOCOCCAL ADMIN|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|G0009||WS HB DEFAULT|133.00
WS SERVICE AREA|96010046|Hc Hepatitis B Admin|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|G0010||WS HB DEFAULT|133.00
WS SERVICE AREA|96010047|Hc Zz Ommaya Reservoir Tap/inf - No Replacement Eap|OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940]|95990||WS HB DEFAULT|576.00
WS SERVICE AREA|96010050|Hc Immunization Admin Sarscov2 100 Mcg/0.5 Ml 1st Dose|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|0011A||WS HB DEFAULT|21.93
WS SERVICE AREA|96010051|Hc Immunization Admin Sarscov2 100 Mcg/0.5 Ml 2nd Dose|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|0012A||WS HB DEFAULT|21.93
WS SERVICE AREA|96010065|Hc Refill Maintain Portable Pump|IV THERAPY - GENERAL CLASSIFICATION [0260]|96521||WS HB DEFAULT|1,062.00
WS SERVICE AREA|93992943|Hc Robotic Asst Cto Des Stent Ramus Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9607|RI|WS HB DEFAULT|34,452.00
WS SERVICE AREA|96010066|Hc Chemo Inj/sub-intraventricular|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - INJECTED [0331]|96542||WS HB DEFAULT|719.00
WS SERVICE AREA|96010068|HC PROLONGED IV INF REQUIRE PUMP>8HR|IV THERAPY - GENERAL CLASSIFICATION [0260]|C8957||WS HB DEFAULT|1,281.00
WS SERVICE AREA|97010033|HC BIOFEEDBACK TRAINING ANY MODALITY|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|90901|GP|WS HB DEFAULT|195.00
WS SERVICE AREA|97010034|Hc Biofeedback Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|90901|GO|WS HB DEFAULT|195.00
WS SERVICE AREA|97010039|Hc Treatment Of Speech 15 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92507|GN|WS HB DEFAULT|463.00
WS SERVICE AREA|97010040|Hc Treatment Of Speech 30 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92507|GN|WS HB DEFAULT|463.00
WS SERVICE AREA|97010041|HC TREATMENT OF SPEECH|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92507|GN|WS HB DEFAULT|463.00
WS SERVICE AREA|97010042|HC TREATMENT OF SPEECH|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92507|GN|WS HB DEFAULT|463.00
WS SERVICE AREA|97010043|Hc Tx Speech Language Voice Commj Auditry 2/>indiv - St|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92508|GN|WS HB DEFAULT|292.00
WS SERVICE AREA|97010044|Hc Laryngeal Function Studies - St|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92520|GN|WS HB DEFAULT|919.00
WS SERVICE AREA|272110827|Hc Introducer Peel Away 1.4fr Picc Sheath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|142.10
WS SERVICE AREA|272110039|Hc Dressing Ag 4x5 Mepitel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.90
WS SERVICE AREA|97010045|HC TREATMENT OF SWALLOWING|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92526|GN|WS HB DEFAULT|347.00
WS SERVICE AREA|97010046|HC TREATMENT OF SWALLOWING|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92526|GN|WS HB DEFAULT|347.00
WS SERVICE AREA|97010047|HC TREATMENT OF SWALLOWING|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92526|GN|WS HB DEFAULT|347.00
WS SERVICE AREA|97010048|HC TREATMENT OF SWALLOWING|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92526|GN|WS HB DEFAULT|347.00
WS SERVICE AREA|97010049|Hc Evaluation Of Swallowing 15 Min Speech Therapy|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92610|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010050|Hc Evaluation Of Swallowing 30 Min Speech Therapy|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92610|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010051|Hc Evaluation Of Swallowing 45 Min Speech Therapy|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92610|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010052|Hc Evaluation Of Swallowing 60 Min Speech Therapy|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92610|GN|WS HB DEFAULT|653.00
WS SERVICE AREA|97010053|Hc Motion Fluoro Eval Swallow Function C/v Rec - St|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92611|GN|WS HB DEFAULT|895.00
WS SERVICE AREA|97010054|Hc Flexible Endoscopic Eval Swallow C/v Rec -st|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92612|GN|WS HB DEFAULT|885.00
WS SERVICE AREA|272110828|Hc Introducer Peel Away 1.9fr Picc Sheath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|140.10
WS SERVICE AREA|97010056|HC MANUAL MUSCLE TEST - PT|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|95831|GP|WS HB DEFAULT|278.00
WS SERVICE AREA|97010058|HC MANUAL MUSCLE TEST HAND - PT|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|95832|GP|WS HB DEFAULT|278.00
WS SERVICE AREA|97010062|Hc Rom Measurements&report Ea Extremity Ex Hand/ea Trunk Section Spine - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|95851|GP|WS HB DEFAULT|278.00
WS SERVICE AREA|97010063|Hc Rom Test Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|95851|GO|WS HB DEFAULT|278.00
WS SERVICE AREA|97010064|Hc Rom Test Hand Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|95852|GP|WS HB DEFAULT|247.00
WS SERVICE AREA|97010065|Hc Rom Test Hand Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|95852|GO|WS HB DEFAULT|247.00
WS SERVICE AREA|97010066|Hc Canalith Repositioning Procedure - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|95992|GP|WS HB DEFAULT|359.00
WS SERVICE AREA|97010067|Hc Aphasia Assmt W/intrp%rpt|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|96105|GN|WS HB DEFAULT|291.00
WS SERVICE AREA|97010082|Hc Application Modality 1/> Areas Hot/cold Packs - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97010|GP|WS HB DEFAULT|63.00
WS SERVICE AREA|97010083|Hc Application Modality 1/> Areas Hot/cold Packs - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97010|GO|WS HB DEFAULT|63.00
WS SERVICE AREA|93192944|Hc Robotic Asst Cto Des Stent Addl Brch Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9608|LD|WS HB DEFAULT|28,359.00
WS SERVICE AREA|97010084|Hc Traction Mechanical Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97012|GP|WS HB DEFAULT|209.00
WS SERVICE AREA|97010085|Hc Traction Mechanical Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97012|GO|WS HB DEFAULT|209.00
WS SERVICE AREA|97010086|Hc Appl Modality 1/> Areas Vasopneumatic Devices -pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97016|GP|WS HB DEFAULT|182.00
WS SERVICE AREA|97010087|Hc Vasopneumatic Devices Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97016|GO|WS HB DEFAULT|182.00
WS SERVICE AREA|97010088|Hc Paraffin Bath Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97018|GP|WS HB DEFAULT|166.00
WS SERVICE AREA|278112603|Hc Dressing Puraply Am Wound Mtrx 5x5 (25 Sq Cm)|PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636]|Q4196||WS HB DEFAULT|11,056.50
WS SERVICE AREA|97010089|Hc Paraffin Bath Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97018|GO|WS HB DEFAULT|166.00
WS SERVICE AREA|278112604|Hc Dressing Puraply Am Wound Mtrx  2x2 (4 Sq Cm)|PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636]|Q4196||WS HB DEFAULT|2,337.30
WS SERVICE AREA|97010091|Hc Fluidotherapy Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97022|GP|WS HB DEFAULT|227.00
WS SERVICE AREA|97010092|Hc Application Modality 1/> Areas Whirlpool - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97022|GP|WS HB DEFAULT|227.00
WS SERVICE AREA|272110829|Hc Kit Polyureth Picc 1.4fr Cmplt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|400.00
WS SERVICE AREA|278112605|HC DRESSING WOUND MTRX PURAPLY AM 2X4 (8 SQ CM)|PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636]|Q4196||WS HB DEFAULT|3,998.40
WS SERVICE AREA|97010093|Hc Whirlpool 2 Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97022|GP|WS HB DEFAULT|227.00
WS SERVICE AREA|278112606|Hc Dressing Puraply Am Wound Mtrx  6x9 (54 Sq Cm)|PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636]|Q4196||WS HB DEFAULT|23,881.20
WS SERVICE AREA|270111480|Hc Kit Dressing Start Line, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|31.20
WS SERVICE AREA|80084652|Hc Poct Pt/inr (poc 198)|LABORATORY - GENERAL CLASSIFICATION [0300]|85610|QW|WS HB DEFAULT|104.00
WS SERVICE AREA|80084653|Hc Poc Dipstick Strep A|LABORATORY - GENERAL CLASSIFICATION [0300]|87880|QW|WS HB DEFAULT|261.00
WS SERVICE AREA|80084654|Hc Poct Urinalysis Dipstick|LABORATORY - GENERAL CLASSIFICATION [0300]|81002|QW|WS HB DEFAULT|160.00
WS SERVICE AREA|80084655|Hc Poc Hemoglobin (hemocue)|LABORATORY - GENERAL CLASSIFICATION [0300]|85018|QW|WS HB DEFAULT|56.00
WS SERVICE AREA|80084656|Hc Poc Koh Prep|LABORATORY - GENERAL CLASSIFICATION [0300]|87210|QW|WS HB DEFAULT|151.00
WS SERVICE AREA|80084657|Hc Poc Ph Body Fluid|LABORATORY - GENERAL CLASSIFICATION [0300]|83986|QW|WS HB DEFAULT|173.00
WS SERVICE AREA|272110830|Hc Kit Polyureth Picc 1.9fr Cmplt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|396.20
WS SERVICE AREA|80084658|Hc Poc Wet Prep|LABORATORY - GENERAL CLASSIFICATION [0300]|87210|QW|WS HB DEFAULT|151.00
WS SERVICE AREA|25010012|Hc Hocm 350-399mg/ml Iodine Per Ml|PHARMACY - DRUGS INCIDENT TO RADIOLOGY [0255]|Q9963||WS HB DEFAULT|2.20
WS SERVICE AREA|60061070|Hc Brain Canal Shunt Procedure Inj Or Asp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61070||WS HB DEFAULT|3,336.00
WS SERVICE AREA|80081430|Hc Hiv-1 Antigen(s), With Hiv-1 And Hiv-2 Antibodies|LABORATORY - GENERAL CLASSIFICATION [0300]|87086||WS HB DEFAULT|434.00
WS SERVICE AREA|80081431|Hc Hiv-1,amplified Probe Technique, Includes Rev Transcrip Performed|LABORATORY - GENERAL CLASSIFICATION [0300]|87535||WS HB DEFAULT|703.00
WS SERVICE AREA|272112551|Hc Dressing Cutimed Sorbact Ribbon .8x19.7in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.40
WS SERVICE AREA|272112552|Hc Dressing Cutimed Siltec 3x3in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|272112553|Hc Dressing Cutimed Siltec 5x5in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.30
WS SERVICE AREA|272112554|Hc Dressing Cutimed Sorbact Hydro B 2 3/4x 2 3/8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.40
WS SERVICE AREA|272112555|Hc Dressing Cutimed Sorbact Hydro B 5 1/2x 5 1/2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|57.50
WS SERVICE AREA|93392944|Hc Robotic Asst Cto Des Stent Addl Brch Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9608|LC|WS HB DEFAULT|28,359.00
WS SERVICE AREA|272112556|Hc Dressing Cutimed Sorbact Hydro B 7 1/2x 7 1/2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|115.60
WS SERVICE AREA|272116856|Hc Dressing Drawtex 4x39in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.80
WS SERVICE AREA|272116857|Hc Dressing Drawtex 4x4in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.20
WS SERVICE AREA|272112598|Hc Bandage Comprifore 4 Lyr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|50.00
WS SERVICE AREA|30010362|Hc Ip Only Hud- Impella Rp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|16,400.00
WS SERVICE AREA|272112421|Hc Trach 6.5mm Shiley Flex Cuffless|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.40
WS SERVICE AREA|272112422|Hc Trach 6.5mm Shiley Flex Cuffed|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|201.90
WS SERVICE AREA|272112423|Hc Cannula Inner 6.6mm Shiley Disp Flex Trach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|143.70
WS SERVICE AREA|272112424|Hc Trach 7.0mm Shiley Flex Cuffless|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|183.30
WS SERVICE AREA|272112425|Hc Trach 7.0mm Shiley Flex Cuffed|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|198.80
WS SERVICE AREA|93592944|Hc Robotic Asst Cto Des Stent Addl Brch Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9608|RC|WS HB DEFAULT|28,359.00
WS SERVICE AREA|272112426|Hc Cannula Inner 7.0mm Shiley Disp Flex Trach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|143.20
WS SERVICE AREA|272112427|Hc Trach 7.5mm Shiley Flex Cuffless|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|180.40
WS SERVICE AREA|272112428|Hc Trach 7.5mm Shiley Flex Cuffed|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|201.00
WS SERVICE AREA|272112429|Hc Cannula Inner 7.5mm Shiley Disp Flex Trach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|141.40
WS SERVICE AREA|272112430|Hc Trach 8.0mm Shiley Flex Cuffless|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|179.90
WS SERVICE AREA|272112431|Hc Trach 8.0mm Shiley Flex  Cuffed|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|200.40
WS SERVICE AREA|272112432|Hc Cannula Inner 8.0mm Shiley Disp Flex Trach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|144.30
WS SERVICE AREA|272112433|Hc Trach 8.5mm Shiley Flex Cuffless|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|183.30
WS SERVICE AREA|272112434|Hc Trach 8.5mm Shiley Flex Cuffed|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|201.40
WS SERVICE AREA|272112435|Hc Cannula Inner 8.5mm Shiley Disp Flex Trach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|74.60
WS SERVICE AREA|25010029|Hc Nm Inj Aminophyllin 250mg/10ml|PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636]|J0280||WS HB DEFAULT|2.10
WS SERVICE AREA|272112436|Hc Trach 9.0mm Shiley Flex Cuffless|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.20
WS SERVICE AREA|272112437|Hc Trach 9.0mm Shiley Flex Cuffed|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|201.90
WS SERVICE AREA|272112438|Hc Cannula Inner 9.0mm Shiley Disp Flex Trach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|145.20
WS SERVICE AREA|272112439|Hc Trach 10.0mm Shiley Flex Cuffed|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|198.80
WS SERVICE AREA|272112440|Hc Cannula Inner 10.0mm Shiley Disp Flex Trach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|141.10
WS SERVICE AREA|272124392|Hc Kit Trach Perc G2 Ciaglia Blue|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,782.10
WS SERVICE AREA|80084660|Hc Chg Tb Intradermal Test|LABORATORY - GENERAL CLASSIFICATION [0300]|86580||WS HB DEFAULT|74.00
WS SERVICE AREA|10010167|HC EXCISION BEGIN T/A/L <0.5 CM|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11400||WS HB DEFAULT|1,336.00
WS SERVICE AREA|10010168|Hc Zz Excision Begin T/a/l 1.1 - 2.0 Cm- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11402||WS HB DEFAULT|3,215.00
WS SERVICE AREA|10010169|Hc Zz Excision Begin T/a/l 2.1 - 3.0 Cm- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11403||WS HB DEFAULT|3,858.00
WS SERVICE AREA|70493998|Hc Noninvas Vasc Dx Study Proc|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93998||WS HB DEFAULT|789.00
WS SERVICE AREA|10010186|Hc Zz Excision Malig Lesion Scl/nck/hnd/ft/grn <0.5 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11620||WS HB DEFAULT|5,250.00
WS SERVICE AREA|97060003|Hc Ipr Pt Eval Low Complex 20 Min|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97161|GP|WS HB DEFAULT|365.00
WS SERVICE AREA|97060004|Hc Ipr Pt Eval Mod Complex 30 Min|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97162|GP|WS HB DEFAULT|365.00
WS SERVICE AREA|97060005|Hc Ipr Pt Eval High Complex 45 Min|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97163|GP|WS HB DEFAULT|365.00
WS SERVICE AREA|97060006|Hc Ipr Pt Re-eval Est Plan Care|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97164|GP|WS HB DEFAULT|287.00
WS SERVICE AREA|80085055|Hc Drug Test Prsmv Dir Opt Obs|LABORATORY - GENERAL CLASSIFICATION [0300]|80305||WS HB DEFAULT|645.00
WS SERVICE AREA|80085057|Hc Drug Test Prsmv Chem Anlyzr|LABORATORY - GENERAL CLASSIFICATION [0300]|80307||WS HB DEFAULT|272.00
WS SERVICE AREA|30036473|Hc Ablation Mchnchem Ext+image 1st Vein|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36473||WS HB DEFAULT|7,248.00
WS SERVICE AREA|30036474|Hc Ablation Mchnchem Ext+image Addtl Vein|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36474||WS HB DEFAULT|5,436.00
WS SERVICE AREA|30036901|Hc Intro Cath Dialysis Shuntogrm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36901||WS HB DEFAULT|3,893.00
WS SERVICE AREA|93093352|Hc Admin Ecg Contrast Agent|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93352||WS HB DEFAULT|416.00
WS SERVICE AREA|30036902|Hc Intro Cath Dialysis Shuntogrm W/angioplasty|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36902||WS HB DEFAULT|15,557.00
WS SERVICE AREA|30036903|Hc Intro Cath Dialysis Shuntogrm W/stent|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36903||WS HB DEFAULT|19,551.00
WS SERVICE AREA|30036904|Hc Thrmbctmy/lysis Dialysis+shuntogrm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36904||WS HB DEFAULT|11,702.00
WS SERVICE AREA|30036905|Hc Thrmbctmy/lysis Dialysis+shunt W/angioplsty|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36905||WS HB DEFAULT|23,062.00
WS SERVICE AREA|30036906|Hc Thrmbctmy/lysis Dialysis+shunt W/angioplsty+stent|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36906||WS HB DEFAULT|28,555.00
WS SERVICE AREA|30036907|Hc Balloon Angio Ctr Dialysis Seg Add On|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36907||WS HB DEFAULT|11,343.00
WS SERVICE AREA|30036908|Hc Stent Plmt Ctr Dialysis Seg Add On|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36908||WS HB DEFAULT|11,956.00
WS SERVICE AREA|30036909|Hc Dialysis Circuit Embolj Add On|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36909||WS HB DEFAULT|19,705.00
WS SERVICE AREA|30037246|Hc Trlum Angioplasty Initial Artery W/imaging|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37246||WS HB DEFAULT|11,343.00
WS SERVICE AREA|30037247|Hc Trlum Angioplasty Addtl Artery W/imaging|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37247||WS HB DEFAULT|7,763.00
WS SERVICE AREA|93008921|Hc  Tte W Or W/o Fol W/cont, Com|CARDIOLOGY - ECHOCARDIOLOGY [0483]|C8921||WS HB DEFAULT|2,706.00
WS SERVICE AREA|272110040|Hc Dressing Ag 4x7 Mepitel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|112.80
WS SERVICE AREA|30037248|Hc Trlum Venoplasty Initial Vein W/imaging|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37248||WS HB DEFAULT|11,361.00
WS SERVICE AREA|30037249|Hc Trlum Venoplasty Addtl Vein W/imaging|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37249||WS HB DEFAULT|7,774.00
WS SERVICE AREA|70562325|HC CT EPIDURAL INJ CERV/THRC+CATH PLCMT|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62325||WS HB DEFAULT|7,827.00
WS SERVICE AREA|70562327|HC CT EPIDURAL INJ LMBR/SAC+CATH PLCMT|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62327||WS HB DEFAULT|8,753.00
WS SERVICE AREA|70262321|HC FL EPIDURAL SPINAL INJ CERV/THRC|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62321||WS HB DEFAULT|8,010.00
WS SERVICE AREA|70262325|HC FL EPIDURAL INJ CERV/THRC+CATH PLCMT|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62325||WS HB DEFAULT|7,827.00
WS SERVICE AREA|70262327|HC FL EPIDURAL INJ LMBR/SAC+CATH PLCMT|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62327||WS HB DEFAULT|8,753.00
WS SERVICE AREA|60062321|HC EPIDURAL SPINAL INJ CERV/THRC+FLUORO|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62321||WS HB DEFAULT|8,010.00
WS SERVICE AREA|60062323|HC EPIDURAL SPINAL INJ LMBR/SAC+FLUORO|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62323||WS HB DEFAULT|2,339.00
WS SERVICE AREA|60062325|Hc Epidural Inj Cerv/thrc+cath Plcmt W/fluoro|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62325||WS HB DEFAULT|7,827.00
WS SERVICE AREA|70370545|Hc Mr Angio Head With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70545||WS HB DEFAULT|4,476.00
WS SERVICE AREA|60062327|Hc Epidural Inj Lmbr/sac+cath Plcmt W/fluoro|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62327||WS HB DEFAULT|8,753.00
WS SERVICE AREA|90092242|Hc Fluorescein Icg Angiography|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|92242||WS HB DEFAULT|1,513.00
WS SERVICE AREA|90099151|Hc Mod Sed Same Phys/qhp <5 Yrs First15min|ANESTHESIA - GENERAL CLASSIFICATION [0370]|99151||WS HB DEFAULT|1,276.00
WS SERVICE AREA|90099152|Hc Mod Sed Same Phys/qhp 5/>yrs First 15min|ANESTHESIA - GENERAL CLASSIFICATION [0370]|99152||WS HB DEFAULT|1,276.00
WS SERVICE AREA|90099153|Hc Mod Sed Same Phys/qhp Ea Add 15min|ANESTHESIA - GENERAL CLASSIFICATION [0370]|99153||WS HB DEFAULT|567.00
WS SERVICE AREA|90099155|Hc Mod Sed Oth Phys/qhp <5 Yrs First 15min|ANESTHESIA - GENERAL CLASSIFICATION [0370]|99155||WS HB DEFAULT|1,115.00
WS SERVICE AREA|90099156|Hc Mod Sed Oth Phys/qhp 5/>yrs First 15min|ANESTHESIA - GENERAL CLASSIFICATION [0370]|99156||WS HB DEFAULT|1,276.00
WS SERVICE AREA|90099157|Hc Mod Sed Other Phys/qhp Ea Add 15min|ANESTHESIA - GENERAL CLASSIFICATION [0370]|99157||WS HB DEFAULT|567.00
WS SERVICE AREA|93091424|Hc Ip Only- Perq Clsr Tcat L Atr Apndge|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33340||WS HB DEFAULT|25,551.00
WS SERVICE AREA|80084670|Hc Whole Blood, Leukocytes Reduced, Irradiated, Each Unit|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9056||WS HB DEFAULT|711.00
WS SERVICE AREA|20020205|Hc Deep Muscle Biopsy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20205||WS HB DEFAULT|10,121.00
WS SERVICE AREA|80084671|Hc Plasmaprotein Fract 5% 250ml|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9048||WS HB DEFAULT|733.00
WS SERVICE AREA|80085152|Hc Hpa-5 Genotyping Gene Analysis Common Variant|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81109||WS HB DEFAULT|528.00
WS SERVICE AREA|97010250|Hc Pt Eval Low Complex 20 Min|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97161|GP|WS HB DEFAULT|365.00
WS SERVICE AREA|80085153|Hc Brca1&brca2 Full Seq Analys/full Dup/del Analys|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81162||WS HB DEFAULT|7,870.00
WS SERVICE AREA|80085154|Hc Brca1&brca2 Anal 185delag5385insc/6174delt|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81212||WS HB DEFAULT|1,537.00
WS SERVICE AREA|97010251|Hc Pt Eval Mod Complex 30 Min|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97162|GP|WS HB DEFAULT|365.00
WS SERVICE AREA|80085155|Hc Brca1 Gene Analysis Known Familial Variant|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81215||WS HB DEFAULT|1,310.00
WS SERVICE AREA|97010252|Hc Pt Eval High Complex 45 Min|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97163|GP|WS HB DEFAULT|365.00
WS SERVICE AREA|80085156|Hc Brca2 Gene Analysis Full Sequence Analysis|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81216||WS HB DEFAULT|647.00
WS SERVICE AREA|97010253|Hc Physical Therapy Re-eval Est Plan Care 20 Mins - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97164|GP|WS HB DEFAULT|287.00
WS SERVICE AREA|36010049|Hc Eswl Complex|EXTRA-CORPOREAL SHOCK WAVE THERAPY (FORMERLY LITHOTRIPSY) - GENERAL CLASSIFICATION [0790]|||WS HB DEFAULT|0.00
WS SERVICE AREA|80085157|Hc Brca2 Gene Analysis Known Familial Variant|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81217||WS HB DEFAULT|1,310.00
WS SERVICE AREA|97010254|Hc Ot Eval Low Complex 30 Min|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97165|GO|WS HB DEFAULT|400.00
WS SERVICE AREA|80085158|Hc Fmr1 Gene Analysis Characterization Of Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81244||WS HB DEFAULT|158.00
WS SERVICE AREA|97010255|Hc Ot Eval Mod Complex 45 Min|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97166|GO|WS HB DEFAULT|403.00
WS SERVICE AREA|80085160|Hc Runx1 Gene Analysis Targeted Sequence Analysis|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81334||WS HB DEFAULT|1,153.00
WS SERVICE AREA|97010256|Hc Ot Eval High Complex 60 Min|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97167|GO|WS HB DEFAULT|408.00
WS SERVICE AREA|80085159|Hc Sept9 Methylation Analysis|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81327||WS HB DEFAULT|672.00
WS SERVICE AREA|97010257|Hc Ot Re-eval Est Plan Care|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97168|GO|WS HB DEFAULT|258.00
WS SERVICE AREA|272133879|Hc Probe Optical Bronch Veran|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,922.00
WS SERVICE AREA|272133883|Hc Forcep Grasping Bronchoscopy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|930.10
WS SERVICE AREA|36010050|Hc Eswl Non-complex|EXTRA-CORPOREAL SHOCK WAVE THERAPY (FORMERLY LITHOTRIPSY) - GENERAL CLASSIFICATION [0790]|||WS HB DEFAULT|0.00
WS SERVICE AREA|80084661|HC SEPT9 (SEPTIN9) (EG, COLORECTAL CANCER) METHYLATION ANALYSIS|LABORATORY - GENERAL CLASSIFICATION [0300]|80339||WS HB DEFAULT|684.00
WS SERVICE AREA|272133885|Hc Brush Cyto Bscp 1.5mmx140cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.40
WS SERVICE AREA|80084662|Hc Car Ion Chnnlpath Inc 10 Gns|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81413||WS HB DEFAULT|2,206.00
WS SERVICE AREA|272133881|Hc Needle Spinflex 19ga Bronch|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,209.40
WS SERVICE AREA|80084663|Hc Car Ion Chnnlpath Inc 2 Gns|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81414||WS HB DEFAULT|2,481.00
WS SERVICE AREA|272133884|Hc Forcep Smooth Bscp Cytology|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|104.00
WS SERVICE AREA|80084664|Hc Fetal Chrmoml Microdeltj|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81422||WS HB DEFAULT|2,622.00
WS SERVICE AREA|272133880|Hc Catheter Peripheral Bronch|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,645.00
WS SERVICE AREA|80084665|Hc Inherited Cardmypthy 5 Gns|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81439||WS HB DEFAULT|2,622.00
WS SERVICE AREA|272133882|Hc Kit Spinperc Bronch|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,447.20
WS SERVICE AREA|10010015|Hc I&d Abscess-simple Or Sing|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10060||WS HB DEFAULT|1,057.00
WS SERVICE AREA|80084666|Hc Oncology Prostate Prob Score|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81539||WS HB DEFAULT|760.00
WS SERVICE AREA|77000395|Hc Hdr Electronic Brachytherapy Ntrstl/intrcav|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|0395T||WS HB DEFAULT|2,920.00
WS SERVICE AREA|80084667|Hc Testosterone Bioavailable|LABORATORY - GENERAL CLASSIFICATION [0300]|84410||WS HB DEFAULT|512.00
WS SERVICE AREA|80084668|Hc Cns Dna Amp Probe Type 12-25|LABORATORY - GENERAL CLASSIFICATION [0300]|87483||WS HB DEFAULT|749.00
WS SERVICE AREA|96010078|Hc Application Of On-body Injector For Timed Sq Inj|IV THERAPY - GENERAL CLASSIFICATION [0260]|96377||WS HB DEFAULT|167.00
WS SERVICE AREA|30033264|Hc Rmvl & Rplcmt Dfb Gen Mlt Ld|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33264||WS HB DEFAULT|76,814.00
WS SERVICE AREA|30033208|Hc Pacemaker Insertion-dual|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33208||WS HB DEFAULT|24,370.00
WS SERVICE AREA|30033263|Hc Remv&replc Cvd Gen Dual Lead|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33263||WS HB DEFAULT|55,276.00
WS SERVICE AREA|70000524|Hc Cath Ev Dir Chem Abl Incmptnt Extr Vein|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0524T||WS HB DEFAULT|7,558.00
WS SERVICE AREA|272118334|Hc Set Ureth Dil W/prep Comp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,112.40
WS SERVICE AREA|10010016|Hc I&d Abscess Complx-mult|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10061||WS HB DEFAULT|1,057.00
WS SERVICE AREA|27210635|Hc Pessary Sz 4 Mxprs04|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|148.30
WS SERVICE AREA|272133940|Hc Dressing Mepitel One 2x3in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|272133937|Hc Dressing Mepitel One 4x7in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.10
WS SERVICE AREA|272133938|Hc Dressing Mepitel One 6.8x10in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|85.50
WS SERVICE AREA|272133939|Hc Dressing Mepitel One 10.8x20in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|215.30
WS SERVICE AREA|272133945|Hc Kit Dress Chg Picc Central Line Bsipicc1000|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.60
WS SERVICE AREA|272133946|Hc Kit Dressing Change Ij Central Line|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|108.20
WS SERVICE AREA|272116114|Hc Kit Irr Piston Syr Strl 60cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|272116114||WS HB DEFAULT|20.60
WS SERVICE AREA|70410005|HC FINE NEEDLE ASPIRATION BIOSPY W/US GUIDANCE 1ST LESION|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10005||WS HB DEFAULT|2,441.00
WS SERVICE AREA|80010010|Hc Electrolyte Panel|LABORATORY - GENERAL CLASSIFICATION [0300]|80051||WS HB DEFAULT|376.00
WS SERVICE AREA|10010017|Hc  Incision & Drainage Pilonidal Cyst Simple|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10080||WS HB DEFAULT|1,057.00
WS SERVICE AREA|80010011|Hc Comprehensive Metabolic Panel|LABORATORY - GENERAL CLASSIFICATION [0300]|80053||WS HB DEFAULT|458.00
WS SERVICE AREA|80010012|ELECTROLYTE PANEL|LABORATORY - GENERAL CLASSIFICATION [0300]|80061||WS HB DEFAULT|447.00
WS SERVICE AREA|80010014|Hc Renal Function Panel|LABORATORY - GENERAL CLASSIFICATION [0300]|80069||WS HB DEFAULT|397.00
WS SERVICE AREA|80010016|Hc Acute Hepatitis Panel|LABORATORY - GENERAL CLASSIFICATION [0300]|80074||WS HB DEFAULT|1,096.00
WS SERVICE AREA|80010017|Hc Hepatic Function Panel|LABORATORY - GENERAL CLASSIFICATION [0300]|80076||WS HB DEFAULT|309.00
WS SERVICE AREA|80010022|Hc Assay Of Amikacin|LABORATORY - GENERAL CLASSIFICATION [0300]|80150||WS HB DEFAULT|275.00
WS SERVICE AREA|77077014|Hc Zz Ct Guidance Placement Radiation Therapy Fields - Use Eap 70500078|CT SCAN - GENERAL CLASSIFICATION [0350]|77014||WS HB DEFAULT|2,367.00
WS SERVICE AREA|80010028|Hc Carbamazepine Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80156||WS HB DEFAULT|242.00
WS SERVICE AREA|80010029|Hc Cyclosporin Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80158||WS HB DEFAULT|277.00
WS SERVICE AREA|80010031|Hc Digoxin Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80162||WS HB DEFAULT|246.00
WS SERVICE AREA|10010018|Hc  Incision & Drainage Pilonidal Cyst Complicated|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10081||WS HB DEFAULT|8,392.00
WS SERVICE AREA|80010032|Hc Valproic Acid Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80164||WS HB DEFAULT|240.00
WS SERVICE AREA|80010034|Hc Ethosuximide Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80168||WS HB DEFAULT|202.00
WS SERVICE AREA|272133998|Hc Dressing Island 4inx13in Silverlon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|168.90
WS SERVICE AREA|80010038|Hc Assay Of Gentamicin|LABORATORY - GENERAL CLASSIFICATION [0300]|80170||WS HB DEFAULT|316.00
WS SERVICE AREA|272133999|Hc Dressing Island 4inx11in Silverlon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|147.30
WS SERVICE AREA|80010040|Hc Lidocaine Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80176||WS HB DEFAULT|222.00
WS SERVICE AREA|272131585|Hc Biobag Larvae 50 2.5cm X 4cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,786.00
WS SERVICE AREA|80010041|Hc Lithium Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80178||WS HB DEFAULT|137.00
WS SERVICE AREA|272131586|Hc Biobag Larvae 100 4cm X 5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,831.30
WS SERVICE AREA|80010043|Hc Phenobarbital Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80184||WS HB DEFAULT|226.00
WS SERVICE AREA|10010019|Hc Fb Remove Skin Subq-simple|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10120||WS HB DEFAULT|2,040.00
WS SERVICE AREA|80010044|Hc Dilantin Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80185||WS HB DEFAULT|248.00
WS SERVICE AREA|272131587|Hc Biobag Larvae 200 5cm X 6cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,876.70
WS SERVICE AREA|80010045|Hc Phenytoin Free Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80186||WS HB DEFAULT|181.00
WS SERVICE AREA|80010046|Hc Primidone Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80188||WS HB DEFAULT|222.00
WS SERVICE AREA|272131588|Hc Biobag Larvae 300 6cm X 12cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,967.30
WS SERVICE AREA|80010047|Hc Procainamide And Napa Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80192||WS HB DEFAULT|386.00
WS SERVICE AREA|272131589|Hc Biobag Larvae 400 10cm X 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,057.90
WS SERVICE AREA|80010048|Hc Quinidine Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80194||WS HB DEFAULT|222.00
WS SERVICE AREA|80010049|Hc Rapamycin (sirolimus)|LABORATORY - GENERAL CLASSIFICATION [0300]|80195||WS HB DEFAULT|226.00
WS SERVICE AREA|272116922|Hc Dressing Mepitel 4x7in Cntct Lyr Mesh Net Sftc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.10
WS SERVICE AREA|10010020|Hc  Incision & Removal Foreign Body Subq Tiss Compl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10121||WS HB DEFAULT|10,588.00
WS SERVICE AREA|272110041|Hc Dressing Ag 8x12 Mepitel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|311.70
WS SERVICE AREA|80010051|Hc Prograf (emory) Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80197||WS HB DEFAULT|430.00
WS SERVICE AREA|271128375|Hc Immobilizer Knee Contrd Foam Lg 19 Zimmer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|429.50
WS SERVICE AREA|80010052|Hc Theophylline (aminophylline)|LABORATORY - GENERAL CLASSIFICATION [0300]|80198||WS HB DEFAULT|243.00
WS SERVICE AREA|271128378|Hc Immobilizer Knee Contrd Foam X-lg 19 Zimmer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|157.60
WS SERVICE AREA|80010053|Hc Assay Of Tobramycin|LABORATORY - GENERAL CLASSIFICATION [0300]|80200||WS HB DEFAULT|284.00
WS SERVICE AREA|271128376|Hc Immobilizer Knee Contrd Med 19 Zimmer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|429.50
WS SERVICE AREA|80010056|Hc Topiramate (topamax)|LABORATORY - GENERAL CLASSIFICATION [0300]|80201||WS HB DEFAULT|187.00
WS SERVICE AREA|272128116|Hc Dressing Foam Allevyn Border 5inx5in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|80010059|Hc Assay Of Vancomycin|LABORATORY - GENERAL CLASSIFICATION [0300]|80202||WS HB DEFAULT|486.00
WS SERVICE AREA|80010062|Hc Caffeine Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80155||WS HB DEFAULT|330.00
WS SERVICE AREA|10010021|Hc Incision/drainage Of Hematoma/fluid|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10140||WS HB DEFAULT|9,384.00
WS SERVICE AREA|80010067|Hc Gabapentin Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80171||WS HB DEFAULT|330.00
WS SERVICE AREA|80010069|Hc Lamotrigine Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80175||WS HB DEFAULT|330.00
WS SERVICE AREA|80010070|Hc Levetiracetam|LABORATORY - GENERAL CLASSIFICATION [0300]|80177||WS HB DEFAULT|330.00
WS SERVICE AREA|80010071|Hc Quantitative Assay Drug|LABORATORY - GENERAL CLASSIFICATION [0300]|80299||WS HB DEFAULT|301.00
WS SERVICE AREA|80010074|Hc Consult,clinical Pathology|LABORATORY - GENERAL CLASSIFICATION [0300]|80500||WS HB DEFAULT|660.00
WS SERVICE AREA|80010076|Hc Urinalysis Auto W/scope|LABORATORY - GENERAL CLASSIFICATION [0300]|81001||WS HB DEFAULT|167.00
WS SERVICE AREA|80010077|Hc Urinalysis (after Hours)|LABORATORY - GENERAL CLASSIFICATION [0300]|81002||WS HB DEFAULT|160.00
WS SERVICE AREA|80010088|Hc Urinalysis Auto W/o Scope|LABORATORY - GENERAL CLASSIFICATION [0300]|81003||WS HB DEFAULT|201.00
WS SERVICE AREA|80010089|Hc Urinalysis,microscopic|LABORATORY - GENERAL CLASSIFICATION [0300]|81015||WS HB DEFAULT|132.00
WS SERVICE AREA|80010091|Hc Urine Pregnancy Test|LABORATORY - GENERAL CLASSIFICATION [0300]|81025||WS HB DEFAULT|264.00
WS SERVICE AREA|10010022|Hc Zz Vl Puncture Aspiration Of Abscess/hematoma/bulla Or Cyst - Use Eap 10010023|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10160||WS HB DEFAULT|1,057.00
WS SERVICE AREA|80010094|Hc Cftr Gene Analysis Common Variants|LABORATORY - GENERAL CLASSIFICATION [0300]|81220||WS HB DEFAULT|821.00
WS SERVICE AREA|80010095|Hc Prothrombin Gene Mutation (q)|LABORATORY - GENERAL CLASSIFICATION [0300]|81240||WS HB DEFAULT|538.00
WS SERVICE AREA|80010096|Hc Factor V Leiden (q)|LABORATORY - GENERAL CLASSIFICATION [0300]|81241||WS HB DEFAULT|537.00
WS SERVICE AREA|80010097|Hc Fragile X (e)|LABORATORY - GENERAL CLASSIFICATION [0300]|81243||WS HB DEFAULT|1,886.00
WS SERVICE AREA|80010098|Hc Hemochromatosis (q)|LABORATORY - GENERAL CLASSIFICATION [0300]|81256||WS HB DEFAULT|1,910.00
WS SERVICE AREA|80010171|Hc Calcium Ionized|LABORATORY - GENERAL CLASSIFICATION [0300]|82330||WS HB DEFAULT|349.00
WS SERVICE AREA|80010178|Hc Stone Analysis,other|LABORATORY - GENERAL CLASSIFICATION [0300]|82365||WS HB DEFAULT|329.00
WS SERVICE AREA|80010179|Hc Carbon Dioxide Bicarbonate|LABORATORY - GENERAL CLASSIFICATION [0300]|82374||WS HB DEFAULT|104.00
WS SERVICE AREA|80010182|Hc Abgrt,cohb Only|LABORATORY - GENERAL CLASSIFICATION [0300]|82375||WS HB DEFAULT|338.00
WS SERVICE AREA|80010238|Hc Ck Isoenzymes|LABORATORY - GENERAL CLASSIFICATION [0300]|82552||WS HB DEFAULT|309.00
WS SERVICE AREA|10010023|Hc Puncture Aspiration Of Abscess/hematoma/bulla Or Cyst|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10160||WS HB DEFAULT|1,057.00
WS SERVICE AREA|80010239|Hc Creatine Kinase Mb Fraction Only|LABORATORY - GENERAL CLASSIFICATION [0300]|82553||WS HB DEFAULT|328.00
WS SERVICE AREA|80010243|Hc Creatinine Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|82565||WS HB DEFAULT|66.00
WS SERVICE AREA|80010251|Hc Assay Of Urine Creatinine|LABORATORY - GENERAL CLASSIFICATION [0300]|82570||WS HB DEFAULT|134.00
WS SERVICE AREA|80010252|Hc Creatinine Clearance,urine|LABORATORY - GENERAL CLASSIFICATION [0300]|82575||WS HB DEFAULT|294.00
WS SERVICE AREA|80010254|Hc Cryoglobulin Qualitative/semi-quantitative|LABORATORY - GENERAL CLASSIFICATION [0300]|82595||WS HB DEFAULT|187.00
WS SERVICE AREA|80010255|Hc Cyanide Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82600||WS HB DEFAULT|309.00
WS SERVICE AREA|80010256|Hc Vitamin B12 Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82607||WS HB DEFAULT|439.00
WS SERVICE AREA|80010257|PROCOLLAGEN I,N-TERM PROPEPTID|LABORATORY - GENERAL CLASSIFICATION [0300]|82615||WS HB DEFAULT|234.00
WS SERVICE AREA|80010258|Hc Dhea (dehydroepiandrosterone)|LABORATORY - GENERAL CLASSIFICATION [0300]|82626||WS HB DEFAULT|468.00
WS SERVICE AREA|80010259|Hc Dhea Sulfate|LABORATORY - GENERAL CLASSIFICATION [0300]|82627||WS HB DEFAULT|497.00
WS SERVICE AREA|10010025|Hc Debride Skin/subc/muscle/bone < 20 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11044||WS HB DEFAULT|4,817.00
WS SERVICE AREA|80010260|Hc Vitamin D,1,25-hydroxy Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82652||WS HB DEFAULT|616.00
WS SERVICE AREA|80010262|Hc Nzym Activ Bld Cells/tiss Nonradact Substrate Ea|LABORATORY - GENERAL CLASSIFICATION [0300]|82657||WS HB DEFAULT|418.00
WS SERVICE AREA|80010263|Hc Protein Electrophoresis,bld|LABORATORY - GENERAL CLASSIFICATION [0300]|82664||WS HB DEFAULT|192.00
WS SERVICE AREA|80010264|Hc Zz Purkinje Cell Ab(yo) - Use Eap 80010815|LABORATORY - GENERAL CLASSIFICATION [0300]|86255||WS HB DEFAULT|258.00
WS SERVICE AREA|80010265|Hc Erythropoietin Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82668||WS HB DEFAULT|424.00
WS SERVICE AREA|80010267|HC ASSAY OF TOTAL ESTRADIOL|LABORATORY - GENERAL CLASSIFICATION [0300]|82670||WS HB DEFAULT|464.00
WS SERVICE AREA|80010268|Hc Estrogen,total,serum|LABORATORY - GENERAL CLASSIFICATION [0300]|82672||WS HB DEFAULT|296.00
WS SERVICE AREA|80010269|Hc Estriol,serum|LABORATORY - GENERAL CLASSIFICATION [0300]|82677||WS HB DEFAULT|317.00
WS SERVICE AREA|80010270|Hc Estrone|LABORATORY - GENERAL CLASSIFICATION [0300]|82679||WS HB DEFAULT|372.00
WS SERVICE AREA|80010272|Hc Ethylene Glycol Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82693||WS HB DEFAULT|329.00
WS SERVICE AREA|10010026|Hc  Incision & Drainage Complex Po Wound Infection|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10180||WS HB DEFAULT|12,911.00
WS SERVICE AREA|80010801|Hc C1 Esterase Inhib,functional|LABORATORY - GENERAL CLASSIFICATION [0300]|86161||WS HB DEFAULT|204.00
WS SERVICE AREA|80010802|Hc Complement,total,ch50|LABORATORY - GENERAL CLASSIFICATION [0300]|86162||WS HB DEFAULT|225.00
WS SERVICE AREA|80010803|Hc Cyclic Citrullinated Peptide Ccp|LABORATORY - GENERAL CLASSIFICATION [0300]|86200||WS HB DEFAULT|254.00
WS SERVICE AREA|80010804|Hc Dnase B Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86215||WS HB DEFAULT|230.00
WS SERVICE AREA|80010805|HC DNA (DS) AB|LABORATORY - GENERAL CLASSIFICATION [0300]|86225||WS HB DEFAULT|317.00
WS SERVICE AREA|80010807|Hc Dna Antibody Native/double Stranded|LABORATORY - GENERAL CLASSIFICATION [0300]|86225||WS HB DEFAULT|317.00
WS SERVICE AREA|80010809|Hc Extractable Nuclear Antigen Antibody Any Method|LABORATORY - GENERAL CLASSIFICATION [0300]|86235||WS HB DEFAULT|266.00
WS SERVICE AREA|80010810|HC SJOGREN'S ANTIBODIES|LABORATORY - GENERAL CLASSIFICATION [0300]|86235||WS HB DEFAULT|266.00
WS SERVICE AREA|80010811|HC SJOGRENS'S ANTIBODIES EIA|LABORATORY - GENERAL CLASSIFICATION [0300]|86235||WS HB DEFAULT|266.00
WS SERVICE AREA|80010813|HC JO-1 ANTIBODY|LABORATORY - GENERAL CLASSIFICATION [0300]|86235||WS HB DEFAULT|266.00
WS SERVICE AREA|10010027|Hc Dbrdmt Extensv Eczema/infect Skn Up 10% Bdy Surf|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11000||WS HB DEFAULT|1,135.00
WS SERVICE AREA|80010814|HC SCL-70 ANTIBODY|LABORATORY - GENERAL CLASSIFICATION [0300]|86235||WS HB DEFAULT|266.00
WS SERVICE AREA|80010815|Hc Fluorescent Noninfectious Agent Antibody Screen Each Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86255||WS HB DEFAULT|258.00
WS SERVICE AREA|80010816|Hc Zz Antimyocardial Antibodies  - Use Eap 80010815|LABORATORY - GENERAL CLASSIFICATION [0300]|86255||WS HB DEFAULT|258.00
WS SERVICE AREA|80010817|Hc Zz Antiparietal Cell Antibody  - Use Eap 80010815|LABORATORY - GENERAL CLASSIFICATION [0300]|86255||WS HB DEFAULT|258.00
WS SERVICE AREA|80010818|Hc Zz Antiskeletal Muscle Antibodies  - Use Eap 80010815|LABORATORY - GENERAL CLASSIFICATION [0300]|86255||WS HB DEFAULT|258.00
WS SERVICE AREA|80010819|Hc Zz Antismooth Muscle Antibody  - Use Eap 80010815|LABORATORY - GENERAL CLASSIFICATION [0300]|86255||WS HB DEFAULT|258.00
WS SERVICE AREA|80010820|Hc Zz Dna Ab(ds)crithidia,ifa  - Use Eap 80010815|LABORATORY - GENERAL CLASSIFICATION [0300]|86255||WS HB DEFAULT|258.00
WS SERVICE AREA|80010821|Hc Zz Endomysial Ab(iga)screen  - Use Eap 80010815|LABORATORY - GENERAL CLASSIFICATION [0300]|86255||WS HB DEFAULT|258.00
WS SERVICE AREA|80010822|Hc Zz Hu Autoantibody  - Use Eap 80010815|LABORATORY - GENERAL CLASSIFICATION [0300]|86255||WS HB DEFAULT|258.00
WS SERVICE AREA|80010823|HC ANTIMITOCHONDRIAL AB,TITER|LABORATORY - GENERAL CLASSIFICATION [0300]|86256||WS HB DEFAULT|230.00
WS SERVICE AREA|10010028|HC DEBRIDE-SKIN & SC TIS W OPEN FX|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11010||WS HB DEFAULT|2,466.00
WS SERVICE AREA|80010824|HC ENDOMYSIAL AB,IGA TITER|LABORATORY - GENERAL CLASSIFICATION [0300]|86256||WS HB DEFAULT|230.00
WS SERVICE AREA|80010825|HC Fluorescent noninfectious agent AB; titer,each AB|LABORATORY - GENERAL CLASSIFICATION [0300]|86256||WS HB DEFAULT|230.00
WS SERVICE AREA|80010826|Hc Fluorescent Nonnfct Agt Antb Titer Ea Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86256||WS HB DEFAULT|230.00
WS SERVICE AREA|80010827|HC CA 15-3|LABORATORY - GENERAL CLASSIFICATION [0300]|86300||WS HB DEFAULT|276.00
WS SERVICE AREA|80010828|Hc Ca 27,29 Truquant|LABORATORY - GENERAL CLASSIFICATION [0300]|86300||WS HB DEFAULT|276.00
WS SERVICE AREA|80010829|Hc Ca 19-9|LABORATORY - GENERAL CLASSIFICATION [0300]|86301||WS HB DEFAULT|276.00
WS SERVICE AREA|80010830|Hc Ca 125|LABORATORY - GENERAL CLASSIFICATION [0300]|86304||WS HB DEFAULT|278.00
WS SERVICE AREA|80010832|Hc Mono Test|LABORATORY - GENERAL CLASSIFICATION [0300]|86308||WS HB DEFAULT|157.00
WS SERVICE AREA|80010833|Hc Chromogranin A|LABORATORY - GENERAL CLASSIFICATION [0300]|86316||WS HB DEFAULT|353.00
WS SERVICE AREA|80010834|Hc Zz Helicobacter Pylori Igg,quant - Use Eap 80010835|LABORATORY - GENERAL CLASSIFICATION [0300]|86317||WS HB DEFAULT|209.00
WS SERVICE AREA|10010030|Hc Debride Skin/subc Tissue < 20 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11042||WS HB DEFAULT|2,040.00
WS SERVICE AREA|80010835|Hc Hepatitis B Surface Ab,quant(q)|LABORATORY - GENERAL CLASSIFICATION [0300]|86317||WS HB DEFAULT|209.00
WS SERVICE AREA|80010836|Hc Immunoelectrophoresis,bld|LABORATORY - GENERAL CLASSIFICATION [0300]|86320||WS HB DEFAULT|235.00
WS SERVICE AREA|80010837|FETAL FIBRONECTIN|LABORATORY - GENERAL CLASSIFICATION [0300]|86331||WS HB DEFAULT|240.00
WS SERVICE AREA|80010838|Hc Immunodiffusion Gel Diffusion Qual Ea Ag/antbdy|LABORATORY - GENERAL CLASSIFICATION [0300]|86331||WS HB DEFAULT|240.00
WS SERVICE AREA|80010839|Hc Immune Complex Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|86332||WS HB DEFAULT|470.00
WS SERVICE AREA|80010840|Hc Zz Raji Cell Imm Cmplx - Use Eap 80010839|LABORATORY - GENERAL CLASSIFICATION [0300]|86332||WS HB DEFAULT|470.00
WS SERVICE AREA|80010841|Hc Immunofixation,serum|LABORATORY - GENERAL CLASSIFICATION [0300]|86334||WS HB DEFAULT|263.00
WS SERVICE AREA|80010842|Hc Zz Immunofixation,csf  Use Eap 80010844|LABORATORY - GENERAL CLASSIFICATION [0300]|86335||WS HB DEFAULT|299.00
WS SERVICE AREA|80010843|IGE|LABORATORY - GENERAL CLASSIFICATION [0300]|86335||WS HB DEFAULT|299.00
WS SERVICE AREA|272134034|Hc Zz Airway Igel #3 Adult Sm Supraglot Noninfl Use 27221007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|10010031|HC DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11045||WS HB DEFAULT|1,102.00
WS SERVICE AREA|80010844|Hc Immunofixation Electrophoresis Other Fluids|LABORATORY - GENERAL CLASSIFICATION [0300]|86335||WS HB DEFAULT|299.00
WS SERVICE AREA|80010845|Hc Inhibin A|LABORATORY - GENERAL CLASSIFICATION [0300]|86336||WS HB DEFAULT|338.00
WS SERVICE AREA|272134035|Hc Zz Airway Igel #4 Adult Med Supraglot Noninfl Use 27221007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|80010846|Hc Insulin Ab Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|86337||WS HB DEFAULT|250.00
WS SERVICE AREA|272134036|Hc Zz Airway Igel #5 Adult Lg Supraglot Noninfl Use 27221007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|80010847|Hc Intrinsic Factor|LABORATORY - GENERAL CLASSIFICATION [0300]|86340||WS HB DEFAULT|351.00
WS SERVICE AREA|80010848|Hc Islet Cell Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86341||WS HB DEFAULT|240.00
WS SERVICE AREA|27217229|Hc Dilator Vag Nyl Round Sm 6in 22mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.70
WS SERVICE AREA|80010849|Hc Zz Islet Cell Ab Screen - Use Eap 80010848|LABORATORY - GENERAL CLASSIFICATION [0300]|86341||WS HB DEFAULT|240.00
WS SERVICE AREA|80010850|GLUCOSE,BODY FLUID|LABORATORY - GENERAL CLASSIFICATION [0300]|86341||WS HB DEFAULT|240.00
WS SERVICE AREA|10010032|Hc Debride Sq/mscl Ea Add 20sqcm Or <|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11046||WS HB DEFAULT|1,232.00
WS SERVICE AREA|272110042|Hc Dressing Ag 8x20 Mepitel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|519.50
WS SERVICE AREA|80080450|Hc Mr-staph Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87641||WS HB DEFAULT|371.00
WS SERVICE AREA|271134037|Hc Sensor Nasal Alar Spo2 Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|86.50
WS SERVICE AREA|80010851|GLUCOSE BLOOD|LABORATORY - GENERAL CLASSIFICATION [0300]|86359||WS HB DEFAULT|288.00
WS SERVICE AREA|80010852|Hc T-helper/suppressor|LABORATORY - GENERAL CLASSIFICATION [0300]|86360||WS HB DEFAULT|442.00
WS SERVICE AREA|271134038|Hc Sensor Rainbow Masimo Pn4029|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|338.90
WS SERVICE AREA|80010853|Hc Cd4|LABORATORY - GENERAL CLASSIFICATION [0300]|86361||WS HB DEFAULT|361.00
WS SERVICE AREA|271134039|Hc Sensor Eeg Rd Sedline|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|72.10
WS SERVICE AREA|80010855|Hc Zz Bacterial Antigen (q) - Use Eap 80010862|LABORATORY - GENERAL CLASSIFICATION [0300]|86403||WS HB DEFAULT|131.00
WS SERVICE AREA|80010856|Hc Zz Candida Antigen Detection - Use Eap 80010862|LABORATORY - GENERAL CLASSIFICATION [0300]|86403||WS HB DEFAULT|131.00
WS SERVICE AREA|271134040|Hc Sensor 03 Regional|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|270.90
WS SERVICE AREA|80010857|Hc Zz Cryptococcus Antigen  - Use Eap 80010862|LABORATORY - GENERAL CLASSIFICATION [0300]|86403||WS HB DEFAULT|131.00
WS SERVICE AREA|10010033|Hc Debride Sq/mcl/bn Ea Add 20sqcm <|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11047||WS HB DEFAULT|3,292.00
WS SERVICE AREA|271134041|Hc Sensor Cheetah|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|859.00
WS SERVICE AREA|80010859|Hc Particle Agglutination Screen Ea Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86403||WS HB DEFAULT|131.00
WS SERVICE AREA|272134042|HC TUBE DBL LUMN W CAMERA 35 FR|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,233.90
WS SERVICE AREA|272134043|HC TUBE DBL LUMN W CAMERA 37 FR|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,233.90
WS SERVICE AREA|80010861|Hc Zz Cryptococcus Antigen,serum - Use Eap 80010859|LABORATORY - GENERAL CLASSIFICATION [0300]|86403||WS HB DEFAULT|131.00
WS SERVICE AREA|80010862|Hc Particle Agglutination Screen Each Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86403||WS HB DEFAULT|131.00
WS SERVICE AREA|271134047|Hc Mask O2 Capno Multi Port Pom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|51.50
WS SERVICE AREA|80010863|Hc Rheumatoid Factor,qual|LABORATORY - GENERAL CLASSIFICATION [0300]|86430||WS HB DEFAULT|143.00
WS SERVICE AREA|80010864|Hc Rheumatoid Factor,synovial Fluid|LABORATORY - GENERAL CLASSIFICATION [0300]|86430||WS HB DEFAULT|143.00
WS SERVICE AREA|272134044|HC TUBE DBL LUMN W CAMERA 39 FR|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,233.90
WS SERVICE AREA|10010034|Hc Paring/cutting Benign Hyperkeratotic Lesion 1|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11055||WS HB DEFAULT|543.00
WS SERVICE AREA|80010865|Hc Rheumatoid Factor|LABORATORY - GENERAL CLASSIFICATION [0300]|86431||WS HB DEFAULT|157.00
WS SERVICE AREA|272134045|HC TUBE DBL LUMN W CAMERA 41 FR|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,233.90
WS SERVICE AREA|80010867|Hc Rheumatoid Factor Quant|LABORATORY - GENERAL CLASSIFICATION [0300]|86431||WS HB DEFAULT|157.00
WS SERVICE AREA|80010868|Hc Zz Rpr Screen - Use Eap 80010868|LABORATORY - GENERAL CLASSIFICATION [0300]|86592||WS HB DEFAULT|73.00
WS SERVICE AREA|272134046|Hc Uniblocker Bronchial 9 Fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|646.80
WS SERVICE AREA|80010869|Hc Syphilis Test Non-treponemal Antibody Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|86592||WS HB DEFAULT|73.00
WS SERVICE AREA|80010871|Hc Zz Vdrl,csf  - Use Eap 80010868|LABORATORY - GENERAL CLASSIFICATION [0300]|86592||WS HB DEFAULT|73.00
WS SERVICE AREA|80010872|Hc Rpr Titer|LABORATORY - GENERAL CLASSIFICATION [0300]|86593||WS HB DEFAULT|97.00
WS SERVICE AREA|80010874|Hc Adenovirus Antibodies|LABORATORY - GENERAL CLASSIFICATION [0300]|86603||WS HB DEFAULT|206.00
WS SERVICE AREA|80010875|Hc Aspergillus Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86606||WS HB DEFAULT|353.00
WS SERVICE AREA|10010035|Hc Paring/cutting Benign Hyperkeratotic Lesion 2-4|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11056||WS HB DEFAULT|708.00
WS SERVICE AREA|80010876|Hc Antibody Bacterium Not Elsewhere Specified|LABORATORY - GENERAL CLASSIFICATION [0300]|86609||WS HB DEFAULT|109.00
WS SERVICE AREA|80010877|Hc Zz Pneumococcal Antibodies - Use Eap 80010876|LABORATORY - GENERAL CLASSIFICATION [0300]|86609||WS HB DEFAULT|109.00
WS SERVICE AREA|80010878|Hc Zz Gonococcal Antibodies - Use Eap 80010876|LABORATORY - GENERAL CLASSIFICATION [0300]|86609||WS HB DEFAULT|109.00
WS SERVICE AREA|80010879|Hc Zz Listeria Antibody - Use Eap 80010876|LABORATORY - GENERAL CLASSIFICATION [0300]|86609||WS HB DEFAULT|109.00
WS SERVICE AREA|271101738|Hc Lift Sling Pt Lg Disp F/lft Equip Arjo Clip Flite|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|154.50
WS SERVICE AREA|80010880|Hc Zz B Henselae Igg,titer - Use Eap 80010884|LABORATORY - GENERAL CLASSIFICATION [0300]|86611||WS HB DEFAULT|250.00
WS SERVICE AREA|80010881|Hc Zz B Henselae Igm,titer - Use Eap 80010884|LABORATORY - GENERAL CLASSIFICATION [0300]|86611||WS HB DEFAULT|250.00
WS SERVICE AREA|271101741|Hc Lift Sling Pt Xl Disp F/lft Equip Arjo Clip Flite|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|154.50
WS SERVICE AREA|80010882|Hc Zz B Quintana Igg,titer - Use Eap 80010884|LABORATORY - GENERAL CLASSIFICATION [0300]|86611||WS HB DEFAULT|250.00
WS SERVICE AREA|271107015|Hc Sling Pt Repositionr Univ Loop 1 Sz Disp Arjo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|376.00
WS SERVICE AREA|10010036|Hc Paring/cutting Benign Hyperkeratotic Lesion >4|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11057||WS HB DEFAULT|737.00
WS SERVICE AREA|80010884|Hc Antibody Bartonella|LABORATORY - GENERAL CLASSIFICATION [0300]|86611||WS HB DEFAULT|250.00
WS SERVICE AREA|80010885|Hc Blastomyces Antibody,id|LABORATORY - GENERAL CLASSIFICATION [0300]|86612||WS HB DEFAULT|128.00
WS SERVICE AREA|80010886|Hc Antibody,bordetella|LABORATORY - GENERAL CLASSIFICATION [0300]|86615||WS HB DEFAULT|169.00
WS SERVICE AREA|40010170|Hc Incision Lingual Frenum Frenotomy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|41010||WS HB DEFAULT|5,387.00
WS SERVICE AREA|80010887|Hc Lyme Disease Ab Wb|LABORATORY - GENERAL CLASSIFICATION [0300]|86617||WS HB DEFAULT|188.00
WS SERVICE AREA|80010888|Hc Lyme Disease Ab,w/rflx W Blot|LABORATORY - GENERAL CLASSIFICATION [0300]|86618||WS HB DEFAULT|96.00
WS SERVICE AREA|271114410|Hc Sensor Eeg Mntr Sedline Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|60.80
WS SERVICE AREA|80010889|Hc Brucella Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86622||WS HB DEFAULT|215.00
WS SERVICE AREA|80010890|Hc Antibody Chlamydia|LABORATORY - GENERAL CLASSIFICATION [0300]|86631||WS HB DEFAULT|207.00
WS SERVICE AREA|80010891|Hc Zz Chlamydia,igg - Use Eap 80010890|LABORATORY - GENERAL CLASSIFICATION [0300]|86631||WS HB DEFAULT|207.00
WS SERVICE AREA|10010038|Hc Exc Lesion Trunk/arms/legs Benign Marg 0.6-1 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11401||WS HB DEFAULT|2,602.00
WS SERVICE AREA|80010892|Hc Chlamydia Ab,igm|LABORATORY - GENERAL CLASSIFICATION [0300]|86632||WS HB DEFAULT|204.00
WS SERVICE AREA|80010893|Hc Antibody Coxiella Burnetii Q Fever|LABORATORY - GENERAL CLASSIFICATION [0300]|86638||WS HB DEFAULT|267.00
WS SERVICE AREA|80010894|Hc Arc,cmv Testing|LABORATORY - GENERAL CLASSIFICATION [0300]|86644||WS HB DEFAULT|237.00
WS SERVICE AREA|271110454|Hc Kit Pad Hydrogl Arctic Sun Univ|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|2,645.00
WS SERVICE AREA|80010895|Hc Antibody Cytomegalovirus Cmv|LABORATORY - GENERAL CLASSIFICATION [0300]|86644||WS HB DEFAULT|237.00
WS SERVICE AREA|80010896|Hc Cmv Antibodies,igm|LABORATORY - GENERAL CLASSIFICATION [0300]|86645||WS HB DEFAULT|303.00
WS SERVICE AREA|271110455|Hc Kit Pad Hydrogel Arctic Sun Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|5,228.30
WS SERVICE AREA|80010897|Hc Diptheria Antibodies|LABORATORY - GENERAL CLASSIFICATION [0300]|86648||WS HB DEFAULT|417.00
WS SERVICE AREA|271110456|Hc Kit Pad Hydrogel Arctic Sun Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|5,405.80
WS SERVICE AREA|80010898|Hc Encephalitis,california|LABORATORY - GENERAL CLASSIFICATION [0300]|86651||WS HB DEFAULT|259.00
WS SERVICE AREA|10010039|Hc Exc Lesion Trunk/arms/legs Benign Marg >4.0 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11406||WS HB DEFAULT|4,499.00
WS SERVICE AREA|80010899|Hc Encephalitis,eastern Equine|LABORATORY - GENERAL CLASSIFICATION [0300]|86652||WS HB DEFAULT|259.00
WS SERVICE AREA|271110457|Hc Kit Pad Hydrogel Arctic Sun Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|5,405.80
WS SERVICE AREA|80010900|Hc Encephalitis,st Louis|LABORATORY - GENERAL CLASSIFICATION [0300]|86653||WS HB DEFAULT|259.00
WS SERVICE AREA|80010901|Hc Encephalitis,western Equine|LABORATORY - GENERAL CLASSIFICATION [0300]|86654||WS HB DEFAULT|259.00
WS SERVICE AREA|80010902|Hc Antibody Enterovirus|LABORATORY - GENERAL CLASSIFICATION [0300]|86658||WS HB DEFAULT|337.00
WS SERVICE AREA|80010903|Hc Zz Coxsackie B Antibodies - Use Eap 80010902|LABORATORY - GENERAL CLASSIFICATION [0300]|86658||WS HB DEFAULT|337.00
WS SERVICE AREA|80010904|Hc Zz Eb Early Antigen - Use Eap 80010905|LABORATORY - GENERAL CLASSIFICATION [0300]|86663||WS HB DEFAULT|187.00
WS SERVICE AREA|80010905|Hc Antibody Epstein-barr Eb Virus Early Antigen Ea|LABORATORY - GENERAL CLASSIFICATION [0300]|86663||WS HB DEFAULT|187.00
WS SERVICE AREA|80010906|Hc Eb Nuclear Antigen|LABORATORY - GENERAL CLASSIFICATION [0300]|86664||WS HB DEFAULT|187.00
WS SERVICE AREA|80010907|Hc Eb Viral Capsid|LABORATORY - GENERAL CLASSIFICATION [0300]|86665||WS HB DEFAULT|255.00
WS SERVICE AREA|10010040|Hc Trimming Nondystrophic Nails Any Number|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11719||WS HB DEFAULT|627.00
WS SERVICE AREA|80010908|Hc Antibody Ehrlichia|LABORATORY - GENERAL CLASSIFICATION [0300]|86666||WS HB DEFAULT|241.00
WS SERVICE AREA|80010909|Hc Zz Ehrlichia,igm - Use Eap 80010908|LABORATORY - GENERAL CLASSIFICATION [0300]|86666||WS HB DEFAULT|241.00
WS SERVICE AREA|80010910|Hc Fungus Non-specific|LABORATORY - GENERAL CLASSIFICATION [0300]|86671||WS HB DEFAULT|119.00
WS SERVICE AREA|80010911|Hc Antibody Helicobacter Pylori|LABORATORY - GENERAL CLASSIFICATION [0300]|86677||WS HB DEFAULT|279.00
WS SERVICE AREA|80010912|Hc Zz Helicobacter Pylori Igg Ab,qual - Use Eap 80010911|LABORATORY - GENERAL CLASSIFICATION [0300]|86677||WS HB DEFAULT|279.00
WS SERVICE AREA|80010913|Hc Zz Helicobacter Pylori,iga(q) - Use Eap 80010911|LABORATORY - GENERAL CLASSIFICATION [0300]|86677||WS HB DEFAULT|279.00
WS SERVICE AREA|80010914|Hc Zz Helicobacter Pylori,igm(q) - Use Eap 80010911|LABORATORY - GENERAL CLASSIFICATION [0300]|86677||WS HB DEFAULT|279.00
WS SERVICE AREA|80010915|Hc Cysticercosis Antibodies|LABORATORY - GENERAL CLASSIFICATION [0300]|86682||WS HB DEFAULT|467.00
WS SERVICE AREA|80010916|Hc H.flu Type B Antibody(igg)|LABORATORY - GENERAL CLASSIFICATION [0300]|86684||WS HB DEFAULT|216.00
WS SERVICE AREA|80010917|Hc Zz Hiv Western Blot 2 - Use Eap 80010919|LABORATORY - GENERAL CLASSIFICATION [0300]|86689||WS HB DEFAULT|329.00
WS SERVICE AREA|10010041|Hc Debridement Nail Any Method 1-5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11720||WS HB DEFAULT|560.00
WS SERVICE AREA|80010918|Hc Zz Hiv Western Blot  - Use Eap 80010919|LABORATORY - GENERAL CLASSIFICATION [0300]|86689||WS HB DEFAULT|329.00
WS SERVICE AREA|80010919|Hc Antibody Htlv/hiv Antibody Confirmatory Test|LABORATORY - GENERAL CLASSIFICATION [0300]|86689||WS HB DEFAULT|329.00
WS SERVICE AREA|80010920|Hc Antibody Herpes Simplex Non-specific Type Test|LABORATORY - GENERAL CLASSIFICATION [0300]|86694||WS HB DEFAULT|190.00
WS SERVICE AREA|80010921|Hc Zz Reflex To Hsv Igm Titer - Use Eap 80010920|LABORATORY - GENERAL CLASSIFICATION [0300]|86694||WS HB DEFAULT|190.00
WS SERVICE AREA|80010922|Hc Zz Herpes Simplex I,igg - Use Eap 80010925|LABORATORY - GENERAL CLASSIFICATION [0300]|86695||WS HB DEFAULT|190.00
WS SERVICE AREA|80010923|Hc Zz Herpes Simplex I,igm - Use Eap 80010925|LABORATORY - GENERAL CLASSIFICATION [0300]|86695||WS HB DEFAULT|190.00
WS SERVICE AREA|80010925|Hc Antibody Herpes Simplex Type 1|LABORATORY - GENERAL CLASSIFICATION [0300]|86695||WS HB DEFAULT|190.00
WS SERVICE AREA|80010926|Hc Zz Hsv1 Igg Type Specific Ab - Use Eap 80010925|LABORATORY - GENERAL CLASSIFICATION [0300]|86695||WS HB DEFAULT|190.00
WS SERVICE AREA|80010927|Hc Antibody Herpes Simplex Type 2|LABORATORY - GENERAL CLASSIFICATION [0300]|86696||WS HB DEFAULT|190.00
WS SERVICE AREA|80010928|Hc Zz Herpes Simplex Ii,igm - Use Eap 80010927|LABORATORY - GENERAL CLASSIFICATION [0300]|86696||WS HB DEFAULT|190.00
WS SERVICE AREA|10010042|Hc Debridement Nail Any Method 6/>|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11721||WS HB DEFAULT|627.00
WS SERVICE AREA|80010929|Hc Zz Hsv 2 Igg, Eia - Use Eap 80010927|LABORATORY - GENERAL CLASSIFICATION [0300]|86696||WS HB DEFAULT|190.00
WS SERVICE AREA|80010931|Hc Zz Hsv 2 Igg,herpeselect Ab - Use Eap 80010927|LABORATORY - GENERAL CLASSIFICATION [0300]|86696||WS HB DEFAULT|190.00
WS SERVICE AREA|80010932|Hc Zz Histoplasma Antibody,cf - Use Eap 80010933|LABORATORY - GENERAL CLASSIFICATION [0300]|86698||WS HB DEFAULT|207.00
WS SERVICE AREA|80010933|Hc Histoplasma Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86698||WS HB DEFAULT|207.00
WS SERVICE AREA|80010934|Hc Zz Hiv Scrn W/confirm (eh Only) - Use Eap 80010936|LABORATORY - GENERAL CLASSIFICATION [0300]|86701||WS HB DEFAULT|329.00
WS SERVICE AREA|60062320|HC NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62320||WS HB DEFAULT|2,521.00
WS SERVICE AREA|60064505|HC INJECTION ANES AGENT SPHENOPALATINE GANGLION|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64505||WS HB DEFAULT|1,043.00
WS SERVICE AREA|80010936|Hc Antibody Hiv-1|LABORATORY - GENERAL CLASSIFICATION [0300]|86701||WS HB DEFAULT|329.00
WS SERVICE AREA|60064517|HC INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64517||WS HB DEFAULT|3,221.00
WS SERVICE AREA|80010937|Hc Zz Hiv-1 - Use Eap 80010936|LABORATORY - GENERAL CLASSIFICATION [0300]|86701||WS HB DEFAULT|329.00
WS SERVICE AREA|10010043|Hc Avulsion Nail Plate Partial/complete Simple 1|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11730||WS HB DEFAULT|1,075.00
WS SERVICE AREA|93091418|Hc Ip Only-tmvr Initial|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|49,418.00
WS SERVICE AREA|60064520|HC INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64520||WS HB DEFAULT|3,221.00
WS SERVICE AREA|60064530|HC INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64530||WS HB DEFAULT|3,353.00
WS SERVICE AREA|80010939|Hc Hiv1/hiv2 Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86703||WS HB DEFAULT|524.00
WS SERVICE AREA|60064600|HC DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64600||WS HB DEFAULT|3,221.00
WS SERVICE AREA|60064612|HC CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64612||WS HB DEFAULT|1,043.00
WS SERVICE AREA|60064616|HC CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64616||WS HB DEFAULT|1,043.00
WS SERVICE AREA|80010941|Hc Hepatitis B Core,total|LABORATORY - GENERAL CLASSIFICATION [0300]|86704||WS HB DEFAULT|180.00
WS SERVICE AREA|60064633|HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64633||WS HB DEFAULT|6,106.00
WS SERVICE AREA|60064634|HC DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64634||WS HB DEFAULT|2,035.00
WS SERVICE AREA|60064635|HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64635||WS HB DEFAULT|6,106.00
WS SERVICE AREA|10010044|Hc Nail Plate Avulsion Addtl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11732||WS HB DEFAULT|560.00
WS SERVICE AREA|80010944|Hc Zz Hepatitis B Core Ab,igm(eh Only) - Use Eap 80010945|LABORATORY - GENERAL CLASSIFICATION [0300]|86705||WS HB DEFAULT|218.00
WS SERVICE AREA|60064636|HC DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64636||WS HB DEFAULT|2,035.00
WS SERVICE AREA|80010945|Hc Hepatitis B Core Antibody Hbcab Igm Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86705||WS HB DEFAULT|218.00
WS SERVICE AREA|60064640|HC DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64640||WS HB DEFAULT|3,159.00
WS SERVICE AREA|80010946|Hc Hepatitis B Core(igm)ab|LABORATORY - GENERAL CLASSIFICATION [0300]|86706||WS HB DEFAULT|160.00
WS SERVICE AREA|60064642|Hc Chemodenervation One Extremity 1-4 Muscle|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64642||WS HB DEFAULT|2,521.00
WS SERVICE AREA|60064643|Hc Chemodenervation 1 Extremity Ea Addl 1-4 Muscle|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64643||WS HB DEFAULT|841.00
WS SERVICE AREA|80010947|Hc Hepatitis Be Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86707||WS HB DEFAULT|206.00
WS SERVICE AREA|60064644|Hc Chemodenervation 1 Extremity 5 Or More Muscles|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64644||WS HB DEFAULT|2,521.00
WS SERVICE AREA|80010948|Hc Hepatitis A Antibody,total|LABORATORY - GENERAL CLASSIFICATION [0300]|86708||WS HB DEFAULT|190.00
WS SERVICE AREA|10010045|Hc Drain Subugual Hematoma|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11740||WS HB DEFAULT|317.00
WS SERVICE AREA|60064645|Hc Chemodenervation 1 Extremity Ea Addl 5/> Muscles|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64645||WS HB DEFAULT|841.00
WS SERVICE AREA|60064646|HC CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64646||WS HB DEFAULT|2,521.00
WS SERVICE AREA|10000232|HC NJX PLTLT PLASMA W IMG HARVEST/PREPARATION|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0232T||WS HB DEFAULT|1,469.00
WS SERVICE AREA|80010950|Hc Zz Hepatitis A Antibody,igm - Use Eap 80010951|LABORATORY - GENERAL CLASSIFICATION [0300]|86709||WS HB DEFAULT|251.00
WS SERVICE AREA|80010951|Hc Hepatitis Antibody Haab Igm Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86709||WS HB DEFAULT|251.00
WS SERVICE AREA|272133846|Hc Blade Laryngoscope Disp Mac 1 040-711u|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|80010952|Hc Influenza Virus Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86710||WS HB DEFAULT|235.00
WS SERVICE AREA|272133847|Hc Blade Laryngoscope Disp Mac 2 040-712u|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|80010953|Hc Zz Influenza A Antibodies - Use Eap 80010952|LABORATORY - GENERAL CLASSIFICATION [0300]|86710||WS HB DEFAULT|235.00
WS SERVICE AREA|272133848|Hc Blade Laryngoscope Disp Mac 3 040-713u|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|10010046|Hc Excision Nail/nail Matrix Includes Ingrown|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11750||WS HB DEFAULT|3,340.00
WS SERVICE AREA|80010954|Hc Zz Influenza B Antibodies - Use Eap 80010952|LABORATORY - GENERAL CLASSIFICATION [0300]|86710||WS HB DEFAULT|235.00
WS SERVICE AREA|272133849|Hc Blade Laryngoscope Disp Mac 4 040-714u|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|80010955|Hc Legionella Pneumo Abs|LABORATORY - GENERAL CLASSIFICATION [0300]|86713||WS HB DEFAULT|278.00
WS SERVICE AREA|272133854|Hc Blade Laryngoscope Disp Miller 1 040-721u|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|80010956|Hc Leptospira Antibodies|LABORATORY - GENERAL CLASSIFICATION [0300]|86720||WS HB DEFAULT|206.00
WS SERVICE AREA|272133856|Hc Blade Laryngoscope Disp Miller 2 040-722u|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|80010957|Hc Mumps Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86735||WS HB DEFAULT|211.00
WS SERVICE AREA|272133857|Hc Blade Laryngoscope Disp Miller 3 040-723u|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|80010958|Hc Zz Mumps Antibody,igm - Use Eap 80010957|LABORATORY - GENERAL CLASSIFICATION [0300]|86735||WS HB DEFAULT|211.00
WS SERVICE AREA|272133870|Hc Handle Laryngoscope Disp Stubby 040-03-0000u|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|10010048|Hc Nail Bed Repair|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11760||WS HB DEFAULT|2,298.00
WS SERVICE AREA|80010959|Hc Zz Mycoplasma Pneumonia,igg - Use Eap 80010960|LABORATORY - GENERAL CLASSIFICATION [0300]|86738||WS HB DEFAULT|172.00
WS SERVICE AREA|272129460|Hc Dressing Duoderm Xtra Thin 6x6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.50
WS SERVICE AREA|80010960|Hc Mycoplasma Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86738||WS HB DEFAULT|172.00
WS SERVICE AREA|27111371|Hc Sling Arm Xl Deep Pocket W/pad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|21.60
WS SERVICE AREA|50053854|Hc Rf Prostate Tranurl Destruct Tissue Thermo|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|53854||WS HB DEFAULT|6,371.00
WS SERVICE AREA|60064647|HC CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64647||WS HB DEFAULT|2,625.00
WS SERVICE AREA|272134171|Hc Kit Dressing Picc Chg Medline|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|117.40
WS SERVICE AREA|272134182|Hc Kit Dressing Chg Ij Medline|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.90
WS SERVICE AREA|20020615|Hc Inj/asp Treatment Bone Cyst|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20615||WS HB DEFAULT|2,441.00
WS SERVICE AREA|20028008|Hc Fasciotomy Foot/toe|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28008||WS HB DEFAULT|11,048.00
WS SERVICE AREA|80085100|Hc Screen Fecal Globin Screening|LABORATORY - GENERAL CLASSIFICATION [0300]|G0328||WS HB DEFAULT|183.00
WS SERVICE AREA|20000260|HC INJ FOR SACROILIAC JT ANESTH|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|G0260||WS HB DEFAULT|2,521.00
WS SERVICE AREA|20028060|HC FASCIECTOMY PLANTAR FASCIA PARTIAL SPX|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28060||WS HB DEFAULT|11,048.00
WS SERVICE AREA|60062264|HC PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62264||WS HB DEFAULT|3,221.00
WS SERVICE AREA|60062281|Hc Inj/infus Neurolyt Subst Epidural Cerv/thoracic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62281||WS HB DEFAULT|3,221.00
WS SERVICE AREA|60062282|Hc Injx/infus Neurolyt Sbst Epidural Lumbar/sacral|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62282||WS HB DEFAULT|2,863.00
WS SERVICE AREA|60062287|Hc Dcmprn Perq Nucleus Pulposus 1/> Levels Lumbar|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62287||WS HB DEFAULT|19,229.00
WS SERVICE AREA|60062322|HC INJ DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62322||WS HB DEFAULT|2,315.00
WS SERVICE AREA|60063650|HC PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|63650||WS HB DEFAULT|12,789.00
WS SERVICE AREA|60063688|Hc Rev/rmvl Implanted Spinal Neurostim Generator|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|63688||WS HB DEFAULT|10,777.00
WS SERVICE AREA|60064405|HC INJ(S) ANES AGT(S)/STEROID GREATER OCCIPITAL NRV|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64405||WS HB DEFAULT|1,043.00
WS SERVICE AREA|10010050|Hc Toenail Wedge Resection|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11765||WS HB DEFAULT|627.00
WS SERVICE AREA|60064415|HC INJ(S) ANES AGT(S)/STEROID BRACHIAL PLEXUS|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64415||WS HB DEFAULT|2,959.00
WS SERVICE AREA|60064425|HC INJ(S) ANES AGT(S)/STEROID ILIOINGUINAL ILIOHYPOGASTRIC NRVS|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64425||WS HB DEFAULT|2,521.00
WS SERVICE AREA|60064430|HC INJ(S) ANES AGT(S)/STEROID PUDENDAL NERVE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64430||WS HB DEFAULT|3,221.00
WS SERVICE AREA|60064449|HC INJ(S) ANES AGT(S)/STEROID LUMBAR PLEXUS CONT INF CATH|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64449||WS HB DEFAULT|3,221.00
WS SERVICE AREA|60064479|HC NJX ANES&/STRD W/IMG TFRML EDRL CRV/THRC 1 LVL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64479||WS HB DEFAULT|3,221.00
WS SERVICE AREA|60064480|Hc Njx Anes&/strd W/img Tfrml Edrl Crv/thrc Ea Addl Lv|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64480||WS HB DEFAULT|1,074.00
WS SERVICE AREA|80080153|Hc Igk@ Gene Rearrange Detect Abnormal Clonal Pop|LABORATORY - GENERAL CLASSIFICATION [0300]|81264||WS HB DEFAULT|848.00
WS SERVICE AREA|30031600|Hc Tracheostomy Planned|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31600||WS HB DEFAULT|8,690.00
WS SERVICE AREA|272124803|Hc Device Transducer Prss Mon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|248.20
WS SERVICE AREA|271120034|Hc Dressing Wound Hydrophilic 2.5oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|34.00
WS SERVICE AREA|10010055|Hc Wound Body Simple =< 2.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12001||WS HB DEFAULT|986.00
WS SERVICE AREA|270134344|Hc Solution Antimicro Puracyn 500ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|92.70
WS SERVICE AREA|80019116|Hc Blood Smear Peripheral Interpretation Physician W/written Report|LABORATORY - HEMATOLOGY [0305]|85060||WS HB DEFAULT|138.00
WS SERVICE AREA|80080154|Hc Gen Seq Analys Sol Org/hemtolmphoid Neo 51/> Gen|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81455||WS HB DEFAULT|5,827.00
WS SERVICE AREA|80080155|Hc Trb Rearrangement Anal Direct Probe Methodology|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81341||WS HB DEFAULT|110.00
WS SERVICE AREA|80080156|Hc Hba1/hba2 Gene Analysis Dup/del Variants|LABORATORY - GENERAL CLASSIFICATION [0300]|81269||WS HB DEFAULT|404.00
WS SERVICE AREA|80080157|Hc Iadna Dna/rna Zika Virus Amplified Probe Tq|LABORATORY - GENERAL CLASSIFICATION [0300]|87662||WS HB DEFAULT|117.00
WS SERVICE AREA|80019136|Hc Anticoagulation Test|LABORATORY - GENERAL CLASSIFICATION [0300]|85347||WS HB DEFAULT|59.00
WS SERVICE AREA|272133901|Hc Blade Laryng Sz000 Pro Fib Op Mill Flexicare|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|272133853|Hc Blade Laryng Sz00 Pro Fib Op Mill Flexicare|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|80019140|Hc Fibrinolysins Or Coagulopathy Screen, Interpretation And Report|LABORATORY - GENERAL CLASSIFICATION [0300]|85390||WS HB DEFAULT|163.00
WS SERVICE AREA|10010056|Hc Wound Body Simp 2.6-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12002||WS HB DEFAULT|986.00
WS SERVICE AREA|272115469|Hc Blade Laryng Sz0 Fiber Op Flexicare|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|272133851|Hc Blade Laryng Sz3.5 Pro Fib Op Mac Flexicare|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|272133855|Hc Blade Laryng Sz1.5 Pro Fib Op Mill Flexicare|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27090311|Hc Wipe Prep 7.5x7.5in 2% Chg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|80080158|HC IRON,LIVER TISSUE|LABORATORY - GENERAL CLASSIFICATION [0300]|83540||WS HB DEFAULT|219.00
WS SERVICE AREA|80080159|Hc Genomic Sequence Analysis, 5-50 Genes|LABORATORY - GENERAL CLASSIFICATION [0300]|81450||WS HB DEFAULT|5,988.00
WS SERVICE AREA|80080160|Hc Hpv Screening|LABORATORY - GENERAL CLASSIFICATION [0300]|87624||WS HB DEFAULT|403.00
WS SERVICE AREA|271109983|Hc Bag Leg Large (1000ml) Urine Drain Strppvc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|10.30
WS SERVICE AREA|271112184|HC SET ADMINISTRATION CADD 120IN HIGH VOLUME W/BAG SPIKE|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.90
WS SERVICE AREA|271110866|Hc Pouch Cadd Pump Bag 250-500ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|54.60
WS SERVICE AREA|99010048|HC CCU BED CHARGES|CORONARY CARE - GENERAL CLASSIFICATION [0210]|||WS HB DEFAULT|4,842.00
WS SERVICE AREA|271124934|HC SET ADM GRVTY 101IN 22ML 15 GTT NDEHP|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.50
WS SERVICE AREA|272134240|Hc Dressing 6x8 Drawtex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|68.00
WS SERVICE AREA|272116920|Hc Dressing Wound Multidx 1/4oz Gel Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|272112548|HC SET ADM 90IN 3ML IV PCA PRIM INFUS Y W MONOJECT PLUNG|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|272124670|HC SET EXTN 8.5IN MNBR PRESS RT       |MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.20
WS SERVICE AREA|272116921|Hc Dressing Mepitel One 3x4in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.60
WS SERVICE AREA|272116923|Hc Dressing Mepitel 3x4in Cntct Lyr Open Mesh Sftc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.60
WS SERVICE AREA|30036299|Hc Vessel Injection Procedure Unlisted   |OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36299||WS HB DEFAULT|2,409.00
WS SERVICE AREA|272134415|Hc Dilator Surg Nyl Round Dura Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|56.70
WS SERVICE AREA|272134416|Hc Dilator Surg Nyl Round Dura Lrg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|10010057|Hc Wound Body Simp 7.6-12.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12004||WS HB DEFAULT|986.00
WS SERVICE AREA|93091419|Hc Ip Only- Tmvr Addl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|12,354.00
WS SERVICE AREA|272102564|Hc Marker Rectal Shdwfm 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.40
WS SERVICE AREA|272104615|Hc Marker Vag Shdwfm 18cm Tbar|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.40
WS SERVICE AREA|60067715|Hc Canthotomy Separate Procedure|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|67715||WS HB DEFAULT|6,225.00
WS SERVICE AREA|40041899|Hc Dentoalveolar Structures Procedure Inc Tooth Ext|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|41899||WS HB DEFAULT|803.00
WS SERVICE AREA|27099746|Hc Chair Sensor Pad 30 Day Sgl Pt Use Posey|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|64.90
WS SERVICE AREA|272124935|HC SET EXTN 1.2UM 18IN 5ML NDEHP     |MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|270101109|Hc Zz Pad Mattress Disp 34in Wide Lf Spu- Use 27201712|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|305.90
WS SERVICE AREA|27165376|Hc Tape Medipore Lf 4inx10yd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|29.90
WS SERVICE AREA|272112835|Hc Trap Spec Mucous 40cc Open Suct Sgl Use Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|272114922|Hc Set Infus 3 Ndls Valve 127in Alaris Pump|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.50
WS SERVICE AREA|10010058|Hc Wound Body Simp 12.6-20.0|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12005||WS HB DEFAULT|986.00
WS SERVICE AREA|270132859|Hc Aligner Body Wedge 30deg 28.5x19x8in Purple|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|44.30
WS SERVICE AREA|272118835|HC SET EXT IV 1.2UM 7IN 0.52ML PRIME VOL M LL|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|272125002|Hc Set Iv Adm 0.2um 20ml Ndehp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.60
WS SERVICE AREA|272124950|HC SET EXTN MCBR TRIFUSE 4IN 0.6M NDEHP|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|272124949|HC SET EXTN MCBR BIFUSE 6IN 0.4ML NDEHP |MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10.30
WS SERVICE AREA|272131993|Hc Gel Am 1.5oz Silvasorb Silver|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|72.10
WS SERVICE AREA|27204531 |Hc Bag Isl Preemie Wrap 20x20in Steridrpe|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|12.00
WS SERVICE AREA|272124781|Hc Device Suct Oral Nasal Prmie W/cover Boogiebaby       |MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|60061211|Hc Drill Twist Hole Skull For Drainage|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61108||WS HB DEFAULT|9,136.00
WS SERVICE AREA|272124947|Hc Set Iv Pigbck Prim Micro 106in 60gtt Grvty|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.50
WS SERVICE AREA|10010059|Hc Wound Body Simp 20.1-30.0|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12006||WS HB DEFAULT|986.00
WS SERVICE AREA|271116611|Hc Solution Chg 4% Clnsr 4oz Btl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|11.30
WS SERVICE AREA|270132650|Hc Filter Anesth Vapor Clean Sngl Pt Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|338.90
WS SERVICE AREA|27000237|Hc Bucket Enema 1.5l Dyn Clamp Disp Lf54in nstrl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|6.20
WS SERVICE AREA|27002017|Hc Dressing Tegaderm 8x6in Trnsprnt Film Frame|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.20
WS SERVICE AREA|271117915|Hc Gel Am Ag 1oz Bllw Silvergel Resta|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.00
WS SERVICE AREA|27000180|Hc Zz Armboard Iv Neonat 4x1.5in Foam Disp Lf Wht - Use Eap 27100022|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|7.20
WS SERVICE AREA|27207475|Hc Zz Clamp Circ Clr 1.2cm Plstbl Plastic Grv Glans- Use 272007625|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27225880|Hc Zz Clamp Circ Clr 1.5cm Plstbl Plastic Grv Glans- Use 272007625|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.40
WS SERVICE AREA|30065457|Hc Instlj Via Chest Tube/cath Agent For Pleurodesis|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32560||WS HB DEFAULT|2,611.00
WS SERVICE AREA|60064488|HC TAP BLOCK BILATERAL BY INJECTION(S)|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64488||WS HB DEFAULT|4,715.00
WS SERVICE AREA|10010060|Hc Wound Body Simp >30.0|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12007||WS HB DEFAULT|986.00
WS SERVICE AREA|80080162|Hc Culture Typing Nucleic Acid Probe Dir Ea Organsm|LABORATORY - GENERAL CLASSIFICATION [0300]|87149||WS HB DEFAULT|82.00
WS SERVICE AREA|270114179|Hc Mitt Dbl Pad W/flap Adlt Peekaboo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|77.30
WS SERVICE AREA|270110500|Hc Positioner Glide&guide Std 36in No Strap Primo  |MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|122.60
