Service Area|Px Code|Procedure Description|Default Rev Code|CPT(R)/HCPCS Code|Default Mod|Fee Schedule Group Name|Unit Price
WS SERVICE AREA|50010076|Hc Cystotomy Tube Change Simple|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51705||WS HB DEFAULT|1,612.00
WS SERVICE AREA|50010078|Hc Cystotomy Tube Change Complex|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51710||WS HB DEFAULT|6,213.00
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|50010080|HC BLADDERSCAN RESIDUAL DAILY|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|51798||WS HB DEFAULT|564.00
WS SERVICE AREA|50010082|Hc Injection Corp Cavern Priapism|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54235||WS HB DEFAULT|1,128.00
WS SERVICE AREA|60010012|Hc Thyroid Needle Biopsy Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|60100||WS HB DEFAULT|2,520.00
WS SERVICE AREA|60010014|Hc Thyroid Cyst Asp And/or Inj|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|60300||WS HB DEFAULT|2,827.00
WS SERVICE AREA|60010017|Hc Cisternal/lateral C1-c2 Puncture W/injection|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61055||WS HB DEFAULT|1,938.00
WS SERVICE AREA|60010018|Hc Cranial Arterial Temp Balloon Occl Test|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61623||WS HB DEFAULT|10,001.00
WS SERVICE AREA|60010019|Hc Inpatient Transcath Occlusion Cns/embo|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61624||WS HB DEFAULT|20,914.00
WS SERVICE AREA|27223033|Hc Gun Cement Bn Sz 2 Cds Kyp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,383.70
WS SERVICE AREA|60010020|Hc Transcath Occlusion Head/neck Non-cns Embo|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61626||WS HB DEFAULT|14,541.00
WS SERVICE AREA|60010021|Hc Interdiscal Or Paravertebral Dx Asp Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62267||WS HB DEFAULT|1,870.00
WS SERVICE AREA|60010022|Hc Spinal Cord Needle Biopsy Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62269||WS HB DEFAULT|5,562.00
WS SERVICE AREA|60010023|Hc Spinal Puncture Lumbar Diagnostic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62270||WS HB DEFAULT|3,135.00
WS SERVICE AREA|60010027|Hc Spinal Puncture Therapeutic By Ndl/cath|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62272||WS HB DEFAULT|1,703.00
WS SERVICE AREA|60010029|HC INJECTION EPIDURAL BLOOD/CLOT PATCH|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62273||WS HB DEFAULT|3,041.00
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|60010041|HC INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62290||WS HB DEFAULT|1,334.00
WS SERVICE AREA|60010043|HC INJ(S) ANES AGT(S)/STEROID TRIGEMINAL EACH BRANCH|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64400||WS HB DEFAULT|1,910.00
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|3,135.00
WS SERVICE AREA|27286468|Hc Introducer Orth Kphpk Xpr 1st|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|12,904.20
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|2,060.00
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|871.00
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|4,161.00
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|4,653.00
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|2,060.00
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|2,060.00
WS SERVICE AREA|60010058|Hc Celiac Plexus Destruct Neuro Agent Inj|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64680||WS HB DEFAULT|6,046.00
WS SERVICE AREA|60010059|HC UNLISTED PROCEDURE NERVOUS SYSTEM|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64999||WS HB DEFAULT|917.00
WS SERVICE AREA|60010060|Hc Fb Remove Eye Superficial|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|65205||WS HB DEFAULT|627.00
WS SERVICE AREA|60010061|Hc Fb Remove Eye Embedded|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|65210||WS HB DEFAULT|721.00
WS SERVICE AREA|27294762|Hc Device Revasc 40mm 4mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|575.00
WS SERVICE AREA|60010062|Hc Fb Remove Cornea W/o Lamp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|65220||WS HB DEFAULT|721.00
WS SERVICE AREA|60010063|Hc Fb Remove Cornea W Lamp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|65222||WS HB DEFAULT|721.00
WS SERVICE AREA|60010065|Hc Drain Abscess Eyelid|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|67700||WS HB DEFAULT|2,422.00
WS SERVICE AREA|60010066|Hc Fb Remove Eyelid Embedded|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|67938||WS HB DEFAULT|1,439.00
WS SERVICE AREA|60010067|Hc Drain Abscess Ear Simp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|69000||WS HB DEFAULT|1,216.00
WS SERVICE AREA|60010068|Hc Drain Abscess Ear Comp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|69005||WS HB DEFAULT|14,848.00
WS SERVICE AREA|60010069|Hc I&d Auditory Canal External|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|69020||WS HB DEFAULT|1,087.00
WS SERVICE AREA|60010070|Hc Fb Remove Ear|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|69200||WS HB DEFAULT|564.00
WS SERVICE AREA|60010071|Hc Removal Impacted Cerumen Instrumentation Unilat|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|69210||WS HB DEFAULT|564.00
WS SERVICE AREA|70300076|Hc Mr Angio Upper Extremity W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|C8936||WS HB DEFAULT|2,656.00
WS SERVICE AREA|272109708|Hc Zz Balloon Apex Rx 2.5x12  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|23,731.30
WS SERVICE AREA|70020695|Hc Ct Fiducial Marker Placement Other|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C9728||WS HB DEFAULT|3,634.00
WS SERVICE AREA|70020010|Hc Fl Myelogram Posterior Fossa *|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70010||WS HB DEFAULT|1,382.00
WS SERVICE AREA|70020216|Hc Peritoneogram|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|74190||WS HB DEFAULT|420.00
WS SERVICE AREA|70020239|Hc Transhepatic Dilation Of Biliary Duct Stricture W-w/o Stent Percu|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|74363||WS HB DEFAULT|2,071.00
WS SERVICE AREA|70020258|Hc Dilitation Of Ureter(s) Or Urethra|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|74485||WS HB DEFAULT|1,544.00
WS SERVICE AREA|70020270|Hc Transcervical Cath Fallopian Tube/ Recanalization|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|74742||WS HB DEFAULT|1,145.00
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|70020300|Hc Angiography Spinal Selective|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75705||WS HB DEFAULT|4,391.00
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|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|70020316|Hc Angiography Internal Mammary|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75756||WS HB DEFAULT|3,188.00
WS SERVICE AREA|27298581|Hc Guidewire Snchr2 200cm Std|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|2,202.10
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|5,818.00
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|27205060|Hc Catheter Dsc 6f X 105cm Us|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|4,250.00
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|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|8,486.00
WS SERVICE AREA|70020350|Hc Iliac Atherectomy Each Vessel|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0238T||WS HB DEFAULT|17,527.00
WS SERVICE AREA|70020351|Hc Cvd Pericath Obstruction Mechanical Removal|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75901||WS HB DEFAULT|8,130.00
WS SERVICE AREA|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|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|26,202.00
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|13,426.00
WS SERVICE AREA|70020375|Hc Transcather Biopsy|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75970||WS HB DEFAULT|3,706.00
WS SERVICE AREA|70020380|Hc Change Percutaneous Tube/drainage Cath With Contrast Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|75984||WS HB DEFAULT|1,336.00
WS SERVICE AREA|70020382|HC THERAPEUTIC ENEMA REDUCTION INTUSSUSCEPTION/OBSTRUCTON|CT SCAN - GENERAL CLASSIFICATION [0350]|75989||WS HB DEFAULT|2,197.00
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|349.40
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|27294769|Hc Zz Balloon Apex Rx 3.0x12  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|558.10
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|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|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|271108956|Hc Zz Mask Laf421 Ee Leek Na- Use 272115552|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|86.30
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|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|80030101|Hc  Rbc Ab Elution Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86860||WS HB DEFAULT|345.00
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|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|26,350.00
WS SERVICE AREA|70020473|Hc Sacroplasty Perc Bilat|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0201T||WS HB DEFAULT|24,006.00
WS SERVICE AREA|70020600|Hc Us Prostate Volume Study/brachytherapy Treatment Planning|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76873||WS HB DEFAULT|642.00
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|80030102|Hc Coombs Indirect Titer Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86886||WS HB DEFAULT|415.00
WS SERVICE AREA|70300056|Hc Mri Spectroscopy|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|76390||WS HB DEFAULT|3,760.00
WS SERVICE AREA|77010089|Hc Fiducial Marker Placement Other|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C9728||WS HB DEFAULT|3,634.00
WS SERVICE AREA|80010126|Hc Delta Aminolevulinic Acid,24hr|LABORATORY - GENERAL CLASSIFICATION [0300]|82135||WS HB DEFAULT|334.00
WS SERVICE AREA|80010128|Hc Amino Acids 6/> Amino Acids Quantitative Ea Spe|LABORATORY - GENERAL CLASSIFICATION [0300]|82139||WS HB DEFAULT|273.00
WS SERVICE AREA|80010129|Hc Ammonia Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82140||WS HB DEFAULT|428.00
WS SERVICE AREA|80010131|Hc Assay Of Amylase|LABORATORY - GENERAL CLASSIFICATION [0300]|82150||WS HB DEFAULT|228.00
WS SERVICE AREA|80010176|HC CALCIUM URINE QUANTITATIVE TIMED SPECIMEN|LABORATORY - GENERAL CLASSIFICATION [0300]|82340||WS HB DEFAULT|382.00
WS SERVICE AREA|80010218|Hc Citrate,urine|LABORATORY - GENERAL CLASSIFICATION [0300]|82507||WS HB DEFAULT|597.00
WS SERVICE AREA|80010327|Hc Gases Blood O2 Saturation Only Direct Meas|LABORATORY - GENERAL CLASSIFICATION [0300]|82810||WS HB DEFAULT|187.00
WS SERVICE AREA|90010014|Hc Hemodialysis|SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761]|G0257||WS HB DEFAULT|7,193.00
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|90010020|Hc Esophageal Motility Study W/interp&rpt|GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750]|91010||WS HB DEFAULT|3,626.00
WS SERVICE AREA|90010021|Hc Gastroesophag Reflx Test W/cath Ph Eltrd Plcmt|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|91034||WS HB DEFAULT|6,480.00
WS SERVICE AREA|90010026|Hc Audiometry Testing Distortion Ltd|AUDIOLOGY - OTHER AUDIOLOGY [0479]|92587||WS HB DEFAULT|508.00
WS SERVICE AREA|90010053|Hc Spirometry|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94010||WS HB DEFAULT|619.00
WS SERVICE AREA|90010054|Hc Spirometry-b&a Bronchodilator|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94060||WS HB DEFAULT|1,091.00
WS SERVICE AREA|90010055|Hc Pft Disability Screening B&a|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94060||WS HB DEFAULT|1,091.00
WS SERVICE AREA|90010056|Hc Bronchial Provacation Challenge|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94070||WS HB DEFAULT|1,306.00
WS SERVICE AREA|90010057|Hc Maximum Voluntary Ventilation|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94200||WS HB DEFAULT|273.00
WS SERVICE AREA|90010059|Hc Pulmonary Stress Test - Complex|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94621||WS HB DEFAULT|1,562.00
WS SERVICE AREA|90010061|Hc Nebulizer Rx|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94640||WS HB DEFAULT|580.00
WS SERVICE AREA|80030103|Hc Rbc Pretreat W Chemical Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86970||WS HB DEFAULT|248.00
WS SERVICE AREA|90010062|Hc Multi Dose Inhaler|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94640||WS HB DEFAULT|580.00
WS SERVICE AREA|90010065|Hc Aerosol Rx Initial|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|777.00
WS SERVICE AREA|90010069|Hc Pft Pentam 300 Rx|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94642||WS HB DEFAULT|1,067.00
WS SERVICE AREA|90010070|Hc Initial Cont Nebulizer Rx|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94644||WS HB DEFAULT|1,455.00
WS SERVICE AREA|90010071|Hc Continuous Nebulizer Rx|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94645||WS HB DEFAULT|631.00
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|351.00
WS SERVICE AREA|80030104|Hc Rbc Pretreat W Enzyme Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86971||WS HB DEFAULT|271.00
WS SERVICE AREA|90010076|Hc Oscillating Pep Therapy, Initial|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94667||WS HB DEFAULT|787.00
WS SERVICE AREA|90010077|Hc Chest Percussion/vibration, Initial|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94667||WS HB DEFAULT|787.00
WS SERVICE AREA|90010078|Hc Oscillating Pep Therapy,subsq|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94668||WS HB DEFAULT|614.00
WS SERVICE AREA|90010079|Hc Chest Percussion Vibration Subsq|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94668||WS HB DEFAULT|614.00
WS SERVICE AREA|90010080|Hc Plethysmography|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94726||WS HB DEFAULT|794.00
WS SERVICE AREA|90010081|Hc Gas Dilutions|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94727||WS HB DEFAULT|858.00
WS SERVICE AREA|90010082|Hc Diffusing Capacity|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94729||WS HB DEFAULT|808.00
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|390.00
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|93892928|Hc Robotic Asst Stent Des Ramus Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9600|RI|WS HB DEFAULT|20,822.00
WS SERVICE AREA|90010086|Hc Pulse Ox Multiple|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94761||WS HB DEFAULT|390.00
WS SERVICE AREA|90010087|Hc Nocturnal Pulse Oximetry|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94762||WS HB DEFAULT|588.00
WS SERVICE AREA|90010088|Hc Eeg Awake & Drowsy Recording|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95816||WS HB DEFAULT|1,707.00
WS SERVICE AREA|90010089|Hc Pulse-ox Continuous/day|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94762||WS HB DEFAULT|588.00
WS SERVICE AREA|90010090|Hc Ep-somatosensory Upper|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95925||WS HB DEFAULT|3,692.00
WS SERVICE AREA|90010091|Hc Ep-somatosensory Lower|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95926||WS HB DEFAULT|3,442.00
WS SERVICE AREA|90010092|Hc Short-latency Somatosens Ep Std Upr & Low Limb|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95938||WS HB DEFAULT|5,944.00
WS SERVICE AREA|90010097|Hc Eeg Digital Analysis|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95957||WS HB DEFAULT|1,141.00
WS SERVICE AREA|90010098|Hc Genetic Counseling|OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940]|96040||WS HB DEFAULT|499.00
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|80030105|Hc Rbc Pretreat W Density Gradient|LABORATORY - GENERAL CLASSIFICATION [0300]|86972||WS HB DEFAULT|380.00
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|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|80030106|Hc Serum Pretreat W/drugs Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86975||WS HB DEFAULT|332.00
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|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|1,305.00
WS SERVICE AREA|90010118|Hc Debride Skn Wc Ea Add 20/< Sq Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|97598||WS HB DEFAULT|1,584.00
WS SERVICE AREA|90010121|Hc Wound Care Non-selective|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|97602||WS HB DEFAULT|305.00
WS SERVICE AREA|90010123|HC NEG. PRESS WOUND TX <50 CM|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|97605||WS HB DEFAULT|323.00
WS SERVICE AREA|90010125|HC NEG. PRESS WOUND TX >50 CM|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|97606||WS HB DEFAULT|539.00
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|90010129|Hc Er Service Class I|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99281||WS HB DEFAULT|525.00
WS SERVICE AREA|90010131|Hc Er Service Class Ii|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99282||WS HB DEFAULT|759.00
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|90010133|Hc Er Service Class Iii|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99283||WS HB DEFAULT|1,525.00
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|934.00
WS SERVICE AREA|90010135|Hc Er Service Class Iv|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99284||WS HB DEFAULT|2,137.00
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|2,942.00
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|5,636.00
WS SERVICE AREA|80030107|Hc Serum Pretreat By Dilution|LABORATORY - GENERAL CLASSIFICATION [0300]|86976||WS HB DEFAULT|166.00
WS SERVICE AREA|271108958|Hc Zz Mask S Af421 Ee Leak I Na- Use 272115552|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|86.20
WS SERVICE AREA|90010139|Hc Er Critical Care Ea Addtl 30 Min|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99292||WS HB DEFAULT|2,821.00
WS SERVICE AREA|90010141|Hc Er Level B 1|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|G0380||WS HB DEFAULT|368.00
WS SERVICE AREA|80081421|Hc Antidepressants,not Otherwise Specified|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|248.00
WS SERVICE AREA|90010142|Hc Er Level B Ii|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|G0381||WS HB DEFAULT|534.00
WS SERVICE AREA|90010143|Hc Er Level B Iii|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|G0382||WS HB DEFAULT|1,069.00
WS SERVICE AREA|80081422|Hc Antidepressants,serotonergic Class; 1 Or 2|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|248.00
WS SERVICE AREA|90010144|Hc Er Level B Iv|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|G0383||WS HB DEFAULT|1,496.00
WS SERVICE AREA|90010145|Hc Er Level B V|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|G0384||WS HB DEFAULT|2,061.00
WS SERVICE AREA|80081423|Hc Antidepressants, Serotonergic Class; 6 Or More|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||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|702.00
WS SERVICE AREA|80030108|Hc Serum Pretreat W Inhibitors Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86977||WS HB DEFAULT|282.00
WS SERVICE AREA|90010147|HC TRAUMA 2 FULL TEAM W HOSP CRITICAL CARE|TRAUMA RESPONSE - LEVEL II TRAUMA [0682]|G0390||WS HB DEFAULT|10,378.00
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|90010152|Hc Inhaled Epoprostenol Neb (cont) Therapy, Initial|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94644||WS HB DEFAULT|1,354.00
WS SERVICE AREA|90010153|Hc Inhaled Epoprostenol Neb (cont) Therapy, Subsq|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94645||WS HB DEFAULT|587.00
WS SERVICE AREA|80081425|Hc Drug Test Def 1-7 Classes|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|643.00
WS SERVICE AREA|80081428|Hc Drug Test Def 8-14 Classes|LABORATORY - GENERAL CLASSIFICATION [0300]|G0481||WS HB DEFAULT|643.00
WS SERVICE AREA|80081426|Hc Drug Test Def 15-21 Classes|LABORATORY - GENERAL CLASSIFICATION [0300]|G0482||WS HB DEFAULT|643.00
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|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|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|297.00
WS SERVICE AREA|90010208|Hc Reh-respiratory 1-1 Breathing 15min|RESPIRATORY SERVICES - OTHER RESPIRATORY SERVICES [0419]|G0237||WS HB DEFAULT|82.00
WS SERVICE AREA|90010209|Hc Rt Breathing Retraining 1-1 15min|RESPIRATORY SERVICES - OTHER RESPIRATORY SERVICES [0419]|G0237||WS HB DEFAULT|82.00
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|6,000.00
WS SERVICE AREA|70172074|Hc Xr Spine Thoracic Min 4+vws|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72074||WS HB DEFAULT|1,012.00
WS SERVICE AREA|60061645|Hc Arterial M-thrombect &/nfs Perq W Fl Guide|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|46,629.00
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|46,285.00
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|28,611.00
WS SERVICE AREA|80030109|Hc Serum Pretreat By Adsorbtion Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86978||WS HB DEFAULT|399.00
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|7,777.00
WS SERVICE AREA|90010263|Hc Sputum Induction W/tx|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94640||WS HB DEFAULT|580.00
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|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|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|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|91010018|Hc Family Therapy W Pt|OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940]|90847||WS HB DEFAULT|439.00
WS SERVICE AREA|92010012|Hc Home Sleep Test Unattended 4 Channel|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|G0399||WS HB DEFAULT|1,452.00
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|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|5,631.00
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|3,790.00
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|93010016|Hc Ivus Initial Vessel|CARDIOLOGY - CARDIAC CATH LAB [0481]|92978||WS HB DEFAULT|5,496.00
WS SERVICE AREA|93010017|Hc Ivus Additional Vessel|CARDIOLOGY - CARDIAC CATH LAB [0481]|92979||WS HB DEFAULT|2,358.00
WS SERVICE AREA|93010018|Hc Holter Xtrnl Ecg & 48 Hr Recording|EKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731]|93225||WS HB DEFAULT|915.00
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|93010020|HC TTE 2D W/WO M-MODE REC COMP|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93307||WS HB DEFAULT|1,296.00
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|1,245.00
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|984.00
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|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|606.00
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|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|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|606.00
WS SERVICE AREA|93010045|Hc Cardiovascular Stress Test|CARDIOLOGY - STRESS TEST [0482]|93017||WS HB DEFAULT|2,528.00
WS SERVICE AREA|93010046|Hc Microvolt T-wave Alternans Assessment Ventricular Arrythmias|EKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION [0730]|93025||WS HB DEFAULT|1,557.00
WS SERVICE AREA|MUSE50172|HC RHYTHM STRIP ECG 1-3 LEADS TRACING ONLY|EKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION [0730]|93041||WS HB DEFAULT|235.00
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|93010049|Hc Holter External Ecg Scanning Analysis Report|EKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731]|93226||WS HB DEFAULT|1,158.00
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|125.00
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|MUSE50150|Hc Ekg Signal Averaging|EKG/ECG (ELECTROCARDIOGRAM) - GENERAL CLASSIFICATION [0730]|93278||WS HB DEFAULT|1,613.00
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|160.00
WS SERVICE AREA|93010071|Hc Transthoracic Echo Congenital Anomalies Complete Without Cst|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93303||WS HB DEFAULT|2,468.00
WS SERVICE AREA|93010072|Hc Transthoracic Echo Congenital Anomalies Ltd Without Cst|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93304||WS HB DEFAULT|1,184.00
WS SERVICE AREA|93010076|Hc Echo 2d Tee W/o Contrast|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93312||WS HB DEFAULT|2,839.00
WS SERVICE AREA|93010077|Hc Echo 2d Tee Probe Placement Only No Image|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93313||WS HB DEFAULT|820.00
WS SERVICE AREA|93010080|Hc Transesophageal Echo Tee Monitor Tlc 2d Only W/o Cst|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93318||WS HB DEFAULT|2,210.00
WS SERVICE AREA|93010081|Hc Echo Doppler Complete|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93320||WS HB DEFAULT|789.00
WS SERVICE AREA|93010082|Hc Echo Doppler F/u Or Ltd|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93321||WS HB DEFAULT|494.00
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|93010083|Hc Echo Doppler Colorflow|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93325||WS HB DEFAULT|697.00
WS SERVICE AREA|93010084|Hc Echo 2d Stress Tte Only W/o Contrast|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93350||WS HB DEFAULT|4,650.00
WS SERVICE AREA|93010085|Hc Echo 2d Stress Tte Complete Continuous Monitor W/o Cst|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93351||WS HB DEFAULT|2,419.00
WS SERVICE AREA|93010086|HC RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT|CARDIOLOGY - CARDIAC CATH LAB [0481]|93451||WS HB DEFAULT|10,165.00
WS SERVICE AREA|93010087|Hc Lhc With Or Without Lv Gram|CARDIOLOGY - CARDIAC CATH LAB [0481]|93452||WS HB DEFAULT|16,413.00
WS SERVICE AREA|93010088|HC RLHC WITH OR WITHOUT LV GRAM|CARDIOLOGY - CARDIAC CATH LAB [0481]|93453||WS HB DEFAULT|18,756.00
WS SERVICE AREA|93010089|HC DIAGNOSTIC CORONARY ANGIOGRAMS|CARDIOLOGY - CARDIAC CATH LAB [0481]|93454||WS HB DEFAULT|12,702.00
WS SERVICE AREA|93010090|HC CORONARY ANGIOGRAMS WITH GRAFTS|CARDIOLOGY - CARDIAC CATH LAB [0481]|93455||WS HB DEFAULT|13,995.00
WS SERVICE AREA|93010091|HC RHC CORONARY ANGIOGRAMS|CARDIOLOGY - CARDIAC CATH LAB [0481]|93456||WS HB DEFAULT|18,185.00
WS SERVICE AREA|93010092|Hc Rhc Coronary Angiograms And Grafts|CARDIOLOGY - CARDIAC CATH LAB [0481]|93457||WS HB DEFAULT|19,476.00
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|272110037|Hc Dressing Ag 2x3 Mepitel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.00
WS SERVICE AREA|93010093|Hc Heart Lt Coronary Artery Angio W/wo Lt Ventriculography|CARDIOLOGY - CARDIAC CATH LAB [0481]|93458||WS HB DEFAULT|21,093.00
WS SERVICE AREA|93010094|Hc Heart Lt Coronary Artery Angio W/grafts|CARDIOLOGY - CARDIAC CATH LAB [0481]|93459||WS HB DEFAULT|22,384.00
WS SERVICE AREA|93010095|Hc Heart Lt+rt Coronary Angio W/wo Lt Ventriculography|CARDIOLOGY - CARDIAC CATH LAB [0481]|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 - CARDIAC CATH LAB [0481]|93461||WS HB DEFAULT|24,729.00
WS SERVICE AREA|93010097|Hc Pharmacologic Admin W/measure+|CARDIOLOGY - CARDIAC CATH LAB [0481]|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|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|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|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|93010105|HC IV DOP VEL&/OR PRESS C/FLO RSRV MEAS 1ST VSL|CARDIOLOGY - CARDIAC CATH LAB [0481]|93571||WS HB DEFAULT|2,881.00
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|2,648.00
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|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|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|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|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|9,267.00
WS SERVICE AREA|93010118|Hc Eps Eval Complete With Induction|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93620||WS HB DEFAULT|15,229.00
WS SERVICE AREA|93010120|HC EPS EVAL W / LA PACE AND RECORD|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93621||WS HB DEFAULT|4,335.00
WS SERVICE AREA|93010121|HC EPS EVAL W / LV PACE AND RECORD|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93622||WS HB DEFAULT|5,435.00
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|6,709.00
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|93010124|HC EPS EVAL ICD TESTING LEADS ONLY IMPLANT|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93640||WS HB DEFAULT|9,504.00
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|6,801.00
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|7,753.00
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|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|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|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|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|924.00
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|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|93010144|Hc Phase Iii Self Pay Cardiac Rehab Monthly|OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943]|93797||WS HB DEFAULT|50.00
WS SERVICE AREA|93010173|HC 2D TTE W OR W/O FOL W/CON COMPLETE|CARDIOLOGY - ECHOCARDIOLOGY [0483]|C8923||WS HB DEFAULT|2,896.00
WS SERVICE AREA|93010174|Hc Echo 2d Tte W Or W/o Fol W/con F/u|CARDIOLOGY - ECHOCARDIOLOGY [0483]|C8924||WS HB DEFAULT|1,245.00
WS SERVICE AREA|93010192|Hc Tte W Or W/o Fol W/con Stress|CARDIOLOGY - ECHOCARDIOLOGY [0483]|C8928||WS HB DEFAULT|2,639.00
WS SERVICE AREA|93010199|HC 2D TEE W OR W/O FOL W/CON,IN|CARDIOLOGY - ECHOCARDIOLOGY [0483]|C8925||WS HB DEFAULT|2,961.00
WS SERVICE AREA|93010200|HC TTE W OR WO FOL WCON,DOPPLER COMPLETE|CARDIOLOGY - ECHOCARDIOLOGY [0483]|C8929||WS HB DEFAULT|4,187.00
WS SERVICE AREA|93010203|Hc Tte W Or W/o Contr Cont Ecg|CARDIOLOGY - ECHOCARDIOLOGY [0483]|C8930||WS HB DEFAULT|2,419.00
WS SERVICE AREA|93010251|Hc Echo Tthrc R-t 2d W/wom-mode Compl Spec&colr D|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93306||WS HB DEFAULT|3,711.00
WS SERVICE AREA|93010255|HC ABLATION VT|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93654||WS HB DEFAULT|19,520.00
WS SERVICE AREA|93010260|Hc Lhrt Cath Trnsptl Puncture|CARDIOLOGY - CARDIAC CATH LAB [0481]|93462||WS HB DEFAULT|10,696.00
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|94010012|Hc Mnt Ind Init Assessment Ea 15mins|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|97802||WS HB DEFAULT|55.00
WS SERVICE AREA|94010013|Hc Mnt Ind Re-assessment Ea 15mins  |OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|97803||WS HB DEFAULT|55.00
WS SERVICE AREA|94010014|Hc Mnt Group Each 30 Mins|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|97804||WS HB DEFAULT|74.00
WS SERVICE AREA|94010015|HC EDUCATION & TRAINING SELF-MGMT NONPHYS 2-4 PTS|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|98961||WS HB DEFAULT|246.00
WS SERVICE AREA|94010016|HC EDUCATION & TRAINING SELF-MGMT NONPHYS 5-8 PTS|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|98962||WS HB DEFAULT|248.00
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|138.00
WS SERVICE AREA|94010020|Hc De Ind Instructon 30m/u-units Var|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|G0108||WS HB DEFAULT|138.00
WS SERVICE AREA|94010021|Hc Diabetes Management Training Individual/group|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|G0109||WS HB DEFAULT|91.00
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|94010022|Hc Php Edu/train Group 45> Min|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|G0177||WS HB DEFAULT|495.00
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|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|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|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|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|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|272110038|Hc Dressing Ag 3x4 Mepitel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.00
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|80085129|Hc Dmpk Gene Analysis Characterization Of Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81239||WS HB DEFAULT|961.00
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|2,877.00
WS SERVICE AREA|80085133|Hc Fxn Gene Analysis Characterization Alleles|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81285||WS HB DEFAULT|961.00
WS SERVICE AREA|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|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|7,135.00
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|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|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|95010023|Hc Mslt/mwt|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95805||WS HB DEFAULT|3,561.00
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|1,859.00
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|2,409.00
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|2,385.00
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|667.00
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|80085148|Hc Oncology Breast Mrna Gene Expression 11 Genes|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81518||WS HB DEFAULT|13,653.00
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|136.00
WS SERVICE AREA|80085151|Hc Dir Meas Lipoprotein Small Dense Ldl Cholesterol|LABORATORY - GENERAL CLASSIFICATION [0300]|83722||WS HB DEFAULT|144.00
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|625.90
WS SERVICE AREA|95010035|HC VISUAL EVOKED POTENTIAL TEST|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95930||WS HB DEFAULT|2,363.00
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|1,521.00
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|707.60
WS SERVICE AREA|97010235|Hc Ewhfo Rigid W/o Jnts Cf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3765||WS HB DEFAULT|1,939.30
WS SERVICE AREA|97010097|Hc Application Modality 1/> Areas Whirlpool - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97022||WS HB DEFAULT|207.00
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|97010236|HC-EWHFO W/JOINT(S) CF|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3766||WS HB DEFAULT|1,716.50
WS SERVICE AREA|97010100|Hc Diathermy Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97024||WS HB DEFAULT|123.00
WS SERVICE AREA|97010238|HC-WHO W/NONTORSION JNT(S) CF|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3905||WS HB DEFAULT|958.90
WS SERVICE AREA|97010102|Hc Appl Modality 1/> Areas Elec Stimj Ea 15 Min - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97032||WS HB DEFAULT|226.00
WS SERVICE AREA|97010103|Hc Appl Modality 1/> Areas Elec Stim Ea 15 Min - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97032||WS HB DEFAULT|226.00
WS SERVICE AREA|97010104|Hc Iontophoresis Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97033||WS HB DEFAULT|191.00
WS SERVICE AREA|97010243|HC-DRY NEHC UNLISTED THERAPEUTIC REHAB -PTEDLING PHYSICAL THERAPY|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97139||WS HB DEFAULT|191.00
WS SERVICE AREA|97010105|Hc Iontophoresis Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97033||WS HB DEFAULT|191.00
WS SERVICE AREA|97010107|Hc Contrast Bath Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97034||WS HB DEFAULT|186.00
WS SERVICE AREA|97010108|Hc Appl Modality 1/> Areas Ultrasound Ea 15 Min - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97035||WS HB DEFAULT|142.00
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|97010109|Hc Appl Modality 1/> Areas Ultrasound Ea 15 Min - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97035||WS HB DEFAULT|142.00
WS SERVICE AREA|97010110|Hc Hubbard Tank Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97036||WS HB DEFAULT|168.00
WS SERVICE AREA|97010112|Hc Therapeutic Exercise Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97110||WS HB DEFAULT|215.00
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|499.20
WS SERVICE AREA|97010115|Hc Therapeutic Exercise Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97110||WS HB DEFAULT|215.00
WS SERVICE AREA|97010118|Hc Neuromuscular Reeducation Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97112||WS HB DEFAULT|215.00
WS SERVICE AREA|97010120|Hc Neuromuscular Reeducation Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97112||WS HB DEFAULT|215.00
WS SERVICE AREA|97010121|Hc Aquatic Therapy Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97113||WS HB DEFAULT|187.00
WS SERVICE AREA|97010122|Hc Aquatic Therapy Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97113||WS HB DEFAULT|187.00
WS SERVICE AREA|97010124|Hc Gait Training Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97116||WS HB DEFAULT|203.00
WS SERVICE AREA|272110812|Hc Tray Cath Adafl W Mtr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|56.90
WS SERVICE AREA|97010125|Hc Gait Training/bilat Asst Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97116||WS HB DEFAULT|203.00
WS SERVICE AREA|97010126|Hc Gait Training/bilat Asst Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97116|GO|WS HB DEFAULT|203.00
WS SERVICE AREA|97010127|Hc Massage Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97124||WS HB DEFAULT|203.00
WS SERVICE AREA|97010128|Hc Massage Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97124||WS HB DEFAULT|203.00
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|342.00
WS SERVICE AREA|97010133|Hc Manual Therapy Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97140||WS HB DEFAULT|238.00
WS SERVICE AREA|97010134|Hc Manual Therapy Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97140||WS HB DEFAULT|238.00
WS SERVICE AREA|97010137|Hc Therapeutic Procedures Group 2/> Individuals - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97150||WS HB DEFAULT|155.00
WS SERVICE AREA|97010138|Hc Therapeutic Procedures Group 2/> Individuals - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97150||WS HB DEFAULT|155.00
WS SERVICE AREA|97010139|Hc Zz Group Occupational Therapy - Use Eap 97010137|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97150|GO|WS HB DEFAULT|170.00
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|97010140|Hc Therapeutic Activities Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97530||WS HB DEFAULT|191.00
WS SERVICE AREA|97010143|Hc Sensory Integration Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97533||WS HB DEFAULT|119.00
WS SERVICE AREA|97010144|Hc Sensory Integration Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97533||WS HB DEFAULT|119.00
WS SERVICE AREA|97010145|Hc Selfcare/home Mgmt Trng Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97535||WS HB DEFAULT|204.00
WS SERVICE AREA|97010146|Hc Selfcare/home Mgmt Trng Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97535||WS HB DEFAULT|204.00
WS SERVICE AREA|97010149|Hc Community Reintegration Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97537|GP|WS HB DEFAULT|145.00
WS SERVICE AREA|97010150|Hc Community Reintegration Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97537|GO|WS HB DEFAULT|145.00
WS SERVICE AREA|97010151|Hc Wheelchair Mgmt Training Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97542||WS HB DEFAULT|288.00
WS SERVICE AREA|97010152|Hc Wheelchair Mgmt Training Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97542||WS HB DEFAULT|288.00
WS SERVICE AREA|97010153|HC WORK HARDENING/CONT PT  1ST 2 HOURS|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97545||WS HB DEFAULT|285.00
WS SERVICE AREA|272110814|Hc Tray Cath Adafl W Drain Bag|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.50
WS SERVICE AREA|97010154|HC WORK HARDENING/CONT OT  1ST 2 HOURS|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97545||WS HB DEFAULT|285.00
WS SERVICE AREA|97010155|Hc Add-on Work Hardening/cond Pt Each Add'l Hour|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97546||WS HB DEFAULT|120.00
WS SERVICE AREA|97010156|HC ADD-ON WORK HARDENING/COND OT EACH ADD'L HOUR|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97546||WS HB DEFAULT|120.00
WS SERVICE AREA|97010157|Hc Debridement Open Wound 20 Sq Cm/< - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97597||WS HB DEFAULT|1,305.00
WS SERVICE AREA|97010159|HC SELECTIVE DEBRID < 20SQCM OCCUPATIONAL THERAPY|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97597||WS HB DEFAULT|1,305.00
WS SERVICE AREA|97010161|Hc Debridement Open Wound Each Additional 20 Sq Cm - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97598||WS HB DEFAULT|1,584.00
WS SERVICE AREA|97010163|Hc Selective Debride/dressing > 20 Sqcm Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97598|GO|WS HB DEFAULT|1,584.00
WS SERVICE AREA|97010165|Hc Physical Performance Testing Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97750||WS HB DEFAULT|122.00
WS SERVICE AREA|97010167|Hc Physical Performance Testing Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97750||WS HB DEFAULT|122.00
WS SERVICE AREA|97010169|Hc Ortho Fitting/training Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97760||WS HB DEFAULT|147.00
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|97010171|Hc Ortho Fitting/training Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97760||WS HB DEFAULT|147.00
WS SERVICE AREA|97010173|Hc Prosthetic Training/ Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97761||WS HB DEFAULT|243.00
WS SERVICE AREA|97010175|Hc Prosthetic Training/ Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97761||WS HB DEFAULT|243.00
WS SERVICE AREA|97010182|Hc Job Placement Assessment/physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97799||WS HB DEFAULT|279.00
WS SERVICE AREA|97010184|Hc Job Placement Assessment Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97799|GO|WS HB DEFAULT|279.00
WS SERVICE AREA|97010185|HC ELEC STIM OTHER THAN WOUND 1 OR MORE AREAS|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|G0283||WS HB DEFAULT|327.00
WS SERVICE AREA|97010186|HC ELEC STIM OTHER THAN WOUND 1 OR MORE AREAS|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|G0283||WS HB DEFAULT|327.00
WS SERVICE AREA|97010190|Hc No Show Land|PATIENT CONVENIENCE ITEMS - OTHER PATIENT CONVENIENCE ITEMS [0999]|||WS HB DEFAULT|31.00
WS SERVICE AREA|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|3,539.00
WS SERVICE AREA|272110816|Hc Tray Cath 16fr Lbrcath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|56.80
WS SERVICE AREA|272110039|Hc Dressing Ag 4x5 Mepitel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.60
WS SERVICE AREA|99010011|HC MED/SURG/GYN|ROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - MEDICAL/SURGICAL/GYN [0121]|||WS HB DEFAULT|1,853.00
WS SERVICE AREA|99010013|Hc Zz Bh State Program - Use Eap 99010041|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|3,064.00
WS SERVICE AREA|99010017|Hc Newborn Care Level I|NURSERY - NEWBORN - LEVEL I [0171]|||WS HB DEFAULT|1,043.00
WS SERVICE AREA|70476816|Hc Us Follow Up Per Fetus|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76816||WS HB DEFAULT|790.00
WS SERVICE AREA|99010018|Hc Newborn Care Level Ii|NURSERY - NEWBORN - LEVEL II [0172]|||WS HB DEFAULT|4,654.00
WS SERVICE AREA|99010019|Hc Newborn Care Level Iii|NURSERY - NEWBORN - LEVEL III [0173]|||WS HB DEFAULT|6,320.00
WS SERVICE AREA|70476826|Hc Fetal Cardiovasc 2d Fu Us|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76826||WS HB DEFAULT|583.00
WS SERVICE AREA|99010020|Hc Nursery Level Iv Nicu|NURSERY - NEWBORN - LEVEL IV [0174]|||WS HB DEFAULT|8,709.00
WS SERVICE AREA|99010021|Hc Icu Overflow|INTENSIVE CARE - GENERAL CLASSIFICATION [0200]|||WS HB DEFAULT|4,842.00
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|70476828|Hc Fetal Doppler Echocardiogram Limited/fu|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76828||WS HB DEFAULT|1,034.00
WS SERVICE AREA|99010022|HC ICU BED CHARGES|INTENSIVE CARE - GENERAL CLASSIFICATION [0200]|||WS HB DEFAULT|6,120.00
WS SERVICE AREA|99010023|Hc Ltac Intermediate Care|INTENSIVE CARE - INTERMEDIATE ICU [0206]|||WS HB DEFAULT|5,440.00
WS SERVICE AREA|99010025|Hc Ltac Icu|CORONARY CARE - PULMONARY CARE [0212]|||WS HB DEFAULT|6,120.00
WS SERVICE AREA|99010026|Hc Ltac Telemetry|CORONARY CARE - INTERMEDIATE CCU [0214]|||WS HB DEFAULT|5,440.00
WS SERVICE AREA|99010027|Hc Telemetry|CORONARY CARE - INTERMEDIATE CCU [0214]|||WS HB DEFAULT|5,440.00
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|1,853.00
WS SERVICE AREA|99010040|Hc Long Term Acute Care|ROOM & BOARD - PRIVATE (MEDICAL OR GENERAL) - MEDICAL/SURGICAL/GYN [0111]|||WS HB DEFAULT|1,853.00
WS SERVICE AREA|99010041|Hc Behavioral Health|ROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - PSYCHIATRIC [0124]|||WS HB DEFAULT|3,064.00
WS SERVICE AREA|272110818|Hc Tray Cath Lbrcth 16fr W Mtr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|54.70
WS SERVICE AREA|10010203|Hc Destruction Of Benign Lesions 1-14|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|17110||WS HB DEFAULT|4,116.00
WS SERVICE AREA|51010013|Hc Insertion Of Cervical Dilator|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|2,653.00
WS SERVICE AREA|10010204|Hc Excision, Benign Lesion 1.1 - 2.0 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11422||WS HB DEFAULT|7,593.00
WS SERVICE AREA|10010205|Hc Excision, Benign Lesion 2.1 - 3.0 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11423||WS HB DEFAULT|8,704.00
WS SERVICE AREA|10010206|Hc Excision, Benign Lesion 0.6 - 1.0 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11421||WS HB DEFAULT|6,130.00
WS SERVICE AREA|10010207|Hc Insertion Of Non-bio Drug Implant|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11981||WS HB DEFAULT|5,960.00
WS SERVICE AREA|70476811|Hc Us Pregnant Uterus W/detail Fetal Anatomic 1st Gestation|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76811||WS HB DEFAULT|1,317.00
WS SERVICE AREA|70476812|Hc Us Pregnant Uterus Detail Fetal Anatomic Exam Ea Gestation|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76812||WS HB DEFAULT|496.00
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|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|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|1,002.00
WS SERVICE AREA|96010022|HC ADMIN VACC INJECT SGL OR COMBO VACC 1ST|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|90471||WS HB DEFAULT|153.00
WS SERVICE AREA|96010023|HC ADMIN VACC INJECT SGL OR COMBO VACC EA ADD|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|90472||WS HB DEFAULT|153.00
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|153.00
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|153.00
WS SERVICE AREA|96010027|Hc Iv Inf Hydration|IV THERAPY - GENERAL CLASSIFICATION [0260]|96360||WS HB DEFAULT|1,043.00
WS SERVICE AREA|96010028|Hc Iv Inf Hydration Ea Addl Hr|IV THERAPY - GENERAL CLASSIFICATION [0260]|96361||WS HB DEFAULT|127.00
WS SERVICE AREA|96010030|Hc Iv Inf Tx/dx 1st Hr|IV THERAPY - GENERAL CLASSIFICATION [0260]|96365||WS HB DEFAULT|1,043.00
WS SERVICE AREA|96010031|Hc Iv Inf Tx/dx Ea Addl Hr|IV THERAPY - GENERAL CLASSIFICATION [0260]|96366||WS HB DEFAULT|127.00
WS SERVICE AREA|272110827|Hc Introducer Peel Away 1.4fr Picc Sheath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|144.40
WS SERVICE AREA|96010032|Hc Iv Inf Sequential 1st Hr (not An Initial)|IV THERAPY - GENERAL CLASSIFICATION [0260]|96367||WS HB DEFAULT|1,043.00
WS SERVICE AREA|96010033|Hc Iv Inf Tx/dx Concurrent|IV THERAPY - GENERAL CLASSIFICATION [0260]|96368||WS HB DEFAULT|1,043.00
WS SERVICE AREA|96010035|Hc Inj Im/subq|IV THERAPY - GENERAL CLASSIFICATION [0260]|96372||WS HB DEFAULT|192.00
WS SERVICE AREA|96010037|Hc Iv Inj Initial|IV THERAPY - GENERAL CLASSIFICATION [0260]|96374||WS HB DEFAULT|749.00
WS SERVICE AREA|96010039|Hc Iv Inj Ea New Med|IV THERAPY - GENERAL CLASSIFICATION [0260]|96375||WS HB DEFAULT|307.00
WS SERVICE AREA|96010041|Hc Iv Inj Ea Add Seq Same Drug|IV THERAPY - GENERAL CLASSIFICATION [0260]|96376||WS HB DEFAULT|307.00
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|153.00
WS SERVICE AREA|96010045|HC PNEUMOCOCCAL ADMIN|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|G0009||WS HB DEFAULT|153.00
WS SERVICE AREA|272110828|Hc Introducer Peel Away 1.9fr Picc Sheath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|144.20
WS SERVICE AREA|96010046|Hc Hepatitis B Admin|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|G0010||WS HB DEFAULT|153.00
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|40.00
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|40.00
WS SERVICE AREA|96010065|Hc Refill Maintain Portable Pump|IV THERAPY - GENERAL CLASSIFICATION [0260]|96521||WS HB DEFAULT|1,062.00
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|1,473.00
WS SERVICE AREA|97010033|HC BIOFEEDBACK TRAINING ANY MODALITY|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|90901||WS HB DEFAULT|178.00
WS SERVICE AREA|97010034|Hc Biofeedback Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|90901|GO|WS HB DEFAULT|178.00
WS SERVICE AREA|97010039|Hc Treatment Of Speech 15 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92507||WS HB DEFAULT|422.00
WS SERVICE AREA|97010040|Hc Treatment Of Speech 30 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92507||WS HB DEFAULT|422.00
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|97010041|HC TREATMENT OF SPEECH|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92507||WS HB DEFAULT|422.00
WS SERVICE AREA|97010042|HC TREATMENT OF SPEECH|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92507||WS HB DEFAULT|422.00
WS SERVICE AREA|97010043|Hc Tx Speech Language Voice Commj Auditry 2/>indiv - St|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92508||WS HB DEFAULT|266.00
WS SERVICE AREA|97010044|Hc Laryngeal Function Studies - St|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92520||WS HB DEFAULT|1,057.00
WS SERVICE AREA|97010045|HC TREATMENT OF SWALLOWING|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92526||WS HB DEFAULT|317.00
WS SERVICE AREA|97010046|HC TREATMENT OF SWALLOWING|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92526||WS HB DEFAULT|317.00
WS SERVICE AREA|97010047|HC TREATMENT OF SWALLOWING|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92526||WS HB DEFAULT|317.00
WS SERVICE AREA|97010048|HC TREATMENT OF SWALLOWING|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92526||WS HB DEFAULT|317.00
WS SERVICE AREA|97010049|Hc Evaluation Of Swallowing 15 Min Speech Therapy|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92610||WS HB DEFAULT|596.00
WS SERVICE AREA|97010050|Hc Evaluation Of Swallowing 30 Min Speech Therapy|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92610||WS HB DEFAULT|596.00
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|97010051|Hc Evaluation Of Swallowing 45 Min Speech Therapy|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92610||WS HB DEFAULT|596.00
WS SERVICE AREA|97010052|Hc Evaluation Of Swallowing 60 Min Speech Therapy|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92610||WS HB DEFAULT|596.00
WS SERVICE AREA|97010053|Hc Motion Fluoro Eval Swallow Function C/v Rec - St|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92611||WS HB DEFAULT|816.00
WS SERVICE AREA|97010054|Hc Flexible Endoscopic Eval Swallow C/v Rec -st|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92612||WS HB DEFAULT|807.00
WS SERVICE AREA|97010056|HC MANUAL MUSCLE TEST - PT|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|95831|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||WS HB DEFAULT|278.00
WS SERVICE AREA|97010063|Hc Rom Test Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|95851||WS HB DEFAULT|278.00
WS SERVICE AREA|97010064|Hc Rom Test Hand Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|95852||WS HB DEFAULT|247.00
WS SERVICE AREA|97010065|Hc Rom Test Hand Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|95852||WS HB DEFAULT|247.00
WS SERVICE AREA|97010066|Hc Canalith Repositioning Procedure - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|95992||WS HB DEFAULT|359.00
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|97010067|Hc Aphasia Assmt W/intrp%rpt|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|96105||WS HB DEFAULT|291.00
WS SERVICE AREA|97010082|Hc Application Modality 1/> Areas Hot/cold Packs - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97010||WS HB DEFAULT|57.00
WS SERVICE AREA|97010083|Hc Application Modality 1/> Areas Hot/cold Packs - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97010||WS HB DEFAULT|57.00
WS SERVICE AREA|97010084|Hc Traction Mechanical Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97012||WS HB DEFAULT|191.00
WS SERVICE AREA|97010085|Hc Traction Mechanical Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97012||WS HB DEFAULT|191.00
WS SERVICE AREA|97010086|Hc Appl Modality 1/> Areas Vasopneumatic Devices -pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97016||WS HB DEFAULT|166.00
WS SERVICE AREA|97010087|Hc Vasopneumatic Devices Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97016||WS HB DEFAULT|166.00
WS SERVICE AREA|97010088|Hc Paraffin Bath Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97018||WS HB DEFAULT|151.00
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|2,880.20
WS SERVICE AREA|97010089|Hc Paraffin Bath Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97018||WS HB DEFAULT|151.00
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|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|2,640.80
WS SERVICE AREA|97010092|Hc Application Modality 1/> Areas Whirlpool - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97022||WS HB DEFAULT|207.00
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|4,198.30
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|25,075.30
WS SERVICE AREA|270111480|Hc Kit Dressing Start Line, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|32.10
WS SERVICE AREA|80084652|Hc Poct Pt/inr (poc 198)|LABORATORY - GENERAL CLASSIFICATION [0300]|85610|QW|WS HB DEFAULT|120.00
WS SERVICE AREA|80084653|Hc Poc Dipstick Strep A|LABORATORY - GENERAL CLASSIFICATION [0300]|87880|QW|WS HB DEFAULT|298.00
WS SERVICE AREA|80084654|Hc Poct Urinalysis Dipstick|LABORATORY - GENERAL CLASSIFICATION [0300]|81002|QW|WS HB DEFAULT|146.00
WS SERVICE AREA|80084655|Hc Poc Hemoglobin (hemocue)|LABORATORY - GENERAL CLASSIFICATION [0300]|85018|QW|WS HB DEFAULT|64.00
WS SERVICE AREA|80084656|Hc Poc Koh Prep|LABORATORY - GENERAL CLASSIFICATION [0300]|87210|QW|WS HB DEFAULT|172.00
WS SERVICE AREA|70493998|Hc Noninvas Vasc Dx Study Proc|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93998||WS HB DEFAULT|907.00
WS SERVICE AREA|272110040|Hc Dressing Ag 4x7 Mepitel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|115.20
WS SERVICE AREA|80084657|Hc Poc Ph Body Fluid|LABORATORY - GENERAL CLASSIFICATION [0300]|83986|QW|WS HB DEFAULT|177.00
WS SERVICE AREA|80084658|Hc Poc Wet Prep|LABORATORY - GENERAL CLASSIFICATION [0300]|87210|QW|WS HB DEFAULT|172.00
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|3,836.00
WS SERVICE AREA|80081430|Hc Hiv-1 Antigen(s), With Hiv-1 And Hiv-2 Antibodies|LABORATORY - GENERAL CLASSIFICATION [0300]|87086||WS HB DEFAULT|495.00
WS SERVICE AREA|80081431|Hc Hiv-1,amplified Probe Technique, Includes Rev Transcrip Performed|LABORATORY - GENERAL CLASSIFICATION [0300]|87535||WS HB DEFAULT|801.00
WS SERVICE AREA|272112551|Hc Dressing Cutimed Sorbact Ribbon .8x19.7in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.10
WS SERVICE AREA|272112552|Hc Dressing Cutimed Siltec 3x3in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.60
WS SERVICE AREA|272112553|Hc Dressing Cutimed Siltec 5x5in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.70
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|31.90
WS SERVICE AREA|93093352|Hc Admin Ecg Contrast Agent|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93352||WS HB DEFAULT|379.00
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|59.20
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|117.40
WS SERVICE AREA|272116856|Hc Dressing Drawtex 4x39in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.90
WS SERVICE AREA|272116857|Hc Dressing Drawtex 4x4in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.00
WS SERVICE AREA|272112598|Hc Bandage Comprifore 4 Lyr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|51.50
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|184.40
WS SERVICE AREA|272112422|Hc Trach 6.5mm Shiley Flex Cuffed|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|207.40
WS SERVICE AREA|272112423|Hc Zz Cannula Inner 6.6mm Shiley Disp Flex Trach Use Eap 27100079|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|146.30
WS SERVICE AREA|272112424|Hc Trach 7.0mm Shiley Flex Cuffless|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|188.80
WS SERVICE AREA|93008921|Hc  Tte W Or W/o Fol W/cont, Com|CARDIOLOGY - ECHOCARDIOLOGY [0483]|C8921||WS HB DEFAULT|2,468.00
WS SERVICE AREA|272112425|Hc Trach 7.0mm Shiley Flex Cuffed|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|204.90
WS SERVICE AREA|272112426|Hc Zz Cannula Inner 7.0mm Shiley Disp Flex Trach Use Eap 27100079|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|146.70
WS SERVICE AREA|272112427|Hc Trach 7.5mm Shiley Flex Cuffless|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|184.60
WS SERVICE AREA|272112428|Hc Trach 7.5mm Shiley Flex Cuffed|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|206.10
WS SERVICE AREA|272112429|Hc Zz Cannula Inner 7.5mm Shiley Disp Flex Trach Use Eap 27100079|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|145.30
WS SERVICE AREA|272112430|Hc Trach 8.0mm Shiley Flex Cuffless|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|184.30
WS SERVICE AREA|272112431|Hc Trach 8.0mm Shiley Flex  Cuffed|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|205.70
WS SERVICE AREA|272112432|Hc Zz Cannula Inner 8.0mm Shiley Disp Flex Trach Use Eap 27100079|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|147.00
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|205.90
WS SERVICE AREA|70370545|Hc Mr Angio Head With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70545||WS HB DEFAULT|4,083.00
WS SERVICE AREA|272112435|Hc Zz Cannula Inner 8.5mm Shiley Disp Flex Trach Use Eap 27100079|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.50
WS SERVICE AREA|272112436|Hc Trach 9.0mm Shiley Flex Cuffless|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|183.50
WS SERVICE AREA|272112437|Hc Trach 9.0mm Shiley Flex Cuffed|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|205.00
WS SERVICE AREA|272112438|Hc Zz Cannula Inner 9.0mm Shiley Disp Flex Trach Use Eap 27100079|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|204.80
WS SERVICE AREA|272112440|Hc Cannula Inner 10.0mm Shiley Disp Flex Trach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|145.30
WS SERVICE AREA|272124392|Kit Zz Trach Perc G2 Ciaglia Blue- Use 27201875|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,824.00
WS SERVICE AREA|80084660|Hc Skin Test Tuberculosis Intradermal|LABORATORY - GENERAL CLASSIFICATION [0300]|86580||WS HB DEFAULT|74.00
WS SERVICE AREA|97060003|Hc Zz Ipr Pt Eval Low Complex 20 Min - Use Eap 97010250|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97161|GP|WS HB DEFAULT|365.00
WS SERVICE AREA|97060004|Hc Zz Ipr Pt Eval Mod Complex 30 Min - Use Eap 97010251|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97162|GP|WS HB DEFAULT|365.00
WS SERVICE AREA|20020205|Hc Deep Muscle Biopsy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20205||WS HB DEFAULT|10,121.00
WS SERVICE AREA|97060005|Hc Ipr Pt Eval High Complex 45 Min|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97163|GP|WS HB DEFAULT|365.00
WS SERVICE AREA|80085055|Hc Drug Test Prsmv Dir Opt Obs|LABORATORY - GENERAL CLASSIFICATION [0300]|80305||WS HB DEFAULT|742.00
WS SERVICE AREA|80085057|Hc Drug Test Prsmv Chem Anlyzr|LABORATORY - GENERAL CLASSIFICATION [0300]|80307||WS HB DEFAULT|313.00
WS SERVICE AREA|30036473|Hc Ablation Mchnchem Ext+image 1st Vein|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36473||WS HB DEFAULT|7,658.00
WS SERVICE AREA|30036474|Hc Ablation Mchnchem Ext+image Addtl Vein|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36474||WS HB DEFAULT|5,744.00
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|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|36010049|Hc Eswl Complex|EXTRA-CORPOREAL SHOCK WAVE THERAPY (FORMERLY LITHOTRIPSY) - GENERAL CLASSIFICATION [0790]|||WS HB DEFAULT|0.00
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|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|60062321|HC EPIDURAL SPINAL INJ CERV/THRC+FLUORO|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62321||WS HB DEFAULT|9,212.00
WS SERVICE AREA|60062323|HC EPIDURAL SPINAL INJ LMBR/SAC+FLUORO|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62323||WS HB DEFAULT|2,690.00
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|60062325|Hc Epidural Inj Cerv/thrc+cath Plcmt W/fluoro|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62325||WS HB DEFAULT|9,001.00
WS SERVICE AREA|60062327|Hc Epidural Inj Lmbr/sac+cath Plcmt W/fluoro|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62327||WS HB DEFAULT|10,066.00
WS SERVICE AREA|90092242|Hc Fluorescein Icg Angiography|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|92242||WS HB DEFAULT|1,740.00
WS SERVICE AREA|90099151|Hc Mod Sed Same Phys/qhp <5 Yrs First15min|ANESTHESIA - GENERAL CLASSIFICATION [0370]|99151||WS HB DEFAULT|1,384.00
WS SERVICE AREA|90099152|Hc Mod Sed Same Phys/qhp 5/>yrs First 15min|ANESTHESIA - GENERAL CLASSIFICATION [0370]|99152||WS HB DEFAULT|1,384.00
WS SERVICE AREA|90099153|Hc Mod Sed Same Phys/qhp Ea Add 15min|ANESTHESIA - GENERAL CLASSIFICATION [0370]|99153||WS HB DEFAULT|615.00
WS SERVICE AREA|90099155|Hc Mod Sed Oth Phys/qhp <5 Yrs First 15min|ANESTHESIA - GENERAL CLASSIFICATION [0370]|99155||WS HB DEFAULT|1,210.00
WS SERVICE AREA|90099156|Hc Mod Sed Oth Phys/qhp 5/>yrs First 15min|ANESTHESIA - GENERAL CLASSIFICATION [0370]|99156||WS HB DEFAULT|1,384.00
WS SERVICE AREA|90099157|Hc Mod Sed Other Phys/qhp Ea Add 15min|ANESTHESIA - GENERAL CLASSIFICATION [0370]|99157||WS HB DEFAULT|615.00
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|10010015|Hc I&d Abscess-simple Or Sing|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10060||WS HB DEFAULT|1,216.00
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|80084671|Hc Plasmaprotein Fract 5% 250ml|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9048||WS HB DEFAULT|843.00
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||WS HB DEFAULT|333.00
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||WS HB DEFAULT|333.00
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||WS HB DEFAULT|333.00
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|10010016|Hc I&d Abscess Complx-mult|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10061||WS HB DEFAULT|1,216.00
WS SERVICE AREA|97010253|Hc Physical Therapy Re-eval Est Plan Care 20 Mins - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97164||WS HB DEFAULT|262.00
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||WS HB DEFAULT|365.00
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||WS HB DEFAULT|368.00
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||WS HB DEFAULT|372.00
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||WS HB DEFAULT|235.00
WS SERVICE AREA|272133879|Hc Probe Optical Bronch Veran|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,979.70
WS SERVICE AREA|10010017|Hc  Incision & Drainage Pilonidal Cyst Simple|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10080||WS HB DEFAULT|1,216.00
WS SERVICE AREA|272133883|Hc Forcep Grasping Bronchoscopy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|934.10
WS SERVICE AREA|80084661|HC SEPT9 (SEPTIN9) (EG, COLORECTAL CANCER) METHYLATION ANALYSIS|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|787.00
WS SERVICE AREA|272133885|Hc Brush Cyto Bscp 1.5mmx140cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.90
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|2,275.70
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|105.60
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|2,724.40
WS SERVICE AREA|80084665|Hc Inherited Cardmypthy 5 Gns|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81439||WS HB DEFAULT|2,622.00
WS SERVICE AREA|10010018|Hc  Incision & Drainage Pilonidal Cyst Complicated|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10081||WS HB DEFAULT|9,651.00
WS SERVICE AREA|272110041|Hc Dressing Ag 8x12 Mepitel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|319.30
WS SERVICE AREA|272133882|Hc Kit Spinperc Bronch|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,490.60
WS SERVICE AREA|80084666|Hc Oncology Prostate Prob Score|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81539||WS HB DEFAULT|761.00
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|524.00
WS SERVICE AREA|80084668|Hc Cns Dna Amp Probe Type 12-25|LABORATORY - GENERAL CLASSIFICATION [0300]|87483||WS HB DEFAULT|854.00
WS SERVICE AREA|96010078|Hc Application Of On-body Injector For Timed Sq Inj|IV THERAPY - GENERAL CLASSIFICATION [0260]|96377||WS HB DEFAULT|192.00
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|10010019|Hc Fb Remove Skin Subq-simple|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10120||WS HB DEFAULT|2,346.00
WS SERVICE AREA|272118334|Hc Set Ureth Dil W/prep Comp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,145.80
WS SERVICE AREA|27210635|Hc Pessary Sz 4 Mxprs04|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|152.70
WS SERVICE AREA|272133940|Hc Dressing Mepitel One 2x3in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|272133937|Hc Dressing Mepitel One 4x7in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.20
WS SERVICE AREA|272133938|Hc Dressing Mepitel One 6.8x10in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.40
WS SERVICE AREA|272133945|Hc Kit Dress Chg Picc Central Line Bsipicc1000|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|124.30
WS SERVICE AREA|272133946|Hc Kit Dressing Change Ij Central Line|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|109.80
WS SERVICE AREA|272116114|Hc Kit Irr Piston Syr Strl 60cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|272116114||WS HB DEFAULT|20.80
WS SERVICE AREA|70410005|HC FINE NEEDLE ASPIRATION BIOSPY W/US GUIDANCE 1ST LESION|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10005||WS HB DEFAULT|2,807.00
WS SERVICE AREA|80010010|Hc Electrolyte Panel|LABORATORY - GENERAL CLASSIFICATION [0300]|80051||WS HB DEFAULT|343.00
WS SERVICE AREA|10010020|Hc  Incision & Removal Foreign Body Subq Tiss Compl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10121||WS HB DEFAULT|12,176.00
WS SERVICE AREA|80010011|Hc Comprehensive Metabolic Panel|LABORATORY - GENERAL CLASSIFICATION [0300]|80053||WS HB DEFAULT|418.00
WS SERVICE AREA|80010014|Hc Renal Function Panel|LABORATORY - GENERAL CLASSIFICATION [0300]|80069||WS HB DEFAULT|362.00
WS SERVICE AREA|80010016|Hc Acute Hepatitis Panel|LABORATORY - GENERAL CLASSIFICATION [0300]|80074||WS HB DEFAULT|1,000.00
WS SERVICE AREA|80010017|Hc Hepatic Function Panel|LABORATORY - GENERAL CLASSIFICATION [0300]|80076||WS HB DEFAULT|282.00
WS SERVICE AREA|80010022|Hc Assay Of Amikacin|LABORATORY - GENERAL CLASSIFICATION [0300]|80150||WS HB DEFAULT|275.00
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|319.00
WS SERVICE AREA|80010031|Hc Digoxin Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80162||WS HB DEFAULT|246.00
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|10010021|Hc Incision/drainage Of Hematoma/fluid|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10140||WS HB DEFAULT|10,792.00
WS SERVICE AREA|80010038|Hc Assay Of Gentamicin|LABORATORY - GENERAL CLASSIFICATION [0300]|80170||WS HB DEFAULT|317.00
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|1,839.60
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|1,886.20
WS SERVICE AREA|80010043|Hc Phenobarbital Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80184||WS HB DEFAULT|226.00
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|1,933.00
WS SERVICE AREA|80010045|Hc Phenytoin Free Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80186||WS HB DEFAULT|181.00
WS SERVICE AREA|10010023|Hc Puncture Aspiration Of Abscess/hematoma/bulla Or Cyst|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10160||WS HB DEFAULT|1,216.00
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|2,026.30
WS SERVICE AREA|80010047|Hc Procainamide And Napa Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80192||WS HB DEFAULT|387.00
WS SERVICE AREA|272131589|Hc Biobag Larvae 400 10cm X 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,119.60
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|80010051|Hc Drug Screen Quantitative Tacrolimus|LABORATORY - GENERAL CLASSIFICATION [0300]|80197||WS HB DEFAULT|431.00
WS SERVICE AREA|80010052|Hc Theophylline (aminophylline)|LABORATORY - GENERAL CLASSIFICATION [0300]|80198||WS HB DEFAULT|243.00
WS SERVICE AREA|80010053|Hc Assay Of Tobramycin|LABORATORY - GENERAL CLASSIFICATION [0300]|80200||WS HB DEFAULT|284.00
WS SERVICE AREA|10010025|Hc Debride Skin/subc/muscle/bone < 20 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11044||WS HB DEFAULT|5,540.00
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|11.40
WS SERVICE AREA|80010059|Hc Assay Of Vancomycin|LABORATORY - GENERAL CLASSIFICATION [0300]|80202||WS HB DEFAULT|487.00
WS SERVICE AREA|80010062|Hc Caffeine Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80155||WS HB DEFAULT|380.00
WS SERVICE AREA|80010067|Hc Gabapentin Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80171||WS HB DEFAULT|380.00
WS SERVICE AREA|80010069|Hc Lamotrigine Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80175||WS HB DEFAULT|380.00
WS SERVICE AREA|80010070|Hc Levetiracetam|LABORATORY - GENERAL CLASSIFICATION [0300]|80177||WS HB DEFAULT|380.00
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|152.00
WS SERVICE AREA|10010026|Hc  Incision & Drainage Complex Po Wound Infection|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10180||WS HB DEFAULT|14,848.00
WS SERVICE AREA|80010077|Hc Urinalysis (after Hours)|LABORATORY - GENERAL CLASSIFICATION [0300]|81002||WS HB DEFAULT|146.00
WS SERVICE AREA|80010088|Hc Urinalysis Auto W/o Scope|LABORATORY - GENERAL CLASSIFICATION [0300]|81003||WS HB DEFAULT|183.00
WS SERVICE AREA|80010089|Hc Urinalysis,microscopic|LABORATORY - GENERAL CLASSIFICATION [0300]|81015||WS HB DEFAULT|120.00
WS SERVICE AREA|80010091|Hc Urine Pregnancy Test|LABORATORY - GENERAL CLASSIFICATION [0300]|81025||WS HB DEFAULT|241.00
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|357.00
WS SERVICE AREA|10010027|Hc Dbrdmt Extensv Eczema/infect Skn Up 10% Bdy Surf|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11000||WS HB DEFAULT|1,305.00
WS SERVICE AREA|80010178|Hc Stone Analysis,other|LABORATORY - GENERAL CLASSIFICATION [0300]|82365||WS HB DEFAULT|337.00
WS SERVICE AREA|80010179|Hc Carbon Dioxide Bicarbonate|LABORATORY - GENERAL CLASSIFICATION [0300]|82374||WS HB DEFAULT|106.00
WS SERVICE AREA|80010182|Hc Abgrt,cohb Only|LABORATORY - GENERAL CLASSIFICATION [0300]|82375||WS HB DEFAULT|346.00
WS SERVICE AREA|80010238|Hc Ck Isoenzymes|LABORATORY - GENERAL CLASSIFICATION [0300]|82552||WS HB DEFAULT|316.00
WS SERVICE AREA|80010239|Hc Creatine Kinase Mb Fraction Only|LABORATORY - GENERAL CLASSIFICATION [0300]|82553||WS HB DEFAULT|336.00
WS SERVICE AREA|80010243|Hc Creatinine Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|82565||WS HB DEFAULT|68.00
WS SERVICE AREA|80010251|Hc Assay Of Urine Creatinine|LABORATORY - GENERAL CLASSIFICATION [0300]|82570||WS HB DEFAULT|137.00
WS SERVICE AREA|80010252|Hc Creatinine Clearance,urine|LABORATORY - GENERAL CLASSIFICATION [0300]|82575||WS HB DEFAULT|301.00
WS SERVICE AREA|80010254|Hc Cryoglobulin Qualitative/semi-quantitative|LABORATORY - GENERAL CLASSIFICATION [0300]|82595||WS HB DEFAULT|191.00
WS SERVICE AREA|80010255|Hc Cyanide Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82600||WS HB DEFAULT|316.00
WS SERVICE AREA|10010030|Hc Debride Skin/subc Tissue < 20 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11042||WS HB DEFAULT|2,346.00
WS SERVICE AREA|80010256|Hc Vitamin B12 Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82607||WS HB DEFAULT|449.00
WS SERVICE AREA|80010257|PROCOLLAGEN I,N-TERM PROPEPTID|LABORATORY - GENERAL CLASSIFICATION [0300]|82615||WS HB DEFAULT|239.00
WS SERVICE AREA|80010258|Hc Dhea (dehydroepiandrosterone)|LABORATORY - GENERAL CLASSIFICATION [0300]|82626||WS HB DEFAULT|479.00
WS SERVICE AREA|80010259|Hc Dhea Sulfate|LABORATORY - GENERAL CLASSIFICATION [0300]|82627||WS HB DEFAULT|509.00
WS SERVICE AREA|80010260|Hc Vitamin D,1,25-hydroxy Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82652||WS HB DEFAULT|630.00
WS SERVICE AREA|80010262|Hc Nzym Activ Bld Cells/tiss Nonradact Substrate Ea|LABORATORY - GENERAL CLASSIFICATION [0300]|82657||WS HB DEFAULT|428.00
WS SERVICE AREA|80010263|Hc Protein Electrophoresis,bld|LABORATORY - GENERAL CLASSIFICATION [0300]|82664||WS HB DEFAULT|196.00
WS SERVICE AREA|80010265|Hc Erythropoietin Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82668||WS HB DEFAULT|434.00
WS SERVICE AREA|80010267|HC ASSAY OF TOTAL ESTRADIOL|LABORATORY - GENERAL CLASSIFICATION [0300]|82670||WS HB DEFAULT|475.00
WS SERVICE AREA|80010268|Hc Estrogen,total,serum|LABORATORY - GENERAL CLASSIFICATION [0300]|82672||WS HB DEFAULT|303.00
WS SERVICE AREA|10010031|HC DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11045||WS HB DEFAULT|1,267.00
WS SERVICE AREA|80010269|Hc Estriol,serum|LABORATORY - GENERAL CLASSIFICATION [0300]|82677||WS HB DEFAULT|324.00
WS SERVICE AREA|80010270|Hc Estrone|LABORATORY - GENERAL CLASSIFICATION [0300]|82679||WS HB DEFAULT|381.00
WS SERVICE AREA|80010272|Hc Ethylene Glycol Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82693||WS HB DEFAULT|337.00
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|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|80010815|Hc Fluorescent Noninfectious Agent Antibody Screen Each Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86255||WS HB DEFAULT|258.00
WS SERVICE AREA|10010032|Hc Debride Sq/mscl Ea Add 20sqcm Or <|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11046||WS HB DEFAULT|1,417.00
WS SERVICE AREA|272110042|Hc Dressing Ag 8x20 Mepitel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|533.40
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|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|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|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|10010033|Hc Debride Sq/mcl/bn Ea Add 20sqcm <|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11047||WS HB DEFAULT|3,786.00
WS SERVICE AREA|80010841|Hc Immunofixation,serum|LABORATORY - GENERAL CLASSIFICATION [0300]|86334||WS HB DEFAULT|263.00
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|80010846|Hc Insulin Ab Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|86337||WS HB DEFAULT|250.00
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|56.90
WS SERVICE AREA|271134037|Hc Sensor Nasal Alar Spo2 Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|88.10
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|10010034|Hc Paring/cutting Benign Hyperkeratotic Lesion 1|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11055||WS HB DEFAULT|624.00
WS SERVICE AREA|271134038|Hc Sensor Rainbow Masimo Pn4029|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|340.00
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|72.50
WS SERVICE AREA|271134040|Hc Sensor 03 Regional|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|274.00
WS SERVICE AREA|271134041|Hc Sensor Cheetah|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|869.30
WS SERVICE AREA|80010859|Hc Particle Agglutination Screen Ea Antibody|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|52.70
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|10010035|Hc Paring/cutting Benign Hyperkeratotic Lesion 2-4|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11056||WS HB DEFAULT|814.00
WS SERVICE AREA|80010865|Hc Rheumatoid Factor|LABORATORY - GENERAL CLASSIFICATION [0300]|86431||WS HB DEFAULT|157.00
WS SERVICE AREA|80010867|Hc Rheumatoid Factor Quant|LABORATORY - GENERAL CLASSIFICATION [0300]|86431||WS HB DEFAULT|157.00
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|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|80010876|Hc Antibody Bacterium Not Elsewhere Specified|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|155.90
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|155.80
WS SERVICE AREA|10010036|Hc Paring/cutting Benign Hyperkeratotic Lesion >4|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11057||WS HB DEFAULT|848.00
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|378.30
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|6,195.00
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|62.60
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|10010038|Hc Exc Lesion Trunk/arms/legs Benign Marg 0.6-1 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11401||WS HB DEFAULT|2,992.00
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|2,669.70
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|5,495.30
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|5,606.40
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|5,174.00
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|5,610.30
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|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|80010908|Hc Antibody Ehrlichia|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|10010040|Hc Trimming Nondystrophic Nails Any Number|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11719||WS HB DEFAULT|721.00
WS SERVICE AREA|80010911|Hc Antibody Helicobacter Pylori|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|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|80010925|Hc Antibody Herpes Simplex Type 1|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|80010933|Hc Histoplasma Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86698||WS HB DEFAULT|207.00
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|2,899.00
WS SERVICE AREA|60064505|HC INJECTION ANES AGENT SPHENOPALATINE GANGLION|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64505||WS HB DEFAULT|1,199.00