WS SERVICE AREA|80080163|Hc Hemoglobin-oxygen Affinity|LABORATORY - GENERAL CLASSIFICATION [0300]|82820||WS HB DEFAULT|54.00
WS SERVICE AREA|80080164|Hc Immunoelectrophoresis Other Fluids Concentration|LABORATORY - GENERAL CLASSIFICATION [0300]|86325||WS HB DEFAULT|87.00
WS SERVICE AREA|80080165|Hc B Cells Total Count|LABORATORY - GENERAL CLASSIFICATION [0300]|86355||WS HB DEFAULT|147.00
WS SERVICE AREA|272102825|Hc Canister, Sctn 800cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10.30
WS SERVICE AREA|272107211|Hc Cath, Insyte Iag Str Grn 18gx1.16"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|272102831|Hc Cath, Insyte Iag Str Ylw 24gx.75"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|272121283|Hc Needle, Biopsy Bone Marrow 11gx4" Carfus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|68.00
WS SERVICE AREA|10010061|Hc Wound Head Simp = < 2.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12011||WS HB DEFAULT|986.00
WS SERVICE AREA|272121282|Hc Needle, Biopsy/aspiration Adj 18g Carfus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|152.40
WS SERVICE AREA|272128850|Hc Needle, Huber Whin Safe 20gx.75"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|272134594|Hc Dressing Foam Mepilex 8x8in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|127.70
WS SERVICE AREA|278134360|Hc Zz Marker Rad 0.85mm 18g Fiducial Pre-load - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|A4648||WS HB DEFAULT|633.50
WS SERVICE AREA|270110502|Hc Positioner Glide&guide Bariatric 56in No Strap Primo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|144.20
WS SERVICE AREA|27249175|Hc Bag Drainage 15l Cycler (2 Pk) Disp For Baxter Tubing|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.80
WS SERVICE AREA|27237072|Hc Sheet Gel Sil Adh Cica-care 5x6in Semi-occl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|235.20
WS SERVICE AREA|271129852|Hc Kit Oral Suct/cleanse W/ 0.12%chg Rinse Qcare Sage|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|87.60
WS SERVICE AREA|270102825|Hc Canister Suct 800ml Rgd Hdrphb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|10.30
WS SERVICE AREA|90098960|Hc Education&training Self-mgmt Nonphys 1 Pt|OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940]|98960||WS HB DEFAULT|201.00
WS SERVICE AREA|10010062|Hc Wound Head Simp 2.6-5.0|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12013||WS HB DEFAULT|986.00
WS SERVICE AREA|20029584|Hc Appl Mltlayr Compres Sys Uparm Lwarm Hand&fing|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29584||WS HB DEFAULT|451.00
WS SERVICE AREA|60064416|HC INJ(S) ANES AGT(S)/STEROID BRACHIAL PLEXUS CONT INF CATH|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64416||WS HB DEFAULT|3,221.00
WS SERVICE AREA|272000245|Hc Dressing Opsite 10 X 5.5in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.20
WS SERVICE AREA|272134353|Hc Dressing Sorbaview Shld 3.75x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|40041009|Hc Intraoral I&d Tongue/floor Masticator Space|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|41009||WS HB DEFAULT|1,884.00
WS SERVICE AREA|60164486|HC TAP BLOCK UNILATERAL BY INJECTION(S)|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64486||WS HB DEFAULT|4,463.00
WS SERVICE AREA|30031624|Hc Brnchsc W/brncl Alveolar Lavage|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31624||WS HB DEFAULT|4,796.00
WS SERVICE AREA|30031625|Hc  Bronchoscopy Bronchial/endobrncl Bx 1+ Sites|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31625||WS HB DEFAULT|4,796.00
WS SERVICE AREA|27000014|HC OXYGEN|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|209.60
WS SERVICE AREA|27000019|Supply For Lab Exam|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|73.10
WS SERVICE AREA|10010063|Hc Wound Head Simp 5.1-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12014||WS HB DEFAULT|986.00
WS SERVICE AREA|27000020|Medsurg Supplies-transfer Rule|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|355.00
WS SERVICE AREA|27100018|Non Sterile Supply-transfer Rule|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|6.20
WS SERVICE AREA|27100177|Nonsterile Supply General|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.00
WS SERVICE AREA|27200026|Sterile Supplies-transfer Rule|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|298.70
WS SERVICE AREA|27200028|Hc Adaptor Y Brat Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|94.80
WS SERVICE AREA|93010424|Hc Insert/replace Nstim Apnea Compl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0424T||WS HB DEFAULT|55,454.00
WS SERVICE AREA|27200035|Collagen Dressing, Pad Size 16 Sq. In. Or Less, Each|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|A6021||WS HB DEFAULT|53.60
WS SERVICE AREA|27200036|Water Seal Drain Container & Tubing For Use W/ Implanted Chest Tube|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|271130212|Hc Clamp Incont Lg (3in) Cunningham  |MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|102.00
WS SERVICE AREA|27200039|Hc Brachytherapy Needle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.70
WS SERVICE AREA|92010017|Hc Temp Transcutan Pacing|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|92953||WS HB DEFAULT|2,838.00
WS SERVICE AREA|271131626|Hc Resuscitator Infant/neo Neotee Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|81.40
WS SERVICE AREA|270100965|Hc Belt Gait 72in Cttn Hvydty Buckle Close|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|18.50
WS SERVICE AREA|270100966|Hc Belt Gait 54in Cttn Hvydty Buckle Close|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|23.70
WS SERVICE AREA|20023665|Hc Cl Tx Shoulder Disl W Fx Hum Tubrst W/manj|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23665||WS HB DEFAULT|4,354.00
WS SERVICE AREA|20025520|Hc Cl Tx Rdl Shft Fx& Disl Dstl Rad/uln Jt Galeazzi|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25520||WS HB DEFAULT|3,944.00
WS SERVICE AREA|20026432|Hc Cl Tx Dstl Xtnsr Tdn Insj W/wo Perc Pin Mallet Finger|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26432||WS HB DEFAULT|4,354.00
WS SERVICE AREA|27200107|INTRODUCER/SHEATH, NON GUIDE, NON CARDIAC ELECTROPHYSIO, NON-LASER|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|166.40
WS SERVICE AREA|20026607|Hc Cl Tx Metacarpal Fx W/manj W/xtrnl Fixj Ea Bone|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26607||WS HB DEFAULT|8,697.00
WS SERVICE AREA|20027220|Hc Cl Tx Acetabulum Hip/sockt Fx W/o Manj|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27220||WS HB DEFAULT|676.00
WS SERVICE AREA|20027246|Hc Cl Tx Greater Trochanteric Fx W/o Manj|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27246||WS HB DEFAULT|746.00
WS SERVICE AREA|10010064|Hc Wound Head Simp 7.6-12.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12015||WS HB DEFAULT|986.00
WS SERVICE AREA|272134738|Hc Dressing Kerramax 4x4in Super Absorb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.30
WS SERVICE AREA|272134739|Hc Dressing Kerramax 8x9in Super Absorb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.90
WS SERVICE AREA|272134772|Hc Cuff Fgr Hemodyn Clearsite Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,515.10
WS SERVICE AREA|274081932|Hc Afo L1932 Rigid Ant Tib Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L1932||WS HB DEFAULT|2,803.70
WS SERVICE AREA|274081832|Hc Brace L1832 Knee Hinge Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L1832||WS HB DEFAULT|2,368.00
WS SERVICE AREA|274080486|Hc Tlso L0486 Triplan 2 Piece Rigid Shell Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L0486||WS HB DEFAULT|4,119.00
WS SERVICE AREA|274080454|Hc Tlso L0454 Corset Flexible Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L0454||WS HB DEFAULT|1,211.30
WS SERVICE AREA|274083807|Hc Whfo L3807 Bilateral  Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3807||WS HB DEFAULT|791.00
WS SERVICE AREA|274080627|Hc Lso L067 Corsett Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L0627||WS HB DEFAULT|1,073.30
WS SERVICE AREA|274080174|Hc Collar L0174 Aspen 2 Piece Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L0174||WS HB DEFAULT|892.00
WS SERVICE AREA|10010065|Hc Wound Head Simp 12.6-20|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12016||WS HB DEFAULT|986.00
WS SERVICE AREA|274080456|Hc Tlso L0456 California Type Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L0456||WS HB DEFAULT|3,125.00
WS SERVICE AREA|274083980|Hc Brace L3970 Sarimento Humeral Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3980||WS HB DEFAULT|982.60
WS SERVICE AREA|274080637|Hc Lso L0637 Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L0637||WS HB DEFAULT|3,198.20
WS SERVICE AREA|274084360|Hc Afo L4360 Walking Boot Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L4360||WS HB DEFAULT|954.80
WS SERVICE AREA|274082820|Hc Interface L2820 Low Ext Carbon Fibre Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L2820||WS HB DEFAULT|282.20
WS SERVICE AREA|274080810|Hc Jacket L0810 Halo Procedure Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L0810||WS HB DEFAULT|7,843.50
WS SERVICE AREA|274081686|Hc Brace L1686 Hip Abduction Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L1686||WS HB DEFAULT|2,908.70
WS SERVICE AREA|274080190|Hc Brace L0190 Somi/cto Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L0190||WS HB DEFAULT|2,047.60
WS SERVICE AREA|274083908|Hc Brace L3908 Wrist Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3908||WS HB DEFAULT|190.60
WS SERVICE AREA|274081930|Hc Afo L1930 Cust Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L1930||WS HB DEFAULT|724.10
WS SERVICE AREA|70878701|Hc Nm Kidney Imaging With Flow|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78701||WS HB DEFAULT|2,023.00
WS SERVICE AREA|272110447|Hc Catheter 12fr 25cm Drain Ap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|316.20
WS SERVICE AREA|274082200|Hc Oths L2200 Lmt Motion Ankle Jt Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L2200||WS HB DEFAULT|149.40
WS SERVICE AREA|274083260|Hc Boot L3260 Amb Surg Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3260||WS HB DEFAULT|113.30
WS SERVICE AREA|274084396|Hc Splint L4396 Ankle Contracture Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L4396||WS HB DEFAULT|552.10
WS SERVICE AREA|274085450|Hc Dressing L5450 Bk Non Wt Bear Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L5450||WS HB DEFAULT|1,334.90
WS SERVICE AREA|274085668|Hc Cushion L5668 Dist Mold Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L5668||WS HB DEFAULT|367.70
WS SERVICE AREA|274088440|Hc Shrinker L8440 Bk Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L8440||WS HB DEFAULT|171.00
WS SERVICE AREA|274088460|Hc Shrinker L8460 Abv Knee Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L8460||WS HB DEFAULT|237.90
WS SERVICE AREA|274088470|Hc Sock L8470 Bk Sgl Ply Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L8470||WS HB DEFAULT|21.60
WS SERVICE AREA|90095886|Hc Needle Emg Ea Extremty W/paraspinl Area Complete|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95886||WS HB DEFAULT|621.00
WS SERVICE AREA|90095808|Hc Polysom Any Age Sleep Stage 1-3 Addl Param Attnd|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95808||WS HB DEFAULT|3,070.00
WS SERVICE AREA|10010066|Hc Wound Head Simp 20.1-30|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12017||WS HB DEFAULT|986.00
WS SERVICE AREA|34010060|Hc Gallium Ga-68 Dx 0.1 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9587||WS HB DEFAULT|289.80
WS SERVICE AREA|30033976|Hc Insj Ventric Assist Dev Xtrcorp Biventricular|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33976||WS HB DEFAULT|10,730.00
WS SERVICE AREA|30033978|Hc Ip Only Removal Ventr Assist Device Xtrcorp Biventr|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33978||WS HB DEFAULT|2,682.00
WS SERVICE AREA|30033981|Hc Rplcmt Xtrcorp Vad 1/biventr Pump 1/ea Pump|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33981||WS HB DEFAULT|10,730.00
WS SERVICE AREA|30031646|Hc Bronchoscopy W/ther Aspir Trachbrncl Tree Sbsq|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31646||WS HB DEFAULT|1,299.00
WS SERVICE AREA|80080166|Hc Bcr/abl1 Other Breakpnt Qualitative/quantitative|LABORATORY - GENERAL CLASSIFICATION [0300]|81208||WS HB DEFAULT|965.00
WS SERVICE AREA|271134112|Hc Glove Edema Med Lf 3/4 Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|23.70
WS SERVICE AREA|271100807|Hc Glove Edema Xs Lf Full Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.70
WS SERVICE AREA|271114151|Hc Glove Edema Xs Lf 3/4 Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|25.80
WS SERVICE AREA|271100806|Hc Glove Edema Xs Rt Full Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|25.80
WS SERVICE AREA|10010067|Hc Wound Head Simp >30|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12018||WS HB DEFAULT|986.00
WS SERVICE AREA|271114147|Hc Glove Edema Xs 3/4 Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|25.80
WS SERVICE AREA|271100809|Hc Glove Edema Sm Lf Full Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27800134|Hc Epifix, Per Square Centimeter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4186||WS HB DEFAULT|2,442.10
WS SERVICE AREA|271114149|Hc Glove Edema Sm Lf 3/4 Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|25.80
WS SERVICE AREA|271100808|Hc Glove Edema Sm Rt Full Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27800156|ARTIFICIAL LARYNX, ANY TYPE|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|L8500||WS HB DEFAULT|963.10
WS SERVICE AREA|271103822|Hc Glove Edema Sm Rt 3/4 Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27800157|INJ BULKING AGENT, COLLAGEN IMPLANT, URINARY TRACT, 2.5 ML SYRINGE|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|L8603||WS HB DEFAULT|407.90
WS SERVICE AREA|271100813|Hc Glove Edema Lg Lf Full Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27800158|INJ BULKING AGENT, SYNTHETIC IMPLANT, URINARY TRACT, 1 ML SYRINGE|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|L8606||WS HB DEFAULT|785.90
WS SERVICE AREA|70878473|Hc Nm Gated Heart Multi Wall Motion + Ejection Fraction, Rest & Stress|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78473||WS HB DEFAULT|3,100.00
WS SERVICE AREA|271134114|Hc Glove Edema Lg Lf 3/4 Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|23.70
WS SERVICE AREA|271100812|Hc Glove Edema Lg Rt Full Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27800160|AUDITORY OSSEOINTEGRATED DEVICE, INCLUDES ALL INT/EXT COMPONENTS|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|L8690||WS HB DEFAULT|16,558.40
WS SERVICE AREA|271134115|Hc Glove Edema Lg Rt 3/4 Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|23.70
WS SERVICE AREA|27062446|Hc Pillow Xs 3/8in 7in Gel Pstn (gel-e-donut)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|29.90
WS SERVICE AREA|271124943|HC SET EXTN MNBR BIFUSE 8IN 1.15M NDEHP|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|9.30
WS SERVICE AREA|27225879|Hc Device Circ Plastibell 1.4cm Clr Plstc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.40
WS SERVICE AREA|270110501|Hc Positioner Glide&guide 36in W/ Side Straps Primo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|133.90
WS SERVICE AREA|27800165|Hc Zz Graft Ezderm 4x3in 77sqcm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4136||WS HB DEFAULT|126.70
WS SERVICE AREA|30036483|Hc Ablation Endoven Thx Chem Adhesive Ea Addtl Vein |OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36483||WS HB DEFAULT|13,144.00
WS SERVICE AREA|10010068|HC TREATMENT OF SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12020||WS HB DEFAULT|2,103.00
WS SERVICE AREA|30036482|Hc Ablation Endoven Thx Chem Adhesive 1st Vein  |OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36482||WS HB DEFAULT|9,118.00
WS SERVICE AREA|27800167|Hc Alloderm, Per Square Centimeter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4116||WS HB DEFAULT|222.50
WS SERVICE AREA|274131545|Hc Hm Mobile Power Unit 107754|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0479||WS HB DEFAULT|32,548.00
WS SERVICE AREA|274000479|Hc Hm Mobile Power Unit 107754, Replacement Only|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0479||WS HB DEFAULT|32,548.00
WS SERVICE AREA|272129609|Hc Tielle Liqualock 4x4 |MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|272129610|Hc Tielle Liqualock 6x6 |MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|272129611|Hc Tielle Liqualock 8.25x8.63|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.10
WS SERVICE AREA|271100810|Hc Glove Edema Med Rt Full Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.70
WS SERVICE AREA|271134113|Hc Glove Edema Med Rt 3/4 Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|23.70
WS SERVICE AREA|271100811|Hc Glove Edema Med Lf Full Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.70
WS SERVICE AREA|10010069|HC TREATMENT OF SUPERFICIAL WOUND DEHISCENCE WITH PACKING|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12021||WS HB DEFAULT|1,640.00
WS SERVICE AREA|90000390|Hc Trauma 3   Small Team|TRAUMA RESPONSE - LEVEL III TRAUMA [0683]|G0390||WS HB DEFAULT|4,500.00
WS SERVICE AREA|90010390|Hc Trauma 3  Partial Team|TRAUMA RESPONSE - LEVEL III TRAUMA [0683]|G0390||WS HB DEFAULT|6,000.00
WS SERVICE AREA|90020390|Hc Trauma 3  Full Team|TRAUMA RESPONSE - LEVEL III TRAUMA [0683]|G0390||WS HB DEFAULT|7,500.00
WS SERVICE AREA|90030390|Hc Trauma 4   Small Team|TRAUMA RESPONSE - LEVEL IV TRAUMA [0684]|G0390||WS HB DEFAULT|4,100.00
WS SERVICE AREA|90040390|Hc Trauma 4  Partial Team|TRAUMA RESPONSE - LEVEL IV TRAUMA [0684]|G0390||WS HB DEFAULT|4,800.00
WS SERVICE AREA|90050390|Hc Trauma 4  Full Team|TRAUMA RESPONSE - LEVEL IV TRAUMA [0684]|G0390||WS HB DEFAULT|5,500.00
WS SERVICE AREA|272135040|Hc Wand Barrier Film 2.7ml Cavilon Adv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.30
WS SERVICE AREA|270135065|Hc Tub Turtl Swaddling Neo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|162.90
WS SERVICE AREA|270135066|Hc Liner Swaddle Bath Neo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|13.70
WS SERVICE AREA|271134776|Hc Dressing Wrap Wound Edema 4inx11.5ft Drawex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|58.90
WS SERVICE AREA|70875809|Hc Zz Nm Shuntogram Of Nnvas Shunt - Use Eap 70100101|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|75809||WS HB DEFAULT|825.00
WS SERVICE AREA|272135064|Hc Adapter Cath Tip Ll Urethera|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|12.60
WS SERVICE AREA|27229732|Hc Sensor Sgl Flo Trac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,559.60
WS SERVICE AREA|272122575|Hc Catheter Picc Preemi/neo 1fr 28g W/splt Ndl Premicath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|199.20
WS SERVICE AREA|271124146|Hc Kit Positioner Fluidized Neonate Med/ Sm Z-flo (16x24/ 7x10)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|551.40
WS SERVICE AREA|271129252|Hc Kit Oral Suct/cleanse W/ Corinz Rinse Qcare Sage|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|89.60
WS SERVICE AREA|272134381|Hc Catheter 20g 10cm Powerglide Pro Midline Full Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|526.10
WS SERVICE AREA|272134382|Hc Catheter 20g 8cm Powerglide Pro Midline Full Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|526.10
WS SERVICE AREA|272134387|Hc Catheter 18g 10cm Powerglide Pro Midline Basic Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|311.90
WS SERVICE AREA|272134388|Hc Catheter 18g 8cm Powerglide Pro Midline Basic Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|311.90
WS SERVICE AREA|10017999|Hc Unlisted Px Skin Muc Membrane & Subq Tissue|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|17999||WS HB DEFAULT|684.00
WS SERVICE AREA|10010070|Hc Wound Body Layer =< 2.5 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12031||WS HB DEFAULT|986.00
WS SERVICE AREA|93092933|HC PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH|CARDIOLOGY - CARDIAC CATH LAB [0481]|92933|LD|WS HB DEFAULT|23,604.00
WS SERVICE AREA|93192933|HC PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH|CARDIOLOGY - CARDIAC CATH LAB [0481]|92933|LC|WS HB DEFAULT|23,604.00
WS SERVICE AREA|93292933|HC PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH|CARDIOLOGY - CARDIAC CATH LAB [0481]|92933|RC|WS HB DEFAULT|23,604.00
WS SERVICE AREA|93392933|HC PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH|CARDIOLOGY - CARDIAC CATH LAB [0481]|92933|LM|WS HB DEFAULT|23,604.00
WS SERVICE AREA|93492933|HC PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH|CARDIOLOGY - CARDIAC CATH LAB [0481]|92933|RI|WS HB DEFAULT|23,604.00
WS SERVICE AREA|27205914|Hc Dressing Interdry 10x144in Anmc Slvr Cmplx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|218.80
WS SERVICE AREA|20020660|Hc Appl Cranial Tong/strtctc Frame W/removal Spx|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20660||WS HB DEFAULT|5,080.00
WS SERVICE AREA|20020661|HC APPLICATION HALO CRANIAL INCLUDING REMOVAL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20661||WS HB DEFAULT|4,601.00
WS SERVICE AREA|20060665|Hc Removal Tong/halo Applied By Another Individual|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20665||WS HB DEFAULT|1,401.00
WS SERVICE AREA|30031626|Hc Larynx Surgery Procedure|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31599||WS HB DEFAULT|722.00
WS SERVICE AREA|10010071|Hc Wound Body Layer 2.6-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12032||WS HB DEFAULT|1,093.00
WS SERVICE AREA|271131775|Hc Bag Shower Hvad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,396.70
WS SERVICE AREA|272135088|Hc Pad Debride 4x4in/10x10cm Debrisoft|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.10
WS SERVICE AREA|272135089|Hc Wand Debride Debrisoft Lolly|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.10
WS SERVICE AREA|272135090|Hc Pad Debride 5x8in/13x20cm Debrisoft|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|272135223|Hc Ascope 4 Slim 3.8/1.2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,210.50
WS SERVICE AREA|272133789|Hc Ascope 4 5.0/2.2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,210.50
WS SERVICE AREA|272135224|Hc Ascope 4 Large 5.8/2.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,392.00
WS SERVICE AREA|90095958|HC EEG MONITORING FUNCTION TEST|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|95958||WS HB DEFAULT|3,070.00
WS SERVICE AREA|93010428|Hc Removal Nstim System Sleep Apnea Pls Generator|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0428T||WS HB DEFAULT|10,090.00
WS SERVICE AREA|93010429|Hc Removal Nstim System Sleep Apnea Sensing Lead|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0429T||WS HB DEFAULT|10,090.00
WS SERVICE AREA|50059000|Hc Delivery Of Placenta|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|59414||WS HB DEFAULT|9,025.00
WS SERVICE AREA|93010430|Hc Removal Nstim System Sleep Apnea Stimj Lead|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0430T||WS HB DEFAULT|10,090.00
WS SERVICE AREA|93010431|Hc Rmvl/rplc Nstim System Sleep Apnea Pls Generator|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0431T||WS HB DEFAULT|37,454.00
WS SERVICE AREA|93010432|Hc Repos Nstim System Sleep Apnea Stimj Lead|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0432T||WS HB DEFAULT|10,090.00
WS SERVICE AREA|93010433|Hc Repos Nstim System Sleep Apnea Sensing Lead|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0433T||WS HB DEFAULT|10,090.00
WS SERVICE AREA|272121322|Hc Needle Spinal Disp 20ga X 6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.20
WS SERVICE AREA|271115161|Hc Sling Arm Cloth Buckle Clsr Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|274115200|Hc Strap Clav Meek Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|L3650||WS HB DEFAULT|17.40
WS SERVICE AREA|274115199|Hc Strap Clav Hvy Imprv 40x4in Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|L3650||WS HB DEFAULT|24.00
WS SERVICE AREA|274115252|Hc Immobilizer Shoulder Wom Xxl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.90
WS SERVICE AREA|274115248|Hc Immobilizer Shoulder Wom Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.90
WS SERVICE AREA|10010072|Hc Wound Body Layer 7.6-12.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12034||WS HB DEFAULT|1,196.00
WS SERVICE AREA|272110448|Hc Catheter 14fr 25cm Drain Ap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|316.20
WS SERVICE AREA|274115246|Hc Immobilizer Shoulder Wom Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.90
WS SERVICE AREA|274115263|Hc Immobilizer Shoulder Wom Lrg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.90
WS SERVICE AREA|274115227|Hc Splint Wrist/frarm Univ Lt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|40.40
WS SERVICE AREA|274115226|Hc Splint Wrist/frarm Univ Rt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|40.40
WS SERVICE AREA|274115175|Hc Collar Cerv Med Dns Med 4in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|13.80
WS SERVICE AREA|274119778|Hc Collar Cerv Med Dns Lg 5in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|13.80
WS SERVICE AREA|274115174|Hc Collar Cerv Med Dns Sm 3in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.90
WS SERVICE AREA|274115249|Hc Immobilizer Shoulder Men Lrg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.90
WS SERVICE AREA|274115172|Hc Collar Cer Phil 4.25in 10-13|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|41.90
WS SERVICE AREA|274115179|Hc Collar Cer Ohil 5.25in 16-19|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|43.90
WS SERVICE AREA|10010073|Hc Wound Body Layer 12.6-20|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12035||WS HB DEFAULT|1,286.00
WS SERVICE AREA|274115178|Hc Collar Cer Phil 5.25in 13-16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|43.90
WS SERVICE AREA|274115214|Hc Splint Wrist Supp Cont Lt Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|25.40
WS SERVICE AREA|274115251|Hc Immobilizer Shoulder Men Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.90
WS SERVICE AREA|271115143|Hc Sho Ps Vlcr Clsr M Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|18.80
WS SERVICE AREA|274115247|Hc Immobilizer Shoulder Men Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.90
WS SERVICE AREA|271115144|Hc Zz Shoe Ps Vlcr Clsr M Med  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|18.80
WS SERVICE AREA|271115145|Hc Zz Shoe Ps Vlcr Clsr M Lg  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|18.80
WS SERVICE AREA|272115409|Hc Zz Tube Endotrach Mrph Cuff 7.5mm- Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|31.80
WS SERVICE AREA|80080167|Hc Serpina1 Gene Analysis Common Variants|LABORATORY - GENERAL CLASSIFICATION [0300]|81332||WS HB DEFAULT|1,350.00
WS SERVICE AREA|80080168|Hc Abl1 Gene Analysis Kinase Domain Variants|LABORATORY - GENERAL CLASSIFICATION [0300]|81170||WS HB DEFAULT|3,488.00
WS SERVICE AREA|10010074|Hc Wound Body Layer 20.1-30|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12036||WS HB DEFAULT|2,100.00
WS SERVICE AREA|80080169|Hc Fetal Congenital Abnor Assay Five Anal|LABORATORY - GENERAL CLASSIFICATION [0300]|81512||WS HB DEFAULT|1,430.00
WS SERVICE AREA|80080170|Hc Iaadi Herpes Smplx Virus Type 2|LABORATORY - GENERAL CLASSIFICATION [0300]|87273||WS HB DEFAULT|600.00
WS SERVICE AREA|80080171|Hc Iaadi Herpes Smplx Virus Type 1|LABORATORY - GENERAL CLASSIFICATION [0300]|87274||WS HB DEFAULT|600.00
WS SERVICE AREA|272135258|Hc Device Harvesting Cell Autologous Recell System|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27,248.70
WS SERVICE AREA|272135261|Hc Spray Antifungal/zinc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.20
WS SERVICE AREA|93010425|Hc Insj/rplc Nstim System Sleep Apnea Sensing Lead|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0425T||WS HB DEFAULT|14,262.00
WS SERVICE AREA|93010426|Hc Insj/rplc Nstim System Sleep Apnea Stimj Lead|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0426T||WS HB DEFAULT|46,818.00
WS SERVICE AREA|93010427|Hc Insj/rplc Nstim System Sleep Apnea Pls Generator|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0427T||WS HB DEFAULT|46,818.00
WS SERVICE AREA|50020116|Hc Cystourethroscopy Insj Radioact Sbst W/wobx/fulg|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52250||WS HB DEFAULT|9,844.00
WS SERVICE AREA|272135077|Hc Dressing Foam 4x4 Biatain Polyureth 3410|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.20
WS SERVICE AREA|10010075|Hc Wound Body Layer >30|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12037||WS HB DEFAULT|2,298.00
WS SERVICE AREA|272135078|Hc Dressing Wound Promogran 19.1sq In Mtrx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|84.90
WS SERVICE AREA|27018156|Hc Kit Enema Empty Snapcap Bag Rgd Tub 920|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|13.90
WS SERVICE AREA|27022414|Hc Tip Enema 5/16in 5/16in Sil Flxcf Retent Lf 8816|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.90
WS SERVICE AREA|27019324|Hc Ring Enema Vnyl Infl Wo Drain 820|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|9.80
WS SERVICE AREA|27039577|Hc Bag Enema 16oz Barium Polibar Acb In Snap Cap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27018124|Hc Bag Enema Retent Cuff Plastic Clamp Air Tip 8925|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|34.80
WS SERVICE AREA|90095870|HC NEEDLE EMG LMTD STD MUSC 1 XTR NON-LIMB UNI/BI|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95870||WS HB DEFAULT|217.00
WS SERVICE AREA|90095865|HC NEEDLE ELECTROMYOGRAPHY LARYNX|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95865||WS HB DEFAULT|411.00
WS SERVICE AREA|50051785|HC NDL EMG STDS EMG ANAL URTL SPHNCTR ANY METHOD|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|51785||WS HB DEFAULT|894.00
WS SERVICE AREA|60064510|HC NJX ANES STELLATE GANGLION CRV SYMPATHETIC|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64510||WS HB DEFAULT|2,958.00
WS SERVICE AREA|40049410|Hc Simple Cntrl Nose Bleed|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|42970||WS HB DEFAULT|2,640.00
WS SERVICE AREA|60063663|HC REV INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|63663||WS HB DEFAULT|14,964.00
WS SERVICE AREA|20022526|HC PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|22526||WS HB DEFAULT|521.00
WS SERVICE AREA|272130552|Hc Oxygenator Quadrox-d Perf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,267.20
WS SERVICE AREA|272112613|Hc Perfusion Beq-hls 7050 Usa#hls Advanced 7.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|57,771.40
WS SERVICE AREA|272112614|Hc Cannula 10027 Avalonelite 27fr Perfusion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9,851.40
WS SERVICE AREA|272112615|Hc Cannula 10031 Avalonelite 31fr Perfusion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,270.60
WS SERVICE AREA|272112621|Hc Cannula 10023 Avalonelite 23fr Perfusion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,270.60
WS SERVICE AREA|272112412|Hc Sensor Sc90 900/30 Bg/lyt/met|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,766.50
WS SERVICE AREA|272112232|Hc Cannula Venous Rtn Dual Drain|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|182.00
WS SERVICE AREA|27255940|Hc Tubing Perf 72.5inx3/32in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|217.70
WS SERVICE AREA|10010076|Hc Wound Body/ext Lay/com =<2.5 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12041||WS HB DEFAULT|986.00
WS SERVICE AREA|27288800|Hc Pump Blood Revolution Centrifugal Disposable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|582.00
WS SERVICE AREA|272125901|Hc 8f Oxygenator (bundle Only)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,062.50
WS SERVICE AREA|27280744|Hc Valve Vacuum Relief For Vent Suction Lines|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|125.10
WS SERVICE AREA|272122685|Hc Set Bowl Pas Xtra X/125|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|335.20
WS SERVICE AREA|272122686|Hc Set Bowl Pas Xtra X/175|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|335.20
WS SERVICE AREA|272122688|Hc Reservior Xres B Bld Collect (reserv Only Bottom Outlet)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|335.20
WS SERVICE AREA|272121018|Hc Xtra Sequestration Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,480.50
WS SERVICE AREA|272131543|Hc Nonin Sensmart Sensors|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|396.00
WS SERVICE AREA|272125218|Hc Cannula Bio-medicus 15fr 96530-115 (art Ng)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,705.40
WS SERVICE AREA|272125219|Hc Cannula Bio-medicus 17fr 96530-117 (art Ng)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,705.40
WS SERVICE AREA|10010077|Hc Wound Body/ext Layer 2.6-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12042||WS HB DEFAULT|986.00
WS SERVICE AREA|272125220|Hc Cannula Bio-medicus 19fr 96530-119 (art Ng)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,705.40
WS SERVICE AREA|272125221|Hc Cannula Bio-medicus 21fr 96530-121 (art Ng)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,705.40
WS SERVICE AREA|272125222|Hc Cannula Bio-medicus 23fr 96530-123 (art Ng)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,705.40
WS SERVICE AREA|272101392|Hc Vascular Dilator Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|856.70
WS SERVICE AREA|272112607|Hc Cannula Bio-medicus 23fr Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,460.00
WS SERVICE AREA|272112608|Hc Cannula Bio-medicus 19fr Venous|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,551.30
WS SERVICE AREA|272112609|Hc Cannula Bio-medicus 19fr Arterial|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,603.80
WS SERVICE AREA|272112610|Hc Cannula Bio-medicus 21fr Venous|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,551.30
WS SERVICE AREA|272112611|Hc Kit Insertion Biomedicus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|242.70
WS SERVICE AREA|272112612|Hc Cannula Bio-medicus 17 Fr Arterial|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,460.00
WS SERVICE AREA|40049409|Hc Repair Lip Ft; > 1/2 V Hgt Or Complex|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|40654||WS HB DEFAULT|4,217.00
WS SERVICE AREA|272112616|Hc Kit 12210 Avalonelite Vasc Access Perfusion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|604.30
WS SERVICE AREA|272124199|Hc Cannula Art Fem W/carmeda Bioactive Surf Intro Vent Connect Bio-medicus 3/8 21f 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,460.00
WS SERVICE AREA|272124200|Hc Cannula Venous Fem W/carmeda Bioactive Surf Intro Non-vent Connector Bio-medicus 3/8 19f 50cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,460.00
WS SERVICE AREA|272124201|Hc Cannula Venous Fem W/carmeda Bioactive Surf Intro Non-vent Connector Bio-medicus 3/8 21f 50cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,460.00
WS SERVICE AREA|272124202|Hc Cannula Venous Fem W/carmeda Bioactive Surf Intro Non-vent Connector Bio-medicus 25f 50cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,460.00
WS SERVICE AREA|272124416|Hc Cannula Venous Fem W/carmeda Bioactive Surf Intro Non-vent Connector Bio-medicus 23f 50cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,457.20
WS SERVICE AREA|272124449|Hc Cannula 96670-123 Bio-medicus 23fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,659.20
WS SERVICE AREA|272124450|Hc Cannula 96670-125 Bio-medicus 25fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,659.20
WS SERVICE AREA|272124451|Hc Cannula 96670-127 Bio-medicus 27fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,659.20
WS SERVICE AREA|272124458|Hc Kit Perc Art Cannula W/carmeda Bioactive Surf Vent Connector Bio-medicus 17f 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,551.30
WS SERVICE AREA|10010078|Hc Wound Body/ext Layer 7.6-12.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12044||WS HB DEFAULT|986.00
WS SERVICE AREA|272124459|Hc Kit Perc Art Cannula W/carmeda Bioactive Surf Vent Connector Bio-medicus 19f 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,551.30
WS SERVICE AREA|272124493|Hc Set Micropuncture Intro Transitionless Stiff Cannula W/40cm Ss Gwire Pd Tip 21ga 7cm Echo Ndl 018in 5f 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|117.50
WS SERVICE AREA|272131512|Hc Cannula Ped 8fr W/intro 1/4in Nonvent|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,382.70
WS SERVICE AREA|272108974|Hc Connector Hemo 1/4in 36in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|278.20
WS SERVICE AREA|272122687|Hc Set Bowl Pas Xtra X/225|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|335.20
WS SERVICE AREA|272122690|Hc Reservior Xres B Gross Bottom Outlet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|200.30
WS SERVICE AREA|27293390|Hc Adapter Reservoir Outlet Sampling|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|134.30
WS SERVICE AREA|272110592|Hc Bag Blood Brat Prp Collect|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|335.20
WS SERVICE AREA|272121610|Hc Set Micropuncture Intro Pedal Access W/40cm Nt Gwire Pd Tip 21ga 4cm Echo Ndl 018in 4f 7cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|117.50
WS SERVICE AREA|27286196|Hc Kit Perc Venous Cannula Multi Bio-medicus 7 Baskets 21f 60cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,825.00
WS SERVICE AREA|10010079|Hc Wound Body/ext Layer 12.6-20|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12045||WS HB DEFAULT|2,298.00
WS SERVICE AREA|27286197|Hc Kit Perc Venous Cannula Multi Bio-medicus 8 Baskets 25f 60cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,825.00
WS SERVICE AREA|27278473|Hc Reservoir Crdtm Filter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|325.90
WS SERVICE AREA|27282194|Hc Tubing Perf 1/4inx1/16in 72in Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|173.10
WS SERVICE AREA|27287341|Hc Bag Centrif Wst Brat Well|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|111.10
WS SERVICE AREA|27294124|Hc Heater/cooler Perf Biotherm Ss Heat Exchgr 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,209.00
WS SERVICE AREA|27297955|Hc Filter Art 20 U Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|180.50
WS SERVICE AREA|272124448|Hc Cannula 96670-121 Bio-medicus 21fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,659.20
WS SERVICE AREA|272132903|Hc Cannula Venous Fem 26fr Alpine Fem-v1026|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,769.10
WS SERVICE AREA|272133044|Hc Cannula Venous Fem 24fr Alpine Fem-v1024|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,769.10
WS SERVICE AREA|272133043|Hc Cannula Venous Fem 22fr Alpine Fem-v1022|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,769.10
WS SERVICE AREA|40049408|Hc Repair Lip Ft; Up To Half Vertical Hght|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|40652||WS HB DEFAULT|4,778.00
WS SERVICE AREA|272110449|Hc Catheter 16fr 25cm Drain Ap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|324.50
WS SERVICE AREA|80080172|HC TPMT GENE ANALAYSIS COMMON VARIANTS|LABORATORY - GENERAL CLASSIFICATION [0300]|85046||WS HB DEFAULT|36.00
WS SERVICE AREA|80080173|Hc Reticulated Platelet Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|85055||WS HB DEFAULT|182.00
WS SERVICE AREA|80080174|Hc Tpmt Gene Analaysis Common Variants|LABORATORY - GENERAL CLASSIFICATION [0300]|81335||WS HB DEFAULT|663.00
WS SERVICE AREA|10019499|HC BREAST SURGERY PROCEDURE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19499||WS HB DEFAULT|9,866.00
WS SERVICE AREA|90010032|Hc Gastroesophag Reflx Test W/intrluml Imped Eltrd|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|91037||WS HB DEFAULT|976.00
WS SERVICE AREA|272128426|Hc Kit Small Foam Wound Vac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|180.60
WS SERVICE AREA|270134693|Hc Zz Kit Breast Pump Dbl Case - Use 27100174|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|148.10
WS SERVICE AREA|272134383|Hc Catheter 20g 8cm Midline Basic Pwrgld Pro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|311.90
WS SERVICE AREA|272134384|Hc Catheter 20g 10cm Midline Basic Pwrgld Pro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|311.90
WS SERVICE AREA|272134386|Hc Catheter 18g 8cm Midline Full Pwrgld Pro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|526.10
WS SERVICE AREA|10010080|Hc Wound Body/ext Layer 20.1-30|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12046||WS HB DEFAULT|2,298.00
WS SERVICE AREA|272134385|Hc Catheter 18g 10cm Midline Full Pwrgld Pro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|526.10
WS SERVICE AREA|270110503|Hc Positioner Glide&guide 56in W/ Side Straps Primo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|160.60
WS SERVICE AREA|274115132|HC BOOT SPLINT ORTHO FT REG/UNI|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L4396||WS HB DEFAULT|161.50
WS SERVICE AREA|27401196|HC OTHS CERVICAL MINERVA|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L0200||WS HB DEFAULT|1,784.50
WS SERVICE AREA|274115168|HC BRACE HUM FX OVER SHOULDER LG|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3980||WS HB DEFAULT|305.00
WS SERVICE AREA|274115169|Hc Immobilizer Sling Givmohr Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|260.60
WS SERVICE AREA|27401208|HC OTHS THOR LUMBOSAC ANT FRAME|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L0472||WS HB DEFAULT|1,546.50
WS SERVICE AREA|274118223|HC TLSO VISTA 464|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L0464||WS HB DEFAULT|5,060.20
WS SERVICE AREA|27001275|Hc Helmet Hardshell Danmar Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|599.20
WS SERVICE AREA|70049755|HC RF MAGNETIC-GUIDE AV FISTULA W IMAGE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C9755||WS HB DEFAULT|26,715.00
WS SERVICE AREA|10010081|Hc Wound Body/ext Layer >30|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12047||WS HB DEFAULT|2,569.00
WS SERVICE AREA|30010368|Hc Tracheobrnchsc Thru Est Trachs Inc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31615||WS HB DEFAULT|1,638.00
WS SERVICE AREA|90095829|Hc Electrocorticogram Surgery Spx|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95829||WS HB DEFAULT|575.00
WS SERVICE AREA|90095955|Hc Eeg Nonintracranial Surgery|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95955||WS HB DEFAULT|500.00
WS SERVICE AREA|90095961|Hc Funcjal Cort&subcort Mapg Phys/qhp Attnd Init Hr|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95961||WS HB DEFAULT|3,198.00
WS SERVICE AREA|90095962|Hc Funcjal Cort&subcort Mapg Phys/qhp Attnd Addl Hr|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95962||WS HB DEFAULT|800.00
WS SERVICE AREA|272109763|Hc Guidewire Vasc .025in 13.125in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|33.40
WS SERVICE AREA|272135947|Hc Catheter Rapid Infus Ex Arrow|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|48.90
WS SERVICE AREA|80080175|Hc Calr Gene Analysis Common Variants In Exon 9|LABORATORY - GENERAL CLASSIFICATION [0300]|81219||WS HB DEFAULT|1,164.00
WS SERVICE AREA|80080176|Hc Egfr Gene Analysis Common Variants|LABORATORY - GENERAL CLASSIFICATION [0300]|81235||WS HB DEFAULT|6,502.00
WS SERVICE AREA|80080177|Hc Igh@ Variable Region Somatic Mutation Analysis|LABORATORY - GENERAL CLASSIFICATION [0300]|81263||WS HB DEFAULT|7,498.00
WS SERVICE AREA|20010303|Hc Inj/drain/asp Small Joint/bursa W/us|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20604||WS HB DEFAULT|8,350.00
WS SERVICE AREA|80080178|Hc Myd88 Gene Analysis P.leu265 (l265p) Variant|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81305||WS HB DEFAULT|615.00
WS SERVICE AREA|80080179|Hc Pml/raralpha Common Breakpoints Qual/quant|LABORATORY - GENERAL CLASSIFICATION [0300]|81315||WS HB DEFAULT|2,205.00
WS SERVICE AREA|80080180|Hc Sept9 Gene Promoter Methylation Analysis|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81327||WS HB DEFAULT|672.00
WS SERVICE AREA|80080181|Hc Trb@ Rearrangement Anal Amplification Method|LABORATORY - GENERAL CLASSIFICATION [0300]|81340||WS HB DEFAULT|1,429.00
WS SERVICE AREA|80080182|Hc Trg@ Gene Rearrangement Analysis|LABORATORY - GENERAL CLASSIFICATION [0300]|81342||WS HB DEFAULT|1,352.00
WS SERVICE AREA|80080183|Hc Molecular Pathology Procedure Level 4|LABORATORY - GENERAL CLASSIFICATION [0300]|81403||WS HB DEFAULT|3,927.00
WS SERVICE AREA|80080184|Hc Flow Cytometry Cell Surf Marker Techl Only 1st|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88184||WS HB DEFAULT|271.00
WS SERVICE AREA|80080185|Hc Flow Cytometry Cell Surf Marker Techl Only Ea|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88185||WS HB DEFAULT|183.00
WS SERVICE AREA|80080186|Hc Molecular Cytogenetics Dna Probe Each|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88271||WS HB DEFAULT|584.00
WS SERVICE AREA|80080188|Hc Molec Cytg Interphase Ish Analyze 100-300 Cll|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88275||WS HB DEFAULT|630.00
WS SERVICE AREA|10010082|Hc Wound Head Layer =<2.5 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12051||WS HB DEFAULT|986.00
WS SERVICE AREA|80080189|Hc Cytogenetics&molec Cytogenetics Interp&rep|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88291||WS HB DEFAULT|181.00
WS SERVICE AREA|10000587|HC PERCUTANEOUS IMPLANTATION/REPLACEMENT POSTERIOR TIBIAL NRV ISDNS PTN|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0587T||WS HB DEFAULT|2,404.00
WS SERVICE AREA|10000588|HC REVISION OR REMOVAL ISDNS POSTERIOR TIBIAL NRV|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0588T||WS HB DEFAULT|1,006.00
WS SERVICE AREA|10000589|Hc Elec Alys Smpl Prgrmg Iins Ptn 1-3 Parameters|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|0589T||WS HB DEFAULT|435.00
WS SERVICE AREA|10000590|Hc Elec Alys Cplx Prgrmg Iins Ptn 4+ Parameters|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|0590T||WS HB DEFAULT|435.00
WS SERVICE AREA|30033016|HC PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33016||WS HB DEFAULT|5,709.00
WS SERVICE AREA|30033017|HC PERQ PRCRD DRG 6YR+ W/O CONGENITAL CAR ANOMALY W IMG|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33017||WS HB DEFAULT|5,709.00
WS SERVICE AREA|30033018|HC PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33018||WS HB DEFAULT|5,709.00
WS SERVICE AREA|30033019|HC PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33019||WS HB DEFAULT|5,709.00
WS SERVICE AREA|60064451|HC INJ(S) ANES AGT(S)/STEROID SI JOINT W/IMAG|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64451||WS HB DEFAULT|2,404.00
WS SERVICE AREA|10010083|Hc Wound Head Layer 2.6-5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12052||WS HB DEFAULT|986.00
WS SERVICE AREA|60064454|HC INJ(S) ANES AGT(S)/STEROID NRV GENICULAR BRANCHES W/IMG|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64454||WS HB DEFAULT|2,404.00
WS SERVICE AREA|60064624|HC DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64624||WS HB DEFAULT|6,609.00
WS SERVICE AREA|60064625|HC RADIOFREQUENCY ABLT NRV NRVTG SI JT W/IMG|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64625||WS HB DEFAULT|6,609.00
WS SERVICE AREA|70274221|HC RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74221||WS HB DEFAULT|1,586.00
WS SERVICE AREA|70274248|HC RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74248||WS HB DEFAULT|1,656.00
WS SERVICE AREA|70878830|HC NM SPEC LOCL TUM PLNR W/CT 1 AREA SINGLE DAY IMAGING|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78830||WS HB DEFAULT|3,143.00
WS SERVICE AREA|70878831|HC NM SPEC LOCL TUM PLNR  2+ AREAS/1 DAY, OR  1 AREA/2+ DAYS|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78831||WS HB DEFAULT|3,143.00
WS SERVICE AREA|70878832|HC NM SPEC LOCL TUM PLNR W/CT 2+ AREAS/1 DAY, OR  1 AREA/2+ DAYS|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78832||WS HB DEFAULT|3,143.00
WS SERVICE AREA|70878835|HC RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78835||WS HB DEFAULT|786.00
WS SERVICE AREA|80080145|Hc Drug Assay Adalimumab|LABORATORY - GENERAL CLASSIFICATION [0300]|80145||WS HB DEFAULT|135.00
WS SERVICE AREA|20010302|Hc Extensor Tendon Repair Each|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26418||WS HB DEFAULT|15,063.00
WS SERVICE AREA|80080235|Hc Drug Assay Lacosamide|LABORATORY - GENERAL CLASSIFICATION [0300]|80235||WS HB DEFAULT|95.00
WS SERVICE AREA|80080280|Hc Drug Assay Vedolizumab|LABORATORY - GENERAL CLASSIFICATION [0300]|80280||WS HB DEFAULT|135.00
WS SERVICE AREA|80080285|Hc Drug Assay Voriconazole|LABORATORY - GENERAL CLASSIFICATION [0300]|80285||WS HB DEFAULT|95.00
WS SERVICE AREA|80081277|Hc Cytogenomic Neoplasia Mircroarray Analysis|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81277||WS HB DEFAULT|4,060.00
WS SERVICE AREA|80081307|Hc Palb2 Gene Analysis Full Gene Sequence|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81307||WS HB DEFAULT|990.00
WS SERVICE AREA|80081308|Hc Palb2 Gene Analysis Known Familial Variant|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81308||WS HB DEFAULT|1,055.00
WS SERVICE AREA|80081309|Hc Pik3ca Gene Analysis Targeted Sequence Analysis|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81309||WS HB DEFAULT|962.00
WS SERVICE AREA|80081522|Hc Oncology Breast Mrna Gene Xprsn Prfl 12 Genes|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81522||WS HB DEFAULT|13,608.00
WS SERVICE AREA|80087563|Hc Iadna Mycoplasma Genitalium Amplified Probe Tech|LABORATORY - GENERAL CLASSIFICATION [0300]|87563||WS HB DEFAULT|123.00
WS SERVICE AREA|90095706|Hc Eeg W/o Vid By Tech Ea Incr 12-26hr Unmonitored|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95706||WS HB DEFAULT|2,367.00
WS SERVICE AREA|10010084|Hc Wound Head Layer 5.1-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12053||WS HB DEFAULT|986.00
WS SERVICE AREA|90095708|Hc Eeg W/o Vid By Tech Ea Incr 12-26hr Unmonitored|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95708||WS HB DEFAULT|6,771.00
WS SERVICE AREA|90095709|Hc Eeg W/o Vid By Tech Ea Incr 12-26 Hr Intmt Mntr|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95709||WS HB DEFAULT|6,771.00
WS SERVICE AREA|90095710|Hc Eeg W/o Vid Tech Ea Incr 12-26 Hr Cont R-t Mntr|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95710||WS HB DEFAULT|6,771.00
WS SERVICE AREA|90095716|Hc Veeg By Tech Ea Incr 12-26 Hr Cont R-t Mntr|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95716||WS HB DEFAULT|6,771.00
WS SERVICE AREA|90097129|HC THER IVNT COG FUNC CNTCT 1ST 15 MINUTES|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97129|GO|WS HB DEFAULT|194.00
WS SERVICE AREA|90197129|HC THER IVNT COG FUNC CNTCT 1ST 15 MINUTES|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|97129|GN|WS HB DEFAULT|194.00
WS SERVICE AREA|90097130|HC THER IVNT COG FUNC CNTCT EA ADDL 15 MINUTES|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97130|GO|WS HB DEFAULT|155.00
WS SERVICE AREA|90197130|HC THER IVNT COG FUNC CNTCT EA ADDL 15 MINUTES|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|97130|GN|WS HB DEFAULT|155.00
WS SERVICE AREA|92093985|HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93985||WS HB DEFAULT|1,543.00
WS SERVICE AREA|92093986|HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93986||WS HB DEFAULT|1,029.00
WS SERVICE AREA|10010085|Hc Wound Head Layer 7.6-12.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12054||WS HB DEFAULT|986.00
WS SERVICE AREA|60062328|Hc Diagnostic Lumbar Spinal Puncture W/fluor Or Ct|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62328||WS HB DEFAULT|2,726.00
WS SERVICE AREA|60062329|Hc Therapeutic Spinal Pnxr Drainage Csf W/fluor/ct|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62329||WS HB DEFAULT|2,653.00
WS SERVICE AREA|80080230|Hc Drug Assay Infliximab|LABORATORY - GENERAL CLASSIFICATION [0300]|80230||WS HB DEFAULT|135.00
WS SERVICE AREA|90000463|Hc Hosp Op Visit For Assessment And Management|CLINIC - GENERAL CLASSIFICATION [0510]|G0463||WS HB DEFAULT|499.00
WS SERVICE AREA|93093356|Hc Myocrd Strain Img Speckle Trck Assmt Myocrd Mech|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93356||WS HB DEFAULT|986.00
WS SERVICE AREA|97010055|Hc Eval For Rx Of Non-speech Prosthetic Device Ea Add'l 30 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92618|GN|WS HB DEFAULT|381.00
WS SERVICE AREA|27101728|Hc Lift Sling Pt Med Disp For Lft Equip Arjo Clip Flite|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|151.40
WS SERVICE AREA|27126829|Hc Sling Xfr Disp Arjo Sara 3000 Flites|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|101.80
WS SERVICE AREA|270115123|Hc Splint Tib/fib Child 11 3/4in Post Pad Knee|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|93.30
WS SERVICE AREA|270115124|Hc Splint Tib/fib Yth Sm Ad 14in Post Pad Knee|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|93.30
WS SERVICE AREA|10010086|Hc Wound Head Layer 12.6-20|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12055||WS HB DEFAULT|986.00
WS SERVICE AREA|270115125|Hc Splint Tib/fib Adlt 15 3/4in Post Pad Knee|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|93.30
WS SERVICE AREA|270115135|Hc Pillow Abd Foam Cncv Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|102.70
WS SERVICE AREA|272121077|Hc Kit Needleless Bld Smplng 12cc Rsrvr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|148.90
WS SERVICE AREA|272110475|HC CANISTER THOPAZ 800ML NEG PRESSURE CHEST DRAINAGE|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|173.90
WS SERVICE AREA|270118116|Hc Hose H20 Birth Hvdty 25ft Lead Free Sngl Pt Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|97.70
WS SERVICE AREA|272115020|Hc Milk Breast Hmn Fort Prolact+4 20ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|826.90
WS SERVICE AREA|272115019|Hc Milk Breast Hmn Fort Prolact Hm 4oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|232.10
WS SERVICE AREA|270107097|HC COVER PHOTOTHERAPY BLANKET NEOBLUE LG|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|974.20
WS SERVICE AREA|270107096|HC COVER PHOTOTHERAPY BLANKET NEOBLUE SM|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|974.20
WS SERVICE AREA|272114842|Hc Catheter Umb Vsl 2lum 18/21g 5f 38cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|142.30
WS SERVICE AREA|10010087|Hc Wound Head Layer 20.1-30|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12056||WS HB DEFAULT|2,298.00
WS SERVICE AREA|27896299|Hc Zz Tissue Flexhd 6x16cm Hd Thk - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4128||WS HB DEFAULT|10,296.90
WS SERVICE AREA|272132640|Hc Tray Spinal Needle 24g X 4in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|177.30
WS SERVICE AREA|272007302|Hc Cassette Cadd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.20
WS SERVICE AREA|25010126|Hc Leech Medicinal|PHARMACY - GENERAL CLASSIFICATION [0250]|||WS HB DEFAULT|128.00
WS SERVICE AREA|10000296|Hc Zz Ext Ecg > 48hr To 21 Day Rcrd W/conect Intl Rcrd - No Replacement|EKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731]|0296T||WS HB DEFAULT|186.00
WS SERVICE AREA|10002066|Hc Interrogation Device Evaluation Remote Up To 30 Days|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|G2066||WS HB DEFAULT|123.00
WS SERVICE AREA|80000564|Hc Onc Chemo Rx Cytotoxicity Assay Csc Min 14 Drugs|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|0564T||WS HB DEFAULT|189.00
WS SERVICE AREA|80081206|Hc Bcr/abl1 Major Breakpnt Qualitative/quantitative|LABORATORY - GENERAL CLASSIFICATION [0300]|81206||WS HB DEFAULT|614.00
WS SERVICE AREA|80081207|Hc Bcr/abl1 Minor Breakpnt Qualitative/quantitative|LABORATORY - GENERAL CLASSIFICATION [0300]|81207||WS HB DEFAULT|2,665.00
WS SERVICE AREA|80087653|Hc Iadna Streptococcus Group B Amplified Probe Tq|LABORATORY - GENERAL CLASSIFICATION [0300]|87653||WS HB DEFAULT|55.00
WS SERVICE AREA|80086711|Hc Antibody John Cunningham Virus|LABORATORY - GENERAL CLASSIFICATION [0300]|86711||WS HB DEFAULT|3,408.00
WS SERVICE AREA|10010088|Hc Wound Head Layer >30|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12057||WS HB DEFAULT|2,569.00
WS SERVICE AREA|270134545|Hc Positioner Fluidized Z-flo Sm 12in X 20in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|176.10
WS SERVICE AREA|30032160|Hc Ip Thoracotomy W/cardiac Massage|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|32160||WS HB DEFAULT|3,019.00
WS SERVICE AREA|80088120|Hc Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88120||WS HB DEFAULT|3,303.00
WS SERVICE AREA|80088239|Hc Tiss Cul Neo Disorders Solid Tumor|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88239||WS HB DEFAULT|1,042.00
WS SERVICE AREA|90095700|Hc Eeg Cont Rec W/video By Tech Min 8 Channels|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95700||WS HB DEFAULT|846.00
WS SERVICE AREA|90095705|Hc Eeg W/o Video By Tech 2-12 Hr Unmonitored|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95705||WS HB DEFAULT|846.00
WS SERVICE AREA|90095707|Hc Eeg W/o Video By Tech 2-12hr Continuous R-t Mntr|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95707||WS HB DEFAULT|2,367.00
WS SERVICE AREA|10000272|Hc Intrgortion Dev Eval Cartd Sins Barreflx W/i&r|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|0272T||WS HB DEFAULT|427.00
WS SERVICE AREA|10000273|Hc Introgation Dev Eval Cartd Sins Barreflx W/prgrm|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|0273T||WS HB DEFAULT|427.00
WS SERVICE AREA|40041008|Hc Intraoral I&d Tongue/floor Submndblr Space|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|41008||WS HB DEFAULT|10,071.00
WS SERVICE AREA|10010089|Hc Wound Trunk Comp 1.1-2.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13100||WS HB DEFAULT|2,956.00
WS SERVICE AREA|70500010|Hc Zz Ct Ablation Bone Tumor Percutaneous W-guid - Use Eap 20010038|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20982||WS HB DEFAULT|13,003.00
WS SERVICE AREA|70200010|Hc Fl Cisternography Positive Contrast|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70015||WS HB DEFAULT|805.00
WS SERVICE AREA|70100010|Hc Xr Eye Foreign Body|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70030||WS HB DEFAULT|491.00
WS SERVICE AREA|70100011|Hc Xr Mandible Limited <4vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70100||WS HB DEFAULT|572.00
WS SERVICE AREA|70100013|Hc Xr Mastoid Limited <3vw Ea Side|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70120||WS HB DEFAULT|272.00
WS SERVICE AREA|70100014|Hc Xr Mastoid Complete 3+vw Ea Side|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70130||WS HB DEFAULT|801.00
WS SERVICE AREA|70100015|Hc Xr Facial Bones <3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70140||WS HB DEFAULT|697.00
WS SERVICE AREA|70100016|Hc Xr Facial Bones Complete 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70150||WS HB DEFAULT|1,014.00
WS SERVICE AREA|70100017|Hc Xr Nasal Bones Complete 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70160||WS HB DEFAULT|697.00
WS SERVICE AREA|70100018|Hc Xr Orbits Complete 4+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70200||WS HB DEFAULT|934.00
WS SERVICE AREA|10010090|Hc Wound Trunk Comp 2.6-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13101||WS HB DEFAULT|2,956.00
WS SERVICE AREA|70100019|Hc Xr Sinuses Paranasal Limited <3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70210||WS HB DEFAULT|584.00
WS SERVICE AREA|70100020|Hc Xr Sinuses Paranasal Complete 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70220||WS HB DEFAULT|1,005.00
WS SERVICE AREA|70100021|Hc Xr Sella Turcia|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70240||WS HB DEFAULT|593.00
WS SERVICE AREA|70100022|Hc Xr Skull Limited <4vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70250||WS HB DEFAULT|741.00
WS SERVICE AREA|70100023|Hc Xr Skull Complete 4+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70260||WS HB DEFAULT|1,104.00
WS SERVICE AREA|70100024|Hc Xr Tmj Unilateral|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70328||WS HB DEFAULT|645.00
WS SERVICE AREA|70100025|Hc Xr Tmj Bilateral|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70330||WS HB DEFAULT|727.00
WS SERVICE AREA|70200011|Hc Fl Arthrogram Tm Joint*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70332||WS HB DEFAULT|993.00
WS SERVICE AREA|70300010|Hc Mri Temporomandibular Joint|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70336||WS HB DEFAULT|3,416.00
WS SERVICE AREA|70100026|Hc Xr Orthopantogram|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70355||WS HB DEFAULT|664.00
WS SERVICE AREA|10010091|Hc Wound Trunk Comp Ea Add =<5 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13102||WS HB DEFAULT|3,305.00
WS SERVICE AREA|70100027|Hc Xr Neck Soft Tissue|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70360||WS HB DEFAULT|415.00
WS SERVICE AREA|70200012|Hc Fl Sialogram|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70390||WS HB DEFAULT|775.00
WS SERVICE AREA|70500012|Hc Ct Head Or Brain W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70450||WS HB DEFAULT|3,998.00
WS SERVICE AREA|70500013|Hc Ct Head Or Brain With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70460||WS HB DEFAULT|4,474.00
WS SERVICE AREA|70500014|Hc Ct Head Or Brain W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70470||WS HB DEFAULT|5,301.00
WS SERVICE AREA|70500015|Hc Ct Orbit, Sella, Posterior Fossa, Inner-mid Ear W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70480||WS HB DEFAULT|3,904.00
WS SERVICE AREA|70500016|Hc Ct Orbit, Sella, Posterior Fossa, Inner-mid Ear With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70481||WS HB DEFAULT|4,372.00
WS SERVICE AREA|70500017|Hc Ct Orbit, Sella, Posterior Fossa, Inner-mid Ear W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70482||WS HB DEFAULT|4,753.00
WS SERVICE AREA|70500018|Hc Ct Maxillofacial W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70486||WS HB DEFAULT|3,717.00
WS SERVICE AREA|70500019|Hc Ct Maxillofacial With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70487||WS HB DEFAULT|4,151.00
WS SERVICE AREA|10010092|Hc Wound Comp Ext 1.1-2.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13120||WS HB DEFAULT|2,298.00
WS SERVICE AREA|70500020|Hc Ct Maxillofacial W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70488||WS HB DEFAULT|4,539.00
WS SERVICE AREA|70500022|Hc Ct Soft Tissue Neck W/contrast Material|CT SCAN - GENERAL CLASSIFICATION [0350]|70491||WS HB DEFAULT|4,726.00
WS SERVICE AREA|70500023|Hc Ct Neck Soft Tissue W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70492||WS HB DEFAULT|5,522.00
WS SERVICE AREA|70500024|Hc Ct Angiography Head W/contrast/noncontrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70496||WS HB DEFAULT|6,020.00
WS SERVICE AREA|70500026|Hc Zz Ct Angiography Neck With Contrast - Use Eap 70500027|CT SCAN - GENERAL CLASSIFICATION [0350]|70498||WS HB DEFAULT|4,987.00
WS SERVICE AREA|70500027|Hc Ct Angiography Neck W/contrast/noncontrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70498||WS HB DEFAULT|4,987.00
WS SERVICE AREA|70300014|Hc Mri Face Neck Orbits W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70540||WS HB DEFAULT|4,772.00
WS SERVICE AREA|70300015|Hc Mri Face Neck Orbits W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70543||WS HB DEFAULT|5,846.00
WS SERVICE AREA|70300016|Hc Mr Angio Head W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70544||WS HB DEFAULT|3,826.00
WS SERVICE AREA|70300017|Hc Mr Angio Head W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70546||WS HB DEFAULT|5,125.00
WS SERVICE AREA|10010093|Hc Wound Comp Ext 2.6-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13121||WS HB DEFAULT|2,298.00
WS SERVICE AREA|70300018|Hc Mr Angio Neck W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70547||WS HB DEFAULT|3,680.00
WS SERVICE AREA|70300019|Hc Mr Angio Neck W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70549||WS HB DEFAULT|5,088.00
WS SERVICE AREA|70300020|Hc Mri Brain  W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70551||WS HB DEFAULT|4,887.00
WS SERVICE AREA|70300021|Hc Mri Brain With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70552||WS HB DEFAULT|5,311.00
WS SERVICE AREA|70300022|Hc Mri Brain W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70553||WS HB DEFAULT|6,407.00
WS SERVICE AREA|70300023|Hc Mri Brain Mapping|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70554||WS HB DEFAULT|4,562.00
WS SERVICE AREA|70100036|Hc Xr Ribs Unilateral 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|71100||WS HB DEFAULT|760.00
WS SERVICE AREA|70100037|Hc Xr Ribs Unilateral+pa Chest 3vw Min|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|71101||WS HB DEFAULT|876.00
WS SERVICE AREA|70100038|Hc Xr Ribs Bilateral 3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|71110||WS HB DEFAULT|888.00
WS SERVICE AREA|70100039|Hc Xr Ribs Bilateral+pa Chest 4+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|71111||WS HB DEFAULT|914.00
WS SERVICE AREA|10010094|Hc Wound Comp Ext Addtl =< 5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13122||WS HB DEFAULT|2,298.00
WS SERVICE AREA|70100040|Hc Xr Sternum 2+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|71120||WS HB DEFAULT|828.00
WS SERVICE AREA|70100041|Hc Xr Sternoclavicular Jonts 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|71130||WS HB DEFAULT|1,378.00
WS SERVICE AREA|70500028|HC DIAGNOSTIC CT THORAX W/O CONTRAST|CT SCAN - GENERAL CLASSIFICATION [0350]|71250||WS HB DEFAULT|4,341.00
WS SERVICE AREA|70500029|HC DIAGNOSTIC CT THORAX WITH CONTRAST|CT SCAN - GENERAL CLASSIFICATION [0350]|71260||WS HB DEFAULT|4,402.00
WS SERVICE AREA|70500030|HC DIAGNOSTIC CT THORAX W and W/O CONTRAST|CT SCAN - GENERAL CLASSIFICATION [0350]|71270||WS HB DEFAULT|5,405.00
WS SERVICE AREA|70500031|Hc Ct Angiography Chest W/contrast/noncontrast|CT SCAN - GENERAL CLASSIFICATION [0350]|71275||WS HB DEFAULT|3,799.00
WS SERVICE AREA|70300024|Hc Mri Chest W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|71550||WS HB DEFAULT|4,846.00
WS SERVICE AREA|70300026|Hc Mri Chest W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|71552||WS HB DEFAULT|5,701.00
WS SERVICE AREA|70100043|Hc Xr Spine Specify Level 1vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72020||WS HB DEFAULT|488.00
WS SERVICE AREA|70100044|Hc Xr Spine Cervical Ap+lat 2-3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72040||WS HB DEFAULT|873.00
WS SERVICE AREA|10010095|Hc Wound Body Comp 1.1-2.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13131||WS HB DEFAULT|2,298.00
WS SERVICE AREA|70100045|Hc Xr Spine Cervical 4+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72050||WS HB DEFAULT|1,175.00
WS SERVICE AREA|70100046|Hc Xr Spine Cervical Complete W Obl+flex &or Ext 6/>vws|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72052||WS HB DEFAULT|1,317.00
WS SERVICE AREA|70100048|Hc Xr Spine Thoracic 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72070||WS HB DEFAULT|868.00
WS SERVICE AREA|70100049|Hc Xr Spine Thoracic 3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72072||WS HB DEFAULT|1,031.00
WS SERVICE AREA|70100050|Hc Xr Spine Thoracolumbar 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72080||WS HB DEFAULT|814.00
WS SERVICE AREA|70100051|Hc Xr Spine Lumbosacral 2-3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72100||WS HB DEFAULT|914.00
WS SERVICE AREA|70100052|Hc Xr Spine Lumbosacral 4+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72110||WS HB DEFAULT|1,354.00
WS SERVICE AREA|70100053|Hc Xr Spine Lumbosacral Complete W/bend 6+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72114||WS HB DEFAULT|1,375.00
WS SERVICE AREA|70100054|Hc Xr Spine Lumbosacral/bending Only 2-3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72120||WS HB DEFAULT|916.00
WS SERVICE AREA|70500033|Hc Ct Cervical Spine W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72125||WS HB DEFAULT|4,505.00
WS SERVICE AREA|10010096|Hc Wound Body Comp 2.6-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13132||WS HB DEFAULT|2,569.00
WS SERVICE AREA|70500034|Hc Ct Cervical Spine With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72126||WS HB DEFAULT|4,750.00
WS SERVICE AREA|70500035|Hc Ct Cervical Spine W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72127||WS HB DEFAULT|4,871.00
WS SERVICE AREA|70500036|Hc Ct Thoracic Spine W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72128||WS HB DEFAULT|4,444.00
WS SERVICE AREA|70500037|Hc Ct Thoracic Spine With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72129||WS HB DEFAULT|4,927.00
WS SERVICE AREA|70500038|Hc Ct Thoracic Spine W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72130||WS HB DEFAULT|5,730.00
WS SERVICE AREA|70500039|Hc Ct Lumbar Spine W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72131||WS HB DEFAULT|4,538.00
WS SERVICE AREA|70500040|Hc Ct Lumbar Spine With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72132||WS HB DEFAULT|4,805.00
WS SERVICE AREA|70500041|Hc Ct Lumbar Spine W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72133||WS HB DEFAULT|5,517.00
WS SERVICE AREA|70300027|Hc Mri Cervical Spine W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612]|72141||WS HB DEFAULT|4,713.00
WS SERVICE AREA|70300028|Hc Mri Cervical Spine With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612]|72142||WS HB DEFAULT|4,908.00
WS SERVICE AREA|10010097|Hc Wound Body Comp Ea Add =<5 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13133||WS HB DEFAULT|2,569.00
WS SERVICE AREA|70376498|Hc Mri Unlisted Procedure|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|76498||WS HB DEFAULT|3,523.00
WS SERVICE AREA|70300029|Hc Mri Thoracic Spine W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612]|72146||WS HB DEFAULT|4,718.00
WS SERVICE AREA|70300030|Hc Mri Thoracic Spine With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612]|72147||WS HB DEFAULT|5,360.00
WS SERVICE AREA|70300031|Hc Mri Lumbar Spine W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612]|72148||WS HB DEFAULT|4,753.00
WS SERVICE AREA|70300032|Hc Mri Lumbar Spine With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612]|72149||WS HB DEFAULT|5,476.00
WS SERVICE AREA|70300034|Hc Mri Thoracic Spine W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612]|72157||WS HB DEFAULT|6,503.00
WS SERVICE AREA|70300035|Hc Mri Lumbar Spine W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612]|72158||WS HB DEFAULT|6,345.00
WS SERVICE AREA|70100055|Hc Xr Pelvis 1-2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72170||WS HB DEFAULT|649.00
WS SERVICE AREA|70100056|Hc Xr Pelvis Complete 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72190||WS HB DEFAULT|708.00
WS SERVICE AREA|70500042|Hc Ct Angio Pelvis W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72191||WS HB DEFAULT|5,003.00
WS SERVICE AREA|70500043|Hc Ct Pelvis W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72192||WS HB DEFAULT|3,693.00
WS SERVICE AREA|10010099|Hc Wound Head Comp 1.1-2.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13151||WS HB DEFAULT|2,956.00
WS SERVICE AREA|70500044|Hc Ct Pelvis With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72193||WS HB DEFAULT|4,515.00
WS SERVICE AREA|70500045|Hc Ct Pelvis W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72194||WS HB DEFAULT|5,275.00
WS SERVICE AREA|70300036|Hc Mri Pelvis W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|72195||WS HB DEFAULT|4,846.00
WS SERVICE AREA|70300037|Hc Mri Pelvis With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|72196||WS HB DEFAULT|4,964.00
WS SERVICE AREA|70300038|Hc Mri Pelvis W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|72197||WS HB DEFAULT|5,598.00
WS SERVICE AREA|70100057|Hc Xr Sacroiliac Joints 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72202||WS HB DEFAULT|741.00
WS SERVICE AREA|70100058|Hc Xr Sacrum+coccyx 2+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72220||WS HB DEFAULT|768.00
WS SERVICE AREA|70200013|Hc Fl Myelogram Cervical|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72240||WS HB DEFAULT|1,646.00
WS SERVICE AREA|70200014|Hc Fl Myelogram Thoracic|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72255||WS HB DEFAULT|1,646.00
WS SERVICE AREA|70200015|Hc Fl Myelogram Lumbar|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72265||WS HB DEFAULT|1,646.00
WS SERVICE AREA|10010100|Hc Wound Head Comp 2.6-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13152||WS HB DEFAULT|2,956.00
WS SERVICE AREA|70200018|Hc Fl Discography Lumbar|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72295||WS HB DEFAULT|1,740.00
WS SERVICE AREA|70100059|Hc Xr Clavicle Complete|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73000||WS HB DEFAULT|647.00
WS SERVICE AREA|70100060|Hc Xr Scapula Complete|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73010||WS HB DEFAULT|639.00
WS SERVICE AREA|70100061|Hc Xr Shoulder 1vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73020||WS HB DEFAULT|539.00
WS SERVICE AREA|70100062|Hc Xr Shoulder Complete 2+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73030||WS HB DEFAULT|741.00
WS SERVICE AREA|70200019|Hc Fl Arthrography Shoulder*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73040||WS HB DEFAULT|732.00
WS SERVICE AREA|70100063|Hc Xr Acromioclavicular Joints Bilateral W Or W/o Wt Distraction|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73050||WS HB DEFAULT|727.00
WS SERVICE AREA|70100064|Hc Xr Humerus 2+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73060||WS HB DEFAULT|629.00
WS SERVICE AREA|70100065|Hc Xr Elbow 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73070||WS HB DEFAULT|516.00
WS SERVICE AREA|70100066|Hc Xr Elbow Complete 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73080||WS HB DEFAULT|699.00
WS SERVICE AREA|10010101|Hc Wound Head Comp Ea Add =<5 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13153||WS HB DEFAULT|2,298.00
WS SERVICE AREA|70200020|Hc Fl Arthrography Elbow*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73085||WS HB DEFAULT|537.00
WS SERVICE AREA|70100067|Hc Xr Forearm 2+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73090||WS HB DEFAULT|639.00
WS SERVICE AREA|70100068|Hc Xr Extremity Upper Infant < 12months 2+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73092||WS HB DEFAULT|666.00
WS SERVICE AREA|70100069|Hc Xr Wrist 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73100||WS HB DEFAULT|529.00
WS SERVICE AREA|70100070|Hc Xr Wrist Complete 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73110||WS HB DEFAULT|629.00
WS SERVICE AREA|70200021|HC RADIOLOGIC WRIST ARTHROGRAPHY RS&I|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73115||WS HB DEFAULT|650.00
WS SERVICE AREA|70100071|Hc Xr Hand 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73120||WS HB DEFAULT|637.00
WS SERVICE AREA|70100072|Hc Xr Hand 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73130||WS HB DEFAULT|708.00
WS SERVICE AREA|70100073|Hc Xr Finger(s) 2 Vw Min|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73140||WS HB DEFAULT|488.00
WS SERVICE AREA|70500047|Hc Ct Upper Extremity W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|73200||WS HB DEFAULT|3,240.00
WS SERVICE AREA|10010102|Hc Wound Dehiscence Comp 2nd|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13160||WS HB DEFAULT|15,687.00
WS SERVICE AREA|70500048|Hc Ct Upper Extremity With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|73201||WS HB DEFAULT|3,574.00
WS SERVICE AREA|70500049|Hc Ct Upper Extremity W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|73202||WS HB DEFAULT|3,894.00
WS SERVICE AREA|70500050|Hc Ct Angio Upper Extremity W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|73206||WS HB DEFAULT|3,891.00
WS SERVICE AREA|70300039|Hc Mri Upper Extremity Other Than Joint W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73218||WS HB DEFAULT|4,662.00
WS SERVICE AREA|70300040|Hc Mri Upper Extremity Other Than Joint W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73220||WS HB DEFAULT|5,663.00
WS SERVICE AREA|70300041|Hc Mri Joint Upper Extremity Any Joint W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73221||WS HB DEFAULT|4,147.00
WS SERVICE AREA|70300042|Hc Mri Joint Upper Extremity Any Joint With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73222||WS HB DEFAULT|4,667.00
WS SERVICE AREA|70300043|Hc Mri Joint Upper Extremity Any Joint W/+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73223||WS HB DEFAULT|5,518.00
WS SERVICE AREA|70200022|Hc Fl Arthrography Hip|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73525||WS HB DEFAULT|863.00
WS SERVICE AREA|70100081|Hc Xr Knee 1-2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73560||WS HB DEFAULT|465.00
WS SERVICE AREA|10010103|Hc Wound Prep Trunk/arm/leg < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15002||WS HB DEFAULT|2,629.00
WS SERVICE AREA|70100082|Hc Xr Knee 3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73562||WS HB DEFAULT|722.00
WS SERVICE AREA|70100083|Hc Xr Knee Complete 4+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73564||WS HB DEFAULT|731.00
WS SERVICE AREA|70100084|Hc Xr Knee Both Knees Standing Ap|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73565||WS HB DEFAULT|539.00
WS SERVICE AREA|70200023|Hc Fl Arthrography Knee*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73580||WS HB DEFAULT|741.00
WS SERVICE AREA|70100085|Hc Xr Tib+fib 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73590||WS HB DEFAULT|639.00
WS SERVICE AREA|70100086|Hc Xr Extremity Lower Infant< 12m 2+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73592||WS HB DEFAULT|687.00
WS SERVICE AREA|70100087|Hc Xr Ankle 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73600||WS HB DEFAULT|529.00
WS SERVICE AREA|70100088|Hc Xr Ankle Complete 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73610||WS HB DEFAULT|699.00
WS SERVICE AREA|70200024|Hc Fl Arthrogram Ankle*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73615||WS HB DEFAULT|537.00
WS SERVICE AREA|70100089|Hc Xr Foot 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73620||WS HB DEFAULT|497.00
WS SERVICE AREA|10010104|Hc Wound Prep Trunk/arm/leg Ea Add < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15003||WS HB DEFAULT|1,096.00
WS SERVICE AREA|70100090|Hc Xr Foot Complete 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73630||WS HB DEFAULT|699.00
WS SERVICE AREA|70100091|Hc Xr Calcaneus 2+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73650||WS HB DEFAULT|616.00
WS SERVICE AREA|70100092|Hc Xr Toe(s) 2+vws|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73660||WS HB DEFAULT|295.00
WS SERVICE AREA|70500051|Hc Ct Extremity Lower W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|73700||WS HB DEFAULT|3,290.00
WS SERVICE AREA|70500052|Hc Ct Extremity Lower With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|73701||WS HB DEFAULT|3,577.00
WS SERVICE AREA|70500053|Hc Ct Extremity Lower W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|73702||WS HB DEFAULT|4,000.00
WS SERVICE AREA|70500054|Hc Ct Angio Extremity Lower W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|73706||WS HB DEFAULT|4,962.00
WS SERVICE AREA|70300044|Hc Mri Extremity Lower Other Than Joint W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73718||WS HB DEFAULT|4,594.00
WS SERVICE AREA|70300045|Hc Mri Extremity Lower Other Than Joint W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73720||WS HB DEFAULT|5,596.00
WS SERVICE AREA|70300046|Hc Mri Extremity Lower Any Joint W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73721||WS HB DEFAULT|4,147.00
WS SERVICE AREA|70677063|Hc Breast Tomosynthesis Screening Digital Bilat Add On|OTHER IMAGING SERVICES - SCREENING MAMMOGRAPHY [0403]|77063||WS HB DEFAULT|168.00
WS SERVICE AREA|70300047|Hc Mri Extremity Lower Any Joint With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73722||WS HB DEFAULT|5,089.00
WS SERVICE AREA|70300048|Hc Mri Extremity Lower Any Joint W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73723||WS HB DEFAULT|5,548.00
WS SERVICE AREA|70100096|Hc Xr Abdomen Complete Acute Supine Erect &/or Decub 1vw Chest|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74022||WS HB DEFAULT|626.00
WS SERVICE AREA|70500055|Hc Ct Abdomen W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|74150||WS HB DEFAULT|3,828.00
WS SERVICE AREA|70500056|Hc Ct Abdomen With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|74160||WS HB DEFAULT|4,745.00