WS SERVICE AREA|10010041|Hc Debridement Nail Any Method 1-5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11720||WS HB DEFAULT|644.00
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|3,704.00
WS SERVICE AREA|60064520|HC INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64520||WS HB DEFAULT|3,704.00
WS SERVICE AREA|60064530|HC INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64530||WS HB DEFAULT|3,856.00
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|3,704.00
WS SERVICE AREA|60064612|HC CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64612||WS HB DEFAULT|1,199.00
WS SERVICE AREA|60064616|HC CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64616||WS HB DEFAULT|1,199.00
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|6,452.00
WS SERVICE AREA|10010042|Hc Debridement Nail Any Method 6/>|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11721||WS HB DEFAULT|721.00
WS SERVICE AREA|60064634|HC DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64634||WS HB DEFAULT|2,150.00
WS SERVICE AREA|60064635|HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64635||WS HB DEFAULT|6,452.00
WS SERVICE AREA|60064636|HC DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64636||WS HB DEFAULT|2,150.00
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|3,633.00
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|2,899.00
WS SERVICE AREA|60064643|Hc Chemodenervation 1 Extremity Ea Addl 1-4 Muscle|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64643||WS HB DEFAULT|967.00
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|2,899.00
WS SERVICE AREA|10010043|Hc Avulsion Nail Plate Partial/complete Simple 1|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11730||WS HB DEFAULT|1,236.00
WS SERVICE AREA|93091418|Hc Ip Only-tmvr Initial|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|49,418.00
WS SERVICE AREA|80010948|Hc Hepatitis A Antibody,total|LABORATORY - GENERAL CLASSIFICATION [0300]|86708||WS HB DEFAULT|190.00
WS SERVICE AREA|60064645|Hc Chemodenervation 1 Extremity Ea Addl 5/> Muscles|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64645||WS HB DEFAULT|967.00
WS SERVICE AREA|60064646|HC CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64646||WS HB DEFAULT|2,899.00
WS SERVICE AREA|10000232|HC NJX PLTLT PLASMA W IMG HARVEST/PREPARATION|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0232T||WS HB DEFAULT|1,689.00
WS SERVICE AREA|80010951|Hc Hepatitis Antibody Haab Igm Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86709||WS HB DEFAULT|251.00
WS SERVICE AREA|80010952|Hc Influenza Virus Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86710||WS HB DEFAULT|235.00
WS SERVICE AREA|80010955|Hc Legionella Pneumo Abs|LABORATORY - GENERAL CLASSIFICATION [0300]|86713||WS HB DEFAULT|278.00
WS SERVICE AREA|80010956|Hc Leptospira Antibodies|LABORATORY - GENERAL CLASSIFICATION [0300]|86720||WS HB DEFAULT|206.00
WS SERVICE AREA|80010957|Hc Mumps Antibody|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|25.00
WS SERVICE AREA|10010044|Hc Nail Plate Avulsion Addtl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11732||WS HB DEFAULT|644.00
WS SERVICE AREA|272129460|Hc Dressing Duoderm Xtra Thin 6x6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.80
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|22.20
WS SERVICE AREA|50053854|Hc Rf Prostate Tranurl Destruct Tissue Thermo|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|53854||WS HB DEFAULT|7,327.00
WS SERVICE AREA|60064647|HC CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64647||WS HB DEFAULT|3,019.00
WS SERVICE AREA|272134171|Hc Kit Dressing Picc Chg Medline|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|119.40
WS SERVICE AREA|272134182|Hc Kit Dressing Chg Ij Medline|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|101.20
WS SERVICE AREA|20020615|Hc Inj/asp Treatment Bone Cyst|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20615||WS HB DEFAULT|2,807.00
WS SERVICE AREA|20028008|Hc Fasciotomy Foot/toe|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28008||WS HB DEFAULT|12,705.00
WS SERVICE AREA|20000260|HC INJ FOR SACROILIAC JT ANESTH|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|G0260||WS HB DEFAULT|2,899.00
WS SERVICE AREA|10010045|Hc Drain Subugual Hematoma|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11740||WS HB DEFAULT|365.00
WS SERVICE AREA|20028060|HC FASCIECTOMY PLANTAR FASCIA PARTIAL SPX|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28060||WS HB DEFAULT|12,705.00
WS SERVICE AREA|60062264|HC PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62264||WS HB DEFAULT|3,704.00
WS SERVICE AREA|60062281|Hc Inj/infus Neurolyt Subst Epidural Cerv/thoracic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62281||WS HB DEFAULT|3,704.00
WS SERVICE AREA|60062282|Hc Injx/infus Neurolyt Sbst Epidural Lumbar/sacral|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62282||WS HB DEFAULT|3,025.00
WS SERVICE AREA|60062287|Hc Dcmprn Perq Nucleus Pulposus 1/> Levels Lumbar|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62287||WS HB DEFAULT|22,113.00
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|2,662.00
WS SERVICE AREA|60063650|HC PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|63650||WS HB DEFAULT|13,513.00
WS SERVICE AREA|60063688|Hc Rev/rmvl Implanted Spinal Neurostim Generator|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|63688||WS HB DEFAULT|11,387.00
WS SERVICE AREA|60064405|HC INJ(S) ANES AGT(S)/STEROID GREATER OCCIPITAL NRV|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64405||WS HB DEFAULT|1,199.00
WS SERVICE AREA|60064415|HC INJ(S) ANES AGT(S)/STEROID BRACHIAL PLEXUS|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64415||WS HB DEFAULT|3,403.00
WS SERVICE AREA|10010046|Hc Excision Nail/nail Matrix Includes Ingrown|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11750||WS HB DEFAULT|3,841.00
WS SERVICE AREA|60064425|HC INJ(S) ANES AGT(S)/STEROID ILIOINGUINAL ILIOHYPOGASTRIC NRVS|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64425||WS HB DEFAULT|2,899.00
WS SERVICE AREA|60064430|HC INJ(S) ANES AGT(S)/STEROID PUDENDAL NERVE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64430||WS HB DEFAULT|3,704.00
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|3,704.00
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|3,704.00
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|1,235.00
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|9,182.00
WS SERVICE AREA|272124803|Hc Device Transducer Prss Mon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|250.30
WS SERVICE AREA|271120034|Hc Dressing Wound Hydrophilic 2.5oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|34.70
WS SERVICE AREA|270134344|Hc Solution Antimicro Puracyn 500ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|94.40
WS SERVICE AREA|10010048|Hc Nail Bed Repair|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11760||WS HB DEFAULT|2,643.00
WS SERVICE AREA|80019116|Hc Blood Smear Peripheral Interpretation Physician W/written Report|LABORATORY - HEMATOLOGY [0305]|85060||WS HB DEFAULT|159.00
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|133.00
WS SERVICE AREA|80019136|Hc Anticoagulation Test|LABORATORY - GENERAL CLASSIFICATION [0300]|85347||WS HB DEFAULT|68.00
WS SERVICE AREA|80019140|Hc Fibrinolysins Or Coagulopathy Screen, Interpretation And Report|LABORATORY - GENERAL CLASSIFICATION [0300]|85390||WS HB DEFAULT|187.00
WS SERVICE AREA|27090311|Hc Wipe Prep 7.5x7.5in 2% Chg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.10
WS SERVICE AREA|80080158|HC IRON,LIVER TISSUE|LABORATORY - GENERAL CLASSIFICATION [0300]|83540||WS HB DEFAULT|224.00
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|80085100|Hc Screen Fecal Globin Screening|LABORATORY - GENERAL CLASSIFICATION [0300]|G0328||WS HB DEFAULT|183.00
WS SERVICE AREA|80080160|Hc Hpv Screening|LABORATORY - GENERAL CLASSIFICATION [0300]|87624||WS HB DEFAULT|459.00
WS SERVICE AREA|271109983|Hc Bag Leg Large (1000ml) Urine Drain Strppvc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|10.40
WS SERVICE AREA|271110866|Hc Pouch Cadd Pump Bag 250-500ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|55.50
WS SERVICE AREA|272134240|Hc Dressing 6x8 Drawtex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.70
WS SERVICE AREA|272116920|Hc Dressing Wound Multidx 1/4oz Gel Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
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|20.00
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|57.30
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|10010050|Hc Toenail Wedge Resection|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11765||WS HB DEFAULT|721.00
WS SERVICE AREA|272102564|Hc Marker Rectal Shdwfm 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.20
WS SERVICE AREA|272104615|Hc Marker Vag Shdwfm 18cm Tbar|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.80
WS SERVICE AREA|60067715|Hc Canthotomy Separate Procedure|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|67715||WS HB DEFAULT|7,159.00
WS SERVICE AREA|40041899|Hc Dentoalveolar Structures Procedure Inc Tooth Ext|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|41899||WS HB DEFAULT|848.00
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|65.60
WS SERVICE AREA|27165376|Hc Tape Medipore Lf 4inx10yd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.00
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|8.30
WS SERVICE AREA|272114922|Hc Set Infus 3 Ndls Valve 127in Alaris Pump|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.80
WS SERVICE AREA|270132859|Hc Aligner Body Wedge 30deg 28.5x19x8in Purple|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|44.60
WS SERVICE AREA|272125002|Hc Set Iv Adm 0.2um 20ml Ndehp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.90
WS SERVICE AREA|10010055|Hc Wound Body Simple =< 2.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12001||WS HB DEFAULT|1,134.00
WS SERVICE AREA|272131993|Hc Gel Am 1.5oz Silvasorb Silver|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|74.30
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|7.30
WS SERVICE AREA|60061211|Hc Drill Twist Hole Skull For Drainage|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61108||WS HB DEFAULT|9,653.00
WS SERVICE AREA|272124947|Hc Set Iv Pigbck Prim Micro 106in 60gtt Grvty|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.80
WS SERVICE AREA|271116611|Hc Solution Chg 4% Clnsr 4oz Btl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|11.50
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|6.30
WS SERVICE AREA|27002017|Hc Dressing Tegaderm 8x6in Trnsprnt Film Frame|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.30
WS SERVICE AREA|271117915|Hc Gel Am Ag 1oz Bllw Silvergel Resta|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.50
WS SERVICE AREA|10010056|Hc Wound Body Simp 2.6-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12002||WS HB DEFAULT|1,134.00
WS SERVICE AREA|30065457|Hc Instlj Via Chest Tube/cath Agent For Pleurodesis|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32560||WS HB DEFAULT|3,003.00
WS SERVICE AREA|60064488|HC TAP BLOCK BILATERAL BY INJECTION(S)|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64488||WS HB DEFAULT|5,422.00
WS SERVICE AREA|80080162|Hc Culture Typing Nucleic Acid Probe Dir Ea Organsm|LABORATORY - GENERAL CLASSIFICATION [0300]|87149||WS HB DEFAULT|93.00
WS SERVICE AREA|270114179|Hc Mitt Dbl Pad W/flap Adlt Peekaboo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|78.40
WS SERVICE AREA|270110500|Hc Positioner Glide&guide Std 36in No Strap Primo  |MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|124.40
WS SERVICE AREA|80080163|Hc Hemoglobin-oxygen Affinity|LABORATORY - GENERAL CLASSIFICATION [0300]|82820||WS HB DEFAULT|55.00
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|10.60
WS SERVICE AREA|272121283|Hc Needle, Biopsy Bone Marrow 11gx4" Carfus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|99010048|HC CCU BED CHARGES|CORONARY CARE - GENERAL CLASSIFICATION [0210]|||WS HB DEFAULT|6,120.00
WS SERVICE AREA|272121282|Hc Needle, Biopsy/aspiration Adj 18g Carfus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|157.00
WS SERVICE AREA|272128850|Hc Needle, Huber Whin Safe 20gx.75"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.70
WS SERVICE AREA|272134594|Hc Dressing Foam Mepilex 8x8in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|128.10
WS SERVICE AREA|270110502|Hc Positioner Glide&guide Bariatric 56in No Strap Primo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|145.90
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|30.30
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|239.10
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|88.90
WS SERVICE AREA|270102825|Hc Canister Suct 800ml Rgd Hdrphb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|10.60
WS SERVICE AREA|90098960|Hc Education&training Self-mgmt Nonphys 1 Pt|OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940]|98960||WS HB DEFAULT|231.00
WS SERVICE AREA|20029584|Hc Appl Mltlayr Compres Sys Uparm Lwarm Hand&fing|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29584||WS HB DEFAULT|519.00
WS SERVICE AREA|10010057|Hc Wound Body Simp 7.6-12.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12004||WS HB DEFAULT|1,134.00
WS SERVICE AREA|93091419|Hc Ip Only- Tmvr Addl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|12,354.00
WS SERVICE AREA|80080450|Hc Mr-staph Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87641||WS HB DEFAULT|423.00
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|3,704.00
WS SERVICE AREA|272000245|Hc Dressing Opsite 10 X 5.5in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.40
WS SERVICE AREA|272134353|Hc Dressing Sorbaview Shld 3.75x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.70
WS SERVICE AREA|40041009|Hc Intraoral I&d Tongue/floor Masticator Space|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|41009||WS HB DEFAULT|2,167.00
WS SERVICE AREA|60164486|HC TAP BLOCK UNILATERAL BY INJECTION(S)|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64486||WS HB DEFAULT|5,132.00
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|27000020|Medsurg Supplies-transfer Rule|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|355.00
WS SERVICE AREA|10010058|Hc Wound Body Simp 12.6-20.0|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12005||WS HB DEFAULT|1,134.00
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|97.60
WS SERVICE AREA|93010424|Hc Insert/replace Nstim Apnea Compl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0424T||WS HB DEFAULT|58,592.00
WS SERVICE AREA|27200035|Hc Collagen Dressing, Pad Size 16 Sq. In. Or Less, Each|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|A6021||WS HB DEFAULT|55.20
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|105.10
WS SERVICE AREA|27200039|Hc Brachytherapy Needle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.60
WS SERVICE AREA|271131626|Hc Resuscitator Infant/neo Neotee Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|82.60
WS SERVICE AREA|10010059|Hc Wound Body Simp 20.1-30.0|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12006||WS HB DEFAULT|1,134.00
WS SERVICE AREA|270100965|Hc Belt Gait 72in Cttn Hvydty Buckle Close|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|18.90
WS SERVICE AREA|270100966|Hc Belt Gait 54in Cttn Hvydty Buckle Close|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.00
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|5,007.00
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|4,167.00
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|5,007.00
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|10,002.00
WS SERVICE AREA|20027220|Hc Cl Tx Acetabulum Hip/sockt Fx W/o Manj|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27220||WS HB DEFAULT|714.00
WS SERVICE AREA|20027246|Hc Cl Tx Greater Trochanteric Fx W/o Manj|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27246||WS HB DEFAULT|858.00
WS SERVICE AREA|272134738|Hc Dressing Kerramax 4x4in Super Absorb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.50
WS SERVICE AREA|10010060|Hc Wound Body Simp >30.0|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12007||WS HB DEFAULT|1,134.00
WS SERVICE AREA|272134739|Hc Dressing Kerramax 8x9in Super Absorb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.40
WS SERVICE AREA|272134772|Hc Cuff Fgr Hemodyn Clearsite Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,549.50
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|2,399.60
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|1,247.60
WS SERVICE AREA|274083807|Hc Whfo L3807 Bilateral  Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3807||WS HB DEFAULT|814.70
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|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|10010061|Hc Wound Head Simp = < 2.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12011||WS HB DEFAULT|1,134.00
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|3,240.80
WS SERVICE AREA|274084360|Hc Afo L4360 Walking Boot Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L4360||WS HB DEFAULT|983.40
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|290.70
WS SERVICE AREA|274080810|Hc Jacket L0810 Halo Procedure Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L0810||WS HB DEFAULT|8,078.80
WS SERVICE AREA|274081686|Hc Brace L1686 Hip Abduction Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L1686||WS HB DEFAULT|2,996.00
WS SERVICE AREA|274080190|Hc Brace L0190 Somi/cto Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L0190||WS HB DEFAULT|2,109.00
WS SERVICE AREA|274083908|Hc Brace L3908 Wrist Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3908||WS HB DEFAULT|196.30
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|274082200|Hc Oths L2200 Lmt Motion Ankle Jt Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L2200||WS HB DEFAULT|153.90
WS SERVICE AREA|10010062|Hc Wound Head Simp 2.6-5.0|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12013||WS HB DEFAULT|1,134.00
WS SERVICE AREA|274083260|Hc Boot L3260 Amb Surg Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3260||WS HB DEFAULT|116.70
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|1,374.90
WS SERVICE AREA|274085668|Hc Cushion L5668 Dist Mold Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L5668||WS HB DEFAULT|373.20
WS SERVICE AREA|274088440|Hc Shrinker L8440 Bk Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L8440||WS HB DEFAULT|176.10
WS SERVICE AREA|274088460|Hc Shrinker L8460 Abv Knee Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L8460||WS HB DEFAULT|245.00
WS SERVICE AREA|274088470|Hc Sock L8470 Bk Sgl Ply Hanger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L8470||WS HB DEFAULT|22.20
WS SERVICE AREA|90095886|Hc Needle Emg Ea Extremty W/paraspinl Area Complete|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95886||WS HB DEFAULT|714.00
WS SERVICE AREA|90095808|Hc Polysom Any Age Sleep Stage 1-3 Addl Param Attnd|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95808||WS HB DEFAULT|2,800.00
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|10010063|Hc Wound Head Simp 5.1-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12014||WS HB DEFAULT|1,134.00
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|24.10
WS SERVICE AREA|271100807|Hc Glove Edema Xs Lf Full Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|25.00
WS SERVICE AREA|271114151|Hc Glove Edema Xs Lf 3/4 Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|25.90
WS SERVICE AREA|271100806|Hc Glove Edema Xs Rt Full Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|26.20
WS SERVICE AREA|271114147|Hc Glove Edema Xs 3/4 Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|26.10
WS SERVICE AREA|92010017|Hc Temp Transcutan Pacing|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|92953||WS HB DEFAULT|3,264.00
WS SERVICE AREA|271100809|Hc Glove Edema Sm Lf Full Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.90
WS SERVICE AREA|27800134|Hc Epifix, Per Square Centimeter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4186||WS HB DEFAULT|2,515.40
WS SERVICE AREA|271114149|Hc Glove Edema Sm Lf 3/4 Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|26.20
WS SERVICE AREA|271100808|Hc Glove Edema Sm Rt Full Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|25.30
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|26.10
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|25.20
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|271134114|Hc Glove Edema Lg Lf 3/4 Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.10
WS SERVICE AREA|10010064|Hc Wound Head Simp 7.6-12.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12015||WS HB DEFAULT|1,134.00
WS SERVICE AREA|271100812|Hc Glove Edema Lg Rt Full Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|25.20
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|24.20
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|30.10
WS SERVICE AREA|270110501|Hc Positioner Glide&guide 36in W/ Side Straps Primo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|137.00
WS SERVICE AREA|30036483|Hc Ablation Endoven Thx Chem Adhesive Ea Addtl Vein |OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36483||WS HB DEFAULT|13,888.00
WS SERVICE AREA|30036482|Hc Ablation Endoven Thx Chem Adhesive 1st Vein  |OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36482||WS HB DEFAULT|9,634.00
WS SERVICE AREA|27800167|Hc Alloderm, Per Square Centimeter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4116||WS HB DEFAULT|229.20
WS SERVICE AREA|274131545|Hc Hm Mobile Power Unit 107754|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0479||WS HB DEFAULT|33,123.40
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|36,750.40
WS SERVICE AREA|10010065|Hc Wound Head Simp 12.6-20|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12016||WS HB DEFAULT|1,134.00
WS SERVICE AREA|272129609|Hc Tielle Liqualock 4x4 |MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.40
WS SERVICE AREA|272129610|Hc Tielle Liqualock 6x6 |MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.40
WS SERVICE AREA|272129611|Hc Tielle Liqualock 8.25x8.63|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.30
WS SERVICE AREA|271100810|Hc Glove Edema Med Rt Full Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|25.20
WS SERVICE AREA|271134113|Hc Glove Edema Med Rt 3/4 Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.10
WS SERVICE AREA|271100811|Hc Glove Edema Med Lf Full Fngr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|25.20
WS SERVICE AREA|90000390|Hc Trauma 3 Small Team|TRAUMA RESPONSE - LEVEL III TRAUMA [0683]|G0390||WS HB DEFAULT|5,175.00
WS SERVICE AREA|90010390|Hc Trauma 3  Partial Team|TRAUMA RESPONSE - LEVEL III TRAUMA [0683]|G0390||WS HB DEFAULT|6,900.00
WS SERVICE AREA|90020390|Hc Trauma 3  Full Team|TRAUMA RESPONSE - LEVEL III TRAUMA [0683]|G0390||WS HB DEFAULT|8,625.00
WS SERVICE AREA|90030390|Hc Trauma 4   Small Team|TRAUMA RESPONSE - LEVEL IV TRAUMA [0684]|G0390||WS HB DEFAULT|4,715.00
WS SERVICE AREA|70878701|Hc Nm Kidney Imaging With Flow|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78701||WS HB DEFAULT|1,845.00
WS SERVICE AREA|272110447|Hc Catheter 12fr 25cm Drain Ap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|325.50
WS SERVICE AREA|90040390|Hc Trauma 4  Partial Team|TRAUMA RESPONSE - LEVEL IV TRAUMA [0684]|G0390||WS HB DEFAULT|5,520.00
WS SERVICE AREA|90050390|Hc Trauma 4  Full Team|TRAUMA RESPONSE - LEVEL IV TRAUMA [0684]|G0390||WS HB DEFAULT|6,325.00
WS SERVICE AREA|272135040|Hc Wand Barrier Film 2.7ml Cavilon Adv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.90
WS SERVICE AREA|270135065|Hc Tub Turtl Swaddling Neo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|165.40
WS SERVICE AREA|270135066|Hc Liner Swaddle Bath Neo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.10
WS SERVICE AREA|271134776|Hc Dressing Wrap Wound Edema 4inx11.5ft Drawex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|59.90
WS SERVICE AREA|272135064|Hc Adapter Cath Tip Ll Urethera|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.00
WS SERVICE AREA|27229732|Hc Sensor Sgl Flo Trac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,594.70
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|556.30
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|91.40
WS SERVICE AREA|10010066|Hc Wound Head Simp 20.1-30|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12017||WS HB DEFAULT|1,134.00
WS SERVICE AREA|10017999|Hc Unlisted Px Skin Muc Membrane & Subq Tissue|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|17999||WS HB DEFAULT|787.00
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|220.70
WS SERVICE AREA|20020660|Hc Appl Cranial Tong/strtctc Frame W/removal Spx|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20660||WS HB DEFAULT|5,842.00
WS SERVICE AREA|20020661|HC APPLICATION HALO CRANIAL INCLUDING REMOVAL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20661||WS HB DEFAULT|4,861.00
WS SERVICE AREA|20060665|Hc Removal Tong/halo Applied By Another Individual|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20665||WS HB DEFAULT|1,611.00
WS SERVICE AREA|10010067|Hc Wound Head Simp >30|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12018||WS HB DEFAULT|1,134.00
WS SERVICE AREA|30031626|Hc Larynx Surgery Procedure|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31599||WS HB DEFAULT|763.00
WS SERVICE AREA|271131775|Hc Bag Shower Hvad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,438.60
WS SERVICE AREA|272135088|Hc Pad Debride 4x4in/10x10cm Debrisoft|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.90
WS SERVICE AREA|272135089|Hc Wand Debride Debrisoft Lolly|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.80
WS SERVICE AREA|272135090|Hc Pad Debride 5x8in/13x20cm Debrisoft|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.90
WS SERVICE AREA|272135224|Hc Bronchscpe Or Ascope Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,412.70
WS SERVICE AREA|90095958|HC EEG MONITORING FUNCTION TEST|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|95958||WS HB DEFAULT|3,173.00
WS SERVICE AREA|93010428|Hc Removal Nstim System Sleep Apnea Pls Generator|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0428T||WS HB DEFAULT|10,661.00
WS SERVICE AREA|93010429|Hc Removal Nstim System Sleep Apnea Sensing Lead|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0429T||WS HB DEFAULT|10,661.00
WS SERVICE AREA|93010430|Hc Removal Nstim System Sleep Apnea Stimj Lead|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0430T||WS HB DEFAULT|10,661.00
WS SERVICE AREA|70878473|Hc Nm Gated Heart Multi Wall Motion + Ejection Fraction, Rest & Stress|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78473||WS HB DEFAULT|2,828.00
WS SERVICE AREA|93010431|Hc Rmvl/rplc Nstim System Sleep Apnea Pls Generator|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0431T||WS HB DEFAULT|39,573.00
WS SERVICE AREA|93010432|Hc Repos Nstim System Sleep Apnea Stimj Lead|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0432T||WS HB DEFAULT|10,661.00
WS SERVICE AREA|93010433|Hc Repos Nstim System Sleep Apnea Sensing Lead|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0433T||WS HB DEFAULT|10,661.00
WS SERVICE AREA|272121322|Hc Needle Spinal Disp 20ga X 6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.50
WS SERVICE AREA|271115161|Hc Sling Arm Cloth Buckle Clsr Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.40
WS SERVICE AREA|274115200|Hc Strap Clav Meek Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|L3650||WS HB DEFAULT|17.90
WS SERVICE AREA|274115199|Hc Strap Clav Hvy Imprv 40x4in Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|L3650||WS HB DEFAULT|24.70
WS SERVICE AREA|274115227|Hc Splint Wrist/frarm Univ Lt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|41.60
WS SERVICE AREA|274115226|Hc Splint Wrist/frarm Univ Rt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|41.60
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|10010068|HC TREATMENT OF SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12020||WS HB DEFAULT|2,418.00
WS SERVICE AREA|274119778|Hc Collar Cerv Med Dns Lg 5in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.20
WS SERVICE AREA|274115174|Hc Collar Cerv Med Dns Sm 3in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|25.60
WS SERVICE AREA|274115172|Hc Collar Cer Phil 4.25in 10-13|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|43.20
WS SERVICE AREA|274115179|Hc Collar Cer Ohil 5.25in 16-19|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|45.20
WS SERVICE AREA|274115178|Hc Collar Cer Phil 5.25in 13-16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|45.20
WS SERVICE AREA|274115214|Hc Splint Wrist Supp Cont Lt Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|26.20
WS SERVICE AREA|271115143|Hc Sho Ps Vlcr Clsr M Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|19.40
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|80080169|Hc Fetal Congenital Abnor Assay Five Anal|LABORATORY - GENERAL CLASSIFICATION [0300]|81512||WS HB DEFAULT|1,432.00
WS SERVICE AREA|10010069|HC TREATMENT OF SUPERFICIAL WOUND DEHISCENCE WITH PACKING|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12021||WS HB DEFAULT|1,886.00
WS SERVICE AREA|80080170|Hc Iaadi Herpes Smplx Virus Type 2|LABORATORY - GENERAL CLASSIFICATION [0300]|87273||WS HB DEFAULT|684.00
WS SERVICE AREA|80080171|Hc Iaadi Herpes Smplx Virus Type 1|LABORATORY - GENERAL CLASSIFICATION [0300]|87274||WS HB DEFAULT|684.00
WS SERVICE AREA|272135258|Hc Device Harvesting Cell Autologous Recell System|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28,066.20
WS SERVICE AREA|272135261|Hc Spray Antifungal/zinc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.60
WS SERVICE AREA|93010425|Hc Insj/rplc Nstim System Sleep Apnea Sensing Lead|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0425T||WS HB DEFAULT|15,069.00
WS SERVICE AREA|93010426|Hc Insj/rplc Nstim System Sleep Apnea Stimj Lead|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0426T||WS HB DEFAULT|49,467.00
WS SERVICE AREA|93010427|Hc Insj/rplc Nstim System Sleep Apnea Pls Generator|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0427T||WS HB DEFAULT|49,467.00
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|11.40
WS SERVICE AREA|272135078|Hc Dressing Wound Promogran 19.1sq In Mtrx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|86.20
WS SERVICE AREA|10010070|Hc Wound Body Layer =< 2.5 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12031||WS HB DEFAULT|1,134.00
WS SERVICE AREA|27018156|Hc Kit Enema Empty Snapcap Bag Rgd Tub 920|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.10
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|15.30
WS SERVICE AREA|27019324|Hc Ring Enema Vnyl Infl Wo Drain 820|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|10.10
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|11.90
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|35.80
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|250.00
WS SERVICE AREA|90095865|HC NEEDLE ELECTROMYOGRAPHY LARYNX|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95865||WS HB DEFAULT|473.00
WS SERVICE AREA|50051785|HC NDL EMG STDS EMG ANAL URTL SPHNCTR ANY METHOD|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|51785||WS HB DEFAULT|1,028.00
WS SERVICE AREA|60064510|HC NJX ANES STELLATE GANGLION CRV SYMPATHETIC|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64510||WS HB DEFAULT|3,402.00
WS SERVICE AREA|60063663|HC REV INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|63663||WS HB DEFAULT|15,811.00
WS SERVICE AREA|10010071|Hc Wound Body Layer 2.6-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12032||WS HB DEFAULT|1,257.00
WS SERVICE AREA|20022526|HC PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|22526||WS HB DEFAULT|550.00
WS SERVICE AREA|272130552|Hc Oxygenator Quadrox-d Perf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,455.20
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|10,146.90
WS SERVICE AREA|272112615|Hc Cannula 10031 Avalonelite 31fr Perfusion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,578.70
WS SERVICE AREA|272112621|Hc Cannula 10023 Avalonelite 23fr Perfusion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,578.70
WS SERVICE AREA|272112412|Hc Sensor Sc90 900/30 Bg/lyt/met|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,909.50
WS SERVICE AREA|272112232|Hc Cannula Venous Rtn Dual Drain|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|187.50
WS SERVICE AREA|27255940|Hc Tubing Perf 72.5inx3/32in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|224.20
WS SERVICE AREA|27288800|Hc Pump Blood Revolution Centrifugal Disposable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|599.50
WS SERVICE AREA|50059000|Hc Delivery Of Placenta|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|59414||WS HB DEFAULT|10,379.00
WS SERVICE AREA|272125901|Hc 8f Oxygenator (bundle Only)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,124.40
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|345.30
WS SERVICE AREA|272122686|Hc Set Bowl Pas Xtra X/175|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|345.30
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|1,524.90
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|1,722.40
WS SERVICE AREA|272125219|Hc Cannula Bio-medicus 17fr 96530-117 (art Ng)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,756.60
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|10010072|Hc Wound Body Layer 7.6-12.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12034||WS HB DEFAULT|1,375.00
WS SERVICE AREA|272125221|Hc Cannula Bio-medicus 21fr 96530-121 (art Ng)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,756.60
WS SERVICE AREA|272125222|Hc Cannula Bio-medicus 23fr 96530-123 (art Ng)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,756.60
WS SERVICE AREA|272101392|Hc Vascular Dilator Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|882.40
WS SERVICE AREA|272112607|Hc Cannula Bio-medicus 23fr Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,503.80
WS SERVICE AREA|272112608|Hc Cannula Bio-medicus 19fr Venous|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,597.80
WS SERVICE AREA|272112609|Hc Cannula Bio-medicus 19fr Arterial|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,651.90
WS SERVICE AREA|272112610|Hc Cannula Bio-medicus 21fr Venous|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,597.80
WS SERVICE AREA|272112611|Hc Kit Insertion Biomedicus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|250.00
WS SERVICE AREA|272112612|Hc Cannula Bio-medicus 17 Fr Arterial|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,503.80
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|10010073|Hc Wound Body Layer 12.6-20|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12035||WS HB DEFAULT|1,479.00
WS SERVICE AREA|272110448|Hc Catheter 14fr 25cm Drain Ap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|325.50
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|1,503.80
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|1,503.80
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|1,503.80
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|1,503.80
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|1,500.90
WS SERVICE AREA|272124449|Hc Cannula 96670-123 Bio-medicus 23fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,709.00
WS SERVICE AREA|272124450|Hc Cannula 96670-125 Bio-medicus 25fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,709.00
WS SERVICE AREA|272124451|Hc Cannula 96670-127 Bio-medicus 27fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,709.00
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|1,597.80
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|1,597.80
WS SERVICE AREA|10010074|Hc Wound Body Layer 20.1-30|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12036||WS HB DEFAULT|2,415.00
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|286.50
WS SERVICE AREA|272122687|Hc Set Bowl Pas Xtra X/225|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|345.30
WS SERVICE AREA|272122690|Hc Reservior Xres B Gross Bottom Outlet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|204.80
WS SERVICE AREA|27293390|Hc Adapter Reservoir Outlet Sampling|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|138.30
WS SERVICE AREA|272110592|Hc Bag Blood Brat Prp Collect|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|345.30
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|121.00
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|1,879.80
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|1,879.80
WS SERVICE AREA|10010075|Hc Wound Body Layer >30|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12037||WS HB DEFAULT|2,643.00
WS SERVICE AREA|27278473|Hc Reservoir Crdtm Filter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|335.70
WS SERVICE AREA|27282194|Hc Tubing Perf 1/4inx1/16in 72in Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.30
WS SERVICE AREA|27287341|Hc Bag Centrif Wst Brat Well|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|114.40
WS SERVICE AREA|27294124|Hc Heater/cooler Perf Biotherm Ss Heat Exchgr 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,245.30
WS SERVICE AREA|27297955|Hc Filter Art 20 U Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|185.90
WS SERVICE AREA|272124448|Hc Cannula 96670-121 Bio-medicus 21fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,699.00
WS SERVICE AREA|272132903|Hc Cannula Venous Fem 26fr Alpine Fem-v1026|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,822.20
WS SERVICE AREA|272133044|Hc Cannula Venous Fem 24fr Alpine Fem-v1024|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,822.20
WS SERVICE AREA|272133043|Hc Cannula Venous Fem 22fr Alpine Fem-v1022|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,822.20
WS SERVICE AREA|80080172|HC TPMT GENE ANALAYSIS COMMON VARIANTS|LABORATORY - GENERAL CLASSIFICATION [0300]|85046||WS HB DEFAULT|41.00
WS SERVICE AREA|40049410|Hc Simple Cntrl Nose Bleed|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|42970||WS HB DEFAULT|2,789.00
WS SERVICE AREA|80080173|Hc Reticulated Platelet Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|85055||WS HB DEFAULT|209.00
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|10,424.00
WS SERVICE AREA|90010032|Hc Gastroesophag Reflx Test W/intrluml Imped Eltrd|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|91037||WS HB DEFAULT|1,122.00
WS SERVICE AREA|272128426|Hc Kit Small Foam Wound Vac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|184.10
WS SERVICE AREA|270110503|Hc Positioner Glide&guide 56in W/ Side Straps Primo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|164.10
WS SERVICE AREA|274115132|HC BOOT SPLINT ORTHO FT REG/UNI|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L4396||WS HB DEFAULT|163.90
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|266.50
WS SERVICE AREA|10010076|Hc Wound Body/ext Lay/com =<2.5 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12041||WS HB DEFAULT|1,134.00
WS SERVICE AREA|27401208|HC OTHS THOR LUMBOSAC ANT FRAME|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L0472||WS HB DEFAULT|1,592.10
WS SERVICE AREA|274118223|HC TLSO VISTA 464|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L0464||WS HB DEFAULT|5,071.00
WS SERVICE AREA|27001275|Hc Helmet Hardshell Danmar Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|605.20
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|661.00
WS SERVICE AREA|90095955|Hc Eeg Nonintracranial Surgery|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95955||WS HB DEFAULT|517.00
WS SERVICE AREA|90095961|Hc Funcjal Cort&subcort Mapg Phys/qhp Attnd Init Hr|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95961||WS HB DEFAULT|3,379.00
WS SERVICE AREA|90095962|Hc Funcjal Cort&subcort Mapg Phys/qhp Attnd Addl Hr|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95962||WS HB DEFAULT|845.00
WS SERVICE AREA|272109763|Hc Guidewire Vasc .025in 13.125in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|33.80
WS SERVICE AREA|272135947|Hc Catheter Rapid Infus Ex Arrow|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|50.10
WS SERVICE AREA|10010077|Hc Wound Body/ext Layer 2.6-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12042||WS HB DEFAULT|1,134.00
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|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|40049409|Hc Repair Lip Ft; > 1/2 V Hgt Or Complex|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|40654||WS HB DEFAULT|4,850.00
WS SERVICE AREA|80080185|Hc Flowcytometry/tc Add-on|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88185||WS HB DEFAULT|223.00
WS SERVICE AREA|80080186|Hc Molecular Cytogenetics Dna Probe Each|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88271||WS HB DEFAULT|585.00
WS SERVICE AREA|80080188|Hc Molec Cytg Interphase Ish Analyze 100-300 Cll|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88275||WS HB DEFAULT|631.00
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|2,765.00
WS SERVICE AREA|10000588|HC REVISION OR REMOVAL ISDNS POSTERIOR TIBIAL NRV|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0588T||WS HB DEFAULT|1,157.00
WS SERVICE AREA|10000589|Hc Elec Alys Smpl Prgrmg Iins Ptn 1-3 Parameters|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|0589T||WS HB DEFAULT|500.00
WS SERVICE AREA|10000590|Hc Elec Alys Cplx Prgrmg Iins Ptn 4+ Parameters|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|0590T||WS HB DEFAULT|500.00
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|10010078|Hc Wound Body/ext Layer 7.6-12.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12044||WS HB DEFAULT|1,134.00
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|2,765.00
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|2,765.00
WS SERVICE AREA|60064624|HC DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64624||WS HB DEFAULT|7,600.00
WS SERVICE AREA|60064625|HC RADIOFREQUENCY ABLT NRV NRVTG SI JT W/IMG|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64625||WS HB DEFAULT|7,600.00
WS SERVICE AREA|70274221|HC RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74221||WS HB DEFAULT|1,447.00
WS SERVICE AREA|70274248|HC RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74248||WS HB DEFAULT|1,511.00
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|2,867.00
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|2,867.00
WS SERVICE AREA|10010079|Hc Wound Body/ext Layer 12.6-20|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12045||WS HB DEFAULT|2,643.00
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|2,867.00
WS SERVICE AREA|70878835|HC RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78835||WS HB DEFAULT|717.00
WS SERVICE AREA|80080145|Hc Drug Assay Adalimumab|LABORATORY - GENERAL CLASSIFICATION [0300]|80145||WS HB DEFAULT|155.00
WS SERVICE AREA|80080235|Hc Drug Assay Lacosamide|LABORATORY - GENERAL CLASSIFICATION [0300]|80235||WS HB DEFAULT|109.00
WS SERVICE AREA|80080280|Hc Drug Assay Vedolizumab|LABORATORY - GENERAL CLASSIFICATION [0300]|80280||WS HB DEFAULT|155.00
WS SERVICE AREA|80080285|Hc Drug Assay Voriconazole|LABORATORY - GENERAL CLASSIFICATION [0300]|80285||WS HB DEFAULT|109.00
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|40049408|Hc Repair Lip Ft; Up To Half Vertical Hght|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|40652||WS HB DEFAULT|5,495.00
WS SERVICE AREA|80081522|Hc Oncology Breast Mrna Gene Xprsn Prfl 12 Genes|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81522||WS HB DEFAULT|13,630.00
WS SERVICE AREA|80087563|Hc Iadna Mycoplasma Genitalium Amplified Probe Tech|LABORATORY - GENERAL CLASSIFICATION [0300]|87563||WS HB DEFAULT|140.00
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|2,446.00
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|6,998.00
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|6,998.00
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|6,998.00
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|6,998.00
WS SERVICE AREA|90097129|HC THER IVNT COG FUNC CNTCT 1ST 15 MINUTES|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97129||WS HB DEFAULT|177.00
WS SERVICE AREA|90197129|HC THER IVNT COG FUNC CNTCT 1ST 15 MINUTES|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|97129||WS HB DEFAULT|177.00
WS SERVICE AREA|90097130|HC THER IVNT COG FUNC CNTCT EA ADDL 15 MINUTES|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97130||WS HB DEFAULT|141.00
WS SERVICE AREA|10010080|Hc Wound Body/ext Layer 20.1-30|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12046||WS HB DEFAULT|2,643.00
WS SERVICE AREA|272110449|Hc Catheter 16fr 25cm Drain Ap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|328.50
WS SERVICE AREA|90197130|HC THER IVNT COG FUNC CNTCT EA ADDL 15 MINUTES|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|97130||WS HB DEFAULT|141.00
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|1,774.00
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|1,183.00
WS SERVICE AREA|60062328|Hc Diagnostic Lumbar Spinal Puncture W/fluor Or Ct|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62328||WS HB DEFAULT|3,135.00
WS SERVICE AREA|60062329|Hc Therapeutic Spinal Pnxr Drainage Csf W/fluor/ct|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62329||WS HB DEFAULT|3,051.00
WS SERVICE AREA|80080230|Hc Drug Assay Infliximab|LABORATORY - GENERAL CLASSIFICATION [0300]|80230||WS HB DEFAULT|155.00
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|899.00
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||WS HB DEFAULT|348.00
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|155.90
WS SERVICE AREA|10010081|Hc Wound Body/ext Layer >30|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12047||WS HB DEFAULT|2,954.00
WS SERVICE AREA|27126829|Hc Sling Xfr Disp Arjo Sara 3000 Flites|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|104.90
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|96.10
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|96.10
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|96.10
WS SERVICE AREA|270115135|Hc Pillow Abd Foam Cncv Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|105.80
WS SERVICE AREA|272121077|Hc Kit Needleless Bld Smplng 12cc Rsrvr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|153.40
WS SERVICE AREA|272110475|HC CANISTER THOPAZ 800ML NEG PRESSURE CHEST DRAINAGE|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|179.10
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|100.60
WS SERVICE AREA|272115020|Hc Milk Breast Hmn Fort Prolact+4 20ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|847.30
WS SERVICE AREA|272115019|Hc Milk Breast Hmn Fort Prolact Hm 4oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|238.30
WS SERVICE AREA|20010303|Hc Inj/drain/asp Small Joint/bursa W/us|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20604||WS HB DEFAULT|9,603.00
WS SERVICE AREA|270107097|HC COVER PHOTOTHERAPY BLANKET NEOBLUE LG|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|999.20
WS SERVICE AREA|270107096|HC COVER PHOTOTHERAPY BLANKET NEOBLUE SM|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|993.70
WS SERVICE AREA|272114842|Hc Catheter Umb Vsl 2lum 18/21g 5f 38cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|143.80
WS SERVICE AREA|272007302|Hc Cassette Cadd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.30
WS SERVICE AREA|25010126|Hc Leech Medicinal|PHARMACY - GENERAL CLASSIFICATION [0250]|||WS HB DEFAULT|134.00
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|193.00
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|63.00
WS SERVICE AREA|10010082|Hc Wound Head Layer =<2.5 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12051||WS HB DEFAULT|1,134.00
WS SERVICE AREA|80086711|Hc Antibody John Cunningham Virus|LABORATORY - GENERAL CLASSIFICATION [0300]|86711||WS HB DEFAULT|3,408.00
WS SERVICE AREA|270134545|Hc Positioner Fluidized Z-flo Sm 12in X 20in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|179.40
WS SERVICE AREA|30032160|Hc Ip Thoracotomy W/cardiac Massage|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|32160||WS HB DEFAULT|3,190.00
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|1,044.00
WS SERVICE AREA|90095700|Hc Eeg Cont Rec W/video By Tech Min 8 Channels|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95700||WS HB DEFAULT|874.00
WS SERVICE AREA|90095705|Hc Eeg W/o Video By Tech 2-12 Hr Unmonitored|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95705||WS HB DEFAULT|874.00
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|2,446.00
WS SERVICE AREA|10000272|Hc Intrgortion Dev Eval Cartd Sins Barreflx W/i&r|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|0272T||WS HB DEFAULT|441.00
WS SERVICE AREA|10000273|Hc Introgation Dev Eval Cartd Sins Barreflx W/prgrm|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|0273T||WS HB DEFAULT|441.00
WS SERVICE AREA|10010083|Hc Wound Head Layer 2.6-5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12052||WS HB DEFAULT|1,134.00
WS SERVICE AREA|40041008|Hc Intraoral I&d Tongue/floor Submndblr Space|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|41008||WS HB DEFAULT|11,582.00
WS SERVICE AREA|70200010|Hc Fl Cisternography Positive Contrast|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70015||WS HB DEFAULT|734.00
WS SERVICE AREA|70100010|Hc Xr Eye Foreign Body|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70030||WS HB DEFAULT|448.00
WS SERVICE AREA|70100011|Hc Xr Mandible Limited <4vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70100||WS HB DEFAULT|522.00
WS SERVICE AREA|70100013|Hc Xr Mastoid Limited <3vw Ea Side|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70120||WS HB DEFAULT|248.00
WS SERVICE AREA|70100014|Hc Xr Mastoid Complete 3+vw Ea Side|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70130||WS HB DEFAULT|731.00
WS SERVICE AREA|70100015|Hc Xr Facial Bones <3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70140||WS HB DEFAULT|636.00
WS SERVICE AREA|70100016|Hc Xr Facial Bones Complete 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70150||WS HB DEFAULT|925.00
WS SERVICE AREA|70100017|Hc Xr Nasal Bones Complete 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70160||WS HB DEFAULT|636.00
WS SERVICE AREA|70100018|Hc Xr Orbits Complete 4+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70200||WS HB DEFAULT|852.00
WS SERVICE AREA|20010302|Hc Extensor Tendon Repair Each|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26418||WS HB DEFAULT|17,322.00
WS SERVICE AREA|70100019|Hc Xr Sinuses Paranasal Limited <3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70210||WS HB DEFAULT|533.00
WS SERVICE AREA|70100020|Hc Xr Sinuses Paranasal Complete 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70220||WS HB DEFAULT|917.00
WS SERVICE AREA|70100021|Hc Xr Sella Turcia|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70240||WS HB DEFAULT|541.00
WS SERVICE AREA|70100022|Hc Xr Skull Limited <4vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70250||WS HB DEFAULT|676.00
WS SERVICE AREA|70100023|Hc Xr Skull Complete 4+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70260||WS HB DEFAULT|1,007.00
WS SERVICE AREA|70100024|Hc Xr Tmj Unilateral|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70328||WS HB DEFAULT|588.00
WS SERVICE AREA|70100025|Hc Xr Tmj Bilateral|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70330||WS HB DEFAULT|663.00
WS SERVICE AREA|70200011|Hc Fl Arthrogram Tm Joint*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70332||WS HB DEFAULT|906.00
WS SERVICE AREA|70300010|Hc Mri Temporomandibular Joint|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70336||WS HB DEFAULT|3,116.00
WS SERVICE AREA|70100026|Hc Xr Orthopantogram|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70355||WS HB DEFAULT|606.00
WS SERVICE AREA|10010084|Hc Wound Head Layer 5.1-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12053||WS HB DEFAULT|1,134.00
WS SERVICE AREA|70100027|Hc Xr Neck Soft Tissue|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70360||WS HB DEFAULT|379.00
WS SERVICE AREA|70200012|Hc Fl Sialogram|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70390||WS HB DEFAULT|707.00
WS SERVICE AREA|70500012|Hc Ct Head Or Brain W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70450||WS HB DEFAULT|3,647.00
WS SERVICE AREA|70500013|Hc Ct Head Or Brain With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70460||WS HB DEFAULT|4,081.00
WS SERVICE AREA|70500014|Hc Ct Head Or Brain W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70470||WS HB DEFAULT|4,836.00
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|3,561.00
WS SERVICE AREA|70500016|Hc Ct Orbit, Sella, Posterior Fossa, Inner-mid Ear With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70481||WS HB DEFAULT|3,988.00
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|4,336.00
WS SERVICE AREA|70500018|Hc Ct Maxillofacial W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70486||WS HB DEFAULT|3,391.00
WS SERVICE AREA|70500019|Hc Ct Maxillofacial With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70487||WS HB DEFAULT|3,787.00
WS SERVICE AREA|10010085|Hc Wound Head Layer 7.6-12.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12054||WS HB DEFAULT|1,134.00
WS SERVICE AREA|70500020|Hc Ct Maxillofacial W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70488||WS HB DEFAULT|4,140.00
WS SERVICE AREA|70500022|Hc Ct Soft Tissue Neck W/contrast Material|CT SCAN - GENERAL CLASSIFICATION [0350]|70491||WS HB DEFAULT|4,311.00
WS SERVICE AREA|70500023|Hc Ct Neck Soft Tissue W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70492||WS HB DEFAULT|5,037.00
WS SERVICE AREA|70500024|Hc Ct Angiography Head W/contrast/noncontrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70496||WS HB DEFAULT|5,491.00
WS SERVICE AREA|70500027|Hc Ct Angiography Neck W/contrast/noncontrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70498||WS HB DEFAULT|4,549.00
WS SERVICE AREA|70300014|Hc Mri Face Neck Orbits W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70540||WS HB DEFAULT|4,353.00
WS SERVICE AREA|70300015|Hc Mri Face Neck Orbits W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70543||WS HB DEFAULT|5,333.00
WS SERVICE AREA|70300016|Hc Mr Angio Head W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70544||WS HB DEFAULT|3,490.00
WS SERVICE AREA|70300017|Hc Mr Angio Head W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70546||WS HB DEFAULT|4,675.00
WS SERVICE AREA|70300018|Hc Mr Angio Neck W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70547||WS HB DEFAULT|3,357.00
WS SERVICE AREA|10010086|Hc Wound Head Layer 12.6-20|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12055||WS HB DEFAULT|1,134.00
WS SERVICE AREA|70300019|Hc Mr Angio Neck W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70549||WS HB DEFAULT|4,641.00
WS SERVICE AREA|70300020|Hc Mri Brain  W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70551||WS HB DEFAULT|4,458.00
WS SERVICE AREA|70300021|Hc Mri Brain With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70552||WS HB DEFAULT|4,845.00
WS SERVICE AREA|70300022|Hc Mri Brain W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70553||WS HB DEFAULT|5,844.00
WS SERVICE AREA|70300023|Hc Mri Brain Mapping|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70554||WS HB DEFAULT|4,161.00
WS SERVICE AREA|70100036|Hc Xr Ribs Unilateral 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|71100||WS HB DEFAULT|693.00
WS SERVICE AREA|70100037|Hc Xr Ribs Unilateral+pa Chest 3vw Min|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|71101||WS HB DEFAULT|799.00
WS SERVICE AREA|70100038|Hc Xr Ribs Bilateral 3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|71110||WS HB DEFAULT|810.00
WS SERVICE AREA|70100039|Hc Xr Ribs Bilateral+pa Chest 4+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|71111||WS HB DEFAULT|834.00
WS SERVICE AREA|70100040|Hc Xr Sternum 2+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|71120||WS HB DEFAULT|755.00
WS SERVICE AREA|10010087|Hc Wound Head Layer 20.1-30|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12056||WS HB DEFAULT|2,643.00
WS SERVICE AREA|70100041|Hc Xr Sternoclavicular Jonts 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|71130||WS HB DEFAULT|1,257.00
WS SERVICE AREA|70500028|HC DIAGNOSTIC CT THORAX W/O CONTRAST|CT SCAN - GENERAL CLASSIFICATION [0350]|71250||WS HB DEFAULT|3,960.00
WS SERVICE AREA|70500029|HC DIAGNOSTIC CT THORAX WITH CONTRAST|CT SCAN - GENERAL CLASSIFICATION [0350]|71260||WS HB DEFAULT|4,016.00
WS SERVICE AREA|70500030|HC DIAGNOSTIC CT THORAX W and W/O CONTRAST|CT SCAN - GENERAL CLASSIFICATION [0350]|71270||WS HB DEFAULT|4,930.00
WS SERVICE AREA|70500031|Hc Ct Angiography Chest W/contrast/noncontrast|CT SCAN - GENERAL CLASSIFICATION [0350]|71275||WS HB DEFAULT|3,465.00
WS SERVICE AREA|70300024|Hc Mri Chest W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|71550||WS HB DEFAULT|4,421.00
WS SERVICE AREA|70300026|Hc Mri Chest W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|71552||WS HB DEFAULT|5,200.00
WS SERVICE AREA|70100043|Hc Xr Spine Specify Level 1vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72020||WS HB DEFAULT|445.00
WS SERVICE AREA|70100044|Hc Xr Spine Cervical Ap+lat 2-3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72040||WS HB DEFAULT|796.00
WS SERVICE AREA|70100045|Hc Xr Spine Cervical 4+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72050||WS HB DEFAULT|1,072.00
WS SERVICE AREA|10010088|Hc Wound Head Layer >30|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|12057||WS HB DEFAULT|2,954.00
WS SERVICE AREA|70376498|Hc Mri Unlisted Procedure|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|76498||WS HB DEFAULT|3,214.00
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|1,201.00
WS SERVICE AREA|70100048|Hc Xr Spine Thoracic 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72070||WS HB DEFAULT|792.00
WS SERVICE AREA|70100049|Hc Xr Spine Thoracic 3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72072||WS HB DEFAULT|940.00
WS SERVICE AREA|70100050|Hc Xr Spine Thoracolumbar 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72080||WS HB DEFAULT|743.00
WS SERVICE AREA|70100051|Hc Xr Spine Lumbosacral 2-3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72100||WS HB DEFAULT|834.00
WS SERVICE AREA|70100052|Hc Xr Spine Lumbosacral 4+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72110||WS HB DEFAULT|1,235.00
WS SERVICE AREA|70100053|Hc Xr Spine Lumbosacral Complete W/bend 6+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72114||WS HB DEFAULT|1,254.00
WS SERVICE AREA|70100054|Hc Xr Spine Lumbosacral/bending Only 2-3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72120||WS HB DEFAULT|836.00
WS SERVICE AREA|70500033|Hc Ct Cervical Spine W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72125||WS HB DEFAULT|4,109.00
WS SERVICE AREA|70500034|Hc Ct Cervical Spine With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72126||WS HB DEFAULT|4,333.00
WS SERVICE AREA|10010089|Hc Wound Trunk Comp 1.1-2.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13100||WS HB DEFAULT|3,399.00
WS SERVICE AREA|70500035|Hc Ct Cervical Spine W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72127||WS HB DEFAULT|4,443.00
WS SERVICE AREA|70500036|Hc Ct Thoracic Spine W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72128||WS HB DEFAULT|4,054.00
WS SERVICE AREA|70500037|Hc Ct Thoracic Spine With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72129||WS HB DEFAULT|4,494.00
WS SERVICE AREA|70500038|Hc Ct Thoracic Spine W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72130||WS HB DEFAULT|5,227.00
WS SERVICE AREA|70500039|Hc Ct Lumbar Spine W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72131||WS HB DEFAULT|4,140.00
WS SERVICE AREA|70500040|Hc Ct Lumbar Spine With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72132||WS HB DEFAULT|4,383.00
WS SERVICE AREA|70500041|Hc Ct Lumbar Spine W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72133||WS HB DEFAULT|5,033.00
WS SERVICE AREA|70300027|Hc Mri Cervical Spine W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612]|72141||WS HB DEFAULT|4,299.00
WS SERVICE AREA|70300028|Hc Mri Cervical Spine With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612]|72142||WS HB DEFAULT|4,477.00
WS SERVICE AREA|70300029|Hc Mri Thoracic Spine W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612]|72146||WS HB DEFAULT|4,304.00
WS SERVICE AREA|10010090|Hc Wound Trunk Comp 2.6-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13101||WS HB DEFAULT|3,399.00
WS SERVICE AREA|70300030|Hc Mri Thoracic Spine With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612]|72147||WS HB DEFAULT|4,889.00
WS SERVICE AREA|70300031|Hc Mri Lumbar Spine W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612]|72148||WS HB DEFAULT|4,336.00
WS SERVICE AREA|70300032|Hc Mri Lumbar Spine With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRI - SPINAL CORD/SPINE) [0612]|72149||WS HB DEFAULT|4,995.00
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|5,932.00
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|5,788.00
WS SERVICE AREA|70100055|Hc Xr Pelvis 1-2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72170||WS HB DEFAULT|592.00
WS SERVICE AREA|70100056|Hc Xr Pelvis Complete 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72190||WS HB DEFAULT|646.00
WS SERVICE AREA|70500042|Hc Ct Angio Pelvis W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72191||WS HB DEFAULT|4,564.00
WS SERVICE AREA|70500043|Hc Ct Pelvis W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72192||WS HB DEFAULT|3,369.00
WS SERVICE AREA|70500044|Hc Ct Pelvis With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72193||WS HB DEFAULT|4,119.00
WS SERVICE AREA|10010092|Hc Wound Comp Ext 1.1-2.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13120||WS HB DEFAULT|2,643.00
WS SERVICE AREA|70500045|Hc Ct Pelvis W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|72194||WS HB DEFAULT|4,812.00
WS SERVICE AREA|70300036|Hc Mri Pelvis W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|72195||WS HB DEFAULT|4,421.00
WS SERVICE AREA|70300037|Hc Mri Pelvis With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|72196||WS HB DEFAULT|4,528.00
WS SERVICE AREA|70300038|Hc Mri Pelvis W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|72197||WS HB DEFAULT|5,106.00
WS SERVICE AREA|70100057|Hc Xr Sacroiliac Joints 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72202||WS HB DEFAULT|676.00
WS SERVICE AREA|70100058|Hc Xr Sacrum+coccyx 2+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72220||WS HB DEFAULT|701.00
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|70200018|Hc Fl Discography Lumbar|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72295||WS HB DEFAULT|1,587.00
WS SERVICE AREA|10010093|Hc Wound Comp Ext 2.6-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13121||WS HB DEFAULT|2,643.00
WS SERVICE AREA|70100059|Hc Xr Clavicle Complete|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73000||WS HB DEFAULT|590.00
WS SERVICE AREA|70100060|Hc Xr Scapula Complete|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73010||WS HB DEFAULT|583.00
WS SERVICE AREA|70100061|Hc Xr Shoulder 1vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73020||WS HB DEFAULT|492.00
WS SERVICE AREA|70100062|Hc Xr Shoulder Complete 2+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73030||WS HB DEFAULT|676.00
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|663.00
WS SERVICE AREA|70100064|Hc Xr Humerus 2+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73060||WS HB DEFAULT|574.00
WS SERVICE AREA|70100065|Hc Xr Elbow 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73070||WS HB DEFAULT|471.00
WS SERVICE AREA|70100066|Hc Xr Elbow Complete 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73080||WS HB DEFAULT|638.00
WS SERVICE AREA|70200020|Hc Fl Arthrography Elbow*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73085||WS HB DEFAULT|537.00
WS SERVICE AREA|10010094|Hc Wound Comp Ext Addtl =< 5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13122||WS HB DEFAULT|2,643.00
WS SERVICE AREA|70100067|Hc Xr Forearm 2+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73090||WS HB DEFAULT|583.00
WS SERVICE AREA|70100068|Hc Xr Extremity Upper Infant < 12months 2+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73092||WS HB DEFAULT|608.00
WS SERVICE AREA|70100069|Hc Xr Wrist 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73100||WS HB DEFAULT|483.00
WS SERVICE AREA|70100070|Hc Xr Wrist Complete 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73110||WS HB DEFAULT|574.00
WS SERVICE AREA|70200021|HC RADIOLOGIC WRIST ARTHROGRAPHY RS&I|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73115||WS HB DEFAULT|593.00
WS SERVICE AREA|70100071|Hc Xr Hand 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73120||WS HB DEFAULT|581.00
WS SERVICE AREA|70100072|Hc Xr Hand 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73130||WS HB DEFAULT|646.00
WS SERVICE AREA|70100073|Hc Xr Finger(s) 2 Vw Min|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73140||WS HB DEFAULT|445.00
WS SERVICE AREA|70500047|Hc Ct Upper Extremity W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|73200||WS HB DEFAULT|2,956.00
WS SERVICE AREA|70500048|Hc Ct Upper Extremity With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|73201||WS HB DEFAULT|3,260.00
WS SERVICE AREA|10010095|Hc Wound Body Comp 1.1-2.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13131||WS HB DEFAULT|2,643.00
WS SERVICE AREA|70500049|Hc Ct Upper Extremity W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|73202||WS HB DEFAULT|3,552.00
WS SERVICE AREA|70500050|Hc Ct Angio Upper Extremity W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|73206||WS HB DEFAULT|3,549.00
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|4,253.00
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|5,166.00
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|3,783.00
WS SERVICE AREA|70300042|Hc Mri Joint Upper Extremity Any Joint With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73222||WS HB DEFAULT|4,257.00
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|5,034.00
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|424.00
WS SERVICE AREA|70100082|Hc Xr Knee 3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73562||WS HB DEFAULT|659.00
WS SERVICE AREA|10010096|Hc Wound Body Comp 2.6-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13132||WS HB DEFAULT|2,954.00
WS SERVICE AREA|70100083|Hc Xr Knee Complete 4+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73564||WS HB DEFAULT|667.00
WS SERVICE AREA|70100084|Hc Xr Knee Both Knees Standing Ap|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73565||WS HB DEFAULT|492.00
WS SERVICE AREA|70200023|Hc Fl Arthrography Knee*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73580||WS HB DEFAULT|676.00
WS SERVICE AREA|70100085|Hc Xr Tib+fib 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73590||WS HB DEFAULT|583.00
WS SERVICE AREA|70100086|Hc Xr Extremity Lower Infant< 12m 2+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73592||WS HB DEFAULT|627.00
WS SERVICE AREA|70100087|Hc Xr Ankle 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73600||WS HB DEFAULT|483.00
WS SERVICE AREA|70100088|Hc Xr Ankle Complete 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73610||WS HB DEFAULT|638.00
WS SERVICE AREA|70200024|Hc Fl Arthrogram Ankle*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73615||WS HB DEFAULT|490.00
WS SERVICE AREA|70100089|Hc Xr Foot 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73620||WS HB DEFAULT|453.00
WS SERVICE AREA|70100090|Hc Xr Foot Complete 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73630||WS HB DEFAULT|638.00
WS SERVICE AREA|10010097|Hc Wound Body Comp Ea Add =<5 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13133||WS HB DEFAULT|2,954.00
WS SERVICE AREA|70100091|Hc Xr Calcaneus 2+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73650||WS HB DEFAULT|562.00
WS SERVICE AREA|70100092|Hc Xr Toe(s) 2+vws|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73660||WS HB DEFAULT|269.00
WS SERVICE AREA|70500051|Hc Ct Extremity Lower W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|73700||WS HB DEFAULT|3,001.00
WS SERVICE AREA|70500052|Hc Ct Extremity Lower With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|73701||WS HB DEFAULT|3,263.00
WS SERVICE AREA|70500053|Hc Ct Extremity Lower W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|73702||WS HB DEFAULT|3,649.00
WS SERVICE AREA|70500054|Hc Ct Angio Extremity Lower W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|73706||WS HB DEFAULT|4,526.00
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|4,191.00
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|5,105.00
WS SERVICE AREA|70300046|Hc Mri Extremity Lower Any Joint W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73721||WS HB DEFAULT|3,783.00
WS SERVICE AREA|70300047|Hc Mri Extremity Lower Any Joint With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73722||WS HB DEFAULT|4,642.00
WS SERVICE AREA|10010099|Hc Wound Head Comp 1.1-2.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13151||WS HB DEFAULT|3,399.00
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|5,061.00
WS SERVICE AREA|70100096|Hc Xr Abdomen Complete Acute Supine Erect &/or Decub 1vw Chest|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74022||WS HB DEFAULT|571.00
WS SERVICE AREA|70500055|Hc Ct Abdomen W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|74150||WS HB DEFAULT|3,492.00
WS SERVICE AREA|70500056|Hc Ct Abdomen With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|74160||WS HB DEFAULT|4,328.00
WS SERVICE AREA|70500057|Hc Ct Abdomen W+wo Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|74170||WS HB DEFAULT|4,855.00
WS SERVICE AREA|70500058|HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG|CT SCAN - GENERAL CLASSIFICATION [0350]|74174||WS HB DEFAULT|7,122.00
WS SERVICE AREA|70500060|Hc Ct Angio Abdomen W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|74175||WS HB DEFAULT|5,270.00
WS SERVICE AREA|70500061|Hc Ct Abdomen & Pelvis W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|74176||WS HB DEFAULT|5,717.00
WS SERVICE AREA|70500062|Hc Ct Abdomen & Pelvis With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|74177||WS HB DEFAULT|7,037.00
WS SERVICE AREA|70500063|Hc Ct Abdomen & Pelvis W+w/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|74178||WS HB DEFAULT|8,055.00
WS SERVICE AREA|10010100|Hc Wound Head Comp 2.6-7.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13152||WS HB DEFAULT|3,399.00
WS SERVICE AREA|60060699|Hc Endocrine System Procedure Unlisted|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|60699||WS HB DEFAULT|9,376.00
WS SERVICE AREA|70300049|Hc Mri Abdomen W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|74181||WS HB DEFAULT|4,600.00
WS SERVICE AREA|70300050|Hc Mri Abdomen W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|74183||WS HB DEFAULT|5,566.00
WS SERVICE AREA|70200025|HC RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74220||WS HB DEFAULT|857.00
WS SERVICE AREA|70200026|HC RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74230||WS HB DEFAULT|1,377.00
WS SERVICE AREA|70200027|HC RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74240||WS HB DEFAULT|922.00
WS SERVICE AREA|70200029|HC RAD EXAM UPR GI TRC DOUBLE CONTRAST STUDY, KUB, DELAY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74246||WS HB DEFAULT|1,388.00
WS SERVICE AREA|70200054|HC RADIOLOGIC ABSCESS/FISTULA/SINUS TRACT RS&I|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|76080||WS HB DEFAULT|779.00
WS SERVICE AREA|70500021|Hc Ct Neck Soft Tissue W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|70490||WS HB DEFAULT|3,735.00
WS SERVICE AREA|70200032|HC RAD EXAM SMALL INT SINGLE CONTRAST STUDY W/SCOUT|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74250||WS HB DEFAULT|1,048.00
WS SERVICE AREA|70200033|HC FL RAD EXAM COLON SINGLE CONTRAST STUDY, DELAY, SCOUT|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74270||WS HB DEFAULT|1,447.00
WS SERVICE AREA|10010101|Hc Wound Head Comp Ea Add =<5 Cm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|13153||WS HB DEFAULT|2,643.00
WS SERVICE AREA|70200034|HC FL RAD EXAM COLON DOUBLE CONTRAST STUDY, DELAY, SCOUT|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74280||WS HB DEFAULT|1,697.00
WS SERVICE AREA|70200035|Hc Fl Gb/cholecystography +oral Contrast|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74290||WS HB DEFAULT|658.00
WS SERVICE AREA|70200036|Hc Fl Cholangiography Operative C-arm|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74300||WS HB DEFAULT|1,202.00
WS SERVICE AREA|70200039|Hc Fl Ercp Films -combined Endocsopic Cath Of Biliary/pancreatic System|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74330||WS HB DEFAULT|2,760.00
WS SERVICE AREA|70200040|Hc Fl Intro Of Gi Tube*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74340||WS HB DEFAULT|1,060.00
WS SERVICE AREA|70100097|Hc Xr Ivp Limited/urography Reduced 52|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74400|52|WS HB DEFAULT|856.00
WS SERVICE AREA|70100098|Hc Xr Urography Iv W/wo Kub W/wo Tomography|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74400||WS HB DEFAULT|1,213.00
WS SERVICE AREA|70100099|Hc Ivp/urography Infusion Contrast Xray|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74410||WS HB DEFAULT|1,127.00
WS SERVICE AREA|70100100|Hc Ivp/urography Infusion W/nephrotomography|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74415||WS HB DEFAULT|1,620.00
WS SERVICE AREA|70200041|HC X-RAY URINARY TRACT EXAM WITH CONTRAST MATERIAL|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74420||WS HB DEFAULT|1,190.00
WS SERVICE AREA|10010103|Hc Wound Prep Trunk/arm/leg < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15002||WS HB DEFAULT|2,778.00
WS SERVICE AREA|70200042|HC UROGRAPHY ANTEGRADE RS&I|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74425||WS HB DEFAULT|919.00
WS SERVICE AREA|70200044|Hc Fl Cystography 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74430||WS HB DEFAULT|482.00
WS SERVICE AREA|70200046|Hc Fl Vasography/vesiculography Or Epididymography*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74440||WS HB DEFAULT|385.00
WS SERVICE AREA|70200047|HC URETHROCYSTOGRAPHY RETROGRADE RS&I|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74450||WS HB DEFAULT|476.00
WS SERVICE AREA|70200048|Hc Fl Urethrocystography Voiding*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74455||WS HB DEFAULT|733.00
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|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|604.00
WS SERVICE AREA|10010104|Hc Wound Prep Trunk/arm/leg Ea Add < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15003||WS HB DEFAULT|1,158.00
WS SERVICE AREA|70300051|Hc Mri Cardiac Morphology & Function W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|75557||WS HB DEFAULT|3,613.00
WS SERVICE AREA|70300052|Hc Mri Cardiac Morphology & Function W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|75561||WS HB DEFAULT|3,918.00
WS SERVICE AREA|70300053|Hc Mri Cardiac Velocity Flow Mapping Add On|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|75565||WS HB DEFAULT|1,011.00
WS SERVICE AREA|70500064|Hc Ct Heart Quantitative Coronary Calcium W/o Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|75571||WS HB DEFAULT|4,281.00
WS SERVICE AREA|70500065|Hc Ct Heart Structure & Morph 3d With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|75572||WS HB DEFAULT|5,335.00
WS SERVICE AREA|70500066|Hc Ct Heart Structure & Morph Congenital Dz 3d With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|75573||WS HB DEFAULT|4,549.00
WS SERVICE AREA|70500067|Hc Ct Angio Heart Structure & Morph 3d With Contrast|CT SCAN - GENERAL CLASSIFICATION [0350]|75574||WS HB DEFAULT|3,608.00
WS SERVICE AREA|70500068|Hc Ct Angio Abdominal Aort+iliofem Bil W+w/o-cst|CT SCAN - GENERAL CLASSIFICATION [0350]|75635||WS HB DEFAULT|8,855.00
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|753.00
WS SERVICE AREA|70677063|Hc Breast Tomosynthesis Screening Digital Bilat Add On|OTHER IMAGING SERVICES - SCREENING MAMMOGRAPHY [0403]|77063||WS HB DEFAULT|153.00
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|70500078|Hc Ct Guide Placement Radiation Therapy Fields|CT SCAN - GENERAL CLASSIFICATION [0350]|77014||WS HB DEFAULT|2,159.00
WS SERVICE AREA|70300057|Hc Mri Guidance Needle Placement Rs&i|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|77021||WS HB DEFAULT|2,758.00
WS SERVICE AREA|70600015|Hc Mam Ductogram/galactogram Unilateral*|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77053||WS HB DEFAULT|1,099.00
WS SERVICE AREA|70100103|Hc Xr Bone Age Studies|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77072||WS HB DEFAULT|533.00
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|70100105|Hc Xr Bone/osseous Survey Limited|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77074||WS HB DEFAULT|530.00
WS SERVICE AREA|70100106|Hc Xr Bone/osseous Survey Complete|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77075||WS HB DEFAULT|1,957.00
WS SERVICE AREA|70100102|Hc Xr Torso Fb Nose To Rectum Child <12yr 1vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|76010||WS HB DEFAULT|488.00
WS SERVICE AREA|10010105|Hc Wound Prep H/n/hf/g < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15004||WS HB DEFAULT|2,778.00
WS SERVICE AREA|70700011|Hc Bd Dexa Axial Skeleton 2 Sites|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77080||WS HB DEFAULT|996.00
WS SERVICE AREA|70700012|Hc Bd Dexa Forearm/appendicular Skeleton|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77081||WS HB DEFAULT|812.00