WS SERVICE AREA|70500057|Hc Ct Abdomen W+wo Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|74170||WS HB DEFAULT|5,322.00
WS SERVICE AREA|70500058|HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG|CT SCAN - GENERAL CLASSIFICATION [0350]|74174||WS HB DEFAULT|7,807.00
WS SERVICE AREA|70500060|Hc Ct Angio Abdomen W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|74175||WS HB DEFAULT|5,777.00
WS SERVICE AREA|70500061|Hc Ct Abdomen & Pelvis W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|74176||WS HB DEFAULT|6,267.00
WS SERVICE AREA|70500062|Hc Ct Abdomen & Pelvis With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|74177||WS HB DEFAULT|7,714.00
WS SERVICE AREA|10010105|Hc Wound Prep H/n/hf/g < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15004||WS HB DEFAULT|2,629.00
WS SERVICE AREA|70500063|Hc Ct Abdomen & Pelvis W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|74178||WS HB DEFAULT|8,830.00
WS SERVICE AREA|70300049|Hc Mri Abdomen W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|74181||WS HB DEFAULT|5,043.00
WS SERVICE AREA|70300050|Hc Mri Abdomen W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|74183||WS HB DEFAULT|6,102.00
WS SERVICE AREA|70200025|HC RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74220||WS HB DEFAULT|940.00
WS SERVICE AREA|70200026|HC RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74230||WS HB DEFAULT|1,510.00
WS SERVICE AREA|70200027|HC RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74240||WS HB DEFAULT|1,011.00
WS SERVICE AREA|70200029|HC RAD EXAM UPR GI TRC DOUBLE CONTRAST STUDY, KUB, DELAY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74246||WS HB DEFAULT|1,522.00
WS SERVICE AREA|70200054|HC RADIOLOGIC ABSCESS/FISTULA/SINUS TRACT RS&I|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|76080||WS HB DEFAULT|854.00
WS SERVICE AREA|70500021|Hc Ct Neck Soft Tissue W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70490||WS HB DEFAULT|4,095.00
WS SERVICE AREA|70200032|HC RAD EXAM SMALL INT SINGLE CONTRAST STUDY W/SCOUT|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74250||WS HB DEFAULT|1,149.00
WS SERVICE AREA|10010106|Hc Wound Prep H/n/hf/g Ea Add < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15005||WS HB DEFAULT|1,222.00
WS SERVICE AREA|70200033|HC FL RAD EXAM COLON SINGLE CONTRAST STUDY, DELAY, SCOUT|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74270||WS HB DEFAULT|1,586.00
WS SERVICE AREA|70200034|HC FL RAD EXAM COLON DOUBLE CONTRAST STUDY, DELAY, SCOUT|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74280||WS HB DEFAULT|1,860.00
WS SERVICE AREA|70200035|Hc Fl Gb/cholecystography +oral Contrast|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74290||WS HB DEFAULT|721.00
WS SERVICE AREA|70200036|Hc Fl Cholangiography Operative C-arm|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74300||WS HB DEFAULT|1,318.00
WS SERVICE AREA|70200039|Hc Fl Ercp Films -combined Endocsopic Cath Of Biliary/pancreatic System|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74330||WS HB DEFAULT|3,026.00
WS SERVICE AREA|70200040|Hc Fl Intro Of Gi Tube*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74340||WS HB DEFAULT|1,162.00
WS SERVICE AREA|70100097|Hc Xr Ivp Limited/urography Reduced 52|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74400|52|WS HB DEFAULT|938.00
WS SERVICE AREA|70100098|Hc Xr Urography Iv W/wo Kub W/wo Tomography|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74400||WS HB DEFAULT|1,330.00
WS SERVICE AREA|70100099|Hc Ivp/urography Infusion Contrast Xray|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74410||WS HB DEFAULT|1,235.00
WS SERVICE AREA|70100100|Hc Ivp/urography Infusion W/nephrotomography|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74415||WS HB DEFAULT|1,776.00
WS SERVICE AREA|70600279|Hc Breast Tomosynthesis Diagnostic Digital Bilateral|OTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401]|G0279||WS HB DEFAULT|177.00
WS SERVICE AREA|60060699|Hc Endocrine System Procedure Unlisted|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|60699||WS HB DEFAULT|8,874.00
WS SERVICE AREA|70200041|HC X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74420||WS HB DEFAULT|1,305.00
WS SERVICE AREA|70200042|HC UROGRAPHY ANTEGRADE RS&I|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74425||WS HB DEFAULT|1,008.00
WS SERVICE AREA|70200043|HC UROGRAPHY ANTEGRADE|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74425||WS HB DEFAULT|1,008.00
WS SERVICE AREA|70200044|Hc Fl Cystography 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74430||WS HB DEFAULT|528.00
WS SERVICE AREA|70200046|Hc Fl Vasography/vesiculography Or Epididymography*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74440||WS HB DEFAULT|422.00
WS SERVICE AREA|70200047|HC URETHROCYSTOGRAPHY RETROGRADE RS&I|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74450||WS HB DEFAULT|522.00
WS SERVICE AREA|70200048|Hc Fl Urethrocystography Voiding*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74455||WS HB DEFAULT|804.00
WS SERVICE AREA|70500071|Hc Ct Abscess/fistula/sinus Tract Study|CT SCAN - GENERAL CLASSIFICATION [0350]|76080||WS HB DEFAULT|854.00
WS SERVICE AREA|70500072|Hc Ct 3d Rendering Not Requiring Independent Work Station|CT SCAN - GENERAL CLASSIFICATION [0350]|76376||WS HB DEFAULT|150.00
WS SERVICE AREA|70300054|Hc Mri 3d Rendering|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|76376||WS HB DEFAULT|150.00
WS SERVICE AREA|20020500|Hc Inj Of Sinus Tract Therapeutic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20500||WS HB DEFAULT|3,242.00
WS SERVICE AREA|70800010|Hc Nm 3d Rendering Independent Workstation|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|76377||WS HB DEFAULT|915.00
WS SERVICE AREA|70500073|Hc Ct 3d Rendering Independent Workstation|CT SCAN - GENERAL CLASSIFICATION [0350]|76377||WS HB DEFAULT|915.00
WS SERVICE AREA|70300055|Hc Mri 3d Rendering Independent Workstation|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|76377||WS HB DEFAULT|915.00
WS SERVICE AREA|70200049|Hc Fl Hysterosalpingography*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74740||WS HB DEFAULT|662.00
WS SERVICE AREA|70300051|Hc Mri Cardiac Morphology & Function W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|75557||WS HB DEFAULT|3,961.00
WS SERVICE AREA|70300052|Hc Mri Cardiac Morphology & Function W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|75561||WS HB DEFAULT|4,295.00
WS SERVICE AREA|70300053|Hc Mri Cardiac Velocity Flow Mapping Add On|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|75565||WS HB DEFAULT|1,108.00
WS SERVICE AREA|70500064|Hc Ct Heart Quantitative Coronary Calcium W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|75571||WS HB DEFAULT|4,693.00
WS SERVICE AREA|70500065|Hc Ct Heart Structure & Morph 3d With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|75572||WS HB DEFAULT|5,848.00
WS SERVICE AREA|70500066|Hc Ct Heart Structure & Morph Congenital Dz 3d With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|75573||WS HB DEFAULT|4,987.00
WS SERVICE AREA|10010109|Hc Skin Split Graft F/n/hf/g < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15120||WS HB DEFAULT|6,438.00
WS SERVICE AREA|70500067|Hc Ct Angio Heart Structure & Morph 3d With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|75574||WS HB DEFAULT|3,955.00
WS SERVICE AREA|70500068|Hc Ct Angio Abdominal Aort+iliofem Bil W+w/o-cst|CT SCAN - GENERAL CLASSIFICATION [0350]|75635||WS HB DEFAULT|9,707.00
WS SERVICE AREA|30010325|HC NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|36221||WS HB DEFAULT|11,452.00
WS SERVICE AREA|70100101|Hc Xr Shuntogram Indw Nonvas Shunt Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|75809||WS HB DEFAULT|825.00
WS SERVICE AREA|70200051|Hc Angiograph Cath Follow Up Study Transcatheter Other Than Thrombylsis|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|75898||WS HB DEFAULT|1,559.00
WS SERVICE AREA|70200056|Hc Fluoroscopic Guidance Needle Placement Add On|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77002||WS HB DEFAULT|965.00
WS SERVICE AREA|70500069|Hc Ct Guide Drain Cath/tube Change|CT SCAN - GENERAL CLASSIFICATION [0350]|75984||WS HB DEFAULT|1,465.00
WS SERVICE AREA|70500070|Hc Zz Ct Guide Drain Cath/tube Change Percutaneous Under Ct Use Eap 70020382|CT SCAN - GENERAL CLASSIFICATION [0350]|75989||WS HB DEFAULT|2,409.00
WS SERVICE AREA|70500078|Hc Ct Guide Placement Radiation Therapy Fields|CT SCAN - GENERAL CLASSIFICATION [0350]|77014||WS HB DEFAULT|2,367.00
WS SERVICE AREA|70300057|Hc Mri Guidance Needle Placement Rs&i|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|77021||WS HB DEFAULT|3,024.00
WS SERVICE AREA|10010110|Hc Skin Split Graft F/n/hf/g Ea Add < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15121||WS HB DEFAULT|2,908.00
WS SERVICE AREA|70600015|Hc Mam Ductogram/galactogram Unilateral*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77053||WS HB DEFAULT|1,205.00
WS SERVICE AREA|70100103|Hc Xr Bone Age Studies|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77072||WS HB DEFAULT|584.00
WS SERVICE AREA|70200052|Hc Fluoroscopy Up To 1 Hour Physician/qhp Time|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|76000||WS HB DEFAULT|731.00
WS SERVICE AREA|70100104|Hc Zz Xr Bone Length Studies - Use Eap 70177073|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77073||WS HB DEFAULT|645.00
WS SERVICE AREA|70100105|Hc Xr Bone/osseous Survey Limited|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77074||WS HB DEFAULT|581.00
WS SERVICE AREA|70100106|Hc Xr Bone/osseous Survey Complete|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77075||WS HB DEFAULT|2,145.00
WS SERVICE AREA|70100102|Hc Xr Torso Fb Nose To Rectum Child <12yr 1vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|76010||WS HB DEFAULT|535.00
WS SERVICE AREA|70700011|Hc Bd Dexa Axial Skeleton 2 Sites|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77080||WS HB DEFAULT|1,092.00
WS SERVICE AREA|70700012|Hc Bd Dexa Forearm/appendicular Skeleton|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77081||WS HB DEFAULT|890.00
WS SERVICE AREA|70800018|Hc Nm Thyroid Carcinoma Mets Imaging Whole Body|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78018||WS HB DEFAULT|2,742.00
WS SERVICE AREA|34010045|Hc Tc 99m Penetetate Aerosol Dx Study Dose|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9567||WS HB DEFAULT|301.35
WS SERVICE AREA|70800019|Hc Nm Parathyroid Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78070||WS HB DEFAULT|1,941.00
WS SERVICE AREA|70800020|Hc Nm Adrenal Scan Mibg|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78075||WS HB DEFAULT|1,901.00
WS SERVICE AREA|70800021|Hc Nm Bone Marrow Whole Body|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78104||WS HB DEFAULT|1,719.00
WS SERVICE AREA|70800023|Hc Nm Lymphatic Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78195||WS HB DEFAULT|2,465.00
WS SERVICE AREA|70800024|Hc Nm Liver Static|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78201||WS HB DEFAULT|1,216.00
WS SERVICE AREA|70800027|Hc Nm Liver/spleen Imaging Static Only|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78215||WS HB DEFAULT|1,709.00
WS SERVICE AREA|70800028|Hc Nm Liver/spleen Imaging W/vascular Flow|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78216||WS HB DEFAULT|1,947.00
WS SERVICE AREA|70800029|Hc Nm Hepatobiliary System Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78226||WS HB DEFAULT|2,887.00
WS SERVICE AREA|70800030|Hc Nm Hepatobiliary System Imaging W/drug|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78227||WS HB DEFAULT|2,887.00
WS SERVICE AREA|70800032|Hc Nm Gastric Emptying Study|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78264||WS HB DEFAULT|2,631.00
WS SERVICE AREA|10010113|Hc Apply Skin Sub Graft Trunk/arm/leg < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15271||WS HB DEFAULT|1,652.00
WS SERVICE AREA|70800033|Hc Zz Nm Gastrointestinal Blood Loss Spect Ct* - Use Eap 70800034|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78278||WS HB DEFAULT|2,303.00
WS SERVICE AREA|70800034|Hc Nm Gastrointestinal Blood Loss|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78278||WS HB DEFAULT|2,303.00
WS SERVICE AREA|70800036|Hc Nm Intestine/meckels Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78290||WS HB DEFAULT|1,995.00
WS SERVICE AREA|70800037|Hc Nm Shunt Eval Peritoneal-venous|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78291||WS HB DEFAULT|1,554.00
WS SERVICE AREA|70800038|Hc Nm Bone/joint Imaging Multiple Areas|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78305||WS HB DEFAULT|2,435.00
WS SERVICE AREA|70800039|Hc Nm Bone/joint Imaging Whole Body|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78306||WS HB DEFAULT|2,911.00
WS SERVICE AREA|70800040|Hc Nm Bone/joint Imaging 3 Phase|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78315||WS HB DEFAULT|2,942.00
WS SERVICE AREA|70800043|Hc Nm Non-cardiac Vascular Flow Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78445||WS HB DEFAULT|1,028.00
WS SERVICE AREA|70800044|HC MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78451||WS HB DEFAULT|8,385.00
WS SERVICE AREA|70800045|HC MYOCARDIAL SPECT MULTIPLE STUDIES|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78452||WS HB DEFAULT|9,539.00
WS SERVICE AREA|272111249|Hc Cath Drain Pneumothor Wayne 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|677.70
WS SERVICE AREA|70800047|Hc Nm Ht Muscle Planar Multiple|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78454||WS HB DEFAULT|9,539.00
WS SERVICE AREA|70800049|Hc Nm Cardiac Gated Wall Motion Single Study|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78472||WS HB DEFAULT|2,693.00
WS SERVICE AREA|70800050|Hc Nm Lung Ventilation Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78579||WS HB DEFAULT|3,570.00
WS SERVICE AREA|70800051|Hc Nm Lung Perfusion Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78580||WS HB DEFAULT|1,742.00
WS SERVICE AREA|70800052|Hc Nm Lung Vent & Perfusion Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78582||WS HB DEFAULT|4,023.00
WS SERVICE AREA|70800053|Hc Nm Lung Perfusion Q Diff W/wo Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78597||WS HB DEFAULT|4,023.00
WS SERVICE AREA|70800055|Hc Nm Brain Static < 4vw Imaging W Dtpa|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78600||WS HB DEFAULT|702.00
WS SERVICE AREA|70900013|Hc Pet Brain Metabolic Eval Initial|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78608|PI|WS HB DEFAULT|8,658.00
WS SERVICE AREA|70900017|Hc Pet Brain Metabolic Eval Subsequent|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78608|PS|WS HB DEFAULT|8,658.00
WS SERVICE AREA|70800057|Hc Nm Brain Vascular Flow Only|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78610||WS HB DEFAULT|451.00
WS SERVICE AREA|10010114|Hc Apply Skin Sub Graft Trunk/arm/leg Ea Add < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15272||WS HB DEFAULT|704.00
WS SERVICE AREA|70800058|Hc Nm Cisternography|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78630||WS HB DEFAULT|1,207.00
WS SERVICE AREA|70800059|Hc Nm Shunt Eval Cerebrospinal Fluid Flow|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78645||WS HB DEFAULT|893.00
WS SERVICE AREA|70800061|Hc Nm Kidney Morphology Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78700||WS HB DEFAULT|1,482.00
WS SERVICE AREA|70800062|Hc Nm Kidney Morph Flow Fx Image Single W/o Drug|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78707||WS HB DEFAULT|2,207.00
WS SERVICE AREA|70800063|Hc Nm Kidney Morph Flow Fx Image Single With Drug|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78708||WS HB DEFAULT|2,331.00
WS SERVICE AREA|70800067|Hc Nm Cystogram Voiding/ureteral Reflux Study W Pharm|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78740||WS HB DEFAULT|1,858.00
WS SERVICE AREA|70800069|HC NM LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78800||WS HB DEFAULT|2,159.00
WS SERVICE AREA|70800071|HC NM LOCLZJ TUM INFLAM SPECT 1 AREA SINGLE DAY IMAGING|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78803||WS HB DEFAULT|1,652.00
WS SERVICE AREA|70800072|HC NM LOCLZJ TUM INFLAM PLNR WHOLE BODY 2+ DAYS IMAGING|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78804||WS HB DEFAULT|4,418.00
WS SERVICE AREA|70900018|Hc Pet Ct Image Limited Area Initial*|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78814|PI|WS HB DEFAULT|8,824.00
WS SERVICE AREA|10010115|Hc Child Apply Skin Sub Graft Trunk/arm/leg < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15273||WS HB DEFAULT|2,844.00
WS SERVICE AREA|70900019|Hc Pet Ct Image Limited Area Subsequent*|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78814|PS|WS HB DEFAULT|8,824.00
WS SERVICE AREA|70900020|Hc Pet Ct Skull Base To Midthigh Initial*|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78815|PI|WS HB DEFAULT|9,448.00
WS SERVICE AREA|70900021|Hc Pet Ct Skull Base To Midthigh Subsequent*|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78815|PS|WS HB DEFAULT|9,448.00
WS SERVICE AREA|70900022|Hc Pet Ct Whole Body Initial*|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78816|PI|WS HB DEFAULT|9,448.00
WS SERVICE AREA|70900023|Hc Pet Ct Whole Body Subsequent*|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78816|PS|WS HB DEFAULT|9,448.00
WS SERVICE AREA|70800078|Hc Nm Fusion Spect Ct Unlisted|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78999||WS HB DEFAULT|642.00
WS SERVICE AREA|70800079|Hc Zz Nm Radiopharm Therapy By Oral Admin Subsequent Treatment - Use Eap 70800082|NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342]|79005||WS HB DEFAULT|1,880.00
WS SERVICE AREA|70800080|Hc Zz Nm Radiopharm Therapy By Oral Admin 1st Treatment- Use Eap 70800082|NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342]|79005||WS HB DEFAULT|1,880.00
WS SERVICE AREA|70800081|Hc Zz Nm Radiopharm Therapy By Oral Admin-ip- Use Eap 70800082|NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342]|79005||WS HB DEFAULT|1,880.00
WS SERVICE AREA|70800082|Hc Nm Radiopharmaceutical Therapy Oral Administration|NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342]|79005||WS HB DEFAULT|1,880.00
WS SERVICE AREA|272111577|Hc Guidewire Gastro Kit Entuit Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|441.20
WS SERVICE AREA|70800083|Hc Nm Radiopharm Therapy By Iv|NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342]|79101||WS HB DEFAULT|2,390.00
WS SERVICE AREA|70800084|Hc Nm Radiopharm Therapy Radiolabeled Monoclonal Antibody Iv|NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342]|79403||WS HB DEFAULT|1,972.00
WS SERVICE AREA|70800073|HC NM LOCLZJ TUM INFLAM PLNR WHOLE BODY 2+ DAYS IMAGING|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78804||WS HB DEFAULT|4,418.00
WS SERVICE AREA|70400011|Hc Us Cranial/head-echoencephalography|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76506||WS HB DEFAULT|1,855.00
WS SERVICE AREA|70400012|Hc Us Soft Tissue Head & Neck/thyroid Parathyroid|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76536||WS HB DEFAULT|1,489.00
WS SERVICE AREA|70400013|Hc Us Chest Real Time W/image Documentation|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76604||WS HB DEFAULT|1,012.00
WS SERVICE AREA|70400014|Hc Us Breast Ltd Unilateral|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76642||WS HB DEFAULT|1,023.00
WS SERVICE AREA|70400015|Hc Us Abdominal Complete|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76700||WS HB DEFAULT|1,960.00
WS SERVICE AREA|70400016|Hc Us Abdominal Real Time W/image Limited|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76705||WS HB DEFAULT|1,313.00
WS SERVICE AREA|70400017|Hc Us Retroperitoneal Complete (renal/aorta/nodes)|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76770||WS HB DEFAULT|1,655.00
WS SERVICE AREA|10010116|Hc Child Apply Skin Sub Graft Trunk/arm/leg Ea Add < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15274||WS HB DEFAULT|704.00
WS SERVICE AREA|20022999|Hc Abdomen Musculoskeletal Procedure Unlisted|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|22999||WS HB DEFAULT|7,765.00
WS SERVICE AREA|70400018|Hc Us Retroperitoneal Limited (renal/aorta/nodes)|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76775||WS HB DEFAULT|777.00
WS SERVICE AREA|70400019|Hc Us Kidney Transplant With Duplex Doppler|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76776||WS HB DEFAULT|822.00
WS SERVICE AREA|70400020|Hc Us Spinal Canal|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76800||WS HB DEFAULT|1,404.00
WS SERVICE AREA|70400021|Hc Us Pregnant Uterus<14wks Transabd 1 Fetus|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76801||WS HB DEFAULT|1,444.00
WS SERVICE AREA|70400022|Hc Us Pregnant Uterus < 14wks Transabd Ea Additional Fetus|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76802||WS HB DEFAULT|641.00
WS SERVICE AREA|70400023|Hc Us Pregnant Uterus>/=14wks Transabd 1 Fetus|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76805||WS HB DEFAULT|1,532.00
WS SERVICE AREA|70400024|Hc Us Pregnant Uterus > 1st Trimester Transabdominal Ea Gestation|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76810||WS HB DEFAULT|741.00
WS SERVICE AREA|70400025|Hc Us Pregnant Uterus Limited 1 Or More Fetuses|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76815||WS HB DEFAULT|894.00
WS SERVICE AREA|70400026|Hc Us Pregnant Uterus Real Time W/image Documentation Transvaginal|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76817||WS HB DEFAULT|862.00
WS SERVICE AREA|70400027|Hc Zz Us Fetal Biophysical Profile W/o Non-stress Testing Ea Add On - Use Eap 70400028|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76819||WS HB DEFAULT|1,353.00
WS SERVICE AREA|10010117|Hc Skin Sub Graft Face/nk/hf/g < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15275||WS HB DEFAULT|1,652.00
WS SERVICE AREA|70400028|Hc Us Fetal Biophysical Profile W/o Non-stress Testing|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76819||WS HB DEFAULT|1,353.00
WS SERVICE AREA|70400029|HC US DOPPLER VELOCIMETRY FETAL/ UMBILICAL ARTERY|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76820||WS HB DEFAULT|691.00
WS SERVICE AREA|70400030|Hc Us Transvaginal Non-pregnant Uterus|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76830||WS HB DEFAULT|1,032.00
WS SERVICE AREA|70400031|Hc Us Sonohysterography W/saline + Color Flow Doppler If Performed*|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76831||WS HB DEFAULT|1,200.00
WS SERVICE AREA|70400032|Hc Us Pelvic Nonobstetric Complete|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76856||WS HB DEFAULT|1,646.00
WS SERVICE AREA|70400033|Hc Us Pelvic Nonobstetric Image Documentation Limited/follow-up|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76857||WS HB DEFAULT|991.00
WS SERVICE AREA|70400034|Hc Us Scrotum|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76870||WS HB DEFAULT|1,481.00
WS SERVICE AREA|70400035|Hc Us Transrectal|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76872||WS HB DEFAULT|1,594.00
WS SERVICE AREA|70400036|Hc Us Extremity Joint Space & Periarticular Soft Tissues  Complete|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76881||WS HB DEFAULT|1,489.00
WS SERVICE AREA|70400037|Hc Us Lmtd Joint/oth Nonvasc Xtr Strux R-t W/img|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76882||WS HB DEFAULT|993.00
WS SERVICE AREA|272111578|Hc Guidewire Gastro Kit Entuit Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|475.40
WS SERVICE AREA|70400042|Hc Us Vascular Access Sites Vessel Patency Needle Entry|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|76937||WS HB DEFAULT|777.00
WS SERVICE AREA|70400043|Hc Us & Monitoring Parenchymal Tissue Ablation|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76940||WS HB DEFAULT|1,582.00
WS SERVICE AREA|70400046|Hc Ultrasound Guide Needle Placement/bx Asp Inj Local|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76942||WS HB DEFAULT|1,794.00
WS SERVICE AREA|70400047|Hc Us Guidance Amniocentesis Imaging S&i|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76946||WS HB DEFAULT|1,321.00
WS SERVICE AREA|70400048|Hc Us Guidance Interstitial Radioelment Application|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76965||WS HB DEFAULT|3,218.00
WS SERVICE AREA|70400049|Hc Us Guidance Intraoperative|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76998||WS HB DEFAULT|2,193.00
WS SERVICE AREA|70200055|Hc Fluoro Central Venous Access Device Placement|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|77001||WS HB DEFAULT|700.00
WS SERVICE AREA|70200057|Hc Fl Guide For Spine Inj|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77003||WS HB DEFAULT|756.00
WS SERVICE AREA|70500077|Hc Ct Guide Tissue Ablation|CT SCAN - GENERAL CLASSIFICATION [0350]|77013||WS HB DEFAULT|3,462.00
WS SERVICE AREA|70500074|Hc Ct Limited Study|CT SCAN - GENERAL CLASSIFICATION [0350]|76380||WS HB DEFAULT|2,344.00
WS SERVICE AREA|10010118|Hc Skin Sub Graft F/n/hf/g Ea Add < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15276||WS HB DEFAULT|846.00
WS SERVICE AREA|70400041|Hc Us Compression Repair Arterial Pseudoaneurysm/arteriovenous Fistulae|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76936||WS HB DEFAULT|2,892.00
WS SERVICE AREA|70400044|Hc Ultrasound Intrauterine Fetal Transfusion|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76941||WS HB DEFAULT|1,331.00
WS SERVICE AREA|70500075|Hc Ct Guide Stereotactic Localization|CT SCAN - GENERAL CLASSIFICATION [0350]|77011||WS HB DEFAULT|2,703.00
WS SERVICE AREA|70500076|Hc Ct Guidance For Needle Placement Bx/asp/inj/loc|CT SCAN - GENERAL CLASSIFICATION [0350]|77012||WS HB DEFAULT|5,007.00
WS SERVICE AREA|70200053|Hc Fl Guide Reposition Gi Tube|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|76000||WS HB DEFAULT|731.00
WS SERVICE AREA|70400051|HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93880||WS HB DEFAULT|3,076.00
WS SERVICE AREA|70400052|Hc Us Duplex Extracranial Arteries Unilateral|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93882||WS HB DEFAULT|1,793.00
WS SERVICE AREA|70400053|Hc Us Doppler Transcranial/extracranial Arteries Ltd|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93888||WS HB DEFAULT|2,371.00
WS SERVICE AREA|70400054|Hc Us Arterial Upper/lower Ext 1-2 Levels Ltd Bilat|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93922||WS HB DEFAULT|1,036.00
WS SERVICE AREA|70400055|Hc Us Arterial Lower Ext 3+levels Complete Bilat|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93923||WS HB DEFAULT|630.00
WS SERVICE AREA|10010119|Hc Skin Sub Graft F/n/hf/g Child < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15277||WS HB DEFAULT|1,652.00
WS SERVICE AREA|70400056|Hc Us Duplex Arteries/graft Lower Ext Complete Bilat|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93925||WS HB DEFAULT|1,897.00
WS SERVICE AREA|70400057|Hc Us Duplex Arteries/graft Lower Ext Ltd/uni|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|93926||WS HB DEFAULT|1,271.00
WS SERVICE AREA|70400058|Hc Us Duplex Venous Lower Extremity Complete Bilateral|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93970||WS HB DEFAULT|2,637.00
WS SERVICE AREA|70400060|HC DUP SCAN EXTREMITY VEINS UNI OR LIMITED STUDY|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93971||WS HB DEFAULT|1,696.00
WS SERVICE AREA|70400059|Hc Us Duplex Venous Upper Extremity Complete Bilateral|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93970||WS HB DEFAULT|2,637.00
WS SERVICE AREA|93000422|Hc Intens Cardiac Rehab W/exerc|OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943]|G0422||WS HB DEFAULT|386.00
WS SERVICE AREA|93000423|Hc Intens Cardiac Rehab No Exerc|OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943]|G0423||WS HB DEFAULT|368.00
WS SERVICE AREA|60064605|HC DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64605||WS HB DEFAULT|6,035.00
WS SERVICE AREA|60064610|HC DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64610||WS HB DEFAULT|6,035.00
WS SERVICE AREA|70500502|HC COR FFR DERIVED CTA DATA PREP & TRANSMIS|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|0502T||WS HB DEFAULT|1,192.00
WS SERVICE AREA|272111579|Hc Tube Gastro Feed Balloon Retention 18f 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|275.00
WS SERVICE AREA|70500503|HC COR FFR CTA DATA ALYS & GNRJ ESTIMATED FFR MODEL|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|0503T||WS HB DEFAULT|3,337.00
WS SERVICE AREA|99103000|Hc Direct Refer Hospital Observ|SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - GENERAL CLASSIFICATION [0760]|G0379||WS HB DEFAULT|1,012.00
WS SERVICE AREA|30057155|Hc Insertion Uterine Tandem&/vaginal Ovoids|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|57155||WS HB DEFAULT|8,568.00
WS SERVICE AREA|90095711|Hc Veeg By Tech 2-12 Hours Unmonitored|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95711||WS HB DEFAULT|846.00
WS SERVICE AREA|30010320|Hc Vl Pleural Drainage Percutaneous Ic W/o Imaging|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32556||WS HB DEFAULT|4,499.00
WS SERVICE AREA|30010321|Hc Pleural Drainage Percutaneous Insert Cath With Imaging|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32557||WS HB DEFAULT|4,713.00
WS SERVICE AREA|30010322|Hc Lariat Procedure|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33999||WS HB DEFAULT|0.00
WS SERVICE AREA|93010261|Hc Ablate Arrhythmia Add On +|CARDIOLOGY - CARDIAC CATH LAB [0481]|93655||WS HB DEFAULT|14,500.00
WS SERVICE AREA|93010263|HC ABLATION AFIB ADDITIONAL|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93657||WS HB DEFAULT|14,836.00
WS SERVICE AREA|70400038|Hc Us Hips Infant Dynamic Imaging With Physician|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76885||WS HB DEFAULT|1,489.00
WS SERVICE AREA|10010120|Hc Skin Sub Graft F/n/hf/g Ch Ea Add < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15278||WS HB DEFAULT|704.00
WS SERVICE AREA|70400039|Hc Us Hips Infant Dynamic Limited Static No Physician|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76886||WS HB DEFAULT|1,489.00
WS SERVICE AREA|27000010|Hc Acapella Dh Green|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|259.90
WS SERVICE AREA|27000011|Hc Acapella Dm Blue|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|218.20
WS SERVICE AREA|27000012|Hc Acrominblaster 5.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|241.00
WS SERVICE AREA|27000013|Hc Adaptor Spike Prismas Sp-c13|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|19.80
WS SERVICE AREA|27000015|Hc Ahp Breast Pump Rental Weekly|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|45.30
WS SERVICE AREA|27000016|Hc Assembly Disposa Filter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|35.00
WS SERVICE AREA|27000017|Hc Assembly Light Cable 3200220|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|3,372.20
WS SERVICE AREA|27000018|Hc Attachment Mri Safe Rod|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|2,654.30
WS SERVICE AREA|27000023|Hc Zz Blood Warmer Use 27100263|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|225.60
WS SERVICE AREA|272111580|Hc Tube Gastro Feed Balloon Retention 20f 10cm |MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|277.10
WS SERVICE AREA|272136209|Hc Dressing Flex 7 Acticoat 6x6 In|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|118.65
WS SERVICE AREA|27000024|Hc Bowl Mixing Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|51.50
WS SERVICE AREA|272136210|Hc Dressing Flex 7 Acticoat 8x16 In|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|505.79
WS SERVICE AREA|70201004|Hc Care Select  National Decision Support Company|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|G1004||WS HB DEFAULT|0.01
WS SERVICE AREA|27000030|Hc Bulldog Softjaw|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|58.70
WS SERVICE AREA|27000031|Hc Cable Assembly Ss Disp 1.8x914|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|2,590.50
WS SERVICE AREA|80080001|Hc Covid-19 Cdc|LABORATORY - GENERAL CLASSIFICATION [0300]|U0001||WS HB DEFAULT|290.00
WS SERVICE AREA|27000032|Hc Cable Bipolar Lap Disp Wlf/vlb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|167.90
WS SERVICE AREA|27000033|Hc Cable Double W/crimp Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|4,298.20
WS SERVICE AREA|27000034|Hc Cable Grip Vit How Disp Lg 2mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|2,747.00
WS SERVICE AREA|272111581|Hc Catheter Beacon Pig 5f 35 100cm    |MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27000035|Hc Cable Grip Vit How Disp Sm1.6m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|2,747.00
WS SERVICE AREA|80080002|Hc Covid-19 N-cdc|LABORATORY - GENERAL CLASSIFICATION [0300]|U0002||WS HB DEFAULT|290.00
WS SERVICE AREA|27000036|Hc Cable Surgical Disp 5846v|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|167.90
WS SERVICE AREA|27000037|Hc Cable Vitallium Howme 2mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|1,400.80
WS SERVICE AREA|27000038|Hc Cable/sleeve Vit How Disp 1.6m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|1,596.50
WS SERVICE AREA|27000039|Hc Cable/sleeve Vit How Disp 2.0m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|1,596.50
WS SERVICE AREA|27000040|Hc Cannula Nasal W/gas Line Fm Lr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27000041|Hc Cast Room Fee 15 Min|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|139.10
WS SERVICE AREA|27000042|Hc Cast Room Fee 30 Min|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|215.30
WS SERVICE AREA|27000043|Hc Cast Supplies - Fiberglass|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|292.50
WS SERVICE AREA|10010129|Hc Zz Initial Preventative Exam, New Beneficiary- No Replacement|CLINIC - GENERAL CLASSIFICATION [0510]|G0402||WS HB DEFAULT|252.00
WS SERVICE AREA|27000044|Hc Cast Supplies - Plaster|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|175.10
WS SERVICE AREA|27000046|Hc Clamp Mri Safe Combination|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|4,172.50
WS SERVICE AREA|27000047|Hc Clamp Mri Safe Multi Pin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|4,743.20
WS SERVICE AREA|27000048|Hc Clamp Mri Safe Open Adjustable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|3,436.10
WS SERVICE AREA|27000049|Hc Contact Cast Supply|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|348.10
WS SERVICE AREA|27000050|Hc Cord Bipolar Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|90.60
WS SERVICE AREA|27000051|Hc Cord Monopolar Endo Cable Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|41.20
WS SERVICE AREA|27000052|Hc Cpt Vest Single Pt Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|461.40
WS SERVICE AREA|27000053|Hc Crutches Adj Pbtn Med Adlt<300lb Cap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|66.80
WS SERVICE AREA|27000054|Hc Crutches Adj Pbtn Tall Adlt<300lb Cap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|66.90
WS SERVICE AREA|10010135|Hc Burn 1st Degree Inital|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|16000||WS HB DEFAULT|627.00
WS SERVICE AREA|50053899|Hc Urinary Procedure Unlisted|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|53899||WS HB DEFAULT|7,519.00
WS SERVICE AREA|80080441|Hc Iadna Human Papillomavirus Types 16 & 18 Only|LABORATORY - GENERAL CLASSIFICATION [0300]|87625||WS HB DEFAULT|300.00
WS SERVICE AREA|27000055|Hc Crutches Adj Pbtn Yth<300lb Cap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|67.10
WS SERVICE AREA|27000057|Hc Cuff Bp 2tube Lf Neonate #3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27000060|Hc Er O2 Via Nc/nrm/venti Mask|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|185.50
WS SERVICE AREA|27000062|Hc Femostop Plus Compression Sys|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|532.70
WS SERVICE AREA|27000063|Hc Foot Waffle Lf Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|201.90
WS SERVICE AREA|27000064|Hc Foot Waffle Lf Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|196.30
WS SERVICE AREA|27000065|Hc Heel Tender Foot|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.30
WS SERVICE AREA|27000067|Hc Hood Sterishield Stryker 7000|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|114.30
WS SERVICE AREA|27000068|Hc Hooks Dura|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27000070|Hc Insert Prone View Disp Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|165.50
WS SERVICE AREA|10010136|Hc Burn Partial Thick Sm <5%|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|16020||WS HB DEFAULT|1,135.00
WS SERVICE AREA|27000071|Hc Inserter Dialo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|181.30
WS SERVICE AREA|27000072|Hc Introducer Picc Bimeco|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|164.80
WS SERVICE AREA|27000073|Hc Introducer W/rb 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|C1894||WS HB DEFAULT|160.70
WS SERVICE AREA|27000074|Hc Irrigator Lap Strykeflow 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|223.50
WS SERVICE AREA|27000075|Hc Kam-vac Suction Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|121.00
WS SERVICE AREA|27000076|Hc Kit Acl W/o Saw Blade|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|875.50
WS SERVICE AREA|27000077|Hc Kit Basic Microsensor|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|3,601.90
WS SERVICE AREA|27000078|Hc Kit Blower Mister|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|241.00
WS SERVICE AREA|27000079|Hc Tray Cath 4fr 45cm Intro 1 Lum|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|173.00
WS SERVICE AREA|27000080|Hc Kit Monitor Intcran Pres1104bt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|4,198.50
WS SERVICE AREA|10010137|Hc Burn Partial Thick Med 5-10%|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|16025||WS HB DEFAULT|1,135.00
WS SERVICE AREA|27000081|Hc Kit Resorbable Mini Bead|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|3,679.20
WS SERVICE AREA|27000084|Hc Meter Peakflow Pb Full|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|42.20
WS SERVICE AREA|27000085|Hc Mic-key Enterstomal Therap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|970.60
WS SERVICE AREA|27000089|Hc O2 Hiflow Heated Cannula/day|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|2,768.60
WS SERVICE AREA|27000092|Hc Ostomy Supply-complex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|176.20
WS SERVICE AREA|27000093|Hc Oxisensor Disp Lf Neonatal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|69.80
WS SERVICE AREA|27000094|Hc Oxygen 1- 8 Hours|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|118.70
WS SERVICE AREA|27000097|Hc Pad Cardiac Phrenic Nerve|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|145.20
WS SERVICE AREA|27000098|Hc Pad Chair Pre-inflated Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|121.20
WS SERVICE AREA|27000099|Hc Pad Hypo/hyperthermia Adt24x60|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|68.30
WS SERVICE AREA|10010138|Hc Burn Partial Thick>1 Ext Or >10%|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|16030||WS HB DEFAULT|1,135.00
WS SERVICE AREA|27000100|Hc Pad Prone View Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|165.10
WS SERVICE AREA|27000101|Hc Pad Therapy Hot/cold 14x20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.00
WS SERVICE AREA|27000102|Hc Padded Surgical Shoe|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|447.00
WS SERVICE AREA|27000104|Hc Phlebotomy Bag|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27000105|Hc Post Angled S/s 30deg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|801.30
WS SERVICE AREA|27000106|Hc Powder Antifungal 3oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.00
WS SERVICE AREA|27000107|Hc Profore Supply|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|150.90
WS SERVICE AREA|27000108|Hc Pulsed Lavage Supplies|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|400.20
WS SERVICE AREA|99010049|Hc Isolation|ROOM & BOARD - OTHER - STERILE ENVIRONMENT [0164]|||WS HB DEFAULT|4,304.00
WS SERVICE AREA|27000110|Hc Razor Facial Medi-shaver Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|103.80
WS SERVICE AREA|10010139|Hc Zz Destruct Benign/premalig Lesion 1st- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|17000||WS HB DEFAULT|668.00
WS SERVICE AREA|27000111|Hc Oxygen Per Hour|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|19.70
WS SERVICE AREA|27000113|Hc Retainer Visceral Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|141.10
WS SERVICE AREA|99010050|Hc Isolation Icu|INTENSIVE CARE - OTHER INTENSIVE CARE [0209]|||WS HB DEFAULT|6,530.00
WS SERVICE AREA|27000114|Hc Retainer Visera Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|153.50
WS SERVICE AREA|27000115|Hc Rod Seal Hyscp Oflw Chan Sgl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|68.00
WS SERVICE AREA|27000122|Hc Scales - Baby Weigh Rental - Week|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|44.30
WS SERVICE AREA|27000123|Hc Set Dialysis Transfer Mini Cap Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|283.80
WS SERVICE AREA|27000124|Hc Set Infusion Level 1 D-50|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|215.00
WS SERVICE AREA|27000125|Hc Set Intro Probe Tubing Mri 10g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|1,463.20
WS SERVICE AREA|27000126|Hc Set Introducer Plvw-22.0-38|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|193.30
WS SERVICE AREA|10010141|HC CHEMICAL CAUTERY GRANULATION TISSUE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|17250||WS HB DEFAULT|1,135.00
WS SERVICE AREA|27000127|Hc Set Peri Dialysis 4-prong Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|109.80
WS SERVICE AREA|27000128|Hc Set Y Disconnect Disp Dialysis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|30.10
WS SERVICE AREA|27000129|Hc Sheath Short Burr Ep1 Disp 4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|195.70
WS SERVICE AREA|27000130|Hc Shield Eye Fox Alum/w Garter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27000131|Hc Shield Eye Universal Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27000132|Hc Shield Nipple Contact Sm 20mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27000133|Hc Shield Nipple Contact Xsm 16mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27000134|Hc Zz Shoe Post-op Mens Lg/x-lg- Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|48.40
WS SERVICE AREA|27000135|Hc Shoe Walker  Offload, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|229.70
WS SERVICE AREA|27000136|Hc Zz Shoe Walker Dh Offload Medium- Use 27000135|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|229.50
WS SERVICE AREA|10010142|Hc Puncture (drain) Aspiration Of Cyst Of Breast|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19000||WS HB DEFAULT|2,254.00
WS SERVICE AREA|27000137|Hc Zz Shoe Walker Dh Offload Xlarge- Use 27000135|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|230.90
WS SERVICE AREA|27000138|Hc Zz Sleeve Dall/miles Vit 2.0- Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|749.80
WS SERVICE AREA|27000139|Hc Smoke Evac Laparscopic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|139.10
WS SERVICE AREA|27000140|Hc Splint Synthetic Precut 3"x35"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|70.00
WS SERVICE AREA|27000141|HC SPLINTING SUPPLIES. OT|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|C1726||WS HB DEFAULT|1,023.80
WS SERVICE AREA|27000142|Hc Sponge Ultrafoam Lf .2x6.25cmx7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27000143|Hc Stimulator Bone Tib Fib Tars Meta|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|17,191.70
WS SERVICE AREA|27000144|Hc Stimulator Nerve Vari Stim Iii|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|295.60
WS SERVICE AREA|27000145|Hc Suction Tube Frasier 7|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|367.70
WS SERVICE AREA|27000149|Hc System Suct Closed Lf 14f 21.3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|38.30
WS SERVICE AREA|10010143|HC PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19001||WS HB DEFAULT|720.00
WS SERVICE AREA|27000150|Hc System Suct Closed Lf 16f 21.3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|41.20
WS SERVICE AREA|27000151|Hc Tack Plate Sorth|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|627.30
WS SERVICE AREA|27000152|Hc Tape Retracto|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|102.00
WS SERVICE AREA|27000153|Hc Tip Ball T2 3x1000mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|1,719.10
WS SERVICE AREA|27000154|Hc Tip Ball T2 3x800mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|1,514.10
WS SERVICE AREA|27000155|Hc Tip Foreign Body|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|109.20
WS SERVICE AREA|27000156|HC TUBE ENDOBRONCHIAL LEFT 37FR|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|316.70
WS SERVICE AREA|27000157|Hc Tube Mini Kamvac Curved Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|119.50
WS SERVICE AREA|27000158|Hc Tubing Collection 6ft Vacurette Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|50.50
WS SERVICE AREA|27000159|Hc Tubing Inflow Wolf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|165.80
WS SERVICE AREA|10010144|Hc Inj Mammary Ductogram Or Galactogram Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19030||WS HB DEFAULT|1,500.00
WS SERVICE AREA|27100010|HC NON STERILE SUPPLY|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|57.10
WS SERVICE AREA|27100012|Hc Adaptor Bronch Fib Swivl Lf (m)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|19.90
WS SERVICE AREA|27100013|Hc Adaptor Bronch Swivel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.50
WS SERVICE AREA|27100014|Hc Adaptor Cable Thermal Pad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,647.00
WS SERVICE AREA|27100015|Hc Adaptor Uneven "y"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27100016|Hc Aerochamber (optihaler)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|49.80
WS SERVICE AREA|27100017|Hc Ahp Breast Pump Rental - Daily|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|3.10
WS SERVICE AREA|27100019|Hc Antenna Medtr 37092|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|483.10
WS SERVICE AREA|27100020|Hc Applicator Chloro Orange 10.5m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|94.80
WS SERVICE AREA|27100021|Hc Arm Sling Infant|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.20
WS SERVICE AREA|10010145|Hc Biopsy Open Or Incisional Of Breast|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19101||WS HB DEFAULT|9,208.00
WS SERVICE AREA|27100022|Hc Armboard Iv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|15.70
WS SERVICE AREA|27100023|Hc Bag Effluent 5l Prismaflex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|45.70
WS SERVICE AREA|27100024|Hc Bag Hyperinflation 1/2 Liter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|88.00
WS SERVICE AREA|27100025|Hc Bag Infusor Disp Pressure|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|118.50
WS SERVICE AREA|27100026|Hc Bag Pump Kangaroo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|17.70
WS SERVICE AREA|27100027|Hc Bag Resus W/m Disp Inspirion Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|40.60
WS SERVICE AREA|27100028|Hc Bag Suction Drainage|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|151.00
WS SERVICE AREA|27100029|Hc Band Comfort Straight|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|126.70
WS SERVICE AREA|27100030|Hc Band Compression Radial|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|203.90
WS SERVICE AREA|270110250|Hc Pad Aed Adlt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|766.82
WS SERVICE AREA|20010013|Hc Wound Extremity Expl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20103||WS HB DEFAULT|10,634.00
WS SERVICE AREA|50058999|Hc Female Genital Procedure Non-ob Unlisted|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|58999||WS HB DEFAULT|6,250.00
WS SERVICE AREA|27100031|Hc Band Facial Universal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|168.90
WS SERVICE AREA|27100032|Hc Bandage Coban 4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27100033|Hc Zz Bandage Cohesive & Disp Pads- Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|218.40
WS SERVICE AREA|27100034|Hc Bandage Elastic Clips 6"x10yd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.40
WS SERVICE AREA|270110251|Hc Pad Aed Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|431.24
WS SERVICE AREA|27100035|Hc Bandage Elastic Str Lf (m) 3"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27100036|Hc Bandage Elastic Str Lf (m) 4"x5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27100037|Hc Bandage Elastic Str Lf (m) 6"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27100038|Hc Bandage Esmark 6"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|26.80
WS SERVICE AREA|272121120|Hc Tray Thoracentesis/paracentesis 8f 4 3/4 Poly Cath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|143.54
WS SERVICE AREA|20010014|Hc Biopsy Muscle Percutaneous Needle|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20206||WS HB DEFAULT|4,161.00
WS SERVICE AREA|27100039|Hc Bandage Esmark Iii Lf 4" X 9'|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27100040|Hc Bandage Esmark Sterile 4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|60.80
WS SERVICE AREA|27100041|Hc Bandage Gauze 1x4 Pehahaft|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27100042|Hc Bandage Lf 6"x12 Esmark|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.50
WS SERVICE AREA|60064630|Hc Dstrj Neurolytic Agent Pudendal Nerve|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64630||WS HB DEFAULT|2,851.00
WS SERVICE AREA|27100043|Hc Bandage Viscopaste 3"x10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.30
WS SERVICE AREA|27100044|Hc Barrier Skin W/flange 2-1/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27100045|Hc Belt Ostomy Large 29-49in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27100046|Hc Bili Combi|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|62.50
WS SERVICE AREA|27100051|Hc Binder Abdominal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|45.60
WS SERVICE AREA|272112230|Hc Catheter Thrmb 64cm 5 Max Ace|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,045.60
WS SERVICE AREA|27100054|Hc Bite Block Sontek Medical|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|19.60
WS SERVICE AREA|27100055|Hc Blade Clipper Assy Std|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|52.60
WS SERVICE AREA|27100056|Hc Blade Clipper Surg Sensiclip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.20
WS SERVICE AREA|27100057|Hc Blade Clipper Surg Single Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|17.90
WS SERVICE AREA|27100058|Hc Blade Clipper Surg Specialty|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|57.30
WS SERVICE AREA|27100059|Hc Blanket Underbody Peds Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|103.90
WS SERVICE AREA|27100060|Hc Boot Bucks Traction Lf Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|138.80
WS SERVICE AREA|27100061|Hc Boot Cast Walking Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|320.10
WS SERVICE AREA|27100062|Hc Boot Cast Walking Samson Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|165.50
WS SERVICE AREA|27100063|Hc Boot Cast Walking Samson Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|166.20
WS SERVICE AREA|20010016|Hc Biopsy Bone Superficial|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20220||WS HB DEFAULT|4,161.00
WS SERVICE AREA|27100064|Hc Boot Cast Walking Samson Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|165.20
WS SERVICE AREA|27100065|Hc Boot Perioperative Rooke|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|511.90
WS SERVICE AREA|27100066|Hc Bra Surgical Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|99.90
WS SERVICE AREA|27100067|Hc Bra Surgical Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|98.40
WS SERVICE AREA|27100068|Hc Bra Surgical X-large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|99.90
WS SERVICE AREA|27100069|Hc Bra Surgical Xx-large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|107.60
WS SERVICE AREA|27100070|Hc Breast Pump Rental - Daily|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|3.10
WS SERVICE AREA|27100071|Hc Breast Pump Rental Weekly|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|45.30
WS SERVICE AREA|27100072|Hc Burette Metriset|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|45.50
WS SERVICE AREA|27100073|Hc Cannister Vacuun And Tubing Set|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|104.70
WS SERVICE AREA|20010018|HC BIOPSY BONE TROCAR/NEEDLE DEEP|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20225||WS HB DEFAULT|5,453.00
WS SERVICE AREA|27100074|Hc Cannula Inner Fen #4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|26.50
WS SERVICE AREA|27100075|Hc Cannula Inner Fen #6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27100076|Hc Cannula Inner Fen #8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27100077|Hc Cannula Inner Shiley 8.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.20
WS SERVICE AREA|27100078|Hc Cannula Inr Shly 4 5mm Tracheo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.10
WS SERVICE AREA|27100079|Hc Cannula Inner Trach Tb Lf 8.0m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|19.90
WS SERVICE AREA|27100080|Hc Cannula Inner Xlt 6.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.30
WS SERVICE AREA|27100081|Hc Cannula Inner Xlt 7.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.30
WS SERVICE AREA|27100082|Hc Cannula Inner Xlt 8.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.30
WS SERVICE AREA|27100083|Hc Cannula Nasal W/ml Connector|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|11.30
WS SERVICE AREA|20010020|Hc Inj Sinus Tract Diagnostic (sinogram)|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20501||WS HB DEFAULT|929.00
WS SERVICE AREA|27100084|Hc Cannula O2 Nasal W/co2 Connect|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27100085|Hc Card Medistem Smart|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,804.60
WS SERVICE AREA|27100086|Hc Cartridge Co2 Lma Stonebreaker|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|96.80
WS SERVICE AREA|27100087|Hc Cath Pvc Angled 28fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|41.20
WS SERVICE AREA|27100088|Hc Cath Pvc Straight 20fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|65.90
WS SERVICE AREA|27100089|Hc Cath Pvc Straight 28fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|23.70
WS SERVICE AREA|27100090|Hc Chamber Pocket|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|38.50
WS SERVICE AREA|27100091|Hc Chloraprep Orange Tint 26ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|42.30
WS SERVICE AREA|27100092|Hc Circuit Anesthesia Ped Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.30
WS SERVICE AREA|27100093|Hc Circuit Bpap Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|41.50
WS SERVICE AREA|34010039|Hc I-131 Sodium Iodide Cap Dx Per Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9528||WS HB DEFAULT|213.89
WS SERVICE AREA|27100094|Hc Collar Xtric Tan 10-16inx3.5in Statneck Xs 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|105.10
WS SERVICE AREA|27100095|Hc Comfort Gels - One Pair|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|27.20
WS SERVICE AREA|27100096|Hc Connector Flex Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|19.80
WS SERVICE AREA|27100097|Hc Container Breastmilk 70ml Fliptop|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|52.30
WS SERVICE AREA|27100098|Hc Container Breastmilk 80ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|17.80
WS SERVICE AREA|27100099|Hc Container Colostrum 8pk Str|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|40.60
WS SERVICE AREA|27100100|Hc Cord Active Usa Str Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|167.90
WS SERVICE AREA|27100101|Hc Cover Warming Full Body|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.30
WS SERVICE AREA|27100102|Hc Cover Warming Lower Body|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|43.70
WS SERVICE AREA|27100103|Hc Cover Warming Underbody Full A|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|174.40
WS SERVICE AREA|20010022|Hc Fb Remove Muscle Simp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20520||WS HB DEFAULT|3,340.00
WS SERVICE AREA|27100104|Hc Cover Warming Underbody|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|104.70
WS SERVICE AREA|80087635|Hc Iadna Sars-cov-2 Covid-19 Amplified Probe Tq|LABORATORY - GENERAL CLASSIFICATION [0300]|87635||WS HB DEFAULT|180.00
WS SERVICE AREA|27100105|Hc Cover Warming Upper Body 1port|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|43.70
WS SERVICE AREA|27100106|Hc Covers Peg 12in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27100107|Hc Cuff Bp 1tube Infant|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.20
WS SERVICE AREA|27100108|Hc Cuff Bp Disp, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.00
WS SERVICE AREA|27100109|Hc Cuff Bp 1tube Lf Adult Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|22.10
WS SERVICE AREA|27100110|Hc Cuff Bp 1tube Lf Adult Long|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|22.10
WS SERVICE AREA|27100111|Hc Cuff Bp 1tube Lf Child|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.00
WS SERVICE AREA|27100112|Hc Cuff Bp 1tube Lf Neonate #3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.40
WS SERVICE AREA|20010023|Hc Fb Remove Muscle Deep|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20525||WS HB DEFAULT|16,263.00
WS SERVICE AREA|27100113|Hc Cuff Bp 1tube Lf Sm Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.00
WS SERVICE AREA|27100114|Hc Cuff Bp 2tube Lf Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|21.70
WS SERVICE AREA|27100115|Hc Cuff Cryo Ankle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|369.80
WS SERVICE AREA|27100116|Hc Cuff Dual Port Sgl Bladder 30"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,202.00
WS SERVICE AREA|27100117|Hc Cuff Sgl Bladder Dp Blue 44"x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|343.00
WS SERVICE AREA|27100118|Hc Cuff Sgl Bladder Dp Purp 12"x3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|136.00
WS SERVICE AREA|27100119|Hc Cuff Sgl Bladder Dp Purp 34"x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|177.20
WS SERVICE AREA|27100120|Hc Cuff Sgl Bladder Dp Red 18"x4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|153.50
WS SERVICE AREA|27100121|Hc Cuff Sgl Bladder Dp Yel 24"x4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|172.00
WS SERVICE AREA|27100122|Hc Cuff Tournequet Disp 18"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|139.10
WS SERVICE AREA|20010024|HC INJ SINGLE TENDON SHEATH/LIGAMENT, APONEUROSIS|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20550||WS HB DEFAULT|1,857.00
WS SERVICE AREA|27100123|Hc Cuff Tournequet Disp 24"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|142.50
WS SERVICE AREA|27100124|Hc Cuff Tournequet Disp 30"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|170.00
WS SERVICE AREA|27100125|Hc Cuff Tournequet Disp 34"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|166.90
WS SERVICE AREA|27100126|Hc Cuff Tourniquet 18" Rp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,004.30
WS SERVICE AREA|27100127|Hc Cushion Wheelchair 16x18x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|115.20
WS SERVICE AREA|27100128|Hc Device Locking W/bx Cup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|58.70
WS SERVICE AREA|27100129|Hc Drip Macro Nonvented 72"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27100130|Hc Esophageal Stethoscope 9fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27100131|Hc Extension Transducer 42408-01|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27100132|Hc Feeder Haberman W/80ml Bottle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|50.50
WS SERVICE AREA|20010026|Hc Inj Single Tendon Origin/insertion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20551||WS HB DEFAULT|1,183.00
WS SERVICE AREA|36052323|HC PACU CLASS V|RECOVERY ROOM - GENERAL CLASSIFICATION [0710]|||WS HB DEFAULT|0.00
WS SERVICE AREA|27100133|Hc Filter Iv Extension Clave|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|19.80
WS SERVICE AREA|27100134|Hc Filterset W/clamp 150 X 60|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|49.40
WS SERVICE AREA|27100135|Hc Flange Breast Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.50
WS SERVICE AREA|27100136|Hc Foam Cradle Arm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27100137|Hc Girdle Ex-large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|320.30
WS SERVICE AREA|27100138|Hc Girdle Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|320.30
WS SERVICE AREA|27100139|Hc Girdle Xx-large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|378.00
WS SERVICE AREA|27100140|Hc Gown Bair Paws Flex Standard|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|100.20
WS SERVICE AREA|27100141|Hc Gown Bair Paws Flex Xlg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|124.40
WS SERVICE AREA|27100142|Hc Guard Teeth|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|41.20
WS SERVICE AREA|20010027|HC 	INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20552||WS HB DEFAULT|1,610.00
WS SERVICE AREA|27100143|Hc Halter Head Elastic Pad Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|47.40
WS SERVICE AREA|27100144|Hc Holder Head Foam Deroyal Lfm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27100145|Hc Holder Leg Well|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|68.00
WS SERVICE AREA|27100146|Hc Holder Tube, Trach/nasogastric, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|9.20
WS SERVICE AREA|90002061|Hc Qual Nonmd Est Pt 5-10m|CLINIC - GENERAL CLASSIFICATION [0510]|G2061||WS HB DEFAULT|45.00
WS SERVICE AREA|27100158|Hc Hose Anti-embolism Per Pr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|26.70
WS SERVICE AREA|90002062|Hc Qual Nonmd Est Pt 11-20m|CLINIC - GENERAL CLASSIFICATION [0510]|G2062||WS HB DEFAULT|80.00
WS SERVICE AREA|90002063|Hc Qual Nonmd Est Pt 21>min|CLINIC - GENERAL CLASSIFICATION [0510]|G2063||WS HB DEFAULT|123.00
WS SERVICE AREA|27100165|Hc Hose Circo Series Connecting|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27100166|Hc Hugger Bair Cardiac Sterile|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|165.50
WS SERVICE AREA|20010028|HC INJ/ASP/DRAIN -SMALL JOINT/BURSA W/O US|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20600||WS HB DEFAULT|942.00
WS SERVICE AREA|270137424|Hc Filter Ventilator|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|9.87
WS SERVICE AREA|27100168|Hc Infusor Pressure Disp 500cc Bg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|64.50
WS SERVICE AREA|27100169|Hc Jug Drain|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|49.40
WS SERVICE AREA|27100170|Hc Jug Omni|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|105.10
WS SERVICE AREA|270115516|HC BREATHING CIRCUIT  DISP|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|489.30
WS SERVICE AREA|27100171|Hc Zz Kit Breast Medela Lactina - Use 27100174|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|172.00
WS SERVICE AREA|27100172|Hc Zz Kit Breast Pump Ameda - Use 27100174|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|166.90
WS SERVICE AREA|27100173|Hc Zz Kit Breast Pump Ameda-disp - Use 27100174|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|44.30
WS SERVICE AREA|27100174|Hc Kit Breast Pump Ameda, Medela, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|117.60
WS SERVICE AREA|27100175|Hc Zz Kit Breast Pump Symphony & Lac - Use 27100174|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|166.90
WS SERVICE AREA|20010030|HC INJ/ASP/DRAIN -INTERMEDIATE JOINT/BURSA W/O US|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20605||WS HB DEFAULT|1,120.00
WS SERVICE AREA|27100176|Hc Kit Cannister Vac W/gel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|189.50
WS SERVICE AREA|27100178|Hc Kit Gastric Lavage Easi-lav|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|316.20
WS SERVICE AREA|27100179|Hc Kit L T A Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.30
WS SERVICE AREA|27100180|Hc Kit Lung Use W/biodex Shield|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|125.70
WS SERVICE AREA|27100181|Hc Kit Patient Care Jackson Spine|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|179.20
WS SERVICE AREA|27100182|Hc Kit Patient Table Pad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|179.20
WS SERVICE AREA|27100183|Hc Kit Patient Table Pad 5802|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|167.90
WS SERVICE AREA|27100185|Hc Kit Shoulder Suspension Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|447.00
WS SERVICE AREA|27100186|Hc Kit Shoulder Suspension Str|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|201.90
WS SERVICE AREA|27100187|Hc Kit Traction Shoulder|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|404.80
WS SERVICE AREA|20010032|HC INJ/ASP/DRAIN -MAJOR JOINT/BURSA W/O US|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20610||WS HB DEFAULT|1,133.00
WS SERVICE AREA|27100188|Hc Liner Cannister Gramm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27100189|Hc L-wire Megatip Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27100190|Hc Manifold Filter Neptune 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|122.60
WS SERVICE AREA|27100191|Hc Manifold Neptune Drip Reduction|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|152.40
WS SERVICE AREA|27100192|Hc Mask Panda Nonrebreather Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.40
WS SERVICE AREA|27100193|Hc Mask Panda Nonrebreather Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.30
WS SERVICE AREA|27100194|Hc Mask Wee Spec Supreme Preemie|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|19.90
WS SERVICE AREA|27100195|Hc Mask-bipap Full Face Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|145.40
WS SERVICE AREA|27100196|Hc Mask-bipap Full Face Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|144.10
WS SERVICE AREA|27100197|Hc Mask-bipap Full Face Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|145.20
WS SERVICE AREA|20010035|Hc Inj/asp Ganglion Cyst|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20612||WS HB DEFAULT|1,661.00
WS SERVICE AREA|27100198|Hc Mitten Flex Palm Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|69.80
WS SERVICE AREA|27100199|Hc Net Elastic Sz5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|49.60
WS SERVICE AREA|27100200|Hc Net Elastic Sz9|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|117.80
WS SERVICE AREA|27100201|Hc Ointment Antifngl Aloe Vesta 5oz 2% Mcnzl Nitr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.70
WS SERVICE AREA|27100202|Hc Overtube Esophageal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|983.70
WS SERVICE AREA|27100203|Hc Oxisensor Digit Disp Lf Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|52.40
WS SERVICE AREA|27100204|Hc Oxisensor Pulse Lf Infant|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|47.70
WS SERVICE AREA|27100205|Hc Oxymiser Moustache|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|77.30
WS SERVICE AREA|27100207|Hc Pad Bovie Somnoplasty|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27100208|Hc Pad Cpm Low Limb W/strap&edge|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|112.30
WS SERVICE AREA|20010036|Hc Spine Morselized Bone Allograft   Add On|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20930||WS HB DEFAULT|1,134.00
WS SERVICE AREA|27100209|Hc Pad Defib Medtronic R2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|129.50
WS SERVICE AREA|27100210|Hc Pad Defib Quik Combo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|137.40
WS SERVICE AREA|27100211|Hc Pad Grounding Rf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|99.40
WS SERVICE AREA|27100212|Hc Pad Grounding W/cable Large Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|17.80
WS SERVICE AREA|27100213|Hc Pad Grounding W/cable Small Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27100214|Hc Pad Incontinence Rental Bed Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27100215|Hc Pad Incontinent For Spec Beds|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|60.80
WS SERVICE AREA|27100216|Hc Pad Perineal Chick Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|572.70
WS SERVICE AREA|27100217|Hc Pad Perineal Post|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|344.00
WS SERVICE AREA|27100218|Hc Pad Post Supine Peroneal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|536.60
WS SERVICE AREA|20010038|HC ABLATION BONE TUMOR RF PERCUTANEOUS W/IMAGINE GUIDANCE WHEN DONE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20982||WS HB DEFAULT|13,003.00
WS SERVICE AREA|27100219|Hc Pad Thermal Ground 700-102649|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,217.50
WS SERVICE AREA|27100220|Hc Pad Warming Back Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,080.30
WS SERVICE AREA|27100221|Hc Pad Warming Universal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|405.40
WS SERVICE AREA|27100222|Hc Padding Cast Deroyal 3in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27100223|Hc Padding Cast Deroyal Lf 4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27100224|Hc Paste Stomahesive Tube Lf 2oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.20
WS SERVICE AREA|27100225|Hc Peg Traction Removable 20fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|422.30
WS SERVICE AREA|27100226|Hc Pillow Abduction Shoulder Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|243.80
WS SERVICE AREA|27100227|Hc Pillow Ft Std Disp One Size Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|26.30
WS SERVICE AREA|27100228|Hc Piston Breastpump Medela|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|17.80
WS SERVICE AREA|20010039|Hc Musculoskeletal System General Surgery Unlisted|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20999||WS HB DEFAULT|3,022.00
WS SERVICE AREA|27100229|Hc Pouch Fecal Incontinent Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.50
WS SERVICE AREA|27100230|Hc Pouch Ostomy Drnbl Wx Tape Bar|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27100231|Hc Pouch Urostomy Ped Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27100232|Hc Powder Ostomy Lf 1 Oz Btl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.40
WS SERVICE AREA|27100233|Hc Prefilter Valley Lab|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|43.90
WS SERVICE AREA|27100234|Hc Probe Neonatal Sts-204 Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.00
WS SERVICE AREA|27100235|Hc Probe Pulse Ox Disp Lf Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|52.40
WS SERVICE AREA|27100236|Hc Probe Rectal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|40.50
WS SERVICE AREA|27100237|Hc Probe Temp Disp Lf Infant|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|19.60
WS SERVICE AREA|27100238|Hc Probe Temp Skin Inf/neo Giraffe Disp Airlife|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.20
WS SERVICE AREA|20010040|Hc Inj Tmj Arthrography|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21116||WS HB DEFAULT|673.00
WS SERVICE AREA|27100239|Hc Probe Temp Skin Giraffe Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|40.60
WS SERVICE AREA|27100240|Hc Probe Temperature Tarry Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|40.80
WS SERVICE AREA|27100241|Hc Protector Eye|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.30
WS SERVICE AREA|27100242|Hc Protector Heel/elbow Universal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|23.80
WS SERVICE AREA|27100243|Hc Pump Breast Ameda P Yours Ultr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|640.70
WS SERVICE AREA|27100244|Hc Pump Breast Carryall Disp Py|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|610.80
WS SERVICE AREA|27100245|Hc Pump Breast Freestyle Medela|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|810.60
WS SERVICE AREA|27100246|Hc Pump Breast Manual Harmony|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|70.30
WS SERVICE AREA|27100247|Hc Pump Breast Pns Basic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|683.90
WS SERVICE AREA|27100248|Hc Pump Breast Pump N Style Adv Back|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|597.40
WS SERVICE AREA|20010041|Hc Nasal Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21310||WS HB DEFAULT|744.00
WS SERVICE AREA|27101039|Hc Zz Tube 79mm 13.8 8.9mm Cuff Fen -use 27203366|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|163.80
WS SERVICE AREA|80002023|Hc Specimen Collect Covid-19|LABORATORY - GENERAL CLASSIFICATION [0300]|C9803||WS HB DEFAULT|99.00
WS SERVICE AREA|27100249|Hc Pump Breast Pump N Style Metro Lt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|703.50
WS SERVICE AREA|27100250|Hc Pump Breast Pump N Style Over Sho|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|597.40
WS SERVICE AREA|27100251|Hc Pump Breast Symphony|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|3,519.50
WS SERVICE AREA|27100252|Hc Pump Breast W Backpack Py|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|638.60
WS SERVICE AREA|27100253|Hc Pump Breast W/o Tote Py|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|323.40
WS SERVICE AREA|27100254|Hc Pump Manual Single Ameda|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|106.10
WS SERVICE AREA|27100255|Hc Resuscitator Ped W/mask|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|41.80
WS SERVICE AREA|27100256|Hc Rod Ostomy Loop Marlen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|60.80
WS SERVICE AREA|27100257|Hc Scales-baby Weigh Rental-daily|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|6.20
WS SERVICE AREA|20010042|Hc Nasal Fx Wo Stab|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21315||WS HB DEFAULT|11,483.00
WS SERVICE AREA|27100258|Hc Sensor Temperature Skin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.40
WS SERVICE AREA|272114239|Hc Solution Dia W Bicarb 2 P5 Ltr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|426.62
WS SERVICE AREA|27100259|HC SET ADMIN TRIFUSE 3-TO-1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27100260|Hc Set Adminstration High Flow|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|158.60
WS SERVICE AREA|27100261|Hc Set Blood Administration|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|45.90
WS SERVICE AREA|27100262|Hc Zz Set Blood Filter Y Type- Use 27201157|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|81.10
WS SERVICE AREA|272114240|Hc Solution Dia W Bicarb 4 P5 Ltr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|213.26
WS SERVICE AREA|27100263|Hc Set Blood Fluid Warming|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|65.60
WS SERVICE AREA|27100264|Hc Zz Set Blood Y Pump W/cair Clamp- Use 27100261|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|21.90
WS SERVICE AREA|27100265|Hc Set Connector Cpd Y|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|41.20
WS SERVICE AREA|20010043|Hc Nasal Fx W Stab|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21320||WS HB DEFAULT|11,483.00
WS SERVICE AREA|27100266|HC SET EXT CLAVE HI PRES 7" CUST|PATIENT CONVENIENCE ITEMS - OTHER PATIENT CONVENIENCE ITEMS [0999]|||WS HB DEFAULT|18.00
WS SERVICE AREA|20020560|HC NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|20560|GP|WS HB DEFAULT|81.00
WS SERVICE AREA|27100267|HC SET EXT DIAL-A-FLO W/CLAVE|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.80
WS SERVICE AREA|20120560|HC NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|20560|GO|WS HB DEFAULT|81.00
WS SERVICE AREA|27100273|SET EXT 6IN STD BORE NO FILTR NEEDLELESS PORT LF|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27100274|Hc Set Fluid Warmer Disposable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|338.10
WS SERVICE AREA|20020561|HC NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|20561|GP|WS HB DEFAULT|81.00
WS SERVICE AREA|27100275|Hc Set Gemstar Pump W/filter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|49.50
WS SERVICE AREA|27100276|Hc Set Infuse Anti-siphon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|22.10
WS SERVICE AREA|27100277|Hc Set Perifix Accu-block Ce17t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|45.70
WS SERVICE AREA|20010044|Hc Nasal Fx Closed|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21337||WS HB DEFAULT|12,841.00
WS SERVICE AREA|27100278|Hc Set Prim W/chamber Symbiq|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|112.30
WS SERVICE AREA|20120561|HC NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|20561|GO|WS HB DEFAULT|134.00
WS SERVICE AREA|27100279|Hc Set Provider Pump N/vent Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|58.80
WS SERVICE AREA|27100280|Hc Set Pump Enteral Kendall|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27100281|Hc Set Pump Iv Primary|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|49.80
WS SERVICE AREA|27100282|Hc Set Pump Non-dehp Plum|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|69.20
WS SERVICE AREA|27100283|Hc Set Pump Plum Transfusion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|86.00
WS SERVICE AREA|27100284|Hc Set Syringe Admin Synbiq|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|39.10
WS SERVICE AREA|27100286|Hc Set Transfer Minicap W/clp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|272.10
WS SERVICE AREA|27100287|Hc Set Tubing For Auto Rinse|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|67.90
WS SERVICE AREA|20010046|Hc Orbit Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21401||WS HB DEFAULT|6,363.00
WS SERVICE AREA|27100288|Hc Shell Breast Ameda|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.20
WS SERVICE AREA|27100289|Hc Shield Eye Dupaco Optiguard|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.50
WS SERVICE AREA|27100290|Hc Shield Nipple Contact 16mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.30
WS SERVICE AREA|27100291|Hc Shield Nipple Contact 20mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.20
WS SERVICE AREA|27100292|Hc Shield Nipple Contact 24mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.10
WS SERVICE AREA|27100293|Hc Shield Nipple Reg 16mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.20
WS SERVICE AREA|27100294|Hc Shield Nipple Reg 20mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.10
WS SERVICE AREA|30031654|HC BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31654||WS HB DEFAULT|3,681.00
WS SERVICE AREA|27100295|Hc Shield Nipple Reg 24mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|23.90
WS SERVICE AREA|27100296|Hc Zz Shoe Cast Canvas Large  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|29.90
WS SERVICE AREA|20010047|Hc Mandible Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21450||WS HB DEFAULT|2,210.00
WS SERVICE AREA|27100297|Hc Zz Shoe Cast Canvas Medium  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.30
WS SERVICE AREA|27100298|Hc Zz Shoe Cast Canvas Small  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.20
WS SERVICE AREA|27100299|Hc Zz Shoe Med Surg Darco Mens Lg  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.20
WS SERVICE AREA|27100300|Hc Zz Shoe Med Surg Darco Mens Xlg  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|23.90
WS SERVICE AREA|27100301|Hc Zz Shoe Med Surg Darco Womens Lg  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.10
WS SERVICE AREA|27100302|Hc Shoe Orthowedge, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|88.70
WS SERVICE AREA|27100303|Hc Zz Shoe Orthowedge Med- Use 27100302|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|89.10
WS SERVICE AREA|27100304|Hc Zz Shoe Orthowedge Small- Use 27100302|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|88.40
WS SERVICE AREA|27100305|Hc Zz Shoe Post Op Darco Female Sm  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|47.90