WS SERVICE AREA|70800018|Hc Nm Thyroid Carcinoma Mets Imaging Whole Body|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78018||WS HB DEFAULT|2,501.00
WS SERVICE AREA|70800019|Hc Nm Parathyroid Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78070||WS HB DEFAULT|1,771.00
WS SERVICE AREA|70800020|Hc Nm Adrenal Scan Mibg|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78075||WS HB DEFAULT|1,734.00
WS SERVICE AREA|70800021|Hc Nm Bone Marrow Whole Body|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78104||WS HB DEFAULT|1,568.00
WS SERVICE AREA|70800023|Hc Nm Lymphatic Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78195||WS HB DEFAULT|2,249.00
WS SERVICE AREA|70800024|Hc Nm Liver Static|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78201||WS HB DEFAULT|1,109.00
WS SERVICE AREA|70800027|Hc Nm Liver/spleen Imaging Static Only|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78215||WS HB DEFAULT|1,559.00
WS SERVICE AREA|70800028|Hc Nm Liver/spleen Imaging W/vascular Flow|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78216||WS HB DEFAULT|1,776.00
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|1,291.00
WS SERVICE AREA|70800029|Hc Nm Hepatobiliary System Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78226||WS HB DEFAULT|2,634.00
WS SERVICE AREA|70800030|Hc Nm Hepatobiliary System Imaging W/drug|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78227||WS HB DEFAULT|2,634.00
WS SERVICE AREA|70800032|Hc Nm Gastric Emptying Study|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78264||WS HB DEFAULT|2,400.00
WS SERVICE AREA|70800034|Hc Nm Gastrointestinal Blood Loss|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78278||WS HB DEFAULT|2,101.00
WS SERVICE AREA|70800036|Hc Nm Intestine/meckels Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78290||WS HB DEFAULT|1,820.00
WS SERVICE AREA|70800037|Hc Nm Shunt Eval Peritoneal-venous|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78291||WS HB DEFAULT|1,418.00
WS SERVICE AREA|70800038|Hc Nm Bone/joint Imaging Multiple Areas|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78305||WS HB DEFAULT|2,221.00
WS SERVICE AREA|70800039|Hc Nm Bone/joint Imaging Whole Body|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78306||WS HB DEFAULT|2,655.00
WS SERVICE AREA|70800040|Hc Nm Bone/joint Imaging 3 Phase|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78315||WS HB DEFAULT|2,684.00
WS SERVICE AREA|70800043|Hc Nm Non-cardiac Vascular Flow Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78445||WS HB DEFAULT|938.00
WS SERVICE AREA|70600279|Hc Breast Tomosynthesis Diagnostic Digital Bilateral|OTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401]|G0279||WS HB DEFAULT|161.00
WS SERVICE AREA|70800044|HC MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78451||WS HB DEFAULT|7,649.00
WS SERVICE AREA|70800045|HC MYOCARDIAL SPECT MULTIPLE STUDIES|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78452||WS HB DEFAULT|8,701.00
WS SERVICE AREA|70800047|Hc Nm Ht Muscle Planar Multiple|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78454||WS HB DEFAULT|8,701.00
WS SERVICE AREA|70800049|Hc Nm Cardiac Gated Wall Motion Single Study|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78472||WS HB DEFAULT|2,457.00
WS SERVICE AREA|70800050|Hc Nm Lung Ventilation Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78579||WS HB DEFAULT|3,257.00
WS SERVICE AREA|70800051|Hc Nm Lung Perfusion Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78580||WS HB DEFAULT|1,589.00
WS SERVICE AREA|70800052|Hc Nm Lung Vent & Perfusion Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78582||WS HB DEFAULT|3,670.00
WS SERVICE AREA|70800053|Hc Nm Lung Perfusion Q Diff W/wo Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78597||WS HB DEFAULT|3,670.00
WS SERVICE AREA|70800055|Hc Nm Brain Static < 4vw Imaging W Dtpa|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78600||WS HB DEFAULT|640.00
WS SERVICE AREA|70900013|Hc Pet Brain Metabolic Eval Initial|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78608|PI|WS HB DEFAULT|7,898.00
WS SERVICE AREA|20020500|Hc Inj Of Sinus Tract Therapeutic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20500||WS HB DEFAULT|3,728.00
WS SERVICE AREA|70900017|Hc Pet Brain Metabolic Eval Subsequent|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78608|PS|WS HB DEFAULT|7,898.00
WS SERVICE AREA|70800057|Hc Nm Brain Vascular Flow Only|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78610||WS HB DEFAULT|411.00
WS SERVICE AREA|70800058|Hc Nm Cisternography|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78630||WS HB DEFAULT|1,101.00
WS SERVICE AREA|70800059|Hc Nm Shunt Eval Cerebrospinal Fluid Flow|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78645||WS HB DEFAULT|815.00
WS SERVICE AREA|70800061|Hc Nm Kidney Morphology Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78700||WS HB DEFAULT|1,352.00
WS SERVICE AREA|70800062|Hc Nm Kidney Morph Flow Fx Image Single W/o Drug|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78707||WS HB DEFAULT|2,013.00
WS SERVICE AREA|70800063|Hc Nm Kidney Morph Flow Fx Image Single With Drug|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78708||WS HB DEFAULT|2,126.00
WS SERVICE AREA|70800067|Hc Nm Cystogram Voiding/ureteral Reflux Study W Pharm|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78740||WS HB DEFAULT|1,695.00
WS SERVICE AREA|70800069|HC NM LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78800||WS HB DEFAULT|1,969.00
WS SERVICE AREA|70800071|HC NM LOCLZJ TUM INFLAM SPECT 1 AREA SINGLE DAY IMAGING|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78803||WS HB DEFAULT|1,507.00
WS SERVICE AREA|10010109|Hc Skin Split Graft F/n/hf/g < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15120||WS HB DEFAULT|6,802.00
WS SERVICE AREA|70800072|HC NM LOCLZJ TUM INFLAM PLNR WHOLE BODY 2+ DAYS IMAGING|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78804||WS HB DEFAULT|4,030.00
WS SERVICE AREA|70900018|Hc Pet Ct Image Limited Area Initial*|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78814|PI|WS HB DEFAULT|8,049.00
WS SERVICE AREA|70900019|Hc Pet Ct Image Limited Area Subsequent*|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78814|PS|WS HB DEFAULT|8,049.00
WS SERVICE AREA|70900020|Hc Pet Ct Skull Base To Midthigh Initial*|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78815|PI|WS HB DEFAULT|8,618.00
WS SERVICE AREA|70900021|Hc Pet Ct Skull Base To Midthigh Subsequent*|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78815|PS|WS HB DEFAULT|8,618.00
WS SERVICE AREA|70900022|Hc Pet Ct Whole Body Initial*|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78816|PI|WS HB DEFAULT|8,618.00
WS SERVICE AREA|70900023|Hc Pet Ct Whole Body Subsequent*|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78816|PS|WS HB DEFAULT|8,618.00
WS SERVICE AREA|70800078|Hc Nm Fusion Spect Ct Unlisted|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78999||WS HB DEFAULT|586.00
WS SERVICE AREA|70800082|Hc Nm Radiopharmaceutical Therapy Oral Administration|NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342]|79005||WS HB DEFAULT|1,715.00
WS SERVICE AREA|70800083|Hc Nm Radiopharm Therapy By Iv|NUCLEAR MEDICINE - THERAPEUTIC PROCEDURES [0342]|79101||WS HB DEFAULT|2,180.00
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|3,073.00
WS SERVICE AREA|20022999|Hc Abdomen Musculoskeletal Procedure Unlisted|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|22999||WS HB DEFAULT|8,204.00
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|4,030.00
WS SERVICE AREA|70400011|Hc Us Cranial/head-echoencephalography|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76506||WS HB DEFAULT|1,692.00
WS SERVICE AREA|70400012|Hc Us Soft Tissue Head & Neck/thyroid Parathyroid|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76536||WS HB DEFAULT|1,358.00
WS SERVICE AREA|70400013|Hc Us Chest Real Time W/image Documentation|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76604||WS HB DEFAULT|923.00
WS SERVICE AREA|70400014|Hc Us Breast Ltd Unilateral|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76642||WS HB DEFAULT|933.00
WS SERVICE AREA|70400015|Hc Us Abdominal Complete|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76700||WS HB DEFAULT|1,788.00
WS SERVICE AREA|70400016|Hc Us Abdominal Real Time W/image Limited|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76705||WS HB DEFAULT|1,198.00
WS SERVICE AREA|70400017|Hc Us Retroperitoneal Complete (renal/aorta/nodes)|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76770||WS HB DEFAULT|1,510.00
WS SERVICE AREA|70400018|Hc Us Retroperitoneal Limited (renal/aorta/nodes)|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76775||WS HB DEFAULT|709.00
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|70400019|Hc Us Kidney Transplant With Duplex Doppler|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76776||WS HB DEFAULT|750.00
WS SERVICE AREA|70400020|Hc Us Spinal Canal|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76800||WS HB DEFAULT|1,281.00
WS SERVICE AREA|70400021|Hc Us Pregnant Uterus<14wks Transabd 1 Fetus|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76801||WS HB DEFAULT|1,317.00
WS SERVICE AREA|70400022|Hc Us Pregnant Uterus < 14wks Transabd Ea Additional Fetus|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76802||WS HB DEFAULT|585.00
WS SERVICE AREA|70400023|Hc Us Pregnant Uterus>/=14wks Transabd 1 Fetus|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76805||WS HB DEFAULT|1,397.00
WS SERVICE AREA|70400024|Hc Us Pregnant Uterus > 1st Trimester Transabdominal Ea Gestation|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76810||WS HB DEFAULT|676.00
WS SERVICE AREA|70400025|Hc Us Pregnant Uterus Limited 1 Or More Fetuses|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76815||WS HB DEFAULT|816.00
WS SERVICE AREA|70400026|Hc Us Pregnant Uterus Real Time W/image Documentation Transvaginal|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76817||WS HB DEFAULT|786.00
WS SERVICE AREA|70400028|Hc Us Fetal Biophysical Profile W/o Non-stress Testing|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76819||WS HB DEFAULT|1,234.00
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|10010113|Hc Apply Skin Sub Graft Trunk/arm/leg < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15271||WS HB DEFAULT|1,745.00
WS SERVICE AREA|70400030|Hc Us Transvaginal Non-pregnant Uterus|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76830||WS HB DEFAULT|941.00
WS SERVICE AREA|70400031|Hc Us Sonohysterography W/saline + Color Flow Doppler If Performed*|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76831||WS HB DEFAULT|1,095.00
WS SERVICE AREA|70400032|Hc Us Pelvic Nonobstetric Complete|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76856||WS HB DEFAULT|1,501.00
WS SERVICE AREA|70400033|Hc Us Pelvic Nonobstetric Image Documentation Limited/follow-up|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76857||WS HB DEFAULT|904.00
WS SERVICE AREA|70400034|Hc Us Scrotum|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76870||WS HB DEFAULT|1,351.00
WS SERVICE AREA|70400035|Hc Us Transrectal|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76872||WS HB DEFAULT|1,454.00
WS SERVICE AREA|70400036|Hc Us Extremity Joint Space & Periarticular Soft Tissues  Complete|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76881||WS HB DEFAULT|1,358.00
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|906.00
WS SERVICE AREA|70400042|Hc Us Vascular Access Sites Vessel Patency Needle Entry|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|76937||WS HB DEFAULT|709.00
WS SERVICE AREA|70400043|Hc Us & Monitoring Parenchymal Tissue Ablation|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76940||WS HB DEFAULT|1,443.00
WS SERVICE AREA|272111249|Hc Cath Drain Pneumothor Wayne 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|695.40
WS SERVICE AREA|70400046|Hc Ultrasound Guide Needle Placement/bx Asp Inj Local|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76942||WS HB DEFAULT|1,636.00
WS SERVICE AREA|70400047|Hc Us Guidance Amniocentesis Imaging S&i|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76946||WS HB DEFAULT|1,205.00
WS SERVICE AREA|70400048|Hc Us Guidance Interstitial Radioelment Application|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76965||WS HB DEFAULT|2,935.00
WS SERVICE AREA|70400049|Hc Us Guidance Intraoperative|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76998||WS HB DEFAULT|2,000.00
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|3,158.00
WS SERVICE AREA|70500074|Hc Ct Limited Study|CT SCAN - GENERAL CLASSIFICATION [0350]|76380||WS HB DEFAULT|2,138.00
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|1,214.00
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|744.00
WS SERVICE AREA|70500075|Hc Ct Guide Stereotactic Localization|CT SCAN - GENERAL CLASSIFICATION [0350]|77011||WS HB DEFAULT|2,466.00
WS SERVICE AREA|70500076|Hc Ct Guidance For Needle Placement Bx/asp/inj/loc|CT SCAN - GENERAL CLASSIFICATION [0350]|77012||WS HB DEFAULT|4,567.00
WS SERVICE AREA|70400051|HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93880||WS HB DEFAULT|2,806.00
WS SERVICE AREA|70400052|Hc Us Duplex Extracranial Arteries Unilateral|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93882||WS HB DEFAULT|1,636.00
WS SERVICE AREA|70400053|Hc Us Doppler Transcranial/extracranial Arteries Ltd|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93888||WS HB DEFAULT|2,163.00
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|1,191.00
WS SERVICE AREA|70400055|Hc Us Arterial Lower Ext 3+levels Complete Bilat|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93923||WS HB DEFAULT|725.00
WS SERVICE AREA|70400056|Hc Us Duplex Arteries/graft Lower Ext Complete Bilat|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93925||WS HB DEFAULT|1,730.00
WS SERVICE AREA|70400057|Hc Us Duplex Arteries/graft Lower Ext Ltd/uni|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|93926||WS HB DEFAULT|1,159.00
WS SERVICE AREA|70400058|Hc Us Duplex Venous Lower Extremity Complete Bilateral|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93970||WS HB DEFAULT|2,405.00
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|3,005.00
WS SERVICE AREA|70400060|HC DUP SCAN EXTREMITY VEINS UNI OR LIMITED STUDY|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93971||WS HB DEFAULT|1,547.00
WS SERVICE AREA|70400059|Hc Us Duplex Venous Upper Extremity Complete Bilateral|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93970||WS HB DEFAULT|2,405.00
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|6,940.00
WS SERVICE AREA|60064610|HC DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64610||WS HB DEFAULT|6,940.00
WS SERVICE AREA|70500502|HC COR FFR DERIVED CTA DATA PREP & TRANSMIS|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|0502T||WS HB DEFAULT|1,232.00
WS SERVICE AREA|70500503|HC COR FFR CTA DATA ALYS & GNRJ ESTIMATED FFR MODEL|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|0503T||WS HB DEFAULT|3,449.00
WS SERVICE AREA|99103000|Hc Direct Refer Hospital Observ|SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - OBSERVATION ROOM (A) [0762]|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|272111577|Hc Zz Guidewire Gastro Kit Entuit Med - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|449.60
WS SERVICE AREA|90095711|Hc Veeg By Tech 2-12 Hours Unmonitored|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95711||WS HB DEFAULT|874.00
WS SERVICE AREA|30010320|Hc Vl Pleural Drainage Percutaneous Ic W/o Imaging|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32556||WS HB DEFAULT|5,174.00
WS SERVICE AREA|30010321|Hc Pleural Drainage Percutaneous Insert Cath With Imaging|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32557||WS HB DEFAULT|5,420.00
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|1,358.00
WS SERVICE AREA|70400039|Hc Us Hips Infant Dynamic Limited Static No Physician|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76886||WS HB DEFAULT|1,358.00
WS SERVICE AREA|27000010|Hc Acapella Oscillatory Device, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|247.40
WS SERVICE AREA|27000011|Hc Zz Acapella Dm Blue- Use 27000010|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|222.20
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|744.00
WS SERVICE AREA|27000012|Hc Acrominblaster 5.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|248.20
WS SERVICE AREA|27000013|Hc Adaptor Spike Prismas Sp-c13|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|20.50
WS SERVICE AREA|27000015|Hc Ahp Breast Pump Rental Weekly|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|46.70
WS SERVICE AREA|27000016|Hc Assembly Disposa Filter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27000017|Hc Assembly Light Cable 3200220|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|3,473.40
WS SERVICE AREA|27000018|Hc Attachment Mri Safe Rod|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|2,733.90
WS SERVICE AREA|272136209|Hc Dressing Flex 7 Acticoat 6x6 In|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|118.90
WS SERVICE AREA|27000024|Hc Bowl Mixing Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|53.00
WS SERVICE AREA|272136210|Hc Dressing Flex 7 Acticoat 8x16 In|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|518.80
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|10010117|Hc Skin Sub Graft Face/nk/hf/g < 100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15275||WS HB DEFAULT|1,745.00
WS SERVICE AREA|27000030|Hc Zz Bulldog Softjaw- Use Sup|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|2,668.20
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|172.90
WS SERVICE AREA|27000033|Hc Cable Double W/crimp Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|4,427.10
WS SERVICE AREA|27000034|Hc Cable Grip Vit How Disp Lg 2mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|2,829.40
WS SERVICE AREA|27000035|Hc Cable Grip Vit How Disp Sm1.6m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|2,756.20
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|172.90
WS SERVICE AREA|27000037|Hc Cable Vitallium Howme 2mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|1,442.80
WS SERVICE AREA|272111578|Hc Zz Guidewire Gastro Kit Entuit Lg - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|486.90
WS SERVICE AREA|27000038|Hc Cable/sleeve Vit How Disp 1.6m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|1,644.40
WS SERVICE AREA|27000039|Hc Cable/sleeve Vit How Disp 2.0m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|1,644.40
WS SERVICE AREA|27000041|Hc Cast Room Fee 15 Min|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|143.30
WS SERVICE AREA|27000042|Hc Cast Room Fee 30 Min|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|221.80
WS SERVICE AREA|27000043|Hc Cast Supplies - Fiberglass|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|301.30
WS SERVICE AREA|27000044|Hc Cast Supplies - Plaster|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|180.40
WS SERVICE AREA|27000046|Hc Clamp Mri Safe Combination|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|4,297.70
WS SERVICE AREA|27000047|Hc Clamp Mri Safe Multi Pin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|4,885.50
WS SERVICE AREA|27000048|Hc Clamp Mri Safe Open Adjustable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|3,539.20
WS SERVICE AREA|27000049|Hc Contact Cast Supply|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|358.50
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|894.00
WS SERVICE AREA|50053899|Hc Urinary Procedure Unlisted|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|53899||WS HB DEFAULT|7,944.00
WS SERVICE AREA|27000050|Hc Cord Bipolar Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|93.30
WS SERVICE AREA|27000051|Hc Cord Monopolar Endo Cable Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|42.40
WS SERVICE AREA|27000052|Hc Vest Cpt, Any|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|68.40
WS SERVICE AREA|27000054|Hc Crutches Adj Pbtn Tall Adlt<300lb Cap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|68.50
WS SERVICE AREA|27000055|Hc Crutches Adj Pbtn Yth<300lb Cap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|68.60
WS SERVICE AREA|27000060|Hc Er O2 Via Nc/nrm/venti Mask|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|189.80
WS SERVICE AREA|27000062|Hc Femostop Plus Compression Sys|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|545.20
WS SERVICE AREA|27000063|Hc Foot Waffle Lf Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|203.40
WS SERVICE AREA|27000064|Hc Foot Waffle Lf Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|202.10
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|1,745.00
WS SERVICE AREA|27000065|Hc Heel Tender Foot|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.90
WS SERVICE AREA|27000067|Hc Hood Sterishield Stryker 7000|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|117.70
WS SERVICE AREA|27000068|Hc Hooks Dura|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27000070|Hc Insert Prone View Disp Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|169.50
WS SERVICE AREA|27000071|Hc Inserter Dialo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|186.70
WS SERVICE AREA|27000072|Hc Introducer Picc Bimeco|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|168.50
WS SERVICE AREA|27000073|Hc Introducer W/rb 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|C1894||WS HB DEFAULT|165.50
WS SERVICE AREA|27000074|Hc Irrigator Lap Strykeflow 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|230.20
WS SERVICE AREA|27000075|Hc Kam-vac Suction Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|123.90
WS SERVICE AREA|27000076|Hc Kit Acl W/o Saw Blade|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|901.80
WS SERVICE AREA|272111579|Hc Tube Gastro Feed Balloon Retention 18f 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|280.40
WS SERVICE AREA|27000077|Hc Kit Basic Microsensor|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|3,710.00
WS SERVICE AREA|27000078|Hc Kit Blower Mister|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|248.20
WS SERVICE AREA|27000079|Hc Tray Cath 4fr 45cm Intro 1 Lum|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|178.20
WS SERVICE AREA|27000080|Hc Kit Monitor Intcran Pres1104bt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|4,317.40
WS SERVICE AREA|27000081|Hc Kit Resorbable Mini Bead|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|3,789.60
WS SERVICE AREA|27000084|Hc Meter Peakflow Pb Full|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|43.50
WS SERVICE AREA|27000085|Hc Mic-key Enterstomal Therap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|990.60
WS SERVICE AREA|27000089|Hc O2 Hiflow Heated Cannula/day|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|2,851.70
WS SERVICE AREA|27000092|Hc Ostomy Supply-complex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|180.00
WS SERVICE AREA|27000093|Hc Oxisensor Disp Lf Neonatal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|71.50
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|744.00
WS SERVICE AREA|27000094|Hc Oxygen 1- 8 Hours|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|121.40
WS SERVICE AREA|27000097|Hc Pad Cardiac Phrenic Nerve|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|149.60
WS SERVICE AREA|27000098|Hc Pad Chair Pre-inflated Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|123.50
WS SERVICE AREA|27000099|Hc Pad Hypo/hyperthermia Adt24x60|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|70.20
WS SERVICE AREA|27000100|Hc Pad Prone View Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|169.10
WS SERVICE AREA|27000101|Hc Pad Therapy Hot/cold 14x20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27000102|Hc Padded Surgical Shoe|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|455.90
WS SERVICE AREA|27000104|Hc Phlebotomy Bag|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|36.70
WS SERVICE AREA|27000105|Hc Post Angled S/s 30deg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|825.30
WS SERVICE AREA|27000106|Hc Powder Antifungal 3oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.70
WS SERVICE AREA|272111580|Hc Tube Gastro Feed Balloon Retention 20f 10cm |MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|283.30
WS SERVICE AREA|27000107|Hc Profore Supply|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|154.50
WS SERVICE AREA|27000108|Hc Pulsed Lavage Supplies|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|412.20
WS SERVICE AREA|99010049|Hc Isolation|ROOM & BOARD - OTHER - STERILE ENVIRONMENT [0164]|||WS HB DEFAULT|5,440.00
WS SERVICE AREA|27000110|Hc Razor Facial Medi-shaver Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|105.80
WS SERVICE AREA|27000111|Hc Oxygen Per Hour|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|20.40
WS SERVICE AREA|27000113|Hc Retainer Visceral Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|145.30
WS SERVICE AREA|99010050|Hc Isolation Icu|INTENSIVE CARE - OTHER INTENSIVE CARE [0209]|||WS HB DEFAULT|8,254.00
WS SERVICE AREA|27000114|Hc Retainer Visera Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|158.10
WS SERVICE AREA|27000115|Hc Rod Seal Hyscp Oflw Chan Sgl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|70.00
WS SERVICE AREA|27000122|Hc Scales - Baby Weigh Rental - Week|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|45.60
WS SERVICE AREA|272111581|Hc Catheter Beacon Pig 5f 35 100cm    |MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27000123|Hc Set Dialysis Transfer Mini Cap Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|290.40
WS SERVICE AREA|27000124|Hc Set Infusion Level 1 D-50|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|219.20
WS SERVICE AREA|27000125|Hc Set Intro Probe Tubing Mri 10g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|1,414.80
WS SERVICE AREA|27000126|Hc Zz Set Introducer Plvw-22.0-38  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|196.70
WS SERVICE AREA|27000127|Hc Set Peri Dialysis 4-prong Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|112.50
WS SERVICE AREA|27000128|Hc Set Y Disconnect Disp Dialysis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|31.00
WS SERVICE AREA|27000129|Hc Sheath Short Burr Ep1 Disp 4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|201.60
WS SERVICE AREA|27000135|Hc Shoe Walker  Offload, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|233.70
WS SERVICE AREA|27000139|Hc Smoke Evac Laparscopic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|143.30
WS SERVICE AREA|27000140|Hc Splint Synthetic Precut 3"x35"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|71.70
WS SERVICE AREA|10010135|Hc Burn 1st Degree Inital|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|16000||WS HB DEFAULT|721.00
WS SERVICE AREA|27000141|HC SPLINTING SUPPLIES. OT|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|C1726||WS HB DEFAULT|1,054.50
WS SERVICE AREA|27000142|Hc Sponge Ultrafoam Lf .2x6.25cmx7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|55.20
WS SERVICE AREA|27000143|Hc Stimulator Bone Tib Fib Tars Meta|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|17,707.50
WS SERVICE AREA|27000144|Hc Stimulator Nerve Vari Stim Iii|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|304.50
WS SERVICE AREA|27000145|Hc Suction Tube Frasier 7|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|369.70
WS SERVICE AREA|27000149|Hc Syst Closed Suction, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|36.20
WS SERVICE AREA|27000150|Hc Zz System Suct Closed Lf 16f 21.3- Use 27000149|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|646.10
WS SERVICE AREA|27000152|Hc Tape Retracto|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|105.10
WS SERVICE AREA|27000153|Hc Tip Ball T2 3x1000mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|1,770.70
WS SERVICE AREA|10010136|Hc Burn Partial Thick Sm <5%|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|16020||WS HB DEFAULT|1,305.00
WS SERVICE AREA|27000154|Hc Tip Ball T2 3x800mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|1,559.50
WS SERVICE AREA|27000155|Hc Tip Foreign Body|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|109.20
WS SERVICE AREA|27000157|Hc Tube Mini Kamvac Curved Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|123.10
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|170.80
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|20.60
WS SERVICE AREA|27100013|Hc Adaptor Bronch Swivel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|36.20
WS SERVICE AREA|27100014|Hc Adaptor Cable Thermal Pad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,696.40
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|10010137|Hc Burn Partial Thick Med 5-10%|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|16025||WS HB DEFAULT|1,305.00
WS SERVICE AREA|27100016|Hc Aerochamber (optihaler)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|50.70
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|497.60
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|28.90
WS SERVICE AREA|27100022|Hc Armboard Iv, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|13.10
WS SERVICE AREA|27100023|Hc Bag Effluent 5l Prismaflex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|46.70
WS SERVICE AREA|27100024|Hc Bag Hyperinflation 1/2 Liter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|90.60
WS SERVICE AREA|27100025|Hc Bag Infusor Disp Pressure|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|120.30
WS SERVICE AREA|27100026|Hc Bag Pump Kangaroo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|18.50
WS SERVICE AREA|10010138|Hc Burn Partial Thick>1 Ext Or >10%|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|16030||WS HB DEFAULT|1,305.00
WS SERVICE AREA|27100027|Hc Resuscitator Manual Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|41.50
WS SERVICE AREA|27100028|Hc Bag Suction Drainage|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|154.00
WS SERVICE AREA|27100029|Hc Band Comfort Straight|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|130.50
WS SERVICE AREA|27100030|Hc Band Compression Radial|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|210.10
WS SERVICE AREA|270110250|Hc Pad Aed Adlt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|789.80
WS SERVICE AREA|27100031|Hc Band Facial Universal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|174.00
WS SERVICE AREA|270110251|Hc Pad Aed Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|444.20
WS SERVICE AREA|27100035|Hc Bandage Elastic/ace, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.60
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|143.10
WS SERVICE AREA|60064630|Hc Dstrj Neurolytic Agent Pudendal Nerve|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64630||WS HB DEFAULT|3,279.00
WS SERVICE AREA|10010141|HC CHEMICAL CAUTERY GRANULATION TISSUE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|17250||WS HB DEFAULT|1,305.00
WS SERVICE AREA|50058999|Hc Female Genital Procedure Non-ob Unlisted|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|58999||WS HB DEFAULT|6,604.00
WS SERVICE AREA|27100043|Hc Bandage Viscopaste 3"x10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|31.10
WS SERVICE AREA|27100044|Hc Barrier Skin W/flange 2-1/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.80
WS SERVICE AREA|27100045|Hc Belt Ostomy Large 29-49in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.70
WS SERVICE AREA|27100046|Hc Bili Combi|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|64.10
WS SERVICE AREA|27100051|Hc Binder Abdominal, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|54.20
WS SERVICE AREA|27100054|Hc Bite Block Sontek Medical|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.20
WS SERVICE AREA|27100055|Hc Blade Clipper Assy Std|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|53.80
WS SERVICE AREA|27100056|Hc Blade Clipper Surg Sensiclip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.90
WS SERVICE AREA|27100057|Hc Blade Clipper Surg Single Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27100058|Hc Blade Clipper Surg Specialty|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|58.80
WS SERVICE AREA|10010142|Hc Puncture (drain) Aspiration Of Cyst Of Breast|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19000||WS HB DEFAULT|2,592.00
WS SERVICE AREA|27100059|Hc Blanket Underbody Peds Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|106.50
WS SERVICE AREA|27100060|Hc Boot Bucks Traction Lf Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|142.00
WS SERVICE AREA|27100061|Hc Boot Cast Walking Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|328.70
WS SERVICE AREA|27100062|Hc Boot Cast Walking Samson Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|169.70
WS SERVICE AREA|27100063|Hc Boot Cast Walking Samson Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|170.00
WS SERVICE AREA|27100064|Hc Boot Cast Walking Samson Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|169.50
WS SERVICE AREA|27100066|Hc Bra Surgical Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|102.90
WS SERVICE AREA|27100067|Hc Bra Surgical Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|100.40
WS SERVICE AREA|27100068|Hc Bra Surgical X-large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|102.90
WS SERVICE AREA|27100069|Hc Bra Surgical Xx-large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|110.80
WS SERVICE AREA|10010143|HC PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19001||WS HB DEFAULT|828.00
WS SERVICE AREA|27100070|Hc Breast Pump Rental - Daily|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|3.20
WS SERVICE AREA|27100071|Hc Breast Pump Rental Weekly|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|46.70
WS SERVICE AREA|27100072|Hc Burette Metriset|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|46.60
WS SERVICE AREA|27100073|Hc Cannister Vacuun And Tubing Set|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|107.50
WS SERVICE AREA|27100074|Hc Zz Cannula Inner Fen #4 Use Eap 27100079|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|27.30
WS SERVICE AREA|27100075|Hc Zz Cannula Inner Fen #6  Use Eap 27100079|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|26.60
WS SERVICE AREA|27100076|Hc Zz Cannula Inner Fen #8 Use Eap 27100079|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|26.70
WS SERVICE AREA|27100077|Hc Zz Cannula Inner Shiley 8.0 Use Eap 27100079|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.70
WS SERVICE AREA|27100078|Hc Zz Cannula Inr Shly 4 5mm Tracheo Use Eap 27100079|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.70
WS SERVICE AREA|27100079|Hc Cannula Inner Shiley Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|21.60
WS SERVICE AREA|10010144|Hc Inj Mammary Ductogram Or Galactogram Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19030||WS HB DEFAULT|1,725.00
WS SERVICE AREA|27100080|Hc Zz Cannula Inner Xlt 6.0 Use Eap 27100079|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|36.20
WS SERVICE AREA|27100081|Hc Zz Cannula Inner Xlt 7.0 Use Eap 27100079|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|36.20
WS SERVICE AREA|27100082|Hc Zz Cannula Inner Xlt 8.0 Use Eap 27100079|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|36.30
WS SERVICE AREA|27100083|Hc Cannula Nasal Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|11.50
WS SERVICE AREA|27100085|Hc Card Medistem Smart|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,858.70
WS SERVICE AREA|27100086|Hc Cartridge Co2 Lma Stonebreaker|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|99.70
WS SERVICE AREA|27100087|Hc Cath Pvc Angled 28fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|42.40
WS SERVICE AREA|27100088|Hc Cath Pvc Straight 20fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|67.90
WS SERVICE AREA|27100089|Hc Cath Pvc Straight 28fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27100090|Hc Chamber Pocket|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|39.30
WS SERVICE AREA|10010145|Hc Biopsy Open Or Incisional Of Breast|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19101||WS HB DEFAULT|10,589.00
WS SERVICE AREA|27100091|Hc Chloraprep Orange Tint 26ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|43.00
WS SERVICE AREA|27100092|Hc Zz Circuit Anesthesia Ped Custom- Us 271115511|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|29.00
WS SERVICE AREA|27100093|Hc Zz Circuit Bpap Disp Use 27200812|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|42.40
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|108.30
WS SERVICE AREA|27100095|Hc Comfort Gels - One Pair|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|27.90
WS SERVICE AREA|27100096|Hc Connector Flex Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.50
WS SERVICE AREA|27100097|Hc Container Breastmilk 70ml Fliptop|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|53.70
WS SERVICE AREA|27100098|Hc Container Breastmilk 80ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27100099|Hc Container Colostrum 8pk Str|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|41.50
WS SERVICE AREA|27100100|Hc Cord Active Usa Str Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|172.90
WS SERVICE AREA|20010013|Hc Wound Extremity Expl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20103||WS HB DEFAULT|12,229.00
WS SERVICE AREA|27100101|Hc Cover Warming Full Body|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|31.10
WS SERVICE AREA|27100102|Hc Cover Warming Lower Body|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|44.70
WS SERVICE AREA|27100103|Hc Cover Warming Underbody Full A|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|178.20
WS SERVICE AREA|27100104|Hc Cover Warming Underbody|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|107.60
WS SERVICE AREA|80087635|Hc Iadna Sars-cov-2 Covid-19 Amplified Probe Tq|LABORATORY - GENERAL CLASSIFICATION [0300]|87635||WS HB DEFAULT|205.00
WS SERVICE AREA|27100105|Hc Cover Warming Upper Body 1port|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|44.70
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|27100108|Hc Cuff Bp Disp, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27100115|Hc Cuff Cryo Ankle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|380.90
WS SERVICE AREA|27100116|Hc Cuff Dual Port Sgl Bladder 30"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,238.10
WS SERVICE AREA|20010014|Hc Biopsy Muscle Percutaneous Needle|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20206||WS HB DEFAULT|4,785.00
WS SERVICE AREA|27100117|Hc Cuff Sgl Bladder Dp Blue 44"x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|353.30
WS SERVICE AREA|27100118|Hc Cuff Sgl Bladder Dp Purp 12"x3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|140.10
WS SERVICE AREA|27100119|Hc Cuff Sgl Bladder Dp Purp 34"x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|182.50
WS SERVICE AREA|27100120|Hc Cuff Sgl Bladder Dp Red 18"x4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|158.10
WS SERVICE AREA|27100121|Hc Cuff Sgl Bladder Dp Yel 24"x4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|177.20
WS SERVICE AREA|27100122|Hc Cuff Tournequet Disp 18"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|141.20
WS SERVICE AREA|27100123|Hc Cuff Tournequet Disp 24"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|146.80
WS SERVICE AREA|27100124|Hc Cuff Tournequet Disp 30"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|175.10
WS SERVICE AREA|27100125|Hc Cuff Tournequet Disp 34"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|171.90
WS SERVICE AREA|27100126|Hc Cuff Tourniquet 18" Rp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,034.40
WS SERVICE AREA|272112230|Hc Catheter Thrmb 64cm 5 Max Ace|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,347.00
WS SERVICE AREA|27100127|Hc Cushion Wheelchair, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|117.50
WS SERVICE AREA|27100128|Hc Device Locking W/bx Cup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|60.50
WS SERVICE AREA|27100129|Hc Drip Macro Nonvented 72"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|21.20
WS SERVICE AREA|27100131|Hc Extension Transducer 42408-01|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.80
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|27100133|Hc Filter Iv Extension Clave|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.50
WS SERVICE AREA|27100134|Hc Filterset W/clamp 150 X 60|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|50.50
WS SERVICE AREA|27100135|Hc Flange Breast Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|36.30
WS SERVICE AREA|27100136|Hc Foam Cradle Arm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|23.40
WS SERVICE AREA|27100137|Hc Girdle Ex-large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|329.90
WS SERVICE AREA|20010016|Hc Biopsy Bone Superficial|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20220||WS HB DEFAULT|4,785.00
WS SERVICE AREA|27100138|Hc Girdle Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|329.90
WS SERVICE AREA|27100139|Hc Girdle Xx-large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|389.30
WS SERVICE AREA|27100140|Hc Gown Bair Paws Flex Standard|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|102.60
WS SERVICE AREA|27100141|Hc Gown Bair Paws Flex Xlg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|127.20
WS SERVICE AREA|27100142|Hc Guard Teeth|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|42.40
WS SERVICE AREA|27100143|Hc Halter Head Elastic Pad Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|48.80
WS SERVICE AREA|27100144|Hc Holder Head Foam Deroyal Lfm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.60
WS SERVICE AREA|27100145|Hc Holder Leg Well|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|70.00
WS SERVICE AREA|27100146|Hc Holder Tube, Trach/nasogastric, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|8.50
WS SERVICE AREA|90002061|Hc Qnhp Ol Digital Assmt&mgmt Est Pt <7d 5-10m|CLINIC - GENERAL CLASSIFICATION [0510]|98970||WS HB DEFAULT|45.00
WS SERVICE AREA|20010018|HC BIOPSY BONE TROCAR/NEEDLE DEEP|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20225||WS HB DEFAULT|6,271.00
WS SERVICE AREA|27100158|Hc Hose Anti-embolism Per Pr, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|27.10
WS SERVICE AREA|90002062|Hc Qnhp Ol Digital Assmt&mgmt Est Pt <7d 11-20m|CLINIC - GENERAL CLASSIFICATION [0510]|98971||WS HB DEFAULT|80.00
WS SERVICE AREA|90002063|Hc Qnhp Ol Digital Assmt&mgmt Est Pt <7d 21+m|CLINIC - GENERAL CLASSIFICATION [0510]|98972||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|14.80
WS SERVICE AREA|27100166|Hc Hugger Bair Cardiac Sterile|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|170.50
WS SERVICE AREA|270137424|Hc Filter Ventilator|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|10.00
WS SERVICE AREA|27100168|Hc Infusor Pressure Disp 500cc Bg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|65.90
WS SERVICE AREA|27100169|Hc Jug Drain|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|50.90
WS SERVICE AREA|27100170|Hc Jug Omni|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|108.30
WS SERVICE AREA|270115516|HC BREATHING CIRCUIT  DISP|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|487.20
WS SERVICE AREA|20010020|Hc Inj Sinus Tract Diagnostic (sinogram)|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20501||WS HB DEFAULT|1,068.00
WS SERVICE AREA|36052323|HC PACU CLASS V|RECOVERY ROOM - GENERAL CLASSIFICATION [0710]|||WS HB DEFAULT|0.00
WS SERVICE AREA|27100174|Hc Kit Breast Pump Ameda, Medela, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|120.00
WS SERVICE AREA|27100176|Hc Kit Cannister Vac W/gel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|194.00
WS SERVICE AREA|27100178|Hc Kit Gastric Lavage Easi-lav|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|325.70
WS SERVICE AREA|27100179|Hc Kit L T A Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|29.00
WS SERVICE AREA|27100180|Hc Kit Lung Use W/biodex Shield|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|129.50
WS SERVICE AREA|27100181|Hc Kit Patient Care Jackson Spine|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|184.60
WS SERVICE AREA|27100182|Hc Kit Patient Table Pad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|184.60
WS SERVICE AREA|27100183|Hc Kit Patient Table Pad 5802|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|172.90
WS SERVICE AREA|27100185|Hc Kit Shoulder Suspension Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|460.40
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|34010039|Hc I-131 Sodium Iodide Cap Dx Per Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9528||WS HB DEFAULT|213.89
WS SERVICE AREA|27100187|Hc Kit Traction Shoulder|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|416.90
WS SERVICE AREA|27100188|Hc Liner Cannister Gramm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|23.40
WS SERVICE AREA|27100189|Hc L-wire Megatip Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|65.80
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|157.00
WS SERVICE AREA|27100192|Hc Mask Panda Nonrebreather Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|31.10
WS SERVICE AREA|27100193|Hc Mask Panda Nonrebreather Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27100194|Hc Mask Wee Spec Supreme Preemie|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27100198|Hc Mitten Flex Palm Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|71.30
WS SERVICE AREA|27100199|Hc Net Elastic Sz5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|50.80
WS SERVICE AREA|20010022|Hc Fb Remove Muscle Simp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20520||WS HB DEFAULT|3,841.00
WS SERVICE AREA|27100200|Hc Net Elastic Sz9|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|120.80
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|36.80
WS SERVICE AREA|27100202|Hc Overtube Esophageal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,013.20
WS SERVICE AREA|27100203|Hc Oxisensor Digit Disp Lf Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|53.70
WS SERVICE AREA|27100204|Hc Oxisensor Pulse Lf Infant|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|48.70
WS SERVICE AREA|27100205|Hc Oxymiser Moustache|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|79.60
WS SERVICE AREA|27100207|Hc Pad Bovie Somnoplasty|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|65.80
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|27100209|Hc Pad Defib Medtronic R2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|132.50
WS SERVICE AREA|27100210|Hc Pad Defib Quik Combo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|141.10
WS SERVICE AREA|20010023|Hc Fb Remove Muscle Deep|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20525||WS HB DEFAULT|18,702.00
WS SERVICE AREA|27100211|Hc Pad Grounding Rf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|102.40
WS SERVICE AREA|27100212|Hc Pad Grounding W/cable Large Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|18.40
WS SERVICE AREA|27100213|Hc Pad Grounding W/cable Small Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|31.80
WS SERVICE AREA|27100214|Hc Pad Incontinence Rental Bed Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|37.20
WS SERVICE AREA|27100215|Hc Pad Incontinent For Spec Beds|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|62.60
WS SERVICE AREA|27100216|Hc Pad Perineal Chick Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|589.90
WS SERVICE AREA|27100217|Hc Pad Perineal Post|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|354.30
WS SERVICE AREA|27100218|Hc Pad Post Supine Peroneal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|547.30
WS SERVICE AREA|27100219|Hc Pad Thermal Ground 700-102649|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,254.00
WS SERVICE AREA|27100220|Hc Pad Warming Back Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,112.70
WS SERVICE AREA|20010024|HC INJ SINGLE TENDON SHEATH/LIGAMENT, APONEUROSIS|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20550||WS HB DEFAULT|2,136.00
WS SERVICE AREA|27100221|Hc Pad Warming Universal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|414.20
WS SERVICE AREA|27100222|Hc Padding Cast Deroyal 3in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.70
WS SERVICE AREA|27100223|Hc Padding Cast Deroyal Lf 4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.70
WS SERVICE AREA|27100224|Hc Paste Stomahesive Tube Lf 2oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|31.00
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|249.20
WS SERVICE AREA|27100227|Hc Pillow Ft Std Disp One Size Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|26.80
WS SERVICE AREA|27100228|Hc Piston Breastpump Medela|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27100229|Hc Pouch Fecal Incontinent Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|36.30
WS SERVICE AREA|27100230|Hc Pouch Ostomy Drnbl Wx Tape Bar|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|11.60
WS SERVICE AREA|20010026|Hc Inj Single Tendon Origin/insertion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20551||WS HB DEFAULT|1,360.00
WS SERVICE AREA|27100231|Hc Pouch Urostomy Ped Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.30
WS SERVICE AREA|27100232|Hc Powder Ostomy Lf 1 Oz Btl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.60
WS SERVICE AREA|27100233|Hc Prefilter Valley Lab|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|44.80
WS SERVICE AREA|27100234|Hc Probe Neonatal Sts-204 Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27100235|Hc Probe Pulse Ox Disp Lf Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|53.80
WS SERVICE AREA|27100236|Hc Probe Rectal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|41.40
WS SERVICE AREA|27100237|Hc Probe Temp Disp Lf Infant|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.20
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|20.70
WS SERVICE AREA|27100239|Hc Probe Temp Skin Giraffe Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|41.50
WS SERVICE AREA|27100240|Hc Probe Temperature Tarry Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|41.60
WS SERVICE AREA|20010027|HC 	INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20552||WS HB DEFAULT|1,852.00
WS SERVICE AREA|27100241|Hc Protector Eye|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|36.20
WS SERVICE AREA|27100242|Hc Protector Heel/elbow Universal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.60
WS SERVICE AREA|27100243|Hc Pump Breast Ameda P Yours Ultr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|659.90
WS SERVICE AREA|27100244|Hc Pump Breast Carryall Disp Py|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|629.10
WS SERVICE AREA|27100245|Hc Pump Breast Freestyle Medela|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|834.90
WS SERVICE AREA|27100246|Hc Pump Breast Manual Harmony|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|71.80
WS SERVICE AREA|27100247|Hc Pump Breast Pns Basic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|704.40
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|615.30
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|724.60
WS SERVICE AREA|20010028|HC INJ/ASP/DRAIN -SMALL JOINT/BURSA W/O US|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20600||WS HB DEFAULT|1,083.00
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|615.30
WS SERVICE AREA|27100251|Hc Pump Breast Symphony|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|3,572.30
WS SERVICE AREA|27100252|Hc Pump Breast W Backpack Py|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|657.80
WS SERVICE AREA|27100253|Hc Pump Breast W/o Tote Py|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|333.10
WS SERVICE AREA|27100254|Hc Pump Manual Single Ameda|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|109.20
WS SERVICE AREA|27100256|Hc Rod Ostomy Loop Marlen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|62.60
WS SERVICE AREA|27100257|Hc Scales-baby Weigh Rental-daily|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|6.40
WS SERVICE AREA|27100258|Hc Sensor Temperature Skin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.60
WS SERVICE AREA|272114239|Hc Solution Dia W Bicarb 2 P5 Ltr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|439.40
WS SERVICE AREA|27100260|Hc Set Adminstration High Flow|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|27100260||WS HB DEFAULT|160.70
WS SERVICE AREA|20010030|HC INJ/ASP/DRAIN -INTERMEDIATE JOINT/BURSA W/O US|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20605||WS HB DEFAULT|1,288.00
WS SERVICE AREA|27100261|Hc Set Blood Administration, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|45.30
WS SERVICE AREA|272114240|Hc Solution Dia W Bicarb 4 P5 Ltr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|209.20
WS SERVICE AREA|27100263|Hc Set Blood Fluid Warming, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|65.00
WS SERVICE AREA|27100265|Hc Set Connector Cpd Y|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|42.40
WS SERVICE AREA|20020560|HC NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|20560||WS HB DEFAULT|93.00
WS SERVICE AREA|20120560|HC NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|20560||WS HB DEFAULT|93.00
WS SERVICE AREA|27100274|Hc Set Fluid Warmer Disposable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|345.70
WS SERVICE AREA|20020561|HC NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|20561||WS HB DEFAULT|134.00
WS SERVICE AREA|27100275|Hc Set Gemstar Pump W/filter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|50.70
WS SERVICE AREA|27100276|Hc Set Infuse Anti-siphon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|22.70
WS SERVICE AREA|20010032|HC INJ/ASP/DRAIN -MAJOR JOINT/BURSA W/O US|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20610||WS HB DEFAULT|1,303.00
WS SERVICE AREA|27100277|Hc Set Perifix Accu-block Ce17t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|46.60
WS SERVICE AREA|27100278|Hc Set Prim W/chamber Symbiq|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|115.70
WS SERVICE AREA|20120561|HC NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|20561||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|60.80
WS SERVICE AREA|27100280|Hc Set Pump Enteral Kendall|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27100281|Hc Set Pump Iv Primary|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|50.90
WS SERVICE AREA|27100282|Hc Set Pump Non-dehp Plum|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27100283|Hc Set Pump Plum Transfusion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|88.20
WS SERVICE AREA|27100284|Hc Set Syringe Admin Synbiq|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|40.30
WS SERVICE AREA|27100286|Hc Set Transfer Minicap W/clp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|277.10
WS SERVICE AREA|20010035|Hc Inj/asp Ganglion Cyst|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20612||WS HB DEFAULT|1,910.00
WS SERVICE AREA|27209171|Hc Kit Press Monitor Olm Intercran 1104b|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|326.50
WS SERVICE AREA|80080441|Hc Iadna Human Papillomavirus Types 16 & 18 Only|LABORATORY - GENERAL CLASSIFICATION [0300]|87625||WS HB DEFAULT|342.00
WS SERVICE AREA|27100287|Hc Set Tubing For Auto Rinse|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|69.10
WS SERVICE AREA|27100288|Hc Shell Breast Ameda|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|31.00
WS SERVICE AREA|27100289|Hc Shield Eye, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|36.30
WS SERVICE AREA|27100291|Hc Shield Nipple Contact, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.80
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|27100302|Hc Shoe Orthowedge, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|91.10
WS SERVICE AREA|27100315|Hc Shoe Post-op/cast, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|49.90
WS SERVICE AREA|27100321|Hc Sitz Bath Disposable, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.60
WS SERVICE AREA|80080004|Hc Covid-19 N-cdc High Throughput Tests|LABORATORY - GENERAL CLASSIFICATION [0300]|U0004||WS HB DEFAULT|369.00
WS SERVICE AREA|27100327|Hc Sleeve Seq Compress Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|88.10
WS SERVICE AREA|20010036|Hc Spine Morselized Bone Allograft   Add On|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20930||WS HB DEFAULT|1,198.00
WS SERVICE AREA|27100330|Hc Sling & Swath Adult Universal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|70.50
WS SERVICE AREA|27100331|Hc Sling & Swath Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27100332|Hc Sling & Swath Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27100333|Hc Sling & Swath Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|36.30
WS SERVICE AREA|27100334|Hc Sling Arm Large W/pad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27100335|Hc Sling Arm Medium W/pad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27100336|Hc Sling Arm Small W/pad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27100337|Hc Sling Hemi Cuff Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27100338|Hc Sling Hemi Cuff Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27100339|Hc Sling Immobilizer Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|36.10
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|14,953.00
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|31.80
WS SERVICE AREA|27100341|Hc Sling Pat Spc Disp Lft|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|270.60
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|68.40
WS SERVICE AREA|27100344|Hc Snuggle Up Disp Lf Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|53.80
WS SERVICE AREA|27100345|Hc Solution Duraprep Surg Lf 24ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27100346|HC SPIROMETER INCNT 2.5L SM VOL LOW FLW|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.60
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|43.50
WS SERVICE AREA|27100349|Hc Splint Finger 1x18|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.70
WS SERVICE AREA|20010039|Hc Musculoskeletal System General Surgery Unlisted|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20999||WS HB DEFAULT|3,193.00
WS SERVICE AREA|27100350|Hc Splint Finger Baseball Sm12101|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27100351|Hc Splint Finger Stack Starter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|485.90
WS SERVICE AREA|27100352|Hc Splint Finger Toad Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.80
WS SERVICE AREA|27100353|Hc Splint Finger Toad Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.80
WS SERVICE AREA|27100354|Hc Splint Finger Toad Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27100355|Hc Splint Freedom Posey 8168m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|82.70
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|70.00
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|70.00
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|164.10
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|162.10
WS SERVICE AREA|20010040|Hc Inj Tmj Arthrography|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21116||WS HB DEFAULT|673.00
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|47.80
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|161.80
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|167.60
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|70.00
WS SERVICE AREA|27100364|Hc Splint Synthetic Precut 4"x15"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|39.30
WS SERVICE AREA|27100365|Hc Splint Synthetic Precut 4"x30"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|73.70
WS SERVICE AREA|27100366|Hc Splint Synthetic Precut 5"x30"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|95.50
WS SERVICE AREA|27100367|Hc Splint Thermoplas|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|55.20
WS SERVICE AREA|27100368|Hc Splint Thumb Spica Med Left|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|164.50
WS SERVICE AREA|27100369|Hc Splint Traction Leg Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|92.60
WS SERVICE AREA|20010041|Hc Nasal Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21310||WS HB DEFAULT|856.00
WS SERVICE AREA|27100370|Hc Stethoscope Esophageal, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|27100371|Hc Stomahesive Lf 4x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|26.60
WS SERVICE AREA|27100372|Hc Strap Ankle Distractor|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|248.20
WS SERVICE AREA|27100373|Hc Strap Stirrup Kc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|21.20
WS SERVICE AREA|27100374|Hc Support Heart Hug Sternum Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|497.60
WS SERVICE AREA|27100375|Hc Support Heart Hug Sternum Reg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|497.60
WS SERVICE AREA|27100376|Hc Support Iv Wrist 29980|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.90
WS SERVICE AREA|27100377|Hc Support Scrotal Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|112.40
WS SERVICE AREA|27100378|Hc Suspensory Support Lf Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27100379|Hc Suspensory Support Lf Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|55.20
WS SERVICE AREA|20010042|Hc Nasal Fx Wo Stab|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21315||WS HB DEFAULT|13,205.00
WS SERVICE AREA|27100380|Hc Suspensory Support Lf X-large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|58.70
WS SERVICE AREA|27100381|Hc Syringe Medallion Series 3ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.60
WS SERVICE AREA|27100382|Hc System Cleft Palate Nipple|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|42.40
WS SERVICE AREA|27100383|Hc System Ortho Prep Suction*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|120.90
WS SERVICE AREA|27100384|Hc System Supplemnt Nursing Starter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|50.80
WS SERVICE AREA|27100385|Hc Tape Cast Fiberglass Lf 5"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|29.70
WS SERVICE AREA|27100386|Hc Tape Casting Lf 2x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.70
WS SERVICE AREA|27100387|Hc Tape Casting Lf 3x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27100388|Hc Tape Casting Lf 4x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27100389|Hc Tape Casting Scotch 2x4 Pink|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|16.00
WS SERVICE AREA|20010043|Hc Nasal Fx W Stab|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21320||WS HB DEFAULT|13,205.00
WS SERVICE AREA|27100390|Hc Tape Casting Scotch 3x4 Pink|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|19.10
WS SERVICE AREA|27100391|Hc Tape Medipore Lf 6x10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|68.40
WS SERVICE AREA|27100392|Hc Tape Microfoam Lf 2"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27100393|Hc Tape Microfoam Lf 3"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|22.60
WS SERVICE AREA|27100394|Hc Tape Microfoam Lf 4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27100395|Hc Tape Surgical Medipore H Lf 4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|46.80
WS SERVICE AREA|27100396|Hc Tigertape Whiteblk Tapered 2mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|373.50
WS SERVICE AREA|27100397|Hc Tip Smart Thermal W/drape|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|145.30
WS SERVICE AREA|27100398|Hc Tool Pinch On Screwin Lead|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|168.50
WS SERVICE AREA|27100399|Hc Tray Prep Gel Lf Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|16.00
WS SERVICE AREA|20010044|Hc Nasal Fx Closed|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21337||WS HB DEFAULT|14,767.00
WS SERVICE AREA|27100401|Hc Tubeset Heated W/rtp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|205.80
WS SERVICE AREA|27100402|Hc Tubing Bifuse|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27100403|Hc Vacuum Kiwi Del Sys W/m Cup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|159.10
WS SERVICE AREA|27100404|Hc Vacuum Kiwi Del Sys W/procup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|158.60
WS SERVICE AREA|27100405|Hc Valve Passy-muir Pmv007|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|179.70
WS SERVICE AREA|27100406|Hc Wrap Compresion Brst Gentle6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|137.90
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|369.00
WS SERVICE AREA|27100407|Hc Wrap Compresion Brst Gentle8in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|137.90
WS SERVICE AREA|27100408|Hc Wrap Foot Express Lf (m) Reg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|89.90
WS SERVICE AREA|27100409|Hc Wrap Foot Express Lf Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|87.40
WS SERVICE AREA|20010046|Hc Orbit Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21401||WS HB DEFAULT|7,317.00
WS SERVICE AREA|27100410|Hc Wrap Support Mcconnell Arm Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|247.20
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|76.40
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|2,409.30
WS SERVICE AREA|27200012|Hc Adapter 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.30
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|77.50
WS SERVICE AREA|27200014|Hc Adapter Evac Ellik Non-locking|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|744.80
WS SERVICE AREA|27200015|Hc Adapter Perit Metal Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|944.50
WS SERVICE AREA|20010047|Hc Mandible Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21450||WS HB DEFAULT|2,542.00
WS SERVICE AREA|27237812|Hc Exchange Transfer Set|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|674.80
WS SERVICE AREA|27200016|Hc Adapter Rotating Tubing Hp 72"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.70
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|19.10
WS SERVICE AREA|27200018|Hc Adapter Stay Safe|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|68.20
WS SERVICE AREA|27200019|Hc Adapter T-b 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.60
WS SERVICE AREA|27200020|Hc Adapter Touhy Borst|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|158.10
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|340.50
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|105.10
WS SERVICE AREA|20010048|Hc Mandible Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21451||WS HB DEFAULT|6,454.00
WS SERVICE AREA|27200024|Hc Adapter Y Venting 7.5inx3in836096|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.80
WS SERVICE AREA|10015852|Hc Dressing Change Under Anesthesia|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|15852||WS HB DEFAULT|1,911.00
WS SERVICE AREA|27200025|Hc Adaptor Cautery Monopolar|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|94.50
WS SERVICE AREA|27200027|Hc Adaptor Side Arm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.60
WS SERVICE AREA|27200029|Hc Adhesive Skin Closure 2 Octyl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|105.40
WS SERVICE AREA|27200030|Hc Blade Saw Osc 25x1.19x90mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|137.90
WS SERVICE AREA|27200031|HC ADHESIVE SKIN HISTOACRYL TOP BLU|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|115.70
WS SERVICE AREA|27200041|Hc Airway Laryngoscope Grn Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|482.10
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|33.20
WS SERVICE AREA|20010049|Hc Temporomandibular Disl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21480||WS HB DEFAULT|856.00
WS SERVICE AREA|80030004|Hc Covid-19 N-cdc High Throughput Tests|LABORATORY - GENERAL CLASSIFICATION [0300]|U0004||WS HB DEFAULT|369.00
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|22.90
WS SERVICE AREA|27200077|Hc Applicator Duplospray 40cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|554.90
WS SERVICE AREA|27200079|Hc Applicator Floseal Endo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|366.10
WS SERVICE AREA|27200081|Hc Applicator Micromyst|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|847.70
WS SERVICE AREA|27200082|Hc Applier 5mm Hem-o-lok Polymer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|808.40
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|476.40
WS SERVICE AREA|20010050|Hc Drain Soft Tissue Neck/thorax|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21501||WS HB DEFAULT|6,719.00
WS SERVICE AREA|27200085|Hc Applier Clip Endo Rotating|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,679.40
WS SERVICE AREA|27200086|Hc Applier Clip Endoclip Rh Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,617.90
WS SERVICE AREA|27200087|Hc Applier Clip Multi Mcl20 Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|936.80
WS SERVICE AREA|27200088|Hc Applier Clip Multi Mcm20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|954.80
WS SERVICE AREA|27200089|Hc Applier Clip Multi Mcm30 Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,074.30
WS SERVICE AREA|27200090|Hc Applier Clip Multi Mcs20 Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|950.60
WS SERVICE AREA|27200091|Hc Applier Clip Multi Msm20 Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|954.80
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|27200093|Hc Applier Clip Surgi M-11.5 134031|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|339.00
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|20010051|Hc Biopsy Soft Tissue Neck/thorax|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21550||WS HB DEFAULT|2,010.00
WS SERVICE AREA|27200095|Hc Applier Clip Surgiclip L-13|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|315.10
WS SERVICE AREA|27200096|Hc Applier Clip Surgiclip S-9|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|308.60
WS SERVICE AREA|50051100|Hc Aspiration Bladder Needle|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51100||WS HB DEFAULT|904.00
WS SERVICE AREA|27200097|Hc Applier Endo Clip Pistl Lf 10m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|476.40
WS SERVICE AREA|27200098|Hc Applier Endoclip-3 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|987.70
WS SERVICE AREA|27200099|Hc Zz Applier Hemlock Davinci 8mm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9,526.90
WS SERVICE AREA|27200100|Hc Applier Int Clip Med Auto Ti E|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|349.10
WS SERVICE AREA|27200101|Hc Applier Myoocclude|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|184.60
WS SERVICE AREA|27200102|Hc Assembly Contrast Spike|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.70
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|20010052|Hc Biopsy Soft Tissue Back/flank|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|21920||WS HB DEFAULT|1,509.00
WS SERVICE AREA|27200108|Hc Assembly Suction Brat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|93.30
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|691.70
WS SERVICE AREA|27200112|Hc Bag Bile 19oz Sterile|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27200113|Hc Bag Breathing Non Latex 2liter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27200114|Hc Bag Fec Mgmt Dignishield|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.10
WS SERVICE AREA|27200115|Hc Bag Colostomy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.70
WS SERVICE AREA|27200116|Hc Bag Colostomy 2-3/4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27200117|Hc Bag Decanter 2000|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.90
WS SERVICE AREA|95010051|HC INTRAOP NEURO MON 15 MIN|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95940||WS HB DEFAULT|427.00
WS SERVICE AREA|27200118|Hc Bag Drain Bed Urology|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.00
WS SERVICE AREA|27200124|Hc Bag Drain Meter Urine Sil 350c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.70
WS SERVICE AREA|27200125|Hc Bag Drain Uro Table|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.50
WS SERVICE AREA|27200126|Hc Bag Drainage|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|273.50
WS SERVICE AREA|27200127|Hc Bag Drainage 4000cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.70
WS SERVICE AREA|27200128|Hc Bag Drainage Accordian|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|176.20
WS SERVICE AREA|27200129|Hc Bag Drainage Prismas Sp-375|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.90
WS SERVICE AREA|27200130|Hc Bag Drainage Tc-600|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.50
WS SERVICE AREA|27200131|Hc Bag Drainage Urine Latex Free|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27200132|Hc Bag Drainage Uro-bag|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|54.10
WS SERVICE AREA|20010069|Hc Fb Remove Shoulder Simp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23330||WS HB DEFAULT|3,697.00
WS SERVICE AREA|27200133|Hc Bag Drainage Ventricular Ext|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|211.40
WS SERVICE AREA|27200134|Hc Bag Drainage W/urometer Silv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.90
WS SERVICE AREA|27200135|Hc Bag Pressure Infusor 1000ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.50
WS SERVICE AREA|27200136|Hc Bag Pressure Infusor 500ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|61.00
WS SERVICE AREA|27200137|Hc Bag Red Blood Cell|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.90
WS SERVICE AREA|27200138|Hc Bag Reinfusion Brat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|72.10
WS SERVICE AREA|27200139|Hc Bag Sample Baster Effluent|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.70
WS SERVICE AREA|27200140|Hc Bag Specimen Extrac Displf10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,290.10
WS SERVICE AREA|27200141|Hc Bag Urinary Disp 19oz Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.90
WS SERVICE AREA|27200142|Hc Bag Urinary Drainage Silv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.80
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|27200143|Hc Bag Waste Brat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|126.30
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|1,258.20
WS SERVICE AREA|27200147|Hc Balloon Cervical Ripening 18fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1726||WS HB DEFAULT|255.50
WS SERVICE AREA|27200148|Hc Balloon Extract Retrieval 9-12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|891.20
WS SERVICE AREA|27200149|Hc Balloon Extractor Rx Retrieval|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|901.80
WS SERVICE AREA|27200155|Hc Band 24cm Long 2 Balloon Air I|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|216.40
WS SERVICE AREA|27200158|Hc Barrier Adh 3inx2.5in Sod Halu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,623.20
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|14.80
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|27200162|Hc Basket N-circle Dw Nitinol 2.4x11|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,205.20
WS SERVICE AREA|27200163|Hc Basket N-circle Nitinol 2.2x115|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,045.00
WS SERVICE AREA|27200164|Hc Basket Nitenol Zero Tip 4.0fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,522.40
WS SERVICE AREA|27200165|Hc Basket Perc N-circle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|633.30
WS SERVICE AREA|27200166|Hc Basket Retrieval Tip Disp 12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,417.40
WS SERVICE AREA|27200167|Hc Basket Retrieval Tip Disp 16mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,417.40
WS SERVICE AREA|27200168|Hc Basket Stone 4wire Atlas 3.2fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|964.40
WS SERVICE AREA|27200170|Hc Basket Stone Ngage Nitinol 1.7|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,170.10
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|1,205.20
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|272114020|Hc Kit Pricrdcts Spcl Proc W/ldcn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|579.30
WS SERVICE AREA|27200173|Hc Basket Stone Ureteroscope 3fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|964.40
WS SERVICE AREA|27200174|Hc Basket Trapezoid 1.5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,609.40
WS SERVICE AREA|27200175|Hc Basket Trapezoid 2.0cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,609.40
WS SERVICE AREA|27200176|Hc Basket Trapezoid 2.5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,609.40
WS SERVICE AREA|27200177|Hc Battery Pack Synth|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,263.50
WS SERVICE AREA|27200179|Hc Bioseal Advanced|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|176.00
WS SERVICE AREA|27200180|Hc Bioseal Cvc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|121.00
WS SERVICE AREA|27200181|Hc Bit Solidlok Hex 3.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|452.20
WS SERVICE AREA|27200182|Hc Bit With Stop Midas|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|596.30
WS SERVICE AREA|27200183|Hc Blanket Cold Therapy Knee|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|312.10
WS SERVICE AREA|20010074|Hc Clavicle Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23500||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27200184|Hc Blower Hand|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|110.30
WS SERVICE AREA|27200185|Hc Boot Mosquito Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27200186|Hc Bra Icepack/tmj Jaw|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|131.20
WS SERVICE AREA|27200187|Hc Brush Biopsy Supertrax|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|149.60
WS SERVICE AREA|27200188|Hc Brush Cytol Deflec 3.2frx115cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|445.60