WS SERVICE AREA|27100306|Hc Zz Shoe Post Op Darco Male Med  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|47.60
WS SERVICE AREA|20010048|Hc Mandible Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21451||WS HB DEFAULT|5,612.00
WS SERVICE AREA|27100307|Hc Zz Shoe Post Op Ladies Large- Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27100308|Hc Zz Shoe Post Op Ladies Med- Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.40
WS SERVICE AREA|27100309|Hc Zz Shoe Post Op Ladies Xsmall- Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|52.20
WS SERVICE AREA|27100310|Hc Zz Shoe Post-op Darco Female Lg  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|54.10
WS SERVICE AREA|27100311|Hc Zz Shoe Post-op Darco Female Med  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|54.30
WS SERVICE AREA|27100312|Hc Zz Shoe Post-op Darco Male Large  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|47.80
WS SERVICE AREA|27100313|Hc Zz Shoe Post-op Darco Male Small  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|47.60
WS SERVICE AREA|27100314|Hc Zz Shoe Post-op Female Large  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|52.70
WS SERVICE AREA|27100315|Hc Shoe Post-op/cast, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|52.20
WS SERVICE AREA|27100316|Hc Zz Shoe Post-op Female Small  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|52.50
WS SERVICE AREA|20010049|Hc Temporomandibular Disl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21480||WS HB DEFAULT|744.00
WS SERVICE AREA|27100317|Hc Zz Shoe Post-op Male Large  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|52.20
WS SERVICE AREA|27100318|Hc Zz Shoe Post-op Male Medium  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|52.30
WS SERVICE AREA|27100319|Hc Zz Shoe Post-op Male Small  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|52.70
WS SERVICE AREA|27100320|Hc Zz Shoe Post-op Male X-large  Use 27100315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|52.30
WS SERVICE AREA|27100321|Hc Sitz Bath Disposable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27100322|Hc Zz Sleeve Scd Comp Lf Exp K/l Xl- Use 27100327|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|158.70
WS SERVICE AREA|80080004|Hc Covid-19 N-cdc High Throughput Tests|LABORATORY - GENERAL CLASSIFICATION [0300]|U0004||WS HB DEFAULT|368.00
WS SERVICE AREA|27100323|Hc Zz Sleeve Seq Comp Lf Exp K/l Lg- Use 27100327|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|93.80
WS SERVICE AREA|27100324|Hc Zz Sleeve Seq Comp Lf Exp T/l Lg- Use 27100327|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|150.80
WS SERVICE AREA|27100325|Hc Zz Sleeve Seq Comp Lf Exp T/l Med- Use 27100327|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|123.30
WS SERVICE AREA|20010050|Hc Drain Soft Tissue Neck/thorax|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21501||WS HB DEFAULT|5,843.00
WS SERVICE AREA|27100326|Hc Zz Sleeve Seq Comp Lf Exp T/l Sm- Use 27100327|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|131.90
WS SERVICE AREA|27100327|Hc Sleeve Seq Compress Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|83.80
WS SERVICE AREA|27100328|Hc Zz Sleeve Seq Compress Lf K/l- Use 27100327|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|120.00
WS SERVICE AREA|27100329|Hc Zz Sleeve Seq Compress Lf T/l Med- Use 27100327|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|214.10
WS SERVICE AREA|27100330|Hc Sling & Swath Adult Universal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|68.80
WS SERVICE AREA|27100331|Hc Sling & Swath Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.30
WS SERVICE AREA|27100332|Hc Sling & Swath Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.50
WS SERVICE AREA|27100333|Hc Sling & Swath Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.20
WS SERVICE AREA|27100334|Hc Sling Arm Large W/pad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|22.10
WS SERVICE AREA|27100335|Hc Sling Arm Medium W/pad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|22.00
WS SERVICE AREA|20010051|Hc Biopsy Soft Tissue Neck/thorax|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21550||WS HB DEFAULT|1,748.00
WS SERVICE AREA|27100336|Hc Sling Arm Small W/pad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|22.00
WS SERVICE AREA|27100337|Hc Sling Hemi Cuff Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.00
WS SERVICE AREA|27100338|Hc Sling Hemi Cuff Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.00
WS SERVICE AREA|27100339|Hc Sling Immobilizer Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.00
WS SERVICE AREA|27100340|Hc Sling Orth Chld 11x6in Arm Spcl Dp Pckt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27100341|Hc Sling Pat Spc Disp Lft|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|262.70
WS SERVICE AREA|27100342|Hc Sling Rehab Should Abduction|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|188.50
WS SERVICE AREA|27100343|Hc Snuggle Up Disp Lf Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|66.60
WS SERVICE AREA|27100344|Hc Snuggle Up Disp Lf Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|52.40
WS SERVICE AREA|27100345|Hc Solution Duraprep Surg Lf 24ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|23.90
WS SERVICE AREA|20010052|Hc Biopsy Soft Tissue Back/flank|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21920||WS HB DEFAULT|1,312.00
WS SERVICE AREA|27209171|Hc Kit Press Monitor Olm Intercran 1104b|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|317.20
WS SERVICE AREA|27100346|HC SPIROMETER INCNT 2.5L SM VOL LOW FLW|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27100347|Hc Splint Doyle Airway|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|165.80
WS SERVICE AREA|27100348|Hc Splint Fiberglass 4" X 15"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|42.20
WS SERVICE AREA|27100349|Hc Splint Finger 1x18|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27100350|Hc Splint Finger Baseball Sm12101|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27100351|Hc Splint Finger Stack Starter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|471.70
WS SERVICE AREA|27100352|Hc Splint Finger Toad Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27100353|Hc Splint Finger Toad Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27100354|Hc Splint Finger Toad Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27100355|Hc Splint Freedom Posey 8168m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|80.70
WS SERVICE AREA|95010051|HC INTRAOP NEURO MON 15 MIN|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95940||WS HB DEFAULT|371.00
WS SERVICE AREA|27100356|Hc Splint Orth 2xs 6in Lt Wrst Lace Up Plmr Spn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|68.00
WS SERVICE AREA|27100357|Hc Splint Orth 2xs 6in Rt Wrst Lace Up Plmr Spn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|68.00
WS SERVICE AREA|27100358|Hc Splint Orth Lg 7.75-8.5in Lt Wrst Thumb Spca|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|159.70
WS SERVICE AREA|27100359|Hc Splint Orth Lg 7.75-8.5in Rt Wrst Thumb Spca|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|158.40
WS SERVICE AREA|27100360|Hc Splint Orth Med Lt Wr Frarm Prefrm Perf Pad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|46.40
WS SERVICE AREA|27100361|Hc Splint Orth Sm 5.75-6.5in Lt Wrst Thumb Spca|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|158.10
WS SERVICE AREA|27100362|Hc Splint Orth Xl 8.75in Rt Wrst Thumb Spca|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|163.80
WS SERVICE AREA|27100363|Hc Splint Orth Xs 6in Lt Wrst Ckup Thumb Hl Lace|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|68.00
WS SERVICE AREA|27100364|Hc Splint Synthetic Precut 4"x15"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|38.40
WS SERVICE AREA|27100365|Hc Splint Synthetic Precut 4"x30"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|72.40
WS SERVICE AREA|20010069|Hc Fb Remove Shoulder Simp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23330||WS HB DEFAULT|3,215.00
WS SERVICE AREA|27100366|Hc Splint Synthetic Precut 5"x30"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|92.70
WS SERVICE AREA|27100367|Hc Splint Thermoplas|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27100368|Hc Splint Thumb Spica Med Left|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|160.50
WS SERVICE AREA|27100369|Hc Splint Traction Leg Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|89.60
WS SERVICE AREA|27100370|Hc Stethoscope Esophageal, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.20
WS SERVICE AREA|27100371|Hc Stomahesive Lf 4x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27100372|Hc Strap Ankle Distractor|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|241.00
WS SERVICE AREA|27100373|Hc Strap Stirrup Kc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27100374|Hc Support Heart Hug Sternum Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|483.10
WS SERVICE AREA|27100375|Hc Support Heart Hug Sternum Reg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|483.10
WS SERVICE AREA|93091421|Hc Impl Pressure Sensor W/angio-cardiomem|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33289||WS HB DEFAULT|27,244.00
WS SERVICE AREA|27100376|Hc Support Iv Wrist 29980|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.20
WS SERVICE AREA|27100377|Hc Support Scrotal Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|109.20
WS SERVICE AREA|27100378|Hc Suspensory Support Lf Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|52.50
WS SERVICE AREA|27100379|Hc Suspensory Support Lf Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27100380|Hc Suspensory Support Lf X-large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|58.20
WS SERVICE AREA|27100381|Hc Syringe Medallion Series 3ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27100382|Hc System Cleft Palate Nipple|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|41.20
WS SERVICE AREA|27100383|Hc System Ortho Prep Suction*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|117.40
WS SERVICE AREA|27100384|Hc System Supplemnt Nursing Starter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|49.80
WS SERVICE AREA|27100385|Hc Tape Cast Fiberglass Lf 5"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.80
WS SERVICE AREA|20010072|HC INJECTION SHOULDER ARTHROGRAPHY CT/MRI ARTHG|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23350||WS HB DEFAULT|882.00
WS SERVICE AREA|27100386|Hc Tape Casting Lf 2x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27100387|Hc Tape Casting Lf 3x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|17.90
WS SERVICE AREA|27100388|Hc Tape Casting Lf 4x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|22.00
WS SERVICE AREA|27100389|Hc Tape Casting Scotch 2x4 Pink|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27100390|Hc Tape Casting Scotch 3x4 Pink|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27100391|Hc Tape Medipore Lf 6x10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|66.70
WS SERVICE AREA|27100392|Hc Tape Microfoam Lf 2"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27100393|Hc Tape Microfoam Lf 3"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|21.90
WS SERVICE AREA|27100394|Hc Tape Microfoam Lf 4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.00
WS SERVICE AREA|27100395|Hc Tape Surgical Medipore H Lf 4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|45.90
WS SERVICE AREA|77010110|Hc Hdr Brachytx Lesion < 2.0cm Or 1 Channel|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77767||WS HB DEFAULT|3,281.00
WS SERVICE AREA|27100396|Hc Tigertape Whiteblk Tapered 2mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|362.60
WS SERVICE AREA|27100397|Hc Tip Smart Thermal W/drape|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|141.10
WS SERVICE AREA|27100398|Hc Tool Pinch On Screwin Lead|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|165.10
WS SERVICE AREA|27100399|Hc Tray Prep Gel Lf Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27100401|Hc Tubeset Heated W/rtp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|199.80
WS SERVICE AREA|27100402|Hc Tubing Bifuse|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27100403|Hc Vacuum Kiwi Del Sys W/m Cup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|155.50
WS SERVICE AREA|27100404|Hc Vacuum Kiwi Del Sys W/procup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|155.30
WS SERVICE AREA|27100405|Hc Valve Passy-muir Pmv007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|175.60
WS SERVICE AREA|27100406|Hc Wrap Compresion Brst Gentle6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|133.90
WS SERVICE AREA|20010074|Hc Clavicle Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23500||WS HB DEFAULT|1,072.00
WS SERVICE AREA|80080003|Hc Iadna Sars-cov-2 Covid-19 Amplified Probe Tq High Throughput Test|LABORATORY - GENERAL CLASSIFICATION [0300]|U0003||WS HB DEFAULT|368.00
WS SERVICE AREA|27100407|Hc Wrap Compresion Brst Gentle8in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|133.90
WS SERVICE AREA|27100408|Hc Wrap Foot Express Lf (m) Reg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|96.10
WS SERVICE AREA|27100409|Hc Wrap Foot Express Lf Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|89.40
WS SERVICE AREA|27100410|Hc Wrap Support Mcconnell Arm Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|240.00
WS SERVICE AREA|80086328|Hc Ia Infectious Agt Antibody Sars-cov-2 Covid-19|LABORATORY - GENERAL CLASSIFICATION [0300]|86328||WS HB DEFAULT|368.00
WS SERVICE AREA|27100411|Hc Cuff Tourniquet 8in 1 Port 1 Bladr Ats Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|74.20
WS SERVICE AREA|27200010|Hc Collagen Dressing, Sterile, Pad Size 16sq" Or Less, Each|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|A6021||WS HB DEFAULT|7,558.10
WS SERVICE AREA|27200011|Hc Ace Harmonic 14s|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,339.10
WS SERVICE AREA|27200012|Hc Adapter 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.20
WS SERVICE AREA|20010075|Hc Clavicle Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23505||WS HB DEFAULT|14,797.00
WS SERVICE AREA|80086769|Hc Antb Severe Aqt Respir Synd Sars-cov-2 Covid19|LABORATORY - GENERAL CLASSIFICATION [0300]|86769||WS HB DEFAULT|368.00
WS SERVICE AREA|27200013|Hc Adapter Checkflo W/3way Stop|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|75.20
WS SERVICE AREA|27200014|Hc Adapter Evac Ellik Non-locking|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|723.10
WS SERVICE AREA|27200015|Hc Adapter Perit Metal Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|921.00
WS SERVICE AREA|27200016|Hc Adapter Rotating Tubing Hp 72"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|54.10
WS SERVICE AREA|30032561|Hc Instlj Via Ch Tube/cath Agent Fbrnlysis 1st Day|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32561||WS HB DEFAULT|2,213.00
WS SERVICE AREA|27200017|Hc Adapter Screw Cap T U R Y-set|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27200018|Hc Adapter Stay Safe|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|66.70
WS SERVICE AREA|27200019|Hc Adapter T-b 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|94.80
WS SERVICE AREA|27200020|Hc Adapter Touhy Borst|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|153.50
WS SERVICE AREA|20010076|Hc Sternoclavicle Disl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23520||WS HB DEFAULT|4,586.00
WS SERVICE AREA|30032562|Hc Instlj Ch Tube/cath Agent Fbrnlysis Sbsq Day|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32562||WS HB DEFAULT|2,213.00
WS SERVICE AREA|27200021|Hc Adapter Tub 9fr Splt Hemo Ext|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|330.60
WS SERVICE AREA|27200022|Hc Adapter Tube Drain Urostomy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27200023|Hc Adapter Ureteral Cath Connect|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|102.00
WS SERVICE AREA|27200024|Hc Adapter Y Venting 7.5inx3in836096|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|58.70
WS SERVICE AREA|10015852|Hc Dressing Change Under Anesthesia|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15852||WS HB DEFAULT|1,662.00
WS SERVICE AREA|27200025|Hc Adaptor Cautery Monopolar|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|91.70
WS SERVICE AREA|27200027|Hc Adaptor Side Arm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|77.30
WS SERVICE AREA|27200029|Hc Adhesive Skin Closure 2 Octyl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|102.80
WS SERVICE AREA|27200030|Hc Blade Saw Osc 25x1.19x90mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|133.90
WS SERVICE AREA|77010112|Hc Hdr Brachytx 2 Or More Channels/lesion(s) >2.0cm|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77768||WS HB DEFAULT|4,809.00
WS SERVICE AREA|27200031|HC ADHESIVE SKIN HISTOACRYL TOP BLU|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|112.30
WS SERVICE AREA|27200032|Hc Zz Airway 2.0 Air-q Mercury Use 27221007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.70
WS SERVICE AREA|27200033|Hc Zz Airway 2.5 Air-q Mercury Use 27221007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.70
WS SERVICE AREA|27200034|Hc Zz Airway 3.5 Air-q Mercury Use 27221007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.50
WS SERVICE AREA|27200037|Hc Zz Airway Glide-tex Naso Lf 30fr  Use 27200060|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.00
WS SERVICE AREA|27200040|Hc Zz Airway Glide-tex Naso Lf 34fr  Use 27200060|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.10
WS SERVICE AREA|27200041|Hc Airway Laryngoscope Grn Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|470.60
WS SERVICE AREA|27200046|Hc Zz Airway Lma Supreme Sz 3 Use 27221007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|131.60
WS SERVICE AREA|27200052|Hc Zz Airway Lma Supreme Sz 4 Use 27221007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|131.90
WS SERVICE AREA|27200054|Hc Zz Airway Lma Supreme Sz 5 Use 27221007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|132.40
WS SERVICE AREA|20010079|Hc Acromioclavicle Disl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23540||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27237812|Hc Exchange Transfer Set|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|655.10
WS SERVICE AREA|80081405|Hc Molecular Pathology Procedure Level 6|LABORATORY - GENERAL CLASSIFICATION [0300]|81405||WS HB DEFAULT|3,203.00
WS SERVICE AREA|27200060|HC AIRWAY NASO|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.30
WS SERVICE AREA|27200061|Hc Zz Airway Nasal Latex 28fr  Use 27200060|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.20
WS SERVICE AREA|27200062|Hc Zz Airway Nasal Latex 30fr  Use 27200060|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.10
WS SERVICE AREA|27200063|Hc Zz Airway Nasopharyngeal 26fr  Use 27200060|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27200064|Hc Zz Airway Nasopharyngeal 28f  Use 27200060|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.30
WS SERVICE AREA|27200066|Hc Zz Airway Nasopharyngeal 28fr  Use 27200060|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27200067|Hc Zz Airway Nasopharyngeal 30f  Use 27200060|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.00
WS SERVICE AREA|27200069|Hc Zz Airway Nasopharyngeal 32f  Use 27200060|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.20
WS SERVICE AREA|27200070|Hc Zz Airway Nasopharyngeal 34f  Use 27200060|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.20
WS SERVICE AREA|20010080|Hc Acromioclav Disl W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23545||WS HB DEFAULT|4,586.00
WS SERVICE AREA|80030004|Hc Covid-19 N-cdc High Throughput Tests|LABORATORY - GENERAL CLASSIFICATION [0300]|U0004||WS HB DEFAULT|368.00
WS SERVICE AREA|27200072|Hc Zz Airway Nasopharyngeal 36f  Use 27200060|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.60
WS SERVICE AREA|27200073|Hc Zz Airway Nasopharyngeal 36fr  Use 27200060|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.70
WS SERVICE AREA|27200074|Hc Anchor Aortic Frch Eye 1/2 Cir|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27200075|Hc Anchor Mitral Frch Eye 1/2 Cir|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|27200076|Hc Angiocath 14 Ga 5-1/4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27200077|Hc Applicator Duplospray 40cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|538.70
WS SERVICE AREA|27200079|Hc Applicator Floseal Endo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|355.40
WS SERVICE AREA|27200081|Hc Applicator Micromyst|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|823.00
WS SERVICE AREA|27200082|Hc Applier 5mm Hem-o-lok Polymer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|784.90
WS SERVICE AREA|20010082|Hc Scapular Fx W Manip/wo Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23575||WS HB DEFAULT|4,586.00
WS SERVICE AREA|27200083|Hc Applier Clip Endo 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,751.10
WS SERVICE AREA|27200084|Hc Applier Clip Endo Lg Ti 10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|462.50
WS SERVICE AREA|27200085|Hc Applier Clip Endo Rotating|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,630.50
WS SERVICE AREA|27200086|Hc Applier Clip Endoclip Rh Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,570.80
WS SERVICE AREA|27200087|Hc Applier Clip Multi Mcl20 Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|909.50
WS SERVICE AREA|27200088|Hc Applier Clip Multi Mcm20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|927.00
WS SERVICE AREA|27200089|Hc Applier Clip Multi Mcm30 Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,065.50
WS SERVICE AREA|27200090|Hc Applier Clip Multi Mcs20 Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|922.90
WS SERVICE AREA|27200091|Hc Applier Clip Multi Msm20 Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|927.00
WS SERVICE AREA|27200092|Hc Applier Clip Multi Tir20 Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|234.80
WS SERVICE AREA|77010114|Hc Hdr Brachytx Interstital/intracavitary 1 Channel|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77770||WS HB DEFAULT|8,030.00
WS SERVICE AREA|27200093|Hc Applier Clip Surgi M-11.5 134031|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|329.30
WS SERVICE AREA|27200094|Hc Applier Clip Surgi M-11.5 134053|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|351.20
WS SERVICE AREA|27200095|Hc Applier Clip Surgiclip L-13|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|305.90
WS SERVICE AREA|27200096|Hc Applier Clip Surgiclip S-9|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|300.90
WS SERVICE AREA|50051100|Hc Aspiration Bladder Needle|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51100||WS HB DEFAULT|786.00
WS SERVICE AREA|27200097|Hc Applier Endo Clip Pistl Lf 10m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|462.50
WS SERVICE AREA|27200098|Hc Applier Endoclip-3 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|958.90
WS SERVICE AREA|27200099|Hc Applier Hemlock Davinci 8mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9,249.40
WS SERVICE AREA|27200100|Hc Applier Int Clip Med Auto Ti E|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|338.90
WS SERVICE AREA|27200101|Hc Applier Myoocclude|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|179.20
WS SERVICE AREA|20010083|Hc Humeral Wo Manip Prox|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23600||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27200102|Hc Assembly Contrast Spike|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27200103|Hc Assembly Ria Tube Min 520mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,416.40
WS SERVICE AREA|27200108|Hc Assembly Suction Brat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.60
WS SERVICE AREA|27200109|Hc Awl Indp Strt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,261.90
WS SERVICE AREA|27200110|Hc Awl Indpd Bent|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,261.90
WS SERVICE AREA|27200111|Hc Bag 3 Spk Disp Set 54 Line|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|671.60
WS SERVICE AREA|27200112|Hc Bag Bile 19oz Sterile|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.00
WS SERVICE AREA|27200113|Hc Bag Breathing Non Latex 2liter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27200114|Hc Bag Fec Mgmt Dignishield|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.20
WS SERVICE AREA|27200115|Hc Bag Colostomy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|20010084|Hc Humeral Fx W Manip Wo Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23605||WS HB DEFAULT|13,232.00
WS SERVICE AREA|27200116|Hc Bag Colostomy 2-3/4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27200117|Hc Bag Decanter 2000|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.20
WS SERVICE AREA|27200118|Hc Bag Drain Bed Urology|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|84.50
WS SERVICE AREA|27200124|Hc Bag Drain Meter Urine Sil 350c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.70
WS SERVICE AREA|27200125|Hc Bag Drain Uro Table|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.90
WS SERVICE AREA|27200126|Hc Bag Drainage|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|267.10
WS SERVICE AREA|27200127|Hc Bag Drainage 4000cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.90
WS SERVICE AREA|27200128|Hc Bag Drainage Accordian|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|172.10
WS SERVICE AREA|27200129|Hc Bag Drainage Prismas Sp-375|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27200130|Hc Bag Drainage Tc-600|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.00
WS SERVICE AREA|77010115|Hc Hdr Brachytx Interstital/intracavitary 2-12 Channels|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77771||WS HB DEFAULT|8,592.00
WS SERVICE AREA|27200131|Hc Bag Drainage Urine Latex Free|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.90
WS SERVICE AREA|27200132|Hc Bag Drainage Uro-bag|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27200133|Hc Bag Drainage Ventricular Ext|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|207.10
WS SERVICE AREA|27200134|Hc Bag Drainage W/urometer Silv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|89.00
WS SERVICE AREA|27200135|Hc Bag Pressure Infusor 1000ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.70
WS SERVICE AREA|27200136|Hc Bag Pressure Infusor 500ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|59.70
WS SERVICE AREA|27200137|Hc Bag Red Blood Cell|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.40
WS SERVICE AREA|27200138|Hc Bag Reinfusion Brat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|27200139|Hc Bag Sample Baster Effluent|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.70
WS SERVICE AREA|27200140|Hc Bag Specimen Extrac Displf10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,252.50
WS SERVICE AREA|20010086|Hc Humeral Fx W Manip Gr Tuber|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23625||WS HB DEFAULT|13,232.00
WS SERVICE AREA|27200141|Hc Bag Urinary Disp 19oz Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27200142|Hc Bag Urinary Drainage Silv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.10
WS SERVICE AREA|27200143|Hc Bag Waste Brat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.60
WS SERVICE AREA|27200144|Hc Ball Fluted Qd11-4 4mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|427.50
WS SERVICE AREA|27200145|Hc Ball Fluted Qd11-5 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|427.50
WS SERVICE AREA|27200146|Hc Balloon Bakri Postpartum 54cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,221.60
WS SERVICE AREA|27200147|Hc Balloon Cervical Ripening 18fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1726||WS HB DEFAULT|250.00
WS SERVICE AREA|27200148|Hc Balloon Extract Retrieval 9-12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|865.20
WS SERVICE AREA|27200149|Hc Balloon Extractor Rx Retrieval|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|875.50
WS SERVICE AREA|27200150|Hc Balloon Pump Mega 8f 50cc Cath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,824.50
WS SERVICE AREA|77010116|Hc Hdr Brachytx Interstital/intracaviatary > 12 Channels|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77772||WS HB DEFAULT|8,886.00
WS SERVICE AREA|27200152|Hc Balloon Uret Ascend 6x10cm W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|1,217.50
WS SERVICE AREA|27200153|Hc Balloon Uret Ascend Aq 6x4cm W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|1,217.50
WS SERVICE AREA|27200154|Hc Balloon Uretal Dilation 5x4cm W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|1,152.60
WS SERVICE AREA|27200155|Hc Band 24cm Long 2 Balloon Air I|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|210.10
WS SERVICE AREA|27200156|Hc Bandage Ace Sterile Velcro 4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27200157|Hc Bandage Ace Sterile Velcro 6"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27200158|Hc Barrier Adh 3inx2.5in Sod Halu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,575.90
WS SERVICE AREA|27200159|Hc Barrier Adh Intcd Abs Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,111.50
WS SERVICE AREA|27200160|Hc Barrier Convex 14802|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27200162|Hc Basket N-circle Dw Nitinol 2.4x11|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,170.10
WS SERVICE AREA|20010087|Hc Shoulder Disl W Manip Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23650||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27200163|Hc Basket N-circle Nitinol 2.2x115|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,014.60
WS SERVICE AREA|27200164|Hc Basket Nitenol Zero Tip 4.0fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,478.10
WS SERVICE AREA|27200165|Hc Basket Perc N-circle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|614.90
WS SERVICE AREA|27200166|Hc Basket Retrieval Tip Disp 12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,376.10
WS SERVICE AREA|27200167|Hc Basket Retrieval Tip Disp 16mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,376.10
WS SERVICE AREA|27200168|Hc Basket Stone 4wire Atlas 3.2fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|936.30
WS SERVICE AREA|27200170|Hc Basket Stone Ngage Nitinol 1.7|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,136.10
WS SERVICE AREA|27200171|Hc Basket Stone Nitinol Tipless 1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,170.10
WS SERVICE AREA|27200172|Hc Basket Stone Nitinol Tipless 12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,170.10
WS SERVICE AREA|27200173|Hc Basket Stone Ureteroscope 3fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|936.30
WS SERVICE AREA|20010088|Hc Shoulder Disl W Manip/anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23655||WS HB DEFAULT|10,367.00
WS SERVICE AREA|272114020|Hc Kit Pricrdcts Spcl Proc W/ldcn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|562.40
WS SERVICE AREA|27200174|Hc Basket Trapezoid 1.5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,562.50
WS SERVICE AREA|27200175|Hc Basket Trapezoid 2.0cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,562.50
WS SERVICE AREA|27200176|Hc Basket Trapezoid 2.5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,562.50
WS SERVICE AREA|27200177|Hc Battery Pack Synth|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,226.70
WS SERVICE AREA|27200179|Hc Bioseal Advanced|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|172.00
WS SERVICE AREA|27200180|Hc Bioseal Cvc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|118.40
WS SERVICE AREA|27200181|Hc Bit Solidlok Hex 3.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|438.80
WS SERVICE AREA|27200182|Hc Bit With Stop Midas|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|578.90
WS SERVICE AREA|27200183|Hc Blanket Cold Therapy Knee|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|307.50
WS SERVICE AREA|27200184|Hc Blower Hand|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|107.10
WS SERVICE AREA|77010117|Hc Radium Radioisotope Therapy Clinical Brchtx|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77799||WS HB DEFAULT|3,965.00
WS SERVICE AREA|27200185|Hc Boot Mosquito Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27200186|Hc Bra Icepack/tmj Jaw|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|128.00
WS SERVICE AREA|27200187|Hc Brush Biopsy Supertrax|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|145.20
WS SERVICE AREA|27200188|Hc Brush Cytol Deflec 3.2frx115cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|432.60
WS SERVICE AREA|27200189|Hc Brush Cytology Bronchoscope|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.80
WS SERVICE AREA|27200190|Hc Brush Cytology Bronchoscope 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.80
WS SERVICE AREA|27200191|Hc Brush Cytology Colon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|105.10
WS SERVICE AREA|27200192|Hc Brush Deflectable Biopsy 3fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|432.60
WS SERVICE AREA|27200193|Hc Brush Micro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|142.00
WS SERVICE AREA|27200194|Hc Brush W/cord 18ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|20010089|Hc Shoulder Disl W Surg|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23675||WS HB DEFAULT|1,295.00
WS SERVICE AREA|27200195|Hc Bulb Irrigator|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|223.50
WS SERVICE AREA|27200196|Hc Bulb Suction Express F/mini(x)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|59.90
WS SERVICE AREA|27200197|Hc Bundle Op Cab|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,333.50
WS SERVICE AREA|27200198|Hc Bx Wire Sut 18ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|442.90
WS SERVICE AREA|27200199|Hc Cable Accord Ss 2.0 W Clamp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,596.50
WS SERVICE AREA|27200201|Hc Cable Doppler Flow Cook-swartz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|447.00
WS SERVICE AREA|27200202|Hc Cable Elec Umb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|624.20
WS SERVICE AREA|27200203|Hc Cable Pacing Medti Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|141.10
WS SERVICE AREA|27200204|Hc Cable Pacing Remmd Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|67.00
WS SERVICE AREA|27200205|Hc Cable Pacing Sm Allig Ll Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|167.90
WS SERVICE AREA|20010090|Hc Fb Remove Elbow/up Arm Subq|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24200||WS HB DEFAULT|3,340.00
WS SERVICE AREA|27200206|Hc Cable Set D/m S/s How Disp 2mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,708.90
WS SERVICE AREA|27200207|Hc Cable Stern W/cut Edge Ndl 1pk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|519.10
WS SERVICE AREA|27200208|Hc Cable Stern W/cut Edge Ndl 4pk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,079.40
WS SERVICE AREA|27200209|Hc Cannister Abthera 1000ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|67.10
WS SERVICE AREA|27200210|Hc Cannister Fat Hrvt 2000cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,054.70
WS SERVICE AREA|27200211|Hc Cannister Suction 1200ml Doug|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27200212|Hc Cannister Suction W/saf 2000ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27200213|Hc Cannula 8.5x110mm 72200436|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|376.00
WS SERVICE AREA|27200214|Hc Cannula 8gu 19cm Del Dem Bn Mt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|452.20
WS SERVICE AREA|27200215|Hc Cannula Active Tip Disp 10x15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|223.50
WS SERVICE AREA|20010091|Hc Fb Remove Elbow/up Arm Deep|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24201||WS HB DEFAULT|10,588.00
WS SERVICE AREA|27200216|Hc Cannula Adv Fix 5x100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.30
WS SERVICE AREA|27200217|Hc Cannula Aortic 16fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,436.90
WS SERVICE AREA|27200218|Hc Cannula Aortic 18fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,416.30
WS SERVICE AREA|27200219|Hc Cannula Aortic 20fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,436.90
WS SERVICE AREA|27200220|Hc Cannula Aortic 22fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,416.30
WS SERVICE AREA|27200221|Hc Cannula Aortic Root|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|129.80
WS SERVICE AREA|27200222|Hc Cannula Aortic Root Dlp Long|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|125.70
WS SERVICE AREA|27200223|Hc Cannula Aortic Soft Flow 7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|223.50
WS SERVICE AREA|27200224|Hc Cannula Aortic Soft Flow 8mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|295.60
WS SERVICE AREA|27200225|Hc Cannula Aortic W/gw 20fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|328.60
WS SERVICE AREA|20010092|Hc Inj Elbow Arthro|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24220||WS HB DEFAULT|963.00
WS SERVICE AREA|27200226|Hc Cannula Arthro 70mm Gwire Driver|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,029.00
WS SERVICE AREA|27200227|Hc Cannula Balloon Cervical 12fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|312.10
WS SERVICE AREA|27200228|Hc Cannula Baylis 20x100 10crv/sh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|125.70
WS SERVICE AREA|27200229|Hc Cannula Baylis 22x100 5mm Strt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|187.50
WS SERVICE AREA|27200230|Hc Cannula Chamber Anterior 27ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27200231|Hc Cannula Clear Mitek 8.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.30
WS SERVICE AREA|27200232|Hc Cannula Clear Mitek Lf 6mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.30
WS SERVICE AREA|27200233|Hc Cannula Disposable 5.7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|110.70
WS SERVICE AREA|27200234|Hc Cannula Femoral Venous 22fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,730.50
WS SERVICE AREA|27200235|Hc Cannula Femoral Venous 23/25fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,690.90
WS SERVICE AREA|20010093|Hc Humeral Fx Shaft Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24500||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27200236|Hc Cannula Fx 5-12mm + Seal W Vrs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|92.70
WS SERVICE AREA|27200237|Hc Cannula Fx 5mm + Seal W Vrsprt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27200238|Hc Cannula Fx 5mm Seal Shrt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27200239|Hc Cannula Helix Triport 4x10x30c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|247.20
WS SERVICE AREA|27200240|Hc Cannula Helix Triport 5x10x30c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|373.90
WS SERVICE AREA|27200241|Hc Cannula Inner Shiley 6.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.40
WS SERVICE AREA|27200242|Hc Cannula Inner Trach Tube 7.0mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.00
WS SERVICE AREA|27200243|Hc Cannula Lg Body Aortic Root 14|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|174.10
WS SERVICE AREA|27200244|Hc Cannula Mercedes 3x8x30cm Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|254.40
WS SERVICE AREA|27200245|Hc Cannula Mercedes 4.0x10x30cm L|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|254.40
WS SERVICE AREA|20010094|Hc Fx W Manip Wo Ske Shaft Hum|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24505||WS HB DEFAULT|1,295.00
WS SERVICE AREA|27200246|Hc Cannula Nasal 255cm + O2 Smrt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|86.30
WS SERVICE AREA|27200247|Hc Cannula Nucleus Hydro 27x1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27200248|Hc Cannula Part Threaded 5.75x7cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|167.90
WS SERVICE AREA|27200249|Hc Cannula Passport 10mm Id 3cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|223.50
WS SERVICE AREA|27200250|Hc Cannula Retro Auto Inf Bal 15f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|489.30
WS SERVICE AREA|27200251|Hc Cannula Retro Coronary 15fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|489.30
WS SERVICE AREA|27200252|Hc Cannula Rf 10cmm 10mm 20ga Crv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.80
WS SERVICE AREA|27200253|Hc Cannula Rf 4mmx54|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|167.90
WS SERVICE AREA|27200254|Hc Cannula Rf Cvd 10mmx100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|145.20
WS SERVICE AREA|27200255|Hc Cannula Shoulder 7.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|175.10
WS SERVICE AREA|77010021|Hc Hdr Brachytx Interstital/intracavitary 1 Channel 76|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77770|76|WS HB DEFAULT|8,030.00
WS SERVICE AREA|27200256|Hc Cannula Shoulder Linvatec Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|102.00
WS SERVICE AREA|27200257|Hc Cannula Smooth 12x100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|177.20
WS SERVICE AREA|27200258|Hc Cannula Suct Hlx 5mm 10nn 30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|254.40
WS SERVICE AREA|27200259|Hc Cannula Threaded 12x100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|177.20
WS SERVICE AREA|20027603|Hc Incision & Drainage Leg/ankle Abscess/hematoma|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27603||WS HB DEFAULT|8,141.00
WS SERVICE AREA|27200260|Hc Cannula Triport 3mmx22cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|254.40
WS SERVICE AREA|27200261|Hc Cannula Triport Helix 4mmx22cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|254.40
WS SERVICE AREA|27200262|Hc Cannula Tubro 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|355.40
WS SERVICE AREA|27200263|Hc Cannula Twist-in 6x9mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|167.90
WS SERVICE AREA|27200264|Hc Cannula Twist-in 8.25x7cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|167.90
WS SERVICE AREA|20010095|Hc Humeral Fx Supra Trans|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24530||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27200265|Hc Cannula Twist-in 8.25x9cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|167.90
WS SERVICE AREA|27200266|Hc Cannula Venous 2stage 36/46|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|190.60
WS SERVICE AREA|27200267|Hc Cannula Venous 32f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|163.80
WS SERVICE AREA|27200268|Hc Cannula Venous Femoral 20fr 55cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|359.50
WS SERVICE AREA|27200269|Hc Cannula Venous Femoral 24fr 65cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,562.60
WS SERVICE AREA|27200270|Hc Cannula Venous Rt Angle Return|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|175.10
WS SERVICE AREA|27200271|Hc Cannula Venous Tri Stg Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|210.10
WS SERVICE AREA|27200272|Hc Cannula Versastep W/obtr Lf 10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|328.60
WS SERVICE AREA|27200273|Hc Cannula Versastep W/obtr Lf 5m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|283.30
WS SERVICE AREA|27200274|Hc Cannula Vessel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.00
WS SERVICE AREA|20010096|Hc Humeral Fx W Wo Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24535||WS HB DEFAULT|4,101.00
WS SERVICE AREA|272114222|Hc Zz Tray Cath Dia Crv 13f 15cm - Use Eap 27893780|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1752||WS HB DEFAULT|711.70
WS SERVICE AREA|27200275|Hc Cannula W/obt Thd Clr 8.5x75mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|175.10
WS SERVICE AREA|27200276|Hc Cannula W/obturator Clear 6mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.30
WS SERVICE AREA|27200277|Hc Cannula W/rad Exp Slv+long 12m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|323.40
WS SERVICE AREA|27200278|Hc Cannula Wand Deliver 5g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,681.00
WS SERVICE AREA|27200279|Hc Cannula Z Thrd 5x100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.20
WS SERVICE AREA|27200280|Hc Cap Locking Ellispe|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|878.60
WS SERVICE AREA|27200281|Hc Cap Mini Disconnect Dialysis Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.80
WS SERVICE AREA|27200282|Hc Cap Protect 5 Mm Fx Pin Femur|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27200283|Hc Cap Seal Dextrus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,194.90
WS SERVICE AREA|27200284|Hc Cap Sealing Red 2-3mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|20010097|Hc Humeral Fx Epicon Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24560||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27200286|Hc Cartridge Disp Raney|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.40
WS SERVICE AREA|27200287|Hc Cassette Irrigation Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|277.10
WS SERVICE AREA|27200288|Hc Cath .038 Nbrd Hs 1 5fr 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|82.40
WS SERVICE AREA|27200289|Hc Cath .038in Braid Cbr 2 5fr 80|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|83.20
WS SERVICE AREA|27200290|Hc Cath .038in Braid Sosi 2 5fr 8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|83.30
WS SERVICE AREA|27200291|Hc Cath .038in Nbrd Mklsn 5fr 80c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|82.70
WS SERVICE AREA|27200292|Hc Cath .038in Nbrd1 5fr 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|82.40
WS SERVICE AREA|27200293|Hc Cath .038in Sft Vu St1 5fr 100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|82.40
WS SERVICE AREA|27200294|Hc Cath .038in Sft Vu St2 5fr 100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|94.80
WS SERVICE AREA|27200295|Hc Cath 8/10 Set|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|237.90
WS SERVICE AREA|20010098|Hc Humeral Fx Epicon W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24565||WS HB DEFAULT|1,489.00
WS SERVICE AREA|27200296|Hc Cath Anchor Amplatz Aa/8/30|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|487.20
WS SERVICE AREA|27200297|Hc Cath Angio Accuvu 5x70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|477.30
WS SERVICE AREA|27200298|Hc Cath Angio Chg3 5fr 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|98.90
WS SERVICE AREA|27200299|Hc Cath Angio Mik 5fr 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|94.80
WS SERVICE AREA|27200300|Hc Cath Angio Pigtail|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,187.00
WS SERVICE AREA|27200301|Hc Cath Angio Slip Beac 4f 038x65|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|248.20
WS SERVICE AREA|27200302|Hc Cath Angio Slip Ruc 5fr 035x90|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|245.00
WS SERVICE AREA|27200303|Hc Cath Angio Sos Omni 4fr 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|91.70
WS SERVICE AREA|27200304|Hc Cath Angio Vanchies 65cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|175.10
WS SERVICE AREA|27200305|Hc Cath Angio Vcf Sizing 65cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|175.10
WS SERVICE AREA|77010023|Hc Hdr Brachytx Interstital/intracavitary 2-12 Channels 76|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77771|76|WS HB DEFAULT|8,592.00
WS SERVICE AREA|27200306|Hc Cath Angio Vs1 Sos 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|94.80
WS SERVICE AREA|27200307|Hc Cath Anmc Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,965.40
WS SERVICE AREA|27200308|Hc Cath Apd 10.3fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|493.40
WS SERVICE AREA|27200309|Hc Cath Apd Drainage 14fr 14/25|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|471.70
WS SERVICE AREA|50056441|Hc Lysis Labial Adhesions|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|56441||WS HB DEFAULT|8,351.00
WS SERVICE AREA|27200310|Hc Cath Attain Select 6238tel8360830|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|964.10
WS SERVICE AREA|27200311|Hc Cath Bactiseal Codman|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,373.40
WS SERVICE AREA|27200312|Hc Cath Baker Jejunostomy Davol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,367.80
WS SERVICE AREA|27200313|Hc Cath Ball Occlusion 5.3fr 75cm*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|673.60
WS SERVICE AREA|50056501|Hc Destruction Lesions Vulva Simple|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|56501||WS HB DEFAULT|5,425.00
WS SERVICE AREA|20010099|Hc Humeral Fx Condylar Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24576||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27200314|Hc Cath Ball Uret Ascend 5mmx10cm*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|1,217.50
WS SERVICE AREA|27200315|Hc Cath Balloon Dil 1.2mm 12mm Co|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|844.60
WS SERVICE AREA|27200316|Hc Cath Balloon Dil Uret 5mmx4cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|1,011.50
WS SERVICE AREA|27200317|Hc Cath Balloon Dil Uret 6mmx10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|1,011.50
WS SERVICE AREA|50057061|Hc Destruction Vaginal Lesions Simple|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|57061||WS HB DEFAULT|8,351.00
WS SERVICE AREA|27200318|Hc Cath Balloon Dil Uret 6mmx4cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|1,051.60
WS SERVICE AREA|27200319|Hc Cath Balloon Endorectal Pro-te|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|346.10
WS SERVICE AREA|27200320|Hc Cath Balloon Tamponade|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|654.60
WS SERVICE AREA|27200321|Hc Cath Balloon Veno Attain 6215 W/ Sheath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|602.60
WS SERVICE AREA|272000256|Hc Pump Elastomeric|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.20
WS SERVICE AREA|20010100|Hc Humeral Fx Condylar W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24577||WS HB DEFAULT|4,586.00
WS SERVICE AREA|27200322|Hc Cath Balloon Venogram 6714|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|301.80
WS SERVICE AREA|27200323|Hc Cath Bartholin Gland Rusch|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|172.60
WS SERVICE AREA|27200324|Hc Cath Berenstein 5fr 40cm .038|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|92.70
WS SERVICE AREA|27200325|Hc Cath Berenstein 5fr 65cm .038|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|93.70
WS SERVICE AREA|10110035|HC PERQ SOFT TISSUE LOC DEVICE PLMT 1ST LESION W/GUIDANCE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10035||WS HB DEFAULT|3,119.00
WS SERVICE AREA|27200326|Hc Cath Broviac Bard 2.7fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|844.60
WS SERVICE AREA|27200327|Hc Cath Castillo 1 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200328|Hc Cath Castillo 2 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200329|Hc Cath Castillo 3 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|10110036|HC PERQ SOFT TISSUE LOC DEVICE PLMT ADD LESION W/GUIDANCE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10036||WS HB DEFAULT|3,119.00
WS SERVICE AREA|20010101|Hc Elbow Disl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24600||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27200330|Hc Cath Centesis Yueh 8fr 7cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|116.70
WS SERVICE AREA|27200331|Hc Cath Central Vein Arrow W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|171.00
WS SERVICE AREA|27200332|Hc Cath Clamp Screw Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27200333|Hc Cath Cmc 3.5cm 5.0cm Triconca|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|898.20
WS SERVICE AREA|27200334|Hc Cath Cnts 5fr 7cm 1stp Slip Fi|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|132.00
WS SERVICE AREA|27200335|Hc Cath Cone Rusch Lf (m) 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|50.50
WS SERVICE AREA|27200336|Hc Cath Connector Csf Psm 3-way|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,236.00
WS SERVICE AREA|27200337|Hc Cath Connector Csf Psm Str|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|413.00
WS SERVICE AREA|27200338|Hc Cath Coude Slv 2-way 12fr 5cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|80.60
WS SERVICE AREA|27200339|Hc Cath Coude Slv 2-way 14fr 5cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|81.50
WS SERVICE AREA|27237805|Hc Blade Laryn Disp Mill 4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27200340|Hc Cath Coude Slv 2-way 16fr 5cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|80.90
WS SERVICE AREA|27200341|Hc Cath Coude Slv 2-way 18fr 5cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|81.10
WS SERVICE AREA|27200342|Hc Cath Coude Slv 2-way 20fr 5cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|81.40
WS SERVICE AREA|27200343|Hc Cath Coude Slv 2-way 22fr 5cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|81.40
WS SERVICE AREA|27200344|Hc Cath Csf-cardiac Psm 58cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|969.20
WS SERVICE AREA|27200345|Hc Cath Csf-peritoneal Psm Std|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|878.60
WS SERVICE AREA|27200346|Hc Cath Csf-ventricu Psm Std|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|784.90
WS SERVICE AREA|27200347|Hc Cath Daswon Mueller Drain 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|468.70
WS SERVICE AREA|27200348|Hc Cath Dawson Mueller 8.5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|443.40
WS SERVICE AREA|27200349|Hc Cath Dbl Lumen Endo Xchg 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|253.70
WS SERVICE AREA|20010102|Hc Elbow Disl W Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24605||WS HB DEFAULT|20,736.00
WS SERVICE AREA|27200350|Hc Cath Drain Abcession 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|386.80
WS SERVICE AREA|27200351|Hc Cath Drain Abcession 12fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|385.60
WS SERVICE AREA|27200352|Hc Cath Drain Abcession 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|387.40
WS SERVICE AREA|27200353|Hc Cath Drain Abcession 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|384.10
WS SERVICE AREA|27200354|Hc Cath Drain Abs Biliary 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|439.80
WS SERVICE AREA|27200355|Hc Cath Drain Abs Biliary 12fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|427.50
WS SERVICE AREA|27200356|Hc Cath Drain Abs Biliary 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|433.60
WS SERVICE AREA|27200357|Hc Cath Drain Abs Biliary 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|439.80
WS SERVICE AREA|27200358|Hc Cath Drain Abscession 6.5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|384.90
WS SERVICE AREA|27200359|Hc Cath Drain Apd Glidex 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|472.10
WS SERVICE AREA|77010025|Hc Hdr Brachytx Interstital/intracavitary > 12 Channels 76|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77772|76|WS HB DEFAULT|8,886.00
WS SERVICE AREA|27200360|Hc Cath Drain Clm Rh 14fr 25cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|500.20
WS SERVICE AREA|27200361|Hc Cath Drain Dawson-mueller 10.2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|433.40
WS SERVICE AREA|27200362|Hc Cath Drain Firm Flex 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|507.80
WS SERVICE AREA|27200363|Hc Cath Drain Firm Flex 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|536.60
WS SERVICE AREA|27200364|Hc Cath Drain Gordon Lb 16fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|442.90
WS SERVICE AREA|27200365|Hc Cath Drain Gordon Lb 18fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|426.40
WS SERVICE AREA|27200366|Hc Cath Drain Rb 6sh 16fr 038x25|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|471.70
WS SERVICE AREA|27200367|Hc Cath Drain Ult Rb Mac 12f 38x2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|502.70
WS SERVICE AREA|27200368|Hc Cath Drainage Apdl Firm 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|462.40
WS SERVICE AREA|27200369|Hc Cath Drainage Dawson-mueller|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|440.10
WS SERVICE AREA|27239544|Hc Blade Laryng 0 Std 75mm Mill|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|272114223|Hc Zz Tray Cath Dia Crv 13f 20cm - Use Eap 27893780|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1752||WS HB DEFAULT|718.90
WS SERVICE AREA|27200370|Hc Cath Drainage Locking 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|495.80
WS SERVICE AREA|27200371|Hc Cath Dual Lumen Flex 10fr 50cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|187.50
WS SERVICE AREA|27200372|Hc Cath Dual Lumen Pcnl 24cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|199.80
WS SERVICE AREA|27200373|Hc Cath Duodecca 5-5-5spacing 7fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1731||WS HB DEFAULT|6,930.90
WS SERVICE AREA|27200374|Hc Cath Duplocath 35 Mis Appl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|318.30
WS SERVICE AREA|27200375|Hc Cath Edwards Pulmonary Wedge|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|190.60
WS SERVICE AREA|10000297|Hc Zz Ext Ecg > 48hr To 21 Day Scan Analysis W/report - No Replacement|EKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731]|0297T||WS HB DEFAULT|364.00
WS SERVICE AREA|27200376|Hc Cath Electro Gold Probe 10/300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|723.10
WS SERVICE AREA|27200377|Hc Cath Electro Gold Probe 7/300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|723.10
WS SERVICE AREA|27200378|Hc Cath Electro Gold Probe 7/350|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|964.10
WS SERVICE AREA|20010104|Hc Elbow Nursmaid|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24640||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27200379|Hc Zz Cath Endobronch Lt 35fr 516035- Use 27203308|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|266.90
WS SERVICE AREA|20027301|Hc Id Deep Absc Bursa/hematoma Thigh/knee Region|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27301||WS HB DEFAULT|7,753.00
WS SERVICE AREA|27200380|Hc Zz Cath Endobronch Lt 37fr 516037- Use 27203308|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|267.90
WS SERVICE AREA|27200381|Hc Zz Cath Endobronch Lt 39fr 516039- Use 27203308|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|265.70
WS SERVICE AREA|27200382|Hc Cath Evd Bacitseal Codman 1.9m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,497.30
WS SERVICE AREA|27200383|Hc Cath Evd Bactiseal Codman|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,257.70
WS SERVICE AREA|50054060|Hc Zz Dstrj Lesion Penis Simple Surg Excision - Use Eap 50020066|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54060||WS HB DEFAULT|5,425.00
WS SERVICE AREA|27200384|Hc Cath Ext Angiographic 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.00
WS SERVICE AREA|27200385|Hc Cath Ext Angiographic 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27200386|Hc Cath Ez-path Hs Guiding 7fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|632.40
WS SERVICE AREA|20010105|Hc Radial Fx Head/neck Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24650||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27200387|Hc Cath Fem Art Arrow Lf 20gx4.25|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|81.00
WS SERVICE AREA|50054162|Hc Zz Lysis/excision Penile Postcircumcision Adhesions - Use Eap 50020070|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54162||WS HB DEFAULT|5,923.00
WS SERVICE AREA|27200388|Hc Cath Fem Cordis 3rdc 6fr 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200389|Hc Cath Femoral Arterial Arrow 18g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.70
WS SERVICE AREA|27200390|Hc Cath Femoral Cordis 6f Al I|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200391|Hc Cath Femoral Cordis 6f Al Ii|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200392|Hc Cath Femoral Cordis 6f Al Iii|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200393|Hc Cath Femoral Cordis 6f Ar Mod|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200394|Hc Cath Femoral Cordis 6f Im|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200395|Hc Cath Femoral Cordis 6f Jl3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27239545|Hc Blade Laryng 00 Std 64mm Mill|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27200396|Hc Cath Femoral Cordis 6f Jl4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200397|Hc Cath Femoral Cordis 6f Jl5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200398|Hc Cath Femoral Cordis 6f Jl6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200399|Hc Cath Femoral Cordis 6f Jr4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200400|Hc Cath Femoral Cordis 6f Jr6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200401|Hc Cath Femoral Cordis 6f Lcb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200402|Hc Cath Femoral Cordis 6f Mpb2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200403|Hc Cath Femoral Cordis 6f Rcb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200404|Hc Cath Femoral Cordis 6fmpa2/10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200405|Hc Cath Femoral Cordis 6fmpa2/12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|20010106|Hc Radial Fx Head/neck W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24655||WS HB DEFAULT|4,586.00
WS SERVICE AREA|27200406|Hc Cath Flexima Apdl 12fr 25cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|491.00
WS SERVICE AREA|27200407|Hc Cath Flexima Apdl 14fr 25cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|490.30
WS SERVICE AREA|27200410|Hc Cath Foley 2way|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.90
WS SERVICE AREA|27200418|Hc Cath Foley 3way, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|83.80
WS SERVICE AREA|27200426|Hc Cath Foley Criticore With Tray|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|206.20
WS SERVICE AREA|27200433|Hc Cath Foley Silver/ic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.60
WS SERVICE AREA|27200455|Hc Cath Gastrostomy Mic 14f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|234.80
WS SERVICE AREA|27200456|Hc Tube Gastro Mic-key 16f Sil 3-5ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|143.60
WS SERVICE AREA|27200457|Hc Cath Gastrostomy Mic 18f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|230.70
WS SERVICE AREA|27200458|Hc Cath Gastrostomy Mic Cr Lf 24f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.20
WS SERVICE AREA|20010107|Hc Ulnar Fx Prox End Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24670||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27200459|Hc Cath Glide 5 Straight/65/.038|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|294.60
WS SERVICE AREA|27200460|Hc Cath Glide C2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|299.20
WS SERVICE AREA|27200461|Hc Cath Glide Hc 4f 65cm C2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|299.10
WS SERVICE AREA|27200462|Hc Cath Glidecath Ang Tp 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|300.10
WS SERVICE AREA|27200463|Hc Cath Glidecath Angf Tp 5fr 139|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|298.70
WS SERVICE AREA|27200464|Hc Cath Gold Probe Std Plug 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,297.80
WS SERVICE AREA|27200465|Hc Cath Groshong Bard 8f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|2,232.00
WS SERVICE AREA|27200466|Hc Cath Groshong Bard 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,811.80
WS SERVICE AREA|27200467|Hc Cath Groshong Bard 9.5f 2-lume|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,971.20
WS SERVICE AREA|27200468|Hc Cath Groshong Dual Lum 9.5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|2,987.70
WS SERVICE AREA|20010108|Hc Ulnar Fx Prox End W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24675||WS HB DEFAULT|1,489.00
WS SERVICE AREA|27200469|Hc Cath Guide .021in 3/2.4fr 150c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,535.90
WS SERVICE AREA|27200470|Hc Cath Guide .021in 3fr 150cm An|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,645.00
WS SERVICE AREA|27200471|Hc Cath Guide 5f Convey Jl5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|271.90
WS SERVICE AREA|27200472|Hc Cath Guide 5f Convey Lt Bu3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200473|Hc Cath Guide 5f Convey Lt Bu4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200474|Hc Cath Guide 5f Convey Rbl3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200475|Hc Cath Guide 5f Convey Rbr4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200476|Hc Cath Guide B-max Cvd 8f 4.0sh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|362.60
WS SERVICE AREA|27200477|Hc Cath Guide B-max Cvd 8f 4.0sh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|362.60
WS SERVICE AREA|27200478|Hc Cath Guide Cordis Hcky Stk 8f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27239546|Hc Blade Laryng 1 Std 102mm Mill|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27200479|Hc Cath Guide Ebu Lt 6fr 3.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200480|Hc Cath Guide Ebu Lt 6fr 3.5x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200481|Hc Cath Guide Ebu Lt 6fr 3.75x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200482|Hc Cath Guide Ebu Lt 6fr 4.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200483|Hc Cath Guide Ebu Lt 6fr 4.5x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200484|Hc Cath Guide Ebu Lt 6fr 5.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200485|Hc Cath Guide Ebu Lt 7fr 3.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200486|Hc Cath Guide Ebu Lt 7fr 3.5x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200487|Hc Cath Guide Ebu Lt 7fr 3.75x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200488|Hc Cath Guide Ebu Lt 7fr 4.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|20010109|Hc Inj Wrist Arthro|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25246||WS HB DEFAULT|877.00
WS SERVICE AREA|27200489|Hc Cath Guide Ebu Lt 7fr 4.5x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200490|Hc Cath Guide Ebu Lt 8fr 3.5x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200491|Hc Cath Guide Ebu Lt 8fr 3.75x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200492|Hc Cath Guide Ebu Lt 8fr 4.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200493|Hc Cath Guide Ebu Lt W/sh 6fr 3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200494|Hc Cath Guide Ebu Lt W/sh 7fr 3.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200495|Hc Cath Guide Ebu Lt W/sh 7fr 3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200496|Hc Cath Guide Ebu Lt W/sh 7fr3.75|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200497|Hc Cath Guide Mach 1 6f Fcl 3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|301.80
WS SERVICE AREA|27200498|Hc Cath Guide Mach 1 6f Kl 4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|292.50
WS SERVICE AREA|80081406|Hc In Situ Hybridization 1st Probe Stain|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88365||WS HB DEFAULT|1,789.00
WS SERVICE AREA|27200499|Hc Cath Guide Mach 1 6f Kr 3 H|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|292.50
WS SERVICE AREA|27200500|Hc Cath Guide Mach 1 6f Kr 4 H|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|301.80
WS SERVICE AREA|27200501|Hc Cath Guide Mach 1 6f Kr 4 S|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|292.50
WS SERVICE AREA|27200502|Hc Cath Guide Mach 1 6f Kr 4 Sh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|301.80
WS SERVICE AREA|27200503|Hc Cath Guide Mach 1 6f Vl 3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|292.50
WS SERVICE AREA|27200504|Hc Cath Guide Mach 1 6f Vl 4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|301.80
WS SERVICE AREA|27200505|Hc Cath Guide Mach 1 6fr Vl 3.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|301.80
WS SERVICE AREA|27200506|Hc Cath Guide Mach 1 7f Fcl 3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|292.50
WS SERVICE AREA|27200507|Hc Cath Guide Mach 1 7f Fcl 4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|301.80
WS SERVICE AREA|27200508|Hc Cath Guide Mach 1 7f Vl 3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|301.80
WS SERVICE AREA|27231028|Hc Blade Miller 3 198mm 14mm Grn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|272114363|Hc Kit Icp Mtl Disp Adlt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,840.90
WS SERVICE AREA|27200509|Hc Cath Guide Mach 1 7f Vl 4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|301.80
WS SERVICE AREA|27200510|Hc Cath Guide Medtr 6126a-mp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,204.10
WS SERVICE AREA|27200511|Hc Cath Guide Medtr 6216a-mb2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,024.90
WS SERVICE AREA|27200512|Hc Cath Guide Medtr 6218a-am|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,207.20
WS SERVICE AREA|27200513|Hc Cath Guide Medtr 6218a-eh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,024.90
WS SERVICE AREA|27200514|Hc Cath Guideliner 5 In 6 0.056in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,382.40
WS SERVICE AREA|27200515|Hc Cath Guiding Brite Tp 9f Al2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200516|Hc Cath Guiding Cook 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|187.50
WS SERVICE AREA|27200517|Hc Cath Guiding Mach 1 Mp 90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|549.00
WS SERVICE AREA|27200518|Hc Cath Guiding Mach 1 Mp2 90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|565.50
WS SERVICE AREA|20010111|Hc Fb Remove Forearm Comp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25248||WS HB DEFAULT|13,416.00
WS SERVICE AREA|27200519|Hc Cath Guiding Xl Br/tp Jr4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200520|Hc Cath Hickman Bard 12.5f 3lumen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,377.10
WS SERVICE AREA|27200521|Hc Cath Hickman Bard 9fr 2-lumen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,116.50
WS SERVICE AREA|27200522|Hc Cath Hickman Bard Sgl 9.6f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|677.40
WS SERVICE AREA|27200523|Hc Cath Hickman Dual Lumen 9 Fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|939.40
WS SERVICE AREA|27200524|Hc Cath Hickman Subcutaneous 14|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,330.80
WS SERVICE AREA|27200525|Hc Cath High Flow Cordis 7f Jr4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|68.00
WS SERVICE AREA|27200526|Hc Cath Hnbr 5.0-35-100-p-ns-dav|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
WS SERVICE AREA|27200527|Hc Cath Hnbr 5.0-35-100-p-ns-h1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.50
WS SERVICE AREA|27200528|Hc Cath Hnbr 5.0-35-100-p-ns-sim2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.30
WS SERVICE AREA|80081407|Hc In Situ Hybridization (eg, Fish), Per Specimen; Each Additional Single Probe Stain Procedure(ng)|LABORATORY - GENERAL CLASSIFICATION [0300]|88364||WS HB DEFAULT|1,789.00
WS SERVICE AREA|27200529|Hc Cath Hnbr 5.0-35-65-p-ns-c2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.30
WS SERVICE AREA|27200530|Hc Cath Hnbr 5.0-38-100-p-ns-dav|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
WS SERVICE AREA|27200531|Hc Cath Hnbr 5.0-38-40-p-ns-kmp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.90
WS SERVICE AREA|27200532|Hc Cath Hnbr 5.0-38-65-p-ns-kmp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.80
WS SERVICE AREA|27200533|Hc Cath Hnbr 5.0-38-65-p-ns-mpa|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
WS SERVICE AREA|27200534|Hc Cath Hydroglide 20fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|136.00
WS SERVICE AREA|27200535|Hc Cath Hysterosalpingo Trime 5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|173.30
WS SERVICE AREA|27200536|Hc Cath I-flow 2.5in"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|254.40
WS SERVICE AREA|27200537|Hc Cath Imager 6f 90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200538|Hc Cath Imager Bern 5fr 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|92.70
WS SERVICE AREA|20010112|Hc Radial Shaft Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25500||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27200539|Hc Cath Inf Cordia Lcb 4fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|27200540|Hc Cath Inf Cordia Mpa2 4 Fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|27200541|Hc Cath Inf Cordis 4f 3drc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.00
WS SERVICE AREA|27200542|Hc Cath Inf Cordis 4f Im|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|27200543|Hc Cath Inf Cordis 4f Jl3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|27200544|Hc Cath Inf Cordis 4f Pigtail|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.80
WS SERVICE AREA|27200545|Hc Cath Inf Cordis 4fr Jl4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|27200546|Hc Cath Inf Cordis 4fr Jr4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|27200547|Hc Cath Infiniti 145 Pig Mod 4fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27200548|Hc Cath Infiniti 5fr Ali 545t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|272123893|Hc Bougie Intubation Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.10
WS SERVICE AREA|27200549|Hc Cath Infiniti 5fr Im 560t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200550|Hc Cath Infiniti 5fr Jl3.5 518t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200551|Hc Cath Infiniti 5fr Jl4 520t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200552|Hc Cath Infiniti 5fr Jr4 521t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|61.80
WS SERVICE AREA|27200553|Hc Cath Infiniti 5fr Mpa2 542t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200554|Hc Cath Infiniti 5fr Pig 550s|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200555|Hc Cath Infiniti Al 1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|274124844|Hc Hm Syst Controller (sc) Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0481||WS HB DEFAULT|25,276.20
WS SERVICE AREA|27200556|Hc Cath Infiniti Al 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|27200557|Hc Cath Infiniti Ar Mod|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|20010113|Hc Radial Shaft Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25505||WS HB DEFAULT|4,101.00
WS SERVICE AREA|274124845|Hc Hm2 11v Backup Battery Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0506||WS HB DEFAULT|2,259.80
WS SERVICE AREA|27200558|Hc Cath Infiniti Jl 5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|27200559|Hc Cath Infiniti Jl 6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|274124850|Hc Hm2 Battery, 14v Li-lon, Ea|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0506||WS HB DEFAULT|2,872.70
WS SERVICE AREA|27200560|Hc Cath Infiniti Jr 5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|27200561|Hc Cath Infiniti Pig 552s 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|61.80
WS SERVICE AREA|274124851|Hc Hm2 Battery Clip 14v Li-ion, Ea, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0497||WS HB DEFAULT|2,527.60
WS SERVICE AREA|27200562|Hc Cath Inflation Sinus Balloon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|448.10
WS SERVICE AREA|27200563|Hc Cath Inf-other Than Hemodialysis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|15.50
WS SERVICE AREA|274125842|Hc Hm2 Shower Bag, Ea, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0501||WS HB DEFAULT|1,104.50
WS SERVICE AREA|20010114|Hc Ulnar Fx Shaft Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25530||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27200564|Hc Cath Infus Cragg 5fr 100x30|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|602.60
WS SERVICE AREA|27200565|Hc Cath Infusion Sng Lumen 7x16cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|63.90
WS SERVICE AREA|274124853|Hc Hm2 Travel Bag, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|769.90
WS SERVICE AREA|27200566|Hc Cath Insyte Autogd Lf 24 5/16"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.40
WS SERVICE AREA|27200567|Hc Cath Intracath 16 Ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|171.00
WS SERVICE AREA|274124854|Hc Hm2 Box Stabilization Belts Lg, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|510.90
WS SERVICE AREA|27200568|Hc Cath Intrauterine Pres Clr Kol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|155.50
WS SERVICE AREA|27200569|Hc Cath Intrauterine Pres Clr Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|153.80
WS SERVICE AREA|274124855|Hc Hm2 Battery Holster 14v Li-lon, Ea, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0498||WS HB DEFAULT|1,009.40
WS SERVICE AREA|274124856|Hc Hm2 Consolidated Bag Left 14v Li-lon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0499||WS HB DEFAULT|1,532.30
WS SERVICE AREA|272126171|Hc Bronchoscope Ambu 3.8mm Ascope Slim Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,183.30
WS SERVICE AREA|274124857|Hc Hm2 Consolidated Bag Right 14v Li-lon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0498||WS HB DEFAULT|2,016.70
WS SERVICE AREA|27200575|Hc Cath Iv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.00
WS SERVICE AREA|274124858|Hc Hm2 Holster Vest Sm 14v Li-lon, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0498||WS HB DEFAULT|2,016.70
WS SERVICE AREA|274124859|Hc Hm2 Holster Vest Med 14v Li-lon, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0498||WS HB DEFAULT|1,785.00
WS SERVICE AREA|274124860|Hc Hm2 Holster Vest Lg 14v Li-lon Rt, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0499||WS HB DEFAULT|1,659.30
WS SERVICE AREA|274125624|Hc Hm2 Power  Module Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0479||WS HB DEFAULT|36,766.90
WS SERVICE AREA|274125625|Hc Hm2 Battery Power Module Backup, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0496||WS HB DEFAULT|459.40
WS SERVICE AREA|274125628|Hc Hm2 Pt Cable Power Module 14v, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|5,745.30
WS SERVICE AREA|274125631|Hc Hm2 Cable Automobile Dc Power, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0478||WS HB DEFAULT|1,659.30
WS SERVICE AREA|70201011|HC CLINICAL DECISION SUPPORT NOT OTHERWISE CLASSIFIED|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|G1011||WS HB DEFAULT|0.01
WS SERVICE AREA|20010115|Hc Ulnar Fx Shaft W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25535||WS HB DEFAULT|1,072.00
WS SERVICE AREA|274125632|Hc Hm2 Battery Charg Pwr Module Ac Cord|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|179.20
WS SERVICE AREA|27200591|Hc Cath Jehle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|390.40
WS SERVICE AREA|274125633|Hc Hm2 Kit Wearable Accessories, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|868.30
WS SERVICE AREA|27200592|Hc Cath Kumpe Radiopaque Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|174.50
WS SERVICE AREA|270138459|Hc Sensor Cardea Solo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|466.00
WS SERVICE AREA|27200593|Hc Cath Lap-13 Ranfac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|297.70
WS SERVICE AREA|274125634|Hc Hm2 Belt Stabilization Sm, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|510.90
WS SERVICE AREA|27200594|Hc Zz Cath Lumboperitoneal Shunt Tube - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|4,363.10
WS SERVICE AREA|27200595|Hc Cath Mac 5fr 2.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|85.70
WS SERVICE AREA|274125635|Hc Hm2 Kit Pt Support W/sys Control|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|||WS HB DEFAULT|137,803.70
WS SERVICE AREA|80081409|Hc Morphometric Analysis, In Situ Hybridization, Using Computer-assisted Technology,per Specimen; Initial Single Probe Stain Procedure(ng)|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88367||WS HB DEFAULT|1,789.00
WS SERVICE AREA|27200596|Hc Cath Malecot Bard 12f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.80
WS SERVICE AREA|20020650|Hc Insertion Wire/pin W/appl Skeletal Traction Spx|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20650||WS HB DEFAULT|9,153.00
WS SERVICE AREA|27200597|Hc Cath Malecot Bard 14f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.80
WS SERVICE AREA|274125636|Hc Hm2 Battery Charger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0495||WS HB DEFAULT|33,089.80
WS SERVICE AREA|27200598|Hc Cath Malecot Bard 18fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.80
WS SERVICE AREA|27200599|Hc Cath Malecot Bard 20fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|274124999|Hc Driveline Dressing Tray Lvad Weekly|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|144.80
WS SERVICE AREA|27200600|Hc Cath Malecot Bard 22f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.80
WS SERVICE AREA|27200601|Hc Cath Malecot Bard 24f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.80
WS SERVICE AREA|274125000|Hc Driveline Dressing Tray Lvad Daily|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|71.00
WS SERVICE AREA|20010116|Hc Radial/ulnar Fx Shaft Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25560||WS HB DEFAULT|1,072.00
WS SERVICE AREA|270114368|Hc Kit Man Dual Mntr Iv Pole Mnt 72in 48in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|155.50
WS SERVICE AREA|80080445|Hc Drug Screening Fentanyl|LABORATORY - GENERAL CLASSIFICATION [0300]|80354||WS HB DEFAULT|248.00
WS SERVICE AREA|27200602|Hc Cath Malecot Bard 26f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.80
WS SERVICE AREA|27200603|Hc Cath Micro Mira Hf 2.8f .25inx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,322.70
WS SERVICE AREA|274125001|Hc Lvad Dressing Shield Syst Med 3 3/4 X 5 7/16 Ster|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|11.30
WS SERVICE AREA|27200604|Hc Cath Micro Sensor Vent|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,765.70
WS SERVICE AREA|27200605|Hc Cath Monti 7fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
WS SERVICE AREA|274125003|Hc Lvad Kit Foley Anchor Cath Secure|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|24.00
WS SERVICE AREA|27200606|Hc Cath Multi Lum Cent Lf Ml00703|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|160.30
WS SERVICE AREA|27200607|Hc Cath Multi Lumen Central Arro Lf W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|133.90
WS SERVICE AREA|274125004|Hc Lvad Showerguard 12x10 5 Pack|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|46.40
WS SERVICE AREA|27200608|Hc Cath Multi Venous Arrow W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|133.90
WS SERVICE AREA|272112657|Hc Catheter Mini Bal Smpl 16fr Clr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|194.70
WS SERVICE AREA|27200609|Hc Cath Multipurpose Drain 10.2fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|499.60
WS SERVICE AREA|27200610|Hc Cath Multipurpose Drain 8.5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|503.30
WS SERVICE AREA|27200611|Hc Cath Mushroom Bard 26f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|42.20
WS SERVICE AREA|27200612|Hc Cath Ndl Yueh Cent 5f 19ga 15c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|117.70
WS SERVICE AREA|27200613|Hc Cath Nr5.0-35-70-p-10spigcsc20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|494.40
WS SERVICE AREA|27200614|Hc Cath Olive Bard 4f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|44.30
WS SERVICE AREA|27200615|Hc Cath Omega Nv Bard 7f W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|839.50
WS SERVICE AREA|274024844|Hc Hm Replace Und Warranty Syst Controller (sc)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0481|RA|WS HB DEFAULT|25,276.20
WS SERVICE AREA|27200616|Hc Cath Omni Flush .038 65cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|92.10
WS SERVICE AREA|27200617|Hc Cath Omni Flush 5fr 70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|473.10
WS SERVICE AREA|20010117|Hc Radial/ulnar Fx Shaft W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25565||WS HB DEFAULT|4,586.00
WS SERVICE AREA|274024845|Hc Hm2 Replace Und Warranty 11v Backup Battery|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0506|RA|WS HB DEFAULT|2,553.40
WS SERVICE AREA|27200618|Hc Cath Open End 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|73.10
WS SERVICE AREA|27200619|Hc Cath Open End 7fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|73.10
WS SERVICE AREA|274024850|Hc Hm2 Replace Und Warranty Battery, 14v Li-lon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0506|RA|WS HB DEFAULT|2,872.70
WS SERVICE AREA|27200620|Hc Cath Paceport Baxter 7.5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|317.80
WS SERVICE AREA|27200621|Hc Cath Pacing Swan 5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|430.50
WS SERVICE AREA|274024851|Hc Hm2 Replace Und Warranty Battery Clip 14v Li-ion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0497|RA|WS HB DEFAULT|2,527.60
WS SERVICE AREA|27200622|Hc Cath Pain Pump W/intro Ndl 19g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27200623|Hc Cath Percutaneous Cholan 3-20f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|392.40
WS SERVICE AREA|274025842|Hc Hm2 Replace Und Warranty Shower Bag|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0501|RA|WS HB DEFAULT|1,148.50
WS SERVICE AREA|80081410|Hc Morphometric Analysis, In Situ Hybridization (quantitative Or Semi-quantitative), Using Computer-assisted Technology, Per Specimen; Each Additional Single Probe Stain Procedure (list Separately In Addition To Code For Primary Procedure)|LABORATORY - GENERAL CLASSIFICATION [0300]|88373||WS HB DEFAULT|1,789.00
WS SERVICE AREA|27200624|Hc Cath Perfus Cor Rt Angle 4mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|448.10
WS SERVICE AREA|27200625|Hc Cath Perfus Cor Rt Angle 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|448.10
WS SERVICE AREA|274024853|Hc Hm2 Replace Und Warranty Travel Bag|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508|RA|WS HB DEFAULT|816.80
WS SERVICE AREA|27200626|Hc Cath Perfusion Coronary St 4mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|448.10
WS SERVICE AREA|27200627|Hc Cath Perfusion Coronary St 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|448.10
WS SERVICE AREA|274024854|Hc Hm2 Replace Und Warranty Box Stabilization Belts Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508|RA|WS HB DEFAULT|510.90
WS SERVICE AREA|27200628|Hc Cath Picc Line 5fr W/ Sheath*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|405.60
WS SERVICE AREA|27200629|Hc Cath Picc Power Dual Lumen 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|520.80
WS SERVICE AREA|274024855|Hc Hm2 Replace Und Warranty Battery Holster 14v Li-lon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0498|RA|WS HB DEFAULT|1,009.40
WS SERVICE AREA|27200630|Hc Cath Pigtail 5fr 035x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|470.10
WS SERVICE AREA|20010118|Hc Radial Distal Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25600||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27200631|Hc Cath Pigtail Cook 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.20
WS SERVICE AREA|274024856|Hc Hm2 Replace Und Warranty Consolidated Bag Left 14v Li-lon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0499|RA|WS HB DEFAULT|1,659.30
WS SERVICE AREA|27200632|Hc Cath Pigtail Cordis 6f 6h Angl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200633|Hc Cath Pigtail Dual Lumen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|655.10
WS SERVICE AREA|274024857|Hc Hm2 Replace Und Warranty Consolidated Bag Right 14v Li-lon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0498|RA|WS HB DEFAULT|2,016.70
WS SERVICE AREA|27200634|Hc Cath Pigtail Sizing 5fr 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|480.00
WS SERVICE AREA|27200635|Hc Cath Pigtail St Cordis 6f 6h|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|274024858|Hc Hm2 Replace Und Warranty Holster Vest Sm 14v Li-lon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0498|RA|WS HB DEFAULT|2,016.70
WS SERVICE AREA|27200636|Hc Cath Pollack Cook Open End 5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|73.10
WS SERVICE AREA|27200637|Hc Cath Poly Umb Vessel 15" 3.5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|77.70
WS SERVICE AREA|27270617|Hc Catheter Crico Set Er Cuff 9mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|1,238.10
WS SERVICE AREA|274024859|Hc Hm2 Replace Und Warranty Holster Vest Med 14v Li-lon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0498|RA|WS HB DEFAULT|2,016.70
WS SERVICE AREA|27200638|Hc Cath Poly Umb Vessel 15" 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|77.90
WS SERVICE AREA|27200639|Hc Cath Powerpicc 4fr Sl W Kit W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|854.90
WS SERVICE AREA|274024860|Hc Hm2 Replace Und Warranty Holster Vest Lg 14v Li-lon Rt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0499|RA|WS HB DEFAULT|1,659.30
WS SERVICE AREA|27200640|Hc Cath Powerpicc 5fr Dl W/kit W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,008.40
WS SERVICE AREA|27200641|Hc Cath Progreat Terumo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,779.60
WS SERVICE AREA|274025624|Hc Hm2 Replace Und Warranty Power  Module|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0479|RA|WS HB DEFAULT|36,766.90
WS SERVICE AREA|27200642|Hc Cath Push Fus Bil Pancr 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|477.90
WS SERVICE AREA|27200643|Hc Cath Pvc Straight 36fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.90
WS SERVICE AREA|274025625|Hc Hm2 Replace Und Warranty Battery Power Module Backup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0496|RA|WS HB DEFAULT|459.40
WS SERVICE AREA|20010119|Hc Radial Distal Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25605||WS HB DEFAULT|4,586.00
WS SERVICE AREA|27200644|Hc Cath Pvc Straight 40fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.70
WS SERVICE AREA|27200645|Hc Cath Pwp Medtron 7f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|412.00
WS SERVICE AREA|274025628|Hc Hm2 Replace Und Warranty Pt Cable Power Module 14v|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508|RA|WS HB DEFAULT|5,745.30
WS SERVICE AREA|27200646|Hc Cath Quick Cross .014x150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,008.40
WS SERVICE AREA|27200647|Hc Cath Quick Cross .018x150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|988.50
WS SERVICE AREA|274025631|Hc Hm2 Replace Und Warranty Cable Automobile Dc Power|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0478|RA|WS HB DEFAULT|1,659.30
WS SERVICE AREA|27200648|Hc Cath Quick Cross .35x90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,008.40
WS SERVICE AREA|27200649|Hc Cath Quick Cross 0.35"x135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|991.80
WS SERVICE AREA|274025632|Hc Hm2 Replace Und Warranty Battery Charg Pwr Module Ac Cord|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508|RA|WS HB DEFAULT|179.20
WS SERVICE AREA|27200650|Hc Cath Quick Support 518-032|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|939.40
WS SERVICE AREA|80081411|Hc Morphometric Analysis, In Situ Hybridization, Using Computer-assisted Technology,per Specimen; Each Multiplex Probe Stain Procedure(ng)|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88374||WS HB DEFAULT|1,789.00
WS SERVICE AREA|27200651|Hc Cath Quick-cross 0.014inx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,008.40
WS SERVICE AREA|274025633|Hc Hm2 Replace Und Warranty Kit Wearable Accessories|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508|RA|WS HB DEFAULT|868.30
WS SERVICE AREA|27200652|Hc Cath Radial Artery W Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.40
WS SERVICE AREA|27200653|Hc Cath Radial Jackey 3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|210.10
WS SERVICE AREA|274025634|Hc Hm2 Replace Und Warranty Belt Stabilization Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508|RA|WS HB DEFAULT|510.90
WS SERVICE AREA|27200654|Hc Cath Radial Sarah 4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|210.10
WS SERVICE AREA|27200655|Hc Cath Radial Tiger 4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|210.10
WS SERVICE AREA|274025636|Hc Hm2 Replace Und Warranty Battery Charger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0495|RA|WS HB DEFAULT|33,089.80
WS SERVICE AREA|27200656|Hc Cath Radial Tiger 4.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|210.10
WS SERVICE AREA|27200657|Hc Cath Radio Trocar Argyl 32f 16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.30
WS SERVICE AREA|20010120|Hc Carpal Scaphoid Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25622||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27200658|Hc Cath Radio Trocar Lf 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.60
WS SERVICE AREA|27200659|Hc Cath Radio Trocar Lf 24f 16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|78.10
WS SERVICE AREA|27200660|Hc Cath Radio Trocar Lf 28f 16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|78.80
WS SERVICE AREA|27200661|Hc Cath Radio Trocar Lf 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|78.30
WS SERVICE AREA|27200662|Hc Cath Rapid Infusion Arrow*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|71.10
WS SERVICE AREA|27200663|Hc Cath Reddick W/perc Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|595.30
WS SERVICE AREA|27200664|Hc Cath Reentry Outbk 5.9f 120cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|12,245.70
WS SERVICE AREA|27200665|Hc Cath Renegade Hi Flo Micro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,214.80
WS SERVICE AREA|80081232|HC DPYD GENE ANALYSIS COMMON VARIANTS|LABORATORY - GENERAL CLASSIFICATION [0300]|81232||WS HB DEFAULT|963.00
WS SERVICE AREA|27200666|Hc Cath Renegade Hiclo 135x20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,193.90
WS SERVICE AREA|272123256|Hc Set Catheter Radial A|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.40
WS SERVICE AREA|27200667|Hc Cath Renegade Hiflo 150x10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,226.90
WS SERVICE AREA|27200668|Hc Cath Renegade Hiflo 150x20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,193.90
WS SERVICE AREA|27200669|Hc Cath Renegade Micro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,301.60
WS SERVICE AREA|70201001|HC EVICORE CLINICAL DECISION SUPPORT COMPANY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|G1001||WS HB DEFAULT|0.01
WS SERVICE AREA|27200670|Hc Cath Renegade Stc Ang 105x30|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,682.10
WS SERVICE AREA|27200671|Hc Cath Replacement 5 Day On-q|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|330.60
WS SERVICE AREA|27200672|Hc Cath Rob-nel Bard 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.60
WS SERVICE AREA|27200673|Hc Cath Royal Flush Pigtail|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
WS SERVICE AREA|70201002|HC MEDCURRENT CLINICAL DECISION SUPPORT COMPANY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|G1002||WS HB DEFAULT|0.01
WS SERVICE AREA|27200674|Hc Cath Select Btc 5f 100cm Bern|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|94.30
WS SERVICE AREA|20010121|Hc Carpal Scaphoid Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25624||WS HB DEFAULT|4,101.00
WS SERVICE AREA|270114792|Hc Bath Sitz Grad Bag Gold|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|10.30
WS SERVICE AREA|27200675|Hc Cath Sherpa Nx Ch15 7fr 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|302.30
WS SERVICE AREA|27200676|Hc Cath Shuttle Slip H1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|319.30
WS SERVICE AREA|27200677|Hc Cath Shuttle Slip Jb1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|328.60
WS SERVICE AREA|70201003|HC MEDICALIS CLINICAL DECISION SUPPORT COMPANY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|G1003||WS HB DEFAULT|0.01
WS SERVICE AREA|27200678|Hc Cath Silastic Radiopaque 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|427.50
WS SERVICE AREA|27200679|Hc Cath Silversoaker 10" W/8" Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|859.00
WS SERVICE AREA|27200680|Hc Cath Silversoaker 7.5" W/8" Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|717.90
WS SERVICE AREA|27200681|Hc Cath Simmons1 5fr 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
WS SERVICE AREA|70201005|HC NATIONAL IMAGING ASSOCIATES CLINCAL DECISION SUPPORT COMPANY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|G1005||WS HB DEFAULT|0.01
WS SERVICE AREA|27200682|Hc Cath Simplastic W/couv Tip 22f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|145.20
WS SERVICE AREA|80081412|HC MORPHOMETRIC ANALYSIS, IN SITU HYBRIDIZATION, MANUAL PER SPECIMEN; INITIAL SINGLE PROBE STAIN PROCEDURE(NG)|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88368||WS HB DEFAULT|1,789.00
WS SERVICE AREA|27200683|Hc Cath Sinus Irr Vortex 22cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|738.50
WS SERVICE AREA|27200684|Hc Cath Solo Sinus Ball 6x16mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,889.30
WS SERVICE AREA|27200685|Hc Cath Solo Sinus Ball Pro 5x16m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,711.20
WS SERVICE AREA|70201006|HC TEST APPROPRIATE CLINICAL DECISION SUPPORT COMPANY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|G1006||WS HB DEFAULT|0.01
WS SERVICE AREA|27200686|Hc Cath Solo Sinus Ball Pro 5x24m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,971.80
WS SERVICE AREA|27200687|Hc Cath Solo Sinus Ball Pro 6x16m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,711.20
WS SERVICE AREA|27200688|Hc Cath Solo Sinus Ball Pro 7x24m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,971.80
WS SERVICE AREA|27200689|Hc Cath Sos 1 Omni 5fr 80cm X 035|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|92.70
WS SERVICE AREA|70201007|HC AIM SPECIALTY HEALTH CLINICAL DECISION SUPPORT COMPANY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|G1007||WS HB DEFAULT|0.01
WS SERVICE AREA|27200690|Hc Cath Specialty Iv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|796.20
WS SERVICE AREA|20010122|Hc Carpal Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25630||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27200691|Hc Cath Suction Relogle 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.00
WS SERVICE AREA|27200692|Hc Cath Suction Replogle 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.50
WS SERVICE AREA|27200693|Hc Cath Suction Repogle 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.70
WS SERVICE AREA|70201008|HC CRANBERRY PEAK CLINICAL DECISION SUPPORT COMPANY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|G1008||WS HB DEFAULT|0.01
WS SERVICE AREA|27200694|Hc Cath Support Trlblzr .014inx15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|784.90
WS SERVICE AREA|27200695|Hc Cath Support Trlblzr .018inx15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|784.90
WS SERVICE AREA|27200696|Hc Cath Support Trlblzr .035inx13|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|775.80
WS SERVICE AREA|70201009|HC SAGE HEALTH MANAGEMENT SOLUTIONS CLINICAL DECISION SUPPORT COMPANY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|G1009||WS HB DEFAULT|0.01
WS SERVICE AREA|27200697|Hc Cath Suprapubic, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2627||WS HB DEFAULT|351.50
WS SERVICE AREA|27200698|Hc Cath Swan Ganz Pacing 7fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,675.80
WS SERVICE AREA|272115508|Hc Circuit Ventilator Adlt 72in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
WS SERVICE AREA|27200699|Hc Cath Swan Ganz Pacing Td|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,770.60
WS SERVICE AREA|27200700|Hc Cath Swan Ganz Therm Baxter 7f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|256.50
WS SERVICE AREA|70201010|HC STANSON CLINICAL DECISION SUPPORT COMPANY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|G1010||WS HB DEFAULT|0.01
WS SERVICE AREA|27200701|Hc Cath Swan Ganz Vip Baxter 7.5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|251.30
WS SERVICE AREA|27200702|Hc Cath Thoracic Lf 20fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.10
WS SERVICE AREA|272125257|Hc Picc Sgl Lum Max Barr 4.5fr 55cm Cg Vps|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,369.90
WS SERVICE AREA|27200703|Hc Cath Thoracic Lf 24fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.20
WS SERVICE AREA|27200704|Hc Cath Thoracic Lf 28fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.30
WS SERVICE AREA|272125258|Hc Picc Sgl Lum Max Barr 4.5fr 50cm Cg Vps|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,364.40
WS SERVICE AREA|27200705|Hc Cath Thoracic Lf 32fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.00
WS SERVICE AREA|20010123|Hc Carpal Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25635||WS HB DEFAULT|4,101.00
WS SERVICE AREA|27200706|Hc Cath Thoracic Lf 36fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.10
WS SERVICE AREA|272125259|Hc Picc Sgl Lum Max Barr 4.5fr 40cm Cg Vps|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,371.50
WS SERVICE AREA|27200707|Hc Cath Tieman Bard 16fr5cc 2way L|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|107.10
WS SERVICE AREA|27200708|Hc Cath Tieman Bard 18f 5cc 2-way|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|107.10
WS SERVICE AREA|272125260|Hc Picc Dual Lum Max Barr 5.5fr 55cm Cg Vps|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,451.00
WS SERVICE AREA|27200709|Hc Cath Tieman Bard 20f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|107.10
WS SERVICE AREA|27200710|Hc Cath Tracheotomy 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.20
WS SERVICE AREA|272125261|Hc Picc Dual Lum Max Barr 5.5fr 50cm Cg Vps|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,452.10
WS SERVICE AREA|27200711|Hc Cath Umb Urethane 2.5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.90
WS SERVICE AREA|27200712|Hc Cath Umb Vsl Triple Lumen 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|221.50
WS SERVICE AREA|80081413|Hc Morphometric Analysis, In Situ Hybridization, Manual Per Specimen; Each Additional Single Probe Stain Procedure.(ng)|LABORATORY - GENERAL CLASSIFICATION [0300]|88369||WS HB DEFAULT|1,490.00
WS SERVICE AREA|272125262|Hc Picc Dual Lum Max Barr 5.5fr 40cm Cg Vps|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,453.80
WS SERVICE AREA|27200713|Hc Cath Umbilical Dual Lumen 3.5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|186.40
WS SERVICE AREA|27200714|Hc Cath Umbilical Dual Lumen 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|168.70
WS SERVICE AREA|272118617|Hc Dressing Aquacel Rope 3/4x18in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.70
WS SERVICE AREA|27200715|Hc Cath Upj Occlusion Bard 6f*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|673.60
WS SERVICE AREA|272137870|Hc Set Auto Effluent|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|256.30
WS SERVICE AREA|27200716|Hc Cath Uret Open End 5fr 70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|53.60
WS SERVICE AREA|27200717|Hc Cath Uret Whisl Tip 4fr 70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|63.90
WS SERVICE AREA|272137869|Hc Bag Disp Thermax|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.90
WS SERVICE AREA|27200718|Hc Cath Uret Whistil Tip 6fr 70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|63.90
WS SERVICE AREA|20010124|Hc Ulnar Styloid Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25650||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27200719|Hc Cath Ureteral Bard Angled 5f W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|172.00
WS SERVICE AREA|27200720|Hc Cath Ureteral Bard Angled 6f W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|177.20
WS SERVICE AREA|27200721|Hc Cath Ureteral Cone Tip 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|157.60
WS SERVICE AREA|27200722|Hc Cath Ureteral Conetip Cook 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|68.00
WS SERVICE AREA|27200723|Hc Cath Ureteral Cook Open End 5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|53.60
WS SERVICE AREA|27200724|Hc Cath Ureteral Cook Open End 6f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|53.60
WS SERVICE AREA|27200725|Hc Cath Ureteral Dilat 12/14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|542.80
WS SERVICE AREA|27200726|Hc Cath Ureteral Dual Lumen 50cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|226.60
WS SERVICE AREA|27200727|Hc Cath Ureteral Open End 7fr 70c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|53.60
WS SERVICE AREA|27200728|Hc Cath Ureteral Open End Cook 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|53.60
WS SERVICE AREA|272125412|Hc Circuite Metaneb Spu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|437.80
WS SERVICE AREA|27200729|Hc Cath Ureteral Open End Lf 3fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|63.90
WS SERVICE AREA|27200730|Hc Cath Ureteral Open End Lf 4fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|53.60
WS SERVICE AREA|27200733|Hc Cath Urethral Red Bard|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.10
WS SERVICE AREA|27200740|Hc Cath Urinary 5fr With Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|163.80
WS SERVICE AREA|27200741|Hc Cath Urinary 8fr With Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|164.30
WS SERVICE AREA|27200742|Hc Cath Vb Jl 7f 4.00x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200743|Hc Cath Vb Tip 3drc 6f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200744|Hc Cath Vb Tip Al 6f .75x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200745|Hc Cath Vb Tip Al 6f 1.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200746|Hc Cath Vb Tip Al 6f 2.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|20010125|Hc Ulnar Styloid Fx W Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25651||WS HB DEFAULT|18,946.00
WS SERVICE AREA|27200747|Hc Cath Vb Tip Al 7f 1.00x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200748|Hc Cath Vb Tip Al 7f 2.00x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200749|Hc Cath Vb Tip Al Sh 6f .75x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200750|Hc Cath Vb Tip Al Sh 6f 1.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200751|Hc Cath Vb Tip Ar 6f 1.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200752|Hc Cath Vb Tip Ar 7f 1.00x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200753|Hc Cath Vb Tip Hstick 7f 100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200754|Hc Cath Vb Tip Hstick Sh 7f 100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200755|Hc Cath Vb Tip Im 7f 100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200756|Hc Cath Vb Tip Jl 6f 3.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|80081414|Hc Morphometric Analysis, In Situ Hybridization, Manual Per Specimen; Each Multiplex Probe Stain Procedure(ng)|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88377||WS HB DEFAULT|1,789.00
WS SERVICE AREA|27200757|Hc Cath Vb Tip Jl 6f 3.5x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200758|Hc Cath Vb Tip Jl 6f 4.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200759|Hc Cath Vb Tip Jl Mod 6f 4.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200760|Hc Cath Vb Tip Jl Sh 6f 3.5x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200761|Hc Cath Vb Tip Jr 6f 4.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200762|Hc Cath Vb Tip Jr 7f 4.00x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200763|Hc Cath Vb Tip Jr Sh 6f 4.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200764|Hc Cath Vb Tip Jr Sh 7f 4.00x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200765|Hc Cath Vb Tip Jr St 6f 4.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200766|Hc Cath Vb Tip Lcb 6f 100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|20010126|Hc Intercarpal Disl W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25660||WS HB DEFAULT|1,072.00
WS SERVICE AREA|270115162|Hc Sling Arm Cloth Buckle Clsr Xs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|7.20
WS SERVICE AREA|27200767|Hc Cath Vb Tip Lcb 7f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200768|Hc Cath Vb Tip Mp 7f 1.00x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200769|Hc Cath Vb Tip Mp B1 7f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200770|Hc Cath Vb Tip Mpa 6f 1.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200771|Hc Cath Vb Tip Mpa Sh 6f 1.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200772|Hc Cath Vb Tip Rcb 6f 100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200773|Hc Cath Vb Tip Rcb 8f 90|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200774|Hc Cath Vb Tip Xb 6f 3.5x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200775|Hc Cath Vb Tip Xblad 6f 3.5x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200776|Hc Cath Vb Tip Xblad 6f 4.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|272128121|Hc Dressing Drawtex 4x4in Hydr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.00
WS SERVICE AREA|27200777|Hc Cath Vb Tip Xblad 7f 3.5x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200778|Hc Cath Vb Tip Xblad 7fr 4.00x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200779|Hc Cath Ventricular J&j|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1755||WS HB DEFAULT|1,073.30
WS SERVICE AREA|27200780|Hc Cath Venture Wire Control 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|3,917.10
WS SERVICE AREA|27200781|Hc Cath Veripath Lima Guide 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|514.00
WS SERVICE AREA|27200782|Hc Cath Veripath Rdc Guide 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|514.00
WS SERVICE AREA|27200783|Hc Cath Verril Contra Flush 70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|494.40
WS SERVICE AREA|27200784|Hc Cath Vert Cook 125cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|248.20
WS SERVICE AREA|27200785|Hc Cath Vert Cook 4fr 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|248.20
WS SERVICE AREA|27200786|Hc Cath Vert Cook 5fr 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
WS SERVICE AREA|20010127|Hc Radioulnar Disl W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25675||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27200787|Hc Cath Vp Tip Hstick 6f 100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.90
WS SERVICE AREA|27200788|Hc Cath Vtk Cook 125cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|248.20
WS SERVICE AREA|27200789|Hc Cath Whistle Tip Bard 6f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|359.50
WS SERVICE AREA|27200790|Hc Cath Whistle Tip Rch Lf (m) 4fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|42.20
WS SERVICE AREA|27200791|Hc Cath Whistle Tip Rch Lf (m) 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|39.10
WS SERVICE AREA|27200792|Hc Catheter Balloon Wedge Predd 5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|249.30
WS SERVICE AREA|27200793|Hc Catheter Balloon Wedge Press W|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|249.30
WS SERVICE AREA|27200794|Hc Catheter Diagnostic 6fr Jl 4.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200795|Hc Catheter Dist Anmc 120cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,740.70
WS SERVICE AREA|27200796|Hc Catheter Guide 5f Convey Tig4.|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|263.70
WS SERVICE AREA|20010128|Hc Scaphoperilunar Fx/dis W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25680||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27200797|Hc Catheter Guide Launch 8fr Jr 3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|267.80
WS SERVICE AREA|27200798|Hc Catheter Guide Launch 8fr Rt S|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|268.80
WS SERVICE AREA|27200799|Hc Catheter Pre Sep Cv Ox|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|2,051.80
WS SERVICE AREA|27200800|Hc Catheter Spyglass Acc 10fr 230|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,585.60
WS SERVICE AREA|27200801|Hc Catheter Tempo Jr4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|175.10
WS SERVICE AREA|27200802|Hc Catheter Ventri Anmc 23cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,740.70
WS SERVICE AREA|27200803|Hc Cautery Bipolar Valley Lab|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.60
WS SERVICE AREA|27200804|Hc Cautery Disp Chaston|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27200805|Hc Cautery Disp Hi Temp Fine Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|67.00
WS SERVICE AREA|27200806|Hc Cautery Ligasure Max|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,322.50
WS SERVICE AREA|272125917|Hc Dressing Drawtex Trach 4x4in Hydro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.20
WS SERVICE AREA|27200807|Hc Cautery Suction 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.40
WS SERVICE AREA|27200810|Hc Central Vein Cath Kit 16 Ga W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|126.70
WS SERVICE AREA|27200811|Hc Circuit Breathing Exp Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.80
WS SERVICE AREA|27200812|Hc Circuit Hyperinflation Neo/inf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.40
WS SERVICE AREA|27200813|Hc Clamp Clr Cd Reassemble Gold|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,029.40
WS SERVICE AREA|27200814|Hc Clamp Combo Mr Safe Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,366.00
WS SERVICE AREA|27200815|Hc Clamp Large Pin 6 Position|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,946.80
WS SERVICE AREA|27200816|Hc Clamp Post Multi Pin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,824.50
WS SERVICE AREA|27200817|Hc Cleanser Wound W/o Dye 4oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.40
WS SERVICE AREA|27200818|Hc Clearfil Photo Core Plt Xlg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|20010129|Hc Lunate Disl W Manip 50|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25690||WS HB DEFAULT|13,232.00
WS SERVICE AREA|27200819|Hc Clip Endo Ti Fllpn Tube 4mm Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|436.20
WS SERVICE AREA|27200820|Hc Clip Half Pin Disc 4-6mm Orng|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27200821|Hc Clip Hemoloc Gold Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|187.50
WS SERVICE AREA|27200822|Hc Clip Hemolock Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|237.90
WS SERVICE AREA|27200823|Hc Clip Hemolok|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|118.50
WS SERVICE AREA|27200824|Hc Clip Hem-o-lok Ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|157.60
WS SERVICE AREA|27200825|Hc Clip Locking Ria|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|401.70
WS SERVICE AREA|27200826|Hc Clip Myocclude .55kg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|175.10
WS SERVICE AREA|27200827|Hc Clip Myoocclude .45kg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|175.10
WS SERVICE AREA|27200828|Hc Clip Nvng Dynamic Stim Inline|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,364.90
WS SERVICE AREA|20010130|Hc Drainage Abscess Finger Simp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26010||WS HB DEFAULT|1,057.00
WS SERVICE AREA|27200829|Hc Clip Sut Absorb Lapra Ty|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,187.60
WS SERVICE AREA|27200830|Hc Clip Suture Tem|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|504.70
WS SERVICE AREA|27200831|Hc Clip Wire Disc 1.5-1.8mm Gry|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27200832|Hc Clips Leroy Raney Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.40
WS SERVICE AREA|27200833|Hc Coagulator Suction/cutter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.10
WS SERVICE AREA|27200834|Hc Coban 4" Sterile|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27200835|Hc Coban 6" Sterile|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.90
WS SERVICE AREA|27200837|Hc Collar Aspn Adlt Reg 3in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|241.00
WS SERVICE AREA|27200838|Hc Combo Hook Blade Synergy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,804.60
WS SERVICE AREA|27200839|Hc Conduit Aortic Valved 21mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21,715.50
WS SERVICE AREA|272115473|Hc Handle Laryngsco Solo Mini Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.00
WS SERVICE AREA|27200840|Hc Conduit Aortic Valved 23mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21,715.50
WS SERVICE AREA|27200841|Hc Conduit Aortic Valved 25mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21,715.50
WS SERVICE AREA|27200842|Hc Cone Cath 4.9fr/8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|73.10
WS SERVICE AREA|27200843|Hc Connector Cardiac 2-1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27200844|Hc Zz Connector Cobe 3/8x3/ Use 27200848|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27200845|Hc Zz Connector Cobe 3/8x3/8ll Strt Use 27200848|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27200846|Hc Zz Connector Cobe 3/8x3/8x3/8y Use 27200848|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27200847|Hc Connector Cobe Bcc3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27200848|Hc Connector Perfusion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.30
WS SERVICE AREA|27200849|Hc Connector Expand 5in 15mmx22mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.70
WS SERVICE AREA|20010131|Hc I&d Finger Comp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26011||WS HB DEFAULT|8,392.00
WS SERVICE AREA|27200850|Hc Connector Foley|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.10
WS SERVICE AREA|27200851|Hc Connector Shunt Acfl Csf Stepd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|452.20
WS SERVICE AREA|27200852|Hc Connector Tri Clave Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.10
WS SERVICE AREA|27200853|Hc Connector Tri W/safsite Valves|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.60
WS SERVICE AREA|27200854|Hc Connector Y Prismaflex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27200855|Hc Connector-y Round 3/16 And 1/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27200856|Hc Container Colostrum Grab N Go 10pk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.30
WS SERVICE AREA|27200857|Hc Cord Bipolar Disposable Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27200858|Hc Cord Bipolar Sterile Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27200859|Hc Cord Endoscopic Sterile Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|20010132|Hc Metacarpal Fx Wo Manip Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26600||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27200860|Hc Cord Laparoscopy Monopolar 10'dis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.60
WS SERVICE AREA|27200861|Hc Cord Ligasure Electrode Xtd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,322.50
WS SERVICE AREA|27200862|Hc Co-set Baxter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.10
WS SERVICE AREA|27200863|Hc Cotton Sterile Lf 16 Oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27200864|Hc Countersink Cannualted 2.0/2.4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,471.90
WS SERVICE AREA|27200865|Hc Countersink Cannulated 3.0/4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,602.70
WS SERVICE AREA|27200866|Hc Countersink Cannulated 3.5/4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,113.60
WS SERVICE AREA|27200867|Hc Countersink Orthohelix 4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|800.30
WS SERVICE AREA|27200868|Hc Countersink Orthohelix 5.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|930.10
WS SERVICE AREA|27200869|Hc Couple Conical Washer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|209.10
WS SERVICE AREA|272126137|Hc Kit Humidification Active|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|72.10
WS SERVICE AREA|272115845|Hc Kit Crnl Acc Ventri Ndl Towel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,384.30
WS SERVICE AREA|27200870|Hc Cover Light Chromovision|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.40
WS SERVICE AREA|27200871|Hc Cover Peg Foam Disp 9"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27200872|Hc Cover Probe Str 6x48|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.30
WS SERVICE AREA|27200873|Hc Cover Probe Ultrasound Site Ri|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|68.10
WS SERVICE AREA|27200874|Hc Cover Probe W/gel Sterile|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.00
WS SERVICE AREA|27200875|Hc Cover Slush/warmer Disc Ors|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|254.40
WS SERVICE AREA|27200876|Hc Cover Surgiboot Transducer Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.60
WS SERVICE AREA|27200877|Hc Cover Transducer 2.6x30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.30
WS SERVICE AREA|27200878|Hc Cover Transducer 4x30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.90
WS SERVICE AREA|27200879|Hc Cover Ultasound Civco Sterile|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.40
WS SERVICE AREA|20010133|Hc Metacarpal Fx W Manip Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26605||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27200880|Hc Cover Warmer Slush Ors|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|231.80
WS SERVICE AREA|27200881|Hc Cube 1hl Rnch W Posts|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|891.00
WS SERVICE AREA|27200882|Hc Cup Ob Delivery|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|382.10
WS SERVICE AREA|27200883|Hc Cup Ob Vacuum Mushroom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|179.40
WS SERVICE AREA|27200884|Hc Currette Curved Reg Tip 10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27200885|Hc Debrider Norsen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|78.80
WS SERVICE AREA|27200886|Hc Decanter Vial|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27200887|Hc Dermabond Propen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|319.30
WS SERVICE AREA|27200888|Hc Dermabond Propen Regular|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|163.10
WS SERVICE AREA|27200889|Hc Detacher Inst Deploy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|322.90
WS SERVICE AREA|20010134|Hc Metacarpal Fx W Ske Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26608||WS HB DEFAULT|8,729.00
WS SERVICE AREA|27200890|Hc Device Anchor Statlock Artline|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27200891|Hc Device Cath Secure Statlock 3w|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27200892|Hc Device Foley Cath Securement Statlock|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.80
WS SERVICE AREA|27200893|Hc Device Cath Securement 10-12fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.00
WS SERVICE AREA|27200894|Hc Device Cath Securement 6-8.5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.50
WS SERVICE AREA|27200895|Hc Device Iab Catheter Securement Statlock|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|202.90
WS SERVICE AREA|27200896|Hc Device Compression Radial|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.90
WS SERVICE AREA|27200897|Hc Device Enseal Trio Cvd Tip 3x3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,580.20
WS SERVICE AREA|27200898|Hc Device Extraction Pronto Lp 4f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|2,562.60
WS SERVICE AREA|27200899|Hc Device Facial Closure Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|664.40
WS SERVICE AREA|272128384|Hc Inflator Cuff W/ Manometer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,002.20
WS SERVICE AREA|27200900|Hc Device Flush Cont Dualport Int|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27200901|Hc Device Grasping Talon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|784.90
WS SERVICE AREA|27200902|Hc Device Half Circ 0 24in 37mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|171.00
WS SERVICE AREA|27200903|Hc Device Half Circ 18in Gs-21 48mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|166.70
WS SERVICE AREA|27200904|Hc Device Half Circ 2/0 24in 37mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|171.00
WS SERVICE AREA|27200905|Hc Device Hand Assist Xe100mm Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,702.70
WS SERVICE AREA|27200906|Hc Device Incision Heel Lf Preemie|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27200907|Hc Device Inflation Encore 26|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|210.10
WS SERVICE AREA|27200908|Hc Device Lead Locking Lld E|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,063.20
WS SERVICE AREA|27200909|Hc Device Novasure Ns2000|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,605.40
WS SERVICE AREA|20010135|Hc Thumb Disl W Manip Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26641||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27200910|Hc Device Polyloop Detach Ligatin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|572.70
WS SERVICE AREA|27200911|Hc Device Pull Reduct Instr Ext Fix|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,466.90
WS SERVICE AREA|27200912|Hc Device Securestrap Fx Abs 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,947.90
WS SERVICE AREA|27200913|Hc Device Stlk Art Stab|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.40
WS SERVICE AREA|27200914|Hc Device Suction Oral-nasal Prem|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27200915|Hc Device Sut 2-0 Es-9 48in Braid|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.60
WS SERVICE AREA|27200916|Hc Device Torque 22215|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.90
WS SERVICE AREA|27200917|Hc Device Torque Medi-tech|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.70
WS SERVICE AREA|27200918|Hc Dilator 5fr Jcd5.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.30
WS SERVICE AREA|27200919|Hc Dilator 6fr Jcd6.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.50
WS SERVICE AREA|20010136|Hc Thumb Fx/dis W Manip Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26645||WS HB DEFAULT|4,101.00
WS SERVICE AREA|27200920|Hc Dilator 8fr Jcd8.0-38-20-hc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|57.60
WS SERVICE AREA|27200921|Hc Dilator Daig 405500 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27200922|Hc Dilator Daig 405504 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27200923|Hc Dilator Daig 405508 7fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27200924|Hc Dilator Daig 405512 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27200925|Hc Dilator Daig 405516 9fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.80
WS SERVICE AREA|27200926|Hc Dilator Daig 405520 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27200927|Hc Dilator Jcd 11.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.60
WS SERVICE AREA|27200928|Hc Dilator Jcd 5.0-35-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.50
WS SERVICE AREA|27200929|Hc Dilator Jcd 7.0-35-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.10
WS SERVICE AREA|27263132|Hc Introducer Enotrach Boug Ang Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|465.60
WS SERVICE AREA|27200930|Hc Dilator Jcd 8.0-35-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.90
WS SERVICE AREA|27200931|Hc Dilator Jcd10.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.60
WS SERVICE AREA|27200932|Hc Dilator Jcd12.0-38-20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.60
WS SERVICE AREA|27200933|Hc Dilator Jcd14.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.60
WS SERVICE AREA|27200934|Hc Dilator Jcd16.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.50
WS SERVICE AREA|27200935|Hc Dilator Jcd7.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.60
WS SERVICE AREA|27200936|Hc Dilator Jcd8.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.60
WS SERVICE AREA|27200937|Hc Dilator Jcd9.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.50
WS SERVICE AREA|27200938|Hc Dilator Vessel Jcd 6.0-35-20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.40
WS SERVICE AREA|27200939|Hc Dilator Vessel Std 13fr 038x20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.00
WS SERVICE AREA|20010138|Hc Carpometacarp Disl Uni Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26670||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27200940|Hc Dilator Vessel Std 6fr 038x15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.10
WS SERVICE AREA|27200941|Hc Dilator Vessel Std 8fr 038x15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.10
WS SERVICE AREA|27200942|Hc Disc E-hold Tzmed Oval|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|27200943|Hc Disc E-hold Tzmed Round|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|27200944|Hc Disk Chg Biopatch 1in 4mm Id|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.50
WS SERVICE AREA|27200945|Hc Disk Chg Biopatch 1in 7mm Id|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.50
WS SERVICE AREA|27200946|Hc Dissector Endopath Lf 10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.10
WS SERVICE AREA|27200947|Hc Dissector Enseal G2 Tissue Slr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,774.80
WS SERVICE AREA|27200948|Hc Distractor Ankle Acufex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|201.90
WS SERVICE AREA|27200949|Hc Distractor Linear 100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,688.30
WS SERVICE AREA|272121218|Hc Mask Nasal Bubble Cpap Infant Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|418.20
WS SERVICE AREA|27200950|Hc Distractor Linear Tele Tl+ 200mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,285.70
WS SERVICE AREA|27200951|Hc Dock Fluid|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|175.10
WS SERVICE AREA|27200952|Hc Drain 3/16x15fr Round Blake|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|284.30
WS SERVICE AREA|27200953|Hc Drain Blake 7mm Flat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|399.60
WS SERVICE AREA|27200954|Hc Drain Blake Cannel 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|92.70
WS SERVICE AREA|27200955|Hc Drain Blake Cardiac 19fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|179.20
WS SERVICE AREA|27200956|Hc Drain Blake Flat 10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|387.30
WS SERVICE AREA|27200957|Hc Drain Blake J 19fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|79.30
WS SERVICE AREA|27200958|Hc Kit Drainage Chest|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|209.10
WS SERVICE AREA|27200959|Hc Drain Facial Silicone 412at|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|196.70
WS SERVICE AREA|20010139|Hc Carpometacarp Disl W Manip&anes Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26675||WS HB DEFAULT|4,101.00
WS SERVICE AREA|27200960|Hc Drain Flat Silicone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|36.10
WS SERVICE AREA|27200961|Hc Drain Flat Silicone 10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|28.80
WS SERVICE AREA|27200962|Hc Drain Flat Silicone 7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|28.80
WS SERVICE AREA|27200963|Hc Drain Flat Sliicone Hbls 7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|27200964|Hc Drain Fluted Blake 10fr 3/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|276.00
WS SERVICE AREA|27200965|Hc Drain Incs .25in 18in Pnrs Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27200966|Hc Drain Incs .5in 18in Pnrs Lf S|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27200967|Hc Drain Round 49x1/8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|44.30
WS SERVICE AREA|27200968|Hc Drain Round 49x3/16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|44.30
WS SERVICE AREA|27200969|Hc Drain Round Blake 15fr 3/16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|89.60
WS SERVICE AREA|20010140|Hc Carpometacarp Disl W Manip&ske Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26676||WS HB DEFAULT|16,943.00
WS SERVICE AREA|272116800|Hc Bag Collect Ext Drain Sys Codman|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|438.40
WS SERVICE AREA|27200970|Hc Drain Round Blake Trocar 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|39.10
WS SERVICE AREA|27200971|Hc Drain Round Chan Sil Full 15fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|89.60
WS SERVICE AREA|27200972|Hc Drain Round Fluted 19fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|92.70
WS SERVICE AREA|27200973|Hc Drain Sil Rd Hubls W/1/4" 19fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|295.60
WS SERVICE AREA|27200974|Hc Drain Silicone Round Troc .25x49"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|43.30
WS SERVICE AREA|27200975|Hc Drain Tls Porex 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|177.20
WS SERVICE AREA|27200976|Hc Drain Triple Lumen Abramson|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|175.10
WS SERVICE AREA|27200977|Hc Drain Trocar Pvc Dual 3/16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|73.10
WS SERVICE AREA|27200978|Hc Drain T-tube 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|50.50
WS SERVICE AREA|27200979|Hc Drain Ventricular External|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|1,182.00
WS SERVICE AREA|272121221|Hc Mask Nasal Cpap Infant Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|418.20
WS SERVICE AREA|27200980|Hc Drain, Sump Str 5/8"*15"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|143.20
WS SERVICE AREA|27200995|Hc Dressing Abdomen Open Abthera|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,049.70
WS SERVICE AREA|27200996|Hc Dressing Acticoat 16"x16"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|447.50
WS SERVICE AREA|27200997|Hc Dressing Acticoat 3 Burn 4x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.80
WS SERVICE AREA|27200998|Hc Dressing Acticoat 6"x6"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|184.10
WS SERVICE AREA|27200999|Hc Dressing Acticoat 8"x16"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|235.00
WS SERVICE AREA|27201000|Hc Dressing Acticoat Moisture Ctr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|148.50
WS SERVICE AREA|27201001|Hc Dressing Adhes Versiva Xc 4x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.10
WS SERVICE AREA|10000515|Hc Insertion Of Entire Wireless Cardiac Stimulation System|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0515T||WS HB DEFAULT|43,390.00
WS SERVICE AREA|27201002|Hc Dressing Adhes Versiva Xc 5.5x5.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.70
WS SERVICE AREA|20010141|Hc Metacarpoppha Disl W Manip Uni Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26700||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27201003|Hc Dressing Afm Ag 1x24|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.70
WS SERVICE AREA|27201004|Hc Dressing Afm Ag 4x5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.70
WS SERVICE AREA|27201005|Hc Dressing Afm Ag 6x6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.70
WS SERVICE AREA|10000516|Hc Insertion Or Replacement Of Electrode|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0516T||WS HB DEFAULT|25,547.00
WS SERVICE AREA|27201006|Hc Dressing Afm Ag 8x16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|187.50
WS SERVICE AREA|27201007|Hc Dressing Algidex 5ydx.25in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.70
WS SERVICE AREA|27201008|Hc Dressing Aquacel Ag 9cm 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|152.10
WS SERVICE AREA|27201009|Hc Dressing Aquacel Ag 9cm 15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|172.60
WS SERVICE AREA|27201010|Hc Dressing Aquacel Ag 9cm 25cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|213.20
WS SERVICE AREA|27201011|Hc Dressing Aquacel Ag 9cm 30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|241.00
WS SERVICE AREA|20010142|Hc Metacarpopphal Disl Wmanip&anes Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26705||WS HB DEFAULT|1,295.00
WS SERVICE AREA|27201012|Hc Dressing Aquacel Ag 9cm 35cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|238.90
WS SERVICE AREA|27201013|Hc Dressing Bio 2x2in Biostep Ag Porc Collagen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27201014|Hc Dressing Biobrane Glove Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,360.90
WS SERVICE AREA|27201015|Hc Dressing Biobrane Glove Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,935.50
WS SERVICE AREA|27201016|Hc Dressing Biobrane Glove Peds|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,947.90
WS SERVICE AREA|27201017|Hc Dressing Biobrane Glove Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,493.80
WS SERVICE AREA|27201018|Hc Dressing Biobrane Sheet 5x15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|424.40
WS SERVICE AREA|27201019|Hc Dressing Biobrane Ulthn Semiperm Film Sil Nyl Fbrc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,214.40
WS SERVICE AREA|27201020|Hc Dressing Calc Alg Restore Lf4x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.80
WS SERVICE AREA|27201021|Hc Dressing Calc Alg Restore Lf4x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27222953|Hc Nebulizer Aers Rspgrd 2 Antidr Tee|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27201022|Hc Dressing Calc Alg Restore Rope 12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.90
WS SERVICE AREA|27201023|Hc Dressing Cath Patch X-sm 10cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27201024|Hc Dressing Cnfrm 2 2ydx6in Air Perm Trans Nadh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.50
WS SERVICE AREA|10000517|Hc Insertion Or Replacement Of Pulse Generator|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0517T||WS HB DEFAULT|25,547.00
WS SERVICE AREA|27201025|Hc Dressing Eavey Easy Ear Wrap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.30
WS SERVICE AREA|27201026|Hc Dressing Exudry 4"x6"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27201027|Hc Dressing Foam Adh 9x9in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.50
WS SERVICE AREA|10000518|Hc Removal Of Pulse Generator Components|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0518T||WS HB DEFAULT|9,975.00
WS SERVICE AREA|27201028|Hc Dressing Foam Hydrofera Blue 8x8in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|92.40
WS SERVICE AREA|27201029|Hc Dressing Ca Alg Silver 4.75 X 4 In Rstr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.00
WS SERVICE AREA|20010144|Hc Finger Fx Prox/md Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26720||WS HB DEFAULT|1,072.00
WS SERVICE AREA|10000519|Hc Removal And Replacement Of Pulse Generator Components|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0519T||WS HB DEFAULT|9,975.00
WS SERVICE AREA|27201030|Hc Dressing Hdrcld 4x4 Restore W/te|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27201031|Hc Dressing Hydrocolloid Rest 4x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27201032|Hc Dressing Iodosorb Gel 10gm Tube|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|66.80
WS SERVICE AREA|27201033|Hc Dressing Mepilex Ag 10x10cm (4x4in)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|57.60
WS SERVICE AREA|27201034|Hc Dressing Mepilex Ag 20x20cm (8x8in)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|174.30
WS SERVICE AREA|27201035|Hc Dressing Nasopore Frag Frm 4mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|995.00
WS SERVICE AREA|27201036|Hc Dressing Nasopore Frag Std 4mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|597.40
WS SERVICE AREA|10000520|Hc Removal And Replacement Of The Entire System|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0520T||WS HB DEFAULT|43,390.00
WS SERVICE AREA|27201037|Hc Dressing Nasopre Firm 8cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,118.60
WS SERVICE AREA|272125050|Hc Plug Decann Sz6 Fen Cfn Trach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.60
WS SERVICE AREA|27201038|Hc Dressing Nugauze Iodoform Lf 1"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.90
WS SERVICE AREA|27201039|Hc Dressing Opsite 11-3/4 X 11|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.60
WS SERVICE AREA|27201040|Hc Dressing Opsite Iv 4x5-1/2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27201042|Hc Dressing Owens Polyester Lf 3x8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|20026587|Hc Rcnst Polydactylous Digit Soft Tissue & Bone|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26587||WS HB DEFAULT|9,153.00
WS SERVICE AREA|27201043|Hc Dressing Pressure Safe 12cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|206.30
WS SERVICE AREA|27201044|Hc Dressing Pressure Safe 24cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|509.90
WS SERVICE AREA|27201045|Hc Dressing Profore 4-layer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|72.40
WS SERVICE AREA|27201046|Hc Dressing Profore Latex Free|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27201047|Hc Dressing Sacral Versiva Xc 10x8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.40
WS SERVICE AREA|20010145|Hc Finger Fx Prox/md W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26725||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27201048|Hc Dressing Silver Acticoat 4x5lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|114.60
WS SERVICE AREA|27201049|Hc Dressing Sponge Kerlix Lf Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|78.10
WS SERVICE AREA|27201056|Hc Dressing Tegaderm 4x10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27201057|Hc Dressing Tegaderm 8x12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27201058|Hc Dressing Telfa + 7x6in Abs Nadh Nonwvn Ilnd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27201059|Hc Dressing Telfa Island 4x8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|240.90
WS SERVICE AREA|27201060|Hc Dressing Telfa Sterile|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.20
WS SERVICE AREA|27201062|Hc Dressing Vac Lrg Whitefoam 15x10x1cm Snsatrc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|57.70
WS SERVICE AREA|27201063|Hc Dressing Wound Prisma 19.1sq In (ag)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|162.40
WS SERVICE AREA|27201064|Hc Dressing Wound Prisma 4.34sq In (ag)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.60
WS SERVICE AREA|70172081|Hc Xr Entire Spine 1 Vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72081||WS HB DEFAULT|731.00
WS SERVICE AREA|27201065|Hc Dressing Wound Puracol 2x2in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27201066|Hc Dressing Wound Vac Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|323.70
WS SERVICE AREA|27201067|Hc Dressing Wrap Afm Ag 4x48|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|206.50
WS SERVICE AREA|27201068|Hc Dressing Xerofoam Roll|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.90
WS SERVICE AREA|27201069|Hc Duploreach 35 Mis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|346.10
WS SERVICE AREA|27201070|Hc Electrode Ball 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|116.40
WS SERVICE AREA|27201071|Hc Electrode Ball Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.60
WS SERVICE AREA|27201072|Hc Electrode Ball Leep 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|27201073|Hc Electrode Ball Tip Hul 3fr 115|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|466.60
WS SERVICE AREA|27201074|Hc Electrode Bipolar Coag 1.3mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,449.30
WS SERVICE AREA|20010146|Hc Finger Fx Prox/md W Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26727||WS HB DEFAULT|16,943.00
WS SERVICE AREA|27201075|Hc Electrode Blade Teflon Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27201076|Hc Electrode Collings Knife 24fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|384.20
WS SERVICE AREA|27201077|Hc Electrode Cortical Grid 1x8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,544.60
WS SERVICE AREA|27201078|Hc Electrode Cutting Loop 28fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|384.20
WS SERVICE AREA|27201079|Hc Electrode Drg Del Med Dupel Intphrs Wht|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27201080|Hc Electrode Drg Del Sm Dupel Intphrs Wht|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27201081|Hc Electrode Ecg Defib Pacing|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.40
WS SERVICE AREA|90010346|Hc Zz Ppps Initial Visit (annual Wellness) Medicare- No Replacement|CLINIC - GENERAL CLASSIFICATION [0510]|G0438||WS HB DEFAULT|391.00
WS SERVICE AREA|27201082|Hc Electrode Electrosurg Opes|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,212.30
WS SERVICE AREA|27201083|Hc Electrode Extension Teflon Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|272125051|Hc Plug Decann Sz8 Fen Cfn Trach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.60
WS SERVICE AREA|272118359|Hc Kit Drain 25g Ldcn 28f 41cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|704.50
WS SERVICE AREA|90010347|Hc Zz Ppps Subseq Visit (annual Wellness) Medicare- No Replacement|CLINIC - GENERAL CLASSIFICATION [0510]|G0439||WS HB DEFAULT|275.00
WS SERVICE AREA|27201084|Hc Electrode Flat L Hook Laparo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|228.70
WS SERVICE AREA|27201085|Hc Electrode Fulgurating 3fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|628.30
WS SERVICE AREA|80085058|Hc Lactoferrin, Fecal; Qualitative|LABORATORY - GENERAL CLASSIFICATION [0300]|83630||WS HB DEFAULT|192.00
WS SERVICE AREA|27201086|Hc Electrode Gyrus Super Loop|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,703.80
WS SERVICE AREA|27201087|Hc Electrode Gyrus Super Sect|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,015.80
WS SERVICE AREA|27201088|Hc Electrode Hydrogel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.50
WS SERVICE AREA|27201089|Hc Electrode Knife White 26fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|790.00
WS SERVICE AREA|27201090|Hc Electrode Knife Yellow 24fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|790.00
WS SERVICE AREA|27201091|Hc Electrode Laparoscopic Opti 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|222.50
WS SERVICE AREA|20010147|Hc Articular Fx Wo Manip Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26740||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27201092|Hc Electrode Laryngeal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|622.30
WS SERVICE AREA|27201093|Hc Electrode Laryngeal 7-9|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|632.40
WS SERVICE AREA|27201094|Hc Electrode Leep 1.0x0.4x5.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|68.00
WS SERVICE AREA|27201095|Hc Electrode Ligasure Seal Divd 5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,380.30
WS SERVICE AREA|27201096|Hc Electrode Loop 24fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|353.30
WS SERVICE AREA|27201097|Hc Electrode Loop 26fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|338.90
WS SERVICE AREA|27201098|Hc Electrode Loop Cutting 24fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|384.20
WS SERVICE AREA|27201099|Hc Electrode Loop Cutting 26fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|384.20
WS SERVICE AREA|27201100|Hc Electrode Loop Disp 20mmx12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.60
WS SERVICE AREA|27201101|Hc Electrode Loop Disp 20mmx15mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.60
WS SERVICE AREA|70172082|Hc Xr Entire Spi Ne 2-3 Vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72082||WS HB DEFAULT|913.00
WS SERVICE AREA|27201102|Hc Electrode Loop Hf 24fr Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,682.10
WS SERVICE AREA|27201103|Hc Electrode Loop Hf 24fr Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,599.70
WS SERVICE AREA|80085059|Hc Infect Agent Detect By Nucleic Acid (dna Or Rna), Mult Org|LABORATORY - GENERAL CLASSIFICATION [0300]|87801||WS HB DEFAULT|431.00
WS SERVICE AREA|27201104|Hc Electrode Loop Hf Rcsct 12in 3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,655.30
WS SERVICE AREA|27201105|Hc Electrode Meniscectomy Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|277.10
WS SERVICE AREA|80085060|Hc Hba1/hba2 Gene Analysis, For Common Deletions Or Variant|LABORATORY - GENERAL CLASSIFICATION [0300]|81257||WS HB DEFAULT|1,154.00
WS SERVICE AREA|27201106|Hc Electrode Micro Neolead Unique|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.90
WS SERVICE AREA|27201107|Hc Electrode Ndl Ima-ent 1/32x3/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27201108|Hc Electrode Ndl Ima-ent 2-3/4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80085061|Hc Trichomonas Vaginalis, Amplified Probe Technique|LABORATORY - GENERAL CLASSIFICATION [0300]|87661||WS HB DEFAULT|507.00
WS SERVICE AREA|20010148|Hc Articular Fx W Manip Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26742||WS HB DEFAULT|1,489.00
WS SERVICE AREA|27201109|Hc Electrode Ndl Ima-ent 6-3/8"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|27201110|Hc Electrode Ndl Nim-2 Eeg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|392.40
WS SERVICE AREA|27201111|Hc Electrode Ndl Teflon Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.80
WS SERVICE AREA|27201112|Hc Electrode Nim Paired|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|519.10
WS SERVICE AREA|27201113|Hc Electrode Pacing Quik-combo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|141.10
WS SERVICE AREA|27201114|Hc Electrode Paired Dual Case|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|762.20
WS SERVICE AREA|27201115|Hc Electrode Quick Combo Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27201116|Hc Electrode Quick Connect Spiral|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.10
WS SERVICE AREA|27201117|Hc Electrode Red Dot Inf/ped Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27201118|Hc Electrode Roller 24fr 3mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|743.70
WS SERVICE AREA|272121462|Hc Prong Nasal Neo Cpap 3mmx2mm Dis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|34.30
WS SERVICE AREA|27201119|Hc Electrode Roller Ball 24fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|384.20
WS SERVICE AREA|27201120|Hc Electrode Side Effect 3.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,484.20
WS SERVICE AREA|27201121|Hc Electrode Somno Tissue|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|788.00
WS SERVICE AREA|27201122|Hc Electrode Teflon Ball Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|58.70
WS SERVICE AREA|27201123|Hc Electrode Vapr 2.3 Side|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,484.20
WS SERVICE AREA|27201124|Hc Electrode Vapr S-90|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,652.10
WS SERVICE AREA|27201125|Hc Electrode Vessel Seal Ligasure|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,523.50
WS SERVICE AREA|27201126|Hc Elevator Precision Passing|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|422.30
WS SERVICE AREA|27201127|Hc Endo Close Auto Suture|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|147.30
WS SERVICE AREA|27201128|Hc Endobag Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|116.40
WS SERVICE AREA|20010149|Hc Finger Fx Distal Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26750||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27201129|Hc Endobag Lf 5x8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|165.80
WS SERVICE AREA|27201130|Hc Endoclip Resolution Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|964.10
WS SERVICE AREA|27201131|Hc Endoscopic Kittner|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.40
WS SERVICE AREA|30036830|Hc Artery-vein Nonautograft|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36830||WS HB DEFAULT|15,366.00
WS SERVICE AREA|27201132|Hc Endosheath Slide On Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|112.30
WS SERVICE AREA|27201133|Hc Endosheath Slide On Pediatric|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|112.30
WS SERVICE AREA|27201134|Hc Endostitch Auto Suture Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|604.60
WS SERVICE AREA|27201137|Hc Evacuator Bladder Urovac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.30
WS SERVICE AREA|80086408|HC NEUTRALIZING ANTIBODY SARS-COV-2 SCREEN|LABORATORY - GENERAL CLASSIFICATION [0300]|86408||WS HB DEFAULT|368.00
WS SERVICE AREA|27201138|Hc Evacuator Cls Wnd Suc Sil 100ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.10
WS SERVICE AREA|70172083|Hc Xr Entire Spi Ne 4-5 Vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72083||WS HB DEFAULT|1,182.00
WS SERVICE AREA|27201139|Hc Evacuator Ellik Bladr Cmplt Strl Ltx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.50
WS SERVICE AREA|27201140|Hc Evacuator Y Connector 400|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27201141|Hc Evacuator Y Connector Rlvc 400cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|87.60
WS SERVICE AREA|27201142|Hc Expander Pupil Graether|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|572.70
WS SERVICE AREA|97065009|Hc Eval For Rx Of Non-speech Prosthetic Device First Hour - St|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92605|GN|WS HB DEFAULT|763.00
WS SERVICE AREA|27201143|Hc Ext 8 Contact 25cm W/kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,012.10
WS SERVICE AREA|80086409|HC NEUTRALIZING ANTIBODY SARS-COV-2 TITER|LABORATORY - GENERAL CLASSIFICATION [0300]|86409||WS HB DEFAULT|368.00
WS SERVICE AREA|27201144|Hc Extender Bovie Flat Blade|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|97065010|HC IPR EVAL FOR RX OF NON-SPEECH PROSTHETIC DEVICE FIRST HOUR|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92605|GN|WS HB DEFAULT|763.00
WS SERVICE AREA|27201145|Hc Extension Sinus Guide Sk Cath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|330.60
WS SERVICE AREA|20010150|Hc Finger Fx Distal W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26755||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27201146|Hc Extractor Skin Staple Proximat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80000225|HC INFECTIOUS DS DNA&RNA 21 TARGETS SARS-COV-2 AMP PROBE|LABORATORY - GENERAL CLASSIFICATION [0300]|0225U||WS HB DEFAULT|368.00
WS SERVICE AREA|27201147|Hc Extractor Surg Recess 3.5 Mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|408.90
WS SERVICE AREA|27201148|Hc Fan Endomaxi Ii Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|565.50
WS SERVICE AREA|27201149|Hc Fastener Tube Endo 5-10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.60
WS SERVICE AREA|27201150|Hc Felt Cv 2.5cmx2.5cm Thk Ptfe P|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,145.40
WS SERVICE AREA|80000226|HC SURROGATE VIRAL NEUTRALIZATION TEST SARSCOV2 ELISA PLASMA SERUM|LABORATORY - GENERAL CLASSIFICATION [0300]|0226U||WS HB DEFAULT|368.00
WS SERVICE AREA|27201151|Hc Fiberloop 76mm Str Ndl Blu 7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|271.90
WS SERVICE AREA|27201152|Hc Fiberstick #2 Fw#2 Bl 50inx12i|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27201153|Hc Fibertape 2mm W/#2 Wire|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|362.60
WS SERVICE AREA|272121467|Hc Prong Nasal Neo Cpap 5.5mmx5.0mm Dis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|34.00
WS SERVICE AREA|27201154|Hc Fielder Coronary Wire Xt 300cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|844.60
WS SERVICE AREA|27201155|Hc Filter Aspiration 10pk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27201156|Hc Zz Filter Blood Micron 20- Use 27201157|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.70
WS SERVICE AREA|27201157|Hc Filter Blood|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.60
WS SERVICE AREA|27201158|Hc Zz Filter Blood Transfusion Use 27201157|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.50
WS SERVICE AREA|272000257|Hc Needle Specialty|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|290.40
WS SERVICE AREA|27201159|Hc Filter Graft Ria Sterile|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,811.80
WS SERVICE AREA|27201160|Hc Filter Laparoshield Smoke Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|177.20
WS SERVICE AREA|27201161|Hc Filter Leukocyte Platelet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|251.30
WS SERVICE AREA|27201162|Hc Filter Leukocyte Platelet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|251.30
WS SERVICE AREA|20010151|Hc Finger Fx Distal W Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26756||WS HB DEFAULT|16,943.00
WS SERVICE AREA|80000203|Hc Autoimmune Ibd Mrna Gene Expression Profiling 17 Genes Whole Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|0203U||WS HB DEFAULT|2,660.00
WS SERVICE AREA|27201163|Hc Filter Smoke Evac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|160.70
WS SERVICE AREA|27201164|Hc Filter Smoke Evac Single Port|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|683.90
WS SERVICE AREA|27201165|Hc Filter Tissue Trap Safetouch|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.40
WS SERVICE AREA|80000204|Hc Oncology Thyroid Mrna Gene Expression Alys 593 Genes Fna|LABORATORY - GENERAL CLASSIFICATION [0300]|0204U||WS HB DEFAULT|10,218.60
WS SERVICE AREA|27201166|Hc Filter,20 Micro Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.90
WS SERVICE AREA|27201167|Hc Filter,cryo And Platelet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.00
WS SERVICE AREA|27201168|Hc Filter,leuko Reduced Platelet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|273.00
WS SERVICE AREA|27201169|Hc Filter,leuko Reduced Rbc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|112.30
WS SERVICE AREA|80000205|Hc Ophthalmology Age-related Macular Degeneration Alys 3 Gene Variants|LABORATORY - GENERAL CLASSIFICATION [0300]|0205U||WS HB DEFAULT|368.00
WS SERVICE AREA|70172084|Hc Xr Entire Spi Ne 6 Vw Min|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72084||WS HB DEFAULT|1,599.00
WS SERVICE AREA|272118367|Hc Set Hemofiltration Prsm Flx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|892.90
WS SERVICE AREA|27201170|Hc Filter,micro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|54.60
WS SERVICE AREA|27201171|Hc Filter,micro Y|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.90
WS SERVICE AREA|27201172|Hc Filter,red Cells|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27201173|Hc Flat Blake 10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.30
WS SERVICE AREA|80000206|Hc Neurology Alzheimer Disease Cell Aggregation|LABORATORY - GENERAL CLASSIFICATION [0300]|0206U||WS HB DEFAULT|368.00
WS SERVICE AREA|27201174|Hc Flat Blake 7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|92.70
WS SERVICE AREA|27201175|Hc Flipcutter Str 9mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,978.60
WS SERVICE AREA|27201176|Hc Flow-20-pull Peg Set Ssk-s-t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|452.20
WS SERVICE AREA|27201177|Hc Flowswitch Hi Pressure 44201|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.10
WS SERVICE AREA|80000207|Hc Neurology Alzheimer Disease Quantitative Imaging|LABORATORY - GENERAL CLASSIFICATION [0300]|0207U||WS HB DEFAULT|368.00
WS SERVICE AREA|20010152|Hc Finger Disl Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26770||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27201178|Hc Forcep Biopsy Cup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,744.80
WS SERVICE AREA|27201179|Hc Forcep Biopsy Cup 3.3fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,744.80
WS SERVICE AREA|27201180|Hc Forcep Biopsy W/ndl 240cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|367.70
WS SERVICE AREA|27201181|Hc Forcep Bipolar Lf Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,060.90
WS SERVICE AREA|80000208|Hc Oncology Mtc Mrna Gene Expression Alys 108 Gene Algorithm|LABORATORY - GENERAL CLASSIFICATION [0300]|0208U||WS HB DEFAULT|368.00
WS SERVICE AREA|27201182|Hc Forcep Bipolar Micro Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|439.80
WS SERVICE AREA|27201183|Hc Forcep Bipolar Op Scope|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,145.40
WS SERVICE AREA|27201184|Hc Forcep Bipolar Spetzler 1mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,328.80