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|99.70
WS SERVICE AREA|27200191|Hc Brush Cytology Colon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|108.30
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|145.20
WS SERVICE AREA|20010075|Hc Clavicle Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23505||WS HB DEFAULT|17,017.00
WS SERVICE AREA|27200194|Hc Brush W/cord 18ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.30
WS SERVICE AREA|27200195|Hc Bulb Irrigator|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|230.20
WS SERVICE AREA|27200196|Hc Bulb Suction Express F/mini(x)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|61.30
WS SERVICE AREA|27200197|Hc Bundle Op Cab|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,523.50
WS SERVICE AREA|27200198|Hc Bx Wire Sut 18ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|456.20
WS SERVICE AREA|27200199|Hc Cable Accord Ss 2.0 W Clamp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,644.40
WS SERVICE AREA|27200201|Hc Cable Doppler Flow Cook-swartz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|450.40
WS SERVICE AREA|27200202|Hc Cable Elec Umb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|642.90
WS SERVICE AREA|27200203|Hc Cable Pacing Medti Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|145.30
WS SERVICE AREA|27200204|Hc Cable Pacing Remmd Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|68.00
WS SERVICE AREA|20010076|Hc Sternoclavicle Disl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23520||WS HB DEFAULT|5,274.00
WS SERVICE AREA|27200205|Hc Cable Pacing Sm Allig Ll Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|172.90
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|2,790.20
WS SERVICE AREA|27200207|Hc Cable Stern W/cut Edge Ndl 1pk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|534.70
WS SERVICE AREA|27200208|Hc Cable Stern W/cut Edge Ndl 4pk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,111.80
WS SERVICE AREA|27200209|Hc Cannister Abthera 1000ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|68.00
WS SERVICE AREA|27200211|Hc Cannister Suction 1200ml Doug|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27200212|Hc Cannister Suction W/saf 2000ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.70
WS SERVICE AREA|27200213|Hc Cannula 8.5x110mm 72200436|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|387.30
WS SERVICE AREA|27200214|Hc Cannula 8gu 19cm Del Dem Bn Mt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|465.80
WS SERVICE AREA|27200215|Hc Cannula Active Tip Disp 10x15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|230.20
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|27200216|Hc Cannula Adv Fix 5x100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.60
WS SERVICE AREA|27200217|Hc Cannula Aortic 16fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,480.00
WS SERVICE AREA|27200218|Hc Cannula Aortic 18fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,458.80
WS SERVICE AREA|27200219|Hc Cannula Aortic 20fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,480.00
WS SERVICE AREA|27200220|Hc Cannula Aortic 22fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,458.80
WS SERVICE AREA|27200221|Hc Cannula Aortic Root|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|133.70
WS SERVICE AREA|27200222|Hc Cannula Aortic Root Dlp Long|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|129.50
WS SERVICE AREA|27200223|Hc Cannula Aortic Soft Flow 7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|230.20
WS SERVICE AREA|27200224|Hc Cannula Aortic Soft Flow 8mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|304.50
WS SERVICE AREA|27200225|Hc Cannula Aortic W/gw 20fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|338.50
WS SERVICE AREA|20010079|Hc Acromioclavicle Disl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23540||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27200226|Hc Cannula Arthro 70mm Gwire Driver|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,059.90
WS SERVICE AREA|27200227|Hc Cannula Balloon Cervical 12fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|321.50
WS SERVICE AREA|27200228|Hc Cannula Baylis 20x100 10crv/sh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|129.50
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|19.10
WS SERVICE AREA|27200231|Hc Cannula Clear Mitek 8.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|186.70
WS SERVICE AREA|27200232|Hc Cannula Clear Mitek Lf 6mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|186.70
WS SERVICE AREA|27200233|Hc Cannula Disposable 5.7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|114.00
WS SERVICE AREA|27200234|Hc Cannula Femoral Venous 22fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,812.40
WS SERVICE AREA|27200235|Hc Cannula Femoral Venous 23/25fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,730.50
WS SERVICE AREA|20010080|Hc Acromioclav Disl W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23545||WS HB DEFAULT|5,274.00
WS SERVICE AREA|27200236|Hc Cannula Fx 5-12mm + Seal W Vrs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.50
WS SERVICE AREA|27200237|Hc Cannula Fx 5mm + Seal W Vrsprt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.20
WS SERVICE AREA|27200238|Hc Cannula Fx 5mm Seal Shrt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.20
WS SERVICE AREA|27200239|Hc Cannula Helix Triport 4x10x30c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|254.40
WS SERVICE AREA|27200240|Hc Cannula Helix Triport 5x10x30c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|385.10
WS SERVICE AREA|27200241|Hc Zz Cannula Inner Shiley 6.0 Use Eap 27100079|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.80
WS SERVICE AREA|27200242|Hc Zz Cannula Inner Trach Tube 7.0mm Use Eap 27100079|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27200243|Hc Cannula Lg Body Aortic Root 14|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|179.20
WS SERVICE AREA|27200244|Hc Cannula Mercedes 3x8x30cm Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|262.00
WS SERVICE AREA|27200245|Hc Cannula Mercedes 4.0x10x30cm L|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|262.00
WS SERVICE AREA|20010082|Hc Scapular Fx W Manip/wo Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23575||WS HB DEFAULT|5,274.00
WS SERVICE AREA|27200247|Hc Cannula Nucleus Hydro 27x1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.80
WS SERVICE AREA|27200248|Hc Cannula Part Threaded 5.75x7cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|172.90
WS SERVICE AREA|27200249|Hc Cannula Passport 10mm Id 3cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|230.20
WS SERVICE AREA|27200250|Hc Cannula Retro Auto Inf Bal 15f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|504.00
WS SERVICE AREA|27200251|Hc Cannula Retro Coronary 15fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|504.00
WS SERVICE AREA|27200252|Hc Cannula Rf 10cmm 10mm 20ga Crv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.70
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|149.60
WS SERVICE AREA|27200255|Hc Cannula Shoulder 7.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|180.40
WS SERVICE AREA|27200256|Hc Cannula Shoulder Linvatec Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|105.10
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|27200257|Hc Cannula Smooth 12x100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|182.50
WS SERVICE AREA|27200258|Hc Cannula Suct Hlx 5mm 10nn 30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|262.00
WS SERVICE AREA|27200259|Hc Cannula Threaded 12x100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|182.50
WS SERVICE AREA|20027603|Hc Incision & Drainage Leg/ankle Abscess/hematoma|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27603||WS HB DEFAULT|9,362.00
WS SERVICE AREA|27200260|Hc Cannula Triport 3mmx22cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|262.00
WS SERVICE AREA|27200261|Hc Cannula Triport Helix 4mmx22cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|262.00
WS SERVICE AREA|27200262|Hc Cannula Tubro 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|366.10
WS SERVICE AREA|27200263|Hc Cannula Twist-in 6x9mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|172.90
WS SERVICE AREA|27200264|Hc Cannula Twist-in 8.25x7cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|172.90
WS SERVICE AREA|27200265|Hc Cannula Twist-in 8.25x9cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|172.90
WS SERVICE AREA|20010083|Hc Humeral Wo Manip Prox|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23600||WS HB DEFAULT|1,378.00
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|168.70
WS SERVICE AREA|27200268|Hc Cannula Venous Femoral 20fr 55cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|370.30
WS SERVICE AREA|27200269|Hc Cannula Venous Femoral 24fr 65cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,639.50
WS SERVICE AREA|27200270|Hc Cannula Venous Rt Angle Return|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|180.40
WS SERVICE AREA|27200271|Hc Cannula Venous Tri Stg Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|216.40
WS SERVICE AREA|27200272|Hc Cannula Versastep W/obtr Lf 10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|338.90
WS SERVICE AREA|27200273|Hc Cannula Versastep W/obtr Lf 5m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|291.80
WS SERVICE AREA|27200274|Hc Cannula Vessel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|34.00
WS SERVICE AREA|27200275|Hc Cannula W/obt Thd Clr 8.5x75mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|180.40
WS SERVICE AREA|20010084|Hc Humeral Fx W Manip Wo Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23605||WS HB DEFAULT|15,217.00
WS SERVICE AREA|272114363|Hc Kit Icp Mtl Disp Adlt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,896.10
WS SERVICE AREA|27200276|Hc Cannula W/obturator Clear 6mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|186.70
WS SERVICE AREA|27200277|Hc Cannula W/rad Exp Slv+long 12m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|333.10
WS SERVICE AREA|27200278|Hc Cannula Wand Deliver 5g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,731.40
WS SERVICE AREA|27200279|Hc Cannula Z Thrd 5x100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|27200280|Hc Cap Locking Ellispe|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|905.00
WS SERVICE AREA|27200281|Hc Cap Mini Disconnect Dialysis Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.50
WS SERVICE AREA|27200282|Hc Cap Protect 5 Mm Fx Pin Femur|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.60
WS SERVICE AREA|27200283|Hc Cap Seal Dextrus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,260.70
WS SERVICE AREA|27200284|Hc Cap Sealing Red 2-3mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27200286|Hc Cartridge Disp Raney|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|84.90
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|27200287|Hc Cassette Irrigation Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|285.40
WS SERVICE AREA|27200288|Hc Cath .038 Nbrd Hs 1 5fr 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|84.90
WS SERVICE AREA|27200289|Hc Cath .038in Braid Cbr 2 5fr 80|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|84.70
WS SERVICE AREA|27200290|Hc Cath .038in Braid Sosi 2 5fr 8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|85.10
WS SERVICE AREA|27200291|Hc Cath .038in Nbrd Mklsn 5fr 80c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|84.70
WS SERVICE AREA|27200292|Hc Cath .038in Nbrd1 5fr 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|84.90
WS SERVICE AREA|27200293|Hc Cath .038in Sft Vu St1 5fr 100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|84.90
WS SERVICE AREA|27200294|Hc Cath .038in Sft Vu St2 5fr 100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|97.60
WS SERVICE AREA|27200295|Hc Zz Cath 8/10 Set  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|245.00
WS SERVICE AREA|27200296|Hc Cath Anchor Amplatz Aa/8/30|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|501.80
WS SERVICE AREA|20010086|Hc Humeral Fx W Manip Gr Tuber|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23625||WS HB DEFAULT|15,217.00
WS SERVICE AREA|27200297|Hc Cath Angio Accuvu 5x70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|485.90
WS SERVICE AREA|27200298|Hc Cath Angio Chg3 5fr 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|101.90
WS SERVICE AREA|27200299|Hc Cath Angio Mik 5fr 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
WS SERVICE AREA|27200300|Hc Cath Angio Pigtail|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|945.00
WS SERVICE AREA|27200301|Hc Cath Angio Slip Beac 4f 038x65|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|255.60
WS SERVICE AREA|27200302|Hc Cath Angio Slip Ruc 5fr 035x90|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|249.60
WS SERVICE AREA|27200303|Hc Cath Angio Sos Omni 4fr 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|94.50
WS SERVICE AREA|27200304|Hc Cath Angio Vanchies 65cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|180.40
WS SERVICE AREA|27200305|Hc Cath Angio Vcf Sizing 65cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|180.40
WS SERVICE AREA|27200306|Hc Cath Angio Vs1 Sos 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.60
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|27200307|Hc Cath Anmc Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,054.40
WS SERVICE AREA|27200308|Hc Cath Apd 10.3fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|503.10
WS SERVICE AREA|27200309|Hc Cath Apd Drainage 14fr 14/25|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|485.90
WS SERVICE AREA|50056441|Hc Lysis Labial Adhesions|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|56441||WS HB DEFAULT|9,604.00
WS SERVICE AREA|27200310|Hc Cath Attain Select 6238tel8360830|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|993.00
WS SERVICE AREA|27200311|Hc Cath Bactiseal Codman|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,504.60
WS SERVICE AREA|27200312|Hc Cath Baker Jejunostomy Davol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,408.80
WS SERVICE AREA|27200313|Hc Cath Ball Occlusion 5.3fr 75cm*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|693.80
WS SERVICE AREA|50056501|Hc Destruction Lesions Vulva Simple|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|56501||WS HB DEFAULT|6,239.00
WS SERVICE AREA|27200314|Hc Cath Ball Uret Ascend 5mmx10cm*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|1,254.00
WS SERVICE AREA|20010087|Hc Shoulder Disl W Manip Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23650||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27200315|Hc Cath Balloon Dil 1.2mm 12mm Co|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|869.90
WS SERVICE AREA|27200316|Hc Cath Balloon Dil Uret 5mmx4cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|1,041.80
WS SERVICE AREA|27200317|Hc Cath Balloon Dil Uret 6mmx10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|1,041.80
WS SERVICE AREA|50057061|Hc Destruction Vaginal Lesions Simple|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|57061||WS HB DEFAULT|9,604.00
WS SERVICE AREA|27200318|Hc Cath Balloon Dil Uret 6mmx4cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|1,083.10
WS SERVICE AREA|27200319|Hc Cath Balloon Endorectal Pro-te|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|350.20
WS SERVICE AREA|27200320|Hc Cath Balloon Tamponade|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|666.50
WS SERVICE AREA|27200321|Hc Cath Balloon Veno Attain 6215 W/ Sheath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|620.70
WS SERVICE AREA|272000256|Hc Pump Elastomeric|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.10
WS SERVICE AREA|27200322|Hc Cath Balloon Venogram 6714|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|310.90
WS SERVICE AREA|20010088|Hc Shoulder Disl W Manip/anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23655||WS HB DEFAULT|11,922.00
WS SERVICE AREA|27200323|Hc Cath Bartholin Gland Rusch|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|176.40
WS SERVICE AREA|27200324|Hc Cath Berenstein 5fr 40cm .038|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|95.50
WS SERVICE AREA|27200325|Hc Cath Berenstein 5fr 65cm .038|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|94.80
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|27200327|Hc Cath Castillo 1 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200328|Hc Cath Castillo 2 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200329|Hc Cath Castillo 3 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
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|27200330|Hc Cath Centesis Yueh 8fr 7cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|119.10
WS SERVICE AREA|27200332|Hc Cath Clamp Screw Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
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|27200333|Hc Cath Cmc 3.5cm 5.0cm Triconca|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|925.10
WS SERVICE AREA|27200334|Hc Cath Cnts 5fr 7cm 1stp Slip Fi|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|134.90
WS SERVICE AREA|27200335|Hc Cath Cone Rusch Lf (m) 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|52.00
WS SERVICE AREA|27200336|Hc Cath Connector Csf Psm 3-way|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,273.10
WS SERVICE AREA|27200337|Hc Cath Connector Csf Psm Str|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|425.40
WS SERVICE AREA|27200338|Hc Cath Coude Slv 2-way 12fr 5cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.60
WS SERVICE AREA|27200339|Hc Cath Coude Slv 2-way 14fr 5cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.60
WS SERVICE AREA|27200340|Hc Cath Coude Slv 2-way 16fr 5cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.70
WS SERVICE AREA|27200341|Hc Cath Coude Slv 2-way 18fr 5cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|83.00
WS SERVICE AREA|27200342|Hc Cath Coude Slv 2-way 20fr 5cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.40
WS SERVICE AREA|20010089|Hc Shoulder Disl W Surg|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23675||WS HB DEFAULT|1,489.00
WS SERVICE AREA|27200343|Hc Cath Coude Slv 2-way 22fr 5cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.40
WS SERVICE AREA|27200344|Hc Cath Csf-cardiac Psm 58cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|998.30
WS SERVICE AREA|27200345|Hc Cath Csf-peritoneal Psm Std|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|905.00
WS SERVICE AREA|27200346|Hc Cath Csf-ventricu Psm Std|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|808.40
WS SERVICE AREA|27200347|Hc Cath Daswon Mueller Drain 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|482.80
WS SERVICE AREA|27200348|Hc Cath Dawson Mueller 8.5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|453.70
WS SERVICE AREA|27200349|Hc Cath Dbl Lumen Endo Xchg 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|259.20
WS SERVICE AREA|27200350|Hc Cath Drain Abcession 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|395.10
WS SERVICE AREA|27200351|Hc Cath Drain Abcession 12fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|394.50
WS SERVICE AREA|27200352|Hc Cath Drain Abcession 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|395.20
WS SERVICE AREA|20010090|Hc Fb Remove Elbow/up Arm Subq|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24200||WS HB DEFAULT|3,841.00
WS SERVICE AREA|27200353|Hc Cath Drain Abcession 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|394.10
WS SERVICE AREA|27200354|Hc Cath Drain Abs Biliary 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|453.00
WS SERVICE AREA|27200355|Hc Cath Drain Abs Biliary 12fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|440.30
WS SERVICE AREA|27200356|Hc Cath Drain Abs Biliary 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|443.20
WS SERVICE AREA|27200357|Hc Cath Drain Abs Biliary 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|453.00
WS SERVICE AREA|27200358|Hc Cath Drain Abscession 6.5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|395.00
WS SERVICE AREA|27200359|Hc Cath Drain Apd Glidex 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|482.50
WS SERVICE AREA|27200360|Hc Cath Drain Clm Rh 14fr 25cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|512.30
WS SERVICE AREA|27200361|Hc Cath Drain Dawson-mueller 10.2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|448.40
WS SERVICE AREA|27200362|Hc Cath Drain Firm Flex 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|523.00
WS SERVICE AREA|20010091|Hc Fb Remove Elbow/up Arm Deep|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24201||WS HB DEFAULT|12,176.00
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|456.20
WS SERVICE AREA|27200365|Hc Cath Drain Gordon Lb 18fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|439.20
WS SERVICE AREA|27200366|Hc Cath Drain Rb 6sh 16fr 038x25|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|485.90
WS SERVICE AREA|27200367|Hc Cath Drain Ult Rb Mac 12f 38x2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|514.60
WS SERVICE AREA|27200368|Hc Cath Drainage Apdl Firm 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|473.40
WS SERVICE AREA|27200369|Hc Cath Drainage Dawson-mueller|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|451.70
WS SERVICE AREA|27200370|Hc Cath Drainage Locking 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|510.70
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|20010092|Hc Inj Elbow Arthro|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24220||WS HB DEFAULT|963.00
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|153.50
WS SERVICE AREA|27200373|Hc Cath Duodecca 5-5-5spacing 7fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1731||WS HB DEFAULT|7,138.80
WS SERVICE AREA|27200374|Hc Cath Duplocath 35 Mis Appl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|327.80
WS SERVICE AREA|27200375|Hc Cath Swan Ganz, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|196.30
WS SERVICE AREA|27200376|Hc Cath Electro Gold Probe 10/300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|744.80
WS SERVICE AREA|27200377|Hc Cath Electro Gold Probe 7/300|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|744.80
WS SERVICE AREA|27200378|Hc Cath Electro Gold Probe 7/350|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|993.00
WS SERVICE AREA|20027301|Hc Id Deep Absc Bursa/hematoma Thigh/knee Region|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27301||WS HB DEFAULT|8,916.00
WS SERVICE AREA|27200382|Hc Cath Evd Bacitseal Codman 1.9m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,574.20
WS SERVICE AREA|27200383|Hc Cath Evd Bactiseal Codman|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,342.20
WS SERVICE AREA|27200384|Hc Cath Ext Angiographic 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|20010093|Hc Humeral Fx Shaft Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24500||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27200385|Hc Cath Ext Angiographic 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.20
WS SERVICE AREA|27200386|Hc Cath Ez-path Hs Guiding 7fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|651.40
WS SERVICE AREA|27200387|Hc Cath Fem Art Arrow Lf 20gx4.25|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.60
WS SERVICE AREA|27200388|Hc Cath Fem Cordis 3rdc 6fr 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200389|Hc Cath Femoral Arterial Arrow 18g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|77.50
WS SERVICE AREA|27200390|Hc Cath Femoral Cordis 6f Al I|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200391|Hc Cath Femoral Cordis 6f Al Ii|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200392|Hc Cath Femoral Cordis 6f Al Iii|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200393|Hc Cath Femoral Cordis 6f Ar Mod|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200394|Hc Cath Femoral Cordis 6f Im|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|20010094|Hc Fx W Manip Wo Ske Shaft Hum|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24505||WS HB DEFAULT|1,489.00
WS SERVICE AREA|27200395|Hc Cath Femoral Cordis 6f Jl3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200396|Hc Cath Femoral Cordis 6f Jl4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200397|Hc Cath Femoral Cordis 6f Jl5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200398|Hc Cath Femoral Cordis 6f Jl6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200399|Hc Cath Femoral Cordis 6f Jr4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200400|Hc Cath Femoral Cordis 6f Jr6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200401|Hc Cath Femoral Cordis 6f Lcb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200402|Hc Cath Femoral Cordis 6f Mpb2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200403|Hc Cath Femoral Cordis 6f Rcb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200404|Hc Cath Femoral Cordis 6fmpa2/10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
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|27200405|Hc Cath Femoral Cordis 6fmpa2/12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200406|Hc Cath Flexima Apdl 12fr 25cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|503.60
WS SERVICE AREA|27200407|Hc Cath Flexima Apdl 14fr 25cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|502.20
WS SERVICE AREA|27200410|Hc Cath Foley 2way, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.60
WS SERVICE AREA|27200418|Hc Cath Foley 3way, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.60
WS SERVICE AREA|27200426|Hc Cath Foley Criticore With Tray, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|210.90
WS SERVICE AREA|27200433|Hc Cath Foley Silver/ic, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.40
WS SERVICE AREA|27200455|Hc Cath Gastrostomy Mic 14f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|241.80
WS SERVICE AREA|27200456|Hc Tube Gastro Mic-key 16f Sil 3-5ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|145.10
WS SERVICE AREA|27200457|Hc Cath Gastrostomy Mic 18f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|236.20
WS SERVICE AREA|20010095|Hc Humeral Fx Supra Trans|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24530||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27200458|Hc Cath Gastrostomy Mic Cr Lf 24f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.00
WS SERVICE AREA|27200459|Hc Cath Glide 5 Straight/65/.038|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|303.40
WS SERVICE AREA|27200460|Hc Cath Glide C2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.70
WS SERVICE AREA|27200461|Hc Cath Glide Hc 4f 65cm C2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|306.50
WS SERVICE AREA|27200462|Hc Cath Glidecath Ang Tp 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|307.40
WS SERVICE AREA|27200463|Hc Cath Glidecath Angf Tp 5fr 139|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|305.20
WS SERVICE AREA|27200464|Hc Cath Gold Probe Std Plug 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,336.70
WS SERVICE AREA|27200469|Hc Cath Guide .021in 3/2.4fr 150c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,551.10
WS SERVICE AREA|27200470|Hc Cath Guide .021in 3fr 150cm An|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,684.20
WS SERVICE AREA|27200471|Hc Cath Guide 5f Convey Jl5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|280.10
WS SERVICE AREA|20010096|Hc Humeral Fx W Wo Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24535||WS HB DEFAULT|4,716.00
WS SERVICE AREA|27200472|Hc Cath Guide 5f Convey Lt Bu3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|27200473|Hc Cath Guide 5f Convey Lt Bu4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|27200474|Hc Cath Guide 5f Convey Rbl3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|27200475|Hc Cath Guide 5f Convey Rbr4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
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|373.50
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|373.50
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|27200479|Hc Cath Guide Ebu Lt 6fr 3.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|27200480|Hc Cath Guide Ebu Lt 6fr 3.5x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|27200481|Hc Cath Guide Ebu Lt 6fr 3.75x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|20010097|Hc Humeral Fx Epicon Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24560||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27200482|Hc Cath Guide Ebu Lt 6fr 4.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|27200483|Hc Cath Guide Ebu Lt 6fr 4.5x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|27200484|Hc Cath Guide Ebu Lt 6fr 5.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|27200485|Hc Cath Guide Ebu Lt 7fr 3.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|27200486|Hc Cath Guide Ebu Lt 7fr 3.5x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|27200487|Hc Cath Guide Ebu Lt 7fr 3.75x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|27200488|Hc Cath Guide Ebu Lt 7fr 4.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|27200489|Hc Cath Guide Ebu Lt 7fr 4.5x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|27200490|Hc Cath Guide Ebu Lt 8fr 3.5x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|27200491|Hc Cath Guide Ebu Lt 8fr 3.75x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|20010098|Hc Humeral Fx Epicon W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24565||WS HB DEFAULT|1,712.00
WS SERVICE AREA|27200492|Hc Cath Guide Ebu Lt 8fr 4.0x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
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|280.10
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|280.10
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|280.10
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|280.10
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|310.90
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|301.30
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|301.30
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|310.90
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|301.30
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|27200502|Hc Cath Guide Mach 1 6f Kr 4 Sh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|310.90
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|301.30
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|310.90
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|310.90
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|301.30
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|310.90
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|310.90
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|310.90
WS SERVICE AREA|27200510|Hc Cath Guide Medtr 6126a-mp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,240.20
WS SERVICE AREA|27200511|Hc Cath Guide Medtr 6216a-mb2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,055.60
WS SERVICE AREA|20010099|Hc Humeral Fx Condylar Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24576||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27200512|Hc Cath Guide Medtr 6218a-am|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,243.40
WS SERVICE AREA|27200513|Hc Cath Guide Medtr 6218a-eh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,055.60
WS SERVICE AREA|27200514|Hc Cath Guideliner 5 In 6 0.056in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,453.90
WS SERVICE AREA|27200515|Hc Cath Guiding Brite Tp 9f Al2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|315.10
WS SERVICE AREA|27200516|Hc Cath Guiding Cook 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|193.10
WS SERVICE AREA|27200517|Hc Cath Guiding Mach 1 Mp 90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|565.50
WS SERVICE AREA|27200518|Hc Cath Guiding Mach 1 Mp2 90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|582.50
WS SERVICE AREA|27200519|Hc Cath Guiding Xl Br/tp Jr4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|315.10
WS SERVICE AREA|27200524|Hc Cath Hickman Subcutaneous 14|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|1,370.70
WS SERVICE AREA|27200525|Hc Cath High Flow Cordis 7f Jr4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|20010100|Hc Humeral Fx Condylar W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24577||WS HB DEFAULT|5,274.00
WS SERVICE AREA|270115162|Hc Sling Arm Cloth Buckle Clsr Xs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|7.40
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|100.80
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|98.10
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|97.90
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|97.90
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|100.80
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|98.50
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|98.60
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|100.80
WS SERVICE AREA|27200534|Hc Cath Hydroglide 20fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|140.10
WS SERVICE AREA|27200535|Hc Cath Hysterosalpingo Trime 5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|170.00
WS SERVICE AREA|20010101|Hc Elbow Disl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24600||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27200536|Hc Cath I-flow 2.5in"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|262.00
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|27200539|Hc Cath Inf Cordia Lcb 4fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.30
WS SERVICE AREA|27200540|Hc Cath Inf Cordia Mpa2 4 Fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.30
WS SERVICE AREA|27200541|Hc Cath Inf Cordis 4f 3drc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.10
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|75.30
WS SERVICE AREA|27200544|Hc Cath Inf Cordis 4f Pigtail|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|27200545|Hc Cath Inf Cordis 4fr Jl4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.30
WS SERVICE AREA|20010102|Hc Elbow Disl W Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24605||WS HB DEFAULT|23,846.00
WS SERVICE AREA|27200546|Hc Cath Inf Cordis 4fr Jr4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.30
WS SERVICE AREA|27200547|Hc Cath Infiniti 145 Pig Mod 4fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.20
WS SERVICE AREA|27200548|Hc Cath Infiniti 5fr Ali 545t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200549|Hc Cath Infiniti 5fr Im 560t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200550|Hc Cath Infiniti 5fr Jl3.5 518t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200551|Hc Cath Infiniti 5fr Jl4 520t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200552|Hc Cath Infiniti 5fr Jr4 521t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27200553|Hc Cath Infiniti 5fr Mpa2 542t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200554|Hc Cath Infiniti 5fr Pig 550s|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
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|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|274124844|Hc Hm Syst Controller (sc) Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0481||WS HB DEFAULT|26,034.50
WS SERVICE AREA|27200556|Hc Cath Infiniti Al 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.30
WS SERVICE AREA|27200557|Hc Cath Infiniti Ar Mod|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.20
WS SERVICE AREA|274124845|Hc Hm2 11v Backup Battery Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0506||WS HB DEFAULT|2,402.90
WS SERVICE AREA|27200558|Hc Cath Infiniti Jl 5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.30
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|4,250.60
WS SERVICE AREA|27200560|Hc Cath Infiniti Jr 5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.30
WS SERVICE AREA|27200561|Hc Cath Infiniti Pig 552s 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.90
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|2,850.40
WS SERVICE AREA|20010104|Hc Elbow Nursmaid|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24640||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27200562|Hc Cath Inflation Sinus Balloon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|461.50
WS SERVICE AREA|27200563|Hc Cath Inf-other Than Hemodialysis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|16.00
WS SERVICE AREA|274125842|Hc Hm2 Shower Bag, Ea, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0501||WS HB DEFAULT|1,216.20
WS SERVICE AREA|27200565|Hc Cath Infusion Sng Lumen 7x16cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|65.80
WS SERVICE AREA|274124853|Hc Hm2 Travel Bag, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|970.50
WS SERVICE AREA|27200566|Hc Cath Insyte Autogd Lf 24 5/16"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.60
WS SERVICE AREA|274124854|Hc Hm2 Box Stabilization Belts Lg, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|526.20
WS SERVICE AREA|27200568|Hc Cath Intrauterine Pres Clr Kol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|158.90
WS SERVICE AREA|27200569|Hc Cath Intrauterine Pres Clr Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|157.00
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|1,039.70
WS SERVICE AREA|20010105|Hc Radial Fx Head/neck Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24650||WS HB DEFAULT|1,233.00
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|1,637.70
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|2,077.20
WS SERVICE AREA|27200575|HC CATH IV|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.40
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|2,077.20
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|1,838.60
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|37,869.90
WS SERVICE AREA|274125625|Hc Hm2 Battery Power Module Backup, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0496||WS HB DEFAULT|473.20
WS SERVICE AREA|274125628|Hc Hm2 Pt Cable Power Module 14v, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0477||WS HB DEFAULT|5,917.70
WS SERVICE AREA|274125631|Hc Hm2 Cable Automobile Dc Power, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0478||WS HB DEFAULT|1,709.10
WS SERVICE AREA|20010106|Hc Radial Fx Head/neck W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24655||WS HB DEFAULT|5,274.00
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|274125632|Hc Hm2 Battery Charg Pwr Module Ac Cord|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|179.80
WS SERVICE AREA|27200591|Hc Cath Jehle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|402.10
WS SERVICE AREA|274125633|Hc Hm2 Kit Wearable Accessories, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|894.30
WS SERVICE AREA|27200592|Hc Cath Kumpe Radiopaque Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.60
WS SERVICE AREA|270138459|Hc Sensor Cardea Solo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|480.00
WS SERVICE AREA|27200593|Hc Cath Lap-13 Ranfac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|306.60
WS SERVICE AREA|274125634|Hc Hm2 Belt Stabilization Sm, Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|526.20
WS SERVICE AREA|27200595|Hc Cath Mac 5fr 2.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.70
WS SERVICE AREA|274125635|Hc Hm2 Kit Pt Support W/sys Control|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|||WS HB DEFAULT|141,937.80
WS SERVICE AREA|20010107|Hc Ulnar Fx Prox End Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24670||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27200596|Hc Cath Malecot Bard 12f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|62.60
WS SERVICE AREA|20020650|Hc Insertion Wire/pin W/appl Skeletal Traction Spx|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20650||WS HB DEFAULT|10,526.00
WS SERVICE AREA|27200597|Hc Cath Malecot Bard 14f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|62.60
WS SERVICE AREA|274125636|Hc Hm2 Battery Charger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0495||WS HB DEFAULT|33,186.20
WS SERVICE AREA|27200598|Hc Cath Malecot Bard 18fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|62.60
WS SERVICE AREA|27200599|Hc Cath Malecot Bard 20fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|274124999|Hc Driveline Dressing Tray Lvad Weekly|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|151.80
WS SERVICE AREA|27200600|Hc Cath Malecot Bard 22f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|62.60
WS SERVICE AREA|27200601|Hc Cath Malecot Bard 24f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|62.60
WS SERVICE AREA|274125000|Hc Driveline Dressing Tray Lvad Daily|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|75.70
WS SERVICE AREA|20010108|Hc Ulnar Fx Prox End W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|24675||WS HB DEFAULT|1,712.00
WS SERVICE AREA|27200602|Hc Cath Malecot Bard 26f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|62.60
WS SERVICE AREA|27200603|Hc Cath Micro Mira Hf 2.8f .25inx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,392.40
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|11.40
WS SERVICE AREA|27200604|Hc Cath Micro Sensor Vent|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,878.70
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|25.40
WS SERVICE AREA|27200606|Hc Catheter Central Venous, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|164.50
WS SERVICE AREA|274125004|Hc Lvad Showerguard 12x10 5 Pack|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|47.20
WS SERVICE AREA|27200609|Hc Cath Multipurpose Drain 10.2fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|512.80
WS SERVICE AREA|27200610|Hc Cath Multipurpose Drain 8.5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|514.20
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|27200611|Hc Cath Mushroom Bard 26f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|43.50
WS SERVICE AREA|27200612|Hc Cath Ndl Yueh Cent 5f 19ga 15c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|120.30
WS SERVICE AREA|27200613|Hc Cath Nr5.0-35-70-p-10spigcsc20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|509.20
WS SERVICE AREA|27200614|Hc Cath Olive Bard 4f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|45.60
WS SERVICE AREA|27200615|Hc Cath Omega Nv Bard 7f W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|864.70
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|26,034.50
WS SERVICE AREA|27200616|Hc Cath Omni Flush .038 65cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|94.80
WS SERVICE AREA|27200617|Hc Cath Omni Flush 5fr 70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|485.00
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|2,630.00
WS SERVICE AREA|27200618|Hc Cath Open End 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|75.30
WS SERVICE AREA|20010109|Hc Inj Wrist Arthro|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25246||WS HB DEFAULT|877.00
WS SERVICE AREA|272115845|Hc Kit Crnl Acc Ventri Ndl Towel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,425.70
WS SERVICE AREA|27200619|Hc Cath Open End 7fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|75.30
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|2,958.90
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|2,603.40
WS SERVICE AREA|27200622|Hc Cath Pain Pump W/intro Ndl 19g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|37.20
WS SERVICE AREA|27200623|Hc Cath Percutaneous Cholan 3-20f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|404.20
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|1,183.00
WS SERVICE AREA|27200624|Hc Cath Perfus Cor Rt Angle 4mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|461.50
WS SERVICE AREA|27200625|Hc Cath Perfus Cor Rt Angle 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|461.50
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|841.30
WS SERVICE AREA|27200626|Hc Cath Perfusion Coronary St 4mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|461.50
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|27200627|Hc Cath Perfusion Coronary St 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|461.50
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|526.20
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|1,039.70
WS SERVICE AREA|27200630|Hc Cath Pigtail 5fr 035x100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|483.50
WS SERVICE AREA|27200631|Hc Cath Pigtail Cook 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
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|1,709.10
WS SERVICE AREA|27200632|Hc Cath Pigtail Cordis 6f 6h Angl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200633|Hc Cath Pigtail Dual Lumen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|674.80
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|2,077.20
WS SERVICE AREA|27200634|Hc Cath Pigtail Sizing 5fr 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|494.40
WS SERVICE AREA|20010111|Hc Fb Remove Forearm Comp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25248||WS HB DEFAULT|15,428.00
WS SERVICE AREA|27200635|Hc Cath Pigtail St Cordis 6f 6h|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
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|2,077.20
WS SERVICE AREA|27200636|Hc Cath Pollack Cook Open End 5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|75.30
WS SERVICE AREA|27200637|Hc Cath Poly Umb Vessel 15" 3.5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.60
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|2,077.20
WS SERVICE AREA|27200638|Hc Cath Poly Umb Vessel 15" 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.90
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|1,709.10
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|1,038.70
WS SERVICE AREA|27200641|Hc Cath Progreat Terumo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,820.00
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|37,869.90
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|27200642|Hc Cath Push Fus Bil Pancr 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|492.20
WS SERVICE AREA|27200643|Hc Cath Pvc Straight 36fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|67.90
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|473.20
WS SERVICE AREA|27200644|Hc Cath Pvc Straight 40fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.40
WS SERVICE AREA|27200645|Hc Cath Pwp Medtron 7f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|424.40
WS SERVICE AREA|274025628|Hc Hm2 Replace Und Warranty Pt Cable Power Module 14v|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0477|RA|WS HB DEFAULT|5,917.70
WS SERVICE AREA|27200646|Hc Cath Quick Cross .014x150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,038.70
WS SERVICE AREA|27200647|Hc Cath Quick Cross .018x150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,010.00
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|1,709.10
WS SERVICE AREA|27200648|Hc Cath Quick Cross .35x90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,038.70
WS SERVICE AREA|20010112|Hc Radial Shaft Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25500||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27200649|Hc Cath Quick Cross 0.35"x135cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,012.80
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|184.60
WS SERVICE AREA|27200650|Hc Cath Quick Support 518-032|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|967.60
WS SERVICE AREA|27200651|Hc Cath Quick-cross 0.014inx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,038.70
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|894.30
WS SERVICE AREA|27200652|Hc Cath Radial Artery W Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.50
WS SERVICE AREA|27200653|Hc Cath Radial Jackey 3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|216.40
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|526.20
WS SERVICE AREA|27200654|Hc Cath Radial Sarah 4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|216.40
WS SERVICE AREA|27200655|Hc Cath Radial Tiger 4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|216.40
WS SERVICE AREA|272123893|Hc Zz Bougie Intubation Disp- Use 27202032|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
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|34,082.50
WS SERVICE AREA|27200656|Hc Cath Radial Tiger 4.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|216.40
WS SERVICE AREA|27200657|Hc Cath Radio Trocar Argyl 32f 16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|80.50
WS SERVICE AREA|27200658|Hc Cath Radio Trocar Lf 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|126.40
WS SERVICE AREA|27200659|Hc Cath Radio Trocar Lf 24f 16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.60
WS SERVICE AREA|27200660|Hc Cath Radio Trocar Lf 28f 16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|80.20
WS SERVICE AREA|27200661|Hc Cath Radio Trocar Lf 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.70
WS SERVICE AREA|27200662|Hc Cath Rapid Infusion Arrow*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|73.20
WS SERVICE AREA|27200663|Hc Cath Reddick W/perc Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|613.20
WS SERVICE AREA|27200664|Hc Cath Reentry Outbk 5.9f 120cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|12,613.10
WS SERVICE AREA|20010113|Hc Radial Shaft Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25505||WS HB DEFAULT|4,716.00
WS SERVICE AREA|27200665|Hc Cath Renegade Hi Flo Micro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,266.70
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|2,259.70
WS SERVICE AREA|27200667|Hc Cath Renegade Hiflo 150x10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,276.80
WS SERVICE AREA|27200668|Hc Cath Renegade Hiflo 150x20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,259.70
WS SERVICE AREA|27200669|Hc Cath Renegade Micro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,353.90
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|2,762.60
WS SERVICE AREA|27200671|Hc Cath Replacement 5 Day On-q|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|340.50
WS SERVICE AREA|27200672|Hc Cath Rob-nel Bard 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.40
WS SERVICE AREA|20010114|Hc Ulnar Fx Shaft Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25530||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27200673|Hc Cath Royal Flush Pigtail|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|100.80
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|96.80
WS SERVICE AREA|27200675|Hc Cath Sherpa Nx Ch15 7fr 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|309.90
WS SERVICE AREA|27200676|Hc Cath Shuttle Slip H1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|328.90
WS SERVICE AREA|27200677|Hc Cath Shuttle Slip Jb1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|338.50
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|440.30
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|739.40
WS SERVICE AREA|20010115|Hc Ulnar Fx Shaft W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25535||WS HB DEFAULT|1,233.00
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|146.70
WS SERVICE AREA|27200683|Hc Cath Sinus Irr Vortex 22cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|758.40
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|27200689|Hc Cath Sos 1 Omni 5fr 80cm X 035|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.10
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, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|820.10
WS SERVICE AREA|27200691|Hc Cath Suction Relogle 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|51.00
WS SERVICE AREA|27200692|Hc Cath Suction Replogle 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|51.80
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|27200693|Hc Cath Suction Repogle 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|51.00
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|808.40
WS SERVICE AREA|27200695|Hc Cath Support Trlblzr .018inx15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|808.40
WS SERVICE AREA|27200696|Hc Cath Support Trlblzr .035inx13|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|784.90
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|436.70
WS SERVICE AREA|70201010|HC STANSON CLINICAL DECISION SUPPORT COMPANY|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|G1010||WS HB DEFAULT|0.01
WS SERVICE AREA|27200705|Hc Cath Thoracic, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27200707|Hc Cath Tieman Bard 16fr5cc 2way L|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|110.30
WS SERVICE AREA|20010116|Hc Radial/ulnar Fx Shaft Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25560||WS HB DEFAULT|1,233.00
WS SERVICE AREA|272116800|Hc Bag Collect Ext Drain Sys Codman|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|450.40
WS SERVICE AREA|27200708|Hc Cath Tieman Bard 18f 5cc 2-way|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|110.30
WS SERVICE AREA|27200709|Hc Cath Tieman Bard 20f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|110.30
WS SERVICE AREA|27200710|Hc Zz Cath Tracheotomy 14fr- Use 27200149|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.30
WS SERVICE AREA|27200711|Hc Cath Umb Urethane 2.5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|102.90
WS SERVICE AREA|27200712|Hc Cath Umb Vsl Triple Lumen 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|228.10
WS SERVICE AREA|27200713|Hc Cath Umbilical Dual Lumen 3.5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|190.90
WS SERVICE AREA|27200714|Hc Cath Umbilical Dual Lumen 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|172.70
WS SERVICE AREA|272118617|Hc Dressing Aquacel Rope 3/4x18in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.80
WS SERVICE AREA|27200715|Hc Cath Upj Occlusion Bard 6f*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|693.80
WS SERVICE AREA|272137870|Hc Set Auto Effluent|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|264.00
WS SERVICE AREA|272112657|Hc Catheter Mini Bal Smpl 16fr Clr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|196.30
WS SERVICE AREA|27200716|Hc Cath Uret Open End 5fr 70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|55.20
WS SERVICE AREA|27200717|Hc Cath Uret Whisl Tip 4fr 70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|65.80
WS SERVICE AREA|272137869|Hc Bag Disp Thermax|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|72.00
WS SERVICE AREA|27200718|Hc Cath Uret Whistil Tip 6fr 70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|65.80
WS SERVICE AREA|27200719|Hc Cath Ureteral Bard Angled 5f W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|177.20
WS SERVICE AREA|27200720|Hc Cath Ureteral Bard Angled 6f W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|182.50
WS SERVICE AREA|27200721|Hc Cath Ureteral Cone Tip 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|162.30
WS SERVICE AREA|27200722|Hc Cath Ureteral Conetip Cook 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|70.00
WS SERVICE AREA|27200723|Hc Cath Ureteral Cook Open End 5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|55.20
WS SERVICE AREA|27200724|Hc Cath Ureteral Cook Open End 6f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|55.20
WS SERVICE AREA|20010117|Hc Radial/ulnar Fx Shaft W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25565||WS HB DEFAULT|5,274.00
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|233.40
WS SERVICE AREA|27200727|Hc Cath Ureteral Open End 7fr 70c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|55.20
WS SERVICE AREA|27200728|Hc Cath Ureteral Open End Cook 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|55.20
WS SERVICE AREA|27200729|Hc Cath Ureteral Open End Lf 3fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|65.80
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, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27200740|Hc Cath Urinary 5fr With Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|168.10
WS SERVICE AREA|27200741|Hc Cath Urinary 8fr With Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|168.00
WS SERVICE AREA|27200779|Hc Cath Ventricular J&j|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1755||WS HB DEFAULT|1,105.50
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|27200780|Hc Cath Venture Wire Control 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|4,034.60
WS SERVICE AREA|27200781|Hc Cath Veripath Lima Guide 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|529.40
WS SERVICE AREA|27200782|Hc Cath Veripath Rdc Guide 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|529.40
WS SERVICE AREA|27200783|Hc Cath Verril Contra Flush 70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|509.20
WS SERVICE AREA|27200784|Hc Cath Vert Cook 125cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|255.60
WS SERVICE AREA|27200785|Hc Cath Vert Cook 4fr 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|255.60
WS SERVICE AREA|27200786|Hc Cath Vert Cook 5fr 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|100.80
WS SERVICE AREA|27200787|Hc Cath Vp Tip Hstick 6f 100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|315.10
WS SERVICE AREA|27200788|Hc Cath Vtk Cook 125cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|255.60
WS SERVICE AREA|27200789|Hc Cath Whistle Tip Bard 6f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|370.30
WS SERVICE AREA|20010118|Hc Radial Distal Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25600||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27200790|Hc Cath Whistle Tip Rch Lf (m) 4fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|43.50
WS SERVICE AREA|27200791|Hc Cath Whistle Tip Rch Lf (m) 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|40.30
WS SERVICE AREA|27200792|Hc Catheter Balloon Wedge Predd 5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|256.80
WS SERVICE AREA|27200793|Hc Catheter Balloon Wedge Press W|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|256.80
WS SERVICE AREA|27200794|Hc Catheter Diagnostic 6fr Jl 4.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27200795|Hc Catheter Dist Anmc 120cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,792.90
WS SERVICE AREA|27200796|Hc Catheter Guide 5f Convey Tig4.|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|271.90
WS SERVICE AREA|27200797|Hc Catheter Guide Launch 8fr Jr 3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|275.80
WS SERVICE AREA|27200798|Hc Catheter Guide Launch 8fr Rt S|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|276.90
WS SERVICE AREA|27200799|Hc Catheter Pre Sep Cv Ox|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|2,113.40
WS SERVICE AREA|20010119|Hc Radial Distal Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25605||WS HB DEFAULT|5,274.00
WS SERVICE AREA|27200800|Hc Catheter Spyglass Acc 10fr 230|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,723.20
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|1,792.90
WS SERVICE AREA|27200803|Hc Cautery Bipolar Valley Lab|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27200804|Hc Cautery Disp Chaston|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.20
WS SERVICE AREA|27200805|Hc Cautery Disp Hi Temp Fine Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|68.30
WS SERVICE AREA|27200806|Hc Cautery Ligasure Max|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,362.20
WS SERVICE AREA|27200807|Hc Cautery Suction 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.90
WS SERVICE AREA|27200811|Hc Zz Circuit Breathing Exp Adult- Use 271115511|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.70
WS SERVICE AREA|27200812|Hc Circuit Vent/breathing, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.90
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|27200813|Hc Clamp Clr Cd Reassemble Gold|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,150.30
WS SERVICE AREA|27200814|Hc Clamp Combo Mr Safe Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,467.00
WS SERVICE AREA|27200815|Hc Clamp Large Pin 6 Position|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,035.20
WS SERVICE AREA|27200816|Hc Clamp Post Multi Pin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,969.20
WS SERVICE AREA|27200817|Hc Cleanser Wound W/o Dye 4oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.10
WS SERVICE AREA|27200818|Hc Clearfil Photo Core Plt Xlg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.80
WS SERVICE AREA|27200819|Hc Clip Endo Ti Fllpn Tube 4mm Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|435.00
WS SERVICE AREA|27200820|Hc Clip Half Pin Disc 4-6mm Orng|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.70
WS SERVICE AREA|27200821|Hc Clip Hemoloc Gold Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|193.10
WS SERVICE AREA|27200822|Hc Clip Hemolock Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|245.00
WS SERVICE AREA|20010120|Hc Carpal Scaphoid Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25622||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27200823|Hc Clip Hemolok|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.10
WS SERVICE AREA|27200824|Hc Clip Hem-o-lok Ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|162.30
WS SERVICE AREA|27200825|Hc Clip Locking Ria|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|413.80
WS SERVICE AREA|27200826|Hc Clip Myocclude .55kg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|180.40
WS SERVICE AREA|27200827|Hc Clip Myoocclude .45kg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|180.40
WS SERVICE AREA|27200828|Hc Clip Nvng Dynamic Stim Inline|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,435.80
WS SERVICE AREA|27200829|Hc Clip Sut Absorb Lapra Ty|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,223.20
WS SERVICE AREA|27200830|Hc Clip Suture Tem|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|519.80
WS SERVICE AREA|27200831|Hc Clip Wire Disc 1.5-1.8mm Gry|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.80
WS SERVICE AREA|27200832|Hc Clips Leroy Raney Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|84.90
WS SERVICE AREA|272123256|Hc Set Catheter Radial A|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.90
WS SERVICE AREA|27200833|Hc Coagulator Suction/cutter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.30
WS SERVICE AREA|27200834|Hc Coban/slf Adh Wrap, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.50
WS SERVICE AREA|27200837|Hc Collar Aspn Adlt Reg 3in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|248.20
WS SERVICE AREA|27200838|Hc Combo Hook Blade Synergy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,858.70
WS SERVICE AREA|27200842|Hc Cone Cath 4.9fr/8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|75.30
WS SERVICE AREA|27200843|Hc Connector Cardiac 2-1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.20
WS SERVICE AREA|27200847|Hc Connector Cobe Bcc3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.20
WS SERVICE AREA|27200848|Hc Connector Perfusion, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.50
WS SERVICE AREA|27200849|Hc Connector Expand 5in 15mmx22mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.60
WS SERVICE AREA|27200850|Hc Connector Foley|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.90
WS SERVICE AREA|20010121|Hc Carpal Scaphoid Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25624||WS HB DEFAULT|4,716.00
WS SERVICE AREA|27200851|Hc Connector Shunt Acfl Csf Stepd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|465.80
WS SERVICE AREA|27200852|Hc Connector Tri Clave Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.80
WS SERVICE AREA|27200853|Hc Connector Tri W/safsite Valves|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.40
WS SERVICE AREA|27200854|Hc Connector Y Prismaflex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27200855|Hc Connector-y Round 3/16 And 1/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.40
WS SERVICE AREA|27200856|Hc Container Colostrum Grab N Go 10pk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.60
WS SERVICE AREA|27200857|Hc Cord Bipolar Disposable Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.70
WS SERVICE AREA|27200858|Hc Cord Bipolar Sterile Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.20
WS SERVICE AREA|27200859|Hc Cord Endoscopic Sterile Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.20
WS SERVICE AREA|27200860|Hc Cord Laparoscopy Monopolar 10'dis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.20
WS SERVICE AREA|20010122|Hc Carpal Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25630||WS HB DEFAULT|1,378.00
WS SERVICE AREA|272118359|Hc Kit Drain 25g Ldcn 28f 41cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|725.60
WS SERVICE AREA|27200861|Hc Cord Ligasure Electrode Xtd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,362.20
WS SERVICE AREA|27200862|Hc Co-set Baxter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|98.30
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|27200865|Hc Countersink Cannulated 3.0/4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,650.90
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|27200869|Hc Couple Conical Washer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|209.10
WS SERVICE AREA|27200870|Hc Cover Light Chromovision|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.80
WS SERVICE AREA|27200871|Hc Cover Peg Foam Disp 9"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.40
WS SERVICE AREA|27200872|Hc Cover Probe Str 6x48|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.00
WS SERVICE AREA|27200873|Hc Cover Probe Ultrasound Site Ri|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.10
WS SERVICE AREA|272115508|Hc Zz Circuit Ventilator Adlt 72in Use 27200812|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.90
WS SERVICE AREA|27200874|Hc Cover Probe W/gel Sterile|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.80
WS SERVICE AREA|27200875|Hc Cover Slush/warmer Disc Ors|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|262.00
WS SERVICE AREA|27200876|Hc Cover Surgiboot Transducer Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.60
WS SERVICE AREA|27200877|Hc Cover Transducer 2.6x30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.80
WS SERVICE AREA|27200878|Hc Cover Transducer 4x30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.80
WS SERVICE AREA|27200879|Hc Cover Ultasound Civco Sterile|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.10
WS SERVICE AREA|27200880|Hc Cover Warmer Slush Ors|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|238.80
WS SERVICE AREA|27200881|Hc Cube 1hl Rnch W Posts|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|917.70
WS SERVICE AREA|27200882|Hc Cup Ob Delivery|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|392.40
WS SERVICE AREA|27200883|Hc Cup Ob Vacuum Mushroom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|184.00
WS SERVICE AREA|20010123|Hc Carpal Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25635||WS HB DEFAULT|4,716.00
WS SERVICE AREA|27200884|Hc Currette Curved Reg Tip 10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.40
WS SERVICE AREA|27200885|Hc Debrider Norsen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|80.40
WS SERVICE AREA|27200886|Hc Decanter Vial|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27200887|Hc Dermabond Propen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|325.20
WS SERVICE AREA|27200888|Hc Dermabond Propen Regular|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|167.40
WS SERVICE AREA|27200889|Hc Detacher Inst Deploy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|331.20
WS SERVICE AREA|27200890|Hc Zz Device Anchor Statlock Artline- Use 27202015|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
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|27200895|Hc Device Iab Catheter Securement Statlock|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|209.00
WS SERVICE AREA|27200896|Hc Device Compression Radial|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.90
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|27200897|Hc Device Enseal Trio Cvd Tip 3x3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,657.60
WS SERVICE AREA|27200898|Hc Zz Device Extraction Pronto Lp 4f  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|2,639.50
WS SERVICE AREA|27200899|Hc Device Facial Closure Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|684.30
WS SERVICE AREA|27200900|Hc Device Flush Cont Dualport Int|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27200901|Hc Device Grasping Talon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|808.40
WS SERVICE AREA|27200902|Hc Device Half Circ 0 24in 37mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|176.10
WS SERVICE AREA|27200903|Hc Device Half Circ 18in Gs-21 48mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|171.70
WS SERVICE AREA|27200904|Hc Device Half Circ 2/0 24in 37mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|176.10
WS SERVICE AREA|27200905|Hc Device Hand Assist Xe100mm Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,783.80
WS SERVICE AREA|27200906|Hc Device Incision Heel Lf Preemie|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.50
WS SERVICE AREA|20010124|Hc Ulnar Styloid Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25650||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27200907|Hc Device Inflation Encore 26|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|216.40
WS SERVICE AREA|27200908|Hc Device Lead Locking Lld E|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,155.10
WS SERVICE AREA|27200909|Hc Device Novasure Ns2000|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,803.60
WS SERVICE AREA|27200910|Hc Device Polyloop Detach Ligatin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|589.90
WS SERVICE AREA|27200911|Hc Device Pull Reduct Instr Ext Fix|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,540.90
WS SERVICE AREA|27200912|Hc Device Securestrap Fx Abs 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,036.30
WS SERVICE AREA|27200913|Hc Device Stlk Art Stab|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.40
WS SERVICE AREA|27200914|Hc Device Suction Oral-nasal Prem|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.30
WS SERVICE AREA|27200915|Hc Device Sut 2-0 Es-9 48in Braid|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|126.30
WS SERVICE AREA|27200916|Hc Device Torque 22215|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|272125412|Hc Zz Circuite Metaneb Spu- Use 270115516|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|437.80
WS SERVICE AREA|27200917|Hc Device Torque Medi-tech|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.60
WS SERVICE AREA|27200918|Hc Dilator 5fr Jcd5.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.30
WS SERVICE AREA|27200919|Hc Dilator 6fr Jcd6.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.10
WS SERVICE AREA|27200920|Hc Dilator 8fr Jcd8.0-38-20-hc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|59.00
WS SERVICE AREA|27200921|Hc Dilator Daig 405500 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.70
WS SERVICE AREA|27200922|Hc Dilator Daig 405504 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.70
WS SERVICE AREA|27200923|Hc Dilator Daig 405508 7fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.70
WS SERVICE AREA|27200924|Hc Dilator Daig 405512 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.70
WS SERVICE AREA|27200925|Hc Dilator Daig 405516 9fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.60
WS SERVICE AREA|27200926|Hc Dilator Daig 405520 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.10
WS SERVICE AREA|20010125|Hc Ulnar Styloid Fx W Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25651||WS HB DEFAULT|21,788.00
WS SERVICE AREA|27200927|Hc Dilator Jcd 11.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.30
WS SERVICE AREA|27200928|Hc Dilator Jcd 5.0-35-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.00
WS SERVICE AREA|27200929|Hc Dilator Jcd 7.0-35-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.20
WS SERVICE AREA|27200930|Hc Dilator Jcd 8.0-35-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27200931|Hc Dilator Jcd10.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.50
WS SERVICE AREA|27200932|Hc Dilator Jcd12.0-38-20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.50
WS SERVICE AREA|27200933|Hc Dilator Jcd14.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.40
WS SERVICE AREA|27200934|Hc Dilator Jcd16.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.50
WS SERVICE AREA|27200935|Hc Dilator Jcd7.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.50
WS SERVICE AREA|27200936|Hc Dilator Jcd8.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.40
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|27200937|Hc Dilator Jcd9.0-38-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.40
WS SERVICE AREA|27200938|Hc Dilator Vessel Jcd 6.0-35-20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27200939|Hc Dilator Vessel Std 13fr 038x20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27200940|Hc Dilator Vessel Std 6fr 038x15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27200941|Hc Dilator Vessel Std 8fr 038x15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.90
WS SERVICE AREA|27200942|Hc Disc E-hold Tzmed Oval|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.40
WS SERVICE AREA|27200943|Hc Disc E-hold Tzmed Round|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.40
WS SERVICE AREA|27200944|Hc Disk Chg Biopatch 1in 4mm Id|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.40
WS SERVICE AREA|27200945|Hc Disk Chg Biopatch 1in 7mm Id|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.40
WS SERVICE AREA|27200946|Hc Dissector Endopath Lf 10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.30
WS SERVICE AREA|20010126|Hc Intercarpal Disl W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25660||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27200947|Hc Dissector Enseal G2 Tissue Slr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,858.00
WS SERVICE AREA|27200948|Hc Distractor Ankle Acufex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|208.00
WS SERVICE AREA|27200949|Hc Distractor Linear 100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,768.90
WS SERVICE AREA|27200950|Hc Distractor Linear Tele Tl+ 200mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,384.30
WS SERVICE AREA|27200951|Hc Dock Fluid|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|180.40
WS SERVICE AREA|27200952|Hc Drain 3/16x15fr Round Blake|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|292.80
WS SERVICE AREA|27200953|Hc Drain Blake 7mm Flat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|411.60
WS SERVICE AREA|27200954|Hc Drain Blake Cannel 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|95.50
WS SERVICE AREA|27200955|Hc Drain Blake Cardiac 19fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|184.60
WS SERVICE AREA|27200956|Hc Drain Blake Flat 10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|398.90
WS SERVICE AREA|272128121|Hc Dressing Drawtex 4x4in Hydr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.70
WS SERVICE AREA|27200957|Hc Drain Blake J 19fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|81.70
WS SERVICE AREA|27200958|Hc Kit Drainage Chest, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|213.70
WS SERVICE AREA|27200959|Hc Drain Facial Silicone 412at|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|202.60
WS SERVICE AREA|27200960|Hc Drain Flat Silicone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|37.20
WS SERVICE AREA|27200961|Hc Drain Flat Silicone 10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|29.70
WS SERVICE AREA|27200962|Hc Drain Flat Silicone 7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|29.70
WS SERVICE AREA|27200963|Hc Drain Flat Sliicone Hbls 7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.60
WS SERVICE AREA|27200964|Hc Drain Fluted Blake 10fr 3/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|284.30
WS SERVICE AREA|27200965|Hc Drain Incs .25in 18in Pnrs Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.80
WS SERVICE AREA|27200966|Hc Drain Incs .5in 18in Pnrs Lf S|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|37.20
WS SERVICE AREA|20010127|Hc Radioulnar Disl W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25675||WS HB DEFAULT|1,233.00
WS SERVICE AREA|272118367|Hc Set Hemofiltration Prsm Flx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|913.90
WS SERVICE AREA|27200967|Hc Drain Round 49x1/8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|45.60
WS SERVICE AREA|27200968|Hc Drain Round 49x3/16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|45.60
WS SERVICE AREA|27200969|Hc Drain Round Blake 15fr 3/16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|92.30
WS SERVICE AREA|27200970|Hc Drain Round Blake Trocar 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|40.30
WS SERVICE AREA|27200971|Hc Drain Round Chan Sil Full 15fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|92.30
WS SERVICE AREA|27200972|Hc Drain Round Fluted 19fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|95.50
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|304.50
WS SERVICE AREA|27200974|Hc Drain Silicone Round Troc .25x49"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|44.60
WS SERVICE AREA|27200975|Hc Drain Tls Porex 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|182.50
WS SERVICE AREA|27200976|Hc Drain Triple Lumen Abramson|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|180.40
WS SERVICE AREA|20010128|Hc Scaphoperilunar Fx/dis W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25680||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27200977|Hc Drain Trocar Pvc Dual 3/16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|75.30