WS SERVICE AREA|27201185|Hc Forcep Captura Grasp 3.2x90|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|936.30
WS SERVICE AREA|80000209|Hc Cytogenomic Constitutional Alys Interrogation Genomic Reg F/copy Number|LABORATORY - GENERAL CLASSIFICATION [0300]|0209U||WS HB DEFAULT|368.00
WS SERVICE AREA|27275235|Hc Set Fltrln H Adlt Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|59.70
WS SERVICE AREA|27201186|Hc Forcep Radial Jaw W/ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27201187|Hc Forceps Alligator 3.3fr 115cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,515.30
WS SERVICE AREA|27201188|Hc Forceps Biopsy Supertrax|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|415.10
WS SERVICE AREA|27201189|Hc Forceps Bipolar Cush Bayo 2mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|897.10
WS SERVICE AREA|80000210|Hc Syphilis Test Non-treponemal Antibody Ia Quan Rpr|LABORATORY - GENERAL CLASSIFICATION [0300]|0210U||WS HB DEFAULT|368.00
WS SERVICE AREA|27201190|Hc Forceps Bipolar Hardy Bayo 1mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|897.10
WS SERVICE AREA|27201191|Hc Forceps Bx 2mm Algtr Jaw W Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|173.40
WS SERVICE AREA|27201192|Hc Forceps Ilm Disp Tip 23g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|673.60
WS SERVICE AREA|80000211|Hc Oncology Pan-tumor Dna&rna Next-generation Sequencing|LABORATORY - GENERAL CLASSIFICATION [0300]|0211U||WS HB DEFAULT|29,592.50
WS SERVICE AREA|27201193|Hc Forceps Radial Jaw 3 100cm 2.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|234.80
WS SERVICE AREA|20010153|Hc Finger Disl W Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26775||WS HB DEFAULT|11,593.00
WS SERVICE AREA|27201194|Hc Forceps Radial Jaw 3 Hot|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|392.40
WS SERVICE AREA|27201195|Hc Forceps Radial Jaw 4 240cm 2.4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|114.30
WS SERVICE AREA|27201196|Hc Forceps Surg Raptor Graspg 24m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|784.90
WS SERVICE AREA|80000212|Hc Rare Diseases Whole Genome&mitochondrial Dna Seq Alys Proband|LABORATORY - GENERAL CLASSIFICATION [0300]|0212U||WS HB DEFAULT|368.00
WS SERVICE AREA|27201197|Hc Gauze Packing Iodoform Lf 2x5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.20
WS SERVICE AREA|27201198|Hc Gauze Packing Iodoform Lf1/2x5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.00
WS SERVICE AREA|27201199|Hc Gauze Packing Iodoform Lf1/4x5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27201200|Hc Gauze Packing Plain Lf 1/2x5yd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80000213|Hc Rare Ds Whole Genome&mitochondrial Dna Seq Alys Each Comparator|LABORATORY - GENERAL CLASSIFICATION [0300]|0213U||WS HB DEFAULT|368.00
WS SERVICE AREA|27201201|Hc Gauze Packing Plain Lf 1/4x5yd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|70173501|Hc Xr Hip Uni 1 Vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73501||WS HB DEFAULT|449.00
WS SERVICE AREA|27201202|Hc Gauze Packing Plain Lf 1x5yds|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.90
WS SERVICE AREA|27201203|Hc Gauze Packing Plain Lf 2"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.70
WS SERVICE AREA|27201204|Hc Gauze Sponge Lf 4x4 4ply Nstr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80000214|Hc Rare Diseases Whole Exome&mitochondrial Dna Seq Alys Proband|LABORATORY - GENERAL CLASSIFICATION [0300]|0214U||WS HB DEFAULT|368.00
WS SERVICE AREA|27201205|Hc Gauze Sponge Ster Lf 2x2 8-ply|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27201206|Hc Gauze Sponge Ster Lf 4x4 12-pl Bx50|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27201207|Hc Gel Etch Dental 1.2ml Syringe|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27201208|Hc Gel Wound Hydro Lf 3 Oz Tube Nstrl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.20
WS SERVICE AREA|27201209|Hc Gelfoam Large 100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|139.10
WS SERVICE AREA|80000215|Hc Rare Diseases Whole Exome&mitochondrial Dna Seq Alys Ea Comparator|LABORATORY - GENERAL CLASSIFICATION [0300]|0215U||WS HB DEFAULT|368.00
WS SERVICE AREA|20010154|Hc Finger Disl W Manip W Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26776||WS HB DEFAULT|16,943.00
WS SERVICE AREA|27201210|Hc Gelfoam Small 12-7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.10
WS SERVICE AREA|27201211|Hc Glidecath Angl Terum 4fr 120cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|299.20
WS SERVICE AREA|27201212|Hc Glidecath Angl Terum 4fr 65cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|299.60
WS SERVICE AREA|27201213|Hc Glidecath Strt Terum 4fr 120cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|294.60
WS SERVICE AREA|80000216|Hc Neuro Inh Ataxia Genomic Dna Seq Alys 12 Blood/salvia|LABORATORY - GENERAL CLASSIFICATION [0300]|0216U||WS HB DEFAULT|368.00
WS SERVICE AREA|27201214|Hc Glidecath Strt Terum 4fr 65cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|300.80
WS SERVICE AREA|27201215|Hc Glidecath Xp Str Tip 100cm 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|303.90
WS SERVICE AREA|27201216|Hc Glidesheath Z Kit 5fr 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|228.70
WS SERVICE AREA|27201217|Hc Glidesheath Z Kit 6fr 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|228.70
WS SERVICE AREA|80000217|Hc Neuro Inh Ataxia Genomic Dna Seq Alys 51 Blood/silva|LABORATORY - GENERAL CLASSIFICATION [0300]|0217U||WS HB DEFAULT|368.00
WS SERVICE AREA|27257980|Hc Set Ventilator Cap Dphrm Non Blu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.90
WS SERVICE AREA|27201218|Hc Glidesheath Z Kit 6fr 25cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|228.70
WS SERVICE AREA|27201219|Hc Glidewire Angled Disp 035/150|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|176.20
WS SERVICE AREA|27201220|Hc Glidewire Angled Disp.025 150c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|240.70
WS SERVICE AREA|27201221|Hc Glidewire Bentson .035x150|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|309.60
WS SERVICE AREA|80000218|Hc Neuro Muscular Dystrophy Dmd Seq Alys Blood/saliva|LABORATORY - GENERAL CLASSIFICATION [0300]|0218U||WS HB DEFAULT|7,976.50
WS SERVICE AREA|27201222|Hc Glidewire Gt Terumo 45deg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|893.90
WS SERVICE AREA|27201223|Hc Glidewire Gt Terumo 90deg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|887.50
WS SERVICE AREA|27201224|Hc Glidewire Gt Terumo Dbl Angle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|878.60
WS SERVICE AREA|27201225|Hc Glidewire Gt Terumo Straigh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|896.40
WS SERVICE AREA|80000219|Hc Infectious Agent Hiv Targeted Viral Next-gnrj Seq Alys Algorithm|LABORATORY - GENERAL CLASSIFICATION [0300]|0219U||WS HB DEFAULT|368.00
WS SERVICE AREA|20010155|Hc Drain Pelvis Hip Joint Area Deep Abscess Or Hematoma|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26990||WS HB DEFAULT|15,855.00
WS SERVICE AREA|27201226|Hc Glidewire Std Ang .035x80x3cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|175.40
WS SERVICE AREA|27201227|Hc Glidewire Straight Disp035/260|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|283.70
WS SERVICE AREA|27201228|Hc Glidewire Tapered .018 180cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|1,297.80
WS SERVICE AREA|80000220|Hc Oncology Breast Ca Image Alys W/ai Assmt 12 Features|LABORATORY - GENERAL CLASSIFICATION [0300]|0220U||WS HB DEFAULT|368.00
WS SERVICE AREA|27201231|Hc Glue Indermil Tissue Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|169.20
WS SERVICE AREA|27201232|Hc Gomco 1.1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|105.50
WS SERVICE AREA|27201233|Hc Gomco 1.3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|105.40
WS SERVICE AREA|80000221|Hc Abo Genotyping Gene Alys Next-generation Seq Abo Gene|LABORATORY - GENERAL CLASSIFICATION [0300]|0221U||WS HB DEFAULT|368.00
WS SERVICE AREA|27201235|Hc Grid Microsurgical Blue 5 Fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|215.30
WS SERVICE AREA|27201236|Hc G-tube Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|336.10
WS SERVICE AREA|70173502|Hc Xr Hip Uni 2-3 Vws|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73502||WS HB DEFAULT|507.00
WS SERVICE AREA|27201237|Hc Guide 5f Convey Lbu3.75|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|80000222|Hc Rhd&rhce Genotyping Next-generation Seq Rh Proximal Promoter|LABORATORY - GENERAL CLASSIFICATION [0300]|0222U||WS HB DEFAULT|368.00
WS SERVICE AREA|27201238|Hc Guide Deploy Spacer Relief Stratu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,061.70
WS SERVICE AREA|27201239|Hc Guide Drill Screw On 503004170|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|550.00
WS SERVICE AREA|27201240|Hc Guide Drill Sureshot Esemi Ext|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,317.40
WS SERVICE AREA|27201241|Hc Guide Drill W/trocar Short|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33,749.00
WS SERVICE AREA|27201242|Hc Guide Ext Nav Frameless Trajec|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,441.60
WS SERVICE AREA|27201243|Hc Guide Fine Cross Micro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,413.30
WS SERVICE AREA|27201244|Hc Guide Mach 1 Art 4.0 7fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|301.80
WS SERVICE AREA|27201245|Hc Guide Ndl Fischer 10ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.50
WS SERVICE AREA|20010156|Hc Biopsy Soft Tissue Pelvis/hip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27040||WS HB DEFAULT|6,777.00
WS SERVICE AREA|27201246|Hc Guide Ndl Fischer 7ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|27201247|Hc Guide Pin 3.2x300mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|283.30
WS SERVICE AREA|27201248|Hc Guide Pin Omega Howme Thr 2.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|397.60
WS SERVICE AREA|27201249|Hc Guide Sut Gabbay Frater Sgl Pk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|201.90
WS SERVICE AREA|27201250|Hc Guide Sut Gabbay-frater Gfs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|424.40
WS SERVICE AREA|27201251|Hc Guide Tube Trach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|404.80
WS SERVICE AREA|27201252|Hc Guidepin Orth 5in 1/8in Gen2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|118.50
WS SERVICE AREA|27201253|Hc Guidewire Amp U/s 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|116.90
WS SERVICE AREA|27201254|Hc Guidewire Dual Flex Ss Lf .035|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|45.50
WS SERVICE AREA|27201255|Hc Guidewire Forte Mod .014x185cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|501.60
WS SERVICE AREA|270115443|Hc Tape Endotrach Tb Cloth Ltx Splt Tab|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|16.50
WS SERVICE AREA|272118472|Hc Tray Trach 8 Hydrophulic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,924.60
WS SERVICE AREA|27201256|Hc Guidewire J Daig .025/150|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|41.20
WS SERVICE AREA|27201257|Hc Guidewire J Daig .035/150|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|80.30
WS SERVICE AREA|80085063|Hc Coagulation And Fibrinolysis,functional Activity, Not Otherwise Specified, Each Analyte|LABORATORY - GENERAL CLASSIFICATION [0300]|85397||WS HB DEFAULT|345.00
WS SERVICE AREA|27201258|Hc Guidewire J Daig .035/260|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|93.00
WS SERVICE AREA|27201259|Hc Guidewire Pusion Sorth 0.62|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|271.90
WS SERVICE AREA|80085064|Hc Influenza|LABORATORY - GENERAL CLASSIFICATION [0300]|87804||WS HB DEFAULT|156.00
WS SERVICE AREA|27201260|Hc Guidewire St 2.0mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|271.90
WS SERVICE AREA|27201261|Hc Guidewire Synth 2.0mm 292.652|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|224.70
WS SERVICE AREA|27201262|Hc Guidewire Thscf-35-801.5 Rosen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|68.90
WS SERVICE AREA|27201263|Hc Guidewire W/advancer .032x23-5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|62.40
WS SERVICE AREA|70173503|Hc Xr Hip Uni 4 Vws Min|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73503||WS HB DEFAULT|726.00
WS SERVICE AREA|80085065|Hc Respiratory Syncytial Virus|LABORATORY - GENERAL CLASSIFICATION [0300]|87807||WS HB DEFAULT|192.00
WS SERVICE AREA|27201264|Hc Gun Biopsy Co-axial 18gx15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|266.50
WS SERVICE AREA|27201265|Hc Gun Biopsy Max Core 14gx10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|195.70
WS SERVICE AREA|90010510|Hc Poc Lactate Cvor|LABORATORY - GENERAL CLASSIFICATION [0300]|83605||WS HB DEFAULT|250.00
WS SERVICE AREA|27201266|Hc Gun Disp Raney|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|362.60
WS SERVICE AREA|27201267|Hc Gwire Sphincter Fusion W/lw .021|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|1,883.90
WS SERVICE AREA|27201268|Hc Gwire Sphincterotome Dash 21|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|1,458.50
WS SERVICE AREA|27201269|Hc Gwire Vasc Core Ang Tpr .025in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|182.30
WS SERVICE AREA|99099391|Hc Zz Preventative Med Visit < 1 Yr- No Replacement|CLINIC - GENERAL CLASSIFICATION [0510]|G0463||WS HB DEFAULT|216.00
WS SERVICE AREA|27201270|Hc Gwire Vasc Core Ang Tpr .038in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|182.30
WS SERVICE AREA|70173521|Hc Xr Hips Bil 2 Vws|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73521||WS HB DEFAULT|726.00
WS SERVICE AREA|27201271|Hc Hand Control Debrider|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|118.50
WS SERVICE AREA|99099392|HC PREVENTATIVE MED VISIT ESTABLISHED PATIENT 1-4 YRS|CLINIC - GENERAL CLASSIFICATION [0510]|G0463||WS HB DEFAULT|216.00
WS SERVICE AREA|27201272|Hc Handle Bipolar Forceps Isocool|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,506.90
WS SERVICE AREA|27201273|Hc Handle Yankeur Suction Wht Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.80
WS SERVICE AREA|99099393|HC PREVENTATIVE MED VISIT ESTABLISHED PATIENT 5-11 YRS|CLINIC - GENERAL CLASSIFICATION [0510]|G0463||WS HB DEFAULT|216.00
WS SERVICE AREA|27201274|Hc Handpiece Hydrodebrider|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,844.70
WS SERVICE AREA|10009764|Hc Revasc Intravasc Lithotripsy|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9764||WS HB DEFAULT|16,562.00
WS SERVICE AREA|27201275|Hc Handpiece Laparoscopic Bovie|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|357.40
WS SERVICE AREA|99099394|Hc Zz Preventative Med Visit 12-17 Yrs- No Replacement|CLINIC - GENERAL CLASSIFICATION [0510]|G0463||WS HB DEFAULT|216.00
WS SERVICE AREA|27201276|Hc Handpiece Scalpel Harmonic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,292.10
WS SERVICE AREA|70173522|Hc Xr Hips Bil 3-4 Vws|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73522||WS HB DEFAULT|817.00
WS SERVICE AREA|27201277|Hc Handpiece Versajet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,891.20
WS SERVICE AREA|99099395|HC PREVENTATIVE MED VISIT ESTABLISHED PATIENT 18-39 YRS|CLINIC - GENERAL CLASSIFICATION [0510]|G0463||WS HB DEFAULT|240.00
WS SERVICE AREA|27201278|Hc Handpiece Versajet 50637|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,984.90
WS SERVICE AREA|10009765|Hc Revasc Intravasc Lithotripsy And Trans Stent Placement|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9765||WS HB DEFAULT|33,124.00
WS SERVICE AREA|27201279|Hc Head Hex 10mm 50-13020|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|217.30
WS SERVICE AREA|99099396|Hc Zz Preventative Med Visit 40-64 Yrs- No Replacement|CLINIC - GENERAL CLASSIFICATION [0510]|G0463||WS HB DEFAULT|264.00
WS SERVICE AREA|27201280|Hc Head Reamer 15.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,891.10
WS SERVICE AREA|27201281|Hc Hemasorb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|452.20
WS SERVICE AREA|99099397|Hc Zz Preventative Med Visit >/= 65 Yrs- No Replacement|CLINIC - GENERAL CLASSIFICATION [0510]|G0463||WS HB DEFAULT|271.00
WS SERVICE AREA|27201282|Hc Hemoclip Multi Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.60
WS SERVICE AREA|272103163|Hc Zz Tube Endo 8mm Nsl/orl Cuff Murph Eye- Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|10009766|Hc Revasc Intravasc Lithotripsy And Atherectomy|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9766||WS HB DEFAULT|33,124.00
WS SERVICE AREA|27201283|Hc Hemoclip Weck Yellow Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|643.80
WS SERVICE AREA|27201284|Hc Hemoconcentrator W Tub 700|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|442.50
WS SERVICE AREA|10009767|Hc Revasc Lithotripsy And Stent W/atherectomy|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9767||WS HB DEFAULT|53,291.00
WS SERVICE AREA|27201285|Hc Hemostat Abs Srgcl Snow 2in 4i|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|722.70
WS SERVICE AREA|27201286|Hc Hemovac 400ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|153.50
WS SERVICE AREA|27201287|Hc Hemovac Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|104.00
WS SERVICE AREA|27201288|Hc Hinge Inline Orthofix 51-10430|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,082.70
WS SERVICE AREA|30033880|HC EVASC RPR DTA COVERAGE ART ORIGIN 1ST ENDOPROSTH|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33880||WS HB DEFAULT|7,848.00
WS SERVICE AREA|27201289|Hc Zz Holder Sut Cut Lg Ndl- Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14,477.70
WS SERVICE AREA|70173523|Hc Xr Hips Bil 5 Vws Min|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73523||WS HB DEFAULT|817.00
WS SERVICE AREA|80085062|Hc Compatibility Test Each Unit;electronic|LABORATORY - GENERAL CLASSIFICATION [0300]|86923||WS HB DEFAULT|285.00
WS SERVICE AREA|27201290|Hc Hook Harmonic 5mm Uc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,079.40
WS SERVICE AREA|27201291|Hc Illuminator Light Mat Surgical|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|514.00
WS SERVICE AREA|27201292|Hc Incisor Curved Lg Smith 4.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|595.30
WS SERVICE AREA|27201293|Hc Injector Ex Flow Cement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,442.00
WS SERVICE AREA|27201294|Hc Insert Clamp Bowel C4001|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.60
WS SERVICE AREA|27201295|Hc Insert Fogarty Evergrip Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.60
WS SERVICE AREA|27201296|Hc Insert Harmonic Curv Shears Da|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,592.50
WS SERVICE AREA|70075956|HC EVASC RPR DESCND THORCIC AORTA SUBCLAV ORIG RAD SUP AND INTERP|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|75956||WS HB DEFAULT|7,848.00
WS SERVICE AREA|27201297|Hc Insert Knife Sckl Shp Mic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|853.90
WS SERVICE AREA|70173551|Hc Xr Femur 1vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73551||WS HB DEFAULT|449.00
WS SERVICE AREA|27201298|Hc Insert Octobase Sut|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.30
WS SERVICE AREA|27201299|Hc Instrument Biopsy Mono Disp14g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|239.10
WS SERVICE AREA|27201300|Hc Instrument Max Disp Core 22mm 18x|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|174.10
WS SERVICE AREA|27201301|Hc Instrument Maxcore 22mm 18gx20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|174.20
WS SERVICE AREA|27201302|Hc Instrument Maxcore 22mm 18gx25|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|174.30
WS SERVICE AREA|27201303|Hc Instrument Maxcore 22mm 20gx20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|174.10
WS SERVICE AREA|27201304|Hc Instrument Uniclip Staple|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|301.80
WS SERVICE AREA|27201305|Hc Introducer Cath Tip Passive|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,807.70
WS SERVICE AREA|27201306|Hc Introducer Eschmann 15fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.60
WS SERVICE AREA|27201307|Hc Introducer Et Tube Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.10
WS SERVICE AREA|70173552|Hc Xr Femur 2vws Min|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73552||WS HB DEFAULT|507.00
WS SERVICE AREA|27201308|Hc Introducer Flex Chkflo W/tip9f*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|283.90
WS SERVICE AREA|27201309|Hc Introducer Hickman Bard|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|542.80
WS SERVICE AREA|27201310|Hc Introducer Kit Mic G 18fr-|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,116.50
WS SERVICE AREA|27201311|Hc Introducer Orth Kphx Bevel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,051.80
WS SERVICE AREA|80000223|Hc Infectious Disease Bacterial/viral Respiratory Dna/rna 22 Trgt Sarscov2|LABORATORY - GENERAL CLASSIFICATION [0300]|0223U||WS HB DEFAULT|473.00
WS SERVICE AREA|27201312|Hc Introducer Osteo Xpress Kyphon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,449.30
WS SERVICE AREA|27201313|Hc Introducer Stiff Micro 4fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|246.80
WS SERVICE AREA|27201314|Hc Introducer Tissue Soft 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|527.40
WS SERVICE AREA|27201315|Hc Introducer W/gdwire 10fr 13cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|265.70
WS SERVICE AREA|272127468|Hc Ampule Nasal Antiseptic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.50
WS SERVICE AREA|272129247|Hc Valve Expiration Sgl Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|80.30
WS SERVICE AREA|27201316|Hc Introducer W/gdwire 12fr 13cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|265.70
WS SERVICE AREA|27201317|Hc Introducer W/gdwire 14fr 13cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|265.70
WS SERVICE AREA|27201318|Hc Irrigation Set Tubing 4 Lead|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27201319|Hc Kit Access 3arm Da Vinci Disp*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|728.20
WS SERVICE AREA|27201320|Hc Kit Access 4arm Da Vinci Disp*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|979.50
WS SERVICE AREA|27201321|Hc Kit Access Mini*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|274.00
WS SERVICE AREA|27201322|Hc Kit Accessory Ancillary|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|632.40
WS SERVICE AREA|27201323|Hc Kit Accucise 26cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9,319.40
WS SERVICE AREA|27201324|Hc Kit Acl Aperfix Disp Instr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,894.30
WS SERVICE AREA|27201325|Hc Kit Acl Mitek Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,675.80
WS SERVICE AREA|93093590|Hc Perq Transcath Closure Mitral Initial|CARDIOLOGY - CARDIAC CATH LAB [0481]|93590||WS HB DEFAULT|48,061.00
WS SERVICE AREA|27201326|Hc Kit Advance Cement Mixing Stryker|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|504.70
WS SERVICE AREA|27201327|Hc Kit Angiography Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|124.20
WS SERVICE AREA|27201328|Hc Kit Arterial Line Argon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|121.50
WS SERVICE AREA|10010215|Hc Zz Shave Les Face/ears, Eyelids/nose/lips   1.1-2.0 Cm- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11312||WS HB DEFAULT|1,423.00
WS SERVICE AREA|27201329|Hc Kit Arterial Line Lf 5"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|180.70
WS SERVICE AREA|27201330|Hc Kit Arthro Fx Pushlock 2.9mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,054.70
WS SERVICE AREA|27201331|Hc Kit Aseptic Fluid Transfer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|109.20
WS SERVICE AREA|27201332|Hc Kit Aspira Pleural Drainage*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|5,962.30
WS SERVICE AREA|27201333|Hc Kit Attain Gw/int/cath Lds6216*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|3,318.70
WS SERVICE AREA|27201334|Hc Kit Balloon Bipolar Electrode|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|792.10
WS SERVICE AREA|93093591|Hc Perq Transcath Closure Aortic Initial|CARDIOLOGY - CARDIAC CATH LAB [0481]|93591||WS HB DEFAULT|48,061.00
WS SERVICE AREA|272118626|Hc Pouch Drain Trans 2.25in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|20020526|HC INJECTION CARPAL TUNNEL TX|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20526||WS HB DEFAULT|2,438.00
WS SERVICE AREA|27201335|Hc Kit Balloon Cath Iabp 8fr 34cc*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,067.60
WS SERVICE AREA|27201336|Hc Kit Balloon Cath Iabp 8fr 34cc*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,067.60
WS SERVICE AREA|20020527|Hc Palmar Fascial Cord Inj W Enzyme|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20527||WS HB DEFAULT|1,116.00
WS SERVICE AREA|27201337|Hc Kit Balloon Cath Iabp 8fr 40cc*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,734.90
WS SERVICE AREA|20020553|HC TRIGGER POINT INJECTIONS => 3|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20553||WS HB DEFAULT|1,661.00
WS SERVICE AREA|27201339|Hc Kit Banding Wilson Mbl6ov|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,486.30
WS SERVICE AREA|27201340|Hc Kit Bio-tenodesis Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,023.80
WS SERVICE AREA|27201341|Hc Kit Blood Pump Thoratec|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70,277.90
WS SERVICE AREA|27201342|Hc Kit Bone Prep Bioprep|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|595.30
WS SERVICE AREA|93093592|Hc Perq Transcath Closure Each Add|CARDIOLOGY - CARDIAC CATH LAB [0481]|93592||WS HB DEFAULT|16,020.00
WS SERVICE AREA|50054160|Hc Circumcision Neonate <= 28 Days|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54160||WS HB DEFAULT|3,313.00
WS SERVICE AREA|27201343|Hc Kit Breastmilk Initiation|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|168.90
WS SERVICE AREA|27201344|Hc Kit Carotid Shunt Argyle Lf 6"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|133.90
WS SERVICE AREA|70172200|Hc Xr Sacroiliac Joints <3 Views|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72200||WS HB DEFAULT|454.00
WS SERVICE AREA|27201345|Hc Kit Carticel Biopsy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,982.90
WS SERVICE AREA|27201346|Hc Kit Cath Dbl Lum Arrow 20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|451.10
WS SERVICE AREA|27201347|Hc Kit Cath Fem Arterial Lf Arrow*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|144.10
WS SERVICE AREA|27201348|Hc Kit Cath Female W/glove Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27201349|Hc System Fec Mgmt Dignishield|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|574.30
WS SERVICE AREA|27201350|Hc Kit Cath Infant Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|30037252|Hc Intrvasc Us Noncoronary 1st Add On|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37252||WS HB DEFAULT|4,788.00
WS SERVICE AREA|27201351|Hc Kit Cath Intravascular Cool 3l|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,748.40
WS SERVICE AREA|27201352|Hc Kit Cath Intravascular Icy 3lu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,715.10
WS SERVICE AREA|27201353|Hc Kit Cath Picc Dual Lum 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|838.40
WS SERVICE AREA|27201354|Hc Kit Cath Pleurx Pleural|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|3,270.30
WS SERVICE AREA|27201355|Hc Kit Cath Rt Hrt Mnfld Cust|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|125.70
WS SERVICE AREA|27201356|Hc Kit Cement Spine Wave|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,297.80
WS SERVICE AREA|27201357|Hc Kit Cent Ven Access 2lum Lf*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|620.10
WS SERVICE AREA|27201358|Hc Kit Charging Adv Bion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,316.00
WS SERVICE AREA|96090461|HC ADMIN VACC PED W COUNSEL EA ADD VAC OR COMPT ANY RTE  =<18|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|90461||WS HB DEFAULT|133.00
WS SERVICE AREA|27201359|Hc Kit Comp Acc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|2,745.00
WS SERVICE AREA|30037253|Hc Intrvasc Us Noncoronary Ea Addl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37253||WS HB DEFAULT|4,044.00
WS SERVICE AREA|27201360|Hc Kit Core Assure 8g Accessor|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|118.50
WS SERVICE AREA|27201361|Hc Kit Cpd Blood Pack|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.60
WS SERVICE AREA|27201362|Hc Kit Cps St Jude*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|4,795.70
WS SERVICE AREA|27201363|Hc Kit Cranial Access Ils|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,685.50
WS SERVICE AREA|27201364|Hc Kit Crico|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|823.00
WS SERVICE AREA|27201365|Hc Kit Cvc Full Barr 20cm 7f 3lum*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|690.40
WS SERVICE AREA|27201366|Hc Kit Cvc Full Barr 20cm 8f 2lum*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|544.10
WS SERVICE AREA|27201367|Hc Kit Cvc Full Barr 20cm8.5f4lum*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|410.80
WS SERVICE AREA|27201368|Hc Kit Cvc W/abg 3lum 7fr 16cm*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|532.10
WS SERVICE AREA|27201369|Hc Kit Cvd Full Bar20cm 8.5f 4lum*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|551.20
WS SERVICE AREA|40047531|Hc Cholangiogram Inj Perc Existing Access W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47531||WS HB DEFAULT|2,970.00
WS SERVICE AREA|27201370|Hc Kit Drain Chest Percu Str 14fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|377.30
WS SERVICE AREA|27201371|Hc Kit Dressing Ear Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|77.30
WS SERVICE AREA|70493930|Hc Duplex Upper Extremity Arteries, Complete Bilateral|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|93930||WS HB DEFAULT|1,844.00
WS SERVICE AREA|27201372|Hc Kit Dressing Ear Pediatric|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.80
WS SERVICE AREA|27201373|Hc Kit Dressing Wound Vac Perf Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|269.10
WS SERVICE AREA|70493931|Hc Duplex Upper Extremity Arteries, Unilateral Or Limited|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93931||WS HB DEFAULT|1,256.00
WS SERVICE AREA|27201375|Hc Kit Dressing Wound Vac Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|212.80
WS SERVICE AREA|27201376|Hc Kit Dressing Wound Vac Whi Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|341.90
WS SERVICE AREA|27201377|Hc Kit Electrode Patch Vlc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,303.60
WS SERVICE AREA|27201378|Hc Kit Emr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,473.90
WS SERVICE AREA|10011982|Hc Removal Of Non-bio Drug Implant|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11982||WS HB DEFAULT|6,986.00
WS SERVICE AREA|27201379|Hc Kit Epidural Cont W/18ga Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|123.20
WS SERVICE AREA|27201380|Hc Kit Epistat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|485.90
WS SERVICE AREA|27201381|Hc Kit Fluid Transfer Cosme|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|27201382|Hc Kit Gastric Lavage W/sol Bag|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|111.20
WS SERVICE AREA|27201383|Hc Kit Gastro 18fr Sil Low Prof Feed Tube|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|176.10
WS SERVICE AREA|27201384|Hc Kit Gelport 100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,908.70
WS SERVICE AREA|27201385|Hc Kit Guidewire Accessory Copilo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|228.70
WS SERVICE AREA|27201386|Hc Kit Hemodrain 1/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|58.70
WS SERVICE AREA|27201387|Hc Kit Hemodrain 1/8"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|50.50
WS SERVICE AREA|27201388|Hc Kit Hemodrain Lf 3/32 In|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.50
WS SERVICE AREA|40047532|Hc Cholangiogram Inj Perc New Access W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47532||WS HB DEFAULT|3,215.00
WS SERVICE AREA|27201389|Hc Kit Hemostat Mtrx Surgiflo W T|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,364.80
WS SERVICE AREA|27201390|Hc Kit Hemovac Soft 400 Ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|50.50
WS SERVICE AREA|27201391|Hc Kit Hip Cement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|964.10
WS SERVICE AREA|27201392|Hc Kit Hip Revision Smith 004545|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,878.70
WS SERVICE AREA|27201393|Hc Kit Impella Quick Set Up 2.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,145.40
WS SERVICE AREA|27201394|Hc Kit Inflation Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|357.40
WS SERVICE AREA|27201395|Hc Kit Inflation Manifold Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|240.00
WS SERVICE AREA|27201396|Hc Kit Insertion Tube Chest Pleur|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|355.90
WS SERVICE AREA|27201398|Hc Kit Intro Jugular 16gax6"*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|80.20
WS SERVICE AREA|27201399|Hc Kit Introducer 10fr W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|239.00
WS SERVICE AREA|40047533|Hc Biliary Drain Cath Plmt Ext W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47533||WS HB DEFAULT|5,863.00
WS SERVICE AREA|27201400|Hc Kit Introducer 2.5 13fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,222.00
WS SERVICE AREA|27201401|Hc Kit Introducer Cook 8fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|241.00
WS SERVICE AREA|27201402|Hc Kit Irrigation Stryker|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|256.50
WS SERVICE AREA|27201403|Hc Kit Iv Site Care|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.80
WS SERVICE AREA|27201404|Hc Kit Locatable Guide|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,002.80
WS SERVICE AREA|27201405|Hc Kit Lumbar Drainage Access|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,037.10
WS SERVICE AREA|27201406|Hc Kit Margin Marker Ink|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|591.20
WS SERVICE AREA|27201407|Hc Kit Maxcess Diposable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,382.40
WS SERVICE AREA|27201408|Hc Kit Microintroducer Safety|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.80
WS SERVICE AREA|27201411|Hc Kit Monitor Intcran Pres1104bt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,226.60
WS SERVICE AREA|40047534|Hc Biliary Drain Cath Plmt Int/ext W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47534||WS HB DEFAULT|6,280.00
WS SERVICE AREA|27201412|Hc Kit Monitoring Pressure Abdominal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|549.40
WS SERVICE AREA|27201413|Hc Kit Monitoring Transpac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|80.70
WS SERVICE AREA|27201414|Hc Kit Ndl Parallax B&d 11g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,231.90
WS SERVICE AREA|27201415|Hc Kit Needle Guide|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|127.00
WS SERVICE AREA|27201416|Hc Kit On Point Scope Procedure|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|433.60
WS SERVICE AREA|27201417|Hc Kit Optivac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,061.90
WS SERVICE AREA|27201418|Hc Kit Patient Care Schlein Pos|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|251.30
WS SERVICE AREA|27201419|Hc Kit Peg 14fr Pull Meth Mic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|409.90
WS SERVICE AREA|27201420|Hc Kit Perc Sheath Intro 8.5fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|383.40
WS SERVICE AREA|27201421|Hc Kit Percutan Insrt Venous Pika|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|384.20
WS SERVICE AREA|40047538|Hc Bile Duct Stent Plmt Existing W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47538||WS HB DEFAULT|5,652.00
WS SERVICE AREA|27201422|Hc Kit Percutan Insrt Venous Pikv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|384.20
WS SERVICE AREA|27201423|Hc Kit Percutaneous Sheath Intro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|226.60
WS SERVICE AREA|27201424|Hc Kit Percutaneous Sheath Intro*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|366.70
WS SERVICE AREA|27201425|Hc Kit Pericardiocentesis 4315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|737.50
WS SERVICE AREA|27201426|Hc Kit Picc Full Barr 2 Lumen 5fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|469.70
WS SERVICE AREA|27201427|Hc Kit Picc Neonatal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|506.30
WS SERVICE AREA|27201428|Hc Kit Pin Plug Medtronic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|602.60
WS SERVICE AREA|27201429|Hc Kit Pinacl Ant Pelvic Flr Repr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13,572.30
WS SERVICE AREA|27201430|Hc Kit Pleurx Drainage|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|304.70
WS SERVICE AREA|27201431|Hc Kit Pleurx Starter 500ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|399.60
WS SERVICE AREA|40047539|Hc Bile Duct Stent Plmt Wo Drn Cth New Access W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47539||WS HB DEFAULT|6,829.00
WS SERVICE AREA|27006729|Hc Mask Anes Inf Ulthn Csh Inf Vlv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|5.20
WS SERVICE AREA|27201432|Hc Kit Pneumothorax|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|369.60
WS SERVICE AREA|27201433|Hc Kit Rap Pac Crcte*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,514.10
WS SERVICE AREA|27201434|Hc Kit Ring Applier Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,538.80
WS SERVICE AREA|27201435|Hc Kit Schlein Posit'n Shldr W/oimb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.30
WS SERVICE AREA|27201436|Hc Kit Sealant Evicel 2ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|943.50
WS SERVICE AREA|27201437|Hc Kit Service Installation|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|271.90
WS SERVICE AREA|27201438|Hc Kit Shunt Axiem Cranl Ninvs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,891.30
WS SERVICE AREA|27201439|Hc Kit Shunt Axiem Cranl Skl Mnt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,209.60
WS SERVICE AREA|27201440|Hc Kit Startup Coolgard 3000|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,823.00
WS SERVICE AREA|27201441|Hc Kit Stylet 6054-58cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|241.00
WS SERVICE AREA|40047540|Hc Bile Duct Stent Plmt W Drn Cth New Access W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47540||WS HB DEFAULT|7,345.00
WS SERVICE AREA|27201442|Hc Kit Stylet 6094-52cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|241.00
WS SERVICE AREA|27201443|Hc Kit Stylet 6293-85|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|241.00
WS SERVICE AREA|27201444|Hc Kit Stylet Ball|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|241.00
WS SERVICE AREA|27201445|Hc Kit Stylet Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|241.00
WS SERVICE AREA|272110606|Hc Needle Echo Sgl Stim 20gax100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.60
WS SERVICE AREA|27201446|Hc Kit Suction Neonatal 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.70
WS SERVICE AREA|27201447|Hc Kit Sut Tk Mini Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,054.70
WS SERVICE AREA|272110607|Hc Needle Echo Sgl Stim 22gax50mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.40
WS SERVICE AREA|27201448|Hc Kit Sut Tk Sm Joint Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|752.90
WS SERVICE AREA|27201449|Hc Kit Syringe Tissue Trans 60cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|362.60
WS SERVICE AREA|40047542|Hc Biliary Duct/ampulla Dilate Perc W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47542||WS HB DEFAULT|1,633.00
WS SERVICE AREA|272110608|Hc Zz Needle/cath Stim 6in 18x150mm- Use 272110610|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|174.60
WS SERVICE AREA|27201450|Hc Kit Tem Disposable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,509.00
WS SERVICE AREA|27201451|Hc Kit Template Minirail System|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,169.10
WS SERVICE AREA|272110609|Hc Zz Needle/cath Stim 4in 18x100mm- Use 272110610|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|173.60
WS SERVICE AREA|27201452|Hc Kit Thoracentesis Ar-clarke L|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|162.60
WS SERVICE AREA|27201453|Hc Kit Transducer Dual Cust Bx/20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|160.60
WS SERVICE AREA|272110610|Hc Set Needle/cath Stim On-q|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|186.40
WS SERVICE AREA|27201454|Hc Kit Transducer Neonat Mk5-10dt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.80
WS SERVICE AREA|27201455|Hc Kit Transducer Safeset W/resvr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|107.20
WS SERVICE AREA|272110697|Hc Needle Echo Sgl Stim 20gax150mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.00
WS SERVICE AREA|40047543|Hc Biliary Tree Endoluminal Bx Perc Sgl/mult W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47543||WS HB DEFAULT|1,364.00
WS SERVICE AREA|27201456|Hc Kit Transducer Squeeze 4dt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.40
WS SERVICE AREA|27201457|Hc Kit Transducer Triple Line Cus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|289.50
WS SERVICE AREA|272110844|Hc Needle Echo Sgl Stim 22gax150mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.30
WS SERVICE AREA|27201458|Hc Kit Transducer W/spike Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|160.70
WS SERVICE AREA|27201459|Hc Kit Two Port Rt Heart Manifold|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|272110892|Hc Needle Echo Ss Nonstim 20gax100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.20
WS SERVICE AREA|27201460|Hc Kit Vacuum Delivery 303tt Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|123.30
WS SERVICE AREA|27201461|Hc Kit Vacuum Delivery Lf 004c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|102.00
WS SERVICE AREA|272122568|HC CANNULA NERVE BLOCK US|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.00
WS SERVICE AREA|27201462|Hc Kit Vacuum Mixevac Ii Mixer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|251.30
WS SERVICE AREA|50050606|Hc Ureter/renal Pelvis Endoluminal Bx W Image Add On|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50606||WS HB DEFAULT|1,000.00
WS SERVICE AREA|27201463|Hc Kit Ventric Pres Monitor|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,151.00
WS SERVICE AREA|272126158|Hc Oncontrol Coaxial Tray 10cm 11ga W 14cm 13ga Bx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,629.40
WS SERVICE AREA|27201464|Hc Kit Washer Ez Loc Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,137.40
WS SERVICE AREA|27201465|Hc Kit Wrench 5873w|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|271.90
WS SERVICE AREA|272118844|Hc Cath Midline 5fr 20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|515.60
WS SERVICE AREA|27201466|Hc Knife Clear Dual Bevel 2.75mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|166.90
WS SERVICE AREA|27201467|Hc Knife Graft Acl Lf 10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|673.60
WS SERVICE AREA|272118842|Hc Cath Midline 4fr 20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|519.10
WS SERVICE AREA|27201468|Hc Knife Graft Acl Lf 9mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|637.60
WS SERVICE AREA|27201469|Hc Knife Myrigotomy W/lanccet Bla|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|92.70
WS SERVICE AREA|50050694|Hc Ureteral Stent Plmt Perc Wo Neph Cath New Access W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50694||WS HB DEFAULT|8,030.00
WS SERVICE AREA|272118843|Hc Cath Midline 3fr 20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|531.50
WS SERVICE AREA|27201470|Hc Knife Myringotomy Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|116.40
WS SERVICE AREA|27201471|Hc Knife Myringotomy Spear Blade|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|92.70
WS SERVICE AREA|272118839|Hc Cath Picc Ped 3fr 40cm 1 Lum|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|678.30
WS SERVICE AREA|27201472|Hc Knife Ophthalmic 15 Degree|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.30
WS SERVICE AREA|27201473|Hc Knife Ophthalmic Cresent|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|94.80
WS SERVICE AREA|272118840|Hc Cath Picc Ped 4fr 60cm 1 Lum|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|668.50
WS SERVICE AREA|27201474|Hc Knife Short Cut Ang 3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|131.80
WS SERVICE AREA|27201475|Hc Lead Delivery System (lds)dsys*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|4,728.70
WS SERVICE AREA|272118841|Hc Cath Picc Ped 4fr 60cm 2 Lum|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|688.00
WS SERVICE AREA|50050695|Hc Ureteral Stent Plmt Perc W Neph Cath New Access W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50695||WS HB DEFAULT|8,421.00
WS SERVICE AREA|27201476|Hc Lens Morgan Therapeutic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|110.60
WS SERVICE AREA|27201477|Hc Leveen Coaccess 3.0/15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7,203.80
WS SERVICE AREA|272120031|HC DRESSING ALLEVYN SACRUM 8 1/2 X 9IN|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.60
WS SERVICE AREA|27201478|Hc Light Mat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|298.70
WS SERVICE AREA|27201479|Hc Light Pipe Endo Illumin 25ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|392.40
WS SERVICE AREA|272125053|Hc Dressing Allevyn 15.4x15.4cm 4x4 Pad 6x6 Border|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27201480|Hc Lights Flexi-lum Surg Disp 10"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.30
WS SERVICE AREA|27201481|Hc Line Exten 20in Mnbr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|272126214|Hc Dressing Allevyn 10.3x10.3cm 2x2 Pad 4x4 Border|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27201483|Hc Loc Power 20ga 1"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.70
WS SERVICE AREA|50050706|Hc Ureteral Strix Balloon Dilate W Imag Add On|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50706||WS HB DEFAULT|1,000.00
WS SERVICE AREA|272126216|Hc Dressing Allevyn 12.9x12.9cm 3x3 Pad 5x5 Border|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10.30
WS SERVICE AREA|27201484|Hc Locator Nerve Vari-stem|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|221.50
WS SERVICE AREA|27201485|Hc Lubricant Rotaglide|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|535.60
WS SERVICE AREA|272126199|Hc Probe Claritee Adaptaflex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,324.80
WS SERVICE AREA|27201486|Hc Zz Marker Breast Starchmark 14ga - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|A4648||WS HB DEFAULT|571.40
WS SERVICE AREA|27201487|Hc Mask Resus Lf Infant|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.80
WS SERVICE AREA|271124775|Hc Tube Nasal Bridle Rtn Sys 12fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|370.10
WS SERVICE AREA|271124776|Hc Tube Nasal Bridle Rtn Sys 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|370.20
WS SERVICE AREA|27201490|Hc Ndl 2 W/2 Gold Marker 0.8x3.0m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,133.60
WS SERVICE AREA|27201491|Hc Ndl 3 W/1 Marker 17gx30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|647.90
WS SERVICE AREA|20010157|Hc Inj Hip Arthro W Anesth|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27095||WS HB DEFAULT|2,281.00
WS SERVICE AREA|271124777|Hc Tube Nasal Bridle Rtn Sys 16fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|370.30
WS SERVICE AREA|27201492|Hc Ndl Bd Fixed Wings 17g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27201493|Hc Ndl Biopsy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|94.80
WS SERVICE AREA|271124778|Hc Tube Nasal Bridle Rtn Sys 18fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|368.40
WS SERVICE AREA|27201494|Hc Ndl Biopsy Chiba 19gax20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27201495|Hc Ndl Biopsy Core Assure 11g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|669.50
WS SERVICE AREA|27201496|Hc Ndl Biopsy Franseen Disp 14ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|139.10
WS SERVICE AREA|27201497|Hc Ndl Biopsy Max Core 16x16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|196.70
WS SERVICE AREA|27201498|Hc Ndl Biopsy Monopty Liver|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|157.60
WS SERVICE AREA|27201499|Hc Ndl Biopsy Super Core Ii Adj|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|210.10
WS SERVICE AREA|40047535|Hc Biliary Drain Cath Convsn Ext W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47535||WS HB DEFAULT|4,665.00
WS SERVICE AREA|27201500|Hc Ndl Biopsy Supertrax|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|468.70
WS SERVICE AREA|27201501|Hc Ndl Brachy Blue 18ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1715||WS HB DEFAULT|22.30
WS SERVICE AREA|27201502|Hc Ndl Cath Centesis Yueh 6fr 19g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|118.50
WS SERVICE AREA|36025310|Hc Perfusion Service Acuity 1-4|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|7,464.00
WS SERVICE AREA|27201503|Hc Ndl Cath Dtvn Std (218418)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|116.80
WS SERVICE AREA|27201504|Hc Ndl Cath Yueh Cent 5fr 19ga 10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|116.90
WS SERVICE AREA|36025311|Hc Perfusion Service Acuity 5-10|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|8,056.00
WS SERVICE AREA|27201505|Hc Ndl Cath Yueh Cent 5fr15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|116.70
WS SERVICE AREA|27201506|Hc Ndl Chiba (20-5)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|36025312|Hc Perfusion Service Acuity >10|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|8,650.00
WS SERVICE AREA|40047536|Hc Biliary Drain Cath Exch W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47536||WS HB DEFAULT|4,117.00
WS SERVICE AREA|27235599|Hc Catheter Airway Exch 19.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|171.70
WS SERVICE AREA|80080451|Hc Drug Screening Methadone|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|248.00
WS SERVICE AREA|27201507|Hc Ndl Chiba 18x20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.80
WS SERVICE AREA|27201508|Hc Ndl Chiba 18x5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|36025313|Hc Perfusion Vad Daily Maintaince|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|3,656.00
WS SERVICE AREA|27201509|Hc Ndl Chiba 19x10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27201510|Hc Ndl Chiba 19x15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.70
WS SERVICE AREA|36010089|Hc Perfusion Ecmo Insertion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|7,464.00
WS SERVICE AREA|27201511|Hc Ndl Chiba 19x5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|118.50
WS SERVICE AREA|27201512|Hc Ndl Chiba 20ga 20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.00
WS SERVICE AREA|36010090|Hc Perfusion Ecmo Daily Maintenance|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|3,876.00
WS SERVICE AREA|27201513|Hc Ndl Chiba 20x10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.30
WS SERVICE AREA|20010161|Hc Coccygeal Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27200||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27201514|Hc Ndl Chiba 22gx3-1/2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|58.70
WS SERVICE AREA|27201515|Hc Ndl Chiba 22gx5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.70
WS SERVICE AREA|27201516|Hc Ndl Chiba 22x10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.00
WS SERVICE AREA|27201517|Hc Ndl Chiba 22x20 Dchn22-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.40
WS SERVICE AREA|27201518|Hc Ndl Chiba Dchn 22gx5cm Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27201519|Hc Ndl Chiba Dchn18-10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.20
WS SERVICE AREA|27201520|Hc Ndl Chiba Dchn18-10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.70
WS SERVICE AREA|27201521|Hc Ndl Chiba Dchn18-15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.30
WS SERVICE AREA|27201522|Hc Ndl Chiba Dchn20-15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|57.20
WS SERVICE AREA|27201523|Hc Ndl Chiba Dchn22-15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.60
WS SERVICE AREA|40047537|Hc Biliary Drain Cath Remvl W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47537||WS HB DEFAULT|1,836.00
WS SERVICE AREA|27201524|Hc Ndl Chiba Disp 21gax15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.00
WS SERVICE AREA|27201525|Hc Ndl Crvx 3/8 Circ Tap Pt Sz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27201526|Hc Ndl Dura Safe Combo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|89.40
WS SERVICE AREA|27201527|Hc Ndl Endo 19ga Us Fna|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,266.90
WS SERVICE AREA|27201528|Hc Ndl Endo 19ga Us Fna Flx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,587.40
WS SERVICE AREA|27201529|Hc Ndl Endo 22ga Us Fna|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,266.90
WS SERVICE AREA|27201530|Hc Ndl Endo 25ga Us Fna|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,266.90
WS SERVICE AREA|27201531|Hc Ndl Endo Syr Disp 22ga Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|525.30
WS SERVICE AREA|27201532|Hc Ndl Endo Xl Arthro Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|448.10
WS SERVICE AREA|27201533|Hc Ndl Epdrl 22ga 4.25in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|20010163|Hc Femoralfx Int/per/sub Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27238||WS HB DEFAULT|4,586.00
WS SERVICE AREA|27201534|Hc Ndl Eus Wilson Cook Echo-3-22|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,372.00
WS SERVICE AREA|27201535|Hc Ndl Franseen 16x15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|165.80
WS SERVICE AREA|27201536|Hc Ndl Franseen 16x20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|163.30
WS SERVICE AREA|27201537|Hc Ndl Franseen 18 X 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|165.80
WS SERVICE AREA|40049407|Hc Image Cath Fluid Peri/transvag-rectal  |OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49407||WS HB DEFAULT|4,720.00
WS SERVICE AREA|27201538|Hc Ndl Franseen 18 X 5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|165.80
WS SERVICE AREA|27201539|Hc Ndl Franseen 18x20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|160.70
WS SERVICE AREA|27201540|Hc Ndl Franseen 20 X 15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|163.30
WS SERVICE AREA|27201541|Hc Ndl Franseen 20x10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|136.00
WS SERVICE AREA|80081445|Hc Genomic Seq Analysis Solid Organ Neoplasm 5-50 Genes|LABORATORY - GENERAL CLASSIFICATION [0300]|81445||WS HB DEFAULT|7,000.00
WS SERVICE AREA|40049185|Hc Sclerotx Fluid Collection Perc W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49185||WS HB DEFAULT|5,239.00
WS SERVICE AREA|27201542|Hc Ndl Franseen 20x20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|136.00
WS SERVICE AREA|27201543|Hc Ndl Franseen 20x5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|165.80
WS SERVICE AREA|80088121|Hc Cytopathology Insitu Hybrid Urine Spec 3-5 Probes Computer-assisted  Ea|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88121||WS HB DEFAULT|2,100.00
WS SERVICE AREA|27201544|Hc Ndl Franseen 22ga 20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|136.00
WS SERVICE AREA|27201545|Hc Ndl Franseen 22x10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|136.00
WS SERVICE AREA|27201546|Hc Ndl Franseen 22x15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|133.90
WS SERVICE AREA|80086413|Hc Severe Acute Respiratory Syndrome Coronavirus 2 (sarscov-2)|LABORATORY - GENERAL CLASSIFICATION [0300]|86413||WS HB DEFAULT|368.00
WS SERVICE AREA|27201547|Hc Ndl Franseen Cook 22ga 57981|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|165.80
WS SERVICE AREA|70177073|Hc Xr Bone Length Studies|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77073||WS HB DEFAULT|645.00
WS SERVICE AREA|27201548|Hc Ndl Freesen 18ga 15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|133.90
WS SERVICE AREA|20010164|Hc Hip Disl Trauma Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27250||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27201549|Hc Ndl Gripper Non-y 20ga 1"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.50
WS SERVICE AREA|27201550|Hc Ndl Gripper Pwr Huber 20gx1.25|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.90
WS SERVICE AREA|80187635|Hc Iadna Sars-cov-2 Covid-19 Amp Prb|LABORATORY - GENERAL CLASSIFICATION [0300]|87635||WS HB DEFAULT|180.00
WS SERVICE AREA|27201551|Hc Ndl Gripper Pwr Huber 20gx1in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.70
WS SERVICE AREA|27201552|Hc Ndl Gripper Pwr Huber 20gx3/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.00
WS SERVICE AREA|27201553|Hc Ndl Huber 20x3/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.10
WS SERVICE AREA|27201554|Hc Ndl Huber Saf Lf W/o Y 20x1.25|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.70
WS SERVICE AREA|27201555|Hc Ndl Jamshidi 10ga 5in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|342.70
WS SERVICE AREA|27201556|Hc Ndl Jamshidi 15ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|58.70
WS SERVICE AREA|27201557|Hc Ndl Jamshidi Globus 623.102|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|905.40
WS SERVICE AREA|20010165|Hc Hip Disl Trauma W Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27252||WS HB DEFAULT|11,593.00
WS SERVICE AREA|27201558|Hc Ndl Keith Disp 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|27201559|Hc Ndl L-p Myelo-nate|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.70
WS SERVICE AREA|27201560|Hc Ndl Max 20ga Bard|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|174.10
WS SERVICE AREA|27201561|Hc Ndl Max Core 20gax10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|174.50
WS SERVICE AREA|27201562|Hc Ndl Max Core Bard 18ga Bx/5ea|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|174.20
WS SERVICE AREA|27201563|Hc Ndl Nv Bvl Tip 1-pas 3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,485.40
WS SERVICE AREA|27201564|Hc Ndl Ortrch Injector Laryng|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|131.80
WS SERVICE AREA|27201565|Hc Ndl Osteosite Bone Biopsy11x10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|235.50
WS SERVICE AREA|27201566|Hc Ndl Osteosite Bone Biopsy11x15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|227.60
WS SERVICE AREA|80087426|Hc Iaad Ia Severe Acute Respir Synd Coronavirus|LABORATORY - GENERAL CLASSIFICATION [0300]|87426||WS HB DEFAULT|368.00
WS SERVICE AREA|50050430|Hc Ant Nfrostogrm &/urtrgrm Inj Px New Access W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50430||WS HB DEFAULT|1,686.00
WS SERVICE AREA|27201567|Hc Ndl Osteosite Bone Biopsy13x10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|231.20
WS SERVICE AREA|27201568|Hc Ndl Percutaneous 21ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27201569|Hc Ndl Percutaneous Entry|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.60
WS SERVICE AREA|27201570|Hc Ndl Percutaneous Entry 19ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.30
WS SERVICE AREA|80086828|Hc Antibody Hla Class I & Class Ii Antigens Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|86828||WS HB DEFAULT|980.00
WS SERVICE AREA|27201571|Hc Ndl Portacath 22x.75|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.00
WS SERVICE AREA|278126530|Hc Zz Dressing Wound Theraskin 1x1in 6 Sq Cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4121||WS HB DEFAULT|3,829.50
WS SERVICE AREA|27201572|Hc Ndl Portacath 22x1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27201573|Hc Ndl Sclrtx Intjct 25ga 2.5m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|175.10
WS SERVICE AREA|27201574|Hc Ndl Scorpion Ar-1399n|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|844.60
WS SERVICE AREA|20010166|Hc Hip Disl Spon Wo Manip/anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27256||WS HB DEFAULT|1,072.00
WS SERVICE AREA|80086832|Hc Antibody Hla Class I High Definition Panel Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|86832||WS HB DEFAULT|1,134.00
WS SERVICE AREA|27201575|Hc Ndl Sensi-touch Grn Lf 18x3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27115544|Hc Bag Sensura 1pc Wide Outlet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27201576|Hc Ndl Spec Technique 6" 22x6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.40
WS SERVICE AREA|27201577|Hc Ndl Spinal 20x3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|60064485|Hc Removal Impacted Cerumen Irrigation/lvg Unilat|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|69209||WS HB DEFAULT|229.00
WS SERVICE AREA|27201578|Hc Ndl Spinal 22ga Pncn Pncl Pt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80086833|Hc Antibody Hla Class Ii High Definition Panel Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|86833||WS HB DEFAULT|1,141.00
WS SERVICE AREA|27201579|Hc Ndl Spinal 22x.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.00
WS SERVICE AREA|27995425|Hc Closed Tx Pelvic Ring Fracture W/o Manipulation Uni/bilat|HOME HEALTH (HH) - SKILLED NURSING - GENERAL CLASSIFICATION [0550]|27197||WS HB DEFAULT|721.00
WS SERVICE AREA|20010167|Hc Hip Disl Spon W Manip/anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27257||WS HB DEFAULT|10,367.00
WS SERVICE AREA|27201580|Hc Ndl Spinal 22x6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|58.40
WS SERVICE AREA|27201581|Hc Ndl Spinal 24x3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.10
WS SERVICE AREA|27995426|Hc Closed Tx Pelvic Ring Fracture W/wout Manip Uni/bilat W/anesthesia|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27198||WS HB DEFAULT|721.00
WS SERVICE AREA|27201582|Hc Ndl Spinal 25x6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|92.30
WS SERVICE AREA|27201583|Hc Ndl Spinal 3 1/2in 22ga Pncn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.20
WS SERVICE AREA|50053450|Hc Urethromeatoplasty W/mucosal Advancement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|53450||WS HB DEFAULT|10,091.00
WS SERVICE AREA|27201584|Hc Ndl Spinal Disp 22x7|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.10
WS SERVICE AREA|27201585|Hc Ndl Spinal Lf 1gax3-1/2in Fmc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27201586|Hc Ndl Spinal Lf 22x3-1/2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27201587|Hc Ndl Spinal Lf 25x3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|50050431|Hc Ant Nfrostogrm &/urtrgrm Inj Px Existing Access W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50431||WS HB DEFAULT|2,271.00
WS SERVICE AREA|27064720|Hc Mask Anes Ped Ulthn Csh Inf Vlv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|5.20
WS SERVICE AREA|27201588|Hc Ndl Spinal Mono Mtl Hub 18gx3.|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27201589|Hc Ndl Spinal Plastic 25gx3-1/2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27201590|Hc Ndl Spinal Qp 22gax8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|27201591|Hc Ndl Spinal Quincke Lf 22ga 6"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27201592|Hc Ndl Spinal Red 25x3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27201593|Hc Ndl Spinal Sprotte 24ga 4-3/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.50
WS SERVICE AREA|27201594|Hc Ndl Spinal Sprotte 24gax4.75|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.60
WS SERVICE AREA|27201595|Hc Ndl Surg Ferg Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27201596|Hc Ndl Sut Circ Taper P|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27201597|Hc Ndl Sut Mf Scrpn Strl Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,176.30
WS SERVICE AREA|20010168|Hc Hip Disl Post Arthro Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27265||WS HB DEFAULT|592.00
WS SERVICE AREA|27201598|Hc Ndl Touhy 17gax6"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.60
WS SERVICE AREA|27201599|Hc Ndl Touhy 20gx4.5"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|27201600|Hc Ndl Touhy Epidual 18x3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.80
WS SERVICE AREA|27201601|Hc Ndl Truguide Coaxial 17gax13.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.20
WS SERVICE AREA|27201602|Hc Ndl Truguide Coaxial 17gax17.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.80
WS SERVICE AREA|27201603|Hc Ndl Truguide Coaxial 17gax7.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.90
WS SERVICE AREA|27201604|Hc Ndl Truguide Coaxial 19gax13.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.80
WS SERVICE AREA|27201605|Hc Ndl Truguide Coaxial 19gx7.8cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|27201606|Hc Ndl Tuohy 17g 3-1/2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|27201607|Hc Notchblaster Peach Lf 5.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|241.00
WS SERVICE AREA|20010169|Hc Hip Disl Post Arthro W Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27266||WS HB DEFAULT|5,342.00
WS SERVICE AREA|27201608|Hc Octopus 4.3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,429.10
WS SERVICE AREA|27201609|Hc Overdrill Tc 2.0/2.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|887.50
WS SERVICE AREA|27201611|Hc Oxisensor W/headbd Maxfst Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|123.30
WS SERVICE AREA|27201612|Hc Pack Angio Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|233.80
WS SERVICE AREA|27201613|Hc Pack Arthroscopy Cobb*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|104.00
WS SERVICE AREA|27201614|Hc Pack Arthroscopy Deroyal*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|114.30
WS SERVICE AREA|27201615|Hc Pack Arthroscopy Windy Hill|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|366.70
WS SERVICE AREA|27201616|Hc Pack Av Fistula Deroyal*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.30
WS SERVICE AREA|27201617|Hc Pack Basic Hand Custom Wh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.30
WS SERVICE AREA|27201618|Hc Pack Basic Set-up Kc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.20
WS SERVICE AREA|50050432|Hc Nephrostomy Cath Plmt W Nfrostogrm/urtrgrm If Done W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50432||WS HB DEFAULT|7,618.00
WS SERVICE AREA|27201619|Hc Pack Basic Vi Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|153.50
WS SERVICE AREA|27201620|Hc Pack Basic Viiii|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.10
WS SERVICE AREA|27201621|Hc Pack Basin Hand Windy Hill*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|149.40
WS SERVICE AREA|27201622|Hc Pack Basin Minor Cobb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.10
WS SERVICE AREA|10010218|Hc Zz Shave Lesion Trunk/arm/leg  0.6-1.0 Cm- No Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11301||WS HB DEFAULT|773.00
WS SERVICE AREA|27201624|Hc Pack Battery Synthes Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,008.40
WS SERVICE AREA|92010018|Hc Reh-pul Rehab W/exercise Kx|OTHER THERAPEUTIC SERVICES - PULMONARY REHABILITATION [0948]|G0424|KX|WS HB DEFAULT|125.00
WS SERVICE AREA|27201625|Hc Pack Breast Proc Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|160.70
WS SERVICE AREA|27201627|Hc Pack Cabg Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,096.10
WS SERVICE AREA|27201628|Hc Pack Cabg Custom 89-5430|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,079.40
WS SERVICE AREA|20010170|Hc Femoral Fx Prox End Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27267||WS HB DEFAULT|2,615.00
WS SERVICE AREA|27201629|Hc Pack Cardiac Basin Kennestone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.00
WS SERVICE AREA|27201630|Hc Pack Cardiac Drape Kennestone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|506.80
WS SERVICE AREA|27201631|Hc Pack Cardiovascular Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|586.10
WS SERVICE AREA|27201632|Hc Pack Carotid Deroyal*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|232.80
WS SERVICE AREA|272100938|Hc Kit Iv Start, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.30
WS SERVICE AREA|27201641|Hc Pack Craniotomy Kennestone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|219.40
WS SERVICE AREA|27201642|Hc Pack C-section Cobb*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|327.50
WS SERVICE AREA|27201643|Hc Pack C-section Custom 2/cs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|479.00
WS SERVICE AREA|27201644|Hc Pack C-section Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|335.90
WS SERVICE AREA|272138818|Hc Gel Wound Blastx Antimicrobial 3.5ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.20
WS SERVICE AREA|50050433|Hc Nephrostmy Cath Plmt New Access W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50433||WS HB DEFAULT|8,637.00
WS SERVICE AREA|27201646|Hc Pack Cvor Kennestone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,913.70
WS SERVICE AREA|27201647|Hc Pack Cysto Basic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|150.90
WS SERVICE AREA|27201648|Hc Pack Cystoscopy I Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27201649|Hc Pack Dilator Nvm5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,405.40
WS SERVICE AREA|274138772|Hc Hvad Waist Pack Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0498||WS HB DEFAULT|1,980.50
WS SERVICE AREA|27201650|Hc Pack Eent Ii Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.20
WS SERVICE AREA|27201651|Hc Pack Endograft Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|792.10
WS SERVICE AREA|27201652|Hc Pack Eye Alcon Kh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|830.20
WS SERVICE AREA|27201653|Hc Pack Eye Custom Wh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,061.90
WS SERVICE AREA|2740138772|Hc Hvad Waist Pack Replace Und Warranty|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0498|RA|WS HB DEFAULT|1,980.50
WS SERVICE AREA|20010172|Hc Fb Remove Thigh/knee Deep|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27372||WS HB DEFAULT|14,543.00
WS SERVICE AREA|27201654|Hc Pack Eye Vit 25g Custom Wh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,949.90
WS SERVICE AREA|27201655|Hc Pack Gyn Laparoscopy Deroyal*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|163.80
WS SERVICE AREA|27201656|Hc Pack Hand Kop|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|139.10
WS SERVICE AREA|27201657|Hc Pack Head And Neck Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|103.00
WS SERVICE AREA|27201659|Hc Pack L & D Douglas Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|119.00
WS SERVICE AREA|27201660|Hc Pack Lap Colon Kennestone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|188.50
WS SERVICE AREA|27201661|Hc Pack Lap I|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.20
WS SERVICE AREA|27201662|Hc Pack Lap Iii|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.40
WS SERVICE AREA|27201666|Hc Pack Laparoscopic Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|153.50
WS SERVICE AREA|27201668|Hc Pack Lavh Deroyal*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|162.70
WS SERVICE AREA|20010173|Hc Femoral Fx Shaft Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27500||WS HB DEFAULT|4,586.00
WS SERVICE AREA|27201670|Hc Pack Major Basic Cobb*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|94.80
WS SERVICE AREA|27201671|Hc Pack Major Gen Abd Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|117.40
WS SERVICE AREA|27201672|Hc Pack Minor Basin Kennestone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.60
WS SERVICE AREA|27201673|Hc Pack Minor Lithotomy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|164.80
WS SERVICE AREA|27201674|Hc Pack Minor Lithotomy Deroyal*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.90
WS SERVICE AREA|27201675|Hc Pack Minor Proc Basin Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.60
WS SERVICE AREA|27201676|Hc Pack Multi Use Echmo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|888.90
WS SERVICE AREA|27201677|Hc Pack Nasal Endoscopy Windy Hil|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|117.40
WS SERVICE AREA|27201678|Hc Pack Ob Cobb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.00
WS SERVICE AREA|27201679|Hc Pack Or Turnover Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.10
WS SERVICE AREA|50050434|Hc Nephrostomy Convert Cath Pre-exist Trk W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50434||WS HB DEFAULT|8,637.00
WS SERVICE AREA|27201680|Hc Pack Ortho I|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|125.70
WS SERVICE AREA|27201682|Hc Pack Podiatry Custom 5/cs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|195.70
WS SERVICE AREA|27201683|Hc Pack Podiatry Windy Hill*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|172.00
WS SERVICE AREA|27201684|Hc Pack Port-a-cath Deroyal*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.20
WS SERVICE AREA|27201685|Hc Pack Quintube Monitor 6630|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.20
WS SERVICE AREA|27201686|Hc Pack Set Up I Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|27201687|Hc Pack Shoulder Arthr Windy Hill*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|277.10
WS SERVICE AREA|27201688|Hc Pack Sinus (kennedy)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27201689|Hc Pack Sinus Baron|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.90
WS SERVICE AREA|27201690|Hc Pack Smart Liver Backsplash Lvad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|591.20
WS SERVICE AREA|20010174|Hc Femoral Fx Supra/tran Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27501||WS HB DEFAULT|592.00
WS SERVICE AREA|27201691|Hc Pack Spine Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|239.00
WS SERVICE AREA|27201692|Hc Pack Suction Sterile Sucker Lines|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.30
WS SERVICE AREA|27201693|Hc Pack Surg Lith 1 102x79in Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.30
WS SERVICE AREA|80087636|Hc Iadna Sarscov2 & Influenza A&b Mult Amp Probe Tq|LABORATORY - GENERAL CLASSIFICATION [0300]|87636||WS HB DEFAULT|368.00
WS SERVICE AREA|27201694|Hc Pack Sut Clip Pin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|145.20
WS SERVICE AREA|27201695|Hc Pack T And A Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.40
WS SERVICE AREA|80087637|Hc Iadna Sarscov2 & Influenza A&b & Rsv Mult Amp Probe Tq|LABORATORY - GENERAL CLASSIFICATION [0300]|87637||WS HB DEFAULT|368.00
WS SERVICE AREA|27201698|Hc Pack Thr Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|344.00
WS SERVICE AREA|27201699|Hc Pack Total Joint Cobb Wc160.00*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|249.30
WS SERVICE AREA|27201700|Hc Pack Total Knee Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|350.20
WS SERVICE AREA|20010175|Hc Femoral Fx Shaft W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27502||WS HB DEFAULT|7,330.00
WS SERVICE AREA|270110488|Hc Cover Air Warm Adult 85.8x502in Upr Frc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|25.30
WS SERVICE AREA|27201701|Hc Pack Transducer Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|209.10
WS SERVICE AREA|80087811|Hc Iaadiadoo Severe Acute Respiratory Syndrome Coronavirus|LABORATORY - GENERAL CLASSIFICATION [0300]|87811||WS HB DEFAULT|368.00
WS SERVICE AREA|27201702|Hc Pack Tubing Ctd Mini Blrib|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,308.90
WS SERVICE AREA|27201703|Hc Pack Turbosonic W/parts Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|362.60
WS SERVICE AREA|27201704|Hc Pack Tvt And Vag Hyst Kennesto*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|81.40
WS SERVICE AREA|80000240|Hc Infectious Disease Rna 3 Targets Upper Respiratory Specimen|LABORATORY - GENERAL CLASSIFICATION [0300]|0240U||WS HB DEFAULT|368.00
WS SERVICE AREA|27201706|Hc Pack Upper Extremity Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.20
WS SERVICE AREA|27201707|Hc Pack Vial Flip Top 1ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.30
WS SERVICE AREA|27201708|Hc Packing Nasal Mer W/airway 8.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.30
WS SERVICE AREA|27201709|Hc Pad Grounding Radiofrequency K|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.20
WS SERVICE AREA|50050435|Hc Nephrostomy Exchange Cath W Image|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50435||WS HB DEFAULT|5,837.00
WS SERVICE AREA|80000241|Hc Infectious Disease Rna 4 Targets Upper Respiratory Specimen|LABORATORY - GENERAL CLASSIFICATION [0300]|0241U||WS HB DEFAULT|368.00
WS SERVICE AREA|27201710|Hc Pad Hana Table|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|284.30
WS SERVICE AREA|27201711|Hc Pad Magnetic Disposable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27201712|Hc Pad Mattress Disp Wide|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|374.80
WS SERVICE AREA|27201713|Hc Pad Pressure Oval Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27201714|Hc Pad Pressure Protector Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|369.80
WS SERVICE AREA|27201715|Hc Paddle Rectract Endo 12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|614.90
WS SERVICE AREA|27201716|Hc Passer Sut Acps 45d Lt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|749.80
WS SERVICE AREA|27201717|Hc Passer Sut Acps 45d Rt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|749.80
WS SERVICE AREA|27201718|Hc Passer Sut Perfect Om-8010|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|995.00
WS SERVICE AREA|20010176|Hc Femoral Fx Supra/trans W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27503||WS HB DEFAULT|1,295.00
WS SERVICE AREA|27201719|Hc Passer Sut Perfect Om-8175|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|844.60
WS SERVICE AREA|27201720|Hc Passer Sut Perfect Om-8176|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|844.60
WS SERVICE AREA|27201721|Hc Passer Sut Str Disp 12in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|185.40
WS SERVICE AREA|27201722|Hc Passer Sut Worm Curve|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,237.00
WS SERVICE AREA|27201723|Hc Patch Hemostatic D-stat Dry|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|248.50
WS SERVICE AREA|27201724|Hc Patch Patient Single Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27201725|Hc Pattie Surgical 1"x3"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27201726|Hc Patties Sponge Neuro .5"x3"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27201727|Hc Patties Surgical Lf 1/2x1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27201728|Hc Patties Surgical Lf 1/2x1/2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|50050693|Hc Ureteral Stent Plmt Perc Pre-existing Trk W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50693||WS HB DEFAULT|8,030.00
WS SERVICE AREA|27201729|Hc Patties Surgical Lf 1/2x2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27201730|Hc Patties Surgical Lf 1/4x1/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27201731|Hc Patties Surgical Lf 1x1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27201732|Hc Patties Surgical Lf 1x3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27201733|Hc Patties Surgical Lf 3/4x3/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27201734|Hc Penadapt With Hose|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.80
WS SERVICE AREA|27201735|Hc Pencil Caut W/tip Cobbdougpaul|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.20
WS SERVICE AREA|27201736|Hc Pencil Cautery Doug/wh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27201737|Hc Pencil Footswitch|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27201738|Hc Pencil Handswitching Accuvac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|20010178|Hc Femoral Fx Distal-cond W Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27509||WS HB DEFAULT|9,389.00
WS SERVICE AREA|27201739|Hc Pencil Smoke Evac W/tubing|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|143.20
WS SERVICE AREA|27201740|Hc Perferator Crainotomy Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,447.20
WS SERVICE AREA|27201742|Hc Phs Disp Pack Hall Micro Syste|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,936.40
WS SERVICE AREA|27201744|Hc Pigtail Hnr5.0-35-70-pw-10s|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
WS SERVICE AREA|27201745|Hc Pin Passing 2.4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|632.40
WS SERVICE AREA|27201746|Hc Pin Plate Holding|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|786.90
WS SERVICE AREA|27201747|Hc Pin Retro Guide Cann Str 3mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,008.40
WS SERVICE AREA|27201748|Hc Pipe Dcr Light|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,009.40
WS SERVICE AREA|27201749|Hc Plasmalyte-a 1000ml Bag|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.00
WS SERVICE AREA|80287635|Hc Iadna Sars-cov-2 Covid-19 Amplified Prb Tq|LABORATORY - GENERAL CLASSIFICATION [0300]|87635||WS HB DEFAULT|180.00
WS SERVICE AREA|20010179|Hc Femoral Fx Distal-cond W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27510||WS HB DEFAULT|2,111.00
WS SERVICE AREA|27201750|Hc Plate Spring 3hole 3.5mm Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,770.60
WS SERVICE AREA|27201751|Hc Pleur Vac Infant|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|179.20
WS SERVICE AREA|27201752|Hc Plug Fistula Anal Surgisis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,675.20
WS SERVICE AREA|27201753|Hc Plug Infusion Dutch 6mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|175.10
WS SERVICE AREA|80100003|Hc Iadna Sars-cov-2 Covid-19 Amplified Prb Tq High Throughput Test|LABORATORY - GENERAL CLASSIFICATION [0300]|U0003||WS HB DEFAULT|368.00
WS SERVICE AREA|27201754|Hc Plug Port Guidant Is-1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|210.10
WS SERVICE AREA|27201755|Hc Pointer Tracer Cranl Nvg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,107.50
WS SERVICE AREA|27201756|Hc Port Gelpoint Single-site|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,864.40
WS SERVICE AREA|27201757|Hc Port Sils Single-site 5-12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,960.10
WS SERVICE AREA|80100004|Hc Covid-19 N-cdc High Throughput Tests|LABORATORY - GENERAL CLASSIFICATION [0300]|U0004||WS HB DEFAULT|368.00
WS SERVICE AREA|60064461|Hc Inj Block Paravertebral Thoracic W Imaging Single|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64461||WS HB DEFAULT|3,255.00
WS SERVICE AREA|27201758|Hc Port W/introducer Kit 9.6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1788||WS HB DEFAULT|1,320.50
WS SERVICE AREA|27201760|Hc Post 1-hole 54-11600|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|788.00
WS SERVICE AREA|27201761|Hc Post 2-hole 54-11610|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|869.30
WS SERVICE AREA|270138510|Hc Patch Fetal Mon Novii Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|181.50
WS SERVICE AREA|27201762|Hc Post 3-hole 54-11620|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|897.10
WS SERVICE AREA|27201763|Hc Post 4-hole 54-11630|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|943.50
WS SERVICE AREA|27201764|Hc Post 5-hole 54-11640|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|950.70
WS SERVICE AREA|27201765|Hc Pouch Convex Flex 2-2/4inx2in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27201766|Hc Pouch Drain Natura Ho 57x2-1/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27201767|Hc Pouch Drainable Ostomy Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|20010181|Hc Fem Sep Distal Epip W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27517||WS HB DEFAULT|2,891.00
WS SERVICE AREA|27201768|Hc Pouch Endoscopic Retrieval|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.50
WS SERVICE AREA|27201769|Hc Pouch Flat Flex 2-1/4inx1-3/4i|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27201770|Hc Pouch Flat Flex 2-3/4inx2-1/4i|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27201771|Hc Pouch Ostomy Drnbl 1 Piece|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|36053852|Hc Trurl Distruction Prostate Tiss Rf Thermotherapy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|53852||WS HB DEFAULT|10,091.00
WS SERVICE AREA|27201772|Hc Pouch Postop Drainable 3-7/8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.30
WS SERVICE AREA|27201773|Hc Pouch Specimen 15mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|614.90
WS SERVICE AREA|27201774|Hc Pouch Surgical Tissue 8x10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|316.20
WS SERVICE AREA|27201775|Hc Pouch Tissue Surgical 054800|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|297.70
WS SERVICE AREA|27201776|Hc Pouch Urostomy Active Life Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.40
WS SERVICE AREA|60064462|Hc Paraverteral Blk Thoracic 2nd+ Inj Site W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64462||WS HB DEFAULT|5,400.00
WS SERVICE AREA|27201777|Hc Pouch Urostomy Tapered|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27201778|Hc Powder Avitene Davol 1gm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|678.80
WS SERVICE AREA|27201779|Hc Powder Instat Mch .5gram|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|425.40
WS SERVICE AREA|27201780|Hc Powder Instat Mch Lf 1gram|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|729.20
WS SERVICE AREA|27201781|Hc Powder Surgifoam Ab Gel Sponge|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|415.10
WS SERVICE AREA|27201782|Hc Probe Laser Directional 25ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|973.40
WS SERVICE AREA|27201783|Hc Probe Laser Endo Ocular Curv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|941.40
WS SERVICE AREA|27201784|HC PROBE, CRYOABLATION|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2618||WS HB DEFAULT|22,379.80
WS SERVICE AREA|27201785|Hc Protector Drill Tis Shrt 4.8mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,096.30
WS SERVICE AREA|27201786|Hc Reamer Drill Bud Cannulated|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,075.30
WS SERVICE AREA|20010183|Hc Tib Fx Prox/plateau Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27530||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27201787|Hc Relia-vac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27201788|Hc Reload Endo Ets Flex Trw35 Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|625.20
WS SERVICE AREA|27201789|Hc Reservoir Lg Volume W Connect|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|578.90
WS SERVICE AREA|27201790|Hc Zz Retractor Alexis System Large - Use 27283955|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|306.90
WS SERVICE AREA|27201791|Hc Zz Retractor Alexis System Med - Use 27283955|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|141.10
WS SERVICE AREA|27201792|Hc Zz Retractor Alexis System Small - Use 27283955|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|141.10
WS SERVICE AREA|27201793|Hc Zz Retractor Alexis System Xlarge - Use 27283955|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|402.70
WS SERVICE AREA|27201794|Hc Retractor Cheek Spndx Child Sz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|114.30
WS SERVICE AREA|27201795|Hc Zz Retractor Dextrus Lg - Use  27283955|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|243.10
WS SERVICE AREA|27201796|Hc Zz Retractor Dextrus Med - Use 27283955|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|243.10
WS SERVICE AREA|60064463|Hc Paravertebral Thoracic Cont Infus Cath W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64463||WS HB DEFAULT|3,601.00
WS SERVICE AREA|270110487|Hc Cover Air Warm Ped 57.1x40.2in Upr Frc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|45.30
WS SERVICE AREA|27201797|Hc Zz Retractor Dextrus Small Access - Use  27283955|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|243.10
WS SERVICE AREA|27201798|Hc Zz Retractor Lone Star Disp - Use  27283955|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|293.60
WS SERVICE AREA|27201799|Hc Zz Retractor Lonestar Square - Use  27283955|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|293.60
WS SERVICE AREA|27201800|Hc Retractor Soft Tissue Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,690.20
WS SERVICE AREA|27201801|Hc Retractor Soft Tissue Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,690.20
WS SERVICE AREA|27201802|Hc Rhino Rapid 7.5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|179.10
WS SERVICE AREA|27201803|Hc Rhino Rapid W/gel 5.5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|168.00
WS SERVICE AREA|27201804|Hc Rod Ball Tip Guide 60mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|823.00
WS SERVICE AREA|27201805|Hc Rod Guide Ball Tip 3mmx1000mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,004.30
WS SERVICE AREA|27201806|Hc Seal Cannula Da Vinci|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.40
WS SERVICE AREA|20010185|Hc Tibial Fx Prox/plateau W Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27532||WS HB DEFAULT|13,232.00
WS SERVICE AREA|27201807|Hc Seal Cannula Davinci 12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|241.00
WS SERVICE AREA|27201808|Hc Sealant Floseal Matrix Hemo 10cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,074.40
WS SERVICE AREA|27201809|Hc Sealant Floseal Matrix Hemo 5c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,135.10
WS SERVICE AREA|27201810|Hc Sensor Flo Trac Hmdn Mntr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,472.00
WS SERVICE AREA|27201811|Hc Separator Optical 12x100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|367.70
WS SERVICE AREA|27201812|Hc Set Autotransfusion (cs/6)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,656.40
WS SERVICE AREA|27201814|Hc Set Basin Ob Cobb Custom Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|133.60
WS SERVICE AREA|27201815|Hc Set Brat Bowl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|432.60
WS SERVICE AREA|27201816|Hc Set Cath Attain Prevail|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,931.30
WS SERVICE AREA|27201817|Hc Set Cath Epidural|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1755||WS HB DEFAULT|100.30
WS SERVICE AREA|20010186|Hc Knee Fx Intercondylar Sp/tuber|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27538||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27201818|Hc Set Cath Infusion Rapid*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|73.10
WS SERVICE AREA|27201819|Hc Set Cath Pneumothorax Cook|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|857.80
WS SERVICE AREA|27201820|Hc Set Cystoscopy & Irrigation|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.10
WS SERVICE AREA|27201821|Hc Set Dialysis Admin/transfer Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|112.30
WS SERVICE AREA|27201822|Hc Set Dilator Sound Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.00
WS SERVICE AREA|27201823|Hc Set Dilator Uret 60cm 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|922.90
WS SERVICE AREA|27201824|Hc Set Dilator Urethral S-curve|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|994.60
WS SERVICE AREA|27201825|Hc Zz Set Drainage Chest Mini Expres - Use 27200958|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|362.70
WS SERVICE AREA|27201826|Hc Set Epidural Cath Perefix 20ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.60
WS SERVICE AREA|27201827|Hc Set Epidural Cath W/closed Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.90
WS SERVICE AREA|70878265|Hc Nm Gastric Emptying Imag Study|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78265||WS HB DEFAULT|2,650.00
WS SERVICE AREA|27201828|Hc Set Epidural Lf 80"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|84.50
WS SERVICE AREA|27201829|HC SET EXTENSION BIFURCATE ARGON|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27201830|Hc Set Hta Genesys Procedure|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7,539.60
WS SERVICE AREA|27201831|Hc Set Hydro Dh Hystro Dist Tube|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|726.20
WS SERVICE AREA|27201832|Hc Set Hydro Thermablader Proc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7,539.60
WS SERVICE AREA|27201833|Hc Set Hyperal Plum Clave|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.50
WS SERVICE AREA|27201834|Hc Set Inflow Tubing Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|241.00
WS SERVICE AREA|27201835|Hc Set Introducer 18.0-38 140103*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|332.70
WS SERVICE AREA|27201836|Hc Set Introducer 20.0-38 140391*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|332.70
WS SERVICE AREA|27201837|Hc Set Introducer 8.0-35 73777*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|256.50
WS SERVICE AREA|20010187|Hc Knee Disl Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27550||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27201838|Hc Set Introducer 9.0-38 140104*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|256.50
WS SERVICE AREA|27201839|Hc Set Introducer Cpli 12.0-38*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|270.90
WS SERVICE AREA|27201840|Hc Set Introducer Cpli 14.0-38*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|256.50
WS SERVICE AREA|27201841|Hc Set Introducer Cpli 16.0-38*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|256.50
WS SERVICE AREA|27201842|Hc Set Introducer Cpli24.0-38*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|332.70
WS SERVICE AREA|27201843|Hc Set Introducer Peel Away 13fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|279.10
WS SERVICE AREA|27201844|Hc Set Introducer Plip5.5189denny*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|234.80
WS SERVICE AREA|27201845|Hc Set Introducer Plip6.0189denny*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|234.80
WS SERVICE AREA|27201846|Hc Set Introducer Tearaway 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|107.10
WS SERVICE AREA|27201847|Hc Set Introducer Tearaway 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|107.10
WS SERVICE AREA|272133221|Hc Bottle Evac Suct 1000ml Wdrn Line Evol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|117.40
WS SERVICE AREA|27201848|Hc Set Introducer Tearaway Micro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|107.10
WS SERVICE AREA|27201849|Hc Set Irrig Colostomy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|109.20
WS SERVICE AREA|27201850|Hc Set Irrigation Artho 4-lead|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.40
WS SERVICE AREA|27201851|Hc Set Irrigation Cysto/bladder|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.30
WS SERVICE AREA|27201852|Hc Set Irrigation Normothermic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|175.10
WS SERVICE AREA|27201856|Hc Set Iv Piggyback Primary Micro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.50
WS SERVICE AREA|27201864|Hc Set Micropuncture Stiffened*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|77.70
WS SERVICE AREA|27201865|Hc Set Monitor Combitrans Pressure|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|276.00
WS SERVICE AREA|27201866|Hc Set Mps Delivery W/cassette|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|853.90
WS SERVICE AREA|27201867|Hc Set Multiple Perfusion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|118.50
WS SERVICE AREA|20010188|Hc Knee Disl W Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27552||WS HB DEFAULT|10,725.00
WS SERVICE AREA|27201868|Hc Set Ndl Bone Biopsy Elson|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,688.20
WS SERVICE AREA|27201869|Hc Set Ndl Prostate 18ga 20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|215.30
WS SERVICE AREA|27201870|Hc Set Neff Percutaneous Access|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|421.30
WS SERVICE AREA|27201871|Hc Set Nephrostomy Malecot 14fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|829.20
WS SERVICE AREA|27201872|Hc Set Nephrostomy Malecot 18fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|985.70
WS SERVICE AREA|27201873|Hc Set Pacemaker Introducer 11fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|279.10
WS SERVICE AREA|27201874|Hc Set Pads Repl Vst|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.00
WS SERVICE AREA|27201875|Hc Set Perc Trach Ciag Bl Perc8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|1,518.20
WS SERVICE AREA|27201876|Hc Set Perc Trach Ciaglia Bl Rhin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|1,521.30
WS SERVICE AREA|27201877|Hc Set Plexufix Brach Plex 22g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|84.50
WS SERVICE AREA|20010189|Hc Patellar Disl Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27560||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27201878|Hc Set Pressure Display Red Hrdwr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.30
WS SERVICE AREA|27201879|Hc Set Prismaflex M100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,129.90
WS SERVICE AREA|27201880|Hc Set Pump Angiojet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,356.50
WS SERVICE AREA|27201881|Hc Set Pump Impella Iv Solution|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|105.10
WS SERVICE AREA|93091425|Hc Inject Congntl Card Cath|CARDIOLOGY - CARDIAC CATH LAB [0481]|93563||WS HB DEFAULT|6,201.00
WS SERVICE AREA|27201882|Hc Set Rabinor Sialography T-32|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|261.20
WS SERVICE AREA|27201883|Hc Set Radial Artery Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.70
WS SERVICE AREA|93091426|Hc Inject Hrt Congntl Art/grft|CARDIOLOGY - CARDIAC CATH LAB [0481]|93564||WS HB DEFAULT|4,909.00
WS SERVICE AREA|27201884|Hc Set Rate Flow Regulator Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.10
WS SERVICE AREA|27201885|Hc Set Retrograde Intubation 14.0*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|632.40
WS SERVICE AREA|20010191|Hc Inj Ankle Arthro|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27648||WS HB DEFAULT|846.00
WS SERVICE AREA|27201886|Hc Set Sheath Dilator 8/10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|232.80
WS SERVICE AREA|27201887|Hc Set Sheath Micropuncture*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|199.50
WS SERVICE AREA|93091427|Hc Iliac Art Bi W Card Cth|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|G0278||WS HB DEFAULT|2,768.00
WS SERVICE AREA|27201888|Hc Set Spray For Tisseel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|298.70
WS SERVICE AREA|30031613|Hc Tracheostoma Revision Smpl W/o Flap Rotation|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31613||WS HB DEFAULT|8,757.00
WS SERVICE AREA|27201889|Hc Set Suction Postoperative|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|90010517|Hc Car Seat/bed Test Inft Thru 12 Mo 60 Min|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|94780||WS HB DEFAULT|346.00
WS SERVICE AREA|27201890|Hc Set Thrombect Spiro Ultra 4fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|10,375.20
WS SERVICE AREA|27201891|Hc Set Tub Coolflow For Carto 3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|452.20
WS SERVICE AREA|90010518|Hc Car Seat/bed Test Inft Thru 12 Mo Ea Addl 30 Min|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|94781||WS HB DEFAULT|124.00
WS SERVICE AREA|20010192|Hc Tib Fx Shaft W/wo Fib Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27750||WS HB DEFAULT|550.00
WS SERVICE AREA|27201892|Hc Set Tubing 7/8"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|30031647|Hc Brnchsc Occlusion/insert Bronch Valve Init Lobe|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31647||WS HB DEFAULT|18,190.00
WS SERVICE AREA|27201893|Hc Set Tubing Mini Selector|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|149.40
WS SERVICE AREA|27201894|Hc Set Tubing Selector Sat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,148.60
WS SERVICE AREA|27201895|Hc Set Tubing Slol 4503|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|312.10
WS SERVICE AREA|90010513|Hc Vital Capacity Test|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94150||WS HB DEFAULT|289.00
WS SERVICE AREA|27201896|Hc Set Tubing Smoke Evac Lf (m)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|30031648|Hc Brnchsc Removal Bronchial Valve Initial|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31648||WS HB DEFAULT|9,817.00
WS SERVICE AREA|27201897|Hc Set Tubing Solo 1102|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|143.20
WS SERVICE AREA|90010514|Hc Respiratory Flow Volume Loop|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94375||WS HB DEFAULT|607.00
WS SERVICE AREA|20010193|Hc Tib Fx Shaft W/wo Fib W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27752||WS HB DEFAULT|7,330.00
WS SERVICE AREA|93091420|Hc Ptca Addl Branch Ri|CARDIOLOGY - CARDIAC CATH LAB [0481]|92921|RI|WS HB DEFAULT|5,171.00
WS SERVICE AREA|27201898|Hc Set Tur|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|58.70
WS SERVICE AREA|27201899|Hc Set T-u-r "y"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.30
WS SERVICE AREA|90010515|Hc Pulm Funct Test Oscillometry|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94728||WS HB DEFAULT|628.00
WS SERVICE AREA|27201900|Hc Set Tur 4container Irr Special|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|30031649|Hc Brnchsc Removal Bronchial Valve Ea Addl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31649||WS HB DEFAULT|4,781.00
WS SERVICE AREA|27201901|Hc Set Ult10.2-nt-100-p-ns-gjs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|350.20
WS SERVICE AREA|27201902|Hc Set Urethral Dilator|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|1,087.70
WS SERVICE AREA|27201903|Hc Set Vena Stick Vasc Access 4fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|215.30
WS SERVICE AREA|27201904|Hc Set Ventricular Ext Drainage|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|742.60
WS SERVICE AREA|30031651|Hc Brnchsc Occlusion/insert Bronch Valve Addl Lobe|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31651||WS HB DEFAULT|5,257.00
WS SERVICE AREA|20010194|Hc Tibial Fx Shaft W/wo Fib W Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27756||WS HB DEFAULT|8,729.00
WS SERVICE AREA|27201905|Hc Set Wire Location Ghiatas 14cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|141.10
WS SERVICE AREA|90010519|Hc Inhalation Bronch Challenge Test|OTHER DIAGNOSTIC SERVICES - ALLERGY TEST [0924]|95070||WS HB DEFAULT|968.00
WS SERVICE AREA|27201906|Hc Set Wireguide Exchange Jeffrey|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|614.90
WS SERVICE AREA|27201907|Hc Sheath 7fx11cm*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|166.90
WS SERVICE AREA|70777085|Hc Bd Dxa Study Axial Skeleton|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77085||WS HB DEFAULT|794.00
WS SERVICE AREA|27201908|Hc Sheath Radial Flexor 6fr 13cm*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|248.20
WS SERVICE AREA|93093464|Hc Physiologic Exercise Study/hemodynamic Measurement|CARDIOLOGY - OTHER CARDIOLOGY [0489]|93464||WS HB DEFAULT|681.00
WS SERVICE AREA|27201909|Hc Sheath Rcfw-10.0-38-30-rb*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|351.20
WS SERVICE AREA|70270170|Hc Fl Tear Duct Dacryocstograpy Nasolacrimal Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70170||WS HB DEFAULT|1,180.00
WS SERVICE AREA|27201910|Hc Sheath Short Burr Ep1 Disp 4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|201.90
WS SERVICE AREA|20010195|Hc Malleous Fx Medial Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27760||WS HB DEFAULT|1,072.00
WS SERVICE AREA|93092920|Hc Robotic Assist Ptca Ld/lad Artery Or Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92920|LD|WS HB DEFAULT|10,849.00
WS SERVICE AREA|70170190|Hc Xr Eye Socket Optic Foramina|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70190||WS HB DEFAULT|361.00
WS SERVICE AREA|93192920|Hc Robotic Assist Ptca Lc/lcx Artery Or Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92920|LC|WS HB DEFAULT|10,849.00
WS SERVICE AREA|70272275|Hc Fl Epidurograpy Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72275||WS HB DEFAULT|1,567.00
WS SERVICE AREA|93292920|Hc Robotic Assist Ptca Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|92920|RC|WS HB DEFAULT|10,849.00
WS SERVICE AREA|27201921|Hc Shuttle Ideal Rt 45deg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,116.50
WS SERVICE AREA|70072275|Hc Zz Epidurograpy Xr Rs&i - Use Eap 70272275|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|72275||WS HB DEFAULT|1,567.00
WS SERVICE AREA|27201922|Hc Sigmoid Suction Tip Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27201923|Hc Skin Graft Carrier Zimmer 16"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|253.40
WS SERVICE AREA|70272285|Hc Fl Diskograpy Cervical/thoracic Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72285||WS HB DEFAULT|5,145.00
WS SERVICE AREA|27123132|Hc Boot Cast Tcc Ez Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|382.90
WS SERVICE AREA|27201924|Hc Skull Pins Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.50
WS SERVICE AREA|93392920|Hc Robotic Assist Ptca Lm|CARDIOLOGY - CARDIAC CATH LAB [0481]|92920|LM|WS HB DEFAULT|10,849.00
WS SERVICE AREA|27201925|Hc Sled Galaxy Pullback Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|217.30
WS SERVICE AREA|70072285|Hc Zz Diskograpy Cervical/thoracic Rs&i - Use Eap 70272285|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|72285||WS HB DEFAULT|5,145.00
WS SERVICE AREA|27201926|Hc Zz Sleeve 5mm X 75mm- Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|433.60
WS SERVICE AREA|27201927|Hc Zz Sleeve Centering 6mm Lng- Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|680.80
WS SERVICE AREA|70274235|Hc Zz Fl Remove Esophageal Obstr W/use Balloon Cath Rs&i - Use Eap 70074235|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74235||WS HB DEFAULT|5,834.00
WS SERVICE AREA|27201928|Hc Zz Sleeve Seq Comp Lf Exp K/l Med- Use 27100327|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.20
WS SERVICE AREA|93492920|Hc Robotic Assist Ri Pcta Ramus|CARDIOLOGY - CARDIAC CATH LAB [0481]|92920|RI|WS HB DEFAULT|10,849.00
WS SERVICE AREA|27201929|Hc Slitter Univ Ii Medti 6230uni|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.30
WS SERVICE AREA|20010196|Hc Malleous Fx Medial W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27762||WS HB DEFAULT|7,330.00
WS SERVICE AREA|70074235|Hc Remove Esophageal Obstr W/use Balloon Cath Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74235||WS HB DEFAULT|5,834.00
WS SERVICE AREA|27201930|Hc Slitter Universal 6228slt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.30
WS SERVICE AREA|27201931|Hc Solution Adhesion Reduction|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,295.70
WS SERVICE AREA|70274251|HC FL RAD EXAM SMALL INT DOUBLE CONTRAST STUDY, SCOUT|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74251||WS HB DEFAULT|1,564.00
WS SERVICE AREA|27201932|Hc Solution Betadine 5% Ophth|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|61.80
WS SERVICE AREA|93092921|Hc Robotic Assist Ptca Ld/lad Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92921|LD|WS HB DEFAULT|5,688.00
WS SERVICE AREA|27201933|Hc Somasensor Sm Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|602.60
WS SERVICE AREA|70074251|HC XR RAD EXAM SMALL INT DOUBLE CONTRAST STUDY, SCOUT|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|74251||WS HB DEFAULT|1,564.00
WS SERVICE AREA|27201934|Hc Spong Actct Dressing Ext Fix|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.30
WS SERVICE AREA|27201935|Hc Sponge Abs Hemost Mtrx Sol Surgif|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|916.00
WS SERVICE AREA|20010197|Hc Malleous Fx Post Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27767||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27201936|Hc Sponge Drain Fen Copa 3-1/2x3"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.70
WS SERVICE AREA|93192921|Hc Robotic Assist Ptca Lc/lcx Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92921|LC|WS HB DEFAULT|5,688.00
WS SERVICE AREA|27201937|Hc Sponge Gz 200/bg 12ply 4x4 Nstrl Dermacea|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.00
WS SERVICE AREA|27201938|Hc Sponge Kerlix Sterile Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27201939|Hc Sponge Kerlix Sterile Lf Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.50
WS SERVICE AREA|70274283|Hc Zz Fl Colon Thy Enema Reduction Intus/obstr Contrast Or Air - Use Eap 70074283|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74283||WS HB DEFAULT|1,681.00
WS SERVICE AREA|27201940|Hc Sponge Lap 18x36|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|93292921|Hc Robotic Assist Ptca Rc/rca Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92921|RC|WS HB DEFAULT|5,688.00
WS SERVICE AREA|27201941|Hc Sponge Lap Xray Str 18x36|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|70074283|Hc Xr Colon Thy Enema Reduction Intus/obstr Contrast Or Air|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74283||WS HB DEFAULT|1,681.00
WS SERVICE AREA|20010198|Hc Malleous Fx Post W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27768||WS HB DEFAULT|1,295.00
WS SERVICE AREA|27201942|Hc Sponge Richd 102140|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.50
WS SERVICE AREA|27201943|Hc Sponge Surg .5x6in Strip Radi|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|70274301|Hc Zz Fl Cholangio &/pancreatography Addl Set Intraop Rs - Use Eap 70074301|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74301||WS HB DEFAULT|695.00
WS SERVICE AREA|27201944|Hc Sponge Tonsil Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|93392921|Hc Robotic Assist Ptca Addl Branch Ri|CARDIOLOGY - CARDIAC CATH LAB [0481]|92921|RI|WS HB DEFAULT|5,688.00
WS SERVICE AREA|27201945|Hc Sponge Tonsil Large Bhs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.60
WS SERVICE AREA|70074301|Hc Xr Cholangio &/pancreatography Addl Set Intraop Rs|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74301||WS HB DEFAULT|695.00
WS SERVICE AREA|27201946|Hc Stabalizer Evolution|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,605.40
WS SERVICE AREA|27201947|Hc Stabilizer Acrobat Suv Vacuum|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,126.30
WS SERVICE AREA|70274329|Hc Zz Fl Endoscopic Cathj Pancreatic Ductal Sys Rs&i - Use Eap 70074329|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74329||WS HB DEFAULT|757.00
WS SERVICE AREA|20010199|Hc Fibula Fx Shaft Prox Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27780||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27201948|Hc Stabilizer Octps Nuvo Mi|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7,811.50
WS SERVICE AREA|93092924|Hc Robotic Assist Atherectomy Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|92924|LD|WS HB DEFAULT|11,413.00
WS SERVICE AREA|27201949|Hc Stapler A/s Eea 28-3.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,778.80
WS SERVICE AREA|70074329|Hc Xr Endoscopic Cathj Pancreatic Ductal Sys Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74329||WS HB DEFAULT|757.00
WS SERVICE AREA|27201950|Hc Stapler A/s Eea 28-4.8mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,567.70
WS SERVICE AREA|27201951|Hc Stapler A/s Eea 31-4.8mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,690.20
WS SERVICE AREA|70274355|Hc Zz Fl Percutaneous Placement Enteroclysis Tube Rs&i - Use Eap 70074355|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74355||WS HB DEFAULT|1,409.00
WS SERVICE AREA|27201952|Hc Stapler A/s Eea Xl 3.5 25mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,202.10
WS SERVICE AREA|93192924|Hc Robotic Assist Atherectomy Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|92924|LC|WS HB DEFAULT|11,413.00
WS SERVICE AREA|27201953|Hc Stapler Curved Cutter Std|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,366.90
WS SERVICE AREA|20010200|Hc Fibula Fx Shaft Prox W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27781||WS HB DEFAULT|13,232.00
WS SERVICE AREA|70074355|Hc Xr Percutaneous Placement Enteroclysis Tube Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74355||WS HB DEFAULT|1,409.00
WS SERVICE AREA|27201954|Hc Stapler Curved Cutter Thick|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,366.90
WS SERVICE AREA|27201955|Hc Stapler Cutter Linear Lf Tlc55|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,651.10
WS SERVICE AREA|70274360|Hc Zz Xr Intraluminal Dilation Strictures&/obstrcjs Rs&i - Use Eap 70074360|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74360||WS HB DEFAULT|943.00
WS SERVICE AREA|27201956|Hc Stapler Cutter Linear Lf Tlc75|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,463.80
WS SERVICE AREA|93292924|Hc Robotic Assist Atherect Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|92924|RC|WS HB DEFAULT|11,413.00
WS SERVICE AREA|27201957|Hc Stapler Dst Ta 45-3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|694.20
WS SERVICE AREA|70074360|Hc Fl Intraluminal Dilation Strictures&/obstrcjs Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74360||WS HB DEFAULT|943.00
WS SERVICE AREA|27201958|Hc Stapler Dst Ta Vasc30|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|550.00
WS SERVICE AREA|27201959|Hc Stapler Echelon Flex 45mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,260.20
WS SERVICE AREA|27123131|Hc Boot Cast Tcc Ez Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|366.30
WS SERVICE AREA|70274445|Hc Fl Corpora Cavernosograpy (penis) Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74445||WS HB DEFAULT|354.00
WS SERVICE AREA|27201960|Hc Stapler Eea A/s 4.8-25mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,567.70
WS SERVICE AREA|93392924|Hc Robotic Assist Atherectomy Lm|CARDIOLOGY - CARDIAC CATH LAB [0481]|92924|LM|WS HB DEFAULT|11,413.00
WS SERVICE AREA|27201961|Hc Stapler Eea Xl 28mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,080.60
WS SERVICE AREA|70074445|Hc Zz Xr Corpora Cavernosograpy (penis) Rs&i - Use Eap 70274445|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|74445||WS HB DEFAULT|354.00
WS SERVICE AREA|27201962|Hc Stapler Eea Xl 3.5 28mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,202.10
WS SERVICE AREA|27201963|Hc Stapler Egia Shrt Ult Univ|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|542.80
WS SERVICE AREA|70275810|Hc Fl Splenoportograpy Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|75810||WS HB DEFAULT|3,943.00
WS SERVICE AREA|27201964|Hc Stapler Endo Gia Tri Reload 45|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,219.70
WS SERVICE AREA|93492924|Hc Robotic Assist Atherectomy Ri|CARDIOLOGY - CARDIAC CATH LAB [0481]|92924|RI|WS HB DEFAULT|11,413.00
WS SERVICE AREA|20010201|Hc Fibula Distal Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27786||WS HB DEFAULT|900.00
WS SERVICE AREA|90040437|Hc Neb W/i-pap|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94640||WS HB DEFAULT|504.00
WS SERVICE AREA|27201965|Hc Stapler Endo Gia Ultra 12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|604.60
WS SERVICE AREA|70075810|Hc Zz Xr Splenoportograpy Rs&i - Use Eap 70275810|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75810||WS HB DEFAULT|3,943.00
WS SERVICE AREA|27201966|Hc Stapler Endo Hernia Mf 10-4.8mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|261.60
WS SERVICE AREA|27201967|Hc Stapler Endo Strt 3.5mm 45mm B|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,024.90
WS SERVICE AREA|70275880|Hc Fl Venography Orbital Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|75880||WS HB DEFAULT|2,145.00
WS SERVICE AREA|27201968|Hc Stapler Endo Strt 3.5mm 60mm B|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,054.70
WS SERVICE AREA|93092925|Hc Robotic Assist Atherectomy Lc/lcx Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92924|LC|WS HB DEFAULT|5,211.00
WS SERVICE AREA|27201969|Hc Stapler Endo Strt 4.8mm 45mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,024.90
WS SERVICE AREA|70075880|Hc Zz Xr Venography Orbital Rs&i - Use Eap 70275880|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75880||WS HB DEFAULT|2,145.00
WS SERVICE AREA|27201970|Hc Stapler Endo Strt 4.8mm 60mm G|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,054.70
WS SERVICE AREA|20010202|Hc Fibula Distal Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27788||WS HB DEFAULT|818.00
WS SERVICE AREA|27201971|Hc Stapler Endo-gia Ultra Xl 12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|967.20
WS SERVICE AREA|70176100|Hc Xr 1 Plane Body Section Other Than W/urograpy|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|76100||WS HB DEFAULT|1,274.00
WS SERVICE AREA|27201972|Hc Stapler Endopath Ets Flex Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,412.50
WS SERVICE AREA|93192925|Hc Robotic Assist Atherectomy Ld/lad Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92924|LD|WS HB DEFAULT|5,211.00
WS SERVICE AREA|27201973|Hc Stapler Gia 100-3.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,192.70
WS SERVICE AREA|70177077|Hc Xr Joint Survey Single View 2 Or More Joints|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77077||WS HB DEFAULT|501.00
WS SERVICE AREA|27201974|Hc Stapler Gia 60-2.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|536.60
WS SERVICE AREA|27201975|Hc Stapler Gia 60-3.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|517.10
WS SERVICE AREA|70677054|Hc Mam Ductogram/galactogram Multiple|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77054||WS HB DEFAULT|1,350.00
WS SERVICE AREA|27201976|Hc Stapler Gia Mf 80-3.8mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|772.50
WS SERVICE AREA|20010203|Hc Ankle Fx Bimalleolar Potts|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27808||WS HB DEFAULT|1,072.00
WS SERVICE AREA|93292925|Hc Robotic Asssit Atherectomy Rc/rca Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92924|RC|WS HB DEFAULT|5,211.00
WS SERVICE AREA|27201977|Hc Stapler Gia Sulu 60mm 2.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|297.70
WS SERVICE AREA|70370542|Hc Mri Face Neck Orbits Face With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70542||WS HB DEFAULT|5,708.00
WS SERVICE AREA|27201978|Hc Stapler Handle Gia Univ|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|494.40
WS SERVICE AREA|70042171|Hc Perc Arteriovenous Fistula Use Magnetic/arterial/venous|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|G2171||WS HB DEFAULT|38,064.00
WS SERVICE AREA|27201979|Hc Stapler Handle Univ Endo Gia Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|916.70
WS SERVICE AREA|70370548|Hc Mr Angio Neck With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70548||WS HB DEFAULT|4,657.00
WS SERVICE AREA|27201980|Hc Stapler Hemorrhoid Eea 3.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,292.80
WS SERVICE AREA|27201981|Hc Stapler Hemorroidal Circular|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,236.10
WS SERVICE AREA|70373219|Hc Mri Upper Extremity Other Than Joint With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73219||WS HB DEFAULT|5,100.00
WS SERVICE AREA|278132753|Hc Nushield, Per Sq Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4160||WS HB DEFAULT|564.40
WS SERVICE AREA|27201982|Hc Stapler Hernia Multifeed Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,628.60
WS SERVICE AREA|27201983|Hc Stapler Ils Lf Ecs29|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,614.50
WS SERVICE AREA|70373719|Hc Mri Extremity Lower Other Than Joint With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73719||WS HB DEFAULT|4,657.00
WS SERVICE AREA|27201984|Hc Stapler Intnl 25mm 4.8mm Ti|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,080.60
WS SERVICE AREA|90010359|Hc Ventilator Day/sub Sq 12 Hours Or Less|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|||WS HB DEFAULT|1,636.00
WS SERVICE AREA|27201985|Hc Stapler Intnl 60mm Flx Strl Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,902.00
WS SERVICE AREA|70374182|Hc Mri Abdomen With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|74182||WS HB DEFAULT|5,560.00
WS SERVICE AREA|27201986|Hc Stapler Intnl 90x4.8mm Ti Reg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|507.80
WS SERVICE AREA|27201987|Hc Stapler Linear Lf 60mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,777.80
WS SERVICE AREA|70374712|Hc Mri Fetal W/placntl Matrnl Plvc Img Single 1st Ges|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|74712||WS HB DEFAULT|354.00
WS SERVICE AREA|20010204|Hc Ankle Fx Bimalleo Potts Wmanip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27810||WS HB DEFAULT|2,271.00
WS SERVICE AREA|27201988|Hc Stapler Linear Lf 90mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|617.00
WS SERVICE AREA|90010360|Hc Vent-hifreqoscill/day Subsq 12 Hours Or Less|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|||WS HB DEFAULT|1,636.00
WS SERVICE AREA|27201989|Hc Stapler Meniscal 160500|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|392.40
WS SERVICE AREA|70375559|Hc Mri Cardiac Morphology & Function W/o Contrast W/stress|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|75559||WS HB DEFAULT|3,949.00
WS SERVICE AREA|27201990|Hc Stapler Meniscal Curve|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|814.70
WS SERVICE AREA|27201991|Hc Stapler Multifire 35'disp Skin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|129.80
WS SERVICE AREA|70375563|Hc Mri Cardiac Morphology & Function W+w/o Contrast  W/stress|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|75563||WS HB DEFAULT|5,160.00
WS SERVICE AREA|27201992|Hc Stapler Pi Titanium 30-3.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|801.30
WS SERVICE AREA|27201993|Hc Stapler Protack Hernia 30-5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,516.20
WS SERVICE AREA|70878020|Hc Nm Thyroid Carcinoma Metastases Uptake Add On|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78020||WS HB DEFAULT|851.00
WS SERVICE AREA|20010205|Hc Ankle Fx Trimalleolar Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27816||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27201994|Hc Stapler Rl Lf Tcr55|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|884.80
WS SERVICE AREA|27201995|Hc Stapler Rl Lf Tcr75|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,312.20
WS SERVICE AREA|70878071|Hc Nm Parathyroid Imaging W/wo Subtraction (spect)|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78071||WS HB DEFAULT|2,674.00
WS SERVICE AREA|27201996|Hc Stapler Rotic Poly .200|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,336.90
WS SERVICE AREA|27201997|Hc Stapler Skin 35 Lf Reg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|78.20
WS SERVICE AREA|70878072|Hc Nm Parathyroid Imaging W/wo Subtraction (spect & Ct)|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78072||WS HB DEFAULT|2,864.00
WS SERVICE AREA|27201998|Hc Stapler Skin 35 Lf Wide|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|78.00
WS SERVICE AREA|27201999|Hc Stapler Skin 35 Reg Pr/plus Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|173.00
WS SERVICE AREA|70878102|Hc Nm Bone Marrow Imaging Limited Area|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78102||WS HB DEFAULT|1,584.00
WS SERVICE AREA|27202000|Hc Stapler Skin 35 Reg Prem Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|327.50
WS SERVICE AREA|20010206|Hc Ankle Fx Trimalleolar W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27818||WS HB DEFAULT|2,271.00
WS SERVICE AREA|27202001|Hc Stapler Skin 35 Wide P/plus Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|167.90
WS SERVICE AREA|70878103|Hc Nm Bone Marrow Imaging Multiple Areas|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78103||WS HB DEFAULT|1,635.00
WS SERVICE AREA|27202002|Hc Stapler Skin 35w|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.10
WS SERVICE AREA|27202003|Hc Stapler Skin 35wide P Floyd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|327.50
WS SERVICE AREA|70878140|Hc Nm Labeled Rbc Sequestration Differntl Organ/tissue|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78140||WS HB DEFAULT|2,832.00
WS SERVICE AREA|27202004|Hc Stapler Skin Appose 35 Reg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.40
WS SERVICE AREA|27202005|Hc Stapler Skin Appose 35 Wide|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.30
WS SERVICE AREA|70878202|Hc Nm Liver Imaging W/vascular Flow|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78202||WS HB DEFAULT|2,422.00
WS SERVICE AREA|27202006|Hc Stapler Skin Disp Ds-25|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|27202007|Hc Stapler Skin Fh Md (m) Pmw35|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|173.00
WS SERVICE AREA|20010207|Hc Tibia Distal W/bearing|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27824||WS HB DEFAULT|592.00
WS SERVICE AREA|27202008|Hc Stapler Skin Premium 35w|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|129.80
WS SERVICE AREA|27202009|Hc Stapler Ta Mf 30-3.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|466.60
WS SERVICE AREA|70878230|Hc Nm Salivary Gland Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78230||WS HB DEFAULT|1,567.00
WS SERVICE AREA|27202010|Hc Stapler Univ Endo 65 12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|878.60
WS SERVICE AREA|27202011|Hc Stapler Univ Endo Gia Disp 12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|550.00
WS SERVICE AREA|70878232|Hc Nm Salivary Gland Function Study|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78232||WS HB DEFAULT|1,925.00
WS SERVICE AREA|27202012|Hc Starfish/octopus Bundle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,730.90
WS SERVICE AREA|27202013|Hc Statlock Central Line|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|41.40
WS SERVICE AREA|70878350|Hc Nm Bone Density Single Site 1 Photon Absorptiometry|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78350||WS HB DEFAULT|836.00
WS SERVICE AREA|27202014|Hc Statlock Cvc Plus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|41.60
WS SERVICE AREA|271132821|Hc Cath Acute Liberty|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|61.60
WS SERVICE AREA|27202015|Hc Statlock Picc Plus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|26.00
WS SERVICE AREA|70878456|Hc Nm Acute Venous Thrombosis Imaging Peptide|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78456||WS HB DEFAULT|1,216.00
WS SERVICE AREA|27202017|Hc Steristrip Lf 1x5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|70878458|Hc Nm Venous Thrombosis Imaging Venogram Bilateral|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78458||WS HB DEFAULT|993.00
WS SERVICE AREA|27202019|Hc Stockinette Fiberglass 4 In|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.60
WS SERVICE AREA|70878469|Hc Nm Myocard Infarct Avid Plnr Tomo Spect W/wo Quant|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78469||WS HB DEFAULT|2,233.00
WS SERVICE AREA|27202020|Hc Stopcock 3-way W/ext Tubing|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.00
WS SERVICE AREA|27202021|Hc Stopcock High Pressure 3-way|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27202022|Hc Stopper Wire Red Rubber True/l|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27202023|Hc Strip 1x5in Episeal Flx Cnfrm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|271132822|Hc Cath Acute Liberty W Grip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|91.10
WS SERVICE AREA|70878601|Hc Nm Brain Imaging < 4 Static Vws W/vascular Flow|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78601||WS HB DEFAULT|1,914.00
WS SERVICE AREA|27202024|Hc Strip Peri E Univ Atsut Gia 45|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,092.80
WS SERVICE AREA|27202025|Hc Strip Peri E Univ Atsut Gia 60|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,125.80
WS SERVICE AREA|70878606|Hc Nm Brain Imaging Min 4 Static Views W/vascular Flow|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78606||WS HB DEFAULT|3,177.00
WS SERVICE AREA|27202026|Hc Strip Wound Clos I000 Lf 1x5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202027|Hc Zz Stylet Intubation Adlt 14fr- Use 27202032|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.40
WS SERVICE AREA|27202028|Hc Zz Stylet Intubation Rigid Grn Lf- Use 27202032|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27202029|Hc Stylet Precision Spare|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|878.60
WS SERVICE AREA|70878801|HC NM LOCLZJ TUM INFLAM PLNR 2+AREAS/1DAY OR 1 AREA/2+ DAYS|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78801||WS HB DEFAULT|2,992.00
WS SERVICE AREA|27202031|Hc Stylet Quinton Peri Tunneling|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|505.70
WS SERVICE AREA|270133389|Hc Headgear 35-40 Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|87.60
WS SERVICE AREA|90040438|Hc Intrapul Percussive Ventilation (ipv)|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94640||WS HB DEFAULT|504.00
WS SERVICE AREA|70878802|HC NM LOCLZJ TUM INFLAM PLNR WHOLE BODY 1 DAY|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78802||WS HB DEFAULT|3,799.00
WS SERVICE AREA|27202032|Hc Stylet Intubation, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.30
WS SERVICE AREA|27202033|Hc Zz Stylette Flexette Sgl 10fr- Use 27202032|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|34010051|Hc In-111 Satumomab Pendetide Dx Sudy Dose To 6 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A4642||WS HB DEFAULT|14,254.80
WS SERVICE AREA|27202034|Hc Zz Stylette Flexette Sgl 6fr- Use 27202032|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.80
WS SERVICE AREA|27202035|Hc Zz Stylette Intubation Inf Disp6f- Use 27202032|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|34010052|Hc Tc 99m Apcitide Dx Study Dose To 20 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9504||WS HB DEFAULT|5,082.00
WS SERVICE AREA|27202036|Hc Suction Biovac Direct|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|542.80
WS SERVICE AREA|27202037|Hc Suction Cautery|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.00
WS SERVICE AREA|34010053|Hc Tc 99m Disofenin Dx Study Dose To 15 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9510||WS HB DEFAULT|369.60
WS SERVICE AREA|270133388|Hc Headgear 40-45 Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|87.60
WS SERVICE AREA|27202038|Hc Suction Tube Yankauer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|278.70
WS SERVICE AREA|27202039|Hc Sump Pericardial|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.40
WS SERVICE AREA|34010054|Hc Tc 99m Pyrophosphate Dx Study Dose To 25 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9538||WS HB DEFAULT|312.90
WS SERVICE AREA|27202041|Hc Super Trax Ndl Tipped Cystolog|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|328.60
WS SERVICE AREA|34010055|Hc Tc 99m Sodium Gluceptate Dx Study Dose To 25 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9550||WS HB DEFAULT|3,269.70
WS SERVICE AREA|27202043|Hc Suresound|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|452.20
WS SERVICE AREA|34010056|Hc Tc 99m Bicisate Dx Study Dose To 25 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9557||WS HB DEFAULT|3,314.85
WS SERVICE AREA|27202044|Hc Surgical Patties Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
WS SERVICE AREA|27202045|Hc Surgical Simplex Full Do Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|655.10
WS SERVICE AREA|34010057|Hc Xe-133 Xenon Gas Dx Per 10 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9558||WS HB DEFAULT|157.50
WS SERVICE AREA|270133387|Hc Headgear 29-36 Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|87.60
WS SERVICE AREA|27202046|Hc Surgicel 4" X 8" Absorbable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|407.50
WS SERVICE AREA|27202047|Hc Surgicel Absorb Hemostat 2x3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|222.90
WS SERVICE AREA|34010058|Hc Tc 99m Oxidronate Dx Study Dose To 30 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9561||WS HB DEFAULT|197.40
WS SERVICE AREA|27202048|Hc Surgicel Fib Abs Hemostat 2x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|701.40
WS SERVICE AREA|27202049|Hc Surgicel Nu-knit 3"x4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|306.90
WS SERVICE AREA|34010059|Hc Tc 99m Fanolesomab Dx Study Dose To 25 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9566||WS HB DEFAULT|6,985.76
WS SERVICE AREA|27202050|Hc Surgifoam Abs Gel Sponge 100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|163.80
WS SERVICE AREA|27202051|Hc Surgifoam Hemmorrhoidect Sponge|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|170.00
WS SERVICE AREA|70978459|HC PET MYOCARDIAL IMAGING METABOLIC EVALUATION SINGLE STUDY|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78459||WS HB DEFAULT|6,586.00
WS SERVICE AREA|27202052|Hc Surgifoam Powder Ab Gel Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|957.90
WS SERVICE AREA|272133392|Hc Blade Disp Mil 00 Teleflex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202053|Hc Surgindl 150mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|92.70
WS SERVICE AREA|27202054|Hc Sut 3-0 Cv-23 6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|168.90
WS SERVICE AREA|27202055|Hc Sut Assist Sw100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|911.60
WS SERVICE AREA|70978811|Hc Pet Chest Head Neck Imaging Limited Area|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78811||WS HB DEFAULT|6,384.00
WS SERVICE AREA|27202057|Hc Sut Bridge Retention|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202058|Hc Sut Caprosyn 4-0 V20 Taper|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.30
WS SERVICE AREA|27202059|Hc Zz Sut Chromic Gut 0 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27202060|Hc Zz Sut Chromic Gut 0 Bp1 27" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|80087428|Hc Iaad Ia Sarscov & Influenza Virus Types A&b|LABORATORY - GENERAL CLASSIFICATION [0300]|87428||WS HB DEFAULT|368.00
WS SERVICE AREA|27202061|Hc Zz Sut Chromic Gut 1 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|56.70
WS SERVICE AREA|272133391|Hc Blade Disp Mil 0 Teleflex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|70909991|Hc Pet Whole Body Melanoma Noncovered|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|G0219||WS HB DEFAULT|8,432.00
WS SERVICE AREA|27202062|Hc Zz Sut Chromic Gut 2 Tp1 30"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.00
WS SERVICE AREA|27202063|Hc Zz Sut Chromic Gut 2-0 Ct1 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|70909992|Hc Pet Any Site Not Specified Noncovered|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|G0235||WS HB DEFAULT|7,185.00
WS SERVICE AREA|27202064|Hc Zz Sut Chromic Gut 2-0 Os4 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.50
WS SERVICE AREA|27202065|Hc Zz Sut Chromic Gut 4-0 P3 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.30
WS SERVICE AREA|27202066|Hc Zz Sut Chromic Gut 4-0 Ps4 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.90
WS SERVICE AREA|27202067|Hc Zz Sut Chromic Gut 5-0 P3 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.20
WS SERVICE AREA|90091110|Hc Gi Imag Intraluminal Esophagus-ileum W/i&r|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|91110||WS HB DEFAULT|4,809.00
WS SERVICE AREA|27202069|Hc Zz Sut Endo Loop 0 Pds Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|705.60
WS SERVICE AREA|272133390|Hc Blade Disp Mil 1 Teleflex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|70493924|Hc Us Arterial Lower N-invas Phy Stress/rest Compl Bilat|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93924||WS HB DEFAULT|1,432.00
WS SERVICE AREA|27202071|Hc Zz Sut Ethb #2 Bicolor (special) - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|179.20
WS SERVICE AREA|70493990|Hc Us Duplex Scan Hemodialysis Access|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93990||WS HB DEFAULT|1,123.00
WS SERVICE AREA|27202072|Hc Zz Sut Ethb #5 V37 Braid Xgrn 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.90
WS SERVICE AREA|27202073|Hc Zz Sut Ethb 0 Ct1 Braid Grn 18" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.20
WS SERVICE AREA|27202074|Hc Zz Sut Ethb 0 Ct1 Braid Grn 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202075|Hc Zz Sut Ethb 0 Ct2 Braid Grn 18" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.20
WS SERVICE AREA|70476999|Hc Us Unlisted Procedures|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76999||WS HB DEFAULT|779.00
WS SERVICE AREA|27202076|Hc Zz Sut Ethb 0 Ct2 Braid Grn 30" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202077|Hc Zz Sut Ethb 0 Excel Mh 36 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|270133386|Hc Chin Strap 20-26 Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|20.60
WS SERVICE AREA|70400126|Hc Us Common Carotid Intima Media Thickness Study|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|93895||WS HB DEFAULT|898.00
WS SERVICE AREA|27202078|Hc Zz Sut Ethb 0 M07 Braid Grn 18" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.60
WS SERVICE AREA|27202079|Hc Zz Sut Ethb 0 Mo6 Braid Grn 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.60
WS SERVICE AREA|90095861|Hc Emg Ndl 2 Xtr W/wo Related Paraspinal Areas|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95861||WS HB DEFAULT|829.00
WS SERVICE AREA|27202080|Hc Zz Sut Ethb 0 Sh 60" - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|179.20
WS SERVICE AREA|27202081|Hc Zz Sut Ethb 0 Sh Braid Grn 36" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|90095863|Hc Emg Ndl 3 Xtr W/wo Related Paraspinal Areas|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95863||WS HB DEFAULT|1,183.00
WS SERVICE AREA|27202082|Hc Zz Sut Ethb 1 Ct1 Braid Grn 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202083|Hc Zz Sut Ethb 1 Os-6 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|90095864|Hc Emg Ndl 4 Xtr W/wo Related Paraspinal Areas|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95864||WS HB DEFAULT|1,635.00
WS SERVICE AREA|270133385|Hc Chin Strap 26-32 Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202084|Hc Zz Sut Ethb 2 Lr Cut Ret 30 - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202085|Hc Zz Sut Ethb 2 Os4 Braid Grn 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|90095867|Hc Ndl Electromyography Cranial Nrv Muscle Uni|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95867||WS HB DEFAULT|503.00
WS SERVICE AREA|27202086|Hc Zz Sut Ethb 2 V37 Braid Grn 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
WS SERVICE AREA|90095868|Hc Ndl Electromyography Cranial Nrv Muscle Bi|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95868||WS HB DEFAULT|753.00
WS SERVICE AREA|27202088|Hc Zz Sut Ethb 2-0 Ct2 Braid Grn 18" - Ise Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|27202089|Hc Zz Sut Ethb 2-0 Ct2 Braid Grn 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|90095885|Hc Emg Ndl Ea Extremity W/paraspinl Area Ltd|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95885||WS HB DEFAULT|490.00
WS SERVICE AREA|27202090|Hc Zz Sut Ethb 2-0 Ctr Braid Grn 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202091|Hc Zz Sut Ethb 2-0 Mo7 Braid Grn 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.60
WS SERVICE AREA|270133384|Hc Chin Strap 32-38 Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|20.60
WS SERVICE AREA|90095907|Hc Nerve Conduction Studies 1-2 Studies|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95907||WS HB DEFAULT|1,139.00
WS SERVICE AREA|27202092|Hc Zz Sut Ethb 2-0 Sh 3x3pledset 36 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|343.00
WS SERVICE AREA|27202093|Hc Zz Sut Ethb 2-0 Sh 7x3pledset 36 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|328.60
WS SERVICE AREA|90095908|Hc Nerve Conduction Studies 3-4 Studies|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95908||WS HB DEFAULT|2,277.00
WS SERVICE AREA|27202094|Hc Zz Sut Ethb 2-0 Sh Braid Grn 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202095|Hc Zz Sut Ethb 2-0 Sh No Pledset 30 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|205.00
WS SERVICE AREA|90095909|Hc Nerve Conduction Studies 5-6 Studies|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95909||WS HB DEFAULT|3,416.00
WS SERVICE AREA|27202096|Hc Zz Sut Ethb 2-0 Sh-2 36 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27202097|Hc Zz Sut Ethb 2-0 Sh-da Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|90095910|Hc Nerve Conduction Studies 7-8 Studies|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95910||WS HB DEFAULT|4,553.00
WS SERVICE AREA|270133383|Hc Chin Strap 38-44 Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202098|Hc Zz Sut Ethb 2-0 Stp10 Braid Green Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.80
WS SERVICE AREA|25010079|Rx 636 Trial/study Drug|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|25010079||WS HB DEFAULT|0.01
WS SERVICE AREA|90095911|Hc Nerve Conduction Studies 9-10 Studies|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95911||WS HB DEFAULT|5,690.00
WS SERVICE AREA|27202100|Hc Zz Sut Ethb 2-0 V-5 7x3pledset 30 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|369.80
WS SERVICE AREA|27202101|Hc Zz Sut Ethb 2-0 V-5 No Pledget 3 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|287.40
WS SERVICE AREA|90095912|Hc Nerve Conduction Studies 11-12 Studies|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95912||WS HB DEFAULT|4,034.00
WS SERVICE AREA|27202102|Hc Zz Sut Ethb 4-0 Braid Grn 18" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202103|Hc Zz Sut Ethb 4-0 Rb1 Braid Grn 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|90095913|Hc Nerve Conduction Studies 13 Or More Studies|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95913||WS HB DEFAULT|4,632.00
WS SERVICE AREA|27202104|Hc Zz Sut Ethb 5 Lr Braid Green 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|270115578|Hc Mask O2 Pnrmc Adlt 750ml Rbrth|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|41.80
WS SERVICE AREA|95020013|Hc Home Sleep Test-pat|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95800||WS HB DEFAULT|1,098.00
WS SERVICE AREA|27202105|Hc Zz Sut Ethb 6-0 C1 Cut 18" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.50
WS SERVICE AREA|90095928|Hc Ctr Motor Ep Std Transcrnl Motor Stimj Upr Limbs|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95928||WS HB DEFAULT|869.00
WS SERVICE AREA|27202107|Hc Zz Sut Ethl 10-0 Bv503 Mono Blk 5  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|153.50
WS SERVICE AREA|90095929|Hc Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95929||WS HB DEFAULT|742.00
WS SERVICE AREA|27202109|Hc Zz Sut Ethl 10-0 Tg1408 Mono Blk Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|92.70
WS SERVICE AREA|90095937|Hc Neuromuscular Junct Tstg Ea Nrv Any 1 Meth|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95937||WS HB DEFAULT|629.00
WS SERVICE AREA|27202110|Hc Zz Sut Ethl 2 Lr Mono Black  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202111|Hc Zz Sut Ethl 2 Lr Mono Black 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.60
WS SERVICE AREA|90095939|Hc Ctr Motr Ep Std Transcrnl Motr Stim Upr & Lwr  Limbs|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95939||WS HB DEFAULT|869.00
WS SERVICE AREA|27202112|Hc Suture Nylon/pds/gut/chromic/prolene/permahand|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.60
WS SERVICE AREA|272131686|HC SET ADM GRVTY CHK VALVE SLIDE|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202113|Hc Zz Sut Ethl 2-0 Fslx Mono Black  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.90
WS SERVICE AREA|90095927|Hc Short-latency Somatosens Ep Std Trnk/head|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95927||WS HB DEFAULT|1,707.00
WS SERVICE AREA|27202114|Hc Zz Sut Ethl 3-0 Fs1 Mono Blac 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27202115|Hc Zz Sut Ethl 3-0 Fs1 Mono Blk  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|90090500|Hc Mod Sed Endo Svcs  >5yrs First 15min|ANESTHESIA - GENERAL CLASSIFICATION [0370]|G0500||WS HB DEFAULT|179.00
WS SERVICE AREA|27202116|Hc Zz Sut Ethl 3-0 Fs1 Mono Blk 30"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27202117|Hc Zz Sut Ethl 3-0 Ks Mono Blk 30"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.70
WS SERVICE AREA|90010348|HC DIAB PREVENT GRP 60 MIN|AMBULANCE - GENERAL CLASSIFICATION [0540]|A0425||WS HB DEFAULT|26.00
WS SERVICE AREA|27202118|Hc Zz Sut Ethl 3-0 Os2 Mono Blk 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27202119|Hc Zz Sut Ethl 3-0 Ps1 3dz Blk 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.60
WS SERVICE AREA|272122386|Hc Zz Tube Trach Oral Murphy Eye Cuff 4.0mm - Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.30
WS SERVICE AREA|97065020|Hc Evoked Auditory Screen|AUDIOLOGY - DIAGNOSTIC [0471]|92558||WS HB DEFAULT|629.00
WS SERVICE AREA|27202120|Hc Zz Sut Ethl 3-0 Ps1 Mono Blk 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202121|Hc Zz Sut Ethl 3-0 Pslx Mono Blk 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|97065021|Hc Tinnitus Assessment|AUDIOLOGY - DIAGNOSTIC [0471]|92625||WS HB DEFAULT|487.00
WS SERVICE AREA|27202122|Hc Zz Sut Ethl 4 0 Ps2 Mono Blk 18  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202123|Hc Zz Sut Ethl 4-0 P3 Mono Blk 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.00
WS SERVICE AREA|27202124|Hc Zz Sut Ethl 4-0 P3 Mono Blk 3dz  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202125|Hc Zz Sut Ethl 4-0 P3 Mono Clr 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202126|Hc Zz Sut Ethl 4-0 Ps2 Mono Blk 3dz  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202127|Hc Zz Sut Ethl 5-0 C2 Mono Blk 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|272122387|Hc Zz Tube Trach Oral Murphy Eye Cuff 4.5mm - Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.40
WS SERVICE AREA|97065024|Hc Audio Pure Tone Air Onl|AUDIOLOGY - DIAGNOSTIC [0471]|92552||WS HB DEFAULT|105.00
WS SERVICE AREA|27202128|Hc Zz Sut Ethl 5-0 Fs2 Mono Blac 1  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27202129|Hc Zz Sut Ethl 5-0 P3 Mono Blk 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.00
WS SERVICE AREA|97065025|Hc Audio Pure Tone Air And Bone|AUDIOLOGY - DIAGNOSTIC [0471]|92553||WS HB DEFAULT|174.00
WS SERVICE AREA|27202130|Hc Zz Sut Ethl 5-0 P3 Mono Blk 3dz Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202131|Hc Zz Sut Ethl 5-0 P3 Mono Clear Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|97065026|Hc Speech Threshold|AUDIOLOGY - DIAGNOSTIC [0471]|92555||WS HB DEFAULT|169.00
WS SERVICE AREA|27202132|Hc Zz Sut Ethl 5-0 P3 Mono Grn 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202133|Hc Zz Sut Ethl 5-0 Pc3 Mono Blk 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|97065027|Hc Audio Sp Thres And Discrim|AUDIOLOGY - DIAGNOSTIC [0471]|92556||WS HB DEFAULT|224.00
WS SERVICE AREA|272122391|Hc Zz Tube Trach Oral Murphy Eye Cuff 6.0mm - Use 27203300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.90
WS SERVICE AREA|27202135|Hc Zz Sut Ethl 5-0 Ps2 Mono Blk 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|97065028|Hc Comprehensive Audio|AUDIOLOGY - DIAGNOSTIC [0471]|92557||WS HB DEFAULT|511.00
WS SERVICE AREA|27202136|Hc Zz Sut Ethl 6-0 P1 Mono Black 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.00
WS SERVICE AREA|27202137|Hc Zz Sut Ethl 6-0 P1 Mono Blk 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.10
WS SERVICE AREA|97065029|Hc Tone Decay Test|AUDIOLOGY - DIAGNOSTIC [0471]|92563||WS HB DEFAULT|198.00
WS SERVICE AREA|27202138|Hc Zz Sut Ethl 6-0 P3 Mono Blk 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.10
WS SERVICE AREA|27202139|Hc Zz Sut Ethl 6-0 Ps3 Mono Blk 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.80
WS SERVICE AREA|97065030|Hc Acoustic Reflex Testing|AUDIOLOGY - DIAGNOSTIC [0471]|92568||WS HB DEFAULT|219.00
WS SERVICE AREA|27202140|Hc Zz Sut Ethl 7-0 P6 Mono Black Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|80085999|Hc Unlisted Hematology & Coagulation Procedure|LABORATORY - GENERAL CLASSIFICATION [0300]|85999||WS HB DEFAULT|148.00
WS SERVICE AREA|272130971|Hc Tubing Oral Rae 5.5 86201|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27202141|Hc Zz Sut Ethl 8-0 Bv130-4 Mono Blk Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|84.50
WS SERVICE AREA|97065031|Hc Audio Visual Reinforce|AUDIOLOGY - DIAGNOSTIC [0471]|92579||WS HB DEFAULT|245.00
WS SERVICE AREA|27202142|Hc Zz Sut Ethl 8-0 Tg1008 Mono Black Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.20
WS SERVICE AREA|27202143|Hc Zz Sut Ethl 8-0 Tg1758 Mono Black Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.20
WS SERVICE AREA|97065032|Hc Audio Condtn Play|AUDIOLOGY - DIAGNOSTIC [0471]|92582||WS HB DEFAULT|245.00
WS SERVICE AREA|27202144|Hc Zz Sut Ethl 9-0 Bv100-4 Mono Blk  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.60
WS SERVICE AREA|27202145|Hc Zz Sut Fiber W/ndl 2-0 Pb Brd Blu Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|131.80
WS SERVICE AREA|97065033|Hc Electrocochleography|AUDIOLOGY - DIAGNOSTIC [0471]|92584||WS HB DEFAULT|555.00
WS SERVICE AREA|27202146|Hc Zz Sut Fiber Wire #2 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|125.70
WS SERVICE AREA|27202147|Hc Zz Sut Fiber Wire Braided #5 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|217.30
WS SERVICE AREA|272130970|Hc Tubing Oral Rae 7 86204|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|97065034|Hc Hearing Aid Chck Monarl|AUDIOLOGY - DIAGNOSTIC [0471]|92592||WS HB DEFAULT|45.00
WS SERVICE AREA|27202148|Hc Zz Sut Fiber Wire Braided 3-0 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|131.80
WS SERVICE AREA|27202149|Hc Zz Sut Fiber Wire W/ndl 4.0 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|131.80
WS SERVICE AREA|97065035|Hc Hearing Aid Chck Binaurl|AUDIOLOGY - DIAGNOSTIC [0471]|92593||WS HB DEFAULT|72.00
WS SERVICE AREA|27202150|Hc Sut Gore Cv3 Ph35|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|133.90
WS SERVICE AREA|27202151|Hc Zz Sut Gore Cv5 Tt13 Whi 36" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|145.20
WS SERVICE AREA|97065036|Hc Ea Ha Check Monaural|AUDIOLOGY - DIAGNOSTIC [0471]|92594||WS HB DEFAULT|45.00
WS SERVICE AREA|27202152|Hc Zz Sut Gore-tex 2u10 Ph24 Cv2 48" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|160.70
WS SERVICE AREA|27202153|Hc Sut Gore-tex 4n06a Cv4 Th26 36|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|139.10
WS SERVICE AREA|97065037|Hc Ea Ha Check Binaural|AUDIOLOGY - DIAGNOSTIC [0471]|92595||WS HB DEFAULT|72.00
WS SERVICE AREA|272129231|Hc Tubing Oral Rae 7.5 86205|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.40
WS SERVICE AREA|27202154|Hc Zz Sut Gore-tex 6m04a Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|163.80
WS SERVICE AREA|27202158|Hc Sut Gore-tex 7k02a Cv7 Tt9|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|94.80
WS SERVICE AREA|27202159|Hc Sut Gore-tex 7m02a Cvy Tt9 30|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|165.80
WS SERVICE AREA|97065040|Hc Pt Cpm Init Appl Ea 15 Mn|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97039||WS HB DEFAULT|488.00
WS SERVICE AREA|27202160|Hc Zz Sut Gore-tex Cv 36 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|153.50
WS SERVICE AREA|27202161|Hc Zz Sut Gore-tex Cv0 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|153.50
WS SERVICE AREA|27202162|Hc Zz Sut Gore-tex W/ Ndl Cv2 36" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|141.10
WS SERVICE AREA|97065042|Hc Acoustic Immittance Testing|AUDIOLOGY - GENERAL CLASSIFICATION [0470]|92570||WS HB DEFAULT|405.00
WS SERVICE AREA|27202164|Hc Zz Sut Gut Chromic 0 54" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202165|Hc Zz Sut Gut Chromic 0 Ct 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|272128011|Hc Cuff Fgr Hemodyn Clearsite Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,530.50
WS SERVICE AREA|97065043|Hc Hearing Aid Exam One Ear|AUDIOLOGY - GENERAL CLASSIFICATION [0470]|92590||WS HB DEFAULT|63.00
WS SERVICE AREA|27202166|Hc Zz Sut Gut Chromic 0 Ct1 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202167|Hc Zz Sut Gut Chromic 0 Ct1 Clr 36"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|97065044|Hc Hearing Aid Exam Both Ears|AUDIOLOGY - GENERAL CLASSIFICATION [0470]|92591||WS HB DEFAULT|128.00
WS SERVICE AREA|27202168|Hc Zz Sut Gut Chromic 0 Ctx 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202170|Hc Zz Sut Gut Chromic 1 54" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202171|Hc Zz Sut Gut Chromic 1 Ct 36"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202172|Hc Zz Sut Gut Chromic 1 Ct1 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202173|Hc Zz Sut Gut Chromic 1 Ct1 Cr8 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|131.80
WS SERVICE AREA|97065047|Hc Neurobehv Status Exam/hr|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|96116||WS HB DEFAULT|721.00
WS SERVICE AREA|272128012|Hc Cuff Fgr Hemodyn Clearsite Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,530.90
WS SERVICE AREA|27202174|Hc Zz Sut Gut Chromic 1 Ctx 36"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|97065048|Hc Actinotherapy Phototherapy - Uv Light Daily|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|96900||WS HB DEFAULT|230.00
WS SERVICE AREA|27202177|Hc Zz Sut Gut Chromic 2-0 Ct 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|97065049|Hc Eval,non-speech Device|SPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444]|92605||WS HB DEFAULT|763.00
WS SERVICE AREA|27202178|Hc Zz Sut Gut Chromic 2-0 Ct 54"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.70
WS SERVICE AREA|27202180|Hc Zz Sut Gut Chromic 2-0 Ct2 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202181|Hc Zz Sut Gut Chromic 2-0 Ct3 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202182|Hc Zz Sut Gut Chromic 2-0 Sh 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202184|Hc Zz Sut Gut Chromic 3-0 Ct 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202185|Hc Zz Sut Gut Chromic 3-0 Ct 54"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.10
WS SERVICE AREA|271133415|Hc Circuit Para Pac/transport Vent|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|52.40
WS SERVICE AREA|95010048|HC EEG EXTENDED MONITORING 61-119 MINUTES|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95813||WS HB DEFAULT|2,453.00
WS SERVICE AREA|97065053|HC ELECTRICAL STIMULATION UNATTENDED FOR STAGE 3&4 PRESSURE ULCERS|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|G0281||WS HB DEFAULT|186.00
WS SERVICE AREA|27202186|Hc Zz Sut Gut Chromic 3-0 Ct1 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202187|Hc Zz Sut Gut Chromic 3-0 Fs2 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|97065054|HC ELECTRICAL STIMULATION UNATTENDED FOR STAGE 3&4 PRESSURE ULCERS|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|G0281||WS HB DEFAULT|186.00
WS SERVICE AREA|27202188|Hc Zz Sut Gut Chromic 3-0 Ps2 3dz  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.20
WS SERVICE AREA|27202189|Hc Zz  Sut Gut Chromic 3-0 Rb1 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|97065018|Hc Tympanometry|AUDIOLOGY - GENERAL CLASSIFICATION [0470]|92567||WS HB DEFAULT|204.00
WS SERVICE AREA|27202190|Hc Zz Sut Gut Chromic 3-0 Sh 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202191|Hc Zz Sut Gut Chromic 4-0 54"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|90010385|Hc Home Sleep Study 2 Port|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|G0398||WS HB DEFAULT|1,098.00
WS SERVICE AREA|20010208|Hc Tibia Distal W/bear W Manip/ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27825||WS HB DEFAULT|7,330.00
WS SERVICE AREA|27202192|Hc Zz Sut Gut Chromic 4-0 Fs2 27"3dz  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202193|Hc Zz Sut Gut Chromic 4-0 Rb1 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|90010386|Hc Home Sleep Study 4 Port|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|G0400||WS HB DEFAULT|1,098.00
WS SERVICE AREA|27202195|Hc Zz Sut Gut Chromic 4-0 Sh 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202196|Hc Zz Sut Gut Chromic 5-0 Ps4 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.40
WS SERVICE AREA|77077293|Hc Respiratory Motion Mgmt Sim|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77293||WS HB DEFAULT|2,875.00
WS SERVICE AREA|27202197|Hc Zz Sut Gut Chromic 5-0 Rb1 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202198|Hc Zz Sut Gut Chromic 6-0 Ps3 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.00
WS SERVICE AREA|27202199|Hc Zz Sut Gut Chromic 6-0 Ps4 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27202200|Hc Zz Sut Gut Chromic Reel 2-0 54" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|20010209|Hc Tibfibular Disl Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27830||WS HB DEFAULT|1,072.00
WS SERVICE AREA|77077750|Hc Instill/infuse Radioactive Materials|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77750||WS HB DEFAULT|2,635.00
WS SERVICE AREA|27202201|Hc Zz Sut Gut Chromic Reel 3-0 54" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202202|Hc Zz Sut Gut Plain 0 54"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|96010057|Hc Chemo Ext Iv Inf W/pump|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - CHEMOTHERAPY ADMINISTRATION - IV [0335]|G0498||WS HB DEFAULT|1,677.00
WS SERVICE AREA|27202203|Hc Zz Sut Gut Plain 0 Ct1 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202204|Hc Zz Sut Gut Plain 1 54"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|96010053|Hc Inj Tx/proph/dx Intra-arterial|IV THERAPY - GENERAL CLASSIFICATION [0260]|96373||WS HB DEFAULT|1,421.00
WS SERVICE AREA|27202205|Hc Zz Sut Gut Plain 2-0 Ct1 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202206|Hc Zz Sut Gut Plain 2-0 Fn2 27" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202207|Hc Zz Sut Gut Plain 3-0 Ct 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|20010210|Hc Tibfibular Disl W Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27831||WS HB DEFAULT|14,797.00
WS SERVICE AREA|27202208|Hc Zz Sut Gut Plain 3-0 Ct1 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084659|Hc Bld Type Paternity; Abo Rh Mn|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|86910||WS HB DEFAULT|129.00
WS SERVICE AREA|27202209|Hc Zz Sut Gut Plain 3-0 Ctx 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202210|Hc Zz Sut Gut Plain 3-0 Fs1 27" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202211|Hc Zz Sut Gut Plain 3-0 Fs2 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202212|Hc Zz Sut Gut Plain 3-0 Sh 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202213|Hc Zz Sut Gut Plain 4-0 Fs2 3dz  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202215|Hc Zz Sut Gut Plain 4-0 Sc1,sc1 18" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202217|Hc Zz Sut Laso W/wire Loops -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|784.90
WS SERVICE AREA|27202218|Hc Zz Sut Loc Abs 4-0 P12 12in - Use 27202700|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|175.10
WS SERVICE AREA|20010211|Hc Ankle Disl Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27840||WS HB DEFAULT|4,586.00
WS SERVICE AREA|27202219|Hc Sut Maxon 0 T12 Green 36"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.10
WS SERVICE AREA|27202220|Hc Sut Maxon 2-0 T12 Green 27"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.00
WS SERVICE AREA|27202222|Hc Sut Mers 2-0 F3 Braid Wht 18"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084672|Hc Glucose Bld By Monit Dev|LABORATORY - GENERAL CLASSIFICATION [0300]|82962||WS HB DEFAULT|73.00
WS SERVICE AREA|27202223|Hc Sut Mers 3-0 Fs1 Braid Whi 18"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27202224|Hc Zz Sut Mers 4-0 P3 Braid Wht 18" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|80084673|Hc Pcp Quan Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|83992||WS HB DEFAULT|59.00
WS SERVICE AREA|27202225|Hc Sut Mers 4-0 S2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|80084674|Hc Assay Of Proinsulin|LABORATORY - GENERAL CLASSIFICATION [0300]|84206||WS HB DEFAULT|342.00