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|1,209.30
WS SERVICE AREA|27200980|Hc Drain, Sump Str 5/8"*15"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|147.50
WS SERVICE AREA|27200996|Hc Dressing Acticoat 16"x16"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|459.80
WS SERVICE AREA|27200997|Hc Dressing Acticoat 3 Burn 4x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.90
WS SERVICE AREA|27200998|Hc Dressing Acticoat 6"x6"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|188.70
WS SERVICE AREA|27200999|Hc Dressing Acticoat 8"x16"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|239.80
WS SERVICE AREA|27201000|Hc Dressing Acticoat Moisture Ctr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|153.00
WS SERVICE AREA|27201001|Hc Dressing Adhes Versiva Xc 4x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.70
WS SERVICE AREA|272125917|Hc Dressing Drawtex Trach 4x4in Hydro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.00
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|24.40
WS SERVICE AREA|27201003|Hc Dressing Afm Ag 1x24|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.50
WS SERVICE AREA|27201004|Hc Dressing Afm Ag 4x5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.70
WS SERVICE AREA|27201005|Hc Dressing Afm Ag 6x6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|98.30
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|192.60
WS SERVICE AREA|27201007|Hc Dressing Algidex 5ydx.25in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.70
WS SERVICE AREA|27201008|Hc Dressing Aquacel Ag 9cm 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|155.30
WS SERVICE AREA|27201009|Hc Dressing Aquacel Ag 9cm 15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|176.20
WS SERVICE AREA|20010129|Hc Lunate Disl W Manip 50|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|25690||WS HB DEFAULT|15,217.00
WS SERVICE AREA|27201010|Hc Dressing Aquacel Ag 9cm 25cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|218.40
WS SERVICE AREA|27201011|Hc Dressing Aquacel Ag 9cm 30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|243.90
WS SERVICE AREA|27201012|Hc Dressing Aquacel Ag 9cm 35cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|244.10
WS SERVICE AREA|27201013|Hc Dressing Bio 2x2in Biostep Ag Porc Collagen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27201020|Hc Dressing Calc Alg Restore Lf4x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
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|27201022|Hc Dressing Calc Alg Restore Rope 12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27201023|Hc Dressing Cath Patch X-sm 10cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.40
WS SERVICE AREA|27201024|Hc Dressing Cnfrm 2 2ydx6in Air Perm Trans Nadh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.50
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|20010130|Hc Drainage Abscess Finger Simp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26010||WS HB DEFAULT|1,216.00
WS SERVICE AREA|27201025|Hc Dressing Eavey Easy Ear Wrap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|81.70
WS SERVICE AREA|27201026|Hc Dressing Exudry 4"x6"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|27201027|Hc Dressing Foam Adh 9x9in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
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|95.00
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|33.00
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|14.60
WS SERVICE AREA|27201031|Hc Dressing Hydrocolloid Rest 4x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.50
WS SERVICE AREA|27201032|Hc Dressing Iodosorb Gel 10gm Tube|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|68.40
WS SERVICE AREA|272115473|Hc Handle Laryngsco Solo Mini Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.50
WS SERVICE AREA|27201033|Hc Dressing Mepilex Ag 10x10cm (4x4in)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|59.00
WS SERVICE AREA|27201034|Hc Dressing Mepilex Ag 20x20cm (8x8in)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.80
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|27201038|Hc Dressing Nugauze Iodoform Lf 1"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27201039|Hc Dressing Opsite 11-3/4 X 11|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.20
WS SERVICE AREA|27201040|Hc Dressing Opsite Iv 4x5-1/2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|27201042|Hc Dressing Owens Polyester Lf 3x8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|20026587|Hc Rcnst Polydactylous Digit Soft Tissue & Bone|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26587||WS HB DEFAULT|9,671.00
WS SERVICE AREA|27201043|Hc Dressing Pressure Safe 12cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|211.40
WS SERVICE AREA|27201044|Hc Dressing Pressure Safe 24cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|525.20
WS SERVICE AREA|20010131|Hc I&d Finger Comp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26011||WS HB DEFAULT|9,651.00
WS SERVICE AREA|27201045|Hc Dressing Profore 4-layer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.70
WS SERVICE AREA|27201046|Hc Dressing Profore Latex Free|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.20
WS SERVICE AREA|27201047|Hc Dressing Sacral Versiva Xc 10x8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.80
WS SERVICE AREA|27201048|Hc Dressing Silver Acticoat 4x5lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|117.50
WS SERVICE AREA|27201049|Hc Dressing Sponge Kerlix Lf Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.90
WS SERVICE AREA|27201056|Hc Dressing Tegaderm 4x10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|27201057|Hc Dressing Tegaderm 8x12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|27201058|Hc Dressing Telfa + 7x6in Abs Nadh Nonwvn Ilnd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|27201059|Hc Dressing Telfa Island 4x8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|247.40
WS SERVICE AREA|27201060|Hc Dressing Telfa Sterile|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.70
WS SERVICE AREA|20010132|Hc Metacarpal Fx Wo Manip Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26600||WS HB DEFAULT|1,233.00
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|166.70
WS SERVICE AREA|27201064|Hc Dressing Wound Prisma 4.34sq In (ag)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.60
WS SERVICE AREA|27201065|Hc Dressing Wound Puracol 2x2in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.20
WS SERVICE AREA|27201066|Hc Dressing Wound Vac, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|330.30
WS SERVICE AREA|27201067|Hc Dressing Wrap Afm Ag 4x48|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|211.80
WS SERVICE AREA|27201068|Hc Dressing Xerofoam Roll|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.60
WS SERVICE AREA|27201069|Hc Duploreach 35 Mis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|356.50
WS SERVICE AREA|27201070|Hc Electrode Ball 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|119.90
WS SERVICE AREA|27201071|Hc Electrode Ball Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.20
WS SERVICE AREA|272126137|Hc Kit Humidification Active|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|74.30
WS SERVICE AREA|27201072|Hc Electrode Ball Leep 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.30
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|2,522.80
WS SERVICE AREA|27201075|Hc Electrode Blade Teflon Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.50
WS SERVICE AREA|27201076|Hc Electrode Collings Knife 24fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|395.70
WS SERVICE AREA|27201077|Hc Electrode Cortical Grid 1x8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,740.90
WS SERVICE AREA|27201078|Hc Electrode Cutting Loop 28fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|395.70
WS SERVICE AREA|27201079|Hc Electrode Drg Del Med Dupel Intphrs Wht|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|37.20
WS SERVICE AREA|27201080|Hc Electrode Drg Del Sm Dupel Intphrs Wht|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.70
WS SERVICE AREA|27201081|Hc Electrode Ecg Defib Pacing|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.80
WS SERVICE AREA|20010133|Hc Metacarpal Fx W Manip Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26605||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27201082|Hc Electrode Electrosurg Opes|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,248.70
WS SERVICE AREA|27201083|Hc Electrode Extension Teflon Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.80
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|646.80
WS SERVICE AREA|80085058|Hc Lactoferrin, Fecal; Qualitative|LABORATORY - GENERAL CLASSIFICATION [0300]|83630||WS HB DEFAULT|196.00
WS SERVICE AREA|27201086|Hc Electrode Gyrus Super Loop|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,784.90
WS SERVICE AREA|27201087|Hc Electrode Gyrus Super Sect|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,106.30
WS SERVICE AREA|27201088|Hc Electrode Hydrogel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.20
WS SERVICE AREA|27201089|Hc Electrode Knife White 26fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|813.70
WS SERVICE AREA|27201090|Hc Electrode Knife Yellow 24fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|813.70
WS SERVICE AREA|20010134|Hc Metacarpal Fx W Ske Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26608||WS HB DEFAULT|9,223.00
WS SERVICE AREA|272118472|Hc Zz Tray Trach 8 Hydrophulic- Use 27201875|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,970.30
WS SERVICE AREA|80080445|Hc Drug Screening Fentanyl|LABORATORY - GENERAL CLASSIFICATION [0300]|80354||WS HB DEFAULT|285.00
WS SERVICE AREA|27201091|Hc Electrode Laparoscopic Opti 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|229.20
WS SERVICE AREA|27201092|Hc Electrode Laryngeal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|637.70
WS SERVICE AREA|27201093|Hc Electrode Laryngeal 7-9|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|651.40
WS SERVICE AREA|27201094|Hc Electrode Leep 1.0x0.4x5.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|27201095|Hc Electrode Ligasure Seal Divd 5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,451.70
WS SERVICE AREA|27201096|Hc Electrode Loop 24fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|363.90
WS SERVICE AREA|27201097|Hc Electrode Loop 26fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|349.10
WS SERVICE AREA|27201098|Hc Electrode Loop Cutting 24fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|395.70
WS SERVICE AREA|27201099|Hc Electrode Loop Cutting 26fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|395.70
WS SERVICE AREA|27201100|Hc Electrode Loop Disp 20mmx12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.20
WS SERVICE AREA|272128384|Hc Inflator Cuff W/ Manometer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,032.30
WS SERVICE AREA|27201101|Hc Electrode Loop Disp 20mmx15mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.20
WS SERVICE AREA|27201102|Hc Electrode Loop Hf 24fr Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,762.60
WS SERVICE AREA|27201103|Hc Electrode Loop Hf 24fr Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,677.70
WS SERVICE AREA|80085059|Hc Infect Agent Detect By Nucleic Acid (dna Or Rna), Mult Org|LABORATORY - GENERAL CLASSIFICATION [0300]|87801||WS HB DEFAULT|491.00
WS SERVICE AREA|27201104|Hc Electrode Loop Hf Rcsct 12in 3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,735.00
WS SERVICE AREA|27201105|Hc Electrode Meniscectomy Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|285.40
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|24.70
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|14.80
WS SERVICE AREA|20010135|Hc Thumb Disl W Manip Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26641||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27201109|Hc Electrode Ndl Ima-ent 6-3/8"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.40
WS SERVICE AREA|27201110|Hc Electrode Ndl Nim-2 Eeg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|404.20
WS SERVICE AREA|27201111|Hc Electrode Ndl Teflon Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.70
WS SERVICE AREA|27201112|Hc Electrode Nim Paired|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|534.70
WS SERVICE AREA|27201113|Hc Electrode Pacing Quik-combo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|145.30
WS SERVICE AREA|27201114|Hc Electrode Paired Dual Case|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|785.10
WS SERVICE AREA|27201115|Hc Electrode Quick Combo Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.20
WS SERVICE AREA|27201116|Hc Electrode Quick Connect Spiral|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27201117|Hc Electrode Red Dot Inf/ped Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.70
WS SERVICE AREA|27201118|Hc Electrode Roller 24fr 3mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|766.00
WS SERVICE AREA|20010136|Hc Thumb Fx/dis W Manip Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26645||WS HB DEFAULT|4,716.00
WS SERVICE AREA|27201119|Hc Electrode Roller Ball 24fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|395.70
WS SERVICE AREA|27201120|Hc Electrode Side Effect 3.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,528.70
WS SERVICE AREA|27201121|Hc Electrode Somno Tissue|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|811.60
WS SERVICE AREA|27201122|Hc Electrode Teflon Ball Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.50
WS SERVICE AREA|27201123|Hc Electrode Vapr 2.3 Side|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,528.70
WS SERVICE AREA|27201124|Hc Electrode Vapr S-90|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,701.70
WS SERVICE AREA|27201125|Hc Electrode Vessel Seal Ligasure|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,599.20
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|119.90
WS SERVICE AREA|27263132|Hc Introducer Enotrach Boug Ang Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|479.60
WS SERVICE AREA|27201129|Hc Endobag Lf 5x8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|170.80
WS SERVICE AREA|27201130|Hc Endoclip Resolution Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|993.00
WS SERVICE AREA|27201131|Hc Endoscopic Kittner|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.90
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|115.70
WS SERVICE AREA|27201133|Hc Endosheath Slide On Pediatric|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|115.70
WS SERVICE AREA|27201134|Hc Endostitch Auto Suture Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|622.70
WS SERVICE AREA|27201137|Hc Evacuator Bladder Urovac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|186.70
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|28.90
WS SERVICE AREA|20010138|Hc Carpometacarp Disl Uni Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26670||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27201139|Hc Evacuator Ellik Bladr Cmplt Strl Ltx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.00
WS SERVICE AREA|27201140|Hc Evacuator Y Connector 400|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.80
WS SERVICE AREA|27201141|Hc Evacuator Y Connector Rlvc 400cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|90.20
WS SERVICE AREA|27201142|Hc Expander Pupil Graether|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|589.90
WS SERVICE AREA|97065009|Hc Eval For Rx Of Non-speech Prosthetic Device First Hour - St|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92605||WS HB DEFAULT|696.00
WS SERVICE AREA|27201143|Hc Ext 8 Contact 25cm W/kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,192.50
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|21.20
WS SERVICE AREA|27201145|Hc Extension Sinus Guide Sk Cath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|340.50
WS SERVICE AREA|27201146|Hc Extractor Skin Staple Proximat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|20010139|Hc Carpometacarp Disl W Manip&anes Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26675||WS HB DEFAULT|4,716.00
WS SERVICE AREA|80000225|HC INFECTIOUS DS DNA&RNA 21 TARGETS SARS-COV-2 AMP PROBE|LABORATORY - GENERAL CLASSIFICATION [0300]|0225U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201147|Hc Extractor Surg Recess 3.5 Mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|421.20
WS SERVICE AREA|27201148|Hc Fan Endomaxi Ii Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|582.50
WS SERVICE AREA|27201149|Hc Fastener Tube Endo 5-10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.60
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|369.00
WS SERVICE AREA|27201151|Hc Fiberloop 76mm Str Ndl Blu 7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|280.10
WS SERVICE AREA|27201152|Hc Fiberstick #2 Fw#2 Bl 50inx12i|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.20
WS SERVICE AREA|27201153|Hc Fibertape 2mm W/#2 Wire|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|373.50
WS SERVICE AREA|27201154|Hc Zz Fielder Coronary Wire Xt 300cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|869.90
WS SERVICE AREA|20010140|Hc Carpometacarp Disl W Manip&ske Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26676||WS HB DEFAULT|19,484.00
WS SERVICE AREA|27201155|Hc Filter Aspiration 10pk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27201157|Hc Filter Blood, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.70
WS SERVICE AREA|272000257|Hc Needle Specialty|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|299.10
WS SERVICE AREA|27201159|Hc Filter Graft Ria Sterile|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,866.20
WS SERVICE AREA|27201160|Hc Filter Laparoshield Smoke Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|182.50
WS SERVICE AREA|27201161|Hc Filter Leukocyte Platelet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|258.80
WS SERVICE AREA|27201162|Hc Filter Leukocyte Platelet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|258.80
WS SERVICE AREA|80000203|Hc Autoimmune Ibd Mrna Gene Expression Profiling 17 Genes Whole Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|0203U||WS HB DEFAULT|2,664.00
WS SERVICE AREA|27201163|Hc Filter Smoke Evac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|165.50
WS SERVICE AREA|27201164|Hc Filter Smoke Evac Single Port|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|704.40
WS SERVICE AREA|272121221|Hc Zz Mask Nasal Cpap Infant Med- Use 272115552|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|423.00
WS SERVICE AREA|27201165|Hc Filter Tissue Trap Safetouch|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.40
WS SERVICE AREA|80000204|Hc Oncology Thyroid Mrna Gene Expression Alys 593 Genes Fna|LABORATORY - GENERAL CLASSIFICATION [0300]|0204U||WS HB DEFAULT|10,235.00
WS SERVICE AREA|27201166|Hc Filter,20 Micro Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.70
WS SERVICE AREA|27201167|Hc Filter,cryo And Platelet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27201168|Hc Filter,leuko Reduced Platelet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|281.20
WS SERVICE AREA|27201169|Hc Filter,leuko Reduced Rbc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|115.70
WS SERVICE AREA|80000205|Hc Ophthalmology Age-related Macular Degeneration Alys 3 Gene Variants|LABORATORY - GENERAL CLASSIFICATION [0300]|0205U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201170|Hc Filter,micro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|56.20
WS SERVICE AREA|27201171|Hc Filter,micro Y|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.60
WS SERVICE AREA|27201172|Hc Filter,red Cells|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.80
WS SERVICE AREA|20010141|Hc Metacarpoppha Disl W Manip Uni Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26700||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27201173|Hc Flat Blake 10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|81.70
WS SERVICE AREA|80000206|Hc Neurology Alzheimer Disease Cell Aggregation|LABORATORY - GENERAL CLASSIFICATION [0300]|0206U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201174|Hc Flat Blake 7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.50
WS SERVICE AREA|27201175|Hc Flipcutter Str 9mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,038.00
WS SERVICE AREA|27201176|Hc Flow-20-pull Peg Set Ssk-s-t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|465.80
WS SERVICE AREA|27201177|Hc Flowswitch Hi Pressure 44201|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.80
WS SERVICE AREA|80000207|Hc Neurology Alzheimer Disease Quantitative Imaging|LABORATORY - GENERAL CLASSIFICATION [0300]|0207U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201178|Hc Forcep Biopsy Cup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,797.10
WS SERVICE AREA|27201179|Hc Forcep Biopsy Cup 3.3fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,797.10
WS SERVICE AREA|27201180|Hc Forcep Biopsy W/ndl 240cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|378.70
WS SERVICE AREA|20010142|Hc Metacarpopphal Disl Wmanip&anes Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26705||WS HB DEFAULT|1,489.00
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|27201181|Hc Forcep Bipolar Lf Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,092.70
WS SERVICE AREA|80000208|Hc Oncology Mtc Mrna Gene Expression Alys 108 Gene Algorithm|LABORATORY - GENERAL CLASSIFICATION [0300]|0208U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201182|Hc Forcep Bipolar Micro Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|453.00
WS SERVICE AREA|27201183|Hc Forcep Bipolar Op Scope|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,179.80
WS SERVICE AREA|27201184|Hc Forcep Bipolar Spetzler 1mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,398.70
WS SERVICE AREA|27201185|Hc Forcep Captura Grasp 3.2x90|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|964.40
WS SERVICE AREA|80000209|Hc Cytogenomic Constitutional Alys Interrogation Genomic Reg F/copy Number|LABORATORY - GENERAL CLASSIFICATION [0300]|0209U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201186|Hc Forcep Radial Jaw W/ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.20
WS SERVICE AREA|27201187|Hc Forceps Alligator 3.3fr 115cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,543.90
WS SERVICE AREA|27201188|Hc Forceps Biopsy Supertrax|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|420.10
WS SERVICE AREA|27222953|Hc Nebulizer Aers Rspgrd 2 Antidr Tee|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.30
WS SERVICE AREA|27201189|Hc Forceps Bipolar Cush Bayo 2mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|924.00
WS SERVICE AREA|80000210|Hc Syphilis Test Non-treponemal Antibody Ia Quan Rpr|LABORATORY - GENERAL CLASSIFICATION [0300]|0210U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201190|Hc Forceps Bipolar Hardy Bayo 1mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|924.00
WS SERVICE AREA|27201191|Hc Forceps Bx 2mm Algtr Jaw W Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.20
WS SERVICE AREA|27201192|Hc Forceps Ilm Disp Tip 23g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|693.80
WS SERVICE AREA|80000211|Hc Oncology Pan-tumor Dna&rna Next-generation Sequencing|LABORATORY - GENERAL CLASSIFICATION [0300]|0211U||WS HB DEFAULT|29,640.00
WS SERVICE AREA|27201193|Hc Forceps Radial Jaw 3 100cm 2.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|241.80
WS SERVICE AREA|27201194|Hc Forceps Radial Jaw 3 Hot|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|404.20
WS SERVICE AREA|27201195|Hc Forceps Radial Jaw 4 240cm 2.4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|117.70
WS SERVICE AREA|27201196|Hc Forceps Surg Raptor Graspg 24m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|808.40
WS SERVICE AREA|20010144|Hc Finger Fx Prox/md Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26720||WS HB DEFAULT|1,233.00
WS SERVICE AREA|80000212|Hc Rare Diseases Whole Genome&mitochondrial Dna Seq Alys Proband|LABORATORY - GENERAL CLASSIFICATION [0300]|0212U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201197|Hc Gauze Packing Iodoform Lf 2x5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.70
WS SERVICE AREA|27201198|Hc Gauze Packing Iodoform Lf1/2x5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27201199|Hc Gauze Packing Iodoform Lf1/4x5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.70
WS SERVICE AREA|27201200|Hc Gauze Packing Plain Lf 1/2x5yd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.70
WS SERVICE AREA|80000213|Hc Rare Ds Whole Genome&mitochondrial Dna Seq Alys Each Comparator|LABORATORY - GENERAL CLASSIFICATION [0300]|0213U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201201|Hc Gauze Packing Plain Lf 1/4x5yd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.70
WS SERVICE AREA|27201202|Hc Gauze Packing Plain Lf 1x5yds|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.40
WS SERVICE AREA|27201203|Hc Gauze Packing Plain Lf 2"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.50
WS SERVICE AREA|27201204|Hc Gauze Sponge Lf 4x4 4ply Nstr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.80
WS SERVICE AREA|272125050|Hc Plug Decann Sz6 Fen Cfn Trach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.20
WS SERVICE AREA|80000214|Hc Rare Diseases Whole Exome&mitochondrial Dna Seq Alys Proband|LABORATORY - GENERAL CLASSIFICATION [0300]|0214U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201205|Hc Gauze Sponge Ster Lf 2x2 8-ply|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.30
WS SERVICE AREA|27201206|Hc Gauze Sponge Ster Lf 4x4 12-pl Bx50|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.70
WS SERVICE AREA|27201207|Hc Gel Etch Dental 1.2ml Syringe|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.20
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|31.00
WS SERVICE AREA|27201209|Hc Gelfoam Large 100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|143.20
WS SERVICE AREA|80000215|Hc Rare Diseases Whole Exome&mitochondrial Dna Seq Alys Ea Comparator|LABORATORY - GENERAL CLASSIFICATION [0300]|0215U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201210|Hc Gelfoam Small 12-7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.80
WS SERVICE AREA|27201211|Hc Glidecath Angl Terum 4fr 120cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|303.90
WS SERVICE AREA|27201212|Hc Glidecath Angl Terum 4fr 65cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|308.60
WS SERVICE AREA|20010145|Hc Finger Fx Prox/md W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26725||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27201213|Hc Glidecath Strt Terum 4fr 120cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|303.40
WS SERVICE AREA|80000216|Hc Neuro Inh Ataxia Genomic Dna Seq Alys 12 Blood/salvia|LABORATORY - GENERAL CLASSIFICATION [0300]|0216U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201214|Hc Glidecath Strt Terum 4fr 65cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|309.80
WS SERVICE AREA|27201215|Hc Glidecath Xp Str Tip 100cm 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|313.00
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|235.60
WS SERVICE AREA|80000217|Hc Neuro Inh Ataxia Genomic Dna Seq Alys 51 Blood/silva|LABORATORY - GENERAL CLASSIFICATION [0300]|0217U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201218|Hc Glidesheath Z Kit 6fr 25cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|235.60
WS SERVICE AREA|27201219|Hc Glidewire Angled Disp 035/150|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|180.30
WS SERVICE AREA|27201220|Hc Glidewire Angled Disp.025 150c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|246.80
WS SERVICE AREA|70172081|Hc Xr Entire Spine 1 Vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72081||WS HB DEFAULT|667.00
WS SERVICE AREA|27201221|Hc Zz Glidewire Bentson .035x150 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|316.90
WS SERVICE AREA|80000218|Hc Neuro Muscular Dystrophy Dmd Seq Alys Blood/saliva|LABORATORY - GENERAL CLASSIFICATION [0300]|0218U||WS HB DEFAULT|7,989.00
WS SERVICE AREA|27201222|Hc Zz Glidewire Gt Terumo 45deg - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|912.50
WS SERVICE AREA|27201223|Hc Zz Glidewire Gt Terumo 90deg - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|910.60
WS SERVICE AREA|27201224|Hc Zz Glidewire Gt Terumo Dbl Angle - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|905.10
WS SERVICE AREA|27201225|Hc Zz Glidewire Gt Terumo Straigh - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|909.00
WS SERVICE AREA|80000219|Hc Infectious Agent Hiv Targeted Viral Next-gnrj Seq Alys Algorithm|LABORATORY - GENERAL CLASSIFICATION [0300]|0219U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201226|Hc Zz Glidewire Std Ang .035x80x3cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|180.70
WS SERVICE AREA|27201227|Hc Glidewire Straight Disp035/260|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|292.20
WS SERVICE AREA|27201228|Hc Zz Glidewire Tapered .018 180cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|1,336.70
WS SERVICE AREA|20010146|Hc Finger Fx Prox/md W Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26727||WS HB DEFAULT|19,484.00
WS SERVICE AREA|80000220|Hc Oncology Breast Ca Image Alys W/ai Assmt 12 Features|LABORATORY - GENERAL CLASSIFICATION [0300]|0220U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201231|Hc Glue Indermil Tissue Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|173.10
WS SERVICE AREA|27201232|Hc Gomco 1.1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|107.90
WS SERVICE AREA|27201233|Hc Gomco 1.3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|107.90
WS SERVICE AREA|80000221|Hc Abo Genotyping Gene Alys Next-generation Seq Abo Gene|LABORATORY - GENERAL CLASSIFICATION [0300]|0221U||WS HB DEFAULT|369.00
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|345.70
WS SERVICE AREA|27201237|Hc Guide 5f Convey Lbu3.75|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|280.10
WS SERVICE AREA|80000222|Hc Rhd&rhce Genotyping Next-generation Seq Rh Proximal Promoter|LABORATORY - GENERAL CLASSIFICATION [0300]|0222U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201238|Hc Guide Deploy Spacer Relief Stratu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,112.90
WS SERVICE AREA|272125051|Hc Plug Decann Sz8 Fen Cfn Trach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.20
WS SERVICE AREA|27201239|Hc Guide Drill Screw On 503004170|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|566.50
WS SERVICE AREA|27201240|Hc Guide Drill Sureshot Esemi Ext|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,356.90
WS SERVICE AREA|27201241|Hc Guide Drill W/trocar Short|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|34,761.50
WS SERVICE AREA|27201242|Hc Guide Ext Nav Frameless Trajec|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,634.80
WS SERVICE AREA|27201243|Hc Guide Fine Cross Micro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,485.70
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|42.10
WS SERVICE AREA|27201246|Hc Guide Ndl Fischer 7ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.40
WS SERVICE AREA|27201247|Hc Guide Pin 3.2x300mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|291.80
WS SERVICE AREA|27201248|Hc Guide Pin Omega Howme Thr 2.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|409.50
WS SERVICE AREA|20010147|Hc Articular Fx Wo Manip Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26740||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27201249|Hc Guide Sut Gabbay Frater Sgl Pk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|208.00
WS SERVICE AREA|27201250|Hc Guide Sut Gabbay-frater Gfs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|437.10
WS SERVICE AREA|27201251|Hc Guide Tube Trach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|416.90
WS SERVICE AREA|27201252|Hc Guidepin Orth 5in 1/8in Gen2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.10
WS SERVICE AREA|27201253|Hc Guidewire Amp U/s 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|119.10
WS SERVICE AREA|27201254|Hc Guidewire Dual Flex Ss Lf .035|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|46.50
WS SERVICE AREA|27201255|Hc Guidewire Forte Mod .014x185cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|515.50
WS SERVICE AREA|27201256|Hc Zz Guidewire J Daig .025/150 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|42.40
WS SERVICE AREA|27201257|Hc Guidewire J Daig .035/150|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|82.70
WS SERVICE AREA|27201258|Hc Guidewire J Daig .035/260|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|94.80
WS SERVICE AREA|70172082|Hc Xr Entire Spi Ne 2-3 Vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72082||WS HB DEFAULT|833.00
WS SERVICE AREA|27201259|Hc Guidewire Pusion Sorth 0.62|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|280.10
WS SERVICE AREA|80085064|Hc Influenza|LABORATORY - GENERAL CLASSIFICATION [0300]|87804||WS HB DEFAULT|178.00
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 Zz Guidewire Synth 2.0mm 292.652 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|231.40
WS SERVICE AREA|27201262|Hc Guidewire Thscf-35-801.5 Rosen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|70.50
WS SERVICE AREA|27201263|Hc Guidewire W/advancer .032x23-5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|64.00
WS SERVICE AREA|80085065|Hc Respiratory Syncytial Virus|LABORATORY - GENERAL CLASSIFICATION [0300]|87807||WS HB DEFAULT|219.00
WS SERVICE AREA|27201264|Hc Gun Biopsy Co-axial 18gx15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|272.70
WS SERVICE AREA|27201265|Hc Gun Biopsy Max Core 14gx10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|199.20
WS SERVICE AREA|90010510|Hc Poc Lactate Cvor|LABORATORY - GENERAL CLASSIFICATION [0300]|83605||WS HB DEFAULT|256.00
WS SERVICE AREA|20010148|Hc Articular Fx W Manip Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26742||WS HB DEFAULT|1,712.00
WS SERVICE AREA|27006729|Hc Mask Anes Inf Ulthn Csh Inf Vlv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|5.30
WS SERVICE AREA|27201266|Hc Gun Disp Raney|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|373.50
WS SERVICE AREA|27201268|Hc Gwire Sphincterotome Dash 21|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|1,502.30
WS SERVICE AREA|27201269|Hc Zz Gwire Vasc Core Ang Tpr .025in - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|187.80
WS SERVICE AREA|27201270|Hc Gwire Vasc Core Ang Tpr .038in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|187.80
WS SERVICE AREA|27201271|Hc Hand Control Debrider|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.10
WS SERVICE AREA|27201272|Hc Handle Bipolar Forceps Isocool|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,552.10
WS SERVICE AREA|27201273|Hc Handle Yankeur Suction Wht Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.60
WS SERVICE AREA|27201274|Hc Handpiece Hydrodebrider|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,900.00
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|368.10
WS SERVICE AREA|272121462|Hc Zz Prong Nasal Neo Cpap 3mmx2mm Dis- Use 271121465|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.00
WS SERVICE AREA|27201276|Hc Handpiece Scalpel Harmonic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,450.90
WS SERVICE AREA|27201277|Hc Handpiece Versajet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,977.90
WS SERVICE AREA|27201278|Hc Handpiece Versajet 50637|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,074.40
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|223.80
WS SERVICE AREA|27201280|Hc Head Reamer 15.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,947.80
WS SERVICE AREA|27201281|Hc Hemasorb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|465.80
WS SERVICE AREA|27201282|Hc Hemoclip Multi Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.20
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|663.10
WS SERVICE AREA|20010149|Hc Finger Fx Distal Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26750||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27201284|Hc Hemoconcentrator W Tub 700|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|452.20
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|743.50
WS SERVICE AREA|27201286|Hc Hemovac 400ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|158.10
WS SERVICE AREA|27201287|Hc Hemovac Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|107.10
WS SERVICE AREA|27201288|Hc Hinge Inline Orthofix 51-10430|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,145.20
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|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|1,111.80
WS SERVICE AREA|27201291|Hc Illuminator Light Mat Surgical|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|529.40
WS SERVICE AREA|70172083|Hc Xr Entire Spi Ne 4-5 Vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72083||WS HB DEFAULT|1,078.00
WS SERVICE AREA|27201292|Hc Incisor Curved Lg Smith 4.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|613.20
WS SERVICE AREA|27201293|Hc Injector Ex Flow Cement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,485.30
WS SERVICE AREA|27201294|Hc Insert Clamp Bowel C4001|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|126.30
WS SERVICE AREA|27201295|Hc Insert Fogarty Evergrip Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.20
WS SERVICE AREA|27201296|Hc Insert Harmonic Curv Shears Da|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,670.30
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|879.50
WS SERVICE AREA|27201298|Hc Insert Octobase Sut|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|186.70
WS SERVICE AREA|27201299|Hc Instrument Biopsy Mono Disp14g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|225.60
WS SERVICE AREA|27201300|Hc Instrument Max Disp Core 22mm 18x|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.30
WS SERVICE AREA|20010150|Hc Finger Fx Distal W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26755||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27201301|Hc Instrument Maxcore 22mm 18gx20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.30
WS SERVICE AREA|27201302|Hc Instrument Maxcore 22mm 18gx25|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.40
WS SERVICE AREA|27201303|Hc Instrument Maxcore 22mm 20gx20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.20
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|1,861.90
WS SERVICE AREA|27201306|Hc Introducer Eschmann 15fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.40
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|27201308|Hc Introducer Flex Chkflo W/tip9f*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|289.40
WS SERVICE AREA|27201309|Hc Introducer Hickman Bard|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|559.10
WS SERVICE AREA|27201310|Hc Introducer Kit Mic G 18fr-|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,140.70
WS SERVICE AREA|272121467|Hc Zz Prong Nasal Neo Cpap 5.5mmx5.0mm Dis- Use 271121465|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.00
WS SERVICE AREA|27201311|Hc Introducer Orth Kphx Bevel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,113.40
WS SERVICE AREA|80000223|Hc Infectious Disease Bacterial/viral Respiratory Dna/rna 22 Trgt Sarscov2|LABORATORY - GENERAL CLASSIFICATION [0300]|0223U||WS HB DEFAULT|474.00
WS SERVICE AREA|27201312|Hc Introducer Osteo Xpress Kyphon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,544.60
WS SERVICE AREA|27201313|Hc Introducer Stiff Micro 4fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|252.30
WS SERVICE AREA|27201314|Hc Introducer Tissue Soft 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|543.20
WS SERVICE AREA|27201315|Hc Introducer W/gdwire 10fr 13cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|273.70
WS SERVICE AREA|272127468|Hc Ampule Nasal Antiseptic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.80
WS SERVICE AREA|27201316|Hc Introducer W/gdwire 12fr 13cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|273.70
WS SERVICE AREA|27201317|Hc Introducer W/gdwire 14fr 13cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|273.70
WS SERVICE AREA|27201318|Hc Irrigation Set Tubing 4 Lead|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.70
WS SERVICE AREA|20010151|Hc Finger Fx Distal W Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26756||WS HB DEFAULT|19,484.00
WS SERVICE AREA|27201319|Hc Kit Access 3arm Da Vinci Disp*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|750.00
WS SERVICE AREA|27201320|Hc Kit Access 4arm Da Vinci Disp*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,008.90
WS SERVICE AREA|27201321|Hc Kit Access Mini*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|279.00
WS SERVICE AREA|27201322|Hc Kit Accessory Ancillary|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|651.40
WS SERVICE AREA|27201323|Hc Kit Accucise 26cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9,599.00
WS SERVICE AREA|27201324|Hc Kit Acl Aperfix Disp Instr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,981.10
WS SERVICE AREA|27201325|Hc Kit Acl Mitek Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,726.10
WS SERVICE AREA|27201326|Hc Kit Advance Cement Mixing Stryker|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|519.80
WS SERVICE AREA|27201327|Hc Kit Angiography Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|127.20
WS SERVICE AREA|27201328|Hc Kit Arterial Line Argon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|125.50
WS SERVICE AREA|70172084|Hc Xr Entire Spi Ne 6 Vw Min|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72084||WS HB DEFAULT|1,459.00
WS SERVICE AREA|27201329|Hc Kit Arterial Line Lf 5"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|185.30
WS SERVICE AREA|27201330|Hc Kit Arthro Fx Pushlock 2.9mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,086.30
WS SERVICE AREA|27201331|Hc Kit Aseptic Fluid Transfer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|112.50
WS SERVICE AREA|27201332|Hc Kit Aspira Pleural Drainage*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|6,086.90
WS SERVICE AREA|27201333|Hc Kit Attain Gw/int/cath Lds6216*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|3,418.30
WS SERVICE AREA|27201334|Hc Kit Balloon Bipolar Electrode|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|815.90
WS SERVICE AREA|20020526|HC INJECTION CARPAL TUNNEL TX|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20526||WS HB DEFAULT|2,804.00
WS SERVICE AREA|27201335|Hc Kit Balloon Cath Iabp 8fr 34cc*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,219.60
WS SERVICE AREA|27201336|Hc Kit Balloon Cath Iabp 8fr 34cc*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,219.60
WS SERVICE AREA|27201337|Hc Kit Balloon Cath Iabp 8fr 40cc*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,876.90
WS SERVICE AREA|20010152|Hc Finger Disl Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26770||WS HB DEFAULT|1,378.00
WS SERVICE AREA|20020553|HC TRIGGER POINT INJECTIONS => 3|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20553||WS HB DEFAULT|1,910.00
WS SERVICE AREA|27201339|Hc Kit Banding Wilson Mbl6ov|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,530.90
WS SERVICE AREA|27201340|Hc Kit Bio-tenodesis Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,054.50
WS SERVICE AREA|27201341|Hc Kit Blood Pump Thoratec|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|72,386.20
WS SERVICE AREA|27201342|Hc Kit Bone Prep Bioprep|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|613.20
WS SERVICE AREA|50054160|Hc Circumcision Neonate <= 28 Days|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54160||WS HB DEFAULT|3,810.00
WS SERVICE AREA|27201343|Hc Kit Breastmilk Initiation|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|170.20
WS SERVICE AREA|27201344|Hc Kit Carotid Shunt Argyle Lf 6"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|137.90
WS SERVICE AREA|70172200|Hc Xr Sacroiliac Joints <3 Views|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72200||WS HB DEFAULT|414.00
WS SERVICE AREA|27201345|Hc Kit Carticel Biopsy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,072.40
WS SERVICE AREA|27275235|Hc Set Fltrln H Adlt Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|61.10
WS SERVICE AREA|27201347|Hc Kit Cath Fem Arterial Lf Arrow*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|147.70
WS SERVICE AREA|27201348|Hc Kit Cath Female W/glove Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.50
WS SERVICE AREA|27201349|Hc System Fec Mgmt Dignishield|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|589.50
WS SERVICE AREA|27201350|Hc Kit Cath Infant Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.70
WS SERVICE AREA|27201351|Hc Kit Cath Intravascular Cool 3l|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,810.00
WS SERVICE AREA|27201352|Hc Kit Cath Intravascular Icy 3lu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,841.20
WS SERVICE AREA|27201354|Hc Kit Cath Pleurx Pleural|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|3,368.40
WS SERVICE AREA|27201355|Hc Kit Cath Rt Hrt Mnfld Cust|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|129.50
WS SERVICE AREA|27201356|Hc Kit Cement Spine Wave|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,336.70
WS SERVICE AREA|27201357|Hc Kit Cent Ven Access 2lum Lf*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|638.70
WS SERVICE AREA|20010153|Hc Finger Disl W Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26775||WS HB DEFAULT|13,332.00
WS SERVICE AREA|27235599|Hc Catheter Airway Exch 19.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|176.00
WS SERVICE AREA|27201358|Hc Kit Charging Adv Bion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,505.50
WS SERVICE AREA|27201359|Hc Zz Kit Comp Acc  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|2,827.40
WS SERVICE AREA|27201360|Hc Kit Core Assure 8g Accessor|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.10
WS SERVICE AREA|27201361|Hc Kit Cpd Blood Pack|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|57.30
WS SERVICE AREA|27201362|Hc Zz Kit Cps St Jude*  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|4,939.60
WS SERVICE AREA|27201363|Hc Kit Cranial Access Ils|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,725.90
WS SERVICE AREA|27201364|Hc Kit Crico|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|847.70
WS SERVICE AREA|27201365|Hc Kit Cvc Full Barr 20cm 7f 3lum*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|706.70
WS SERVICE AREA|27201366|Hc Kit Cvc Full Barr 20cm 8f 2lum*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|557.40
WS SERVICE AREA|27201369|Hc Kit Cvd Full Bar20cm 8.5f 4lum*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|564.50
WS SERVICE AREA|70173501|Hc Xr Hip Uni 1 Vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73501||WS HB DEFAULT|410.00
WS SERVICE AREA|27201370|Hc Kit Drain Chest Percu Str 14fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|386.10
WS SERVICE AREA|27201371|Hc Kit Dressing Ear Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.60
WS SERVICE AREA|70493930|Hc Duplex Upper Extremity Arteries, Complete Bilateral|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|93930||WS HB DEFAULT|1,682.00
WS SERVICE AREA|27201372|Hc Kit Dressing Ear Pediatric|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.70
WS SERVICE AREA|27201373|Hc Kit Dressing Wound Vac Perf Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|275.60
WS SERVICE AREA|70493931|Hc Duplex Upper Extremity Arteries, Unilateral Or Limited|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93931||WS HB DEFAULT|1,146.00
WS SERVICE AREA|27201375|Hc Kit Dressing Wound Vac Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|217.70
WS SERVICE AREA|27201376|Hc Kit Dressing Wound Vac Whi Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|350.00
WS SERVICE AREA|27201377|Hc Kit Electrode Patch Vlc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,492.70
WS SERVICE AREA|27201378|Hc Kit Emr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,518.10
WS SERVICE AREA|20010154|Hc Finger Disl W Manip W Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26776||WS HB DEFAULT|19,484.00
WS SERVICE AREA|27201379|Hc Kit Epidural Cont W/18ga Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|126.30
WS SERVICE AREA|27201380|Hc Kit Epistat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|496.70
WS SERVICE AREA|27201381|Hc Kit Fluid Transfer Cosme|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.30
WS SERVICE AREA|27201382|Hc Kit Gastric Lavage W/sol Bag|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|114.50
WS SERVICE AREA|27201383|Hc Kit Gastro 18fr Sil Low Prof Feed Tube|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|180.00
WS SERVICE AREA|27201384|Hc Kit Gelport 100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,996.00
WS SERVICE AREA|27201385|Hc Kit Guidewire Accessory Copilo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|235.60
WS SERVICE AREA|27201387|Hc Kit Hemodrain, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|50.50
WS SERVICE AREA|27201389|Hc Kit Hemostat Mtrx Surgiflo W T|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,405.70
WS SERVICE AREA|27201391|Hc Kit Hip Cement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|993.00
WS SERVICE AREA|27257980|Hc Set Ventilator Cap Dphrm Non Blu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.80
WS SERVICE AREA|27201392|Hc Kit Hip Revision Smith 004545|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,929.40
WS SERVICE AREA|27201393|Hc Kit Impella Quick Set Up 2.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,179.80
WS SERVICE AREA|27201394|Hc Kit Inflation Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|368.10
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|364.50
WS SERVICE AREA|27201398|Hc Kit Intro Jugular 16gax6"*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|81.70
WS SERVICE AREA|27201399|Hc Kit Introducer 10fr W/ Guidewire*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|246.20
WS SERVICE AREA|27201400|Hc Kit Introducer 2.5 13fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,348.70
WS SERVICE AREA|27201401|Hc Kit Introducer Cook 8fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|248.20
WS SERVICE AREA|27201402|Hc Kit Irrigation Stryker|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|256.50
WS SERVICE AREA|20010155|Hc Drain Pelvis Hip Joint Area Deep Abscess Or Hematoma|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|26990||WS HB DEFAULT|18,233.00
WS SERVICE AREA|27201403|Hc Kit Iv Site Care|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.80
WS SERVICE AREA|27201404|Hc Kit Locatable Guide|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,182.90
WS SERVICE AREA|27201405|Hc Kit Lumbar Drainage Access|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,058.60
WS SERVICE AREA|27201406|Hc Kit Margin Marker Ink|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|608.90
WS SERVICE AREA|27201407|Hc Kit Maxcess Diposable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,693.90
WS SERVICE AREA|27201408|Hc Kit Microintroducer Safety|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|98.20
WS SERVICE AREA|27201411|Hc Kit Monitor Intcran Pres1104bt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,313.60
WS SERVICE AREA|27201412|Hc Kit Monitoring Pressure Abdominal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|561.90
WS SERVICE AREA|27201413|Hc Kit Monitoring Transpac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.40
WS SERVICE AREA|27201414|Hc Kit Ndl Parallax B&d 11g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,268.90
WS SERVICE AREA|70173502|Hc Xr Hip Uni 2-3 Vws|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73502||WS HB DEFAULT|462.00
WS SERVICE AREA|27201415|Hc Kit Needle Guide|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|130.30
WS SERVICE AREA|27201416|Hc Kit On Point Scope Procedure|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|446.60
WS SERVICE AREA|27201417|Hc Kit Optivac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,093.80
WS SERVICE AREA|27201418|Hc Kit Patient Care Schlein Pos|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|258.80
WS SERVICE AREA|27201419|Hc Kit Peg 14fr Pull Meth Mic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|422.20
WS SERVICE AREA|27201420|Hc Kit Perc Sheath Intro 8.5fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|392.00
WS SERVICE AREA|27201421|Hc Kit Percutan Insrt Venous Pika|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|395.70
WS SERVICE AREA|27201422|Hc Kit Percutan Insrt Venous Pikv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|395.70
WS SERVICE AREA|27201423|Hc Kit Percutaneous Sheath Intro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|233.40
WS SERVICE AREA|27201424|Hc Kit Percutaneous Sheath Intro*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|377.70
WS SERVICE AREA|20010156|Hc Biopsy Soft Tissue Pelvis/hip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27040||WS HB DEFAULT|7,794.00
WS SERVICE AREA|27201425|Hc Kit Pericardiocentesis 4315|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|759.60
WS SERVICE AREA|27201426|Hc Kit Picc Full Barr 2 Lumen 5fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|483.80
WS SERVICE AREA|27201427|Hc Kit Picc Neonatal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|519.70
WS SERVICE AREA|27201428|Hc Kit Pin Plug Medtronic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|620.70
WS SERVICE AREA|27201429|Hc Kit Pinacl Ant Pelvic Flr Repr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13,979.50
WS SERVICE AREA|27201430|Hc Kit Pleurx Drainage|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|313.10
WS SERVICE AREA|27201431|Hc Kit Pleurx Starter 500ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|407.10
WS SERVICE AREA|27201432|Hc Kit Pneumothorax|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|379.10
WS SERVICE AREA|27201433|Hc Kit Rap Pac Crcte*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,559.50
WS SERVICE AREA|27201434|Hc Kit Ring Applier Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,585.00
WS SERVICE AREA|270115443|Hc Tape Endotrach Tb Cloth Ltx Splt Tab|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|16.90
WS SERVICE AREA|27201435|Hc Kit Schlein Posit'n Shldr W/oimb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|186.70
WS SERVICE AREA|27201436|Hc Kit Sealant Evicel 2ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|971.80
WS SERVICE AREA|27201437|Hc Kit Service Installation|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|280.10
WS SERVICE AREA|27201438|Hc Kit Shunt Axiem Cranl Ninvs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,008.00
WS SERVICE AREA|27201439|Hc Kit Shunt Axiem Cranl Skl Mnt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,335.90
WS SERVICE AREA|27201440|Hc Kit Startup Coolgard 3000|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,870.80
WS SERVICE AREA|27201441|Hc Kit Stylet 6054-58cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|248.20
WS SERVICE AREA|27201442|Hc Kit Stylet 6094-52cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|248.20
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|248.20
WS SERVICE AREA|70173503|Hc Xr Hip Uni 4 Vws Min|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73503||WS HB DEFAULT|662.00
WS SERVICE AREA|27201445|Hc Kit Stylet Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|248.20
WS SERVICE AREA|272110606|Hc Needle Echo Sgl Stim 20gax100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.80
WS SERVICE AREA|27201446|Hc Kit Suction Neonatal 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|84.60
WS SERVICE AREA|27201447|Hc Kit Sut Tk Mini Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,086.30
WS SERVICE AREA|272110607|Hc Needle Echo Sgl Stim 22gax50mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.70
WS SERVICE AREA|27201448|Hc Kit Sut Tk Sm Joint Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|775.50
WS SERVICE AREA|27201449|Hc Kit Syringe Tissue Trans 60cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|373.50
WS SERVICE AREA|27201450|Hc Kit Tem Disposable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,554.30
WS SERVICE AREA|27201451|Hc Kit Template Minirail System|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,204.20
WS SERVICE AREA|27201452|Hc Kit Thoracentesis Ar-clarke L|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|166.40
WS SERVICE AREA|70173521|Hc Xr Hips Bil 2 Vws|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73521||WS HB DEFAULT|662.00
WS SERVICE AREA|27201453|Hc Kit Transducer Dual Cust Bx/20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|164.40
WS SERVICE AREA|272110610|Hc Set Needle/cath Stim On-q, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|179.70
WS SERVICE AREA|27201454|Hc Kit Transducer Neonat Mk5-10dt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.60
WS SERVICE AREA|27201455|Hc Kit Transducer Safeset W/resvr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|109.80
WS SERVICE AREA|272110697|Hc Needle Echo Sgl Stim 20gax150mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27201456|Hc Kit Transducer Squeeze 4dt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.80
WS SERVICE AREA|27201457|Hc Kit Transducer Triple Line Cus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|296.60
WS SERVICE AREA|272110844|Hc Needle Echo Sgl Stim 22gax150mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.70
WS SERVICE AREA|27201458|Hc Kit Transducer W/spike Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|165.50
WS SERVICE AREA|27201459|Hc Kit Two Port Rt Heart Manifold|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.80
WS SERVICE AREA|70173522|Hc Xr Hips Bil 3-4 Vws|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73522||WS HB DEFAULT|745.00
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|272110892|Hc Needle Echo Ss Nonstim 20gax100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|54.00
WS SERVICE AREA|27201460|Hc Kit Vacuum Delivery 303tt Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|126.80
WS SERVICE AREA|27201461|Hc Kit Vacuum Delivery Lf 004c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|105.10
WS SERVICE AREA|272122568|HC CANNULA NERVE BLOCK US|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|59.00
WS SERVICE AREA|27201462|Hc Kit Vacuum Mixevac Ii Mixer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|258.80
WS SERVICE AREA|27201463|Hc Kit Ventric Pres Monitor|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,305.50
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|1,670.60
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|280.10
WS SERVICE AREA|27201466|Hc Knife Clear Dual Bevel 2.75mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|171.90
WS SERVICE AREA|70173523|Hc Xr Hips Bil 5 Vws Min|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73523||WS HB DEFAULT|745.00
WS SERVICE AREA|27201467|Hc Knife Graft Acl Lf 10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|693.80
WS SERVICE AREA|27201468|Hc Knife Graft Acl Lf 9mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|656.70
WS SERVICE AREA|27201469|Hc Knife Myrigotomy W/lanccet Bla|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.50
WS SERVICE AREA|27201470|Hc Knife Myringotomy Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|119.90
WS SERVICE AREA|27201471|Hc Knife Myringotomy Spear Blade|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.50
WS SERVICE AREA|27201472|Hc Knife Ophthalmic 15 Degree|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.60
WS SERVICE AREA|27201473|Hc Knife Ophthalmic Cresent|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.60
WS SERVICE AREA|27201474|Hc Knife Short Cut Ang 3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|135.80
WS SERVICE AREA|27201475|Hc Lead Delivery System (lds)dsys*  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|4,870.60
WS SERVICE AREA|27201476|Hc Lens Morgan Therapeutic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|112.90
WS SERVICE AREA|70173551|Hc Xr Femur 1vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73551||WS HB DEFAULT|410.00
WS SERVICE AREA|27201477|Hc Leveen Coaccess 3.0/15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7,419.90
WS SERVICE AREA|272120031|HC DRESSING ALLEVYN SACRUM 8 1/2 X 9IN|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.50
WS SERVICE AREA|27201478|Hc Light Mat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|307.70
WS SERVICE AREA|27201479|Hc Light Pipe Endo Illumin 25ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|404.20
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|11.50
WS SERVICE AREA|27201480|Hc Lights Flexi-lum Surg Disp 10"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|186.70
WS SERVICE AREA|27201481|Hc Line Exten 20in Mnbr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.30
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|8.30
WS SERVICE AREA|27201483|Hc Loc Power 20ga 1"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.70
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|10.40
WS SERVICE AREA|70173552|Hc Xr Femur 2vws Min|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|73552||WS HB DEFAULT|462.00
WS SERVICE AREA|27201484|Hc Locator Nerve Vari-stem|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|228.10
WS SERVICE AREA|27201485|Hc Lubricant Rotaglide|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|551.70
WS SERVICE AREA|272126199|Hc Probe Claritee Adaptaflex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,441.10
WS SERVICE AREA|27201487|Hc Mask Resus Lf Infant|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|51.00
WS SERVICE AREA|271124775|Hc Tube Nasal Bridle Rtn Sys, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|378.40
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|1,167.60
WS SERVICE AREA|27201491|Hc Ndl 3 W/1 Marker 17gx30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|657.50
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|97.70
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|272129247|Hc Valve Expiration Sgl Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.70
WS SERVICE AREA|27201495|Hc Ndl Biopsy Core Assure 11g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|689.60
WS SERVICE AREA|27201496|Hc Ndl Biopsy Franseen Disp 14ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|143.30
WS SERVICE AREA|27201497|Hc Ndl Biopsy Max Core 16x16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|202.60
WS SERVICE AREA|27201498|Hc Ndl Biopsy Monopty Liver|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|162.30
WS SERVICE AREA|27201499|Hc Ndl Biopsy Super Core Ii Adj|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|216.40
WS SERVICE AREA|27201500|Hc Ndl Biopsy Supertrax|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|482.80
WS SERVICE AREA|27201501|Hc Ndl Brachy Blue 18ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1715||WS HB DEFAULT|23.00
WS SERVICE AREA|27201502|Hc Ndl Cath Centesis Yueh 6fr 19g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|122.10
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|119.40
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|27201504|Hc Ndl Cath Yueh Cent 5fr 19ga 10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|119.10
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|119.30
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|27201507|Hc Ndl Chiba 18x20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|54.00
WS SERVICE AREA|27201508|Hc Ndl Chiba 18x5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.40
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|55.20
WS SERVICE AREA|27201510|Hc Ndl Chiba 19x15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.60
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|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|122.10
WS SERVICE AREA|27201512|Hc Ndl Chiba 20ga 20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
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|53.70
WS SERVICE AREA|27201514|Hc Ndl Chiba 22gx3-1/2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.50
WS SERVICE AREA|27201515|Hc Ndl Chiba 22gx5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.40
WS SERVICE AREA|27201516|Hc Ndl Chiba 22x10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27201517|Hc Ndl Chiba 22x20 Dchn22-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27201518|Hc Ndl Chiba Dchn 22gx5cm Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.20
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|27201519|Hc Ndl Chiba Dchn18-10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.70
WS SERVICE AREA|27201520|Hc Ndl Chiba Dchn18-10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.30
WS SERVICE AREA|27201521|Hc Ndl Chiba Dchn18-15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.70
WS SERVICE AREA|27201522|Hc Ndl Chiba Dchn20-15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|56.80
WS SERVICE AREA|27201523|Hc Ndl Chiba Dchn22-15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.80
WS SERVICE AREA|27201524|Hc Ndl Chiba Disp 21gax15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.60
WS SERVICE AREA|27201525|Hc Ndl Crvx 3/8 Circ Tap Pt Sz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27201526|Hc Ndl Dura Safe Combo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|91.30
WS SERVICE AREA|27201527|Hc Ndl Endo 19ga Us Fna|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,304.90
WS SERVICE AREA|27201528|Hc Ndl Endo 19ga Us Fna Flx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,665.00
WS SERVICE AREA|30037252|Hc Intrvasc Us Noncoronary 1st Add On|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37252||WS HB DEFAULT|4,368.00
WS SERVICE AREA|27201529|Hc Ndl Endo 22ga Us Fna|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,304.90
WS SERVICE AREA|27201530|Hc Ndl Endo 25ga Us Fna|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,304.90
WS SERVICE AREA|27201531|Hc Ndl Endo Syr Disp 22ga Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|541.10
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|55.20
WS SERVICE AREA|27201534|Hc Ndl Eus Wilson Cook Echo-3-22|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,413.20
WS SERVICE AREA|27201535|Hc Ndl Franseen 16x15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|170.80
WS SERVICE AREA|27201536|Hc Ndl Franseen 16x20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|168.20
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|4,987.00
WS SERVICE AREA|30037253|Hc Intrvasc Us Noncoronary Ea Addl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37253||WS HB DEFAULT|3,689.00
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|165.50
WS SERVICE AREA|27201540|Hc Ndl Franseen 20 X 15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|168.20
WS SERVICE AREA|27201541|Hc Ndl Franseen 20x10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|140.10
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|27201542|Hc Ndl Franseen 20x20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|140.10
WS SERVICE AREA|27201543|Hc Ndl Franseen 20x5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|170.80
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|140.10
WS SERVICE AREA|27201545|Hc Ndl Franseen 22x10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|140.10
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|270110488|Hc Cover Air Warm Adult 85.8x502in Upr Frc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|25.90
WS SERVICE AREA|27201546|Hc Ndl Franseen 22x15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|137.90
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|170.80
WS SERVICE AREA|70177073|Hc Xr Bone Length Studies|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77073||WS HB DEFAULT|588.00
WS SERVICE AREA|27201548|Hc Ndl Freesen 18ga 15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|137.90
WS SERVICE AREA|27201549|Hc Ndl Gripper Non-y 20ga 1"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.50
WS SERVICE AREA|27201550|Hc Ndl Gripper Pwr Huber 20gx1.25|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.60
WS SERVICE AREA|80187635|Hc Iadna Sars-cov-2 Covid-19 Amp Prb|LABORATORY - GENERAL CLASSIFICATION [0300]|87635||WS HB DEFAULT|205.00
WS SERVICE AREA|27201551|Hc Ndl Gripper Pwr Huber 20gx1in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.80
WS SERVICE AREA|27201552|Hc Ndl Gripper Pwr Huber 20gx3/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.00
WS SERVICE AREA|10011982|Hc Removal Of Non-bio Drug Implant|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11982||WS HB DEFAULT|8,034.00
WS SERVICE AREA|27201553|Hc Ndl Huber 20x3/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.90
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|39.50
WS SERVICE AREA|27201555|Hc Ndl Jamshidi 10ga 5in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|351.00
WS SERVICE AREA|27201556|Hc Ndl Jamshidi 15ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.50
WS SERVICE AREA|27201557|Hc Ndl Jamshidi Globus 623.102|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|932.60
WS SERVICE AREA|27201558|Hc Ndl Keith Disp 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.60
WS SERVICE AREA|27201559|Hc Ndl L-p Myelo-nate|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.50
WS SERVICE AREA|27201560|Hc Ndl Max 20ga Bard|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.40
WS SERVICE AREA|27201561|Hc Ndl Max Core 20gax10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.50
WS SERVICE AREA|27201562|Hc Ndl Max Core Bard 18ga Bx/5ea|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.40
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|27201563|Hc Ndl Nv Bvl Tip 1-pas 3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,560.00
WS SERVICE AREA|27201564|Hc Ndl Ortrch Injector Laryng|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|135.80
WS SERVICE AREA|27201565|Hc Ndl Osteosite Bone Biopsy11x10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|237.90
WS SERVICE AREA|27201566|Hc Ndl Osteosite Bone Biopsy11x15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|234.40
WS SERVICE AREA|80087426|Hc Iaad Ia Severe Acute Respir Synd Coronavirus|LABORATORY - GENERAL CLASSIFICATION [0300]|87426||WS HB DEFAULT|420.00
WS SERVICE AREA|27201567|Hc Ndl Osteosite Bone Biopsy13x10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|236.50
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|22.20
WS SERVICE AREA|27201570|Hc Ndl Percutaneous Entry 19ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.10
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|40047533|Hc Biliary Drain Cath Plmt Ext W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47533||WS HB DEFAULT|6,742.00
WS SERVICE AREA|27201571|Hc Ndl Portacath 22x.75|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27201572|Hc Ndl Portacath 22x1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.70
WS SERVICE AREA|27201573|Hc Ndl Sclrtx Intjct 25ga 2.5m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|180.40
WS SERVICE AREA|27201574|Hc Ndl Scorpion Ar-1399n|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|869.90
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|8.40
WS SERVICE AREA|27115544|Hc Bag Sensura 1pc Wide Outlet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27201576|Hc Ndl Spec Technique 6" 22x6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.90
WS SERVICE AREA|27201577|Hc Ndl Spinal 20x3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.50
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|40047534|Hc Biliary Drain Cath Plmt Int/ext W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47534||WS HB DEFAULT|7,222.00
WS SERVICE AREA|27201578|Hc Ndl Spinal 22ga Pncn Pncl Pt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.80
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|22.70
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|829.00
WS SERVICE AREA|27201580|Hc Ndl Spinal 22x6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|59.70
WS SERVICE AREA|27201581|Hc Ndl Spinal 24x3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.50
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|829.00
WS SERVICE AREA|27201582|Hc Ndl Spinal 25x6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.10
WS SERVICE AREA|27201583|Hc Ndl Spinal 3 1/2in 22ga Pncn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.80
WS SERVICE AREA|50053450|Hc Urethromeatoplasty W/mucosal Advancement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|53450||WS HB DEFAULT|11,605.00
WS SERVICE AREA|40047538|Hc Bile Duct Stent Plmt Existing W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47538||WS HB DEFAULT|6,500.00
WS SERVICE AREA|27201584|Hc Ndl Spinal Disp 22x7|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.80
WS SERVICE AREA|27201585|Hc Ndl Spinal Lf 1gax3-1/2in Fmc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27201586|Hc Ndl Spinal Lf 22x3-1/2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.30
WS SERVICE AREA|27201587|Hc Ndl Spinal Lf 25x3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.50
WS SERVICE AREA|27201588|Hc Ndl Spinal Mono Mtl Hub 18gx3.|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.10
WS SERVICE AREA|27201589|Hc Ndl Spinal Plastic 25gx3-1/2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.40
WS SERVICE AREA|27201590|Hc Ndl Spinal Qp 22gax8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|72.10
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|11.60
WS SERVICE AREA|27201593|Hc Ndl Spinal Sprotte 24ga 4-3/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.00
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|7,215.00
WS SERVICE AREA|27201594|Hc Ndl Spinal Sprotte 24gax4.75|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|88.90
WS SERVICE AREA|27201595|Hc Ndl Surg Ferg Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.70
WS SERVICE AREA|27201596|Hc Ndl Sut Circ Taper P|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.70
WS SERVICE AREA|27201597|Hc Ndl Sut Mf Scrpn Strl Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,211.60
WS SERVICE AREA|27201598|Hc Ndl Touhy 17gax6"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.90
WS SERVICE AREA|27201599|Hc Ndl Touhy 20gx4.5"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.40
WS SERVICE AREA|27201600|Hc Ndl Touhy Epidual 18x3.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.60
WS SERVICE AREA|27201601|Hc Ndl Truguide Coaxial 17gax13.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.70
WS SERVICE AREA|27201602|Hc Ndl Truguide Coaxial 17gax17.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.50
WS SERVICE AREA|27201603|Hc Ndl Truguide Coaxial 17gax7.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.50
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|7,761.00
WS SERVICE AREA|27201604|Hc Ndl Truguide Coaxial 19gax13.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.50
WS SERVICE AREA|27201605|Hc Ndl Truguide Coaxial 19gx7.8cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.60
WS SERVICE AREA|27201606|Hc Ndl Tuohy 17g 3-1/2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.40
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|27201608|Hc Octopus 4.3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,592.00
WS SERVICE AREA|27201609|Hc Overdrill Tc 2.0/2.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|914.10
WS SERVICE AREA|27201611|Hc Oxisensor W/headbd Maxfst Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|126.80
WS SERVICE AREA|27201612|Hc Pack Angio Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|240.80
WS SERVICE AREA|27201613|Hc Pack Arthroscopy Cobb*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|107.10
WS SERVICE AREA|27201614|Hc Pack Arthroscopy Deroyal*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|117.70
WS SERVICE AREA|40047542|Hc Biliary Duct/ampulla Dilate Perc W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47542||WS HB DEFAULT|1,725.00
WS SERVICE AREA|27201615|Hc Pack Arthroscopy Windy Hill|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|377.70
WS SERVICE AREA|27201616|Hc Pack Av Fistula Deroyal*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|186.70
WS SERVICE AREA|27201617|Hc Pack Basic Hand Custom Wh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.60
WS SERVICE AREA|27201618|Hc Pack Basic Set-up Kc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.50
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|40.30
WS SERVICE AREA|27201621|Hc Pack Basin Hand Windy Hill*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|153.90
WS SERVICE AREA|27201622|Hc Pack Basin Minor Cobb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.30
WS SERVICE AREA|27201624|Hc Pack Battery Synthes Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,038.70
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|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|27201625|Hc Pack Breast Proc Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|165.50
WS SERVICE AREA|27201627|Hc Pack Cabg Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,159.00
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|27201629|Hc Pack Cardiac Basin Kennestone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27201630|Hc Pack Cardiac Drape Kennestone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|522.00
WS SERVICE AREA|27201631|Hc Pack Cardiovascular Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|603.70
WS SERVICE AREA|27201632|Hc Pack Carotid Deroyal*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|239.80
WS SERVICE AREA|272100938|Hc Kit Iv Start, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.50
WS SERVICE AREA|27201641|Hc Pack Craniotomy Kennestone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|226.00
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|50050606|Hc Ureter/renal Pelvis Endoluminal Bx W Image Add On|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50606||WS HB DEFAULT|1,057.00
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|46.70
WS SERVICE AREA|27201643|Hc Pack C-section Custom 2/cs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|493.40
WS SERVICE AREA|27201644|Hc Pack C-section Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|345.20
WS SERVICE AREA|272138818|Hc Gel Wound Blastx Antimicrobial 3.5ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|92.90
WS SERVICE AREA|27201646|Hc Pack Cvor Kennestone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,971.10
WS SERVICE AREA|27201647|Hc Pack Cysto Basic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|154.80
WS SERVICE AREA|27201648|Hc Pack Cystoscopy I Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.80
WS SERVICE AREA|27201649|Hc Pack Dilator Nvm5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,567.60
WS SERVICE AREA|274138772|Hc Hvad Waist Pack Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0498||WS HB DEFAULT|2,039.90
WS SERVICE AREA|27201650|Hc Pack Eent Ii Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|77.50
WS SERVICE AREA|27201651|Hc Pack Endograft Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|815.90
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|9,235.00
WS SERVICE AREA|27201652|Hc Pack Eye Alcon Kh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|855.10
WS SERVICE AREA|27201653|Hc Pack Eye Custom Wh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,093.80
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|2,039.90
WS SERVICE AREA|27201654|Hc Pack Eye Vit 25g Custom Wh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,038.40
WS SERVICE AREA|27201655|Hc Pack Gyn Laparoscopy Deroyal*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|168.70
WS SERVICE AREA|27201656|Hc Pack Hand Kop|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|143.30
WS SERVICE AREA|27201657|Hc Pack Head And Neck Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|106.10
WS SERVICE AREA|27201659|Hc Pack L & D Douglas Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|121.50
WS SERVICE AREA|27201660|Hc Pack Lap Colon Kennestone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|194.20
WS SERVICE AREA|27201661|Hc Pack Lap I|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.50
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|9,684.00
WS SERVICE AREA|27201662|Hc Pack Lap Iii|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.90
WS SERVICE AREA|27201666|Hc Pack Laparoscopic Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|158.10
WS SERVICE AREA|27201668|Hc Pack Lavh Deroyal*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|167.60
WS SERVICE AREA|27201670|Hc Pack Major Basic Cobb*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.60
WS SERVICE AREA|27201671|Hc Pack Major Gen Abd Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|120.90
WS SERVICE AREA|27201672|Hc Pack Minor Basin Kennestone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.20
WS SERVICE AREA|27201673|Hc Pack Minor Lithotomy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|169.70
WS SERVICE AREA|27201674|Hc Pack Minor Lithotomy Deroyal*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|102.90
WS SERVICE AREA|27201675|Hc Pack Minor Proc Basin Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|93.30
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|50050706|Hc Ureteral Strix Balloon Dilate W Imag Add On|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50706||WS HB DEFAULT|1,057.00
WS SERVICE AREA|27201677|Hc Pack Nasal Endoscopy Windy Hil|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|120.90
WS SERVICE AREA|27201678|Hc Pack Ob Cobb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.30
WS SERVICE AREA|27201679|Hc Pack Or Turnover Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.80
WS SERVICE AREA|27201680|Hc Pack Ortho I|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|129.50
WS SERVICE AREA|27201682|Hc Pack Podiatry Custom 5/cs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|201.60
WS SERVICE AREA|27201683|Hc Pack Podiatry Windy Hill*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|177.20
WS SERVICE AREA|27201684|Hc Pack Port-a-cath Deroyal*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|183.50
WS SERVICE AREA|27201685|Hc Pack Quintube Monitor 6630|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.50
WS SERVICE AREA|27201686|Hc Pack Set Up I Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.40
WS SERVICE AREA|27201687|Hc Pack Shoulder Arthr Windy Hill*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|285.40
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|27201688|Hc Pack Sinus (kennedy)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.20
WS SERVICE AREA|27201689|Hc Pack Sinus Baron|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|67.90
WS SERVICE AREA|27201690|Hc Pack Smart Liver Backsplash Lvad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|608.90
WS SERVICE AREA|27201691|Hc Pack Spine Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|246.20
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|45.60
WS SERVICE AREA|80087636|Hc Iadna Sarscov2 & Influenza A&b Mult Amp Probe Tq|LABORATORY - GENERAL CLASSIFICATION [0300]|87636||WS HB DEFAULT|420.00
WS SERVICE AREA|27201694|Hc Pack Sut Clip Pin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|149.60
WS SERVICE AREA|27201695|Hc Pack T And A Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.90
WS SERVICE AREA|80087637|Hc Iadna Sarscov2 & Influenza A&b & Rsv Mult Amp Probe Tq|LABORATORY - GENERAL CLASSIFICATION [0300]|87637||WS HB DEFAULT|420.00
WS SERVICE AREA|40047535|Hc Biliary Drain Cath Convsn Ext W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47535||WS HB DEFAULT|4,929.00
WS SERVICE AREA|27201698|Hc Pack Thr Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|354.30
WS SERVICE AREA|27201699|Hc Pack Total Joint Cobb Wc160.00*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|256.80
WS SERVICE AREA|27201700|Hc Pack Total Knee Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|360.70
WS SERVICE AREA|27201701|Hc Pack Transducer Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|215.40
WS SERVICE AREA|80087811|Hc Iaadiadoo Severe Acute Respiratory Syndrome Coronavirus|LABORATORY - GENERAL CLASSIFICATION [0300]|87811||WS HB DEFAULT|420.00
WS SERVICE AREA|27201702|Hc Pack Tubing Ctd Mini Blrib|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,408.20
WS SERVICE AREA|27201703|Hc Pack Turbosonic W/parts Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|373.50
WS SERVICE AREA|27201704|Hc Pack Tvt And Vag Hyst Kennesto*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|83.80
WS SERVICE AREA|80000240|Hc Infectious Disease Rna 3 Targets Upper Respiratory Specimen|LABORATORY - GENERAL CLASSIFICATION [0300]|0240U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201706|Hc Pack Upper Extremity Kennestone*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|183.50
WS SERVICE AREA|40047536|Hc Biliary Drain Cath Exch W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47536||WS HB DEFAULT|4,350.00
WS SERVICE AREA|27201707|Hc Pack Vial Flip Top 1ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.70
WS SERVICE AREA|27201708|Hc Packing Nasal Mer W/airway 8.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|81.70
WS SERVICE AREA|27201709|Hc Pad Grounding Radiofrequency K|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|51.70
WS SERVICE AREA|80000241|Hc Infectious Disease Rna 4 Targets Upper Respiratory Specimen|LABORATORY - GENERAL CLASSIFICATION [0300]|0241U||WS HB DEFAULT|369.00
WS SERVICE AREA|27201710|Hc Pad Hana Table|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|292.80
WS SERVICE AREA|27201711|Hc Pad Magnetic Disposable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.40
WS SERVICE AREA|27201712|Hc Pad Mattress Disp Wide, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|409.00
WS SERVICE AREA|27201713|Hc Pad Pressure Oval Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|37.20
WS SERVICE AREA|27201715|Hc Paddle Rectract Endo 12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|633.30
WS SERVICE AREA|27201716|Hc Passer Sut Acps 45d Lt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|772.30
WS SERVICE AREA|20010161|Hc Coccygeal Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27200||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27201717|Hc Passer Sut Acps 45d Rt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|772.30
WS SERVICE AREA|27201718|Hc Passer Sut Perfect Om-8010|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,024.90
WS SERVICE AREA|27201719|Hc Passer Sut Perfect Om-8175|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|869.90
WS SERVICE AREA|27201720|Hc Passer Sut Perfect Om-8176|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|869.90
WS SERVICE AREA|27201721|Hc Passer Sut Str Disp 12in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|191.00
WS SERVICE AREA|27201722|Hc Passer Sut Worm Curve|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,274.10
WS SERVICE AREA|27201723|Hc Patch Hemostatic D-stat Dry|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|254.50
WS SERVICE AREA|27201724|Hc Patch Patient Single Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.20
WS SERVICE AREA|27201734|Hc Penadapt With Hose|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.70
WS SERVICE AREA|27201735|Hc Pencil Caut W/tip Cobbdougpaul|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.30
WS SERVICE AREA|40047537|Hc Biliary Drain Cath Remvl W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47537||WS HB DEFAULT|1,940.00
WS SERVICE AREA|27201736|Hc Pencil Cautery Doug/wh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.20
WS SERVICE AREA|27201737|Hc Pencil Footswitch|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.80
WS SERVICE AREA|27201738|Hc Pencil Handswitching Accuvac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|72.10
WS SERVICE AREA|27201739|Hc Pencil Smoke Evac W/tubing|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|147.50
WS SERVICE AREA|27201740|Hc Perferator Crainotomy Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,490.60
WS SERVICE AREA|27201742|Hc Phs Disp Pack Hall Micro Syste|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,994.50
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|651.40
WS SERVICE AREA|27201746|Hc Pin Plate Holding|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|810.50
WS SERVICE AREA|27201747|Hc Pin Retro Guide Cann Str 3mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,038.70
WS SERVICE AREA|20010163|Hc Femoralfx Int/per/sub Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27238||WS HB DEFAULT|5,274.00
WS SERVICE AREA|27201748|Hc Pipe Dcr Light|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,039.70
WS SERVICE AREA|27201749|Hc Plasmalyte-a 1000ml Bag|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|34.00
WS SERVICE AREA|80287635|Hc Iadna Sars-cov-2 Covid-19 Amplified Prb Tq|LABORATORY - GENERAL CLASSIFICATION [0300]|87635||WS HB DEFAULT|205.00
WS SERVICE AREA|27201750|Hc Plate Spring 3hole 3.5mm Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,823.70
WS SERVICE AREA|27201751|Hc Pleur Vac Infant|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|184.40
WS SERVICE AREA|27201752|Hc Plug Fistula Anal Surgisis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,815.50
WS SERVICE AREA|27201753|Hc Plug Infusion Dutch 6mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|177.70
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|369.00
WS SERVICE AREA|27201754|Hc Plug Port Guidant Is-1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|216.40
WS SERVICE AREA|27201755|Hc Pointer Tracer Cranl Nvg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,200.70
WS SERVICE AREA|40049185|Hc Sclerotx Fluid Collection Perc W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49185||WS HB DEFAULT|6,025.00
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|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|2,018.90
WS SERVICE AREA|80100004|Hc Covid-19 N-cdc High Throughput Tests|LABORATORY - GENERAL CLASSIFICATION [0300]|U0004||WS HB DEFAULT|369.00
WS SERVICE AREA|27201758|Hc Port W/introducer Kit 9.6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1788||WS HB DEFAULT|1,360.10
WS SERVICE AREA|27201760|Hc Post 1-hole 54-11600|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|811.60
WS SERVICE AREA|27201761|Hc Post 2-hole 54-11610|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|895.40
WS SERVICE AREA|270138510|Hc Patch Fetal Mon Novii Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|186.90
WS SERVICE AREA|27201762|Hc Post 3-hole 54-11620|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|924.00
WS SERVICE AREA|27201763|Hc Post 4-hole 54-11630|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|950.60
WS SERVICE AREA|27201764|Hc Post 5-hole 54-11640|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|979.20
WS SERVICE AREA|20010164|Hc Hip Disl Trauma Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27250||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27201765|Hc Pouch Convex Flex 2-2/4inx2in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27201766|Hc Pouch Drain Natura Ho 57x2-1/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27201767|Hc Pouch Drainable Ostomy Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.30
WS SERVICE AREA|27201768|Hc Pouch Endoscopic Retrieval|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.30
WS SERVICE AREA|27201769|Hc Pouch Flat Flex 2-1/4inx1-3/4i|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27201770|Hc Pouch Flat Flex 2-3/4inx2-1/4i|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.40
WS SERVICE AREA|27201771|Hc Pouch Ostomy Drnbl 1 Piece|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.30
WS SERVICE AREA|36053852|Hc Trurl Distruction Prostate Tiss Rf Thermotherapy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|53852||WS HB DEFAULT|10,662.00
WS SERVICE AREA|27201772|Hc Pouch Postop Drainable 3-7/8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.70
WS SERVICE AREA|27201773|Hc Pouch Specimen 15mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|633.30
WS SERVICE AREA|20010165|Hc Hip Disl Trauma W Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27252||WS HB DEFAULT|12,249.00
WS SERVICE AREA|27201774|Hc Pouch Surgical Tissue 8x10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|325.70
WS SERVICE AREA|27201775|Hc Pouch Tissue Surgical 054800|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|306.60
WS SERVICE AREA|27201776|Hc Pouch Urostomy Active Life Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.60
WS SERVICE AREA|27201777|Hc Pouch Urostomy Tapered|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27201778|Hc Powder Avitene Davol 1gm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|699.20
WS SERVICE AREA|27201779|Hc Powder Instat Mch .5gram|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|430.80
WS SERVICE AREA|27201780|Hc Powder Instat Mch Lf 1gram|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|740.20
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|1,002.60
WS SERVICE AREA|27201783|Hc Probe Laser Endo Ocular Curv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|969.60
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|27201784|HC PROBE, CRYOABLATION|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2618||WS HB DEFAULT|22,379.80
WS SERVICE AREA|27201786|Hc Reamer Drill Bud Cannulated|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,107.60
WS SERVICE AREA|27201787|Hc Relia-vac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.70
WS SERVICE AREA|27201788|Hc Reload Endo Ets Flex Trw35 Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|644.00
WS SERVICE AREA|27201789|Hc Reservoir Lg Volume W Connect|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|596.30
WS SERVICE AREA|27201794|Hc Retractor Cheek Spndx Child Sz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|117.70
WS SERVICE AREA|27201800|Hc Retractor Soft Tissue Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,740.90
WS SERVICE AREA|27201801|Hc Retractor Soft Tissue Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,740.90
WS SERVICE AREA|27201802|Hc Rhino Rapid 7.5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|182.90
WS SERVICE AREA|27201803|Hc Rhino Rapid W/gel 5.5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|171.90
WS SERVICE AREA|20010166|Hc Hip Disl Spon Wo Manip/anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27256||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27201804|Hc Rod Ball Tip Guide 60mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|847.70
WS SERVICE AREA|27201805|Hc Rod Guide Ball Tip 3mmx1000mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,034.40
WS SERVICE AREA|27201806|Hc Seal Cannula Da Vinci|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|102.20
WS SERVICE AREA|27201807|Hc Seal Cannula Davinci 12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|248.20
WS SERVICE AREA|27201808|Hc Sealant Floseal Matrix Hemo 10cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,136.60
WS SERVICE AREA|27201809|Hc Sealant Floseal Matrix Hemo 5c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,169.20
WS SERVICE AREA|27201810|Hc Sensor Flo Trac Hmdn Mntr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,511.90
WS SERVICE AREA|27201811|Hc Separator Optical 12x100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|378.70
WS SERVICE AREA|27201812|Hc Set Autotransfusion (cs/6)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,736.10
WS SERVICE AREA|27201814|Hc Set Basin Ob Cobb Custom Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|136.80
WS SERVICE AREA|20010167|Hc Hip Disl Spon W Manip/anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27257||WS HB DEFAULT|11,922.00
WS SERVICE AREA|27201815|Hc Set Brat Bowl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|445.60
WS SERVICE AREA|27201816|Hc Set Cath Attain Prevail|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,989.20
WS SERVICE AREA|27201817|Hc Set Cath Epidural|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1755||WS HB DEFAULT|102.90
WS SERVICE AREA|27201818|Hc Set Cath Infusion Rapid*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|75.30
WS SERVICE AREA|27201819|Hc Set Cath Pneumothorax Cook|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|873.40
WS SERVICE AREA|27201820|Hc Set Cystoscopy & Irrigation|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27201821|Hc Set Dialysis Admin/transfer Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|115.70
WS SERVICE AREA|27201822|Hc Set Dilator Sound Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|34.00
WS SERVICE AREA|27201823|Hc Set Dilator Uret 60cm 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|950.60
WS SERVICE AREA|27201824|Hc Set Dilator Urethral S-curve|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,014.60
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|27201826|Hc Set Epidural Cath Perefix 20ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.50
WS SERVICE AREA|27201827|Hc Set Epidural Cath W/closed Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.30
WS SERVICE AREA|27201828|Hc Set Epidural Lf 80"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.00
WS SERVICE AREA|27201830|Hc Set Hta Genesys Procedure|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7,765.80
WS SERVICE AREA|27201831|Hc Set Hydro Dh Hystro Dist Tube|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|748.00
WS SERVICE AREA|27201832|Hc Set Hydro Thermablader Proc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7,765.80
WS SERVICE AREA|27201833|Hc Set Hyperal Plum Clave|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.10
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 Zz Set Introducer 18.0-38 140103*  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|342.70
WS SERVICE AREA|27201836|Hc Set Introducer 20.0-38 140391*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|342.70
WS SERVICE AREA|20010168|Hc Hip Disl Post Arthro Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27265||WS HB DEFAULT|681.00
WS SERVICE AREA|27201837|Hc Zz Set Introducer 8.0-35 73777*  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|264.20
WS SERVICE AREA|27201838|Hc Zz Set Introducer 9.0-38 140104*  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|264.20
WS SERVICE AREA|27201839|Hc Zz Set Introducer Cpli 12.0-38*  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|279.00
WS SERVICE AREA|27201840|Hc Zz Set Introducer Cpli 14.0-38*  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|264.20
WS SERVICE AREA|27201841|Hc Zz Set Introducer Cpli 16.0-38*  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|264.20
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 Zz Set Introducer Peel Away 13fr*  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|287.50
WS SERVICE AREA|27201844|Hc Zz Set Introducer Plip5.5189denny*  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|241.80
WS SERVICE AREA|27201845|Hc Zz Set Introducer Plip6.0189denny*  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|241.80
WS SERVICE AREA|27201846|Hc Zz Set Introducer Tearaway 10fr  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|110.30
WS SERVICE AREA|20010169|Hc Hip Disl Post Arthro W Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27266||WS HB DEFAULT|6,143.00
WS SERVICE AREA|27201847|Hc Zz Set Introducer Tearaway 5fr  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|110.30
WS SERVICE AREA|27201848|Hc Zz Set Introducer Tearaway Micro  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|108.20
WS SERVICE AREA|27201849|Hc Set Irrig Colostomy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|112.50
WS SERVICE AREA|27201850|Hc Set Irrigation Artho 4-lead|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|84.90
WS SERVICE AREA|27201851|Hc Set Irrigation Cysto/bladder|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.10
WS SERVICE AREA|27201852|Hc Set Irrigation Normothermic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|180.40
WS SERVICE AREA|27201856|Hc Set Iv Piggyback Primary Micro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.80
WS SERVICE AREA|27201864|Hc Set Micropuncture Stiffened*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|79.70
WS SERVICE AREA|27201865|Hc Set Monitor Combitrans Pressure|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|284.30
WS SERVICE AREA|27201866|Hc Set Mps Delivery W/cassette|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|879.50
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|8,049.00
WS SERVICE AREA|27201867|Hc Set Multiple Perfusion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|122.10
WS SERVICE AREA|27201868|Hc Set Ndl Bone Biopsy Elson|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,738.80
WS SERVICE AREA|27201869|Hc Set Ndl Prostate 18ga 20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|221.80
WS SERVICE AREA|27201870|Hc Set Neff Percutaneous Access|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|433.90
WS SERVICE AREA|27201871|Hc Set Nephrostomy Malecot 14fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|854.10
WS SERVICE AREA|27201872|Hc Set Nephrostomy Malecot 18fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|1,015.30
WS SERVICE AREA|27201873|Hc Zz Set Pacemaker Introducer 11fr*  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|287.50
WS SERVICE AREA|27201874|Hc Set Pads Repl Vst|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|27201875|Hc Kit Trach Perc, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|1,810.30
WS SERVICE AREA|27201876|Hc Zz Set Perc Trach Ciaglia Bl Rhin- Use 27201875|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|1,557.80
WS SERVICE AREA|20010170|Hc Femoral Fx Prox End Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27267||WS HB DEFAULT|2,763.00
WS SERVICE AREA|90040437|Hc Neb W/i-pap|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94640||WS HB DEFAULT|580.00
WS SERVICE AREA|27201877|Hc Set Plexufix Brach Plex 22g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.00
WS SERVICE AREA|27201878|Hc Set Pressure Display Red Hrdwr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|81.70
WS SERVICE AREA|27201879|Hc Set Prismaflex M100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,158.90
WS SERVICE AREA|27201880|Hc Set Pump Angiojet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,397.20
WS SERVICE AREA|27201881|Hc Set Pump Impella Iv Solution|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|108.30
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|269.00
WS SERVICE AREA|27201883|Hc Set Radial Artery Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.60
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|40.30
WS SERVICE AREA|50050433|Hc Nephrostmy Cath Plmt New Access W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50433||WS HB DEFAULT|9,126.00
WS SERVICE AREA|27201885|Hc Set Retrograde Intubation 14.0*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|651.40
WS SERVICE AREA|27201886|Hc Set Sheath Dilator 8/10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|239.80
WS SERVICE AREA|27201887|Hc Set Sheath Micropuncture*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|204.20
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|307.70
WS SERVICE AREA|30031613|Hc Tracheostoma Revision Smpl W/o Flap Rotation|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31613||WS HB DEFAULT|10,071.00
WS SERVICE AREA|27201889|Hc Set Suction Postoperative|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.30
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|398.00
WS SERVICE AREA|27201890|Hc Zz Set Thrombect Spiro Ultra 4fr  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|10,686.50
WS SERVICE AREA|27201891|Hc Set Tub Coolflow For Carto 3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|465.80
WS SERVICE AREA|20010172|Hc Fb Remove Thigh/knee Deep|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27372||WS HB DEFAULT|16,724.00
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|143.00
WS SERVICE AREA|27201892|Hc Set Tubing 7/8"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.10
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|153.90
WS SERVICE AREA|27201894|Hc Set Tubing Selector Sat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,213.10
WS SERVICE AREA|27201895|Hc Set Tubing Slol 4503|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|321.50
WS SERVICE AREA|90010513|Hc Vital Capacity Test|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94150||WS HB DEFAULT|332.00
WS SERVICE AREA|27201896|Hc Set Tubing Smoke Evac Lf (m)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
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|147.50
WS SERVICE AREA|20010173|Hc Femoral Fx Shaft Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27500||WS HB DEFAULT|5,274.00
WS SERVICE AREA|90010514|Hc Respiratory Flow Volume Loop|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94375||WS HB DEFAULT|698.00
WS SERVICE AREA|27201898|Hc Set Tur|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.50
WS SERVICE AREA|27201899|Hc Set T-u-r "y"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.30
WS SERVICE AREA|90010515|Hc Pulm Funct Test Oscillometry|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94728||WS HB DEFAULT|722.00
WS SERVICE AREA|27201900|Hc Set Tur 4container Irr Special|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|72.10
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|360.70
WS SERVICE AREA|27201902|Hc Set Urethral Dilator|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|1,120.30
WS SERVICE AREA|27201903|Hc Set Vena Stick Vasc Access 4fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|221.80
WS SERVICE AREA|27201904|Hc Set Ventricular Ext Drainage|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|764.90
WS SERVICE AREA|50050434|Hc Nephrostomy Convert Cath Pre-exist Trk W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50434||WS HB DEFAULT|9,126.00
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|90010519|Hc Inhalation Bronch Challenge Test|OTHER DIAGNOSTIC SERVICES - ALLERGY TEST [0924]|95070||WS HB DEFAULT|1,113.00
WS SERVICE AREA|27201906|Hc Zz Set Wireguide Exchange Jeffrey - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|633.30
WS SERVICE AREA|27201907|Hc Sheath 7fx11cm*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|171.90
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|255.60
WS SERVICE AREA|93093464|Hc Physiologic Exercise Study/hemodynamic Measurement|CARDIOLOGY - CARDIAC CATH LAB [0481]|93464||WS HB DEFAULT|704.00
WS SERVICE AREA|27201909|Hc Sheath Rcfw-10.0-38-30-rb*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|361.70
WS SERVICE AREA|70270170|Hc Fl Tear Duct Dacryocstograpy Nasolacrimal Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70170||WS HB DEFAULT|1,076.00
WS SERVICE AREA|27201910|Hc Sheath Short Burr Ep1 Disp 4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|208.00
WS SERVICE AREA|20010174|Hc Femoral Fx Supra/tran Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27501||WS HB DEFAULT|626.00
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|329.00
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|27201922|Hc Sigmoid Suction Tip Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.20
WS SERVICE AREA|27201923|Hc Skin Graft Carrier Zimmer 16"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|261.00
WS SERVICE AREA|70272285|Hc Fl Diskograpy Cervical/thoracic Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|72285||WS HB DEFAULT|4,693.00
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|20010175|Hc Femoral Fx Shaft W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27502||WS HB DEFAULT|7,745.00
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|223.80
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|186.70
WS SERVICE AREA|70074235|Hc Remove Esophageal Obstr W/use Balloon Cath Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74235||WS HB DEFAULT|5,322.00
WS SERVICE AREA|27201930|Hc Slitter Universal 6228slt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|186.70
WS SERVICE AREA|27201931|Hc Solution Adhesion Reduction|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,334.60
WS SERVICE AREA|70274251|HC FL RAD EXAM SMALL INT DOUBLE CONTRAST STUDY, SCOUT|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74251||WS HB DEFAULT|1,427.00
WS SERVICE AREA|27201932|Hc Solution Betadine 5% Ophth|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.70
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|50050435|Hc Nephrostomy Exchange Cath W Image|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50435||WS HB DEFAULT|6,713.00
WS SERVICE AREA|27201933|Hc Somasensor Sm Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|620.70
WS SERVICE AREA|27201934|Hc Spong Actct Dressing Ext Fix|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|81.70
WS SERVICE AREA|27201935|Hc Sponge Abs Hemost Mtrx Sol Surgif|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|924.90
WS SERVICE AREA|27201936|Hc Sponge Drain Fen Copa 3-1/2x3"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
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|20.60
WS SERVICE AREA|27201938|Hc Sponge Kerlix Sterile Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.80
WS SERVICE AREA|27201939|Hc Sponge Kerlix Sterile Lf Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.40
WS SERVICE AREA|27201940|Hc Sponge Lap 18x36|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.90
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|20010176|Hc Femoral Fx Supra/trans W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27503||WS HB DEFAULT|1,368.00
WS SERVICE AREA|27201941|Hc Sponge Lap Xray Str 18x36|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.70
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|27201942|Hc Sponge Richd 102140|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.00
WS SERVICE AREA|27201943|Hc Sponge Surg .5x6in Strip Radi|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.60
WS SERVICE AREA|27201944|Hc Sponge Tonsil Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.10
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|90.20
WS SERVICE AREA|70074301|Hc Xr Cholangio &/pancreatography Addl Set Intraop Rs|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74301||WS HB DEFAULT|634.00
WS SERVICE AREA|27201946|Hc Stabalizer Evolution|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,803.60
WS SERVICE AREA|27201947|Hc Stabilizer Acrobat Suv Vacuum|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,280.10
WS SERVICE AREA|50050693|Hc Ureteral Stent Plmt Perc Pre-existing Trk W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50693||WS HB DEFAULT|9,235.00
WS SERVICE AREA|27201948|Hc Stabilizer Octps Nuvo Mi|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8,045.80
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|1,832.20
WS SERVICE AREA|70074329|Hc Xr Endoscopic Cathj Pancreatic Ductal Sys Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74329||WS HB DEFAULT|691.00
WS SERVICE AREA|27201950|Hc Stapler A/s Eea 28-4.8mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,614.70
WS SERVICE AREA|27201951|Hc Stapler A/s Eea 31-4.8mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,740.90
WS SERVICE AREA|27201952|Hc Stapler A/s Eea Xl 3.5 25mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,268.20
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|2,437.90
WS SERVICE AREA|70074355|Hc Xr Percutaneous Placement Enteroclysis Tube Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74355||WS HB DEFAULT|1,285.00
WS SERVICE AREA|20010178|Hc Femoral Fx Distal-cond W Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27509||WS HB DEFAULT|9,920.00
WS SERVICE AREA|90040438|Hc Intrapul Percussive Ventilation (ipv)|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94640||WS HB DEFAULT|580.00
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|1,700.60
WS SERVICE AREA|27201956|Hc Stapler Cutter Linear Lf Tlc75|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,537.70
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|715.00
WS SERVICE AREA|70074360|Hc Fl Intraluminal Dilation Strictures&/obstrcjs Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74360||WS HB DEFAULT|860.00
WS SERVICE AREA|27201958|Hc Stapler Dst Ta Vasc30|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|566.50
WS SERVICE AREA|27201959|Hc Stapler Echelon Flex 45mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,418.00
WS SERVICE AREA|70274445|Hc Fl Corpora Cavernosograpy (penis) Rs&i|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74445||WS HB DEFAULT|323.00
WS SERVICE AREA|27201960|Hc Stapler Eea A/s 4.8-25mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,614.70
WS SERVICE AREA|20010179|Hc Femoral Fx Distal-cond W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27510||WS HB DEFAULT|2,230.00
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|2,143.00
WS SERVICE AREA|27201962|Hc Stapler Eea Xl 3.5 28mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,268.20
WS SERVICE AREA|27201963|Hc Stapler Egia Shrt Ult Univ|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|559.10
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|2,286.30
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|27201965|Hc Stapler Endo Gia Ultra 12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|622.70
WS SERVICE AREA|27201966|Hc Stapler Endo Hernia Mf 10-4.8mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|269.40
WS SERVICE AREA|27201967|Hc Stapler Endo Strt 3.5mm 45mm B|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,055.60
WS SERVICE AREA|60064461|Hc Inj Block Paravertebral Thoracic W Imaging Single|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64461||WS HB DEFAULT|3,743.00
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|1,086.30
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|1,055.60
WS SERVICE AREA|27201970|Hc Stapler Endo Strt 4.8mm 60mm G|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,086.30
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|1,162.00
WS SERVICE AREA|27201972|Hc Stapler Endopath Ets Flex Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,544.90
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|1,228.50
WS SERVICE AREA|20010181|Hc Fem Sep Distal Epip W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27517||WS HB DEFAULT|3,055.00
WS SERVICE AREA|70177077|Hc Xr Joint Survey Single View 2 Or More Joints|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77077||WS HB DEFAULT|457.00
WS SERVICE AREA|27201974|Hc Stapler Gia 60-2.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|552.70
WS SERVICE AREA|27201975|Hc Stapler Gia 60-3.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|532.60
WS SERVICE AREA|70677054|Hc Mam Ductogram/galactogram Multiple|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77054||WS HB DEFAULT|1,231.00
WS SERVICE AREA|27201976|Hc Stapler Gia Mf 80-3.8mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|795.70
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|306.60
WS SERVICE AREA|70370542|Hc Mri Face Neck Orbits Face With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70542||WS HB DEFAULT|5,207.00
WS SERVICE AREA|27201978|Hc Stapler Handle Gia Univ|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|509.20
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|60064462|Hc Paraverteral Blk Thoracic 2nd+ Inj Site W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64462||WS HB DEFAULT|6,210.00
WS SERVICE AREA|27201979|Hc Stapler Handle Univ Endo Gia Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|944.20
WS SERVICE AREA|70370548|Hc Mr Angio Neck With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|70548||WS HB DEFAULT|4,248.00
WS SERVICE AREA|27201980|Hc Stapler Hemorrhoid Eea 3.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,361.60
WS SERVICE AREA|27201981|Hc Stapler Hemorroidal Circular|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,303.20
WS SERVICE AREA|70373219|Hc Mri Upper Extremity Other Than Joint With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73219||WS HB DEFAULT|4,652.00
WS SERVICE AREA|27201982|Hc Stapler Hernia Multifeed Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,707.50
WS SERVICE AREA|27201983|Hc Stapler Ils Lf Ecs29|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,782.90
WS SERVICE AREA|70373719|Hc Mri Extremity Lower Other Than Joint With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|73719||WS HB DEFAULT|4,248.00
WS SERVICE AREA|27201984|Hc Stapler Intnl 25mm 4.8mm Ti|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,143.00
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|20010183|Hc Tib Fx Prox/plateau Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27530||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27201985|Hc Stapler Intnl 60mm Flx Strl Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7,109.10
WS SERVICE AREA|70374182|Hc Mri Abdomen With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|74182||WS HB DEFAULT|5,072.00
WS SERVICE AREA|27201986|Hc Stapler Intnl 90x4.8mm Ti Reg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|523.00
WS SERVICE AREA|27201987|Hc Stapler Linear Lf 60mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,831.10
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|323.00
WS SERVICE AREA|27201988|Hc Stapler Linear Lf 90mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|635.50
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|404.20
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|3,602.00
WS SERVICE AREA|27201990|Hc Stapler Meniscal Curve|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|839.10
WS SERVICE AREA|60064463|Hc Paravertebral Thoracic Cont Infus Cath W Imag|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64463||WS HB DEFAULT|4,141.00
WS SERVICE AREA|27201991|Hc Stapler Multifire 35'disp Skin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|133.70
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|4,707.00
WS SERVICE AREA|27201992|Hc Stapler Pi Titanium 30-3.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|825.30
WS SERVICE AREA|27201993|Hc Stapler Protack Hernia 30-5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,561.70
WS SERVICE AREA|70878020|Hc Nm Thyroid Carcinoma Metastases Uptake Add On|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78020||WS HB DEFAULT|776.00
WS SERVICE AREA|27201994|Hc Stapler Rl Lf Tcr55|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|911.30
WS SERVICE AREA|27201995|Hc Stapler Rl Lf Tcr75|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,351.60
WS SERVICE AREA|70878071|Hc Nm Parathyroid Imaging W/wo Subtraction (spect)|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78071||WS HB DEFAULT|2,439.00
WS SERVICE AREA|27201996|Hc Stapler Rotic Poly .200|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,377.00
WS SERVICE AREA|27201997|Hc Stapler Skin, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.50
WS SERVICE AREA|20010185|Hc Tibial Fx Prox/plateau W Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27532||WS HB DEFAULT|15,217.00
WS SERVICE AREA|70878072|Hc Nm Parathyroid Imaging W/wo Subtraction (spect & Ct)|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78072||WS HB DEFAULT|2,613.00
WS SERVICE AREA|27201998|Hc Zz Stapler Skin 35 Lf Wide-  Use 27201997|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.60
WS SERVICE AREA|27201999|Hc Zz Stapler Skin 35 Reg Pr/plus Lf-  Use 27201997|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.20
WS SERVICE AREA|70878102|Hc Nm Bone Marrow Imaging Limited Area|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78102||WS HB DEFAULT|1,445.00
WS SERVICE AREA|27202000|Hc Zz Stapler Skin 35 Reg Prem Lf-  Use 27201997|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|337.30
WS SERVICE AREA|27202001|Hc Zz Stapler Skin 35 Wide P/plus Lf-  Use 27201997|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|172.90
WS SERVICE AREA|70878103|Hc Nm Bone Marrow Imaging Multiple Areas|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78103||WS HB DEFAULT|1,491.00
WS SERVICE AREA|27202002|Hc Zz Stapler Skin 35w-  Use 27201997|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.30
WS SERVICE AREA|27202003|Hc Zz Stapler Skin 35wide P Floyd-  Use 27201997|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|337.30
WS SERVICE AREA|70878140|Hc Nm Labeled Rbc Sequestration Differntl Organ/tissue|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78140||WS HB DEFAULT|2,583.00
WS SERVICE AREA|20010186|Hc Knee Fx Intercondylar Sp/tuber|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27538||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27202004|Hc Zz Stapler Skin Appose 35 Reg-  Use 27201997|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.90
WS SERVICE AREA|27202005|Hc Zz Stapler Skin Appose 35 Wide-  Use 27201997|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.10
WS SERVICE AREA|70878202|Hc Nm Liver Imaging W/vascular Flow|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78202||WS HB DEFAULT|2,209.00
WS SERVICE AREA|27202006|Hc Zz Stapler Skin Disp Ds-25-  Use 27201997|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.40
WS SERVICE AREA|27202007|Hc Zz Stapler Skin Fh Md (m) Pmw35-  Use 27201997|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|173.00
WS SERVICE AREA|27202008|Hc Zz Stapler Skin Premium 35w-  Use 27201997|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|133.70
WS SERVICE AREA|27202009|Hc Stapler Ta Mf 30-3.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|480.60
WS SERVICE AREA|70878230|Hc Nm Salivary Gland Imaging|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78230||WS HB DEFAULT|1,429.00
WS SERVICE AREA|27202010|Hc Stapler Univ Endo 65 12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|905.00
WS SERVICE AREA|27202011|Hc Stapler Univ Endo Gia Disp 12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|566.50
WS SERVICE AREA|70878265|Hc Nm Gastric Emptying Imag Study|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78265||WS HB DEFAULT|2,417.00
WS SERVICE AREA|70878232|Hc Nm Salivary Gland Function Study|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78232||WS HB DEFAULT|1,756.00
WS SERVICE AREA|27202012|Hc Starfish/octopus Bundle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,902.80
WS SERVICE AREA|70878350|Hc Nm Bone Density Single Site 1 Photon Absorptiometry|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78350||WS HB DEFAULT|763.00
WS SERVICE AREA|27202015|Hc Securment Device- Statlock, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|26.80
WS SERVICE AREA|70878456|Hc Nm Acute Venous Thrombosis Imaging Peptide|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78456||WS HB DEFAULT|1,109.00
WS SERVICE AREA|27202017|Hc Steristrip Lf 1x5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|70878458|Hc Nm Venous Thrombosis Imaging Venogram Bilateral|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78458||WS HB DEFAULT|906.00
WS SERVICE AREA|27202019|Hc Stockinette Fiberglass 4 In|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.20
WS SERVICE AREA|70878469|Hc Nm Myocard Infarct Avid Plnr Tomo Spect W/wo Quant|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78469||WS HB DEFAULT|2,037.00
WS SERVICE AREA|27202020|Hc Stopcock, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|20010187|Hc Knee Disl Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27550||WS HB DEFAULT|1,378.00
WS SERVICE AREA|95020013|Hc Home Sleep Test-pat|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95800||WS HB DEFAULT|1,002.00
WS SERVICE AREA|80080451|Hc Drug Screening Methadone|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|285.00
WS SERVICE AREA|27202022|Hc Stopper Wire Red Rubber True/l|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27202023|Hc Strip 1x5in Episeal Flx Cnfrm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|70878601|Hc Nm Brain Imaging < 4 Static Vws W/vascular Flow|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78601||WS HB DEFAULT|1,746.00
WS SERVICE AREA|27202024|Hc Strip Peri E Univ Atsut Gia 45|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,125.60
WS SERVICE AREA|27202025|Hc Strip Peri E Univ Atsut Gia 60|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,159.60
WS SERVICE AREA|70878606|Hc Nm Brain Imaging Min 4 Static Views W/vascular Flow|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78606||WS HB DEFAULT|2,898.00
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|27202029|Hc Stylet Precision Spare|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|905.00
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|2,729.00
WS SERVICE AREA|27202031|Hc Stylet Quinton Peri Tunneling|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|520.90
WS SERVICE AREA|272133221|Hc Bottle Evac Suct 1000ml Wdrn Line Evol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|120.80
WS SERVICE AREA|70878802|HC NM LOCLZJ TUM INFLAM PLNR WHOLE BODY 1 DAY|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78802||WS HB DEFAULT|3,465.00
WS SERVICE AREA|27202032|Hc Bougie Intubation Disp, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.60
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|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|559.10
WS SERVICE AREA|27202037|Hc Suction Cautery|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
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|27202038|Hc Suction Tube Yankauer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|284.90
WS SERVICE AREA|27202039|Hc Sump Pericardial|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|84.90
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|20010188|Hc Knee Disl W Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27552||WS HB DEFAULT|11,332.00
WS SERVICE AREA|27202041|Hc Super Trax Ndl Tipped Cystolog|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|338.50
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|465.80
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|100.80
WS SERVICE AREA|27202045|Hc Surgical Simplex Full Do Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|674.80
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|27202046|Hc Surgicel 4" X 8" Absorbable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|418.30
WS SERVICE AREA|27202047|Hc Surgicel Absorb Hemostat 2x3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|227.90
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|20010189|Hc Patellar Disl Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27560||WS HB DEFAULT|1,378.00
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|316.10
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|168.70
WS SERVICE AREA|27202051|Hc Surgifoam Hemmorrhoidect Sponge|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|175.10
WS SERVICE AREA|70978459|HC PET MYOCARDIAL IMAGING METABOLIC EVALUATION SINGLE STUDY|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78459||WS HB DEFAULT|6,008.00
WS SERVICE AREA|27202052|Hc Surgifoam Powder Ab Gel Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|986.60
WS SERVICE AREA|27202053|Hc Surgindl 150mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.50
WS SERVICE AREA|27202054|Hc Sut 3-0 Cv-23 6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|174.00
WS SERVICE AREA|27202055|Hc Sut Assist Sw100|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|938.90
WS SERVICE AREA|20010191|Hc Inj Ankle Arthro|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27648||WS HB DEFAULT|846.00
WS SERVICE AREA|70978811|Hc Pet Chest Head Neck Imaging Limited Area|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78811||WS HB DEFAULT|5,823.00
WS SERVICE AREA|27202057|Hc Sut Bridge Retention|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.20
WS SERVICE AREA|27202058|Hc Sut Caprosyn 4-0 V20 Taper|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.60
WS SERVICE AREA|80087428|Hc Iaad Ia Sarscov & Influenza Virus Types A&b|LABORATORY - GENERAL CLASSIFICATION [0300]|87428||WS HB DEFAULT|420.00
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|70909992|Hc Pet Any Site Not Specified Noncovered|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|G0235||WS HB DEFAULT|8,263.00
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|70493924|Hc Us Arterial Lower N-invas Phy Stress/rest Compl Bilat|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93924||WS HB DEFAULT|1,647.00
WS SERVICE AREA|70493990|Hc Us Duplex Scan Hemodialysis Access|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93990||WS HB DEFAULT|1,291.00
WS SERVICE AREA|70476999|Hc Us Unlisted Procedures|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76999||WS HB DEFAULT|711.00
WS SERVICE AREA|20010192|Hc Tib Fx Shaft W/wo Fib Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27750||WS HB DEFAULT|633.00
WS SERVICE AREA|70400126|Hc Us Common Carotid Intima Media Thickness Study|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|93895||WS HB DEFAULT|1,033.00
WS SERVICE AREA|90095861|Hc Emg Ndl 2 Xtr W/wo Related Paraspinal Areas|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95861||WS HB DEFAULT|953.00
WS SERVICE AREA|90095863|Hc Emg Ndl 3 Xtr W/wo Related Paraspinal Areas|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95863||WS HB DEFAULT|1,360.00
WS SERVICE AREA|90095864|Hc Emg Ndl 4 Xtr W/wo Related Paraspinal Areas|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95864||WS HB DEFAULT|1,880.00
WS SERVICE AREA|90095867|Hc Ndl Electromyography Cranial Nrv Muscle Uni|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95867||WS HB DEFAULT|578.00
WS SERVICE AREA|90095868|Hc Ndl Electromyography Cranial Nrv Muscle Bi|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95868||WS HB DEFAULT|866.00
WS SERVICE AREA|90095885|Hc Emg Ndl Ea Extremity W/paraspinl Area Ltd|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95885||WS HB DEFAULT|564.00
WS SERVICE AREA|90095907|Hc Nerve Conduction Studies 1-2 Studies|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95907||WS HB DEFAULT|1,310.00
WS SERVICE AREA|90095908|Hc Nerve Conduction Studies 3-4 Studies|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95908||WS HB DEFAULT|2,619.00
WS SERVICE AREA|90095909|Hc Nerve Conduction Studies 5-6 Studies|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95909||WS HB DEFAULT|3,928.00
WS SERVICE AREA|20010193|Hc Tib Fx Shaft W/wo Fib W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27752||WS HB DEFAULT|8,430.00
WS SERVICE AREA|90095910|Hc Nerve Conduction Studies 7-8 Studies|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95910||WS HB DEFAULT|5,236.00
WS SERVICE AREA|25010079|Rx 771 Mab 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|6,544.00
WS SERVICE AREA|90095912|Hc Nerve Conduction Studies 11-12 Studies|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95912||WS HB DEFAULT|4,639.00
WS SERVICE AREA|90095913|Hc Nerve Conduction Studies 13 Or More Studies|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95913||WS HB DEFAULT|5,327.00
WS SERVICE AREA|90095928|Hc Ctr Motor Ep Std Transcrnl Motor Stimj Upr Limbs|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95928||WS HB DEFAULT|999.00
WS SERVICE AREA|90095929|Hc Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95929||WS HB DEFAULT|853.00
WS SERVICE AREA|90095937|Hc Neuromuscular Junct Tstg Ea Nrv Any 1 Meth|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95937||WS HB DEFAULT|723.00
WS SERVICE AREA|90095939|Hc Ctr Motr Ep Std Transcrnl Motr Stim Upr & Lwr  Limbs|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95939||WS HB DEFAULT|999.00
WS SERVICE AREA|27202112|Hc Suture Nylon/pds/gut/chromic/prolene/permahand Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.50
WS SERVICE AREA|20010194|Hc Tibial Fx Shaft W/wo Fib W Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27756||WS HB DEFAULT|9,223.00
WS SERVICE AREA|90095927|Hc Short-latency Somatosens Ep Std Trnk/head|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95927||WS HB DEFAULT|1,963.00
WS SERVICE AREA|90090500|Hc Mod Sed Endo Svcs  >5yrs First 15min|ANESTHESIA - GENERAL CLASSIFICATION [0370]|G0500||WS HB DEFAULT|194.00
WS SERVICE AREA|90010348|HC DIAB PREVENT GRP 60 MIN|AMBULANCE - GENERAL CLASSIFICATION [0540]|A0425||WS HB DEFAULT|30.00
WS SERVICE AREA|97065020|Hc Evoked Auditory Screen|AUDIOLOGY - DIAGNOSTIC [0471]|92558||WS HB DEFAULT|723.00
WS SERVICE AREA|97065021|Hc Tinnitus Assessment|AUDIOLOGY - DIAGNOSTIC [0471]|92625||WS HB DEFAULT|444.00
WS SERVICE AREA|97065024|Hc Audio Pure Tone Air Onl|AUDIOLOGY - DIAGNOSTIC [0471]|92552||WS HB DEFAULT|121.00
WS SERVICE AREA|97065025|Hc Audio Pure Tone Air And Bone|AUDIOLOGY - DIAGNOSTIC [0471]|92553||WS HB DEFAULT|200.00
WS SERVICE AREA|97065026|Hc Speech Threshold|AUDIOLOGY - DIAGNOSTIC [0471]|92555||WS HB DEFAULT|194.00
WS SERVICE AREA|97065027|Hc Audio Sp Thres And Discrim|AUDIOLOGY - DIAGNOSTIC [0471]|92556||WS HB DEFAULT|258.00
WS SERVICE AREA|97065028|Hc Comprehensive Audio|AUDIOLOGY - DIAGNOSTIC [0471]|92557||WS HB DEFAULT|588.00
WS SERVICE AREA|20010195|Hc Malleous Fx Medial Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27760||WS HB DEFAULT|1,233.00
WS SERVICE AREA|97065029|Hc Tone Decay Test|AUDIOLOGY - DIAGNOSTIC [0471]|92563||WS HB DEFAULT|228.00
WS SERVICE AREA|97065030|Hc Acoustic Reflex Testing|AUDIOLOGY - DIAGNOSTIC [0471]|92568||WS HB DEFAULT|252.00
WS SERVICE AREA|80085999|Hc Unlisted Hematology & Coagulation Procedure|LABORATORY - GENERAL CLASSIFICATION [0300]|85999||WS HB DEFAULT|170.00
WS SERVICE AREA|97065031|Hc Audio Visual Reinforce|AUDIOLOGY - DIAGNOSTIC [0471]|92579||WS HB DEFAULT|282.00
WS SERVICE AREA|97065032|Hc Audio Condtn Play|AUDIOLOGY - DIAGNOSTIC [0471]|92582||WS HB DEFAULT|282.00
WS SERVICE AREA|97065033|Hc Electrocochleography|AUDIOLOGY - DIAGNOSTIC [0471]|92584||WS HB DEFAULT|638.00
WS SERVICE AREA|97065034|Hc Hearing Aid Chck Monarl|AUDIOLOGY - DIAGNOSTIC [0471]|92592||WS HB DEFAULT|52.00
WS SERVICE AREA|97065035|Hc Hearing Aid Chck Binaurl|AUDIOLOGY - DIAGNOSTIC [0471]|92593||WS HB DEFAULT|83.00
WS SERVICE AREA|27202150|Hc Sut Gore Cv3 Ph35|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|137.90
WS SERVICE AREA|97065036|Hc Ea Ha Check Monaural|AUDIOLOGY - DIAGNOSTIC [0471]|92594||WS HB DEFAULT|52.00
WS SERVICE AREA|27123132|Hc Boot Cast Tcc Ez Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|391.40
WS SERVICE AREA|27202153|Hc Sut Gore-tex 4n06a Cv4 Th26 36|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|143.30
WS SERVICE AREA|97065037|Hc Ea Ha Check Binaural|AUDIOLOGY - DIAGNOSTIC [0471]|92595||WS HB DEFAULT|83.00
WS SERVICE AREA|27202158|Hc Sut Gore-tex 7k02a Cv7 Tt9|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|97.30
WS SERVICE AREA|27202159|Hc Sut Gore-tex 7m02a Cvy Tt9 30|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|170.80
WS SERVICE AREA|97065040|Hc Pt Unlisted Modality Constant Attendance Ea 15 Min|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97039||WS HB DEFAULT|445.00
WS SERVICE AREA|97065042|Hc Acoustic Immittance Testing|AUDIOLOGY - GENERAL CLASSIFICATION [0470]|92570||WS HB DEFAULT|466.00
WS SERVICE AREA|97065043|Hc Hearing Aid Exam One Ear|AUDIOLOGY - GENERAL CLASSIFICATION [0470]|92590||WS HB DEFAULT|72.00
WS SERVICE AREA|97065044|Hc Hearing Aid Exam Both Ears|AUDIOLOGY - GENERAL CLASSIFICATION [0470]|92591||WS HB DEFAULT|147.00
WS SERVICE AREA|97065047|Hc Neurobehv Status Exam/hr|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|96116||WS HB DEFAULT|829.00
WS SERVICE AREA|97065048|Hc Phototherapy (bilirubin) Light Daily|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|96999||WS HB DEFAULT|265.00
WS SERVICE AREA|20010196|Hc Malleous Fx Medial W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27762||WS HB DEFAULT|8,430.00
WS SERVICE AREA|95010048|HC EEG EXTENDED MONITORING 61-119 MINUTES|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95813||WS HB DEFAULT|2,535.00
WS SERVICE AREA|97065049|Hc Zz Eval,non-speech Device - Use Eap 97065009|SPEECH THERAPY - LANGUAGE PATHOLOGY - EVALUATION OR REEVALUATION [0444]|92605||WS HB DEFAULT|696.00
WS SERVICE AREA|97065053|HC ELECTRICAL STIMULATION UNATTENDED FOR STAGE 3&4 PRESSURE ULCERS|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|G0281||WS HB DEFAULT|214.00
WS SERVICE AREA|97065054|HC ELECTRICAL STIMULATION UNATTENDED FOR STAGE 3&4 PRESSURE ULCERS|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|G0281||WS HB DEFAULT|214.00
WS SERVICE AREA|97065018|Hc Tympanometry|AUDIOLOGY - GENERAL CLASSIFICATION [0470]|92567||WS HB DEFAULT|235.00
WS SERVICE AREA|90010385|Hc Home Sleep Study 2 Port|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|G0398||WS HB DEFAULT|1,263.00
WS SERVICE AREA|90010386|Hc Home Sleep Study 4 Port|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|G0400||WS HB DEFAULT|1,263.00
WS SERVICE AREA|77077293|Hc Respiratory Motion Mgmt Sim|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77293||WS HB DEFAULT|3,306.00
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|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|96010053|Hc Inj Tx/proph/dx Intra-arterial|IV THERAPY - GENERAL CLASSIFICATION [0260]|96373||WS HB DEFAULT|1,634.00
WS SERVICE AREA|20010197|Hc Malleous Fx Post Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27767||WS HB DEFAULT|1,233.00
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|27202219|Hc Sut Maxon 0 T12 Green 36"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.30
WS SERVICE AREA|27202220|Hc Sut Maxon 2-0 T12 Green 27"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27202222|Hc Sut Mers 2-0 F3 Braid Wht 18"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.80
WS SERVICE AREA|80084672|Hc Glucose Bld By Monit Dev|LABORATORY - GENERAL CLASSIFICATION [0300]|82962||WS HB DEFAULT|75.00
WS SERVICE AREA|27202223|Hc Sut Mers 3-0 Fs1 Braid Whi 18"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27202225|Hc Sut Mers 4-0 S2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.30
WS SERVICE AREA|27202227|Hc Sut Mers 5mm Bp1 White Woven|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|187.80
WS SERVICE AREA|27202228|Hc Sut Mers 5mm Ctx White Woven|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|196.30
WS SERVICE AREA|80084675|Hc Urine Sulfate|LABORATORY - GENERAL CLASSIFICATION [0300]|84392||WS HB DEFAULT|39.00
WS SERVICE AREA|20010198|Hc Malleous Fx Post W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27768||WS HB DEFAULT|1,489.00
WS SERVICE AREA|27202229|Hc Sut Mers D Special 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|895.40
WS SERVICE AREA|27202230|Hc Sut Mers Wte 5mm Mo-4 Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|219.60
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|8.40
WS SERVICE AREA|80084677|Hc Cold Agglutinin; Titer|LABORATORY - GENERAL CLASSIFICATION [0300]|86157||WS HB DEFAULT|45.00
WS SERVICE AREA|80084678|Hc Pa; Titer Ea Ab|LABORATORY - GENERAL CLASSIFICATION [0300]|86406||WS HB DEFAULT|185.00
WS SERVICE AREA|80084679|Hc Semen Anal Vol/count/mot|LABORATORY - GENERAL CLASSIFICATION [0300]|89320||WS HB DEFAULT|614.00
WS SERVICE AREA|80084680|Hc Cytp Fna Eval Ea Addl|LABORATORY - GENERAL CLASSIFICATION [0300]|88177||WS HB DEFAULT|107.00
WS SERVICE AREA|80084681|Hc Chrom Analy; 20-25 Cells|LABORATORY - GENERAL CLASSIFICATION [0300]|88264||WS HB DEFAULT|1,053.00
WS SERVICE AREA|80084682|Hc Mcg; Situ Hybrid 10-30 Cells|LABORATORY - GENERAL CLASSIFICATION [0300]|88273||WS HB DEFAULT|913.00
WS SERVICE AREA|20010199|Hc Fibula Fx Shaft Prox Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27780||WS HB DEFAULT|1,233.00
WS SERVICE AREA|80084683|Hc Iaad Ia Shiga-like Toxin|LABORATORY - GENERAL CLASSIFICATION [0300]|87427||WS HB DEFAULT|408.00
WS SERVICE AREA|80084684|Hc Drug Screen Quant Clozapine|LABORATORY - GENERAL CLASSIFICATION [0300]|80159||WS HB DEFAULT|110.00
WS SERVICE AREA|80084686|Hc Drug Screen Quant Everolimus|LABORATORY - GENERAL CLASSIFICATION [0300]|80169||WS HB DEFAULT|378.00
WS SERVICE AREA|80084687|Hc Haloperidol Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|80173||WS HB DEFAULT|57.00
WS SERVICE AREA|80084688|Hc Drug Scrn Quan Mycophenolate|LABORATORY - GENERAL CLASSIFICATION [0300]|80180||WS HB DEFAULT|360.00
WS SERVICE AREA|80084689|Hc Drug Scrn Quant Oxcarbazepin|LABORATORY - GENERAL CLASSIFICATION [0300]|80183||WS HB DEFAULT|184.00
WS SERVICE AREA|80084690|Hc Drug Screen Quantitative Procainamide|LABORATORY - GENERAL CLASSIFICATION [0300]|80190||WS HB DEFAULT|72.00
WS SERVICE AREA|80084696|Hc Anabolic Steroid 1 Or 2|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|176.00
WS SERVICE AREA|80084697|Hc Antipsychotics Nos 1-3|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|265.00
WS SERVICE AREA|80084698|Hc Cannabinoids Natural|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|30.00
WS SERVICE AREA|20010200|Hc Fibula Fx Shaft Prox W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27781||WS HB DEFAULT|15,217.00
WS SERVICE AREA|80084699|Hc Heroin Metabolite|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|30.00
WS SERVICE AREA|80084700|Hc Methylenedioxyamphetamines|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|643.00
WS SERVICE AREA|80084701|Hc Sedative Hypnotics|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|30.00
WS SERVICE AREA|80084703|Hc Skel Musc Relaxant 3 Or More|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|643.00
WS SERVICE AREA|80084704|Hc Drug Screening Tramadol|LABORATORY - GENERAL CLASSIFICATION [0300]|80373||WS HB DEFAULT|75.00
WS SERVICE AREA|80084705|Hc Drug/substance Nos 7/more|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|711.00
WS SERVICE AREA|80084707|Hc N-autom Urine Dip W Micro|LABORATORY - GENERAL CLASSIFICATION [0300]|81000||WS HB DEFAULT|21.00
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|80084708|Hc Urinalysis; Qual Not Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|81005||WS HB DEFAULT|114.00
WS SERVICE AREA|80084710|Hc Ftl Cgen Abnor Three Anal|LABORATORY - GENERAL CLASSIFICATION [0300]|81510||WS HB DEFAULT|527.00
WS SERVICE AREA|27123131|Hc Boot Cast Tcc Ez Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|376.30
WS SERVICE AREA|27202285|Hc Sut Nylon 4-0 Cutting Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.20
WS SERVICE AREA|80084711|Hc Ftl Cgen Abnor Four Anal|LABORATORY - GENERAL CLASSIFICATION [0300]|81511||WS HB DEFAULT|527.00
WS SERVICE AREA|27202287|Hc Sut Nylon Alcon 10-0 Su 3"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|112.50
WS SERVICE AREA|80084712|Hc Cyclic Adp Or Amp|LABORATORY - GENERAL CLASSIFICATION [0300]|82030||WS HB DEFAULT|708.00
WS SERVICE AREA|27202289|Hc Sut Orthocard 2.0 S-6 36"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|162.30
WS SERVICE AREA|80084713|Hc Assay Of Breath Ethanol|LABORATORY - GENERAL CLASSIFICATION [0300]|82075||WS HB DEFAULT|142.00
WS SERVICE AREA|80084714|Hc Amino Acids; Multi Qual Ea|LABORATORY - GENERAL CLASSIFICATION [0300]|82128||WS HB DEFAULT|540.00
WS SERVICE AREA|27202293|Hc Sut Passer Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|291.80
WS SERVICE AREA|80084715|Hc Amniotic Fluid Spectroph|LABORATORY - GENERAL CLASSIFICATION [0300]|82143||WS HB DEFAULT|57.00
WS SERVICE AREA|80084716|Hc Bile Acids; Cholylglycine|LABORATORY - GENERAL CLASSIFICATION [0300]|82240||WS HB DEFAULT|350.00
WS SERVICE AREA|20010201|Hc Fibula Distal Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27786||WS HB DEFAULT|1,035.00
WS SERVICE AREA|80084717|Hc Biotinidase Ea Spec|LABORATORY - GENERAL CLASSIFICATION [0300]|82261||WS HB DEFAULT|228.00
WS SERVICE AREA|80084718|Hc Cadmium|LABORATORY - GENERAL CLASSIFICATION [0300]|82300||WS HB DEFAULT|87.00
WS SERVICE AREA|80084720|Hc Stone; Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|82355||WS HB DEFAULT|256.00
WS SERVICE AREA|80084721|Hc Stone; Quan Chemical|LABORATORY - GENERAL CLASSIFICATION [0300]|82360||WS HB DEFAULT|619.00
WS SERVICE AREA|80084722|Hc Chlorinated Hc Screen|LABORATORY - GENERAL CLASSIFICATION [0300]|82441||WS HB DEFAULT|1,487.00
WS SERVICE AREA|80084723|Hc Cholinesterase; Rbc|LABORATORY - GENERAL CLASSIFICATION [0300]|82482||WS HB DEFAULT|162.00
WS SERVICE AREA|80084724|Hc Creatine|LABORATORY - GENERAL CLASSIFICATION [0300]|82540||WS HB DEFAULT|23.00
WS SERVICE AREA|80084725|Hc Cryofibrinogen|LABORATORY - GENERAL CLASSIFICATION [0300]|82585||WS HB DEFAULT|27.00
WS SERVICE AREA|80084726|Hc Cystatin C|LABORATORY - GENERAL CLASSIFICATION [0300]|82610||WS HB DEFAULT|210.00
WS SERVICE AREA|80084727|Hc Deoxycortisol 11|LABORATORY - GENERAL CLASSIFICATION [0300]|82634||WS HB DEFAULT|158.00
WS SERVICE AREA|20010202|Hc Fibula Distal Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27788||WS HB DEFAULT|941.00
WS SERVICE AREA|80084729|Hc Pancreatic Elastase Fecal|LABORATORY - GENERAL CLASSIFICATION [0300]|82656||WS HB DEFAULT|1,105.00
WS SERVICE AREA|80084730|Hc Estrogens; Fractionated|LABORATORY - GENERAL CLASSIFICATION [0300]|82671||WS HB DEFAULT|327.00
WS SERVICE AREA|80084731|Hc Fatty Acids Nonesterfied|LABORATORY - GENERAL CLASSIFICATION [0300]|82725||WS HB DEFAULT|85.00
WS SERVICE AREA|80084732|Hc Very Long Fatty Acid Chains|LABORATORY - GENERAL CLASSIFICATION [0300]|82726||WS HB DEFAULT|310.00
WS SERVICE AREA|80084734|Hc Glucose; Blood Reagent Strip|LABORATORY - GENERAL CLASSIFICATION [0300]|82948||WS HB DEFAULT|71.00
WS SERVICE AREA|80084735|Hc Hgb; Methemoglobin Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|83045||WS HB DEFAULT|130.00
WS SERVICE AREA|80084736|Hc Hemoglobin; Urine|LABORATORY - GENERAL CLASSIFICATION [0300]|83069||WS HB DEFAULT|93.00
WS SERVICE AREA|80084737|Hc Assay Of Hemosiderin Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|83070||WS HB DEFAULT|215.00
WS SERVICE AREA|80084738|Hc Histamine|LABORATORY - GENERAL CLASSIFICATION [0300]|83088||WS HB DEFAULT|376.00
WS SERVICE AREA|80084739|Hc Homovanillic Acid|LABORATORY - GENERAL CLASSIFICATION [0300]|83150||WS HB DEFAULT|43.00
WS SERVICE AREA|20010203|Hc Ankle Fx Bimalleolar Potts|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27808||WS HB DEFAULT|1,233.00
WS SERVICE AREA|80084740|Hc Free Insulin|LABORATORY - GENERAL CLASSIFICATION [0300]|83527||WS HB DEFAULT|191.00
WS SERVICE AREA|80084742|Hc Lactoferrin Fecal (quant)|LABORATORY - GENERAL CLASSIFICATION [0300]|83631||WS HB DEFAULT|290.00
WS SERVICE AREA|27202346|Hc Sut Poly Capio Tc43 Tapercut|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|213.20
WS SERVICE AREA|80084743|Hc Lactogen Maternal Serum Hpl|LABORATORY - GENERAL CLASSIFICATION [0300]|83632||WS HB DEFAULT|321.00
WS SERVICE AREA|80084744|Hc Leucine Aminopeptidase|LABORATORY - GENERAL CLASSIFICATION [0300]|83670||WS HB DEFAULT|191.00
WS SERVICE AREA|80084745|Hc Assay Lipoprotein Pla2|LABORATORY - GENERAL CLASSIFICATION [0300]|83698||WS HB DEFAULT|234.00
WS SERVICE AREA|80084746|Hc Lipopro Bld Electrophoretic|LABORATORY - GENERAL CLASSIFICATION [0300]|83700||WS HB DEFAULT|222.00
WS SERVICE AREA|80084747|Hc Assay Of Blood Lipoprotein Vldl|LABORATORY - GENERAL CLASSIFICATION [0300]|83719||WS HB DEFAULT|212.00
WS SERVICE AREA|80084748|Hc Manganese|LABORATORY - GENERAL CLASSIFICATION [0300]|83785||WS HB DEFAULT|541.00
WS SERVICE AREA|27202358|Hc Sut Pro 1-0 Blu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|699.20
WS SERVICE AREA|278132753|Hc Nushield, Per Sq Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4160||WS HB DEFAULT|575.00
WS SERVICE AREA|80084749|Hc Mucopolysaccharides|LABORATORY - GENERAL CLASSIFICATION [0300]|83864||WS HB DEFAULT|513.00
WS SERVICE AREA|80084750|Hc Mucin Synorvial Fluid|LABORATORY - GENERAL CLASSIFICATION [0300]|83872||WS HB DEFAULT|112.00
WS SERVICE AREA|80084751|Hc Assay Myeloperoxidase|LABORATORY - GENERAL CLASSIFICATION [0300]|83876||WS HB DEFAULT|52.00
WS SERVICE AREA|80084752|Hc Qual Organic Acids Ea Specim|LABORATORY - GENERAL CLASSIFICATION [0300]|83919||WS HB DEFAULT|87.00
WS SERVICE AREA|80084753|Hc Oncoprotein Dcp|LABORATORY - GENERAL CLASSIFICATION [0300]|83951||WS HB DEFAULT|528.00
WS SERVICE AREA|80084754|Hc Assay Of Phencyclidine|LABORATORY - GENERAL CLASSIFICATION [0300]|83992||WS HB DEFAULT|60.00
WS SERVICE AREA|80084756|Hc Assay For Calprotectin Fecal|LABORATORY - GENERAL CLASSIFICATION [0300]|83993||WS HB DEFAULT|867.00
WS SERVICE AREA|80084757|Hc Total Acid Phosphatase|LABORATORY - GENERAL CLASSIFICATION [0300]|84060||WS HB DEFAULT|65.00
WS SERVICE AREA|80084758|Hc Porphobilinogen Urine; Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|84106||WS HB DEFAULT|132.00
WS SERVICE AREA|80084759|Hc Qual Urine Porphyrins|LABORATORY - GENERAL CLASSIFICATION [0300]|84119||WS HB DEFAULT|114.00
WS SERVICE AREA|20010204|Hc Ankle Fx Bimalleo Potts Wmanip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27810||WS HB DEFAULT|2,612.00
WS SERVICE AREA|90010337|Hc Removal Of Skin Tags <w/15|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11200||WS HB DEFAULT|614.00
WS SERVICE AREA|80084760|Hc Assay Of Feces Porphyrins|LABORATORY - GENERAL CLASSIFICATION [0300]|84126||WS HB DEFAULT|467.00
WS SERVICE AREA|80084761|Hc Pregnantriol|LABORATORY - GENERAL CLASSIFICATION [0300]|84138||WS HB DEFAULT|95.00
WS SERVICE AREA|80084762|Hc 17-hydroxypregnenolone|LABORATORY - GENERAL CLASSIFICATION [0300]|84143||WS HB DEFAULT|278.00
WS SERVICE AREA|80084763|Hc Psa - Complexed-prostate Specific Antigen (psa)|LABORATORY - GENERAL CLASSIFICATION [0300]|84152||WS HB DEFAULT|512.00
WS SERVICE AREA|80084764|Hc Protein Wb; Im Id For Bands|LABORATORY - GENERAL CLASSIFICATION [0300]|84182||WS HB DEFAULT|737.00
WS SERVICE AREA|80084766|Hc Pra-receptor Assay; Progesterone|LABORATORY - GENERAL CLASSIFICATION [0300]|84234||WS HB DEFAULT|913.00
WS SERVICE AREA|80084767|Hc Sialic Acid|LABORATORY - GENERAL CLASSIFICATION [0300]|84275||WS HB DEFAULT|85.00
WS SERVICE AREA|80084768|Hc Somatostatin|LABORATORY - GENERAL CLASSIFICATION [0300]|84307||WS HB DEFAULT|577.00
WS SERVICE AREA|80084769|Hc Sugars; Multi Qual Ea Specimen|LABORATORY - GENERAL CLASSIFICATION [0300]|84377||WS HB DEFAULT|130.00
WS SERVICE AREA|80084770|Hc Transcortin|LABORATORY - GENERAL CLASSIFICATION [0300]|84449||WS HB DEFAULT|248.00
WS SERVICE AREA|20010205|Hc Ankle Fx Trimalleolar Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27816||WS HB DEFAULT|1,378.00
WS SERVICE AREA|80084771|Hc Trypsin Feces Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|84488||WS HB DEFAULT|38.00
WS SERVICE AREA|80084772|Hc Urobilinogen Feces Quan|LABORATORY - GENERAL CLASSIFICATION [0300]|84577||WS HB DEFAULT|35.00
WS SERVICE AREA|80084773|Hc Urobilinogen Urine; Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|84578||WS HB DEFAULT|17.00
WS SERVICE AREA|80084774|Hc Unlisted Chemistry Test|LABORATORY - GENERAL CLASSIFICATION [0300]|84999||WS HB DEFAULT|186.00
WS SERVICE AREA|80084775|Hc Spun Hematocrit|LABORATORY - GENERAL CLASSIFICATION [0300]|85013||WS HB DEFAULT|92.00
WS SERVICE AREA|80084776|Hc Manual Cell Count Each|LABORATORY - GENERAL CLASSIFICATION [0300]|85032||WS HB DEFAULT|141.00
WS SERVICE AREA|80084778|Hc Manual Reticulocyte Count|LABORATORY - GENERAL CLASSIFICATION [0300]|85044||WS HB DEFAULT|137.00
WS SERVICE AREA|80084779|Hc Chromogenic Substrate Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|85130||WS HB DEFAULT|414.00
WS SERVICE AREA|80084780|Hc Clotting; Factor Viii Related Antigen|LABORATORY - GENERAL CLASSIFICATION [0300]|85244||WS HB DEFAULT|562.00
WS SERVICE AREA|80084782|Hc Clotting; Factor Xiii - Fs|LABORATORY - GENERAL CLASSIFICATION [0300]|85290||WS HB DEFAULT|902.00
WS SERVICE AREA|20010206|Hc Ankle Fx Trimalleolar W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27818||WS HB DEFAULT|2,612.00
WS SERVICE AREA|27202417|Hc Sut Retention Bolster 2-1/2"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|80084783|Hc Clotting; Factor Xiii Screen Soluble|LABORATORY - GENERAL CLASSIFICATION [0300]|85291||WS HB DEFAULT|370.00
WS SERVICE AREA|80084784|Hc Fibrinogen Test Paracoagulation|LABORATORY - GENERAL CLASSIFICATION [0300]|85366||WS HB DEFAULT|186.00
WS SERVICE AREA|80084785|Hc D-dimer- Qual/semiquan|LABORATORY - GENERAL CLASSIFICATION [0300]|85378||WS HB DEFAULT|374.00
WS SERVICE AREA|80084787|Hc D-dimer Ultrasensitive|LABORATORY - GENERAL CLASSIFICATION [0300]|85380||WS HB DEFAULT|339.00
WS SERVICE AREA|80084788|Hc Fibrinogen; Antigen|LABORATORY - GENERAL CLASSIFICATION [0300]|85385||WS HB DEFAULT|276.00
WS SERVICE AREA|80084790|Hc Functional Plasminogen|LABORATORY - GENERAL CLASSIFICATION [0300]|85420||WS HB DEFAULT|357.00
WS SERVICE AREA|80084791|Hc Heinz Bodies; Direct|LABORATORY - GENERAL CLASSIFICATION [0300]|85441||WS HB DEFAULT|198.00
WS SERVICE AREA|80084792|Hc Hemolysin Acid|LABORATORY - GENERAL CLASSIFICATION [0300]|85475||WS HB DEFAULT|674.00
WS SERVICE AREA|80084793|Hc Osmotic Fragility Rbc; Unincubated|LABORATORY - GENERAL CLASSIFICATION [0300]|85555||WS HB DEFAULT|684.00
WS SERVICE AREA|20010207|Hc Tibia Distal W/bearing|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27824||WS HB DEFAULT|681.00
WS SERVICE AREA|80084794|Hc Russell Viper Venom Time; Undiluted|LABORATORY - GENERAL CLASSIFICATION [0300]|85612||WS HB DEFAULT|328.00
WS SERVICE AREA|80084795|Hc Reptilase Test|LABORATORY - GENERAL CLASSIFICATION [0300]|85635||WS HB DEFAULT|405.00
WS SERVICE AREA|80084797|Hc Thromboplastin Inhibition Tissue|LABORATORY - GENERAL CLASSIFICATION [0300]|85705||WS HB DEFAULT|461.00
WS SERVICE AREA|80084798|Hc Agglutinins Febrile|LABORATORY - GENERAL CLASSIFICATION [0300]|86000||WS HB DEFAULT|78.00
WS SERVICE AREA|80084799|Hc Aso; Screen|LABORATORY - GENERAL CLASSIFICATION [0300]|86063||WS HB DEFAULT|144.00
WS SERVICE AREA|80084800|Hc Complemnt Fixation Ea Ag|LABORATORY - GENERAL CLASSIFICATION [0300]|86171||WS HB DEFAULT|195.00
WS SERVICE AREA|27202452|Hc Suture Silk Ethibond Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.90
WS SERVICE AREA|80084801|Hc Dna Ab; Ss|LABORATORY - GENERAL CLASSIFICATION [0300]|86226||WS HB DEFAULT|136.00
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|42.40
WS SERVICE AREA|271132821|Hc Cath Acute Liberty|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|63.10
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|16.00
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|84.90
WS SERVICE AREA|27202460|Hc Sut Steel 6 Ms-4 Ccs 18|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.70
WS SERVICE AREA|80084805|Hc Mononuclear Cell Antigent|LABORATORY - GENERAL CLASSIFICATION [0300]|86356||WS HB DEFAULT|120.00
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|147.50
WS SERVICE AREA|80084807|Hc Tb Ag Response T-cell Susp|LABORATORY - GENERAL CLASSIFICATION [0300]|86481||WS HB DEFAULT|100.00
WS SERVICE AREA|80084808|Hc Ab; Candida|LABORATORY - GENERAL CLASSIFICATION [0300]|86628||WS HB DEFAULT|92.00
WS SERVICE AREA|271132822|Hc Cath Acute Liberty W Grip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|93.20
WS SERVICE AREA|80084809|Hc Ab; Coccidioides|LABORATORY - GENERAL CLASSIFICATION [0300]|86635||WS HB DEFAULT|81.00
WS SERVICE AREA|80084810|Hc Ab; Cryptococcus|LABORATORY - GENERAL CLASSIFICATION [0300]|86641||WS HB DEFAULT|177.00
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|43.50
WS SERVICE AREA|27202474|Hc Sut Surg 5-0 Cv-11|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|162.30
WS SERVICE AREA|80084812|Hc Ab; Htlv-i|LABORATORY - GENERAL CLASSIFICATION [0300]|86687||WS HB DEFAULT|98.00
WS SERVICE AREA|80084813|Hc Ab; Htlv-ii|LABORATORY - GENERAL CLASSIFICATION [0300]|86688||WS HB DEFAULT|98.00
WS SERVICE AREA|27202478|Hc Sut Surg 6-0 Cv-11 D/a|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.50
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|194.20
WS SERVICE AREA|270133389|Hc Headgear Infant Cpap, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|87.60
WS SERVICE AREA|80084815|Hc Ab; Lcm-antibody; Lymphocytic Choriomeningitis|LABORATORY - GENERAL CLASSIFICATION [0300]|86727||WS HB DEFAULT|233.00
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|123.10
WS SERVICE AREA|27202484|Hc Sut Surgidac Lf 0 48"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|126.30
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|73.20
WS SERVICE AREA|27202486|Hc Sut Surgite Chromic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|94.10
WS SERVICE AREA|80084818|Hc Ab; Rotavirus|LABORATORY - GENERAL CLASSIFICATION [0300]|86759||WS HB DEFAULT|258.00
WS SERVICE AREA|27202488|Hc Sut Tevdek 4-0 Kt3 30"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|93.30
WS SERVICE AREA|80084819|Hc Ab; Salmonella|LABORATORY - GENERAL CLASSIFICATION [0300]|86768||WS HB DEFAULT|168.00
WS SERVICE AREA|270133384|Hc Chin Strap Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|21.00
WS SERVICE AREA|27202489|Hc Sut Tevdek 5-0 T3 30"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|27202490|Hc Sut Ticr 1 Sc-1 30in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.40
WS SERVICE AREA|80084820|Hc Ab; Tetanus|LABORATORY - GENERAL CLASSIFICATION [0300]|86774||WS HB DEFAULT|217.00
WS SERVICE AREA|27202491|Hc Sut Ticr Cv-330 4-0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|37.20
WS SERVICE AREA|27202492|Hc Sut Ticron 2-0 Cv305|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|80.70
WS SERVICE AREA|80084821|Hc Ab; Trichinella|LABORATORY - GENERAL CLASSIFICATION [0300]|86784||WS HB DEFAULT|529.00
WS SERVICE AREA|80084823|Hc Frozen Blood Prep|LABORATORY - GENERAL CLASSIFICATION [0300]|86930||WS HB DEFAULT|764.00
WS SERVICE AREA|80084824|Hc Frozen Blood Thaw Unit|LABORATORY - GENERAL CLASSIFICATION [0300]|86931||WS HB DEFAULT|378.00
WS SERVICE AREA|80084826|Hc Dna/rna Direct Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87149||WS HB DEFAULT|93.00
WS SERVICE AREA|80084827|Hc Dna/rna Sequencing|LABORATORY - GENERAL CLASSIFICATION [0300]|87153||WS HB DEFAULT|925.00
WS SERVICE AREA|270115578|Hc Mask O2 Pnrmc Adlt 750ml Rbrth|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|42.80
WS SERVICE AREA|80084828|Hc Dark Field; Wo Spec Collect|LABORATORY - GENERAL CLASSIFICATION [0300]|87166||WS HB DEFAULT|350.00
WS SERVICE AREA|80084829|Hc Macroscopic Exam Arthropod|LABORATORY - GENERAL CLASSIFICATION [0300]|87168||WS HB DEFAULT|278.00
WS SERVICE AREA|80084830|Hc Macroscopic Exam Parasite|LABORATORY - GENERAL CLASSIFICATION [0300]|87169||WS HB DEFAULT|106.00
WS SERVICE AREA|80084831|Hc Sensitivity - Macrobroth Ea Agnt|LABORATORY - GENERAL CLASSIFICATION [0300]|87188||WS HB DEFAULT|1,621.00
WS SERVICE AREA|27202511|Hc Sut Vcrl 0 27"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|342.70
WS SERVICE AREA|80084832|Hc Sensitivity - Mycobact Ea Agnt|LABORATORY - GENERAL CLASSIFICATION [0300]|87190||WS HB DEFAULT|180.00
WS SERVICE AREA|80084833|Hc Toxin Assay Tissue Culture|LABORATORY - GENERAL CLASSIFICATION [0300]|87230||WS HB DEFAULT|642.00
WS SERVICE AREA|80084834|Hc Virus Isolate; Embryo Egg Inj|LABORATORY - GENERAL CLASSIFICATION [0300]|87250||WS HB DEFAULT|405.00
WS SERVICE AREA|80084835|Hc Virus Inoculate Tissue Addl|LABORATORY - GENERAL CLASSIFICATION [0300]|87253||WS HB DEFAULT|249.00
WS SERVICE AREA|80084836|Hc Respiratory Syncytial Ag If|LABORATORY - GENERAL CLASSIFICATION [0300]|87280||WS HB DEFAULT|112.00
WS SERVICE AREA|272130971|Hc Tubing Oral Rae 5.5 86201|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.80
WS SERVICE AREA|80084837|Hc Pneumocystis Carinii Ag If|LABORATORY - GENERAL CLASSIFICATION [0300]|87281||WS HB DEFAULT|51.00
WS SERVICE AREA|80084838|Hc Adenovirus Ag Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|87301||WS HB DEFAULT|55.00
WS SERVICE AREA|80084839|Hc Cryptococcus Ag Quant|LABORATORY - GENERAL CLASSIFICATION [0300]|87327||WS HB DEFAULT|592.00
WS SERVICE AREA|80084841|Hc Cryptosporidium Ag Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|87328||WS HB DEFAULT|461.00
WS SERVICE AREA|80084842|Hc Entamoeb Hist Group Ag Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|87337||WS HB DEFAULT|180.00
WS SERVICE AREA|80084843|Hc H Pylori Ag Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|87339||WS HB DEFAULT|234.00
WS SERVICE AREA|80084844|Hc Hepatitis Delta Ag Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|87380||WS HB DEFAULT|308.00
WS SERVICE AREA|80084845|Hc Hiv-1 Ag Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|87390||WS HB DEFAULT|545.00
WS SERVICE AREA|80084849|Hc Bartonella Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87471||WS HB DEFAULT|714.00
WS SERVICE AREA|80084851|Hc Lyme Dis Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87476||WS HB DEFAULT|1,012.00
WS SERVICE AREA|272130970|Hc Tubing Oral Rae 7 86204|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.20
WS SERVICE AREA|272132851|Hc Dressing Hdrfb Aqcl Ag Ext 2x2in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.40
WS SERVICE AREA|80084852|Hc Iadna Chlamydia Trachomatis Direct Probe Tq|LABORATORY - GENERAL CLASSIFICATION [0300]|87490||WS HB DEFAULT|662.00
WS SERVICE AREA|80084853|Hc Influenza Dna Amp Prob Addl|LABORATORY - GENERAL CLASSIFICATION [0300]|87503||WS HB DEFAULT|551.00
WS SERVICE AREA|80084855|Hc Hepatitis B Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87516||WS HB DEFAULT|543.00
WS SERVICE AREA|80084856|Hc Hepatitis G Dna Dir Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87525||WS HB DEFAULT|98.00
WS SERVICE AREA|80084857|Hc Hhv-6 Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87532||WS HB DEFAULT|522.00
WS SERVICE AREA|80084858|Hc Hiv-2 Probe&revrse Trnscripj|LABORATORY - GENERAL CLASSIFICATION [0300]|87538||WS HB DEFAULT|669.00
WS SERVICE AREA|80084859|Hc M.pneumon Dna Dir Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87580||WS HB DEFAULT|98.00
WS SERVICE AREA|27202560|Hc Sut Vcrl 10-0 Bv1003 Mon Vi 5"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|211.20
WS SERVICE AREA|80084860|Hc Strep B Assay W/optic|LABORATORY - GENERAL CLASSIFICATION [0300]|87802||WS HB DEFAULT|113.00
WS SERVICE AREA|80084861|Hc Hiv Antigen W/hiv Antibodies|LABORATORY - GENERAL CLASSIFICATION [0300]|87806||WS HB DEFAULT|233.00
WS SERVICE AREA|272129231|Hc Tubing Oral Rae 7.5 86205|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.30
WS SERVICE AREA|80084862|Hc Chylmd Trach Assay W/optic|LABORATORY - GENERAL CLASSIFICATION [0300]|87810||WS HB DEFAULT|267.00
WS SERVICE AREA|80084863|Hc N. Gonorrhoeae Assay W/optic|LABORATORY - GENERAL CLASSIFICATION [0300]|87850||WS HB DEFAULT|59.00
WS SERVICE AREA|80084864|Hc Phenotype Dna Hiv W/culture|LABORATORY - GENERAL CLASSIFICATION [0300]|87903||WS HB DEFAULT|831.00
WS SERVICE AREA|80084865|Hc Phenotype Dna Hiv W/clt Add|LABORATORY - GENERAL CLASSIFICATION [0300]|87904||WS HB DEFAULT|31.00
WS SERVICE AREA|80084868|Hc Tissue Culture Tumor|LABORATORY - GENERAL CLASSIFICATION [0300]|88239||WS HB DEFAULT|1,044.00
WS SERVICE AREA|80084869|Hc Zz Bilirubin Total Transcut - Use Eap 80084870|LABORATORY - GENERAL CLASSIFICATION [0300]|88720||WS HB DEFAULT|51.00
WS SERVICE AREA|27202577|Hc Suture Vicryl Monocryl Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.30
WS SERVICE AREA|80084870|Hc Bilirubin Total Transcutaneous|LABORATORY - GENERAL CLASSIFICATION [0300]|88720||WS HB DEFAULT|51.00
WS SERVICE AREA|80084871|Hc Hgb Qnt Trnsctns-hemoglobin, Quantitative, Transcutaneous|LABORATORY - GENERAL CLASSIFICATION [0300]|88738||WS HB DEFAULT|59.00
WS SERVICE AREA|80084872|Hc Specimen Handling Pt-lab|LABORATORY - GENERAL CLASSIFICATION [0300]|99001||WS HB DEFAULT|17.00
WS SERVICE AREA|272128011|Hc Cuff Fgr Hemodyn Clearsite Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,569.30
WS SERVICE AREA|80084873|Hc Cepba Gene Analysis|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81218||WS HB DEFAULT|1,158.00
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|80084876|Hc Cytogen Microarray Anls|LABORATORY - GENERAL CLASSIFICATION [0300]|81228||WS HB DEFAULT|3,323.00
WS SERVICE AREA|80084877|Hc Cytogen Variantchrom Anl|LABORATORY - GENERAL CLASSIFICATION [0300]|81229||WS HB DEFAULT|4,054.00
WS SERVICE AREA|80084878|Hc Flt3 Gene Analysis|LABORATORY - GENERAL CLASSIFICATION [0300]|81245||WS HB DEFAULT|1,064.00
WS SERVICE AREA|80084879|Hc Flt3 Gene Analysis Tkd|LABORATORY - GENERAL CLASSIFICATION [0300]|81246||WS HB DEFAULT|568.00
WS SERVICE AREA|80084880|Hc Kit Gene Targt Seq Anls|LABORATORY - GENERAL CLASSIFICATION [0300]|81272||WS HB DEFAULT|1,287.00
WS SERVICE AREA|80084881|Hc Zz Kras Vrnt Condons 61/146 - Use Eap 80085066|LABORATORY - GENERAL CLASSIFICATION [0300]|81276||WS HB DEFAULT|1,698.00
WS SERVICE AREA|80084883|Hc Mthfr Common Variants|LABORATORY - GENERAL CLASSIFICATION [0300]|81291||WS HB DEFAULT|630.00
WS SERVICE AREA|272128012|Hc Cuff Fgr Hemodyn Clearsite Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,569.30
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|80084885|Hc Pten Dup/del Variants|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81323||WS HB DEFAULT|509.00
WS SERVICE AREA|80084886|Hc T Cell Ag Receptor Gamma|LABORATORY - GENERAL CLASSIFICATION [0300]|81342||WS HB DEFAULT|1,352.00
WS SERVICE AREA|80084887|Hc Vkorc1 Common Variant|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81355||WS HB DEFAULT|611.00
WS SERVICE AREA|80084888|Hc Hla I One Locus Low|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81373||WS HB DEFAULT|851.00
WS SERVICE AREA|80084889|Hc Hla I Ag Equiv Each Low|LABORATORY - GENERAL CLASSIFICATION [0300]|81374||WS HB DEFAULT|142.00
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|80084891|Hc Hla Ii One Alele/grp Hgh|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81383||WS HB DEFAULT|533.00
WS SERVICE AREA|80084892|Hc Genotype Dna/rna Hiv|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|87906||WS HB DEFAULT|1,273.00
WS SERVICE AREA|80084893|Hc Autop Gross Only Wo Cnsl|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88000||WS HB DEFAULT|2,305.00
WS SERVICE AREA|271133415|Hc Zz Circuit Para Pac/transport Vent Use 27200812|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|53.80
WS SERVICE AREA|80084894|Hc Autop Gross&micro W/brn|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88025||WS HB DEFAULT|3,904.00
WS SERVICE AREA|80084895|Hc Cytopath Cerv/vag M/scrn|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88150||WS HB DEFAULT|22.00
WS SERVICE AREA|80084897|Hc Cytopath Unlisted|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88199||WS HB DEFAULT|478.00
WS SERVICE AREA|80084898|Hc Chrmsm Addl Spec Banding|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88283||WS HB DEFAULT|465.00
WS SERVICE AREA|80084900|Hc Unlisted Surgical Path|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88399||WS HB DEFAULT|1,074.00
WS SERVICE AREA|80084901|Hc Pathology Lab Procedures|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|89240||WS HB DEFAULT|235.00
WS SERVICE AREA|80084902|Hc Cyto Smr Gyn Tech Scrn|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|P3000||WS HB DEFAULT|104.00
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|4,138.00
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|5,850.00
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|3,402.00
WS SERVICE AREA|20010208|Hc Tibia Distal W/bear W Manip/ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27825||WS HB DEFAULT|8,430.00
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|99301001|Hc Hbot Full Body Chamber Ea 30 Min Interval|RESPIRATORY SERVICES - HYPERBARIC OXYGEN THERAPY [0413]|G0277||WS HB DEFAULT|1,484.00
WS SERVICE AREA|90010349|Hc Ambulance Adv Life Spt Level I|AMBULANCE - GENERAL CLASSIFICATION [0540]|A0426||WS HB DEFAULT|1,531.00
WS SERVICE AREA|90010350|Hc Ambulance Adv Life Spt Emergent|AMBULANCE - GENERAL CLASSIFICATION [0540]|A0427||WS HB DEFAULT|2,210.00
WS SERVICE AREA|90010351|Hc Ambulance Basic Life Spt Non-emergent|AMBULANCE - GENERAL CLASSIFICATION [0540]|A0428||WS HB DEFAULT|1,137.00
WS SERVICE AREA|90010352|Hc Ambulance Basic Life Spt Emergent|AMBULANCE - GENERAL CLASSIFICATION [0540]|A0429||WS HB DEFAULT|1,531.00
WS SERVICE AREA|90010353|Hc Ambulance Adv Life Spt Level Ii|AMBULANCE - GENERAL CLASSIFICATION [0540]|A0433||WS HB DEFAULT|2,210.00
WS SERVICE AREA|90010354|Hc Ambulance Specialty Care Transport|AMBULANCE - GENERAL CLASSIFICATION [0540]|A0434||WS HB DEFAULT|2,105.00
WS SERVICE AREA|90010355|Hc Ambulance Response/treatment|AMBULANCE - GENERAL CLASSIFICATION [0540]|A0998||WS HB DEFAULT|192.00
WS SERVICE AREA|93010029|Hc Cardioversion Internal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|92961||WS HB DEFAULT|3,188.00
WS SERVICE AREA|20010209|Hc Tibfibular Disl Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27830||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27202678|Hc Sut Vcrl Endoloop O|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|705.60
WS SERVICE AREA|93010033|Hc Nasopharyngoscopy W Endoscope|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|92511||WS HB DEFAULT|888.00
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|93010038|Hc Ipecac Administration|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|99175||WS HB DEFAULT|416.00
WS SERVICE AREA|93010044|Hc Elec Alys Implt Npgt Smpl Sp/pn Npgt Prgrmg|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95971||WS HB DEFAULT|2,524.00
WS SERVICE AREA|93010047|Hc Analyze Neurostim Complex|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95972||WS HB DEFAULT|2,600.00
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|168.70
WS SERVICE AREA|27202694|Hc Sut Vloc 90 Abs 3-0 P12 18in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|205.80
WS SERVICE AREA|27202695|Hc Sut Vloc Abs 2-0 P14 Cl 24in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|170.80
WS SERVICE AREA|27202700|Hc Suture Vloc Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|172.80
WS SERVICE AREA|20010210|Hc Tibfibular Disl W Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27831||WS HB DEFAULT|17,017.00
WS SERVICE AREA|27202701|Hc Sut Wire Pacing Sh Ss Brd Db 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.20
WS SERVICE AREA|27202708|Hc Suture Bsy 2-0 Gs-22 30in Viol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.80
WS SERVICE AREA|27202710|Hc Suture Bsy 2-0 V-20 3in Ud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.80
WS SERVICE AREA|27202712|Hc Suture Bsy 3-0 Gu-46 30in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27202714|Hc Suture Bsy 3-0 P-12 30in Ud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.10
WS SERVICE AREA|27202718|Hc Suture Bsy 4-0 Dx-16 18in Ud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.20
WS SERVICE AREA|27202722|Hc Suture Bsy 4-0 P-12 3oin Ud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.10
WS SERVICE AREA|27202738|Hc Suture Cr 0 18in 122l|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.40
WS SERVICE AREA|27202739|Hc Suture Cr 0 60in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27202740|Hc Suture Cr 0 Gs-21 30in 01p|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|20010211|Hc Ankle Disl Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27840||WS HB DEFAULT|5,274.00
WS SERVICE AREA|27202741|Hc Suture Cr 0 Gs-21 36in B2002|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27202742|Hc Suture Cr 0 Gs-24 30in 115p|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
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|27202750|Hc Suture Cr 2-0 18in Precut|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.80
WS SERVICE AREA|27202755|Hc Suture Cr 2-0 V-20 30in 107q|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27202756|Hc Suture Cr 3-0 123q 60in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27202757|Hc Suture Cr 3-0 C-13 30in 104f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
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|21.20
WS SERVICE AREA|27202763|Hc Suture Cr 4-0 C-13 30in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.40
WS SERVICE AREA|20010212|Hc Ankle Disl W Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27842||WS HB DEFAULT|11,922.00
WS SERVICE AREA|27202765|Hc Suture Cr 4-0 P-13 18in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.20
WS SERVICE AREA|27202767|Hc Suture Cr 5-0 P-13 18in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.80
WS SERVICE AREA|27202768|Hc Suture Cr Gut 1 18in Prct 104t|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.60
WS SERVICE AREA|27202778|Hc Suture Mnsf 3-0 P-14 18in Blk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27202781|Hc Suture Mnsf 4-0 P-12 18in Blk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.80
WS SERVICE AREA|27202788|Hc Suture Mnsf 5-0 P-13 18in Cl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27202790|Hc Suture Mnsf 6-0 P-10 18in Blk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27202791|Hc Suture Mnsf 6-0 P-10 Clr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27202792|Hc Suture Mnsf 6-0 P-11 18in Blk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27202793|Hc Suture Mnsf 6-0 P-13 18in Bl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|20010213|Hc Fb Removal Foot Simp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28190||WS HB DEFAULT|7,078.00
WS SERVICE AREA|272132852|Hc Dressing Hdrfb Aqcl Ag Ext 6x6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.70
WS SERVICE AREA|27202798|Hc Suture Monoderm 2-0 30x30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|171.90
WS SERVICE AREA|27202800|Hc Suture Mxn 0 Gs-25 60in Loop|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|37.20
WS SERVICE AREA|27202801|Hc Suture Mxn 0 T12 Gs-21 36in G|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27202802|Hc Suture Mxn 0 T-12gs-21 18in Gr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.50
WS SERVICE AREA|27202803|Hc Suture Mxn 0 T-19 Gs-22 30in G|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27202804|Hc Suture Mxn 0 T-20 Gs-21 30in G|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27202809|Hc Suture Mxn 1 Gs-26 96in Grn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.80
WS SERVICE AREA|27202811|Hc Suture Mxn 1 T20 Gs-25 36in G|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27202812|Hc Suture Mxn 1 T-25 Gs-24 36in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27202815|Hc Suture Mxn 2-0 T-12 Gs-21 30in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|20010214|Hc Fb Remove Foot Deep|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28192||WS HB DEFAULT|12,176.00
WS SERVICE AREA|27202821|Hc Suture Mxn 3-0 T-12 Gs-21 30i|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27202830|Hc Suture Mxn 5-0 T-31 Cv-23 30in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27202861|Hc Suture Plsrb 0 21in Viol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|108.30
WS SERVICE AREA|27202865|Hc Suture Plsrb 0 Gs-21 18in Ud D|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.30
WS SERVICE AREA|27202866|Hc Suture Plsrb 0 Gs-21 18in Viol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.30
WS SERVICE AREA|27202871|Hc Suture Plsrb 0 Gs-21 36in Ud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27202872|Hc Suture Plsrb 0 Gs-21 36in Vio|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27202901|Hc Suture Plsrb 2-0 Gs-10 30in U|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27202909|Hc Suture Plsrb 2-0 Gs-25 36in Ud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|27202915|Hc Suture Plsrb 2-0 V-20 30in Ud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|20010215|Hc Fb Remove Foot Comp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28193||WS HB DEFAULT|6,327.00
WS SERVICE AREA|27202920|Hc Suture Plsrb 3-0 60in Ud 104r|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27202936|Hc Suture Plsrb 3-0 Gs-25 36in Ud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27202941|Hc Suture Plsrb 3-0 V-20 30in Ud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|27202943|Hc Suture Plsrb 3-0 V-20 30in Vi|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27202951|Hc Suture Plsrb 4-0 P-11 18inch Ud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27202952|Hc Suture Plsrb 4-0 P-12 18in Ud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27202962|Hc Suture Plsrb 5-0 Cv-22 30in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27202965|Hc Suture Plsrb 5-0 P-10 18in U|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27202971|Hc Suture Plsrb 6-0 P-10 18in Ud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27202975|Hc Suture Polysorb A/s 2-0 23mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|147.50
WS SERVICE AREA|20010216|Hc Calcaneal Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28400||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27202982|Hc Suture Srgdc 4-0 Ss-2 18in Whi|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.20
WS SERVICE AREA|27202984|Hc Suture Srgln 0 T20 Gs25 18in B|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.70
WS SERVICE AREA|27202995|Hc Suture Srgpr 2-0 Gs-21 30in Bl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27202999|Hc Suture Srgpr 2-0 V-20 36 In Bl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.10
WS SERVICE AREA|27203003|Hc Suture Srgpr 3-0 C-14 18in Blu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27203009|Hc Suture Srgpr 5-0 Pc13 18in Blu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.20
WS SERVICE AREA|27203011|Hc Suture Srgpr2 3-0 V-20 30in B|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27203012|Hc Suture Srgpr2 3-0 V-20 36in Bl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.40
WS SERVICE AREA|27203020|Hc Suture Srgpr2 4-0 V-20 36in Bl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.40
WS SERVICE AREA|27203023|Hc Suture Srgpr2 5-0 Cv-22 18in B|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.40
WS SERVICE AREA|20010217|Hc Calcaneal Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28405||WS HB DEFAULT|15,217.00
WS SERVICE AREA|27203029|Hc Suture Srgpr2 5-0 P-13 18in Bl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.20
WS SERVICE AREA|27203048|Hc Suture Sslk 2-0 V-20 18in Blk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.40
WS SERVICE AREA|27203052|Hc Suture Sslk 3-0 V-20 18in Blk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.40
WS SERVICE AREA|27203060|Hc Suture Sslk 6-0 P-13 18in Blk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.10
WS SERVICE AREA|27203061|Hc Suture Sslk Nonabs Strl V20m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|84.90
WS SERVICE AREA|27203065|Hc Suture Tcrn 0 Cv305 36in Blk D|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.20
WS SERVICE AREA|27203067|Hc Suture Tcrn 0 Hgs-23 18in Blu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.60
WS SERVICE AREA|27203073|Hc Suture Tcrn 1 Blu 30in C-42/ho|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|27203077|Hc Suture Tcrn 2 Dt-25 Kv-37 30in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.20
WS SERVICE AREA|27203097|Hc Suture Tcrn 3-0 Cv-331 30in Bl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|20010218|Hc Calcaneal Fx W Manip/ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28406||WS HB DEFAULT|43,565.00
WS SERVICE AREA|27203103|Hc Suture Trcn 2-0 36in Da 7fcv-3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|216.40
WS SERVICE AREA|27203109|Hc Suturelasso Sd 90deg Straight|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,000.40
WS SERVICE AREA|27203110|Hc Switch Wireless Trigger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|147.30
WS SERVICE AREA|27203111|Hc Syringe Glass W/ll Mt Disp 5cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.60
WS SERVICE AREA|27203112|Hc Syringe Mdln Ylw Plunger 10ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|322.40
WS SERVICE AREA|27203113|Hc Syringe Medallion White 1cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.70
WS SERVICE AREA|27203114|Hc Syringe Osteosite Bone Biopsy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|234.40
WS SERVICE AREA|27203115|Hc Syringe Toomey Lf Disp 70cc St|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.60
WS SERVICE AREA|27203116|Hc Syringe Verapamil Blue 6cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|27203117|Hc Syringe W/qf Tube Str 150ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.90
WS SERVICE AREA|20010219|Hc Talus Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28430||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27203118|Hc Syringe W/qf Tube Str 200ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.70
WS SERVICE AREA|27203119|Hc Sys Collection Berk Soft Touch|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|77.50
WS SERVICE AREA|27203120|Hc Syst Urine Meter Tray Ic Silv 16f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|167.90
WS SERVICE AREA|27203121|Hc System Cement Mix W/fem Nozzle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|464.60
WS SERVICE AREA|27203122|Hc System Cement Mixing Revol Bfn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|476.40
WS SERVICE AREA|27203123|Hc System Colpo-pneumo Occluder|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|349.10
WS SERVICE AREA|27203124|Hc System Delivery Scout Pro 7fr*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|3,728.00
WS SERVICE AREA|27203125|Hc System Drain Lumbar Limitorr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,631.40
WS SERVICE AREA|27203126|Hc System Drainage External Csf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|514.00
WS SERVICE AREA|27203127|Hc System Ensnare Mini|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1773||WS HB DEFAULT|3,786.40
WS SERVICE AREA|20010220|Hc Talus Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28435||WS HB DEFAULT|1,712.00
WS SERVICE AREA|27203128|Hc System Heartstring Iii 3.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,796.60
WS SERVICE AREA|27203129|Hc System Pumping Single Action|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|349.10
WS SERVICE AREA|27203130|Hc System Rtrvl Inzii Univ 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|404.20
WS SERVICE AREA|27203131|Hc Zz System Sinus Illumination 100c - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|2,665.00
WS SERVICE AREA|77041019|Hc Place Needles Into Head/neck For Radioelement Appl|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|41019||WS HB DEFAULT|15,933.00
WS SERVICE AREA|27203132|Hc System Tamponade Complete Ebb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,723.30
WS SERVICE AREA|27203133|Hc System Vessel Harvesting Hemo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,592.00
WS SERVICE AREA|27203134|Hc System Wound Irrigation|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|58.90
WS SERVICE AREA|27203135|Hc Tacker Absorbatack 5mm 15tck|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,864.00
WS SERVICE AREA|27203136|Hc Tacker Absorbatack 5mm 30tck|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,485.70
WS SERVICE AREA|20010221|Hc Talus Fx W Manip/ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28436||WS HB DEFAULT|19,484.00
WS SERVICE AREA|27203137|Hc Tacker Sorbafix 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,566.10
WS SERVICE AREA|27203138|Hc Tacker Sorbafix 5mmx15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,044.80
WS SERVICE AREA|27203139|Hc Tamp Synthes|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,637.40
WS SERVICE AREA|27203140|Hc Tampon Nasal Merocel Dc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.60
WS SERVICE AREA|27203141|Hc Tampon Nasal Merocel Slim|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.60
WS SERVICE AREA|27203142|Hc Tampon Nasal W/airway Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|93.30
WS SERVICE AREA|27203143|Hc Tampon Nasal W/string 4.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.20
WS SERVICE AREA|27203144|Hc Tampon Nasal W/string-airw 8cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.50
WS SERVICE AREA|27203145|Hc Tape Glow N Tell 55cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|404.20
WS SERVICE AREA|27203146|Hc Thermoset Catheter W 3w Stopcock|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.20
WS SERVICE AREA|20010222|Hc Tarsal Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28450||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27203147|Hc Tip & Flue Micro 35 Lehz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,625.10
WS SERVICE AREA|27203148|Hc Tip Abs Micro Flr Kelman Casse|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|684.30
WS SERVICE AREA|27203149|Hc Tip Bone Cleaning Coaxial|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|72.10
WS SERVICE AREA|27203150|Hc Tip Calibration Bilichek Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.10
WS SERVICE AREA|27203151|Hc Tip Cautery Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|193.10
WS SERVICE AREA|27203152|Hc Tip Cautery Modified Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.20
WS SERVICE AREA|27203153|Hc Tip Guidepin 3.2x300mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|247.20
WS SERVICE AREA|27203154|Hc Tip Hex Strl 3.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,490.60
WS SERVICE AREA|27203155|Hc Tip I/a Silicone Bent|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|543.20
WS SERVICE AREA|27203156|Hc Tip Insert Lg/deep Imp 6mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|901.80
WS SERVICE AREA|20010223|Hc Tarsal Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28455||WS HB DEFAULT|1,489.00
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|27203157|Hc Tip Isocool 3.5x1mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,540.90
WS SERVICE AREA|27203158|Hc Tip Isocool 3.5x2mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,540.90
WS SERVICE AREA|27203159|Hc Tip Mini Flared 45d Ozil 9mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|404.20
WS SERVICE AREA|27203160|Hc Tip Ndl Insulated 4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|34.00
WS SERVICE AREA|27203161|Hc Tip Neuro Cutting Blk Max 2.3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|478.40
WS SERVICE AREA|27203162|Hc Tip Soft Suction|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.20
WS SERVICE AREA|27203163|Hc Tool Dissecting Midas M2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|241.80
WS SERVICE AREA|27203164|Hc Tool Dissecting Midas Su-1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|440.30
WS SERVICE AREA|27203165|Hc Tool Lead Tunneling|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,104.20
WS SERVICE AREA|27203166|Hc Tool Transvalvular Insertion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|137.90
WS SERVICE AREA|20010225|Hc Metatarsal Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28470||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27203167|Hc Tool Tunneling 20in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|239.80
WS SERVICE AREA|27203168|Hc Tool Tunneling Sc-4254|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,770.70
WS SERVICE AREA|27203169|Hc Touhey Hemostasis Large Bore|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|102.30
WS SERVICE AREA|27203181|Hc Tracker Instrument Fusion Igs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|808.40
WS SERVICE AREA|27203182|Hc Tracker Patient Fusion Igs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,038.70
WS SERVICE AREA|27203184|Hc Transconnector Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11,184.00
WS SERVICE AREA|27203185|Hc Transducer Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|108.30
WS SERVICE AREA|27203186|Hc Transducer Dtx Plus Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|77.50
WS SERVICE AREA|27203187|Hc Transducer Pressure|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|124.10
WS SERVICE AREA|27203188|Hc Transducer Transpac Iv Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.90
WS SERVICE AREA|20010226|Hc Metatarsal Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28475||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27203189|Hc Trap Finger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.20
WS SERVICE AREA|27203190|Hc Trap Mucus Delee 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27203191|Hc Trap Polyp Us Endo Co711099|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.80
WS SERVICE AREA|27203192|Hc Trap Specimen Lf 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.00
WS SERVICE AREA|27203193|Hc Tray Amniocentesis Bhs Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.60
WS SERVICE AREA|27203194|Hc Tray Angio Custom Windy Hill|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|394.10
WS SERVICE AREA|27203196|Hc Tray Arthrogram Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.40
WS SERVICE AREA|27203197|Hc Tray Arthroscopy Cobb Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|268.80
WS SERVICE AREA|27203198|Hc Tray Biopsy Basic Plus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.80
WS SERVICE AREA|27203199|Hc Tray Biopsy Bone Marrow Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|218.80
WS SERVICE AREA|20010227|Hc Metatarsal Fx W Manip/ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28476||WS HB DEFAULT|21,788.00
WS SERVICE AREA|27203200|Hc Tray Block Paracervical Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|54.10
WS SERVICE AREA|27203201|Hc Tray Cataract Alcon Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,556.30
WS SERVICE AREA|27203202|Hc Tray Cath 16fr Lbrcath Ltx Stl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.70
WS SERVICE AREA|27203205|Hc Tray Cath Procedure H/s|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|249.10
WS SERVICE AREA|27203206|Hc Tray Cath Umbilical Std Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|277.90
WS SERVICE AREA|27203207|Hc Tray Chest Thoracic Comp Sys|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|700.50
WS SERVICE AREA|27203208|Hc Tray Circumcision Centurion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.50
WS SERVICE AREA|27203209|Hc Tray Circumcision Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.60
WS SERVICE AREA|27203210|Hc Tray C-section Custom Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|406.00
WS SERVICE AREA|27203211|Hc Tray Cysto Cath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|20.60
WS SERVICE AREA|20010228|Hc Toe Fx Great Phalanx/phalanges|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28490||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27203213|Hc Tray Epidural, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1755||WS HB DEFAULT|136.90
WS SERVICE AREA|27203218|Hc Tray Facet Injection Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|118.90
WS SERVICE AREA|27203223|Hc Tray Cath Foley, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.70
WS SERVICE AREA|27203226|HC TRAY FOLEY SILV DISP 16FR 5CC|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.50
WS SERVICE AREA|27203229|Hc Tray Foley Temp Sens, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|155.80
WS SERVICE AREA|27203230|Hc Tray Prep Foley Disp No Bag Or Cath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27203231|Hc Tray Foley W/o Cath Silv Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|58.60
WS SERVICE AREA|27203233|Hc Tray Gen Purpose Inst Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|27203234|Hc Tray Hsg Procedure 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|247.70
WS SERVICE AREA|27203235|Hc Tray Hystrosalpingogram|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|103.30
WS SERVICE AREA|20010229|Hc Toe Fx Great Phalanx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28495||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27203236|Hc Tray Incision & Drange Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|24.80
WS SERVICE AREA|27203237|Hc Tray Iv Drsg Cent Line Cus Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.40
WS SERVICE AREA|27203238|Hc Tray Iv Drsg Cntln Biop Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.40
WS SERVICE AREA|27203239|Hc Tray Kyphopak Xpand 1step 10/3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18,217.60
WS SERVICE AREA|27203240|Hc Tray Kyphopak Xpand Istep 20/3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18,764.10
WS SERVICE AREA|27203241|Hc Tray Laceration Custom Pnwdisp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.60
WS SERVICE AREA|27203242|Hc Tray Lap Colon Hand Assist Cds|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|789.30
WS SERVICE AREA|27203243|Hc Tray Lavage Peritone Disp*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|157.00
WS SERVICE AREA|27203250|Hc Catheter Picc/midline, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|700.20
WS SERVICE AREA|27203251|Hc Tray Max Barr W/50cm 2lum Picc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1751||WS HB DEFAULT|680.00
WS SERVICE AREA|20010230|Hc Toe Fx Great Percu W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28496||WS HB DEFAULT|21,788.00
WS SERVICE AREA|80085066|Hc Kras Gene Analysis Additional Variant(s)|LABORATORY - GENERAL CLASSIFICATION [0300]|81276||WS HB DEFAULT|1,698.00
WS SERVICE AREA|27203252|Hc Tray Max Barr W/55cm 2lum Picc*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|483.80
WS SERVICE AREA|27203253|Hc Tray Myelogram Picker Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|85.00
WS SERVICE AREA|80085067|Hc Foundation Med - Solid Tumor Genomic Alterations Id|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81479||WS HB DEFAULT|3,852.00
WS SERVICE AREA|27203254|Hc Tray Myelogram Vha Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.50
WS SERVICE AREA|27203255|Hc Tray Ndl Bx 10.5ga Clrvw Dmd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,490.60
WS SERVICE AREA|80085068|Hc Nerve Teasing Preparations|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88362||WS HB DEFAULT|1,706.00
WS SERVICE AREA|27203256|Hc Tray Nerve Support Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|117.90
WS SERVICE AREA|80085069|Hc Mgmt Gene Promoter Methylation Analysis|LABORATORY - GENERAL CLASSIFICATION [0300]|81287||WS HB DEFAULT|1,798.00
WS SERVICE AREA|27203258|Hc Tray Pelvic Exam Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.70
WS SERVICE AREA|20010231|Hc Toe Fx Wo Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28510||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27203259|Hc Tray Picc Line Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|226.90
WS SERVICE AREA|70900024|Hc Pet Rb-82 Rubidium Per Dose|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9555||WS HB DEFAULT|1,106.70
WS SERVICE AREA|27203260|Hc Tray Prctns Thorcnts Custom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|127.30
WS SERVICE AREA|27203261|Hc Tray Safe T Centesis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|405.60
WS SERVICE AREA|27203262|Hc Tray Skin Scrub Wet Cust Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.00
WS SERVICE AREA|27203263|Hc Tray Special Procedure Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|360.20
WS SERVICE AREA|70900026|Hc Pet Cv Stress Test|CARDIOLOGY - STRESS TEST [0482]|93017||WS HB DEFAULT|2,528.00
WS SERVICE AREA|27203270|Hc Tray Sprotte Bupivac 24ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|98.40
WS SERVICE AREA|27203271|Hc Tray Sterotactic Biopsy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.80
WS SERVICE AREA|27203272|Hc Tray Suture Disposable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.60
WS SERVICE AREA|20010232|Hc Toe Fx W Manip|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28515||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27203273|Hc Tray Thoracentesis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|139.60
WS SERVICE AREA|27203274|Hc Tray Thoracentesis Lf 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|377.80
WS SERVICE AREA|27203275|Hc Tray Thoracentesis Str Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|168.20
WS SERVICE AREA|27203276|Hc Tray Tibial Revision Cem Mbt S|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30,874.40
WS SERVICE AREA|27203277|Hc Tray Trach Perc 8 Dolphin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,689.80
WS SERVICE AREA|27203278|Hc Tray Tracheal Cleaning Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|27203279|Hc Tray Urethral W/bag Disp, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|27203280|Hc Tray Urethral W/o Bag Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27203281|Hc Truguide Coaxial 19gx17.8c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.50
WS SERVICE AREA|27203282|Hc Tube Activent Touma T-grommet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|157.00
WS SERVICE AREA|20010233|Hc Sesamoid Fx|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28530||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27203283|Hc Tube Chest Right Angle 28fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|41.20
WS SERVICE AREA|27203284|Hc Tube Chest Straight 28fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|26.90
WS SERVICE AREA|27203285|Hc Tube Connecting Binyl 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|61.10
WS SERVICE AREA|27203300|HC TUBE ENDOTRACH STANDARD|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.80
WS SERVICE AREA|270127265|Hc Dressing Allevyn Gentle Border Lite  2 1/8 X 4 3/4in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|6.20
WS SERVICE AREA|27203305|HC TUBE ENDOTRACH SPECIALTY|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,582.60
WS SERVICE AREA|27203308|Hc Tube Endobronchial, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|299.80
WS SERVICE AREA|27203310|Hc Tube Enteral Feeding 10fr 3gr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|223.50
WS SERVICE AREA|80090005|Hc Poc Flu A & B|LABORATORY - GENERAL CLASSIFICATION [0300]|87804||WS HB DEFAULT|178.00
WS SERVICE AREA|34019588|Hc Fluciclovine F-18 Dx Per Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9588||WS HB DEFAULT|1,344.00
WS SERVICE AREA|20010234|Hc Dislocation Tarsal Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28540||WS HB DEFAULT|1,378.00
WS SERVICE AREA|30032552|Hc Rmvl Idwelg Tunneled Pleural Cath W/cuff|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32552||WS HB DEFAULT|2,600.00
WS SERVICE AREA|27203319|Hc Tube Feeding, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.60
WS SERVICE AREA|50050593|Hc Ablation Renal Tumor(s) Perc Cryothy Unilat|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50593||WS HB DEFAULT|18,471.00
WS SERVICE AREA|97065019|Hc Tympanometrty & Acoustic Test|AUDIOLOGY - GENERAL CLASSIFICATION [0470]|92550||WS HB DEFAULT|275.00
WS SERVICE AREA|27203324|HC TUBE FEEDING NUTRICATH 5FR 36"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.50
WS SERVICE AREA|27203327|Hc Tube For Drainage C Tube-2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|59.20
WS SERVICE AREA|90010370|Hc Ot Unlisted Modality Constant Attendance Ea 15 Min|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97039||WS HB DEFAULT|445.00
WS SERVICE AREA|27203328|Hc Tube Gastro 22fr 20cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|236.70
WS SERVICE AREA|27203329|Hc Tube Gastro Cont Lf 20fr 20cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|180.00
WS SERVICE AREA|30032650|Hc Thoracoscopy W/pleurodesis Mechanical Or Chemical|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32650||WS HB DEFAULT|624.00
WS SERVICE AREA|27203330|Hc Tube Gastrostomy 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|350.10
WS SERVICE AREA|20010236|Hc Tarsal Dislocation Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28546||WS HB DEFAULT|21,788.00
WS SERVICE AREA|27203331|Hc Tube Gastrostomy Moss Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|1,522.40
WS SERVICE AREA|27203332|Hc Tube Jejunal 12fr 5cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|715.00
WS SERVICE AREA|30010363|Hc Umbilical Art Line Nb|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36660||WS HB DEFAULT|537.00
WS SERVICE AREA|27203333|Hc Tube Jejunal 14fr 20cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|715.00
WS SERVICE AREA|27203334|Hc Tube Jejunal 16fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|762.00
WS SERVICE AREA|27203335|Hc Tube Laparoscopeic Smoke Evac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|149.60
WS SERVICE AREA|97065061|Hc Diab Prevent Ind 60 Min|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|97065061||WS HB DEFAULT|142.00
WS SERVICE AREA|97065062|Hc Grp Educ/trn 15min|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|97065062||WS HB DEFAULT|36.00
WS SERVICE AREA|27203338|Hc Tube Lukens|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.00
WS SERVICE AREA|97065063|Hc Grp Educ/trn 60min|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|97065063||WS HB DEFAULT|142.00
WS SERVICE AREA|20010237|Hc Talo Joint Dislocation Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28570||WS HB DEFAULT|5,274.00
WS SERVICE AREA|97065060|Hc Ind Educ/trn 45min|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|97065060||WS HB DEFAULT|105.00
WS SERVICE AREA|97065059|Hc Mnt Grp Reassessment 2/yr|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|97065059||WS HB DEFAULT|67.00
WS SERVICE AREA|27203348|Hc Tube Ng Anti-reflux Ftr Lf 12f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|24.80
WS SERVICE AREA|27203349|Hc Tube Ng Anti-reflux Lf 16fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|24.80
WS SERVICE AREA|27203350|Hc Tube Ng Anti-reflux Lf 18fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.80
WS SERVICE AREA|27203353|Hc Tube Pump Arthroscopy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|373.50
WS SERVICE AREA|27203356|Hc Tube Salem Sump Lf 14fr 36"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|24.70
WS SERVICE AREA|27203357|Hc Tube Salem Sump Sil Lf 10fr 36|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|73.20
WS SERVICE AREA|27203358|Hc Tube Salem Sump Sil Lf 14fr 48|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|73.40
WS SERVICE AREA|27203359|Hc Tube Salem Sump Sil Lf 16fr 48|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|73.40
WS SERVICE AREA|20010238|Hc Talo Joint Dislocation Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28575||WS HB DEFAULT|15,217.00
WS SERVICE AREA|27203360|Hc Tube Salem Sump Silic Lf 18fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|73.60
WS SERVICE AREA|27203361|Hc Tube Shepard Vent W/wire|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.60
WS SERVICE AREA|27203362|Hc Tube T Cattell 12fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|52.00
WS SERVICE AREA|27203363|Hc Tube T Cattell 16fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|52.00
WS SERVICE AREA|99010091|Hc Swing Bed|ROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - MEDICAL/SURGICAL/GYN [0121]|99010091||WS HB DEFAULT|561.00
WS SERVICE AREA|27203366|HC TUBE TRACH|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|245.00
WS SERVICE AREA|90036640|HC ARTERIAL CANNULATION|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36640||WS HB DEFAULT|7,396.00
WS SERVICE AREA|77019296|HC PLC BLN CTH BRST TX DLAY|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19296||WS HB DEFAULT|13,152.00
WS SERVICE AREA|80084906|Hc Hydrxyproline Total|LABORATORY - GENERAL CLASSIFICATION [0300]|83505||WS HB DEFAULT|270.00
WS SERVICE AREA|80084907|Hc Antibody Listeria Monocytogenes|LABORATORY - GENERAL CLASSIFICATION [0300]|86723||WS HB DEFAULT|120.00
WS SERVICE AREA|20010239|Hc Talo Joint Dislocation Ske|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28576||WS HB DEFAULT|9,223.00
WS SERVICE AREA|90010154|Hc Pneumogram|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94772||WS HB DEFAULT|2,169.00
WS SERVICE AREA|27203392|Hc Tube Transgastric Jejunal 18fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,302.00
WS SERVICE AREA|27203393|Hc Tube Transgastric Jejunal 22fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,309.40
WS SERVICE AREA|27203399|Hc Tubing Arthro Flosteady|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|289.60
WS SERVICE AREA|27203400|Hc Tubing Aspiration Clear 9'|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|93.30
WS SERVICE AREA|27203401|Hc Tubing Coax Umb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|541.10
WS SERVICE AREA|27203402|Hc Tubing Drainage Lf Chest Atriu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|55.20
WS SERVICE AREA|27203403|Hc Tubing Extension Hp 20"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|102.40
WS SERVICE AREA|27203404|Hc Tubing Fluid Warmer High Flow|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|261.60
WS SERVICE AREA|27203405|Hc Tubing High Pressure M/f 48"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|20010240|Hc Tarso Joint Dislocation Woanes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28600||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27203406|Hc Tubing High Pressure M/f 84"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27203407|Hc Tubing Hi-speed Drill Coolant|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|264.20
WS SERVICE AREA|27203408|Hc Tubing Hysteroscopy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|493.40
WS SERVICE AREA|27203409|Hc Tubing Infiltration Dik|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|87.00
WS SERVICE AREA|27203410|Hc Tubing Inflow Pump Sne 7211004|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|241.60
WS SERVICE AREA|27203411|Hc Tubing Insufflation|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.60
WS SERVICE AREA|27203412|Hc Tubing Insufflator Heated|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|196.30
WS SERVICE AREA|27203413|Hc Tubing Insuflow Lexion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|651.40
WS SERVICE AREA|27203414|Hc Tubing Prim Se W/cb 3valve Prt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.20
WS SERVICE AREA|30036660|Hc Umbilical Cath Insertion/uvc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36510||WS HB DEFAULT|537.00
WS SERVICE AREA|20010244|Hc Metata Joint Dislocation Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28630||WS HB DEFAULT|1,378.00
WS SERVICE AREA|27203415|Hc Tubing Single Abthera Npt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|497.60
WS SERVICE AREA|27203416|Hc Tubing Special Low Absorbing|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.40
WS SERVICE AREA|27203417|Hc Tubing Trifurcate|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.60
WS SERVICE AREA|27203418|Hc Tunneler Vns Thpy Mod 402|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,485.70
WS SERVICE AREA|90010400|HC TRAUMA 1 FULL TEAM W HOSP CRITICAL CARE|TRAUMA RESPONSE - LEVEL I TRAUMA [0681]|G0390||WS HB DEFAULT|29,219.00
WS SERVICE AREA|27203420|Hc Urostomy Gentle Touch 70mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.20
WS SERVICE AREA|90010401|HC TRAUMA 1 SMALL TEAM W HOSP CRITICAL CARE|TRAUMA RESPONSE - LEVEL I TRAUMA [0681]|G0390||WS HB DEFAULT|24,720.00
WS SERVICE AREA|27203421|Hc Valve Anti-reflux|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27203422|Hc Valve Contrast Mini-spike Assy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|90010402|Hc Trauma 1 Inhouse Full Team|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99291||WS HB DEFAULT|30,137.00
WS SERVICE AREA|20010245|Hc Metata Joint Dislocation Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28635||WS HB DEFAULT|13,332.00
WS SERVICE AREA|27203423|Hc Valve Control Bleedback Copilo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|210.90
WS SERVICE AREA|27203424|Hc Valve Enteral Lopez Disp Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.30
WS SERVICE AREA|90010403|Hc Trauma 1 Inhouse Small Team|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99291||WS HB DEFAULT|25,497.00
WS SERVICE AREA|27203425|Hc Valve Hemostatic Merit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|107.50
WS SERVICE AREA|27203426|Hc Wand 90ifs Ambient Super Turbo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|993.00
WS SERVICE AREA|27203427|Hc Wand Ambient 50 Irs Super Trbv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|993.00
WS SERVICE AREA|27203428|Hc Wand Artho Suction 50 Deg 3.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|932.60
WS SERVICE AREA|27203429|Hc Wand Arthro 3.5mm Serfas Lat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,134.10
WS SERVICE AREA|27203430|Hc Wand Arthro 70 Degree 3.0mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|932.60
WS SERVICE AREA|27203431|Hc Wand Arthro Saber 30 Deg 3.0mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|750.00
WS SERVICE AREA|20010247|Hc Toe Joint Dislocation Wo Anes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|28660||WS HB DEFAULT|1,233.00
WS SERVICE AREA|27203432|Hc Wand Plsm Procise Max Coblatio|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,269.90
WS SERVICE AREA|27203433|Hc Wand Plsm Rflx Ul|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,143.60
WS SERVICE AREA|27203434|Hc Wand Procise Ezview Coblator|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,387.60
WS SERVICE AREA|27203435|Hc Wand Reflex Ultra 55|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,263.50
WS SERVICE AREA|27203436|Hc Wand Reflex Ultra W/cable 45|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,078.90
WS SERVICE AREA|27203437|Hc Wand Suction Evac 70xtra|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,172.30
WS SERVICE AREA|27203438|Hc Wand Super Multivac 50deg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|932.60
WS SERVICE AREA|27203439|Hc Wand Super Turbovac 90deg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,117.10
WS SERVICE AREA|27203440|Hc Wand Topaz Arthocare Ac4040-01|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,832.20
WS SERVICE AREA|27203441|Hc Water Seal Drain Container & Tubing For Use W/ Implanted Chest Tube|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|A7041||WS HB DEFAULT|380.30
WS SERVICE AREA|20010250|Hc Cast Elbow Long Arm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29065||WS HB DEFAULT|1,866.00
WS SERVICE AREA|27203442|Hc Wax Bone 2.5gm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.40
WS SERVICE AREA|27203443|Hc Wick Ear Pope|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.70
WS SERVICE AREA|27203444|Hc Zz Wire Amplatz .035 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|172.00
WS SERVICE AREA|27203445|Hc Wire Amplatz Super Stiff Medit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|273.20
WS SERVICE AREA|27203446|Hc Zz Wire Control V-18 .018/12cm 300 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|680.80
WS SERVICE AREA|27203447|Hc Zz Wire Control V-18 .018/8cm 150 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|486.50
WS SERVICE AREA|80084911|Hc Assay Of Dibucaine Number|LABORATORY - GENERAL CLASSIFICATION [0300]|82638||WS HB DEFAULT|147.00
WS SERVICE AREA|27203448|Hc Zz Wire Control V-18 .018/8cm 200 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|487.80
WS SERVICE AREA|27203449|Hc Zz Wire Control V-18 .018/8cm 300 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|487.80
WS SERVICE AREA|80084912|Hc Hiv 1 Genotype, Dna/rna|LABORATORY - GENERAL CLASSIFICATION [0300]|87906||WS HB DEFAULT|1,273.00
WS SERVICE AREA|20010251|Hc Cast Forearm/wrist Short Arm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29075||WS HB DEFAULT|1,866.00
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|27203450|Hc Wire Coronary Cougar Xt 190|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|427.60
WS SERVICE AREA|27203451|Hc Zz Wire Coronary Cougar Xt 300 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|440.30
WS SERVICE AREA|80084913|Hc Clotting Function Activity, Nos, Ea Analyt, Adamts13 Activity|LABORATORY - GENERAL CLASSIFICATION [0300]|85397||WS HB DEFAULT|488.00
WS SERVICE AREA|27203452|Hc Wire Coronary Runthrough Ns 18|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|458.90
WS SERVICE AREA|27203453|Hc Zz Wire Coronary Runthrough Ns 30 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|465.80
WS SERVICE AREA|27203454|Hc Wire Extension Cinch Ii 50213|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|364.70
WS SERVICE AREA|27203456|Hc Wire Provia 9 180cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|452.00
WS SERVICE AREA|27203457|Hc Wire Rosen Exchange 260cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|100.70
WS SERVICE AREA|27203458|Hc Wound Mgr 4x9"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|92.70
WS SERVICE AREA|27203459|Hc Yankeur Suction Sage 6429|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.60
WS SERVICE AREA|20010253|Hc Cast Finger|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29086||WS HB DEFAULT|940.00
WS SERVICE AREA|27400010|Hc Boot Ankle Contracture Lf Lrg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|307.60
WS SERVICE AREA|27400011|Hc Boot Ankle Contracture Lf Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|309.90
WS SERVICE AREA|90010052|Hc Fundus Photography|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|92250||WS HB DEFAULT|320.00
WS SERVICE AREA|27400018|Hc Brace Ankle Train Air Stirp Rt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|164.50
WS SERVICE AREA|27400019|Hc Brace Ankle Universal Lf Reg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|94.90
WS SERVICE AREA|27400020|Hc Brace Knee 12" Small 7060-01|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|76.20
WS SERVICE AREA|27400021|Hc Brace Knee Large Lf 20"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|99.20
WS SERVICE AREA|27400022|Hc Brace Knee Medium 16"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|91.30
WS SERVICE AREA|27400023|Hc Brace Knee Medium Lf 12"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|79.60
WS SERVICE AREA|27400024|Hc Brace Knee Medium Lf 20"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|99.30
WS SERVICE AREA|20010254|Hc Splint Elbow Long Arm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29105||WS HB DEFAULT|840.00
WS SERVICE AREA|27400025|Hc Brace Knee Small Lf 20"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|98.30
WS SERVICE AREA|27400026|Hc Brace Knee Universal Lf 22"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|184.60
WS SERVICE AREA|27400027|Hc Brace Knee X-large Lf 20"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|100.00
WS SERVICE AREA|27400028|Hc Brace Knee Xx-large 20"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|102.40
WS SERVICE AREA|27400029|Hc Brace Orth Med 6in Lt Wrst Ckup Thumb Hl Lace|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|53.00
WS SERVICE AREA|27400030|Hc Brace Orth Med 6in Rt Wrst Ckup Thumb Hl Lace|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|53.00
WS SERVICE AREA|27400031|Hc Brace Orth Med 9in Lt Ankle Arcl Pad Vlcr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|186.70
WS SERVICE AREA|27400032|Hc Brace Orth Sm 6in Rt Wrst Ckup Thumb Hl Lace|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|60.50
WS SERVICE AREA|27400033|Hc Brace Orth Sm Clav Prm Strap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27400034|Hc Brace Orth Xs Clav Mcld 2w Adj Pad Shoulder|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|32.90
WS SERVICE AREA|20010255|Hc Splint Arm Short|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29125||WS HB DEFAULT|940.00
WS SERVICE AREA|27400037|Hc Brace/boot Walker Aircast, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|315.10
WS SERVICE AREA|27400040|Hc Collar Aspen Peds W/pad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|260.60
WS SERVICE AREA|27400041|Hc Collar Aspen Philly|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L0140||WS HB DEFAULT|1,248.40
WS SERVICE AREA|27400042|Hc Collar Aspen Regular|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|196.80
WS SERVICE AREA|27400043|Hc Collar Aspen Tall|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|272.60
WS SERVICE AREA|27400044|Hc Collar Cervical Foam Med Xlong|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|26.80
WS SERVICE AREA|27400046|Hc Collar Cervical Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|78.00
WS SERVICE AREA|27400047|Hc Collar Cervical Large Lf 4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|26.60
WS SERVICE AREA|27400048|Hc Collar Cervical Medium Lf 4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|25.50
WS SERVICE AREA|27400049|Hc Collar Cervical Narrow X-small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|49.90
WS SERVICE AREA|20010256|Hc Application Of Short Arm Splint (forearm To Hand) Section - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29126||WS HB DEFAULT|500.00
WS SERVICE AREA|27400050|Hc Collar Cervical Pediatric Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|47.80
WS SERVICE AREA|27400051|Hc Collar Cervical Small Lf 4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.80
WS SERVICE AREA|27400052|Hc Collar Cervical X-narrow Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|49.90
WS SERVICE AREA|27400053|Hc Collar Cervical X-narrow Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|49.90
WS SERVICE AREA|27400054|Hc Collar Cervical X-narrow Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|49.90
WS SERVICE AREA|27400056|Hc Collar Philadelphia Lg Lf4-1/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|79.60
WS SERVICE AREA|27400057|Hc Collar Philadelphia Md Lf4-1/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|76.00
WS SERVICE AREA|27400058|Hc Collar Philadelphia Med 5 1/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|79.60
WS SERVICE AREA|27400059|Hc Collar Philadelphia Sm Lf4-1/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|75.10
WS SERVICE AREA|27400060|Hc Collar Statneck Lf Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|118.90
WS SERVICE AREA|20010257|Hc Application Of Short Arm Splint (forearm To Hand) Section - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|29126||WS HB DEFAULT|500.00
WS SERVICE AREA|27400061|Hc Collar Statneck Lf Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|44.70
WS SERVICE AREA|27400062|Hc Collar Statneck Lf Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|115.40
WS SERVICE AREA|27400063|Hc Collar Statneck Ped 1043-01|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|112.30
WS SERVICE AREA|27400064|Hc Dbs,rhs,wrst,ulnar Gtr,thumb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|||WS HB DEFAULT|1,416.40
WS SERVICE AREA|80084910|Hc Assay Of Proinsulin|LABORATORY - GENERAL CLASSIFICATION [0300]|84206||WS HB DEFAULT|350.00
WS SERVICE AREA|27400072|Hc Fngr Gutr Splnts,cust Ring Splnt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|||WS HB DEFAULT|903.90
WS SERVICE AREA|27400076|Hc Immobilizer Knee, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|123.10
WS SERVICE AREA|27400084|Hc Knee Immobilizer, Canvas Longitude, Prefabed, Ots|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|178.80
WS SERVICE AREA|27400087|Hc Prefab Resting Hand Splint|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|||WS HB DEFAULT|820.20
WS SERVICE AREA|27400091|Hc Immobilizer Shoulder, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|64.50
WS SERVICE AREA|20010258|Hc Splint Finger Custom|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29130||WS HB DEFAULT|940.00
WS SERVICE AREA|27400093|Hc Splint Aircast 28101|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|117.10
WS SERVICE AREA|27400094|Hc Splint Clavicle Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|67.90
WS SERVICE AREA|27400095|Hc Splint Clavicle Mcleod Youth|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|66.10
WS SERVICE AREA|27400096|Hc Splint Cockup Large Rt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27400097|Hc Splint Cockup Lg Lt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27400098|Hc Splint Cockup Med Lt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|62.80
WS SERVICE AREA|27400099|Hc Splint Cockup Med Rt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|61.80
WS SERVICE AREA|27400100|Hc Splint Cockup Rt Xlarge|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27400101|Hc Splint Cockup Small Lt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27400102|Hc Splint Cockup Small Rt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|65.80
WS SERVICE AREA|20010260|Hc Strapping Of Thorax Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29200||WS HB DEFAULT|559.00
WS SERVICE AREA|27400103|Hc Splint Cockup Xlarge Lt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|65.80
WS SERVICE AREA|27400105|Hc Splint Forearm Wrist Rh Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|71.70
WS SERVICE AREA|27400106|Hc Splint Knee Large 12"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|79.60
WS SERVICE AREA|27400107|Hc Splint Knee Large 16"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|91.30
WS SERVICE AREA|27400108|Hc Splint Knee Small 16"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|92.70
WS SERVICE AREA|27400109|Hc Splint Knee X-large 16"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|92.70
WS SERVICE AREA|27400110|Hc Splint Mcleod Clavicle Infant|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|67.90
WS SERVICE AREA|27400111|Hc Splint Rice Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|148.50
WS SERVICE AREA|27400112|Hc Splint Wrist Cockup Lt 6" Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|60.50
WS SERVICE AREA|27400113|Hc Splint Wrist Cockup Lt 6" Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|60.50
WS SERVICE AREA|20010262|Hc Strapping Of Shoulder - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29240||WS HB DEFAULT|466.00
WS SERVICE AREA|27400114|Hc Splint Wrist Cockup Rt 6" Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|60.50
WS SERVICE AREA|27400115|Hc Splint Wrist Cockup Rt 6" Xs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|74.30
WS SERVICE AREA|27400116|Hc Splint Wrist/forearm Lf Xlarge|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|74.30
WS SERVICE AREA|27400117|Hc Splint Wrist/forearm Lh Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|69.80
WS SERVICE AREA|27400118|Hc Splint Wrist/forearm Lh Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|71.50
WS SERVICE AREA|27400119|Hc Splint Wrist/forearm Lh Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|70.40
WS SERVICE AREA|27400120|Hc Splint Wrist/forearm Lh Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|72.10
WS SERVICE AREA|27400121|Hc Splint Wrist/forearm Rh Child|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|63.90
WS SERVICE AREA|27400122|Hc Splint Wrist/forearm Rh Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|72.10
WS SERVICE AREA|27400123|Hc Splint Wrist/forearm Rh Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|70.80
WS SERVICE AREA|20010263|Hc Strapping Of Shoulder - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|29240||WS HB DEFAULT|466.00
WS SERVICE AREA|80084955|Hc Ascorbic Acid Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|82180||WS HB DEFAULT|77.00
WS SERVICE AREA|27400124|Hc Splint Wrist/forearm Rh Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|74.30
WS SERVICE AREA|27400125|Hc Splint Wrist/forearm Rt Xlg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|74.30
WS SERVICE AREA|80084956|Hc Glucagon|LABORATORY - GENERAL CLASSIFICATION [0300]|82943||WS HB DEFAULT|353.00
WS SERVICE AREA|27400126|Hc Splintsrite Cast Boot Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|165.50
WS SERVICE AREA|27400127|Hc Splintsrite Cast Boot Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|170.50
WS SERVICE AREA|80084957|Hc Drug Screen Quant Zonisamide|LABORATORY - GENERAL CLASSIFICATION [0300]|80203||WS HB DEFAULT|336.00
WS SERVICE AREA|27400128|Hc Splintsrite Cast Boot Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|176.10
WS SERVICE AREA|27400129|Hc Splintsrite Cast Boot Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|176.10
WS SERVICE AREA|27400132|Hc Stirrup Ankle Lf Reg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|114.00
WS SERVICE AREA|20010264|Hc Strapping Of Shoulder|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29240||WS HB DEFAULT|466.00
WS SERVICE AREA|36010048|OR PROC RM|OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360]|||WS HB DEFAULT|0.00
WS SERVICE AREA|27400133|Hc Stirrup Ankle Small|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|129.70
WS SERVICE AREA|80084960|Hc Drug/substance Nos 1-3|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|30.00
WS SERVICE AREA|27400134|Hc Strap Clavicle Child|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|67.20
WS SERVICE AREA|27400135|Hc Strap Clavicle Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|32.90
WS SERVICE AREA|80084961|Hc Fat/lipids Feces; Qual|LABORATORY - GENERAL CLASSIFICATION [0300]|82705||WS HB DEFAULT|174.00
WS SERVICE AREA|27400136|Hc Strap Clavicle Medium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|31.60
WS SERVICE AREA|80084962|Hc Test For Acetone/ketones|LABORATORY - GENERAL CLASSIFICATION [0300]|82009||WS HB DEFAULT|154.00
WS SERVICE AREA|80084963|Hc Timed Urine Vol Measure Ea|LABORATORY - GENERAL CLASSIFICATION [0300]|81050||WS HB DEFAULT|23.00
WS SERVICE AREA|27400140|Hc Support Back Criss Cross Univ|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|141.10
WS SERVICE AREA|27400141|Hc Tlso Clinical Support Services|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|||WS HB DEFAULT|3,916.90
WS SERVICE AREA|20010265|Hc Strapping Of Elbow Or Wrist - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29260||WS HB DEFAULT|223.00
WS SERVICE AREA|80084964|Hc Vit B-12; Unsaturated Bc|LABORATORY - GENERAL CLASSIFICATION [0300]|82608||WS HB DEFAULT|112.00
WS SERVICE AREA|27400144|Hc Wrist Cock-up|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|||WS HB DEFAULT|1,786.50
WS SERVICE AREA|80084965|Hc Unlisted Urinalysis Procedure|LABORATORY - GENERAL CLASSIFICATION [0300]|81099||WS HB DEFAULT|72.00
WS SERVICE AREA|80084918|Hc Zz Inhibin B - Use Eap 80010194|LABORATORY - GENERAL CLASSIFICATION [0300]|82397||WS HB DEFAULT|294.00
WS SERVICE AREA|27800058|Hc Seprafilm Bioresrb Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1765||WS HB DEFAULT|1,834.30
WS SERVICE AREA|27800059|Hc Seprafilm Procedure Pack|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1765||WS HB DEFAULT|4,485.40
WS SERVICE AREA|30032408|HC CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32408||WS HB DEFAULT|5,410.00
WS SERVICE AREA|30033741|HC TAS CONGENITAL CARDIAC ANOMALIES ANY METHOD|CARDIOLOGY - CARDIAC CATH LAB [0481]|33741||WS HB DEFAULT|12,748.00
WS SERVICE AREA|30036160|Hc Plc Cath Aortc Trnslm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36160||WS HB DEFAULT|10,047.00
WS SERVICE AREA|30033745|HC TIS CRTJ ST CONGENITAL CARDIAC ANOMAL 1ST SHUNT|CARDIOLOGY - CARDIAC CATH LAB [0481]|33745||WS HB DEFAULT|49,418.00
WS SERVICE AREA|20010266|Hc Strapping Of Elbow Or Wrist - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|29260||WS HB DEFAULT|223.00
WS SERVICE AREA|30037218|Hc Perc Antegr Stent Car|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37218||WS HB DEFAULT|12,657.00
WS SERVICE AREA|70176101|Hc Tomo Hypercycloid|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|76101||WS HB DEFAULT|322.00
WS SERVICE AREA|30033746|HC TIS CRTJ ST CONGENITAL CARDIAC ANOMAL EA ADDL|CARDIOLOGY - CARDIAC CATH LAB [0481]|33746||WS HB DEFAULT|12,354.00
WS SERVICE AREA|70170371|Hc Pharyngl  Eval Cinevideo|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70371||WS HB DEFAULT|1,124.00
WS SERVICE AREA|30033995|HC INSERT PERQ VAD W/RS AND I R HEART VENOUS ACCESS ONLY|CARDIOLOGY - CARDIAC CATH LAB [0481]|33995||WS HB DEFAULT|20,346.00
WS SERVICE AREA|30033997|HC REMOVAL PERQ R HEART VAD VENOUS CANNULA SEPATATE INSERTION|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33997||WS HB DEFAULT|8,736.00
WS SERVICE AREA|10000620|Hc Endovascular Venous Arterialization Tibl/prnl Vn|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0620T||WS HB DEFAULT|53,704.00
WS SERVICE AREA|90094619|Hc Exercise Tst Bronchospasm Pre And Post Spmtry And Pulse Ox Wo/ecg|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94619||WS HB DEFAULT|633.00
WS SERVICE AREA|90093242|Hc Ext Ecg > 48hr To 7 Day Rcrd W/conect Intl Rcrd|EKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731]|93242||WS HB DEFAULT|116.00
WS SERVICE AREA|90093246|Hc Ext Ecg > 7 Day Up To 15 Days Rcrd W/conect Intl Rcrd|EKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731]|93246||WS HB DEFAULT|192.00
WS SERVICE AREA|20010267|Hc Strapping Of Elbow Or Wrist|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29260||WS HB DEFAULT|223.00
WS SERVICE AREA|27800172|Hc Dermagraft 2x3in 37.5 Sq Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4106||WS HB DEFAULT|107.10
WS SERVICE AREA|80080143|Hc Drug Assay Acetaminophen|LABORATORY - GENERAL CLASSIFICATION [0300]|80143||WS HB DEFAULT|75.00
WS SERVICE AREA|25009756|Hc Inj Gadoteridol/prohance Per Ml|PHARMACY - DRUGS INCIDENT TO RADIOLOGY [0255]|A9576||WS HB DEFAULT|6.60
WS SERVICE AREA|80180151|Hc Drug Assay Amiodarone|LABORATORY - GENERAL CLASSIFICATION [0300]|80151||WS HB DEFAULT|75.00
WS SERVICE AREA|80180179|Hc Drug Assay Salicylate|LABORATORY - GENERAL CLASSIFICATION [0300]|80179||WS HB DEFAULT|75.00
WS SERVICE AREA|80082077|Hc Assay Of Alcohol (ethanol) Spec Xcp Urine And Breath Ia|LABORATORY - GENERAL CLASSIFICATION [0300]|82077||WS HB DEFAULT|62.00
WS SERVICE AREA|90110158|Hc Vital Capacity (w/out Spirometry)|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94150||WS HB DEFAULT|332.00
WS SERVICE AREA|278018614|COCHLEAR DEVICE,INCL ALL EXTERNAL/INTERNAL COMPONENTS|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|L8614||WS HB DEFAULT|105,206.30
WS SERVICE AREA|80082681|Hc Assay Of Direct Measurement Free Estradiol|LABORATORY - GENERAL CLASSIFICATION [0300]|82681||WS HB DEFAULT|100.00
WS SERVICE AREA|278018600|IMPL BREAST PROSTH SILICONE/EQUAL|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|L8600||WS HB DEFAULT|10,575.00
WS SERVICE AREA|20010268|Hc Strapping Of Hand Or Finger Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29280||WS HB DEFAULT|447.00
WS SERVICE AREA|278001885|CATHETER, TRANSLUMINAL ANGIOPLASTY, LASER|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1885||WS HB DEFAULT|11,785.30
WS SERVICE AREA|278001822|GENERATOR/NEUROSTIMULATOR, HIGH FREQ, RECHG BAT|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1822||WS HB DEFAULT|107,786.40
WS SERVICE AREA|278018631|MCP JOINT REPL 2 PC OR MORE, INCLUDES ENTIRE SYSTEM|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|L8631||WS HB DEFAULT|1,360.60
WS SERVICE AREA|278001765|ADHESION BARRIER, BIORESORBABLE|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1765||WS HB DEFAULT|2,309.30
WS SERVICE AREA|272001888|CATHETER, ABLATION, NONCARDIAC, ENDOVASC|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1888||WS HB DEFAULT|5,853.50
WS SERVICE AREA|278018610|OCULAR IMPLANT|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|L8610||WS HB DEFAULT|1,001.20
WS SERVICE AREA|70500081|Hc Sp3 Ct Heart Screen W/o Contrast|CT SCAN - BODY SCAN [0352]|75571|SP3|WS HB DEFAULT|4,281.00
WS SERVICE AREA|70500082|Hc Sp3 Ct Heart Screen Couple W/o Contrast|CT SCAN - BODY SCAN [0352]|75571|SP3|WS HB DEFAULT|4,281.00
WS SERVICE AREA|70500083|HC CT THORAX LW DOSE LNG CA SCR NO CONTRAST|CT SCAN - BODY SCAN [0352]|71271|SP3|WS HB DEFAULT|2,400.00
WS SERVICE AREA|70500084|HC CT THORAX LW DOSE LNG CA SCR NO CONTRAST|CT SCAN - BODY SCAN [0352]|71271|SP3|WS HB DEFAULT|2,400.00
WS SERVICE AREA|20010269|Hc Strapping Of Hand Or Finger Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|29280||WS HB DEFAULT|447.00
WS SERVICE AREA|93010360|Hc Sp3 Cardiac Rehab Pkg 1/6v|OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943]|93799|SP3|WS HB DEFAULT|1,193.00
WS SERVICE AREA|93010361|Hc Sp3 Cardiac Rehab Pkg 2/9v|OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943]|93798|SP3|WS HB DEFAULT|1,760.00
WS SERVICE AREA|93010362|Hc Sp3 Cardiac Rehab Pkg 3/12v|OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943]|93799|SP3|WS HB DEFAULT|2,325.00
WS SERVICE AREA|30010324|HC NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36221||WS HB DEFAULT|11,452.00
WS SERVICE AREA|30010327|HC SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36222||WS HB DEFAULT|11,168.00
WS SERVICE AREA|30010329|HC SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36223||WS HB DEFAULT|16,544.00
WS SERVICE AREA|30010331|HC SELECTIVE CATHETER INTERNAL CAROTID ARTERY ANGIO INTRACRANIAL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36224||WS HB DEFAULT|14,502.00
WS SERVICE AREA|30010333|HC SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36225||WS HB DEFAULT|14,838.00
WS SERVICE AREA|30010335|HC SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36226||WS HB DEFAULT|13,036.00
WS SERVICE AREA|30010337|HC SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36227||WS HB DEFAULT|20,658.00
WS SERVICE AREA|20010270|Hc Strapping Of Hand Or Finger|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29280||WS HB DEFAULT|447.00
WS SERVICE AREA|30010339|HC SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36228||WS HB DEFAULT|20,388.00
WS SERVICE AREA|30010340|Hc Tc Arterial Inf Thrombolytic Therapy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37211||WS HB DEFAULT|9,758.00
WS SERVICE AREA|30010341|Hc Tc Venous Inf Thrombolytic Therapy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37212||WS HB DEFAULT|11,711.00
WS SERVICE AREA|30010342|Hc Tc Art/vein Therapy Continued Subsequent|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37213||WS HB DEFAULT|11,711.00
WS SERVICE AREA|30010343|Hc Tc Vein Inf Thrombo Therapy 1st Including Cath Removal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37214||WS HB DEFAULT|11,711.00
WS SERVICE AREA|70100012|Hc Xr Mandible Complete 4+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|70110||WS HB DEFAULT|940.00
WS SERVICE AREA|80085070|IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25|LABORATORY - GENERAL CLASSIFICATION [0300]|87507||WS HB DEFAULT|1,445.00
WS SERVICE AREA|70020715|Hc Us Doppler Velocimetry Fetal/ Middle Cerebral Artery|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76821||WS HB DEFAULT|383.00
WS SERVICE AREA|30037799|HC UNLISTED PROCEDURE VASCULAR SURGERY|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37799||WS HB DEFAULT|1,810.00
WS SERVICE AREA|40047544|Hc Removal Biliary Duct &/glbldr Calculi Perq Rs&i|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47544||WS HB DEFAULT|6,017.00
WS SERVICE AREA|20010271|Hc Cast Leg Long|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29345||WS HB DEFAULT|2,087.00
WS SERVICE AREA|278110820|Hc Marker Strand Gold 3mm 18ga 20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|A4648||WS HB DEFAULT|1,000.00
WS SERVICE AREA|25010080|Rx Mfn Drug Add-on Per Dose|PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636]|M1145||WS HB DEFAULT|0.01
WS SERVICE AREA|70100108|Hc Xr Bone/osseous Survey Infant <12mo|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|77076||WS HB DEFAULT|1,366.00
WS SERVICE AREA|70800012|Hc Nm Thyroid Uptake Measurement Single/multiple Quantitative|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78012||WS HB DEFAULT|1,163.00
WS SERVICE AREA|70800013|Hc Nm Thyroid Imaging W/blood Flow|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78013||WS HB DEFAULT|1,134.00
WS SERVICE AREA|70800014|Hc Nm Thyroid Uptake Measurement W/blood Flow Single/multiple|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78014||WS HB DEFAULT|1,496.00
WS SERVICE AREA|80090006|Hc Poc Ua  Dipstick 81003|LABORATORY - GENERAL CLASSIFICATION [0300]|81003|QW|WS HB DEFAULT|183.00
WS SERVICE AREA|272127372|Hc Plug Bx Lung W Del Syst Biosentry|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2613||WS HB DEFAULT|1,471.70
WS SERVICE AREA|77055875|Hc Transperineal Needle-catheter Plcmnt Prostate|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|55875||WS HB DEFAULT|16,370.00
WS SERVICE AREA|70900010|Hc Pet Myocardial Single|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78491||WS HB DEFAULT|5,821.00
WS SERVICE AREA|20010272|Hc Cast Leg Short|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29405||WS HB DEFAULT|1,366.00
WS SERVICE AREA|70900011|Hc Pet Myocardial Multiple|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78492||WS HB DEFAULT|6,623.00
WS SERVICE AREA|93071428|Hc Ip Only-perq Transcath Septal Reduxn|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|12,748.00
WS SERVICE AREA|93071429|Hc Ip Only-implant Tcat Pulm Vlv Perq|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|25,509.00
WS SERVICE AREA|70900015|Hc Pet Ct Skull Base To Midthigh|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78815||WS HB DEFAULT|8,618.00
WS SERVICE AREA|70900016|Hc Pet Ct Whole Body|OTHER IMAGING SERVICES - POSITRON EMISSION TOMOGRAPHY [0404]|78816||WS HB DEFAULT|8,618.00
WS SERVICE AREA|80085080|Hc Immunofluorescence, Per Spec; Each Add'l|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88350||WS HB DEFAULT|376.00
WS SERVICE AREA|93010265|Hc Ptca Lc/lcx Artery Or Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92920|LC|WS HB DEFAULT|9,863.00
WS SERVICE AREA|93010264|Hc Ptca Ld/lad Artery Or Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92920|LD|WS HB DEFAULT|9,863.00
WS SERVICE AREA|93010267|Hc Ptca Lm|CARDIOLOGY - CARDIAC CATH LAB [0481]|92920|LM|WS HB DEFAULT|9,863.00
WS SERVICE AREA|93010266|Hc Ptca Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|92920|RC|WS HB DEFAULT|9,863.00
WS SERVICE AREA|20010273|Hc Contact Cast|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29445||WS HB DEFAULT|2,923.00
WS SERVICE AREA|93010268|Hc Pci Ramus|CARDIOLOGY - CARDIAC CATH LAB [0481]|92920|RI|WS HB DEFAULT|9,863.00
WS SERVICE AREA|93010270|Hc Ptca Lc/lcx Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92921|LC|WS HB DEFAULT|5,171.00
WS SERVICE AREA|93010269|Hc Ptca Ld/lad Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92921|LD|WS HB DEFAULT|5,171.00
WS SERVICE AREA|93010271|Hc Ptca Rc/rca Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92921|RC|WS HB DEFAULT|5,171.00
WS SERVICE AREA|93010273|Hc Atherectomy Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|92924|LC|WS HB DEFAULT|10,375.00
WS SERVICE AREA|93010272|Hc Atherectomy Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|92924|LD|WS HB DEFAULT|10,375.00
WS SERVICE AREA|93010275|Hc Atherectomy Lm|CARDIOLOGY - CARDIAC CATH LAB [0481]|92924|LM|WS HB DEFAULT|10,375.00
WS SERVICE AREA|93010274|Hc Atherect Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|92924|RC|WS HB DEFAULT|10,375.00
WS SERVICE AREA|93010276|Hc Atherectomy Ri|CARDIOLOGY - CARDIAC CATH LAB [0481]|92924|RI|WS HB DEFAULT|10,375.00
WS SERVICE AREA|93010278|Hc Atherectomy Lc/lcx Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92925|LC|WS HB DEFAULT|4,737.00
WS SERVICE AREA|20010274|Hc Splint Leg Long|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29505||WS HB DEFAULT|940.00
WS SERVICE AREA|90192928|Hc Robotic Asst Stent Bms Lc/lcx Artery Or Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92928|LC|WS HB DEFAULT|12,192.00
WS SERVICE AREA|93010277|Hc Atherectomy Ld/lad Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92925|LD|WS HB DEFAULT|4,737.00
WS SERVICE AREA|93010279|Hc Atherectomy Rc/rca Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92925|RC|WS HB DEFAULT|4,737.00
WS SERVICE AREA|93010286|HC STENT DES LC/LCX ARTERY OR BRANCH|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9600|LC|WS HB DEFAULT|18,929.00
WS SERVICE AREA|93010281|Hc Stent Bms Lc/lcx Artery Or Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92928|LC|WS HB DEFAULT|11,084.00
WS SERVICE AREA|93010285|HC STENT DES LD/LAD ARTERY OR BRANCH|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9600|LD|WS HB DEFAULT|18,929.00
WS SERVICE AREA|93010280|Hc Stent Bms Ld/lad Artery Or Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92928|LD|WS HB DEFAULT|11,084.00
WS SERVICE AREA|93010288|HC STENT DES LM ARTERY|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9600|LM|WS HB DEFAULT|18,929.00
WS SERVICE AREA|93010283|Hc Stent Bms Lm Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|92928|LM|WS HB DEFAULT|11,084.00
WS SERVICE AREA|93010287|HC STENT DES RC/RCA ARTERY OR BRANCH|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9600|RC|WS HB DEFAULT|18,929.00
WS SERVICE AREA|93010282|Hc Stent Bms Rc/rca Artery Or Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92928|RC|WS HB DEFAULT|11,084.00
WS SERVICE AREA|20010275|Hc Application Short Leg Splint Calf Foot - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29515||WS HB DEFAULT|827.00
WS SERVICE AREA|93010289|HC STENT DES RAMUS ARTERY|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9600|RI|WS HB DEFAULT|18,929.00
WS SERVICE AREA|93010284|Hc Stent Bms Ramus Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|92928|RI|WS HB DEFAULT|11,084.00
WS SERVICE AREA|93010294|Hc Stent Des Lc/lcx Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9601|LC|WS HB DEFAULT|5,546.00
WS SERVICE AREA|93010291|Hc Stent Bms Lc/lcx Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92929|LC|WS HB DEFAULT|5,546.00
WS SERVICE AREA|93010293|Hc Stent Des Ld/lad  Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9601|LD|WS HB DEFAULT|5,546.00
WS SERVICE AREA|93010290|Hc Stent Bms Ld/lad Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92929|LD|WS HB DEFAULT|5,546.00
WS SERVICE AREA|93010295|Hc Stent Des Rc/rca Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9601|RC|WS HB DEFAULT|5,546.00
WS SERVICE AREA|93010292|Hc Stent Bms Rc/rca Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92929|RC|WS HB DEFAULT|5,546.00
WS SERVICE AREA|93010296|Hc Atherectomy And Bms Stent Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|92933|LD|WS HB DEFAULT|21,458.00
WS SERVICE AREA|93010297|Hc Atherectomy And Bms Stent Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|92933|LC|WS HB DEFAULT|21,458.00
WS SERVICE AREA|20010276|Hc Application Short Leg Splint Calf Foot - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|29515||WS HB DEFAULT|827.00
WS SERVICE AREA|93010298|Hc Atherectomy And Bms Stent Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|92933|RC|WS HB DEFAULT|21,458.00
WS SERVICE AREA|93010299|Hc Atherectomy And Bms Stent Lm Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|92933|LM|WS HB DEFAULT|21,458.00
WS SERVICE AREA|93010300|Hc Atherectomy And Bms Stent Ramus Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|92933|RI|WS HB DEFAULT|21,458.00
WS SERVICE AREA|93010301|Hc Atherectomy And Des Stent Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9602|LD|WS HB DEFAULT|21,458.00
WS SERVICE AREA|93010302|Hc Atherectomy Des Stent Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9602|LC|WS HB DEFAULT|21,458.00
WS SERVICE AREA|93010303|Hc Atherectomy And Des Stent Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9602|RC|WS HB DEFAULT|21,458.00
WS SERVICE AREA|93010304|Hc Atherectomy And Des Stent Lm Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9602|LM|WS HB DEFAULT|21,458.00
WS SERVICE AREA|93010305|Hc Atherectomy And Des Stent Ramus Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9602|RI|WS HB DEFAULT|21,458.00
WS SERVICE AREA|93010310|Hc Atherectomy Des Stent Additional Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9603|LC|WS HB DEFAULT|15,920.00
WS SERVICE AREA|93010307|Hc Atherectomy Bms Stent Additional Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|92934|LC|WS HB DEFAULT|15,920.00
WS SERVICE AREA|20010277|Hc Apply Short Leg Splint|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29515||WS HB DEFAULT|827.00
WS SERVICE AREA|93010309|Hc Atherectomy Des Stent Additional Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9603|LD|WS HB DEFAULT|15,920.00
WS SERVICE AREA|93010306|Hc Atherectomy Bms Stent Additional Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|92934|LD|WS HB DEFAULT|15,920.00
WS SERVICE AREA|93010311|Hc Atherectomy Des Stent Additional Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9603|RC|WS HB DEFAULT|15,920.00
WS SERVICE AREA|93010308|Hc Atherectomy Bms Stent Additional Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|92934|RC|WS HB DEFAULT|15,920.00
WS SERVICE AREA|93010316|Hc Graft Ptca And Des Stent To Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9604|LC|WS HB DEFAULT|22,289.00
WS SERVICE AREA|93010313|Hc Graft Ptca And/or Bms Stent To Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|92937|LC|WS HB DEFAULT|22,289.00
WS SERVICE AREA|93010315|Hc Graft Ptca And Des Stent To Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9604|LD|WS HB DEFAULT|22,289.00
WS SERVICE AREA|93010312|Hc Graft Ptca And/or Bms Stent To Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|92937|LD|WS HB DEFAULT|22,289.00
WS SERVICE AREA|93010317|Hc Graft Ptca And Des Stent To Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9604|RC|WS HB DEFAULT|22,289.00
WS SERVICE AREA|93010314|Hc Graft Ptca And/or Bms Stent To Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|92937|RC|WS HB DEFAULT|22,289.00
WS SERVICE AREA|20010278|Hc Strapping Of Hip - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29520||WS HB DEFAULT|584.00
WS SERVICE AREA|93010322|Hc Graft Ptca And/or Des Stent Addtl Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9605|LC|WS HB DEFAULT|16,750.00
WS SERVICE AREA|93010319|Hc Graft Ptca And/or Bms Stent Addtl Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|92938|LC|WS HB DEFAULT|16,750.00
WS SERVICE AREA|93010321|Hc Graft Ptca And/or Des Stent Addtl Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9605|LD|WS HB DEFAULT|16,750.00
WS SERVICE AREA|93010318|Hc Graft Ptca And/or Bms Stent Addtl Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|92938|LD|WS HB DEFAULT|16,750.00
WS SERVICE AREA|93010323|Hc Graft Ptca And/or Des Stent Addtl Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9605|RC|WS HB DEFAULT|16,750.00
WS SERVICE AREA|93010320|Hc Graft Ptca And/or Bms Stent Addtl Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|92938|RC|WS HB DEFAULT|16,750.00
WS SERVICE AREA|93010327|Hc Ip Only-prq Card Des Revasc Mi 1vsl Lc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C9606|LC|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010326|Hc Ip Only-prq Card Revasc Mi 1 Vsl Lc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]||LC|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010325|Hc Ip Only-prq Card Des Revasc Mi 1vsl Ld|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C9606|LD|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010324|Hc Ip Only-prq Card Revasc Mi 1vsl Ld|OPERATING ROOM SERVICES - MINOR SURGERY [0361]||LD|WS HB DEFAULT|31,320.00
WS SERVICE AREA|20010280|Hc Strapping Of Knee - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29530||WS HB DEFAULT|526.00
WS SERVICE AREA|93010331|Hc Ip Only- Prq Card Des Revasc Mi 1vsl Lm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C9606|LM|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010330|Hc Ip Only-prq Card Revasc Mi 1 Vsl Lm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]||LM|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010329|Hc Ip Only-prq Card Des Revasc Mi 1vsl Rc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C9606|RC|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010328|Hc Ip Only- Prq Card Revasc Mi 1 Vsl Rc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]||RC|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010333|Hc Ip Only-prq Card Des Revasc Mi 1vsl Ri|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C9606|RI|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010332|Hc  Ip Only-prq Card Revasc Mi 1 Vsl Ri|OPERATING ROOM SERVICES - MINOR SURGERY [0361]||RI|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010337|Hc Cto Des Stent Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9607|LC|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010336|Hc Cto Stent Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|92943|LC|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010335|Hc Cto Des Stent Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9607|LD|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010334|Hc Cto Stent Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|92943|LD|WS HB DEFAULT|31,320.00
WS SERVICE AREA|20010282|Hc Strapping Of Knee|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29530|GP|WS HB DEFAULT|526.00
WS SERVICE AREA|93010341|Hc Cto Des Stent Lm Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9607|LM|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010340|Hc Cto Stent Lm Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|92943|LM|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010339|Hc Cto Des Stent Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9607|RC|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010338|Hc Cto Stent Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|92943|RC|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010343|Hc Cto Des Stent Ramus Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9607|RI|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010342|Hc Cto Stent Ramus Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|92943|RI|WS HB DEFAULT|31,320.00
WS SERVICE AREA|93010347|Hc Cto Des Stent Addl Brch Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9608|LC|WS HB DEFAULT|25,781.00
WS SERVICE AREA|93010346|Hc Cto Stent Addl Brch Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|92944|LC|WS HB DEFAULT|25,781.00
WS SERVICE AREA|93010345|Hc Cto Des Stent Addl Brch Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9608|LD|WS HB DEFAULT|25,781.00
WS SERVICE AREA|93010344|Hc Cto Stent Addl Brch Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|92944|LD|WS HB DEFAULT|25,781.00
WS SERVICE AREA|20010283|Hc Strapping Of Ankle And/or Ft - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29540||WS HB DEFAULT|601.00
WS SERVICE AREA|93010349|Hc Cto Des Stent Addl Brch Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9608|RC|WS HB DEFAULT|25,781.00
WS SERVICE AREA|93010348|Hc Cto Stent Addl Brch Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|92944|RC|WS HB DEFAULT|25,781.00
WS SERVICE AREA|70400062|Hc Us Duplex Abd/pelvis/scrotum In-outflow Complete|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93975||WS HB DEFAULT|1,896.00
WS SERVICE AREA|70400063|Hc Us Duplex Abd/pelvis/scrotum In-outflow Ltd|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93976||WS HB DEFAULT|679.00
WS SERVICE AREA|70400064|Hc Us Duplex Aorta/vessels Complete|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93978||WS HB DEFAULT|1,571.00
WS SERVICE AREA|70400065|Hc Us Duplex Aorta/vessels Ltd|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93979||WS HB DEFAULT|543.00
WS SERVICE AREA|90010281|Hc Vent-hifreqoscill/initial|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94002||WS HB DEFAULT|3,677.00
WS SERVICE AREA|95010024|Hc Polysomnography < 6yrs|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95782||WS HB DEFAULT|8,274.00
WS SERVICE AREA|95010044|Hc Polysomno < 6yrs W/cont Vent|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95783||WS HB DEFAULT|8,274.00
WS SERVICE AREA|90095887|Hc Needle Emg Nonextremty Mscles W/nerve Conduction|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95887||WS HB DEFAULT|564.00
WS SERVICE AREA|20010284|Hc Strapping Of Ankle And/or Ft - Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|29540||WS HB DEFAULT|601.00
WS SERVICE AREA|70476981|Hc Us Elastography Parenchyma Organ|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76981||WS HB DEFAULT|332.00
WS SERVICE AREA|70476982|Hc Us Elastography First Target Lesion|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76982||WS HB DEFAULT|332.00
WS SERVICE AREA|70476983|Hc Us Elastography Ea Add Target Lesion|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76983||WS HB DEFAULT|332.00
WS SERVICE AREA|96000243|Hc Inf Iv Casirivimab And Imdevimab Incl Post Admin Monitoring|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|M0243||WS HB DEFAULT|1,352.00
WS SERVICE AREA|80030005|HC INFECTIOUS AGENT DETECTION AMPLIFIED PROBE ADD-ON|LABORATORY - GENERAL CLASSIFICATION [0300]|U0005||WS HB DEFAULT|88.00
WS SERVICE AREA|80100005|HC INFECTIOUS AGENT DETECTION AMPLIFIED PROBE ADD-ON|LABORATORY - GENERAL CLASSIFICATION [0300]|U0005||WS HB DEFAULT|88.00
WS SERVICE AREA|80080005|HC INFECTIOUS AGENT DETECTION AMPLIFIED PROBE TECHNIQUE ADD-ON|LABORATORY - GENERAL CLASSIFICATION [0300]|U0005||WS HB DEFAULT|88.00
WS SERVICE AREA|27096046|Hc Liner Warmer Milk Wtrls Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|13.30
WS SERVICE AREA|90095180|Hc Rapid Desensitization Procedure Each Hour|OTHER DIAGNOSTIC SERVICES - ALLERGY TEST [0924]|95180||WS HB DEFAULT|903.00
WS SERVICE AREA|272125438|Hc Tray Block Diag Coolief Peripheral|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.50
WS SERVICE AREA|20010285|Hc Strapping Of Ankle|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29540|GP|WS HB DEFAULT|601.00
WS SERVICE AREA|10010163|Hc Debride-skin/subc Muscle < 20 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11043||WS HB DEFAULT|2,346.00
WS SERVICE AREA|70400066|Hc Us Duplex Penile Vessels In-outflow Complete|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93980||WS HB DEFAULT|798.00
WS SERVICE AREA|70400067|Hc Us Duplex Penile Vessels In-outflow F/u Ltd|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93981||WS HB DEFAULT|470.00
WS SERVICE AREA|17020739|Hc Sp3 Polysomnography W/cpap|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95811||WS HB DEFAULT|7,777.00
WS SERVICE AREA|93010262|HC ABLATION AFIB|CARDIOLOGY - CARDIAC CATH LAB [0481]|93656||WS HB DEFAULT|31,598.00
WS SERVICE AREA|97010195|Hc Therapeutic Activities Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97530||WS HB DEFAULT|191.00
WS SERVICE AREA|20023930|Hc I&d Upper Arm/elbow Abscess Deep|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23930||WS HB DEFAULT|10,352.00
WS SERVICE AREA|20023931|Hc Drainage Of Arm/elbow Bursa|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|23931||WS HB DEFAULT|6,677.00
WS SERVICE AREA|70300059|Hc Mri Breast Cad|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|C8937||WS HB DEFAULT|137.00
WS SERVICE AREA|60064417|HC INJ(S) ANES AGT(S)/STEROID AXILLARY NERVE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64417||WS HB DEFAULT|5,052.00
WS SERVICE AREA|20010286|Hc Strapping Of Toe|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29550||WS HB DEFAULT|281.00
WS SERVICE AREA|90292928|Hc Robotic Asst Stent Bms Rc/rca Artery Or Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92928|RC|WS HB DEFAULT|12,192.00
WS SERVICE AREA|271110052|Hc Dressing Sm Picc Cvc Chg+ Scr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|42.50
WS SERVICE AREA|60064418|HC INJ(S) ANES AGT(S)/STEROID SUPRASCAPULAR NERVE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64418||WS HB DEFAULT|4,017.00
WS SERVICE AREA|93010350|HC INSERTION SUBQ ICD GEN & LEAD|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33270||WS HB DEFAULT|61,359.00
WS SERVICE AREA|93010351|HC INSERTION SUBQ ICD ELECTRODE ONLY|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33271||WS HB DEFAULT|10,265.00
WS SERVICE AREA|60064420|HC INJ(S) ANES AGT(S)/STEROID INTERCOSTAL NRV SGL LVL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64420||WS HB DEFAULT|3,455.00
WS SERVICE AREA|60064421|HC INJ(S) ANES AGT(S)/STEROID INTERCOSTAL NRV EA ADDL LVL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64421||WS HB DEFAULT|5,415.00
WS SERVICE AREA|93010355|HC REMOVE SUBQ ICD ELECTRODE ONLY|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33272||WS HB DEFAULT|4,588.00
WS SERVICE AREA|60064445|HC INJ(S) ANES AGT(S)/STEROID SCIATIC NERVE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64445||WS HB DEFAULT|4,390.00
WS SERVICE AREA|93010356|HC REPOSITION SUBQ ICD ELECTRODE OR GENERATOR|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33273||WS HB DEFAULT|4,588.00
WS SERVICE AREA|93010357|HC EVAL OF SUBQ ICD GENERATOR AND LEAD|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93644||WS HB DEFAULT|6,801.00
WS SERVICE AREA|60064446|HC INJ(S) ANES AGT(S)/STEROID SCIATIC NERVE CONT INF CATH|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64446||WS HB DEFAULT|5,287.00
WS SERVICE AREA|20010287|Hc Unna Boot|SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761]|29580||WS HB DEFAULT|940.00
WS SERVICE AREA|93010358|Hc Interrogation Subq Icd System|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93261||WS HB DEFAULT|94.00
WS SERVICE AREA|93020359|Hc Programming Subq Icd System|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93260||WS HB DEFAULT|94.00
WS SERVICE AREA|60064447|HC INJ(S) ANES AGT(S)/STEROID FEMORAL NERVE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64447||WS HB DEFAULT|4,388.00
WS SERVICE AREA|34010044|Hc Pet Rb-82 Rubidium Per Dose|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9555||WS HB DEFAULT|1,106.70
WS SERVICE AREA|70300060|HC MR ANGIO ABDDOMEN W/O CONTRAST|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|C8901||WS HB DEFAULT|2,933.00
WS SERVICE AREA|60064448|HC INJ(S) ANES AGT(S)/STEROID FEMORAL NERVE CONT INF CATH|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64448||WS HB DEFAULT|6,192.00
WS SERVICE AREA|70300061|Hc Mr Angio Abdomen W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|C8902||WS HB DEFAULT|4,179.00
WS SERVICE AREA|70300062|Hc Mri Breast Unilateral W/contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|C8903||WS HB DEFAULT|3,475.00
WS SERVICE AREA|60064455|Hc Inj/nerve Block Plantar Digit|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64455||WS HB DEFAULT|1,555.00
WS SERVICE AREA|70300063|Hc Mri Breast Unilateral W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|77046||WS HB DEFAULT|3,336.00
WS SERVICE AREA|20010288|Hc Apply Multlay Compression Lower Leg|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29581||WS HB DEFAULT|705.00
WS SERVICE AREA|70300064|Hc Mri Breast Unilateral W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|C8905||WS HB DEFAULT|3,683.00
WS SERVICE AREA|70300065|Hc Mri Breast Bilateral With Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|C8906||WS HB DEFAULT|4,805.00
WS SERVICE AREA|70300066|Hc Mri Breast Bilateral W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|77047||WS HB DEFAULT|4,628.00
WS SERVICE AREA|70300067|Hc Mri Breast Bilateral W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|C8908||WS HB DEFAULT|4,969.00
WS SERVICE AREA|70300068|Hc Mr Angio Chest W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|C8910||WS HB DEFAULT|2,835.00
WS SERVICE AREA|70300069|Hc Mr Angio Chest W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|C8911||WS HB DEFAULT|4,575.00
WS SERVICE AREA|70300070|Hc Mr Angio Lower Extremity W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - LOWER EXTREMITIES [0616]|C8913||WS HB DEFAULT|2,450.00
WS SERVICE AREA|70300071|Hc Mr Angio Lower  Extremity W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - MRA - LOWER EXTREMITIES [0616]|C8914||WS HB DEFAULT|2,656.00
WS SERVICE AREA|70300072|Hc Mr Angio Pelvis W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|C8919||WS HB DEFAULT|2,984.00
WS SERVICE AREA|70300073|Hc Mr Angio Pelvis W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|C8920||WS HB DEFAULT|3,574.00
WS SERVICE AREA|20010289|Hc Cast Removal Or Revision Of Boot/body/gauntlet|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29700||WS HB DEFAULT|840.00
WS SERVICE AREA|70300075|Hc Mr Angio Upper Extremity W/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|C8935||WS HB DEFAULT|1,834.00
WS SERVICE AREA|94020053|Hc Pulmonary Stress Testing (6mwt)|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94618||WS HB DEFAULT|419.00
WS SERVICE AREA|70600018|Hc Screening Mammography Bi 2-view Breast Inc Cad|OTHER IMAGING SERVICES - SCREENING MAMMOGRAPHY [0403]|77067||WS HB DEFAULT|851.00
WS SERVICE AREA|70677061|Hc Breast Tomosynthesis Diagnostic Digital Uni|OTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401]|77061||WS HB DEFAULT|109.00
WS SERVICE AREA|25019585|Hc Inj Gadobutrol Per 0.1ml|PHARMACY - DRUGS INCIDENT TO RADIOLOGY [0255]|A9585||WS HB DEFAULT|6.60
WS SERVICE AREA|70600020|HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI|OTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401]|77066||WS HB DEFAULT|948.00
WS SERVICE AREA|20020939|Hc Bone Marrow Asp Bone Grfg Spine Surg Only + Add On|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20939||WS HB DEFAULT|3,286.00
WS SERVICE AREA|70600025|Hc Mammo Diagnostic Digital Uni W/cad|OTHER IMAGING SERVICES - DIAGNOSTIC MAMMOGRAPHY [0401]|77065||WS HB DEFAULT|695.00
WS SERVICE AREA|30032994|Hc Ablation Thy 1+ Pulm Tumors Perc Cryo Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32994||WS HB DEFAULT|4,879.00
WS SERVICE AREA|30038224|Hc Bone Marrow Diagnostic Bx & Asp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|38222||WS HB DEFAULT|5,222.00
WS SERVICE AREA|20010290|Hc Cast Removal Or Revision Of Full Arm/leg|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29705||WS HB DEFAULT|840.00
WS SERVICE AREA|30036465|Hc Inj Noncmpnd Sclerosant Single Incmptnt Vein W Us|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36465||WS HB DEFAULT|1,784.00
WS SERVICE AREA|30036466|Hc Inj Noncmpnd Sclerosant Mult Incmptnt Vein Same Leg W Us|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36466||WS HB DEFAULT|2,056.00
WS SERVICE AREA|70171045|Hc Xr Chest 1vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|71045||WS HB DEFAULT|617.00
WS SERVICE AREA|70171046|Hc Xr Chest 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|71046||WS HB DEFAULT|718.00
WS SERVICE AREA|90010149|HC TRAUMA 2 PARTIAL TEAM W HOSP CRITICAL CARE|TRAUMA RESPONSE - LEVEL II TRAUMA [0682]|G0390||WS HB DEFAULT|8,432.00
WS SERVICE AREA|90010303|HC TRAUMA 2 SMALL TEAM W HOSP CRITICAL CARE|TRAUMA RESPONSE - LEVEL II TRAUMA [0682]|G0390||WS HB DEFAULT|6,487.00
WS SERVICE AREA|70171047|Hc Xr Chest 3vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|71047||WS HB DEFAULT|773.00
WS SERVICE AREA|17020736|Hc Sp3 Home Sleep Test/port Type 3|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|G0399||WS HB DEFAULT|1,263.00
WS SERVICE AREA|70174048|Hc Xr Chest 4+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|71048||WS HB DEFAULT|942.00
WS SERVICE AREA|70174018|Hc Xr Abdomen 1vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74018||WS HB DEFAULT|535.00
WS SERVICE AREA|20010292|Hc Cast Wedge|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|29740||WS HB DEFAULT|940.00
WS SERVICE AREA|70174019|Hc Xr Abdomen 2vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74019||WS HB DEFAULT|571.00
WS SERVICE AREA|90010186|Hc Anticoagulation Test|LABORATORY - GENERAL CLASSIFICATION [0300]|85347||WS HB DEFAULT|68.00
WS SERVICE AREA|70174021|Hc Xr Abdomen 3+vw|RADIOLOGY - DIAGNOSTIC - GENERAL CLASSIFICATION [0320]|74021||WS HB DEFAULT|619.00
WS SERVICE AREA|90010188|Hc Electrolyte Panel|LABORATORY - GENERAL CLASSIFICATION [0300]|80051||WS HB DEFAULT|343.00
WS SERVICE AREA|90010191|Hc Glucose Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|82947||WS HB DEFAULT|144.00
WS SERVICE AREA|90010193|Hc Potassium Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|84132||WS HB DEFAULT|129.00
WS SERVICE AREA|97010302|Hc Orth/prostc Mgmt Sbsq Enc Each 15 Min Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97763||WS HB DEFAULT|167.00
WS SERVICE AREA|90010197|Hc Hematocrit|LABORATORY - GENERAL CLASSIFICATION [0300]|85014||WS HB DEFAULT|63.00
WS SERVICE AREA|97010303|Hc Orth/prostc Mgmt Sbsq Enc Each 15 Min Ot|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97763||WS HB DEFAULT|167.00
WS SERVICE AREA|90010198|Hc Hemoglobin|LABORATORY - GENERAL CLASSIFICATION [0300]|85018||WS HB DEFAULT|64.00
WS SERVICE AREA|20010293|Hc Strapping Unna Boot - Pt|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29580||WS HB DEFAULT|940.00
WS SERVICE AREA|90010199|Hc *fibrinogen Activity|LABORATORY - GENERAL CLASSIFICATION [0300]|85384||WS HB DEFAULT|214.00
WS SERVICE AREA|90010358|HC EXERCISE TST BRNCSPSM PRE&POST SPMTRY&PLS OX W/ECG|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94617||WS HB DEFAULT|633.00
WS SERVICE AREA|90010357|Hc Pulmonary Stress Testing (6mwt)|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94618||WS HB DEFAULT|633.00
WS SERVICE AREA|80010169|Hc Calcium Ionized|LABORATORY - GENERAL CLASSIFICATION [0300]|82330||WS HB DEFAULT|357.00
WS SERVICE AREA|80085081|Hc Oncology (breast), Mrna Gene Expression Profiling By Hybrid Capture Of 58 Genes|LABORATORY - GENERAL CLASSIFICATION [0300]|81520||WS HB DEFAULT|7,203.00
WS SERVICE AREA|80085082|Hc Onc(breast), Mrna, Microarray Gene Expression Prof Of 70 Content Genes And 465 Hk Genes|LABORATORY - GENERAL CLASSIFICATION [0300]|81521||WS HB DEFAULT|8,207.00
WS SERVICE AREA|80010312|Hc Blood Gases Any Combination Ph Pco2 Po2 Co2 Hco3|LABORATORY - GENERAL CLASSIFICATION [0300]|82803||WS HB DEFAULT|454.00
WS SERVICE AREA|80085083|Hc Onc (prostate), Mrna Gene Expression Prof By Real-time Rt-pcr Of 46 Genes (31 Cont & 15 Hk)|LABORATORY - GENERAL CLASSIFICATION [0300]|81541||WS HB DEFAULT|7,667.00
WS SERVICE AREA|80010315|Hc Blood Gases W/o2 Saturation|LABORATORY - GENERAL CLASSIFICATION [0300]|82805||WS HB DEFAULT|475.00
WS SERVICE AREA|80085084|Hc Onc (prostate), Promoter Methyla Profile By Real-time Pcr Of 3 Genes (gstp1, Apc, Rassf1)|LABORATORY - GENERAL CLASSIFICATION [0300]|81551||WS HB DEFAULT|7,667.00
WS SERVICE AREA|25010010|Hc Locm 100-199 Mg/ml Iodine Per Ml|PHARMACY - DRUGS INCIDENT TO RADIOLOGY [0255]|Q9965||WS HB DEFAULT|4.40
WS SERVICE AREA|77055874|Hc Transperineal Placement Of Biodegradeable Material|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|55874||WS HB DEFAULT|17,606.00
WS SERVICE AREA|80010371|Hc Rt Methemoglobin|LABORATORY - GENERAL CLASSIFICATION [0300]|83050||WS HB DEFAULT|169.00
WS SERVICE AREA|80010413|Hc Rt-lactate,arterial|LABORATORY - GENERAL CLASSIFICATION [0300]|83605||WS HB DEFAULT|256.00
WS SERVICE AREA|80010518|Hc Potassium Serum Plasma/whole Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|84132||WS HB DEFAULT|129.00
WS SERVICE AREA|80010566|Hc Sodium Serum Plasma Or Whole Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|84295||WS HB DEFAULT|116.00
WS SERVICE AREA|80010666|Hc Blood Count Hematocrit|LABORATORY - GENERAL CLASSIFICATION [0300]|85014||WS HB DEFAULT|63.00
WS SERVICE AREA|80010676|Hc Rt Or Hemoglob|LABORATORY - GENERAL CLASSIFICATION [0300]|85018||WS HB DEFAULT|64.00
WS SERVICE AREA|80010110|Hc Urine Albumin Quantitative|LABORATORY - GENERAL CLASSIFICATION [0300]|82043||WS HB DEFAULT|239.00
WS SERVICE AREA|80010160|Hc 25 Hydroxy Includes Fractions If Performed|LABORATORY - GENERAL CLASSIFICATION [0300]|82306||WS HB DEFAULT|597.00
WS SERVICE AREA|80010183|Hc Carboxyhemoglobin|LABORATORY - GENERAL CLASSIFICATION [0300]|82375||WS HB DEFAULT|346.00
WS SERVICE AREA|25010011|Hc Hocm <= 149 Mg/ml Iodine 1ml|PHARMACY - DRUGS INCIDENT TO RADIOLOGY [0255]|Q9958||WS HB DEFAULT|2.20
WS SERVICE AREA|80011712|Hc Fetal Fibronectin|LABORATORY - GENERAL CLASSIFICATION [0300]|82731||WS HB DEFAULT|931.00
WS SERVICE AREA|80010290|Hc Assay Of Gammaglobulin Iga Igd Igg Igm Each|LABORATORY - GENERAL CLASSIFICATION [0300]|82784||WS HB DEFAULT|302.00
WS SERVICE AREA|80080431|Hc Fsh Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|83001||WS HB DEFAULT|376.00
WS SERVICE AREA|80010359|Hc Haptoglobin Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|83010||WS HB DEFAULT|403.00
WS SERVICE AREA|80010369|Hc Methemoglobin|LABORATORY - GENERAL CLASSIFICATION [0300]|83050||WS HB DEFAULT|169.00
WS SERVICE AREA|80010407|Hc Insulin|LABORATORY - GENERAL CLASSIFICATION [0300]|83525||WS HB DEFAULT|279.00
WS SERVICE AREA|80010414|Hc Assay Of Lactic Acid|LABORATORY - GENERAL CLASSIFICATION [0300]|83605||WS HB DEFAULT|256.00
WS SERVICE AREA|80010479|HC ASSAY OF OSMOLALITY BLOOD|LABORATORY - GENERAL CLASSIFICATION [0300]|83930||WS HB DEFAULT|196.00
WS SERVICE AREA|80010482|HC ASSAY OF OSMOLALITY URINE|LABORATORY - GENERAL CLASSIFICATION [0300]|83935||WS HB DEFAULT|216.00
WS SERVICE AREA|80011732|Hc Ph Body Fluid Not Elsewhere Specified|LABORATORY - GENERAL CLASSIFICATION [0300]|83986||WS HB DEFAULT|177.00
WS SERVICE AREA|25010028|Hc Hocm 250-299 Mg/ml Iodine Per Ml|PHARMACY - DRUGS INCIDENT TO RADIOLOGY [0255]|Q9961||WS HB DEFAULT|1.05
WS SERVICE AREA|80010512|Hc Phosphorus,urine|LABORATORY - GENERAL CLASSIFICATION [0300]|84105||WS HB DEFAULT|131.00
WS SERVICE AREA|80010534|Hc Prolactin Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|84146||WS HB DEFAULT|409.00
WS SERVICE AREA|80010552|Hc Protein Electrop Fxj&quan Oth Flus Concentrati|LABORATORY - GENERAL CLASSIFICATION [0300]|84166||WS HB DEFAULT|191.00
WS SERVICE AREA|80010581|Hc Assay Of Total Testosterone|LABORATORY - GENERAL CLASSIFICATION [0300]|84403||WS HB DEFAULT|420.00
WS SERVICE AREA|80010609|Hc T3,total|LABORATORY - GENERAL CLASSIFICATION [0300]|84480||WS HB DEFAULT|278.00
WS SERVICE AREA|80010723|Hc Heparin Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|85520||WS HB DEFAULT|405.00
WS SERVICE AREA|80011754|Hc Crp High Sensitivity (cardio)|LABORATORY - GENERAL CLASSIFICATION [0300]|86141||WS HB DEFAULT|181.00
WS SERVICE AREA|80010973|Hc Rubeola Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86765||WS HB DEFAULT|255.00
WS SERVICE AREA|80010979|Hc Antibody Treponema Pallidum|LABORATORY - GENERAL CLASSIFICATION [0300]|86780||WS HB DEFAULT|117.00
WS SERVICE AREA|80010981|Hc Varicella-zoster Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86787||WS HB DEFAULT|254.00
WS SERVICE AREA|25010034|Hc Inj Multihance Gadobente Dimeglumine 1ml|PHARMACY - DRUGS INCIDENT TO RADIOLOGY [0255]|A9577||WS HB DEFAULT|6.60
WS SERVICE AREA|90392928|Hc Robotic Asst Stent Bms Lm Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|92928|LM|WS HB DEFAULT|12,192.00
WS SERVICE AREA|80010990|Hc Hepatitis C Ab Test|LABORATORY - GENERAL CLASSIFICATION [0300]|86803||WS HB DEFAULT|276.00
WS SERVICE AREA|80011055|Hc Concentration In House|LABORATORY - GENERAL CLASSIFICATION [0300]|87015||WS HB DEFAULT|196.00
WS SERVICE AREA|80011064|Hc Culture Bacterial Stool Aerobic Addl Pathogens & Id Each|LABORATORY - GENERAL CLASSIFICATION [0300]|87046||WS HB DEFAULT|228.00
WS SERVICE AREA|80011104|Hc Culture Bacterial Except Urine Blood/stool Aerobic Isolates|LABORATORY - GENERAL CLASSIFICATION [0300]|87070||WS HB DEFAULT|390.00
WS SERVICE AREA|80011117|Hc Culture,bronchial Brushing|LABORATORY - GENERAL CLASSIFICATION [0300]|87071||WS HB DEFAULT|390.00
WS SERVICE AREA|80011121|Hc Culture,anaerobe|LABORATORY - GENERAL CLASSIFICATION [0300]|87075||WS HB DEFAULT|390.00
WS SERVICE AREA|80011123|Hc Anaerobic Isolate|LABORATORY - GENERAL CLASSIFICATION [0300]|87076||WS HB DEFAULT|255.00
WS SERVICE AREA|80011139|Hc Aero Isolate 1st Definitive Id|LABORATORY - GENERAL CLASSIFICATION [0300]|87077||WS HB DEFAULT|236.00
WS SERVICE AREA|80011168|Hc Culture Presumptive Pathogen Organism Screening W/colony Estimated|LABORATORY - GENERAL CLASSIFICATION [0300]|87081||WS HB DEFAULT|390.00
WS SERVICE AREA|80011180|Hc Culture,urine,cath|LABORATORY - GENERAL CLASSIFICATION [0300]|87086||WS HB DEFAULT|495.00
WS SERVICE AREA|25010035|Hc Inj Gadolinium Mr Nos 1ml|PHARMACY - DRUGS INCIDENT TO RADIOLOGY [0255]|A9579||WS HB DEFAULT|6.60
WS SERVICE AREA|80011182|Hc Culture Bacterial Quanttative Colony Count Urine|LABORATORY - GENERAL CLASSIFICATION [0300]|87086||WS HB DEFAULT|495.00
WS SERVICE AREA|80011184|Hc Isolate #1,presumptive Id,urine|LABORATORY - GENERAL CLASSIFICATION [0300]|87088||WS HB DEFAULT|176.00
WS SERVICE AREA|80011204|Hc Culture,fungus,blood|LABORATORY - GENERAL CLASSIFICATION [0300]|87103||WS HB DEFAULT|658.00
WS SERVICE AREA|80011207|Hc Yeast Identification, #1|LABORATORY - GENERAL CLASSIFICATION [0300]|87106||WS HB DEFAULT|246.00
WS SERVICE AREA|80011223|Hc Mold Identification, #1|LABORATORY - GENERAL CLASSIFICATION [0300]|87107||WS HB DEFAULT|246.00
WS SERVICE AREA|80011237|Hc Culture,afb|LABORATORY - GENERAL CLASSIFICATION [0300]|87116||WS HB DEFAULT|356.00
WS SERVICE AREA|80011240|Hc Tb Identification, #1|LABORATORY - GENERAL CLASSIFICATION [0300]|87118||WS HB DEFAULT|215.00
WS SERVICE AREA|80085072|Hc Amphetamines 3 Or 4|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|251.00
WS SERVICE AREA|80085071|Hc Drug Screening Barbiturates|LABORATORY - GENERAL CLASSIFICATION [0300]|80345||WS HB DEFAULT|168.00
WS SERVICE AREA|80011253|Hc Culture Typing Immunologic Other Than Immunofluorescence|LABORATORY - GENERAL CLASSIFICATION [0300]|87147||WS HB DEFAULT|109.00
WS SERVICE AREA|25010037|Hc Inj Gadoxetate Disodium/eovis Per Ml|PHARMACY - DRUGS INCIDENT TO RADIOLOGY [0255]|A9581||WS HB DEFAULT|42.70
WS SERVICE AREA|80011268|Hc Pinworm Prep|LABORATORY - GENERAL CLASSIFICATION [0300]|87172||WS HB DEFAULT|165.00
WS SERVICE AREA|80011269|Hc Tissue Grinding|LABORATORY - GENERAL CLASSIFICATION [0300]|87176||WS HB DEFAULT|199.00
WS SERVICE AREA|80011272|Hc O And P,body Fluid|LABORATORY - GENERAL CLASSIFICATION [0300]|87177||WS HB DEFAULT|373.00
WS SERVICE AREA|80011274|Hc Susceptibility Study Antimicrobial Enzyme Detection|LABORATORY - GENERAL CLASSIFICATION [0300]|87185||WS HB DEFAULT|125.00
WS SERVICE AREA|80011290|Hc Sensitivity|LABORATORY - GENERAL CLASSIFICATION [0300]|87186||WS HB DEFAULT|230.00
WS SERVICE AREA|80011296|Hc Smear Primary Source Fluorescent And/or Acid Fast Stain Bacteria Fungi Parasites|LABORATORY - GENERAL CLASSIFICATION [0300]|87206||WS HB DEFAULT|294.00
WS SERVICE AREA|80011300|Hc Malaria Smear|LABORATORY - GENERAL CLASSIFICATION [0300]|87207||WS HB DEFAULT|250.00
WS SERVICE AREA|80011335|Hc Iaad Ia Hepatitis B Surface Antigen|LABORATORY - GENERAL CLASSIFICATION [0300]|87340||WS HB DEFAULT|184.00
WS SERVICE AREA|80011346|Hc Rotavirus Antigen,feces|LABORATORY - GENERAL CLASSIFICATION [0300]|87425||WS HB DEFAULT|339.00
WS SERVICE AREA|80011357|Hc Chlamydia Trachomatis, Amplified Probe Technique (cc:m)|LABORATORY - GENERAL CLASSIFICATION [0300]|87491||WS HB DEFAULT|336.00
WS SERVICE AREA|25010044|Hc Inj Dobutamine Hci Per 250mg|PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636]|J1250||WS HB DEFAULT|55.70
WS SERVICE AREA|80011380|Hc Neisseria Gonorrhoeae, Amplified Probe Technique (cc:m)|LABORATORY - GENERAL CLASSIFICATION [0300]|87591||WS HB DEFAULT|336.00
WS SERVICE AREA|80011423|Hc Tissue Culture|LABORATORY - GENERAL CLASSIFICATION [0300]|88237||WS HB DEFAULT|660.00
WS SERVICE AREA|80011464|Hc Cell Count Miscellaneous Body Fluids|LABORATORY - GENERAL CLASSIFICATION [0300]|89050||WS HB DEFAULT|229.00
WS SERVICE AREA|80010001|Hc Venipuncture|LABORATORY - GENERAL CLASSIFICATION [0300]|36415||WS HB DEFAULT|49.00
WS SERVICE AREA|80010003|Hc Basic Metabolic Panel Calcium Ionized|LABORATORY - GENERAL CLASSIFICATION [0300]|80047||WS HB DEFAULT|418.00
WS SERVICE AREA|80010007|Hc Basic Metabolic Panel Calcium Total|LABORATORY - GENERAL CLASSIFICATION [0300]|80048||WS HB DEFAULT|356.00
WS SERVICE AREA|80011666|Hc Lipid Panel|LABORATORY - GENERAL CLASSIFICATION [0300]|80061||WS HB DEFAULT|408.00
WS SERVICE AREA|96000021|Hc Immunization Admin Sarscov2 5x10 1st Dose|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|0021A||WS HB DEFAULT|40.00
WS SERVICE AREA|96000022|Hc Immunization Admin Sarscov2 5x10 2nd Dose|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|0022A||WS HB DEFAULT|40.00
WS SERVICE AREA|80010100|Hc Molecular Pathology Procedure Level 2|LABORATORY - GENERAL CLASSIFICATION [0300]|81401||WS HB DEFAULT|1,047.00
WS SERVICE AREA|25010045|Hc Inj Regadenoson 0.1mg|PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636]|J2785||WS HB DEFAULT|242.45
WS SERVICE AREA|80010101|Hc Unlisted,molecular Pathology(p)|LABORATORY - GENERAL CLASSIFICATION [0300]|81479||WS HB DEFAULT|493.00
WS SERVICE AREA|96000031|Hc Immunization Admn Sarscov2 Ad26 5x10 10 Power vp/0.5 Ml 1 Dose|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|0031A||WS HB DEFAULT|40.00
WS SERVICE AREA|80010103|Hc Beta-hydroxybutyrate|LABORATORY - GENERAL CLASSIFICATION [0300]|82010||WS HB DEFAULT|306.00
WS SERVICE AREA|70372159|Hc Mr Angio Spine W+w/o Contrast|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|C8933||WS HB DEFAULT|3,574.00
WS SERVICE AREA|80010104|Hc Acylcarnitine,plasma|LABORATORY - GENERAL CLASSIFICATION [0300]|82017||WS HB DEFAULT|346.00
WS SERVICE AREA|80010105|Hc Acth Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82024||WS HB DEFAULT|664.00
WS SERVICE AREA|80010107|Hc Albumin Serum Plasma/whole Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|82040||WS HB DEFAULT|92.00
WS SERVICE AREA|80010108|Hc Other Source Albumin Quantitative Each Specimen|LABORATORY - GENERAL CLASSIFICATION [0300]|82042||WS HB DEFAULT|157.00
WS SERVICE AREA|80010113|Hc Aldolase|LABORATORY - GENERAL CLASSIFICATION [0300]|82085||WS HB DEFAULT|190.00
WS SERVICE AREA|80010116|Hc Assay Of Aldosterone|LABORATORY - GENERAL CLASSIFICATION [0300]|82088||WS HB DEFAULT|461.00
WS SERVICE AREA|25010047|Hc Inj Octafluoropropane Microspheres Per Ml|PHARMACY - DRUGS INCIDENT TO OTHER DIAGNOSTIC SERVICES [0254]|Q9956||WS HB DEFAULT|323.40
WS SERVICE AREA|80010117|Hc Alpha-1-antitrypsin Quant|LABORATORY - GENERAL CLASSIFICATION [0300]|82103||WS HB DEFAULT|337.00
WS SERVICE AREA|80010118|Hc Alpha-1-antitrypsin,pheno|LABORATORY - GENERAL CLASSIFICATION [0300]|82104||WS HB DEFAULT|452.00
WS SERVICE AREA|80010120|Hc Alpha-fetoprotein Serum|LABORATORY - GENERAL CLASSIFICATION [0300]|82105||WS HB DEFAULT|342.00
WS SERVICE AREA|80010122|Hc Aluminum Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82108||WS HB DEFAULT|391.00
WS SERVICE AREA|80010123|Hc Amino Acids 1 Quantitative Each Specimen|LABORATORY - GENERAL CLASSIFICATION [0300]|82131||WS HB DEFAULT|788.00
WS SERVICE AREA|80010135|Hc Androstenendione Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82157||WS HB DEFAULT|410.00
WS SERVICE AREA|80010136|Hc Angiotensin I-converting Enzyme|LABORATORY - GENERAL CLASSIFICATION [0300]|82164||WS HB DEFAULT|326.00
WS SERVICE AREA|80010138|Hc Assay Of Arsenic|LABORATORY - GENERAL CLASSIFICATION [0300]|82175||WS HB DEFAULT|325.00
WS SERVICE AREA|80010140|Hc Beta-2 Microglobulin|LABORATORY - GENERAL CLASSIFICATION [0300]|82232||WS HB DEFAULT|356.00
WS SERVICE AREA|80010142|Hc Bile Acids|LABORATORY - GENERAL CLASSIFICATION [0300]|82239||WS HB DEFAULT|605.00
WS SERVICE AREA|25010048|Hc Inj Perfluten Lipid Microspheres Per Ml|PHARMACY - DRUGS INCIDENT TO OTHER DIAGNOSTIC SERVICES [0254]|Q9957||WS HB DEFAULT|484.10
WS SERVICE AREA|272139394|Hc Brush Always On Tip Tracked Triple|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,366.20
WS SERVICE AREA|80010145|Hc Bilirubin Total|LABORATORY - GENERAL CLASSIFICATION [0300]|82247||WS HB DEFAULT|121.00
WS SERVICE AREA|272139393|Hc Scope Bronch Spinvision|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,107.30
WS SERVICE AREA|80010147|Hc Bilirubin Direct|LABORATORY - GENERAL CLASSIFICATION [0300]|82248||WS HB DEFAULT|95.00
WS SERVICE AREA|80010151|Hc Occult Blood,other|LABORATORY - GENERAL CLASSIFICATION [0300]|82271||WS HB DEFAULT|90.00
WS SERVICE AREA|80010156|Hc Blood Occult Peroxidase Actv Qual Feces 1-3 Spec|LABORATORY - GENERAL CLASSIFICATION [0300]|82272||WS HB DEFAULT|83.00
WS SERVICE AREA|80010158|Hc Fecal Globin|LABORATORY - GENERAL CLASSIFICATION [0300]|82274||WS HB DEFAULT|214.00
WS SERVICE AREA|80010161|Hc Calcitonin Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82308||WS HB DEFAULT|611.00
WS SERVICE AREA|80010162|Hc Calcium Total|LABORATORY - GENERAL CLASSIFICATION [0300]|82310||WS HB DEFAULT|106.00
WS SERVICE AREA|50054500|HC BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54500||WS HB DEFAULT|7,924.00
WS SERVICE AREA|25010049|Hc Locm 200-299 Mg/ml Iodine Per Ml|PHARMACY - DRUGS INCIDENT TO RADIOLOGY [0255]|Q9966||WS HB DEFAULT|3.30
WS SERVICE AREA|80011697|Hc Carcinoembryonic Antigen Cea|LABORATORY - GENERAL CLASSIFICATION [0300]|82378||WS HB DEFAULT|526.00
WS SERVICE AREA|80010189|Hc Carnitine Quantitative Each Specimen|LABORATORY - GENERAL CLASSIFICATION [0300]|82379||WS HB DEFAULT|702.00
WS SERVICE AREA|80010190|Hc Carotene|LABORATORY - GENERAL CLASSIFICATION [0300]|82380||WS HB DEFAULT|239.00
WS SERVICE AREA|80010191|Hc Catecholamines Fractionated|LABORATORY - GENERAL CLASSIFICATION [0300]|82384||WS HB DEFAULT|597.00
WS SERVICE AREA|80010193|Hc Ceruloplasmin|LABORATORY - GENERAL CLASSIFICATION [0300]|82390||WS HB DEFAULT|169.00
WS SERVICE AREA|80010194|Hc Chemiluminescent Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82397||WS HB DEFAULT|294.00
WS SERVICE AREA|80010197|Hc Chloride Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|82435||WS HB DEFAULT|106.00
WS SERVICE AREA|80010201|Hc Chloride Urine|LABORATORY - GENERAL CLASSIFICATION [0300]|82436||WS HB DEFAULT|113.00
WS SERVICE AREA|80010207|Hc Cholesterol Serum/whole Blood Total|LABORATORY - GENERAL CLASSIFICATION [0300]|82465||WS HB DEFAULT|131.00
WS SERVICE AREA|80010209|Hc Cholinesterase,plasma|LABORATORY - GENERAL CLASSIFICATION [0300]|82480||WS HB DEFAULT|190.00
WS SERVICE AREA|25010050|Hc Locm 300-399 Mg/ml Iodine Per Ml|PHARMACY - DRUGS INCIDENT TO RADIOLOGY [0255]|Q9967||WS HB DEFAULT|3.30
WS SERVICE AREA|80010219|Hc Collagen Cross Links Any Method|LABORATORY - GENERAL CLASSIFICATION [0300]|82523||WS HB DEFAULT|536.00
WS SERVICE AREA|80010221|Hc Assay Of Copper|LABORATORY - GENERAL CLASSIFICATION [0300]|82525||WS HB DEFAULT|333.00
WS SERVICE AREA|80010224|Hc Cortisol Free|LABORATORY - GENERAL CLASSIFICATION [0300]|82530||WS HB DEFAULT|301.00
WS SERVICE AREA|80011705|Hc Total Cortisol|LABORATORY - GENERAL CLASSIFICATION [0300]|82533||WS HB DEFAULT|477.00
WS SERVICE AREA|80010237|Hc Creatine Kinase Total|LABORATORY - GENERAL CLASSIFICATION [0300]|82550||WS HB DEFAULT|203.00
WS SERVICE AREA|80081288|Hc Mlh1 Gene Analysis Promoter Methylation Analysis|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81288||WS HB DEFAULT|1,260.00
WS SERVICE AREA|80020241|Hc Infectious Disease Rna 4 Targets Upper Respiratory Specimen|LABORATORY - GENERAL CLASSIFICATION [0300]|0241U||WS HB DEFAULT|358.00
WS SERVICE AREA|10000408|Hc Insertion/replacement Cardiac Modulation System Pulse Gen Transvenous Electrodes|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0408T||WS HB DEFAULT|55,019.00
WS SERVICE AREA|10000409|Hc Insertion/replacement Cardiac Modulation System Pulse Generator Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0409T||WS HB DEFAULT|55,019.00
WS SERVICE AREA|10000410|Hc Insertion/replacement Cardiac Modulation System Atrial Electrode Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0410T||WS HB DEFAULT|19,468.00
WS SERVICE AREA|30034701|Hc Inpt Evasc Rpr Dplmnt Aorto-aortic Ndgft|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|5,293.00
WS SERVICE AREA|80010274|Hc Fecal Fat,total,quant(q)|LABORATORY - GENERAL CLASSIFICATION [0300]|82710||WS HB DEFAULT|604.00
WS SERVICE AREA|80010275|Hc Ferritin Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82728||WS HB DEFAULT|364.00
WS SERVICE AREA|10000411|Hc Insertion/replacement Cardiac Modulation System Ventricular Electrode Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0411T||WS HB DEFAULT|19,468.00
WS SERVICE AREA|80010277|Hc Folate Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82746||WS HB DEFAULT|448.00
WS SERVICE AREA|80010279|Hc Assay Of Folic Acid Rbc|LABORATORY - GENERAL CLASSIFICATION [0300]|82747||WS HB DEFAULT|218.00
WS SERVICE AREA|80010280|Hc Assay Of Galactose|LABORATORY - GENERAL CLASSIFICATION [0300]|82760||WS HB DEFAULT|990.00
WS SERVICE AREA|10000412|Hc Removal Cardiac Modulation System Pulse Generator Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0412T||WS HB DEFAULT|11,502.00
WS SERVICE AREA|10000413|Hc Removal Cardiac Modulation System Transvenous Electrode|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0413T||WS HB DEFAULT|11,502.00
WS SERVICE AREA|10000414|Hc Removal & Replacement Cardiac Modulation System Pulse Generator Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0414T||WS HB DEFAULT|55,019.00
WS SERVICE AREA|80010293|Hc Ige|LABORATORY - GENERAL CLASSIFICATION [0300]|82785||WS HB DEFAULT|289.00
WS SERVICE AREA|25010057|Hc Inhaler - Advair|PHARMACY - GENERAL CLASSIFICATION [0250]|||WS HB DEFAULT|560.00
WS SERVICE AREA|90492928|Hc Robotic Asst Stent Bms Ramus Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|92928|RI|WS HB DEFAULT|12,192.00
WS SERVICE AREA|10000415|Hc Repositioning Cardiac Modulation Transvenous Electrode|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0415T||WS HB DEFAULT|1,811.00
WS SERVICE AREA|80010294|Hc Igg Subclasses (q)|LABORATORY - GENERAL CLASSIFICATION [0300]|82787||WS HB DEFAULT|711.00
WS SERVICE AREA|80010296|Hc Gases Blood Ph Only|LABORATORY - GENERAL CLASSIFICATION [0300]|82800||WS HB DEFAULT|226.00
WS SERVICE AREA|80010298|Hc Gases Blood Ph Only|LABORATORY - GENERAL CLASSIFICATION [0300]|82800||WS HB DEFAULT|226.00
WS SERVICE AREA|10000416|Hc Relocation Skin Pocket Cardiac Modulation Pulse Generator|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0416T||WS HB DEFAULT|5,735.00
WS SERVICE AREA|10000417|Hc Programming Device Evaluation Cardiac Modulation System|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0417T||WS HB DEFAULT|124.00
WS SERVICE AREA|10000418|Hc Interrogation Device Evaluation Cardiac Modulation System|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0418T||WS HB DEFAULT|124.00
WS SERVICE AREA|80010308|Hc Blood Gases Any Combination Ph Pco2 Po2 Co2 Hco3|LABORATORY - GENERAL CLASSIFICATION [0300]|82803||WS HB DEFAULT|454.00
WS SERVICE AREA|80088275|Hc Molecular Cytogenetics Interphase Ish Analyze 100-300 Cll|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88275||WS HB DEFAULT|631.00
WS SERVICE AREA|80010316|Hc Gases Blood Ph Direct Meas Xcpt Pulse Oximitry|LABORATORY - GENERAL CLASSIFICATION [0300]|82805||WS HB DEFAULT|475.00
WS SERVICE AREA|25010058|Hc Inhaler-proventil|PHARMACY - GENERAL CLASSIFICATION [0250]|||WS HB DEFAULT|92.00
WS SERVICE AREA|80010321|Hc Oxyhemoglobin %,card Cath|LABORATORY - GENERAL CLASSIFICATION [0300]|82810||WS HB DEFAULT|187.00
WS SERVICE AREA|80010328|Hc Assay Of Gastrin|LABORATORY - GENERAL CLASSIFICATION [0300]|82941||WS HB DEFAULT|164.00
WS SERVICE AREA|80010331|Hc Glucose Body Fluid Other Than Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|82945||WS HB DEFAULT|240.00
WS SERVICE AREA|80010334|Hc Glucose Quantitative Blood Xcpt Reagent Strip|LABORATORY - GENERAL CLASSIFICATION [0300]|82947||WS HB DEFAULT|144.00
WS SERVICE AREA|80081342|Hc Trg@ Gene Rearrangement Analysis|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81342||WS HB DEFAULT|1,352.00
WS SERVICE AREA|270103141|Hc Monofilament Sens Test|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|9.00
WS SERVICE AREA|80010341|Hc Glucose Post Glucose Dose|LABORATORY - GENERAL CLASSIFICATION [0300]|82950||WS HB DEFAULT|133.00
WS SERVICE AREA|80010342|Hc Glucose Tolerance Test Gtt 3 Specimens|LABORATORY - GENERAL CLASSIFICATION [0300]|82951||WS HB DEFAULT|325.00
WS SERVICE AREA|80010347|Hc Glucose Tolerance Ea Addl Beyond 3 Specimens|LABORATORY - GENERAL CLASSIFICATION [0300]|82952||WS HB DEFAULT|83.00
WS SERVICE AREA|80010352|Hc G6pd Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82955||WS HB DEFAULT|341.00
WS SERVICE AREA|90010404|HC TRAUMA 1 PARTIAL TEAM W HOSP CRITICAL CARE|TRAUMA RESPONSE - LEVEL I TRAUMA [0681]|G0390||WS HB DEFAULT|26,970.00
WS SERVICE AREA|80010353|Hc Ggt|LABORATORY - GENERAL CLASSIFICATION [0300]|82977||WS HB DEFAULT|131.00
WS SERVICE AREA|80010354|Hc Fructosamine|LABORATORY - GENERAL CLASSIFICATION [0300]|82985||WS HB DEFAULT|324.00
WS SERVICE AREA|80011718|Hc Lh Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|83002||WS HB DEFAULT|434.00
WS SERVICE AREA|80010357|Hc Growth Hormone (hgh)|LABORATORY - GENERAL CLASSIFICATION [0300]|83003||WS HB DEFAULT|334.00
WS SERVICE AREA|80010360|Hc Urea Breath Test,infrared(ubit)|LABORATORY - GENERAL CLASSIFICATION [0300]|83013||WS HB DEFAULT|525.00
WS SERVICE AREA|80010361|Hc Heavy Metal Qualitative Any Analytes|LABORATORY - GENERAL CLASSIFICATION [0300]|83015||WS HB DEFAULT|569.00
WS SERVICE AREA|80010363|Hc Hemoglobin A2,quant|LABORATORY - GENERAL CLASSIFICATION [0300]|83020||WS HB DEFAULT|336.00
WS SERVICE AREA|80010364|Hc Hemoglobin Chromotography|LABORATORY - GENERAL CLASSIFICATION [0300]|83021||WS HB DEFAULT|207.00
WS SERVICE AREA|80011720|Hc Hba1c With Eag|LABORATORY - GENERAL CLASSIFICATION [0300]|83036||WS HB DEFAULT|210.00
WS SERVICE AREA|80010372|Hc Hemoglobin,plasma|LABORATORY - GENERAL CLASSIFICATION [0300]|83051||WS HB DEFAULT|132.00
WS SERVICE AREA|25010061|Hc Inhaler-flovent 44|PHARMACY - GENERAL CLASSIFICATION [0250]|||WS HB DEFAULT|232.00
WS SERVICE AREA|80010374|Hc Hemoglobin Sulfhemoglobin Quantitative|LABORATORY - GENERAL CLASSIFICATION [0300]|83060||WS HB DEFAULT|606.00
WS SERVICE AREA|80010375|Hc Assay Of Homocysteine|LABORATORY - GENERAL CLASSIFICATION [0300]|83090||WS HB DEFAULT|659.00
WS SERVICE AREA|80010378|Hc Hydroxysteroids-17(q)|LABORATORY - GENERAL CLASSIFICATION [0300]|83491||WS HB DEFAULT|420.00
WS SERVICE AREA|80010379|Hc Hiaa-5|LABORATORY - GENERAL CLASSIFICATION [0300]|83497||WS HB DEFAULT|248.00
WS SERVICE AREA|80010380|Hc Assay Of Hydroxyprogesterone 17-d|LABORATORY - GENERAL CLASSIFICATION [0300]|83498||WS HB DEFAULT|557.00
WS SERVICE AREA|80010384|Hc Immunoassay Analyte Qual/semiqual Multiple Step|LABORATORY - GENERAL CLASSIFICATION [0300]|83516||WS HB DEFAULT|301.00
WS SERVICE AREA|80010391|Hc Immunoassay Analyte Quant Radioimmunoassay|LABORATORY - GENERAL CLASSIFICATION [0300]|83519||WS HB DEFAULT|597.00
WS SERVICE AREA|80010394|Hc Immunoassay Analyte Quantitative Nos|LABORATORY - GENERAL CLASSIFICATION [0300]|83520||WS HB DEFAULT|327.00
WS SERVICE AREA|80010408|Hc Assay Of Iron|LABORATORY - GENERAL CLASSIFICATION [0300]|83540||WS HB DEFAULT|224.00
WS SERVICE AREA|27050176|Hc Kit Cuff Bp W Meter, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|46.00
WS SERVICE AREA|25010062|Hc Inhaler-flovent 110|PHARMACY - GENERAL CLASSIFICATION [0250]|||WS HB DEFAULT|229.00
WS SERVICE AREA|80010410|Hc Tibc|LABORATORY - GENERAL CLASSIFICATION [0300]|83550||WS HB DEFAULT|246.00
WS SERVICE AREA|80010411|Hc Ketogenic Steroids 17|LABORATORY - GENERAL CLASSIFICATION [0300]|83582||WS HB DEFAULT|139.00
WS SERVICE AREA|96010245|Hc Iv Infusion Bamlanivimab And Etesevimab|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|M0245||WS HB DEFAULT|1,352.00
WS SERVICE AREA|80010412|Hc Ketosteroids-17|LABORATORY - GENERAL CLASSIFICATION [0300]|83586||WS HB DEFAULT|200.00
WS SERVICE AREA|80010417|Hc Zz  Ldh (l) - Use Eap 80010418|LABORATORY - GENERAL CLASSIFICATION [0300]|83615||WS HB DEFAULT|163.00
WS SERVICE AREA|80010418|Hc Lactate Dehydrogenase Ldh|LABORATORY - GENERAL CLASSIFICATION [0300]|83615||WS HB DEFAULT|163.00
WS SERVICE AREA|80010421|Hc Ldh Isoenzymes|LABORATORY - GENERAL CLASSIFICATION [0300]|83625||WS HB DEFAULT|285.00
WS SERVICE AREA|80010423|Hc Assay Of Lead|LABORATORY - GENERAL CLASSIFICATION [0300]|83655||WS HB DEFAULT|196.00
WS SERVICE AREA|80010424|Hc L/s Ratio|LABORATORY - GENERAL CLASSIFICATION [0300]|83661||WS HB DEFAULT|817.00
WS SERVICE AREA|80010425|Hc Assay Of Lipase|LABORATORY - GENERAL CLASSIFICATION [0300]|83690||WS HB DEFAULT|245.00
WS SERVICE AREA|70000505|Hc Ev Fempop Artl Revsc Tcat Plmt Iv St Grf & Clsr|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0505T||WS HB DEFAULT|29,926.00
WS SERVICE AREA|80010427|Hc Lipoprotein (a)|LABORATORY - GENERAL CLASSIFICATION [0300]|83695||WS HB DEFAULT|218.00
WS SERVICE AREA|80010428|Hc Lipoprotein Blood High Resoltj&quantj Subclass|LABORATORY - GENERAL CLASSIFICATION [0300]|83701||WS HB DEFAULT|245.00
WS SERVICE AREA|80010430|Hc Hdl Cholesterol|LABORATORY - GENERAL CLASSIFICATION [0300]|83718||WS HB DEFAULT|155.00
WS SERVICE AREA|80010431|Hc Direct Ldl|LABORATORY - GENERAL CLASSIFICATION [0300]|83721||WS HB DEFAULT|166.00
WS SERVICE AREA|80010433|Hc Assay Of Magnesium|LABORATORY - GENERAL CLASSIFICATION [0300]|83735||WS HB DEFAULT|144.00
WS SERVICE AREA|80010437|Hc Mass Spect&tandem Mass Spect Nondrg Anal Nes Ea|LABORATORY - GENERAL CLASSIFICATION [0300]|83789||WS HB DEFAULT|460.00
WS SERVICE AREA|80010440|Hc Assay Of Mercury Quantitative|LABORATORY - GENERAL CLASSIFICATION [0300]|83825||WS HB DEFAULT|311.00
WS SERVICE AREA|80010443|Hc Metanephrines|LABORATORY - GENERAL CLASSIFICATION [0300]|83835||WS HB DEFAULT|384.00
WS SERVICE AREA|80010445|Hc Myelin Basic Protein|LABORATORY - GENERAL CLASSIFICATION [0300]|83873||WS HB DEFAULT|364.00
WS SERVICE AREA|60067935|Hc Suture Wound Eyelid/margin/tarsus/conjunctiva Full Thick|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|67935||WS HB DEFAULT|7,698.00
WS SERVICE AREA|70075600|Hc Thoracic Aortogram Wo Serial Ography|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75600||WS HB DEFAULT|3,195.00
WS SERVICE AREA|80010446|Hc Myoglobin|LABORATORY - GENERAL CLASSIFICATION [0300]|83874||WS HB DEFAULT|357.00
WS SERVICE AREA|60068700|Hc Plastic Repair Canaliculi|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|68700||WS HB DEFAULT|7,698.00
WS SERVICE AREA|80010449|Hc Natriuretic Peptide|LABORATORY - GENERAL CLASSIFICATION [0300]|83880||WS HB DEFAULT|356.00
WS SERVICE AREA|274133821|Hc Hvad Cable Modular Replacement|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|21,363.00
WS SERVICE AREA|80010451|Hc Assay Of Nephelometry Each Analyte Nes|LABORATORY - GENERAL CLASSIFICATION [0300]|83883||WS HB DEFAULT|335.00
WS SERVICE AREA|274033821|Hc Hvad Cable Modular Replace Under Warranty|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508|RA|WS HB DEFAULT|21,363.00
WS SERVICE AREA|270139973|Hc Tubing Irr Sonicone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|120.00
WS SERVICE AREA|272139974|Hc Sheath Handpiece Sonicone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.00
WS SERVICE AREA|80010469|Hc Nucleotidase,5|LABORATORY - GENERAL CLASSIFICATION [0300]|83915||WS HB DEFAULT|219.00
WS SERVICE AREA|80010470|Hc Oligoclonal Bands Hi Res,csf|LABORATORY - GENERAL CLASSIFICATION [0300]|83916||WS HB DEFAULT|381.00
WS SERVICE AREA|30010001|Hc Drain Abscess/hematoma Nasal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|30000||WS HB DEFAULT|2,842.00
WS SERVICE AREA|80010473|HC ORGANIC ACID 1 QUANTITATIVE|LABORATORY - GENERAL CLASSIFICATION [0300]|83921||WS HB DEFAULT|876.00
WS SERVICE AREA|70878016|Hc Nm Thyroid Metastatic Scan W Additional Study|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78016||WS HB DEFAULT|1,483.00
WS SERVICE AREA|70878099|Hc Nm Unlisted Endocrine Procedure Dx|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78099||WS HB DEFAULT|847.00
WS SERVICE AREA|70879110|Hc Nm Plasma Volume Single|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78110||WS HB DEFAULT|4,585.00
WS SERVICE AREA|70878111|Hc Nm Plasma Volume Multiple|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78111||WS HB DEFAULT|4,585.00
WS SERVICE AREA|70878120|Hc Nm Red Cell Mass Single|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78120||WS HB DEFAULT|1,332.00
WS SERVICE AREA|80010484|Hc Oxalate|LABORATORY - GENERAL CLASSIFICATION [0300]|83945||WS HB DEFAULT|248.00
WS SERVICE AREA|70878130|Hc Nm Red Cell Survival Study|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78130||WS HB DEFAULT|1,332.00
WS SERVICE AREA|70878185|Hc Nm Spleen Scan Only W/wo Vascular Flow|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78185||WS HB DEFAULT|1,344.00
WS SERVICE AREA|70878191|Hc Nm Platelet Survival Study|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78191||WS HB DEFAULT|1,332.00
WS SERVICE AREA|30010002|Hc Foreign Body Removal Nasal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|30300||WS HB DEFAULT|564.00
WS SERVICE AREA|70878231|Hc Nm Salivary Gland Serial Images|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78231||WS HB DEFAULT|1,429.00
WS SERVICE AREA|70878258|Hc Nm Esophagus Motility|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78258||WS HB DEFAULT|1,265.00
WS SERVICE AREA|70878267|Hc Nm Breath Test Acquire Analyze C-14|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78267||WS HB DEFAULT|628.00
WS SERVICE AREA|80010496|Hc Assay Of Parathormone|LABORATORY - GENERAL CLASSIFICATION [0300]|83970||WS HB DEFAULT|614.00
WS SERVICE AREA|70878428|Hc Nm Cardiac Shunt Imaging Detection|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78428||WS HB DEFAULT|1,700.00
WS SERVICE AREA|80010502|Hc Phenylalanine|LABORATORY - GENERAL CLASSIFICATION [0300]|84030||WS HB DEFAULT|300.00
WS SERVICE AREA|70878457|Hc Nm Venous Thrombosis Venogram Unilateral|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78457||WS HB DEFAULT|1,119.00
WS SERVICE AREA|80010503|Hc Acid Phosphatase,prostatic|LABORATORY - GENERAL CLASSIFICATION [0300]|84066||WS HB DEFAULT|219.00
WS SERVICE AREA|80010504|HC ASSAY OF PHOSPHATASE ALKALINE|LABORATORY - GENERAL CLASSIFICATION [0300]|84075||WS HB DEFAULT|113.00
WS SERVICE AREA|70878468|Hc Nm Myocardial Infarction Avid Plnr W Ejec Fraction|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78468||WS HB DEFAULT|1,746.00
WS SERVICE AREA|30010003|Hc Cautery Simple Inner Nose|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|30801||WS HB DEFAULT|9,620.00
WS SERVICE AREA|80010506|Hc Alk Phos Isoenzyme Pattern|LABORATORY - GENERAL CLASSIFICATION [0300]|84080||WS HB DEFAULT|161.00
WS SERVICE AREA|70878599|Hc Nm Unlisted Respiratory Procedure Dx|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78599||WS HB DEFAULT|1,332.00
WS SERVICE AREA|80010508|HC PHOSPHATIDYLGLYCEROL|LABORATORY - GENERAL CLASSIFICATION [0300]|84081||WS HB DEFAULT|529.00
WS SERVICE AREA|70878605|Hc Nm Brain Imaging 4+vws Static|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78605||WS HB DEFAULT|2,591.00
WS SERVICE AREA|80010509|Hc Assay Of Phosphorus Inorganic|LABORATORY - GENERAL CLASSIFICATION [0300]|84100||WS HB DEFAULT|95.00
WS SERVICE AREA|70878635|Hc Nm Csf Ventriculogram Wo Material|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78635||WS HB DEFAULT|1,746.00
WS SERVICE AREA|80010513|Hc Porphobilinogen,quant|LABORATORY - GENERAL CLASSIFICATION [0300]|84110||WS HB DEFAULT|180.00
WS SERVICE AREA|70878660|Hc Nm Dacryocystogram|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78660||WS HB DEFAULT|1,149.00
WS SERVICE AREA|80010514|Hc Pamg1 Protein Marker|LABORATORY - GENERAL CLASSIFICATION [0300]|84112||WS HB DEFAULT|428.00
WS SERVICE AREA|70979200|Hc Nm Rp Therapy Intracavitary Admin|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|79200||WS HB DEFAULT|909.00
WS SERVICE AREA|60064632|Hc Dstry Neurolytic Planter Common Dig Nerve|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64632||WS HB DEFAULT|1,011.00
WS SERVICE AREA|90092929|Hc Robotic Asst Stent Bms Ld/lad Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92929|LD|WS HB DEFAULT|6,101.00
WS SERVICE AREA|80010516|Hc Porphyrins Urine Quantitation & Fractionation|LABORATORY - GENERAL CLASSIFICATION [0300]|84120||WS HB DEFAULT|356.00
WS SERVICE AREA|70879300|Hc Nm Rp Therapy Interstitial Radiocolloid|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|79300||WS HB DEFAULT|909.00
WS SERVICE AREA|70879445|Hc Nm Rp Therapy Intra-arterial Particulate Admn|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|79445||WS HB DEFAULT|1,574.00
WS SERVICE AREA|80010522|Hc Potassium Serum Plasma/whole Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|84132||WS HB DEFAULT|129.00
WS SERVICE AREA|70879999|Hc Nm Rp Therapy Unlisted Procedure|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|79999||WS HB DEFAULT|1,095.00
WS SERVICE AREA|80010528|Hc Potassium Urine|LABORATORY - GENERAL CLASSIFICATION [0300]|84133||WS HB DEFAULT|130.00
WS SERVICE AREA|80010530|Hc Prealbumin|LABORATORY - GENERAL CLASSIFICATION [0300]|84134||WS HB DEFAULT|245.00
WS SERVICE AREA|80010531|Hc Pregnenolone,lc/ms/ms|LABORATORY - GENERAL CLASSIFICATION [0300]|84140||WS HB DEFAULT|285.00
WS SERVICE AREA|80010532|HC ASSAY OF PROGESTERONE|LABORATORY - GENERAL CLASSIFICATION [0300]|84144||WS HB DEFAULT|386.00
WS SERVICE AREA|20020240|HC BIOPSY BONE OPEN SUPERFICIAL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20240||WS HB DEFAULT|7,923.00
WS SERVICE AREA|30010005|Hc Control Nasal Hemorrhage Anterior Simple|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|30901||WS HB DEFAULT|1,710.00
WS SERVICE AREA|80010536|Hc Assay Of Prostate Specific Antigen Total|LABORATORY - GENERAL CLASSIFICATION [0300]|84153||WS HB DEFAULT|354.00
WS SERVICE AREA|80010537|Hc Psa,free|LABORATORY - GENERAL CLASSIFICATION [0300]|84154||WS HB DEFAULT|335.00
WS SERVICE AREA|80011740|Hc Protein Except Refractometry Serum Plasma/whole Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|84155||WS HB DEFAULT|120.00
WS SERVICE AREA|36052312|HC PACU CLASS I 1ST 60 min|RECOVERY ROOM - GENERAL CLASSIFICATION [0710]|||WS HB DEFAULT|1,541.00
WS SERVICE AREA|36052313|Hc Pacu Class I Ea Add 15 Mins|RECOVERY ROOM - GENERAL CLASSIFICATION [0710]|||WS HB DEFAULT|385.00
WS SERVICE AREA|80010546|Hc Protein Total Xcpt Refractometry Urine|LABORATORY - GENERAL CLASSIFICATION [0300]|84156||WS HB DEFAULT|129.00
WS SERVICE AREA|80010549|Hc Protein Total Xcpt Refractometry Oth Src|LABORATORY - GENERAL CLASSIFICATION [0300]|84157||WS HB DEFAULT|161.00
WS SERVICE AREA|80010550|Hc Protein Electrophoresis|LABORATORY - GENERAL CLASSIFICATION [0300]|84165||WS HB DEFAULT|219.00
WS SERVICE AREA|80010553|Hc Vitamin B6 Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|84207||WS HB DEFAULT|876.00
WS SERVICE AREA|80010554|Hc Pyruvic Acid Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|84210||WS HB DEFAULT|214.00
WS SERVICE AREA|30010006|Hc Nose Pack Anterior Complex|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|30903||WS HB DEFAULT|1,710.00
WS SERVICE AREA|80010555|Hc Pyruvate Kinase Screen|LABORATORY - GENERAL CLASSIFICATION [0300]|84220||WS HB DEFAULT|346.00
WS SERVICE AREA|80010556|Hc Tbii Receptor Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|84235||WS HB DEFAULT|540.00
WS SERVICE AREA|80010558|Hc Renin Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|84244||WS HB DEFAULT|420.00
WS SERVICE AREA|80010559|Hc Vitamin B2,plasma|LABORATORY - GENERAL CLASSIFICATION [0300]|84252||WS HB DEFAULT|357.00
WS SERVICE AREA|80010560|Hc Selenium,bld|LABORATORY - GENERAL CLASSIFICATION [0300]|84255||WS HB DEFAULT|294.00
WS SERVICE AREA|80010561|Hc Assay Of Serotonin|LABORATORY - GENERAL CLASSIFICATION [0300]|84260||WS HB DEFAULT|607.00
WS SERVICE AREA|80010563|Hc Assay Of Sex Hormone Binding Globulin|LABORATORY - GENERAL CLASSIFICATION [0300]|84270||WS HB DEFAULT|216.00
WS SERVICE AREA|80010567|Hc Assay Of Urine Sodium|LABORATORY - GENERAL CLASSIFICATION [0300]|84300||WS HB DEFAULT|128.00
WS SERVICE AREA|80010571|Hc Assay Of Sodium Other Source|LABORATORY - GENERAL CLASSIFICATION [0300]|84302||WS HB DEFAULT|90.00
WS SERVICE AREA|80010572|Hc Somatodedin C|LABORATORY - GENERAL CLASSIFICATION [0300]|84305||WS HB DEFAULT|446.00
WS SERVICE AREA|30010007|Hc Nose Pack Posterior 1st|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|30905||WS HB DEFAULT|1,912.00
WS SERVICE AREA|93010169|Hc Pad Rehab Per Session|OTHER THERAPEUTIC SERVICES - CARDIAC REHABILITATION [0943]|93668||WS HB DEFAULT|274.00
WS SERVICE AREA|80010577|Hc Specific Gravity,fluid|LABORATORY - GENERAL CLASSIFICATION [0300]|84315||WS HB DEFAULT|57.00
WS SERVICE AREA|80010578|Hc Reducing Substance,feces|LABORATORY - GENERAL CLASSIFICATION [0300]|84376||WS HB DEFAULT|85.00
WS SERVICE AREA|80010580|Hc Testosterone,free|LABORATORY - GENERAL CLASSIFICATION [0300]|84402||WS HB DEFAULT|479.00
WS SERVICE AREA|80010583|Hc Vitamin B1 (thiamine) Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|84425||WS HB DEFAULT|615.00
WS SERVICE AREA|80010584|Hc Thiocyanate Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|84430||WS HB DEFAULT|240.00
WS SERVICE AREA|80010585|Hc Thyroglobulin|LABORATORY - GENERAL CLASSIFICATION [0300]|84432||WS HB DEFAULT|348.00
WS SERVICE AREA|80010588|Hc Assay Of Thyroxine Total|LABORATORY - GENERAL CLASSIFICATION [0300]|84436||WS HB DEFAULT|166.00
WS SERVICE AREA|80010590|Hc Assay Of Free Thyroxine|LABORATORY - GENERAL CLASSIFICATION [0300]|84439||WS HB DEFAULT|236.00
WS SERVICE AREA|80010591|Hc Assay Of Thyroxine Binding Globulin|LABORATORY - GENERAL CLASSIFICATION [0300]|84442||WS HB DEFAULT|245.00
WS SERVICE AREA|30010008|Hc Control Nasal Hemorrhage Subsequent|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|30906||WS HB DEFAULT|1,710.00
WS SERVICE AREA|80010595|Hc Assay Of Thyroid Stimulating Hormone Tsh|LABORATORY - GENERAL CLASSIFICATION [0300]|84443||WS HB DEFAULT|293.00
WS SERVICE AREA|80010598|Hc Thyroid Stim Immunoglob|LABORATORY - GENERAL CLASSIFICATION [0300]|84445||WS HB DEFAULT|902.00
WS SERVICE AREA|80010599|Hc Vitamin E(q)|LABORATORY - GENERAL CLASSIFICATION [0300]|84446||WS HB DEFAULT|278.00
WS SERVICE AREA|80010600|Hc Ast (sgot)|LABORATORY - GENERAL CLASSIFICATION [0300]|84450||WS HB DEFAULT|106.00
WS SERVICE AREA|80010601|Hc Alt (sgpt)|LABORATORY - GENERAL CLASSIFICATION [0300]|84460||WS HB DEFAULT|106.00
WS SERVICE AREA|80010602|Hc Transferrin Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|84466||WS HB DEFAULT|273.00
WS SERVICE AREA|80010605|Hc  Assay Of Triglycerides|LABORATORY - GENERAL CLASSIFICATION [0300]|84478||WS HB DEFAULT|131.00
WS SERVICE AREA|80010612|Hc Assay Of Triiodothyronine T3 Free|LABORATORY - GENERAL CLASSIFICATION [0300]|84481||WS HB DEFAULT|410.00
WS SERVICE AREA|80010613|Hc T3,reverse|LABORATORY - GENERAL CLASSIFICATION [0300]|84482||WS HB DEFAULT|208.00
WS SERVICE AREA|80010618|Hc Assay Of Troponin Quantitative|LABORATORY - GENERAL CLASSIFICATION [0300]|84484||WS HB DEFAULT|326.00
WS SERVICE AREA|30010009|Hc Intubation|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31500||WS HB DEFAULT|946.00
WS SERVICE AREA|80010619|Hc Tyrosine|LABORATORY - GENERAL CLASSIFICATION [0300]|84510||WS HB DEFAULT|538.00
WS SERVICE AREA|80010620|Hc Assay Of Urea Nitrogen Quantitative|LABORATORY - GENERAL CLASSIFICATION [0300]|84520||WS HB DEFAULT|100.00
WS SERVICE AREA|80010626|Hc Urea Nitrogen,random Urine|LABORATORY - GENERAL CLASSIFICATION [0300]|84540||WS HB DEFAULT|139.00
WS SERVICE AREA|80010630|Hc Urea Clearance,urine|LABORATORY - GENERAL CLASSIFICATION [0300]|84545||WS HB DEFAULT|281.00
WS SERVICE AREA|80010631|Hc Uric Acid Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|84550||WS HB DEFAULT|128.00
WS SERVICE AREA|80010636|Hc Assay Of Uric Acid Other Source|LABORATORY - GENERAL CLASSIFICATION [0300]|84560||WS HB DEFAULT|161.00
WS SERVICE AREA|80010641|Hc Vma,24hr Urine|LABORATORY - GENERAL CLASSIFICATION [0300]|84585||WS HB DEFAULT|248.00
WS SERVICE AREA|80010643|Hc Vasoactive Intestinal Polypep|LABORATORY - GENERAL CLASSIFICATION [0300]|84586||WS HB DEFAULT|695.00
WS SERVICE AREA|272129164|Hc Transducer  Spectramed/goul|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|95.30
WS SERVICE AREA|80010644|Hc Antidiuretic Hormone|LABORATORY - GENERAL CLASSIFICATION [0300]|84588||WS HB DEFAULT|638.00
WS SERVICE AREA|30010010|Hc Trach Tube Change|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31502||WS HB DEFAULT|955.00
WS SERVICE AREA|80010645|Hc Vitamin A (retinol) Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|84590||WS HB DEFAULT|326.00
WS SERVICE AREA|271131159|Hc Sensor Region Ox Sensmart 8204ca|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|375.50
WS SERVICE AREA|80010646|Hc Vitamin,not Specified(q)|LABORATORY - GENERAL CLASSIFICATION [0300]|84591||WS HB DEFAULT|272.00
WS SERVICE AREA|80010647|Hc Volatiles(q)|LABORATORY - GENERAL CLASSIFICATION [0300]|84600||WS HB DEFAULT|312.00
WS SERVICE AREA|80010648|Hc Zinc Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|84630||WS HB DEFAULT|306.00
WS SERVICE AREA|80010649|Hc C-peptide|LABORATORY - GENERAL CLASSIFICATION [0300]|84681||WS HB DEFAULT|413.00
WS SERVICE AREA|80010651|Hc Gonadotropin Chorionic Quantitative|LABORATORY - GENERAL CLASSIFICATION [0300]|84702||WS HB DEFAULT|313.00
WS SERVICE AREA|80010658|Hc Gonadotropin Chorionic Qualitative|LABORATORY - GENERAL CLASSIFICATION [0300]|84703||WS HB DEFAULT|297.00
WS SERVICE AREA|271115517|Hc Zz Circuit Ext Tube 108 In Use 272130441|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|19.60
WS SERVICE AREA|80010660|Hc Bleeding Time|LABORATORY - GENERAL CLASSIFICATION [0300]|85002||WS HB DEFAULT|133.00
WS SERVICE AREA|30010011|Hc Laryngoscopy Indirect Diagnostic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31505||WS HB DEFAULT|305.00
WS SERVICE AREA|271115520|Hc Zz Circuit Pediatric- Use 271115511|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|38.30
WS SERVICE AREA|80010662|Hc Bl Smear W/diff Wbc Count|LABORATORY - GENERAL CLASSIFICATION [0300]|85007||WS HB DEFAULT|71.00
WS SERVICE AREA|271114938|Hc Tubing Fluid Warm Ranger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|43.60
WS SERVICE AREA|80010664|Hc Bl Smear W/o Diff Wbc Count|LABORATORY - GENERAL CLASSIFICATION [0300]|85008||WS HB DEFAULT|70.00
WS SERVICE AREA|272111877|Hc Handle Laryng Sgl Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.10
WS SERVICE AREA|80010668|Hc Blood Count Hematocrit|LABORATORY - GENERAL CLASSIFICATION [0300]|85014||WS HB DEFAULT|63.00
WS SERVICE AREA|80010674|HC BLOOD COUNT HEMOGLOBIN|LABORATORY - GENERAL CLASSIFICATION [0300]|85018||WS HB DEFAULT|64.00
WS SERVICE AREA|80010678|Hc Cbc W/o Differential|LABORATORY - GENERAL CLASSIFICATION [0300]|85027||WS HB DEFAULT|154.00
WS SERVICE AREA|80010679|Hc Cbc With Differential|LABORATORY - GENERAL CLASSIFICATION [0300]|85025||WS HB DEFAULT|194.00
WS SERVICE AREA|80010680|Hc Red Cell Sendout|LABORATORY - GENERAL CLASSIFICATION [0300]|85041||WS HB DEFAULT|72.00
WS SERVICE AREA|30010013|Hc Laryngoscopy Direct Foreign Body Removal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31530||WS HB DEFAULT|7,162.00
WS SERVICE AREA|80010682|Hc Retic Count|LABORATORY - GENERAL CLASSIFICATION [0300]|85045||WS HB DEFAULT|114.00
WS SERVICE AREA|272125704|Hc Set Cath 4in Over The Needle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|152.70
WS SERVICE AREA|80010686|Hc Blood Count Leukocyte Wbc Automated|LABORATORY - GENERAL CLASSIFICATION [0300]|85048||WS HB DEFAULT|109.00
WS SERVICE AREA|272125703|Hc Set Cath 6in Over The Needle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|152.70
WS SERVICE AREA|80010687|Hc Blood Count Platelet Automated|LABORATORY - GENERAL CLASSIFICATION [0300]|85049||WS HB DEFAULT|93.00
WS SERVICE AREA|271116625|Hc Tray Proc Us Prep 2 Chlrprp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|167.60
WS SERVICE AREA|80010690|Hc Factor V Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|85220||WS HB DEFAULT|516.00
WS SERVICE AREA|80010691|Hc Factor Vii Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|85230||WS HB DEFAULT|398.00
WS SERVICE AREA|272110599|Hc Applicator Evicel Flx Tip 45cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|109.20
WS SERVICE AREA|80010692|Hc Clotting; Factor Viii (ahg), 1-stage|LABORATORY - GENERAL CLASSIFICATION [0300]|85240||WS HB DEFAULT|516.00
WS SERVICE AREA|30010014|Hc Laryngoscopy Flexible Fiber-di|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31575||WS HB DEFAULT|2,993.00
WS SERVICE AREA|80010693|Hc Von Willebrand Cofactor|LABORATORY - GENERAL CLASSIFICATION [0300]|85245||WS HB DEFAULT|521.00
WS SERVICE AREA|272110598|Hc Applicator Evicel Rgd Tip 35cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|175.10
WS SERVICE AREA|80010694|Hc Von Willebrand Factor Ag|LABORATORY - GENERAL CLASSIFICATION [0300]|85246||WS HB DEFAULT|499.00
WS SERVICE AREA|80010696|Hc Clotting Factor Viii Multimetric Analysis|LABORATORY - GENERAL CLASSIFICATION [0300]|85247||WS HB DEFAULT|467.00
WS SERVICE AREA|80010697|Hc Clotting Factor Ix Ptc/christmas|LABORATORY - GENERAL CLASSIFICATION [0300]|85250||WS HB DEFAULT|516.00
WS SERVICE AREA|271115518|Hc Zz Circuit Anes 3l Bag 60in Lf Hepa Filter Use 271115511|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|33.