WS SERVICE AREA|27202227|Hc Sut Mers 5mm Bp1 White Woven|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|182.30
WS SERVICE AREA|20010212|Hc Ankle Disl W Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27842||WS HB DEFAULT|10,367.00
WS SERVICE AREA|27202228|Hc Sut Mers 5mm Ctx White Woven|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|190.60
WS SERVICE AREA|80084675|Hc Urine Sulfate|LABORATORY - GENERAL CLASSIFICATION [0300]|84392||WS HB DEFAULT|38.00
WS SERVICE AREA|27202229|Hc Sut Mers D Special 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|869.30
WS SERVICE AREA|27202230|Hc Sut Mers Wte 5mm Mo-4 Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|213.20
WS SERVICE AREA|80084676|Hc Investig Transfus Reaction|LABORATORY - GENERAL CLASSIFICATION [0300]|86078||WS HB DEFAULT|419.00
WS SERVICE AREA|27202231|Hc Sut Mersilene 2-0 Sh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|80084677|Hc Cold Agglutinin; Titer|LABORATORY - GENERAL CLASSIFICATION [0300]|86157||WS HB DEFAULT|45.00
WS SERVICE AREA|27202234|Hc Zz Sut Monc +2-0 Ur6 Mono Dye 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084678|Hc Pa; Titer Ea Ab|LABORATORY - GENERAL CLASSIFICATION [0300]|86406||WS HB DEFAULT|185.00
WS SERVICE AREA|27202236|Hc Zz Sut Monc +3-0 Ps2 Mono Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.00
WS SERVICE AREA|20010213|Hc Fb Removal Foot Simp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28190||WS HB DEFAULT|6,155.00
WS SERVICE AREA|80084679|Hc Semen Anal Vol/count/mot|LABORATORY - GENERAL CLASSIFICATION [0300]|89320||WS HB DEFAULT|613.00
WS SERVICE AREA|27202238|Hc Zz Sut Monc +4-0 P3 Mono Und 18" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|80084680|Hc Cytp Fna Eval Ea Addl|LABORATORY - GENERAL CLASSIFICATION [0300]|88177||WS HB DEFAULT|107.00
WS SERVICE AREA|27202240|Hc Zz Sut Monc +4-0 Pc3 Mono Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|80084681|Hc Chrom Analy; 20-25 Cells|LABORATORY - GENERAL CLASSIFICATION [0300]|88264||WS HB DEFAULT|1,051.00
WS SERVICE AREA|27202241|Hc Zz Sut Monc +4-0 Ps-2 - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.90
WS SERVICE AREA|27202242|Hc Zz Sut Monc +4-0 Ps2 Mono Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.70
WS SERVICE AREA|80084682|Hc Mcg; Situ Hybrid 10-30 Cells|LABORATORY - GENERAL CLASSIFICATION [0300]|88273||WS HB DEFAULT|912.00
WS SERVICE AREA|27202243|Hc Zz Sut Monc +5-0 P3 Mono Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.00
WS SERVICE AREA|27202244|Hc Zz Sut Monc 1 Ct Mono Vio 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|20010214|Hc Fb Remove Foot Deep|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28192||WS HB DEFAULT|10,588.00
WS SERVICE AREA|80084683|Hc Shiga-like Toxin Ag Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|87427||WS HB DEFAULT|358.00
WS SERVICE AREA|27202245|Hc Zz Sut Monc 2-0 Ct1 Mono Und 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202246|Hc Zz Sut Monc 2-0 Ct1 Mono Vio 18" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.60
WS SERVICE AREA|80084684|Hc Drug Screen Quant Clozapine|LABORATORY - GENERAL CLASSIFICATION [0300]|80159||WS HB DEFAULT|96.00
WS SERVICE AREA|27202247|Hc Zz Sut Monc 2-0 Ur6 Mono Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202248|Hc Zz Sut Monc 3-0 5h Mono Vio 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|80084686|Hc Drug Screen Quant Everolimus|LABORATORY - GENERAL CLASSIFICATION [0300]|80169||WS HB DEFAULT|329.00
WS SERVICE AREA|27202249|Hc Zz Sut Monc 3-0 Ct-1 V 36 - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202250|Hc Zz Sut Monc 3-0 Ks Mono Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084687|Hc Haloperidol Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80173||WS HB DEFAULT|57.00
WS SERVICE AREA|20010215|Hc Fb Remove Foot Comp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28193||WS HB DEFAULT|5,502.00
WS SERVICE AREA|27202251|Hc Zz Sut Monc 3-0 Ps1 Mono Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27202252|Hc Zz Sut Monc 3-0 Sh Mono Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084688|Hc Drug Scrn Quan Mycophenolate|LABORATORY - GENERAL CLASSIFICATION [0300]|80180||WS HB DEFAULT|313.00
WS SERVICE AREA|27202253|Hc Zz Sut Monc 4-0 Pc3 Mono Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|27202254|Hc Zz Sut Monc 4-0 Ps1 Mono Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.40
WS SERVICE AREA|80084689|Hc Drug Scrn Quant Oxcarbazepin|LABORATORY - GENERAL CLASSIFICATION [0300]|80183||WS HB DEFAULT|160.00
WS SERVICE AREA|27202255|Hc Zz Sut Monc 4-0 Ps2 Mono Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27202256|Hc Zz Sut Monc 4-0 Ps2 Mono Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.20
WS SERVICE AREA|80084690|Hc Drug Screen Quantitative Procainamide|LABORATORY - GENERAL CLASSIFICATION [0300]|80190||WS HB DEFAULT|72.00
WS SERVICE AREA|27202257|Hc Zz Sut Monc 4-0 Sh Mono Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|20010216|Hc Calcaneal Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28400||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27202258|Hc Zz Sut Monc 5-0 P3 Mono Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.90
WS SERVICE AREA|27202259|Hc Zz Sut Monc 5-0 Ps2 Mono Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27202260|Hc Zz Sut Monc 6-0 Pc1 Mono Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|27202261|Hc Zz Sut Monderm 2-0 -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|166.90
WS SERVICE AREA|27202262|Hc Zz Sut Mono +5-0 Pc1 Mono Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|80084696|Hc Anabolic Steroid 1 Or 2|LABORATORY - GENERAL CLASSIFICATION [0300]|80327||WS HB DEFAULT|153.00
WS SERVICE AREA|27202264|Hc Zz Sut Mono +5-0 Ps2 Mono Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.00
WS SERVICE AREA|80084697|Hc Antipsychotics Nos 1-3|LABORATORY - GENERAL CLASSIFICATION [0300]|80342||WS HB DEFAULT|230.00
WS SERVICE AREA|27202265|Hc Zz Sut Mono 1 Ctb-1 Blunt 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202266|Hc Zz Sut Mono 10-0 Cu-8 Black Nylon -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|205.00
WS SERVICE AREA|20010217|Hc Calcaneal Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28405||WS HB DEFAULT|13,232.00
WS SERVICE AREA|90010337|Hc Removal Of Skin Tags <w/15|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11200||WS HB DEFAULT|534.00
WS SERVICE AREA|80084698|Hc Cannabinoids Natural|LABORATORY - GENERAL CLASSIFICATION [0300]|80349||WS HB DEFAULT|26.00
WS SERVICE AREA|27202267|Hc Zz Sut Mono 3-0 Ps2 Mono Und 18 - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27202268|Hc Zz Sut Mono 3-4 Ur6 Und 27" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084699|Hc Heroin Metabolite|LABORATORY - GENERAL CLASSIFICATION [0300]|80356||WS HB DEFAULT|26.00
WS SERVICE AREA|27202269|Hc Zz Sut Mono 4-0 Pc5 Mono Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|27202270|Hc Zz Sut Monocryl 3-0 Ps-2 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.50
WS SERVICE AREA|80084700|Hc Methylenedioxyamphetamines|LABORATORY - GENERAL CLASSIFICATION [0300]|80359||WS HB DEFAULT|559.00
WS SERVICE AREA|27202271|Hc Zz Sut Monocryl 4-0 P3 - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.20
WS SERVICE AREA|27202272|Hc Zz Sut Monocryl 5-0 Pc-1 - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.00
WS SERVICE AREA|80084701|Hc Sedative Hypnotics|LABORATORY - GENERAL CLASSIFICATION [0300]|80368||WS HB DEFAULT|26.00
WS SERVICE AREA|20010218|Hc Calcaneal Fx W Manip/ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28406||WS HB DEFAULT|37,883.00
WS SERVICE AREA|27202273|Hc Zz Sut Monocryl 5-0 Pc-3 - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|27202274|Hc Zz Sut Monoderm 2-0 14x14 -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|136.00
WS SERVICE AREA|80084703|Hc Skel Musc Relaxant 3 Or More|LABORATORY - GENERAL CLASSIFICATION [0300]|80370||WS HB DEFAULT|559.00
WS SERVICE AREA|27202275|Hc Zz Sut Monoderm 3-0 14x14 -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|136.00
WS SERVICE AREA|27202276|Hc Zz Sut Monoderm 3-0 30x30 -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|166.90
WS SERVICE AREA|80084704|Hc Drug Screening Tramadol|LABORATORY - GENERAL CLASSIFICATION [0300]|80373||WS HB DEFAULT|65.00
WS SERVICE AREA|27202277|Hc Zz Sut Monoderm 3-0 7x7 -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|105.10
WS SERVICE AREA|80084705|Hc Drug/substance Nos 7/more|LABORATORY - GENERAL CLASSIFICATION [0300]|80377||WS HB DEFAULT|618.00
WS SERVICE AREA|27202280|Hc Zz Sut Nuro 0 Ct1 Braid Blk 30" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084707|Hc N-autom Urine Dip W Micro|LABORATORY - GENERAL CLASSIFICATION [0300]|81000||WS HB DEFAULT|23.00
WS SERVICE AREA|20010219|Hc Talus Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28430||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27202281|Hc Sut Nuro 0 Ct2 Braid Black|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27202282|Hc Zz Sut Nuro 4-0 Tf Braid Blk 18" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
WS SERVICE AREA|80084708|Hc Urinalysis; Qual Not Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|81005||WS HB DEFAULT|125.00
WS SERVICE AREA|27202284|Hc Zz Sut Nuro O Ct1 Braid Black 18" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|77.30
WS SERVICE AREA|80084710|Hc Ftl Cgen Abnor Three Anal|LABORATORY - GENERAL CLASSIFICATION [0300]|81510||WS HB DEFAULT|526.00
WS SERVICE AREA|27202285|Hc Sut Nylon 4-0 Cutting Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.60
WS SERVICE AREA|80084711|Hc Ftl Cgen Abnor Four Anal|LABORATORY - GENERAL CLASSIFICATION [0300]|81511||WS HB DEFAULT|526.00
WS SERVICE AREA|27202287|Hc Sut Nylon Alcon 10-0 Su 3"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|109.20
WS SERVICE AREA|27202288|Hc Zz Sut Nylon Microglide 10 -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|145.20
WS SERVICE AREA|80084712|Hc Cyclic Adp Or Amp|LABORATORY - GENERAL CLASSIFICATION [0300]|82030||WS HB DEFAULT|692.00
WS SERVICE AREA|20010220|Hc Talus Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28435||WS HB DEFAULT|1,489.00
WS SERVICE AREA|27202289|Hc Sut Orthocard 2.0 S-6 36"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|157.60
WS SERVICE AREA|27202290|Hc Zz Sut Orthocord Mitek 2 36 -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084713|Hc Assay Of Breath Ethanol|LABORATORY - GENERAL CLASSIFICATION [0300]|82075||WS HB DEFAULT|139.00
WS SERVICE AREA|27202291|Hc Zz Sut Orthocord Mo6 Ndl 36" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|165.80
WS SERVICE AREA|80084714|Hc Amino Acids; Multi Qual Ea|LABORATORY - GENERAL CLASSIFICATION [0300]|82128||WS HB DEFAULT|528.00
WS SERVICE AREA|27202293|Hc Sut Passer Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|283.30
WS SERVICE AREA|27202294|Hc Zz Sut Pdo 0 36x36 -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|179.20
WS SERVICE AREA|80084715|Hc Amniotic Fluid Spectroph|LABORATORY - GENERAL CLASSIFICATION [0300]|82143||WS HB DEFAULT|56.00
WS SERVICE AREA|27202295|Hc Zz Sut Pdo 2 24x24 36 Tape Pt 1/2 -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|133.90
WS SERVICE AREA|27202296|Hc Zz Sut Pdo 2-0 24x24 18 Diam 3/8 -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|133.90
WS SERVICE AREA|20010221|Hc Talus Fx W Manip/ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28436||WS HB DEFAULT|16,943.00
WS SERVICE AREA|80084716|Hc Bile Acids; Cholylglycine|LABORATORY - GENERAL CLASSIFICATION [0300]|82240||WS HB DEFAULT|342.00
WS SERVICE AREA|27202297|Hc Zz Sut Pdo 2-0 24x24 26mm Diam Pt -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|133.90
WS SERVICE AREA|27202298|Hc Zz Sut Pds 0 Ct Mono Vio  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|80084717|Hc Biotinidase Ea Spec|LABORATORY - GENERAL CLASSIFICATION [0300]|82261||WS HB DEFAULT|223.00
WS SERVICE AREA|27202299|Hc Zz Sut Pds 0 Ct1 Mono Vio 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202300|Hc Zz Sut Pds 0 Ct1 Mono Violet 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|116.40
WS SERVICE AREA|80084718|Hc Cadmium|LABORATORY - GENERAL CLASSIFICATION [0300]|82300||WS HB DEFAULT|85.00
WS SERVICE AREA|27202301|Hc Zz Sut Pds 0 Ct2 Mono Vio 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202302|Hc Zz Sut Pds 0 Ctx Mono Vio  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|80084720|Hc Stone; Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|82355||WS HB DEFAULT|250.00
WS SERVICE AREA|20010222|Hc Tarsal Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28450||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27202303|Hc Zz Sut Pds 0 Ctx Mono Vio 60"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|27202304|Hc Zz Sut Pds 1 Ct Mono Vio  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|80084721|Hc Stone; Quan Chemical|LABORATORY - GENERAL CLASSIFICATION [0300]|82360||WS HB DEFAULT|605.00
WS SERVICE AREA|27202305|Hc Zz Sut Pds 1 Ct1 Mono Vio 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202306|Hc Zz Sut Pds 1 Ctx Mono Vio  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|80084722|Hc Chlorinated Hc Screen|LABORATORY - GENERAL CLASSIFICATION [0300]|82441||WS HB DEFAULT|1,453.00
WS SERVICE AREA|27202307|Hc Zz Sut Pds 1 Tp1 Taper  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|27202308|Hc Zz Sut Pds 2 Ccs1 Mono Vio 27" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|80084723|Hc Cholinesterase; Rbc|LABORATORY - GENERAL CLASSIFICATION [0300]|82482||WS HB DEFAULT|158.00
WS SERVICE AREA|27202309|Hc Zz Sut Pds 2 Ct1 Mono Vio 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|114.30
WS SERVICE AREA|20010223|Hc Tarsal Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28455||WS HB DEFAULT|1,295.00
WS SERVICE AREA|27202310|Hc Zz Sut Pds 2-0 Cp2 Mono Vio 27" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|80084724|Hc Creatine|LABORATORY - GENERAL CLASSIFICATION [0300]|82540||WS HB DEFAULT|22.00
WS SERVICE AREA|27202311|Hc Zz Sut Pds 2-0 Ct1 Mono Vio 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202312|Hc Zz Sut Pds 2-0 Ct2 Mono Vio -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|80084725|Hc Cryofibrinogen|LABORATORY - GENERAL CLASSIFICATION [0300]|82585||WS HB DEFAULT|26.00
WS SERVICE AREA|27202313|Hc Zz Sut Pds 2-0 Fs1 Mono Clr -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202314|Hc Zz Sut Pds 2-0 Sh Mono Vio  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084726|Hc Cystatin C|LABORATORY - GENERAL CLASSIFICATION [0300]|82610||WS HB DEFAULT|205.00
WS SERVICE AREA|27202315|Hc Zz Sut Pds 2-0 Stp10 Mono Violet -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
WS SERVICE AREA|80084727|Hc Deoxycortisol 11|LABORATORY - GENERAL CLASSIFICATION [0300]|82634||WS HB DEFAULT|154.00
WS SERVICE AREA|20010225|Hc Metatarsal Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28470||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27202317|Hc Zz Sut Pds 3-0 Ps1 Mono Clr  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27202318|Hc Zz Sut Pds 3-0 Ps2 Mono Clear -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|80084728|Hc Dibucaine Number|LABORATORY - GENERAL CLASSIFICATION [0300]|82638||WS HB DEFAULT|144.00
WS SERVICE AREA|27202319|Hc Zz Sut Pds 3-0 Rb1 Mono Vio 27" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202320|Hc Zz Sut Pds 3-0 Sh Mono Vio -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|80084729|Hc Pancreatic Elastase Fecal|LABORATORY - GENERAL CLASSIFICATION [0300]|82656||WS HB DEFAULT|1,080.00
WS SERVICE AREA|27202321|Hc Zz Sut Pds 4-0 Fs2 Mono Clr  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202322|Hc Zz Sut Pds 4-0 P3 Mono Clear -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|80084730|Hc Estrogens; Fractionated|LABORATORY - GENERAL CLASSIFICATION [0300]|82671||WS HB DEFAULT|320.00
WS SERVICE AREA|27202323|Hc Zz Sut Pds 4-0 Pc3 Mono Clear -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|20010226|Hc Metatarsal Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28475||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27202324|Hc Zz Sut Pds 4-0 Rb1 Mono Vio 27" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084731|Hc Fatty Acids Nonesterfied|LABORATORY - GENERAL CLASSIFICATION [0300]|82725||WS HB DEFAULT|83.00
WS SERVICE AREA|27202325|Hc Zz Sut Pds 4-0 Sh Mono Vio -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202326|Hc Zz Sut Pds 5-0 P3 Mono Clear  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|80084732|Hc Very Long Fatty Acid Chains|LABORATORY - GENERAL CLASSIFICATION [0300]|82726||WS HB DEFAULT|303.00
WS SERVICE AREA|27202327|Hc Zz Sut Pds 5-0 Pc3 Mono Clear -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27202328|Hc Zz Sut Pds 5-0 Rb1 Mono Vio 27" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084734|Hc Glucose; Blood Reagent Strip|LABORATORY - GENERAL CLASSIFICATION [0300]|82948||WS HB DEFAULT|69.00
WS SERVICE AREA|27202329|Hc Zz Sut Pds 6-0 P1 Mono Clear  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.30
WS SERVICE AREA|80084735|Hc Hgb; Methemoglobin Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|83045||WS HB DEFAULT|127.00
WS SERVICE AREA|20010227|Hc Metatarsal Fx W Manip/ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28476||WS HB DEFAULT|18,946.00
WS SERVICE AREA|27202331|Hc Zz Sut Pdsii 0 Ct1 Mono Vio 36"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.60
WS SERVICE AREA|80084736|Hc Hemoglobin; Urine|LABORATORY - GENERAL CLASSIFICATION [0300]|83069||WS HB DEFAULT|91.00
WS SERVICE AREA|27202333|Hc Zz Sut Plain 3-0 Ks Straight 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202334|Hc Zz Sut Plain Gut 3-0 Ps2 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.30
WS SERVICE AREA|80084737|Hc Assay Of Hemosiderin Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|83070||WS HB DEFAULT|210.00
WS SERVICE AREA|27202335|Hc Zz Sut Plain Gut 3-0 Xlh 27"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.70
WS SERVICE AREA|27202336|Hc Zz Sut Plain Gut 4-0 P3 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.40
WS SERVICE AREA|80084738|Hc Histamine|LABORATORY - GENERAL CLASSIFICATION [0300]|83088||WS HB DEFAULT|367.00
WS SERVICE AREA|27202337|Hc Zz Sut Plain Gut 4-0 Ps2 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27202338|Hc Zz Sut Plain Gut 4-0 Sc1 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|20010228|Hc Toe Fx Great Phalanx/phalanges|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28490||WS HB DEFAULT|1,198.00
WS SERVICE AREA|272132851|Hc Dressing Hdrfb Aqcl Ag Ext 2x2in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.70
WS SERVICE AREA|271110052|Hc Dressing Sm Picc Cvc Chg+ Scr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|41.50
WS SERVICE AREA|80084739|Hc Homovanillic Acid|LABORATORY - GENERAL CLASSIFICATION [0300]|83150||WS HB DEFAULT|42.00
WS SERVICE AREA|27202339|Hc Zz Sut Plain Gut 5-0 P3 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.10
WS SERVICE AREA|27202340|Hc Zz Sut Plain Gut 5-0 Pc1 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.90
WS SERVICE AREA|80084740|Hc Free Insulin|LABORATORY - GENERAL CLASSIFICATION [0300]|83527||WS HB DEFAULT|187.00
WS SERVICE AREA|27202341|Hc Zz Sut Plain Gut 5-0 Ps3 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.90
WS SERVICE AREA|27202342|Hc Zz Sut Plain Gut 6-0 G1  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.40
WS SERVICE AREA|80084741|Hc Lactoferrin Fecal (qual)|LABORATORY - GENERAL CLASSIFICATION [0300]|83630||WS HB DEFAULT|192.00
WS SERVICE AREA|27202343|Hc Zz Sut Plain Gut 6-0 Pc1 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.00
WS SERVICE AREA|27202344|Hc Zz Sut Poly 0 Acoated 43 Tap Brd -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|182.30
WS SERVICE AREA|80084742|Hc Lactoferrin Fecal (quant)|LABORATORY - GENERAL CLASSIFICATION [0300]|83631||WS HB DEFAULT|283.00
WS SERVICE AREA|20010229|Hc Toe Fx Great Phalanx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28495||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27202345|Hc Zz Sut Poly 0 Tc43 Mono Taper 48" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|200.90
WS SERVICE AREA|27202346|Hc Sut Poly Capio Tc43 Tapercut|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|207.00
WS SERVICE AREA|80084743|Hc Lactogen Maternal Serum Hpl|LABORATORY - GENERAL CLASSIFICATION [0300]|83632||WS HB DEFAULT|314.00
WS SERVICE AREA|27202347|Hc Zz Sut Polysorb 0 Endostitch 48 -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.60
WS SERVICE AREA|27202348|Hc Zz Sut Polysorb 3-0 Endostitch 48 -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.60
WS SERVICE AREA|80084744|Hc Leucine Aminopeptidase|LABORATORY - GENERAL CLASSIFICATION [0300]|83670||WS HB DEFAULT|187.00
WS SERVICE AREA|27202349|Hc Zz Sut Por 3-0 Ps2 Mono Blu 18" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27202350|Hc Zz Sut Pro 0 Ct1 Mono Blu 30"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084745|Hc Assay Lipoprotein Pla2|LABORATORY - GENERAL CLASSIFICATION [0300]|83698||WS HB DEFAULT|229.00
WS SERVICE AREA|27202351|Hc Zz Sut Pro 0 Ct1 Mono Blue 18" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.40
WS SERVICE AREA|20010230|Hc Toe Fx Great Percu W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28496||WS HB DEFAULT|18,946.00
WS SERVICE AREA|27202352|Hc Zz Sut Pro 0 Ct2 Mono Blk 30" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084746|Hc Lipopro Bld Electrophoretic|LABORATORY - GENERAL CLASSIFICATION [0300]|83700||WS HB DEFAULT|217.00
WS SERVICE AREA|27202353|Hc Zz Sut Pro 0 Mo6 Mono Blu 30  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27202354|Hc Zz Sut Pro 1 Ct Mono Blu 30"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084747|Hc Assay Of Blood Lipoprotein Vldl|LABORATORY - GENERAL CLASSIFICATION [0300]|83719||WS HB DEFAULT|207.00
WS SERVICE AREA|27202355|Hc Zz Sut Pro 1 Ct1 Mono Blu 30" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202356|Hc Zz Sut Pro 1 Ctx Mono Blu 30" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084748|Hc Manganese|LABORATORY - GENERAL CLASSIFICATION [0300]|83785||WS HB DEFAULT|529.00
WS SERVICE AREA|27202357|Hc Zz Sut Pro 1 Tp1 Mono Blue -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202358|Hc Sut Pro 1-0 Blu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|678.80
WS SERVICE AREA|20010231|Hc Toe Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28510||WS HB DEFAULT|1,198.00
WS SERVICE AREA|80084749|Hc Mucopolysaccharides|LABORATORY - GENERAL CLASSIFICATION [0300]|83864||WS HB DEFAULT|501.00
WS SERVICE AREA|27202359|Hc Zz Sut Pro 2 Tp1 Mono Blu 60"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27202360|Hc Zz Sut Pro 2-0 Ct1 Mono Blu 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|80084750|Hc Mucin Synorvial Fluid|LABORATORY - GENERAL CLASSIFICATION [0300]|83872||WS HB DEFAULT|109.00
WS SERVICE AREA|27202361|Hc Zz Sut Pro 2-0 Ct1 Mono Blu 30" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202362|Hc Zz Sut Pro 2-0 Ct2 Mono Blu 30"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084751|Hc Assay Myeloperoxidase|LABORATORY - GENERAL CLASSIFICATION [0300]|83876||WS HB DEFAULT|51.00
WS SERVICE AREA|27202363|Hc Zz Sut Pro 2-0 Ct2 Mono Blue 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|84.50
WS SERVICE AREA|27202364|Hc Zz Sut Pro 2-0 Mh Mono Blue 48" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|80084752|Hc Qual Organic Acids Ea Specim|LABORATORY - GENERAL CLASSIFICATION [0300]|83919||WS HB DEFAULT|85.00
WS SERVICE AREA|20010232|Hc Toe Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28515||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27202365|Hc Zz Sut Pro 2-0 Rb1 Mono Blue 36"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27202366|Hc Zz Sut Pro 2-0 Sh Mono Blu 30"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084753|Hc Oncoprotein Dcp|LABORATORY - GENERAL CLASSIFICATION [0300]|83951||WS HB DEFAULT|516.00
WS SERVICE AREA|27202367|Hc Zz Sut Pro 2-0 Sh Mono Blu 36" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27202368|Hc Zz Sut Pro 3-0 Fs1 Mono Blu 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084754|Hc Pcp Quan Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|83992||WS HB DEFAULT|59.00
WS SERVICE AREA|27202369|Hc Zz Sut Pro 3-0 Fs2 Mono Blu 18" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084756|Hc Assay For Calprotectin Fecal|LABORATORY - GENERAL CLASSIFICATION [0300]|83993||WS HB DEFAULT|847.00
WS SERVICE AREA|27202371|Hc Zz Sut Pro 3-0 Pc5 Mono Blue -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|80084757|Hc Total Acid Phosphatase|LABORATORY - GENERAL CLASSIFICATION [0300]|84060||WS HB DEFAULT|64.00
WS SERVICE AREA|20010233|Hc Sesamoid Fx|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28530||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27202373|Hc Zz Sut Pro 3-0 Sh Mono Blk 4 -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27202374|Hc Zz Sut Pro 3-0 Sh Mono Blu 30" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084758|Hc Porphobilinogen Urine; Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|84106||WS HB DEFAULT|129.00
WS SERVICE AREA|27202375|Hc Zz Sut Pro 3-0 Sh Mono Blue 36" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27202376|Hc Zz Sut Pro 4-0 Fs2 Mono Blu 18" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084759|Hc Qual Urine Porphyrins|LABORATORY - GENERAL CLASSIFICATION [0300]|84119||WS HB DEFAULT|111.00
WS SERVICE AREA|27202378|Hc Zz Sut Pro 4-0 P3 Mono Blu 18" -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|80084760|Hc Assay Of Feces Porphyrins|LABORATORY - GENERAL CLASSIFICATION [0300]|84126||WS HB DEFAULT|456.00
WS SERVICE AREA|27202379|Hc Zz Sut Pro 4-0 P3 Mono Blue 3  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.70
WS SERVICE AREA|27202380|Hc Zz Sut Pro 4-0 Pc3 Mono Blue -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|20010234|Hc Dislocation Tarsal Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28540||WS HB DEFAULT|1,198.00
WS SERVICE AREA|80084761|Hc Pregnantriol|LABORATORY - GENERAL CLASSIFICATION [0300]|84138||WS HB DEFAULT|93.00
WS SERVICE AREA|27202381|Hc Zz Sut Pro 4-0 Ps2 Mono Blu 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.10
WS SERVICE AREA|27202382|Hc Zz Sut Pro 4-0 Ps2 Mono Blu 3dz -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|80084762|Hc 17-hydroxypregnenolone|LABORATORY - GENERAL CLASSIFICATION [0300]|84143||WS HB DEFAULT|272.00
WS SERVICE AREA|27202384|Hc Zz Sut Pro 4-0 Rb1 Mono Blue 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|80084763|Hc Psa - Complexed-prostate Specific Antigen (psa)|LABORATORY - GENERAL CLASSIFICATION [0300]|84152||WS HB DEFAULT|500.00
WS SERVICE AREA|27202385|Hc Zz Sut Pro 4-0 Rb1 Mono Blue 36" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27202386|Hc Zz Sut Pro 4-0 Sh Mono Blue 36" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|80084764|Hc Protein Wb; Im Id For Bands|LABORATORY - GENERAL CLASSIFICATION [0300]|84182||WS HB DEFAULT|720.00
WS SERVICE AREA|80084766|Hc Pra-receptor Assay; Progesterone|LABORATORY - GENERAL CLASSIFICATION [0300]|84234||WS HB DEFAULT|892.00
WS SERVICE AREA|20010236|Hc Tarsal Dislocation Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28546||WS HB DEFAULT|18,946.00
WS SERVICE AREA|27202390|Hc Zz Sut Pro 5-0 Bv1 Mono Blk 24"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
WS SERVICE AREA|80084767|Hc Sialic Acid|LABORATORY - GENERAL CLASSIFICATION [0300]|84275||WS HB DEFAULT|83.00
WS SERVICE AREA|27202391|Hc Zz Sut Pro 5-0 C1 Mono Blu 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.20
WS SERVICE AREA|27202392|Hc Zz Sut Pro 5-0 Fs2 Mono Blu 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|80084768|Hc Somatostatin|LABORATORY - GENERAL CLASSIFICATION [0300]|84307||WS HB DEFAULT|564.00
WS SERVICE AREA|27202393|Hc Zz Sut Pro 5-0 P3 Mono Blue 1  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.10
WS SERVICE AREA|27202394|Hc Zz Sut Pro 5-0 P3 Mono Clear 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|80084769|Hc Sugars; Multi Qual Ea Specimen|LABORATORY - GENERAL CLASSIFICATION [0300]|84377||WS HB DEFAULT|127.00
WS SERVICE AREA|27202395|Hc Zz Sut Pro 5-0 Pc3 Mono Blue 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|27202396|Hc Zz Sut Pro 5-0 Ps2 Mono Blu 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|20010237|Hc Talo Joint Dislocation Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28570||WS HB DEFAULT|4,586.00
WS SERVICE AREA|80084770|Hc Transcortin|LABORATORY - GENERAL CLASSIFICATION [0300]|84449||WS HB DEFAULT|242.00
WS SERVICE AREA|27202398|Hc Zz Sut Pro 5-0 Ps3 Mono Blue Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|80084771|Hc Trypsin Feces Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|84488||WS HB DEFAULT|37.00
WS SERVICE AREA|27202399|Hc Zz Sut Pro 5-0 Rb1 Mono Blue 36" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27202400|Hc Zz Sut Pro 5-0 Rb2 Mono Blue 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|80084772|Hc Urobilinogen Feces Quan|LABORATORY - GENERAL CLASSIFICATION [0300]|84577||WS HB DEFAULT|34.00
WS SERVICE AREA|27202401|Hc Zz Sut Pro 5-0 Rb2 Mono Blue 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27202402|Hc Zz Sut Pro 6-0 Bv Mono Blu 30"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.70
WS SERVICE AREA|80084773|Hc Urobilinogen Urine; Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|84578||WS HB DEFAULT|17.00
WS SERVICE AREA|27202403|Hc Zz Sut Pro 6-0 Bv1 Mono Blu 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|61.80
WS SERVICE AREA|20010238|Hc Talo Joint Dislocation Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28575||WS HB DEFAULT|13,232.00
WS SERVICE AREA|27202404|Hc Zz Sut Pro 6-0 Bv1 Mono Blue 24"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|80084774|Hc Unlisted Chemistry Test|LABORATORY - GENERAL CLASSIFICATION [0300]|84999||WS HB DEFAULT|182.00
WS SERVICE AREA|27202405|Hc Zz Sut Pro 6-0 Bv1 Mono Blue 30"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27202406|Hc Zz Sut Pro 6-0 P1 Mono Blu 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.20
WS SERVICE AREA|80084775|Hc Spun Hematocrit|LABORATORY - GENERAL CLASSIFICATION [0300]|85013||WS HB DEFAULT|80.00
WS SERVICE AREA|27202407|Hc Zz Sut Pro 6-0 P1 Mono Blue  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.00
WS SERVICE AREA|27202408|Hc Zz Sut Pro 6-0 P3 Mono Blue  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.00
WS SERVICE AREA|80084776|Hc Manual Cell Count Each|LABORATORY - GENERAL CLASSIFICATION [0300]|85032||WS HB DEFAULT|123.00
WS SERVICE AREA|27202409|Hc Zz Sut Pro 6-0 Pc1 Mono Blue 18"  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.40
WS SERVICE AREA|27202410|Hc Zz Sut Pro 6-0 Rb2 Mono Blue 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|20010239|Hc Talo Joint Dislocation Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28576||WS HB DEFAULT|8,729.00
WS SERVICE AREA|272132852|Hc Dressing Hdrfb Aqcl Ag Ext 6x6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|80.30
WS SERVICE AREA|80084778|Hc Manual Reticulocyte Count|LABORATORY - GENERAL CLASSIFICATION [0300]|85044||WS HB DEFAULT|119.00
WS SERVICE AREA|27202411|Hc Zz Sut Pro 6-0 Rb2 Mono Blue 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27202412|Hc Zz Sut Pro 7-0 Bv1 Mono Blue 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.90
WS SERVICE AREA|80084779|Hc Chromogenic Substrate Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|85130||WS HB DEFAULT|360.00
WS SERVICE AREA|27202413|Hc Zz Sut Pro 7-0 Bv1 Mono Blue 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.90
WS SERVICE AREA|27202414|Hc Zz Sut Pro Capio 0 Taper 36in Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|182.30
WS SERVICE AREA|80084780|Hc Clotting; Factor Viii Related Antigen|LABORATORY - GENERAL CLASSIFICATION [0300]|85244||WS HB DEFAULT|489.00
WS SERVICE AREA|27202415|Hc Zz Sut Pro Hemo-seal 6-0 C1  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.90
WS SERVICE AREA|27202416|Hc Zz Sut Pro Ur6 2-0 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|163.80
WS SERVICE AREA|80084782|Hc Clotting; Factor Xiii - Fs|LABORATORY - GENERAL CLASSIFICATION [0300]|85290||WS HB DEFAULT|784.00
WS SERVICE AREA|20010240|Hc Tarso Joint Dislocation Woanes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28600||WS HB DEFAULT|1,072.00
WS SERVICE AREA|27202417|Hc Sut Retention Bolster 2-1/2"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084783|Hc Clotting; Factor Xiii Screen Soluble|LABORATORY - GENERAL CLASSIFICATION [0300]|85291||WS HB DEFAULT|322.00
WS SERVICE AREA|27202420|Hc Zz Sut Silk 0 Fsl Braid Blk 18" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|80084784|Hc Fibrinogen Test Paracoagulation|LABORATORY - GENERAL CLASSIFICATION [0300]|85366||WS HB DEFAULT|162.00
WS SERVICE AREA|27202421|Hc Zz Sut Silk 0 Fsl Braid Blk 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27202422|Hc Zz Sut Silk 0 Mo7 Braid Black 18" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|80084785|Hc D-dimer- Qual/semiquan|LABORATORY - GENERAL CLASSIFICATION [0300]|85378||WS HB DEFAULT|325.00
WS SERVICE AREA|27202423|Hc Zz Sut Silk 0 Pak Braid Blk 18" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202424|Hc Zz Sut Silk 0 Sh Braid Blk 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.30
WS SERVICE AREA|80084787|Hc D-dimer Ultrasensitive|LABORATORY - GENERAL CLASSIFICATION [0300]|85380||WS HB DEFAULT|295.00
WS SERVICE AREA|20010244|Hc Metata Joint Dislocation Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28630||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27202425|Hc Zz Sut Silk 2-0 Braid Blk 10-30" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202426|Hc Zz Sut Silk 2-0 Braid Blk 12-30" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084788|Hc Fibrinogen; Antigen|LABORATORY - GENERAL CLASSIFICATION [0300]|85385||WS HB DEFAULT|240.00
WS SERVICE AREA|27202427|Hc Zz Sut Silk 2-0 Braid Blk 24" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202428|Hc Zz Sut Silk 2-0 Ct1 Braid Blk 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.80
WS SERVICE AREA|80084789|Hc Clotting Funct Activity|LABORATORY - GENERAL CLASSIFICATION [0300]|85397||WS HB DEFAULT|424.00
WS SERVICE AREA|27202429|Hc Zz Sut Silk 2-0 Sh Braid Blac 24" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27202430|Hc Zz Sut Silk 2-0 Sh Braid Blac 30" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|80084790|Hc Functional Plasminogen|LABORATORY - GENERAL CLASSIFICATION [0300]|85420||WS HB DEFAULT|310.00
WS SERVICE AREA|27202431|Hc Zz Sut Silk 2-0 Sh Braid Blk 18" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|58.50
WS SERVICE AREA|20010245|Hc Metata Joint Dislocation Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28635||WS HB DEFAULT|11,593.00
WS SERVICE AREA|27202432|Hc Zz Sut Silk 3-0 Braid Blk 24" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084791|Hc Heinz Bodies; Direct|LABORATORY - GENERAL CLASSIFICATION [0300]|85441||WS HB DEFAULT|172.00
WS SERVICE AREA|27202433|Hc Zz Sut Silk 3-0 Braid Blk 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202434|Hc Zz Sut Silk 3-0 Fs1 Braid Blk 3dz - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|80084792|Hc Hemolysin Acid|LABORATORY - GENERAL CLASSIFICATION [0300]|85475||WS HB DEFAULT|586.00
WS SERVICE AREA|27202435|Hc Zz Sut Silk 3-0 Ps2 Braid Blk 18" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202436|Hc Zz Sut Silk 3-0 Sh Braid Blac 18" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|58.70
WS SERVICE AREA|80084793|Hc Osmotic Fragility Rbc; Unincubated|LABORATORY - GENERAL CLASSIFICATION [0300]|85555||WS HB DEFAULT|595.00
WS SERVICE AREA|27202437|Hc Zz Sut Silk 3-0 Sh Braid Blac 30" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.00
WS SERVICE AREA|27202438|Hc Zz Sut Silk 3-0 Sh1 Braid Black - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.50
WS SERVICE AREA|20010247|Hc Toe Joint Dislocation Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28660||WS HB DEFAULT|1,072.00
WS SERVICE AREA|80084794|Hc Russell Viper Venom Time; Undiluted|LABORATORY - GENERAL CLASSIFICATION [0300]|85612||WS HB DEFAULT|285.00
WS SERVICE AREA|27202440|Hc Zz Sut Silk 4-0 Braid Blk 24" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084795|Hc Reptilase Test|LABORATORY - GENERAL CLASSIFICATION [0300]|85635||WS HB DEFAULT|352.00
WS SERVICE AREA|27202441|Hc Zz Sut Silk 4-0 Braid Blk 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202442|Hc Zz Sut Silk 4-0 Fs2 Braid Blk 18" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27202443|Hc Zz Sut Silk 4-0 Sh Braid Blac 18" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|58.70
WS SERVICE AREA|27202444|Hc Zz Sut Silk 4-0 Sh Braid Blac 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|80084797|Hc Thromboplastin Inhibition Tissue|LABORATORY - GENERAL CLASSIFICATION [0300]|85705||WS HB DEFAULT|401.00
WS SERVICE AREA|27202445|Hc Zz Sut Silk 4-0 Sh1 Braid Black - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.40
WS SERVICE AREA|27202446|Hc Zz Sut Silk 4-0 Tf4 Braid Blk 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|20010250|Hc Cast Elbow Long Arm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29065||WS HB DEFAULT|1,623.00
WS SERVICE AREA|80084798|Hc Agglutinins Febrile|LABORATORY - GENERAL CLASSIFICATION [0300]|86000||WS HB DEFAULT|78.00
WS SERVICE AREA|27202447|Hc Zz Sut Silk 5-0 Rb1 Braid Blk 24" - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|80084799|Hc Aso; Screen|LABORATORY - GENERAL CLASSIFICATION [0300]|86063||WS HB DEFAULT|144.00
WS SERVICE AREA|27202449|Hc Zz Sut Silk Alcon 6-0 Pc1 - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|80084800|Hc Complemnt Fixation Ea Ag|LABORATORY - GENERAL CLASSIFICATION [0300]|86171||WS HB DEFAULT|195.00
WS SERVICE AREA|27202451|Hc Zz Sut Silk Ct1 Braid Blk 8-18in - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.10
WS SERVICE AREA|27202452|Hc Suture Silk Ethibond Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.40
WS SERVICE AREA|80084801|Hc Dna Ab; Ss|LABORATORY - GENERAL CLASSIFICATION [0300]|86226||WS HB DEFAULT|136.00
WS SERVICE AREA|27202453|Hc Zz Sut Speedstitch Mag Wire Cobrd Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,044.40
WS SERVICE AREA|27202454|Hc Zz Sut Speedstitch Mag Wire White Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|964.10
WS SERVICE AREA|20010251|Hc Cast Forearm/wrist Short Arm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29075||WS HB DEFAULT|1,623.00
WS SERVICE AREA|80084802|Hc Human Epididymis Protein 4|LABORATORY - GENERAL CLASSIFICATION [0300]|86305||WS HB DEFAULT|464.00
WS SERVICE AREA|27202456|Hc Sut Steel 3-0 Mono|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|80084803|Hc Lhr Test-leukocyte Histamine Release|LABORATORY - GENERAL CLASSIFICATION [0300]|86343||WS HB DEFAULT|235.00
WS SERVICE AREA|27202457|Hc Sut Steel 4-0 Fs2 Mono 18"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202458|Hc Zz Sut Steel 4-0 V26 Mono 14" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|80084804|Hc Leukocyte Phagocytosis|LABORATORY - GENERAL CLASSIFICATION [0300]|86344||WS HB DEFAULT|431.00
WS SERVICE AREA|27202459|Hc Sut Steel 5 V40 Mono|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.40
WS SERVICE AREA|27202460|Hc Sut Steel 6 Ms-4 Ccs 18|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.80
WS SERVICE AREA|80084805|Hc Mononuclear Cell Antigent|LABORATORY - GENERAL CLASSIFICATION [0300]|86356||WS HB DEFAULT|120.00
WS SERVICE AREA|27202462|Hc Zz Sut Steel 7 Mono 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.30
WS SERVICE AREA|20010253|Hc Cast Finger|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29086||WS HB DEFAULT|817.00
WS SERVICE AREA|80084806|Hc Viral Neutralization|LABORATORY - GENERAL CLASSIFICATION [0300]|86382||WS HB DEFAULT|343.00
WS SERVICE AREA|27202463|Hc Sut Surg 0 T-12 Blk 18"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|143.20
WS SERVICE AREA|27202464|Hc Zz Sut Surg 0 T19 Braid Blk 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.40
WS SERVICE AREA|80084807|Hc Tb Ag Response T-cell Susp|LABORATORY - GENERAL CLASSIFICATION [0300]|86481||WS HB DEFAULT|100.00
WS SERVICE AREA|27202465|Hc Zz Sut Surg 1 T-12 Blk 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|107.10
WS SERVICE AREA|80084808|Hc Ab; Candida|LABORATORY - GENERAL CLASSIFICATION [0300]|86628||WS HB DEFAULT|92.00
WS SERVICE AREA|27202467|Hc Zz Sut Surg 3-0 C-17 D/a Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|80084809|Hc Ab; Coccidioides|LABORATORY - GENERAL CLASSIFICATION [0300]|86635||WS HB DEFAULT|81.00
WS SERVICE AREA|27202470|Hc Zz Sut Surg 3-0 V-26 D/a Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|80084810|Hc Ab; Cryptococcus|LABORATORY - GENERAL CLASSIFICATION [0300]|86641||WS HB DEFAULT|177.00
WS SERVICE AREA|20010254|Hc Splint Elbow Long Arm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29105||WS HB DEFAULT|730.00
WS SERVICE AREA|27202471|Hc Zz Sut Surg 4-0 Cv-15 48" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|27202472|Hc Zz Sut Surg 4-0 Cv-15 D/a Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|80084811|Hc Ab; Giardia Lamblia|LABORATORY - GENERAL CLASSIFICATION [0300]|86674||WS HB DEFAULT|555.00
WS SERVICE AREA|27202473|Hc Sut Surg 4-0 Cv-17 Plegett 36"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.20
WS SERVICE AREA|27202474|Hc Sut Surg 5-0 Cv-11|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|157.60
WS SERVICE AREA|80084812|Hc Ab; Htlv-i|LABORATORY - GENERAL CLASSIFICATION [0300]|86687||WS HB DEFAULT|98.00
WS SERVICE AREA|27202475|Hc Zz Sut Surg 5-0 Cv-11 D/a Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.40
WS SERVICE AREA|27202476|Hc Zz Sut Surg 6-0 Cv1 30" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|80084813|Hc Ab; Htlv-ii|LABORATORY - GENERAL CLASSIFICATION [0300]|86688||WS HB DEFAULT|98.00
WS SERVICE AREA|27202477|Hc Zz Sut Surg 6-0 Cv-11 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|155.50
WS SERVICE AREA|20010255|Hc Splint Arm Short|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29125||WS HB DEFAULT|817.00
WS SERVICE AREA|27202478|Hc Sut Surg 6-0 Cv-11 D/a|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.20
WS SERVICE AREA|80084814|Hc Ab; Hepatitis D|LABORATORY - GENERAL CLASSIFICATION [0300]|86692||WS HB DEFAULT|763.00
WS SERVICE AREA|27202479|Hc Sut Surg 7-0 Cv-1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|188.50
WS SERVICE AREA|27202480|Hc Zz Sut Surg 7-0 Cv-1 D/a Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.30
WS SERVICE AREA|80084815|Hc Ab; Lcm-antibody; Lymphocytic Choriomeningitis|LABORATORY - GENERAL CLASSIFICATION [0300]|86727||WS HB DEFAULT|233.00
WS SERVICE AREA|27202481|Hc Zz Sut Surg 8-0 Mv-175-8 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|262.70
WS SERVICE AREA|27202482|Hc Zz Sut Surg 8-0 Mv-175-8 D/a Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|105.10
WS SERVICE AREA|80084816|Hc Ab; Neisseria Meningitidis|LABORATORY - GENERAL CLASSIFICATION [0300]|86741||WS HB DEFAULT|245.00
WS SERVICE AREA|27202483|Hc Sut Surgidac 2-0 48"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|119.50
WS SERVICE AREA|27202484|Hc Sut Surgidac Lf 0 48"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.60
WS SERVICE AREA|20010256|Hc Application Of Short Arm Splint (forearm To Hand) Section - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29126|GP|WS HB DEFAULT|435.00
WS SERVICE AREA|272131930|Hc Dressing Vac Veraflo Cleanse Choice|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|607.40
WS SERVICE AREA|80084817|Hc Ab; Rsv-antibody; Respiratory Syncytial Virus|LABORATORY - GENERAL CLASSIFICATION [0300]|86756||WS HB DEFAULT|390.00
WS SERVICE AREA|27202485|Hc Sut Surgilon 1 T19|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27202486|Hc Sut Surgite Chromic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|92.70
WS SERVICE AREA|80084818|Hc Ab; Rotavirus|LABORATORY - GENERAL CLASSIFICATION [0300]|86759||WS HB DEFAULT|258.00
WS SERVICE AREA|27202487|Hc Zz Sut Surgiwip 0 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.60
WS SERVICE AREA|27202488|Hc Sut Tevdek 4-0 Kt3 30"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.60
WS SERVICE AREA|80084819|Hc Ab; Salmonella|LABORATORY - GENERAL CLASSIFICATION [0300]|86768||WS HB DEFAULT|168.00
WS SERVICE AREA|27202489|Hc Sut Tevdek 5-0 T3 30"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|68.00
WS SERVICE AREA|27202490|Hc Sut Ticr 1 Sc-1 30in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|80084820|Hc Ab; Tetanus|LABORATORY - GENERAL CLASSIFICATION [0300]|86774||WS HB DEFAULT|217.00
WS SERVICE AREA|20010257|Hc Application Of Short Arm Splint (forearm To Hand) Section - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|29126|GO|WS HB DEFAULT|435.00
WS SERVICE AREA|27202491|Hc Sut Ticr Cv-330 4-0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27202492|Hc Sut Ticron 2-0 Cv305|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.30
WS SERVICE AREA|80084821|Hc Ab; Trichinella|LABORATORY - GENERAL CLASSIFICATION [0300]|86784||WS HB DEFAULT|529.00
WS SERVICE AREA|27202493|Hc Zz Sut Vcrl + 2-0 Os6 Undyed 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27202494|Hc Zz Sut Vcrl +0 Ct 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202495|Hc Zz Sut Vcrl +0 Ct-2 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|80084823|Hc Frozen Blood Prep|LABORATORY - GENERAL CLASSIFICATION [0300]|86930||WS HB DEFAULT|764.00
WS SERVICE AREA|27202498|Hc Zz Sut Vcrl +2- Ct-1 - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|80084824|Hc Frozen Blood Thaw Unit|LABORATORY - GENERAL CLASSIFICATION [0300]|86931||WS HB DEFAULT|378.00
WS SERVICE AREA|27202500|Hc Zz Sut Vcrl +3-0 Ct-1 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|20010258|Hc Splint Finger Custom|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29130||WS HB DEFAULT|817.00
WS SERVICE AREA|80084826|Hc Dna/rna Direct Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87149||WS HB DEFAULT|82.00
WS SERVICE AREA|80084827|Hc Dna/rna Sequencing|LABORATORY - GENERAL CLASSIFICATION [0300]|87153||WS HB DEFAULT|811.00
WS SERVICE AREA|27202503|Hc Zz Sut Vcrl +3-0 Ks 27" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084828|Hc Dark Field; Wo Spec Collect|LABORATORY - GENERAL CLASSIFICATION [0300]|87166||WS HB DEFAULT|307.00
WS SERVICE AREA|27202506|Hc Zz Sut Vcrl +3-0 Ps2 18 - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.20
WS SERVICE AREA|80084829|Hc Macroscopic Exam Arthropod|LABORATORY - GENERAL CLASSIFICATION [0300]|87168||WS HB DEFAULT|244.00
WS SERVICE AREA|80084830|Hc Macroscopic Exam Parasite|LABORATORY - GENERAL CLASSIFICATION [0300]|87169||WS HB DEFAULT|93.00
WS SERVICE AREA|27202509|Hc Zz Sut Vcrl +4-0 Fs-1 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084831|Hc Sensitivity - Macrobroth Ea Agnt|LABORATORY - GENERAL CLASSIFICATION [0300]|87188||WS HB DEFAULT|1,422.00
WS SERVICE AREA|27202511|Hc Sut Vcrl 0 27"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|332.70
WS SERVICE AREA|20010260|Hc Strapping Of Thorax Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29200|GP|WS HB DEFAULT|486.00
WS SERVICE AREA|27202512|Hc Zz Sut Vcrl 0 Braid Und 54" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084832|Hc Sensitivity - Mycobact Ea Agnt|LABORATORY - GENERAL CLASSIFICATION [0300]|87190||WS HB DEFAULT|158.00
WS SERVICE AREA|27202513|Hc Zz Sut Vcrl 0 Braid Undyed - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.50
WS SERVICE AREA|80084833|Hc Toxin Assay Tissue Culture|LABORATORY - GENERAL CLASSIFICATION [0300]|87230||WS HB DEFAULT|563.00
WS SERVICE AREA|27202516|Hc Zz Sut Vcrl 0 Ct Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084834|Hc Virus Isolate; Embryo Egg Inj|LABORATORY - GENERAL CLASSIFICATION [0300]|87250||WS HB DEFAULT|355.00
WS SERVICE AREA|27202517|Hc Zz Sut Vcrl 0 Ct Braid Und 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202518|Hc Zz Sut Vcrl 0 Ct1 Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084835|Hc Virus Inoculate Tissue Addl|LABORATORY - GENERAL CLASSIFICATION [0300]|87253||WS HB DEFAULT|218.00
WS SERVICE AREA|27202519|Hc Zz Sut Vcrl 0 Ct1 Braid Und 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|20010262|Hc Strapping Of Shoulder - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29240|GP|WS HB DEFAULT|405.00
WS SERVICE AREA|27202520|Hc Zz Sut Vcrl 0 Ct1 Braid Vio 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|74.00
WS SERVICE AREA|80084836|Hc Respiratory Syncytial Ag If|LABORATORY - GENERAL CLASSIFICATION [0300]|87280||WS HB DEFAULT|98.00
WS SERVICE AREA|27202521|Hc Zz Sut Vcrl 0 Ct1 Braid Vio 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.20
WS SERVICE AREA|27202522|Hc Zz Sut Vcrl 0 Ct-1 Cr/8 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|83.70
WS SERVICE AREA|80084837|Hc Pneumocystis Carinii Ag If|LABORATORY - GENERAL CLASSIFICATION [0300]|87281||WS HB DEFAULT|45.00
WS SERVICE AREA|27202524|Hc Zz Sut Vcrl 0 Ct1 Vio 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.40
WS SERVICE AREA|80084838|Hc Adenovirus Ag Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|87301||WS HB DEFAULT|48.00
WS SERVICE AREA|27202525|Hc Zz Sut Vcrl 0 Ct2 Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27202526|Hc Zz Sut Vcrl 0 Ct2 Braid Vio 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.20
WS SERVICE AREA|80084839|Hc Cryptococcus Ag Quant|LABORATORY - GENERAL CLASSIFICATION [0300]|87327||WS HB DEFAULT|519.00
WS SERVICE AREA|20010263|Hc Strapping Of Shoulder - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|29240|GO|WS HB DEFAULT|405.00
WS SERVICE AREA|27202528|Hc Zz Sut Vcrl 0 Ctb1 Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084841|Hc Cryptosporidium Ag Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|87328||WS HB DEFAULT|404.00
WS SERVICE AREA|27202529|Hc Zz Sut Vcrl 0 Ctx Braid Vio 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202530|Hc Zz Sut Vcrl 0 Ctx Cr/cts Vio 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.20
WS SERVICE AREA|80084842|Hc Entamoeb Hist Group Ag Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|87337||WS HB DEFAULT|158.00
WS SERVICE AREA|27202532|Hc Zz Sut Vcrl 0 Mo4 Braid Vio 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084843|Hc H Pylori Ag Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|87339||WS HB DEFAULT|205.00
WS SERVICE AREA|27202534|Hc Zz Sut Vcrl 0 Os4 Braid Und 27" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|80084844|Hc Hepatitis Delta Ag Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|87380||WS HB DEFAULT|270.00
WS SERVICE AREA|27202536|Hc Zz Sut Vcrl 0 Os6 Braid Undye 27" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|20010264|Hc Strapping Of Shoulder|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29240||WS HB DEFAULT|405.00
WS SERVICE AREA|80084845|Hc Hiv-1 Ag Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|87390||WS HB DEFAULT|478.00
WS SERVICE AREA|27202538|Hc Zz Sut Vcrl 0 Ur6 Braid Vio 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084846|Hc Shiga-like Toxin Ag Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|87427||WS HB DEFAULT|358.00
WS SERVICE AREA|80084849|Hc Bartonella Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87471||WS HB DEFAULT|626.00
WS SERVICE AREA|27202542|Hc Zz Sut Vcrl 1 0s6 Braid Undyed Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084851|Hc Lyme Dis Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87476||WS HB DEFAULT|888.00
WS SERVICE AREA|27202543|Hc Zz Sut Vcrl 1 Braid Vio 54" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202544|Hc Zz Sut Vcrl 1 Braid Violet 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.50
WS SERVICE AREA|80084852|Hc Chylmd Trach Dna Dir Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87490||WS HB DEFAULT|581.00
WS SERVICE AREA|27202545|Hc Zz Sut Vcrl 1 Ct Braid Und 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|20010265|Hc Strapping Of Elbow Or Wrist - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29260|GP|WS HB DEFAULT|194.00
WS SERVICE AREA|27202546|Hc Zz Sut Vcrl 1 Ct Braid Violet 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.20
WS SERVICE AREA|80084853|Hc Influenza Dna Amp Prob Addl|LABORATORY - GENERAL CLASSIFICATION [0300]|87503||WS HB DEFAULT|483.00
WS SERVICE AREA|27202547|Hc Zz Sut Vcrl 1 Ct Braid Violet 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27202548|Hc Zz Sut Vcrl 1 Ct1 Braid Und 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202549|Hc Zz Sut Vcrl 1 Ct1 Braid Und 8-27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.20
WS SERVICE AREA|27202550|Hc Zz Sut Vcrl 1 Ct1 Braid Vio 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084855|Hc Hepatitis B Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87516||WS HB DEFAULT|476.00
WS SERVICE AREA|27202551|Hc Zz Sut Vcrl 1 Ct1 Braid Viole 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.30
WS SERVICE AREA|27202552|Hc Zz Sut Vcrl 1 Ct1 Und 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084856|Hc Hepatitis G Dna Dir Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87525||WS HB DEFAULT|86.00
WS SERVICE AREA|20010266|Hc Strapping Of Elbow Or Wrist - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|29260|GO|WS HB DEFAULT|194.00
WS SERVICE AREA|27202554|Hc Zz Sut Vcrl 1 Ct2 Braid Vio 27" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084857|Hc Hhv-6 Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87532||WS HB DEFAULT|458.00
WS SERVICE AREA|27202556|Hc Zz Sut Vcrl 1 Ctb1 Braid Und 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084858|Hc Hiv-2 Probe&revrse Trnscripj|LABORATORY - GENERAL CLASSIFICATION [0300]|87538||WS HB DEFAULT|587.00
WS SERVICE AREA|27202557|Hc Zz Sut Vcrl 1 Ctx Braid Und 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202558|Hc Zz Sut Vcrl 1 Ctx Braid Vio 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084859|Hc M.pneumon Dna Dir Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87580||WS HB DEFAULT|86.00
WS SERVICE AREA|27202559|Hc Zz Sut Vcrl 1 Ctx Und 36" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202560|Hc Sut Vcrl 10-0 Bv1003 Mon Vi 5"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|205.00
WS SERVICE AREA|80084860|Hc Strep B Assay W/optic|LABORATORY - GENERAL CLASSIFICATION [0300]|87802||WS HB DEFAULT|99.00
WS SERVICE AREA|20010267|Hc Strapping Of Elbow Or Wrist|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29260|GP|WS HB DEFAULT|194.00
WS SERVICE AREA|27202561|Hc Zz Sut Vcrl 2 Tp1 Braid Violet - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.40
WS SERVICE AREA|27202562|Hc Zz Sut Vcrl 2-0 12st Und 27" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|328.60
WS SERVICE AREA|80084861|Hc Hiv Antigen W/hiv Antibodies|LABORATORY - GENERAL CLASSIFICATION [0300]|87806||WS HB DEFAULT|204.00
WS SERVICE AREA|27202563|Hc Zz Sut Vcrl 2-0 Bp1 Braid Vio 27" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|604.60
WS SERVICE AREA|27202564|Hc Zz Sut Vcrl 2-0 Braid Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084862|Hc Chylmd Trach Assay W/optic|LABORATORY - GENERAL CLASSIFICATION [0300]|87810||WS HB DEFAULT|234.00
WS SERVICE AREA|27202565|Hc Zz Sut Vcrl 2-0 Braid Undyed 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.40
WS SERVICE AREA|27202566|Hc Zz Sut Vcrl 2-0 Braid Undyed 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084863|Hc N. Gonorrhoeae Assay W/optic|LABORATORY - GENERAL CLASSIFICATION [0300]|87850||WS HB DEFAULT|52.00
WS SERVICE AREA|27202568|Hc Zz Sut Vcrl 2-0 Braid Violet 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.40
WS SERVICE AREA|20010268|Hc Strapping Of Hand Or Finger Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29280|GP|WS HB DEFAULT|389.00
WS SERVICE AREA|30032552|Hc Rmvl Idwelg Tunneled Pleural Cath W/cuff|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32552||WS HB DEFAULT|2,261.00
WS SERVICE AREA|80084864|Hc Phenotype Dna Hiv W/culture|LABORATORY - GENERAL CLASSIFICATION [0300]|87903||WS HB DEFAULT|729.00
WS SERVICE AREA|27202569|Hc Zz Sut Vcrl 2-0 Coated Plus - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27202570|Hc Zz Sut Vcrl 2-0 Cp2 Braid Und 18 - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.60
WS SERVICE AREA|80084865|Hc Phenotype Dna Hiv W/clt Add|LABORATORY - GENERAL CLASSIFICATION [0300]|87904||WS HB DEFAULT|27.00
WS SERVICE AREA|27202571|Hc Zz Sut Vcrl 2-0 Cp2 Braid Und 27" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084866|Hc Flowcytometry/read 2-8|LABORATORY - GENERAL CLASSIFICATION [0300]|88187||WS HB DEFAULT|474.00
WS SERVICE AREA|27202574|Hc Zz Sut Vcrl 2-0 Ct Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084868|Hc Tissue Culture Tumor|LABORATORY - GENERAL CLASSIFICATION [0300]|88239||WS HB DEFAULT|1,042.00
WS SERVICE AREA|27202576|Hc Zz Sut Vcrl 2-0 Ct1 Braid Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|80084869|Hc Bilirubin Total Transcut|LABORATORY - GENERAL CLASSIFICATION [0300]|88720||WS HB DEFAULT|50.00
WS SERVICE AREA|20010269|Hc Strapping Of Hand Or Finger Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|29280|GO|WS HB DEFAULT|389.00
WS SERVICE AREA|27202577|Hc Suture Vicryl Monocryl Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.50
WS SERVICE AREA|27202578|Hc Zz Sut Vcrl 2-0 Ct1 Braid Und 8-27 - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|80084870|Hc Transcutaneous Bilirubin|LABORATORY - GENERAL CLASSIFICATION [0300]|88720||WS HB DEFAULT|50.00
WS SERVICE AREA|27202579|Hc Zz Sut Vcrl 2-0 Ct1 Braid Vio 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.20
WS SERVICE AREA|27202580|Hc Zz Sut Vcrl 2-0 Ct1 Braid Vio 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084871|Hc Hgb Qnt Trnsctns-hemoglobin, Quantitative, Transcutaneous|LABORATORY - GENERAL CLASSIFICATION [0300]|88738||WS HB DEFAULT|58.00
WS SERVICE AREA|27202581|Hc Zz Sut Vcrl 2-0 Ct1 Braid Vio 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202582|Hc Zz Sut Vcrl 2-0 Ct-1 Rap Und 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084872|Hc Specimen Handling Pt-lab|LABORATORY - GENERAL CLASSIFICATION [0300]|99001||WS HB DEFAULT|17.00
WS SERVICE AREA|27202584|Hc Zz Sut Vcrl 2-0 Ct1 Vio 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|20010270|Hc Strapping Of Hand Or Finger|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29280||WS HB DEFAULT|389.00
WS SERVICE AREA|80084873|Hc Cepba Gene Analysis|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81218||WS HB DEFAULT|1,158.00
WS SERVICE AREA|27202585|Hc Zz Sut Vcrl 2-0 Ct2 Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202586|Hc Zz Sut Vcrl 2-0 Ct2 Braid Vio 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|80084874|Hc Calr (calreticulin)|LABORATORY - GENERAL CLASSIFICATION [0300]|81219||WS HB DEFAULT|1,164.00
WS SERVICE AREA|80084875|Hc Cyp2c9 Common Variants|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81227||WS HB DEFAULT|611.00
WS SERVICE AREA|27202589|Hc Zz Sut Vcrl 2-0 Ctx Braid Und 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084876|Hc Cytogen Microarray Anls|LABORATORY - GENERAL CLASSIFICATION [0300]|81228||WS HB DEFAULT|3,323.00
WS SERVICE AREA|27202591|Hc Zz Sut Vcrl 2-0 Fs1 Braid Und 27" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202592|Hc Zz Sut Vcrl 2-0 Fs1 Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|80084877|Hc Cytogen Variantchrom Anl|LABORATORY - GENERAL CLASSIFICATION [0300]|81229||WS HB DEFAULT|4,054.00
WS SERVICE AREA|20010271|Hc Cast Leg Long|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29345||WS HB DEFAULT|1,815.00
WS SERVICE AREA|27202593|Hc Zz Sut Vcrl 2-0 Mo-5 Braid 27" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|118.50
WS SERVICE AREA|27202594|Hc Zz Sut Vcrl 2-0 Os4 Braid Undyed Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|80084878|Hc Flt3 Gene Analysis|LABORATORY - GENERAL CLASSIFICATION [0300]|81245||WS HB DEFAULT|1,064.00
WS SERVICE AREA|27202595|Hc Zz Sut Vcrl 2-0 Os6 Braid Und 27" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202596|Hc Zz Sut Vcrl 2-0 Sh Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084879|Hc Flt3 Gene Analysis Tkd|LABORATORY - GENERAL CLASSIFICATION [0300]|81246||WS HB DEFAULT|568.00
WS SERVICE AREA|27202597|Hc Zz Sut Vcrl 2-0 Sh Braid Vio 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084880|Hc Kit Gene Targt Seq Anls|LABORATORY - GENERAL CLASSIFICATION [0300]|81272||WS HB DEFAULT|1,287.00
WS SERVICE AREA|27202599|Hc Zz Sut Vcrl 2-0 Sh Braid Viol 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|80084881|Hc Kras Vrnt Condons 61/146|LABORATORY - GENERAL CLASSIFICATION [0300]|81276||WS HB DEFAULT|1,698.00
WS SERVICE AREA|20010272|Hc Cast Leg Short|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29405||WS HB DEFAULT|1,188.00
WS SERVICE AREA|27202604|Hc Zz Sut Vcrl 2-0 X1 Braid Und 27" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084883|Hc Mthfr Common Variants|LABORATORY - GENERAL CLASSIFICATION [0300]|81291||WS HB DEFAULT|630.00
WS SERVICE AREA|27202605|Hc Zz Sut Vcrl 3 Ccs1 Braid Undyed Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27202606|Hc Zz Sut Vcrl 3-0 Braid Undyed 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.40
WS SERVICE AREA|80084884|Hc Nras Vrnt Conds 12 13 61|LABORATORY - GENERAL CLASSIFICATION [0300]|81311||WS HB DEFAULT|1,777.00
WS SERVICE AREA|27202608|Hc Zz Sut Vcrl 3-0 Ct Braid Und 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084885|Hc Pten Dup/del Variants|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81323||WS HB DEFAULT|509.00
WS SERVICE AREA|27202610|Hc Zz Sut Vcrl 3-0 Ct1 Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084886|Hc T Cell Ag Receptor Gamma|LABORATORY - GENERAL CLASSIFICATION [0300]|81342||WS HB DEFAULT|1,352.00
WS SERVICE AREA|27202611|Hc Zz Sut Vcrl 3-0 Ct1 Braid Und 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|20010273|Hc Contact Cast|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29445||WS HB DEFAULT|2,542.00
WS SERVICE AREA|80084887|Hc Vkorc1 Common Variant|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81355||WS HB DEFAULT|611.00
WS SERVICE AREA|27202613|Hc Zz Sut Vcrl 3-0 Ct3 Braid Vio 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084888|Hc Hla I One Locus Low|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81373||WS HB DEFAULT|851.00
WS SERVICE AREA|27202615|Hc Zz Sut Vcrl 3-0 Ctx Braid Und 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202616|Hc Zz Sut Vcrl 3-0 Fs1 Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084889|Hc Hla I Ag Equiv Each Low|LABORATORY - GENERAL CLASSIFICATION [0300]|81374||WS HB DEFAULT|142.00
WS SERVICE AREA|27202617|Hc Zz Sut Vcrl 3-0 Fs2 Braid Und 3dz - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084890|Hc Hla Ii Ag Equiv Each Low|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81377||WS HB DEFAULT|533.00
WS SERVICE AREA|27202619|Hc Zz Sut Vcrl 3-0 Fsl Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202620|Hc Zz Sut Vcrl 3-0 Mh Braid Vio 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|20010274|Hc Splint Leg Long|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29505||WS HB DEFAULT|817.00
WS SERVICE AREA|80084891|Hc Hla Ii One Alele/grp Hgh|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81383||WS HB DEFAULT|533.00
WS SERVICE AREA|27202621|Hc Zz Sut Vcrl 3-0 Ps1 Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.30
WS SERVICE AREA|80084892|Hc Genotype Dna/rna Hiv|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|87906||WS HB DEFAULT|1,117.00
WS SERVICE AREA|27202623|Hc Zz Sut Vcrl 3-0 Ps2 Braid Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27202624|Hc Zz Sut Vcrl 3-0 Ps2 Braid Und 27" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|80084893|Hc Autop Gross Only Wo Cnsl|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88000||WS HB DEFAULT|2,004.00
WS SERVICE AREA|27202625|Hc Zz Sut Vcrl 3-0 Rb1 Braid Und 27" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202626|Hc Zz Sut Vcrl 3-0 Rb1 Braid Vio 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|77.30
WS SERVICE AREA|80084894|Hc Autop Gross&micro W/brn|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88025||WS HB DEFAULT|3,395.00
WS SERVICE AREA|27202627|Hc Zz Sut Vcrl 3-0 Rb1 Braid Vio 27" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|20010275|Hc Application Short Leg Splint Calf Foot - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29515|GP|WS HB DEFAULT|719.00
WS SERVICE AREA|27202628|Hc Zz Sut Vcrl 3-0 Sh Braid Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|77.30
WS SERVICE AREA|80084895|Hc Cytopath Cerv/vag M/scrn|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88150||WS HB DEFAULT|22.00
WS SERVICE AREA|27202629|Hc Zz Sut Vcrl 3-0 Sh Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202630|Hc Zz Sut Vcrl 3-0 Sh Braid Vio 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084896|Hc Flow Interp 9-15 Marker|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88188||WS HB DEFAULT|349.00
WS SERVICE AREA|27202631|Hc Zz Sut Vcrl 3-0 Sh Braid Vio 8-27 - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.20
WS SERVICE AREA|27202632|Hc Zz Sut Vcrl 3-0 Sh Braid Viol 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.20
WS SERVICE AREA|80084897|Hc Cytopath Unlisted|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88199||WS HB DEFAULT|478.00
WS SERVICE AREA|27202633|Hc Zz Sut Vcrl 3-0 Sh Braid Viol 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202634|Hc Zz Sut Vcrl 3-0 Sh Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.40
WS SERVICE AREA|20010276|Hc Application Short Leg Splint Calf Foot - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|29515|GO|WS HB DEFAULT|719.00
WS SERVICE AREA|80084898|Hc Chrmsm Addl Spec Banding|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88283||WS HB DEFAULT|464.00
WS SERVICE AREA|27202635|Hc Zz Sut Vcrl 3-0 Sh1 Braid Vio 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|68.00
WS SERVICE AREA|80084899|Hc Nerve Teasing Prep|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88362||WS HB DEFAULT|1,706.00
WS SERVICE AREA|27202638|Hc Zz Sut Vcrl 3-0 X1 Braid Vio 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.30
WS SERVICE AREA|80084900|Hc Unlisted Surgical Path|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88399||WS HB DEFAULT|1,074.00
WS SERVICE AREA|27202639|Hc Zz Sut Vcrl 3-oct2 Undyed - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27202640|Hc Zz Sut Vcrl 4-0 Braid Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084901|Hc Pathology Lab Procedures|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|89240||WS HB DEFAULT|235.00
WS SERVICE AREA|27202642|Hc Zz Sut Vcrl 4-0 Braid Undyed 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.10
WS SERVICE AREA|80084902|Hc Cyto Smr Gyn Tech Scrn|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|P3000||WS HB DEFAULT|104.00
WS SERVICE AREA|20010277|Hc Apply Short Leg Splint|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29515||WS HB DEFAULT|719.00
WS SERVICE AREA|27202643|Hc Zz Sut Vcrl 4-0 Ct1 Braid Vio 36" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202644|Hc Zz Sut Vcrl 4-0 Fs1 Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084903|Hc Chlamydia Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87490||WS HB DEFAULT|581.00
WS SERVICE AREA|27202645|Hc Zz Sut Vcrl 4-0 Fs2 Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|80084904|Hc Zz Iadna Multiple Organisms Direct Probe Tq - Use Eap 80019386|LABORATORY - GENERAL CLASSIFICATION [0300]|87800||WS HB DEFAULT|458.00
WS SERVICE AREA|27202647|Hc Zz Sut Vcrl 4-0 P2 Braid Und 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27202648|Hc Zz Sut Vcrl 4-0 P3 Braid Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.10
WS SERVICE AREA|27202649|Hc Zz Sut Vcrl 4-0 P3 Braid Undy 3dz Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|10010219|Hc Autogrft Epidrm T/a/l Addl 100 Sq Cm/1% Ba|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15111||WS HB DEFAULT|3,916.00
WS SERVICE AREA|27202651|Hc Zz Sut Vcrl 4-0 Pc3 Braid Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.90
WS SERVICE AREA|20010278|Hc Strapping Of Hip - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29520|GP|WS HB DEFAULT|508.00
WS SERVICE AREA|90092928|Hc Robotic Asst Stent Bms Ld/lad Artery Or Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92928|LD|WS HB DEFAULT|12,192.00
WS SERVICE AREA|10010220|Hc Autogrft Epidrm  Face/nck/hf/g 100 Sq Cm/1% Ba|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15115||WS HB DEFAULT|5,537.00
WS SERVICE AREA|27202653|Hc Zz Sut Vcrl 4-0 Ps2 Braid Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|10010221|Hc Autogrft Epidrm F/n/hf/g Addl 100 Sq Cm/1% Ba|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15116||WS HB DEFAULT|3,220.00
WS SERVICE AREA|27202654|Hc Zz Sut Vcrl 4-0 Ps2 Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27202656|Hc Zz Sut Vcrl 4-0 Rb1 Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202657|Hc Zz Sut Vcrl 4-0 Rb1 Braid Vio 27" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|91040361|Hc Psy Services Grp Activity Thy|BEHAVIORAL HEALTH TREATMENTS/SERVICES - GENERAL CLASSIFICATION [0900]|90899||WS HB DEFAULT|623.00
WS SERVICE AREA|27202659|Hc Zz Sut Vcrl 4-0 Sh Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|99301001|Hc Hbot Full Body Chamber Ea 30 Min Interval|RESPIRATORY SERVICES - HYPERBARIC OXYGEN THERAPY [0413]|G0277||WS HB DEFAULT|1,290.00
WS SERVICE AREA|27202660|Hc Zz Sut Vcrl 4-0 Sh Braid Vio 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|20010280|Hc Strapping Of Knee - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29530|GP|WS HB DEFAULT|457.00
WS SERVICE AREA|27202661|Hc Zz Sut Vcrl 4-0 Sh Braid Viol 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|27202662|Hc Zz Sut Vcrl 4-0 Sh Vio 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.40
WS SERVICE AREA|90010349|Hc Ambulance Adv Life Spt Level I|AMBULANCE - GENERAL CLASSIFICATION [0540]|A0426||WS HB DEFAULT|1,331.00
WS SERVICE AREA|27202663|Hc Zz Sut Vcrl 4-0 Sh Vio 27in - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|90010350|Hc Ambulance Adv Life Spt Emergent|AMBULANCE - GENERAL CLASSIFICATION [0540]|A0427||WS HB DEFAULT|1,922.00
WS SERVICE AREA|27202665|Hc Zz Sut Vcrl 5-0 P1 Braid Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.00
WS SERVICE AREA|27202666|Hc Zz Sut Vcrl 5-0 P2 Braid Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.10
WS SERVICE AREA|90010351|Hc Ambulance Basic Life Spt Non-emergent|AMBULANCE - GENERAL CLASSIFICATION [0540]|A0428||WS HB DEFAULT|989.00
WS SERVICE AREA|27202667|Hc Zz Sut Vcrl 5-0 P3 Braid Und 3dz - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.10
WS SERVICE AREA|27202668|Hc Zz Sut Vcrl 5-0 P3 Braid Undy - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|20010282|Hc Strapping Of Knee|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29530|GP|WS HB DEFAULT|457.00
WS SERVICE AREA|90010352|Hc Ambulance Basic Life Spt Emergent|AMBULANCE - GENERAL CLASSIFICATION [0540]|A0429||WS HB DEFAULT|1,331.00
WS SERVICE AREA|27202670|Hc Zz Sut Vcrl 5-0 Pc3 Braid Und 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|90010353|Hc Ambulance Adv Life Spt Level Ii|AMBULANCE - GENERAL CLASSIFICATION [0540]|A0433||WS HB DEFAULT|1,922.00
WS SERVICE AREA|27202671|Hc Zz Sut Vcrl 5-0 Pc3 Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|27202672|Hc Zz Sut Vcrl 5-0 Ps3 Braid Und 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|90010354|Hc Ambulance Specialty Care Transport|AMBULANCE - GENERAL CLASSIFICATION [0540]|A0434||WS HB DEFAULT|1,830.00
WS SERVICE AREA|27202673|Hc Zz Sut Vcrl 5-0 Rb1 Braid Und 27" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202674|Hc Zz Sut Vcrl 6-0 P1 Braid Undyed - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.60
WS SERVICE AREA|90010355|Hc Ambulance Response/treatment|AMBULANCE - GENERAL CLASSIFICATION [0540]|A0998||WS HB DEFAULT|167.00
WS SERVICE AREA|27202675|Hc Zz Sut Vcrl 6-0 Ps3 Braid Und 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.90
WS SERVICE AREA|20010283|Hc Strapping Of Ankle And/or Ft - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29540|GP|WS HB DEFAULT|523.00
WS SERVICE AREA|27202676|Hc Zz Sut Vcrl 6-0 S-29 Braid Vio 12 Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|93010029|Hc Cardioversion Internal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|92961||WS HB DEFAULT|3,188.00
WS SERVICE AREA|27202678|Hc Sut Vcrl Endoloop O|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|685.00
WS SERVICE AREA|93010033|Hc Nasopharyngoscopy W Endoscope|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|92511||WS HB DEFAULT|888.00
WS SERVICE AREA|27202679|Hc Zz Sut Vcrl O Braid Undyed 18" - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|93010037|Hc Anogenital Exam Child W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|99170||WS HB DEFAULT|159.00
WS SERVICE AREA|27202682|Hc Zz Sut Vcrl Plus 3 X1 Cr8 Vio 18" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.60
WS SERVICE AREA|93010038|Hc Ipecac Administration|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|99175||WS HB DEFAULT|395.00
WS SERVICE AREA|27202683|Hc Zz Sut Vcrl Polyester Capio Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|196.70
WS SERVICE AREA|93010044|Hc Elec Alys Implt Npgt Smpl Sp/pn Npgt Prgrmg|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95971||WS HB DEFAULT|2,195.00
WS SERVICE AREA|20010284|Hc Strapping Of Ankle And/or Ft - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|29540|GO|WS HB DEFAULT|523.00
WS SERVICE AREA|27202686|Hc Zz Sut Vicr +2-0 Ct-1 Dyed 36" Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|93010047|Hc Analyze Neurostim Complex|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95972||WS HB DEFAULT|2,261.00
WS SERVICE AREA|27202687|Hc Zz Sut Vicryl 0 Ctb-1 Cr/8 - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.80
WS SERVICE AREA|27202688|Hc Zz Sut Vicryl 3-0 D/a Ct-1/cp-1 - Use 27202577|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.10
WS SERVICE AREA|27202689|Hc Zz Sut Vloc 0 Gs-21 9in Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|177.20
WS SERVICE AREA|27202690|Hc Zz Sut Vloc 180 2-0 Gs-21 Gr 18in Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|163.80
WS SERVICE AREA|27202691|Hc Zz Sut Vloc 180 Abs 0 Gs-21 12in Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|177.20
WS SERVICE AREA|27202692|Hc Sut Vloc 90 2-0 Cl 18 P-12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|163.80
WS SERVICE AREA|27202693|Hc Zz Sut Vloc 90 2-0 Cl 18 P-14 - Use 27202700|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|223.50
WS SERVICE AREA|27202694|Hc Sut Vloc 90 Abs 3-0 P12 18in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|199.80
WS SERVICE AREA|20010285|Hc Strapping Of Ankle|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29540|GP|WS HB DEFAULT|523.00
WS SERVICE AREA|27202695|Hc Sut Vloc Abs 2-0 P14 Cl 24in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|165.80
WS SERVICE AREA|27202696|Hc Zz Sut Vloc Abs 3-0 P12 12in Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|141.10
WS SERVICE AREA|27202697|Hc Zz Sut Vloc Abs 3-0 P12 18in Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|163.80
WS SERVICE AREA|27202698|Hc Zz Sut Vloc Abs 3-0 P14 Cl 24in Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|171.00
WS SERVICE AREA|27202699|Hc Zz Sut Vloc Abs 3-0 V-20 Grn 6in - Use 27202700|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|168.90
WS SERVICE AREA|27202700|Hc Suture Vloc Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|167.80
WS SERVICE AREA|27202701|Hc Sut Wire Pacing Sh Ss Brd Db 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27202702|Hc Zz Suture 3-0 Vloc 180 V-20 18in - Use 27202700|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|170.00
WS SERVICE AREA|27202703|Hc Zz Suture 5.5 Tfx Ulbrd W Bl Blk Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,389.60
WS SERVICE AREA|27202704|Hc Zz Suture 5.5 Tfx Ulbrd W/b Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,931.30
WS SERVICE AREA|20010286|Hc Strapping Of Toe|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29550||WS HB DEFAULT|244.00
WS SERVICE AREA|27202705|Hc Zz Suture 5-loc 90 3-0 18in P-14 - Use 27202700|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|170.00
WS SERVICE AREA|27202708|Hc Suture Bsy 2-0 Gs-22 30in Viol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202710|Hc Suture Bsy 2-0 V-20 3in Ud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202711|Hc Zz Suture Bsy 3-0 Gs-21 36in Vio Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202712|Hc Suture Bsy 3-0 Gu-46 30in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27202714|Hc Suture Bsy 3-0 P-12 30in Ud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27202718|Hc Suture Bsy 4-0 Dx-16 18in Ud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202722|Hc Suture Bsy 4-0 P-12 3oin Ud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27202737|Hc Zz Suture Chrom/silk/eth - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.40
WS SERVICE AREA|27202738|Hc Suture Cr 0 18in 122l|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|20010287|Hc Unna Boot|SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761]|29580||WS HB DEFAULT|817.00
WS SERVICE AREA|27202739|Hc Suture Cr 0 60in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27202740|Hc Suture Cr 0 Gs-21 30in 01p|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27202741|Hc Suture Cr 0 Gs-21 36in B2002|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27202742|Hc Suture Cr 0 Gs-24 30in 115p|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27202743|Hc Suture Cr 0 Gs-25 36in 17k|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27202745|Hc Zz Suture Cr 1 Gs-21 18in Dt Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27202747|Hc Zz Suture Cr 1 Gs-24 36in 07k Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27202749|Hc Zz Suture Cr 1 Hgs-24 30in 220d Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27202750|Hc Suture Cr 2-0 18in Precut|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.40
WS SERVICE AREA|27202755|Hc Suture Cr 2-0 V-20 30in 107q|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|20010288|Hc Apply Multlay Compression Lower Leg|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29581||WS HB DEFAULT|613.00
WS SERVICE AREA|27202756|Hc Suture Cr 3-0 123q 60in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27202757|Hc Suture Cr 3-0 C-13 30in 104f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27202760|Hc Suture Cr 3-0 Gs-24 30in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27202761|Hc Suture Cr 3-0 P-12 30in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202763|Hc Suture Cr 4-0 C-13 30in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27202765|Hc Suture Cr 4-0 P-13 18in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27202766|Hc Zz Suture Cr 4-0 V-20 30in 22n Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27202767|Hc Suture Cr 5-0 P-13 18in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27202768|Hc Suture Cr Gut 1 18in Prct 104t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|27202769|Hc Zz Suture Ethb 1 O4 30 Grn 30in Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|20010289|Hc Cast Removal Or Revision Of Boot/body/gauntlet|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29700||WS HB DEFAULT|730.00
WS SERVICE AREA|27202770|Hc Zz Suture Ethib 3-0 Braid Grn 30i Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|27202771|Hc Zz Suture Ethibond - Use Eap 27202452|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.50
WS SERVICE AREA|27202772|Hc Zz Suture Ethilon  - Use 27202112|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.30
WS SERVICE AREA|27202773|Hc Zz Suture Lasso Curve Left 45deg Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|971.30
WS SERVICE AREA|27202776|Hc Zz Suture Mnsf 2 Gs-18 30in Blk Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27202778|Hc Suture Mnsf 3-0 P-14 18in Blk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [02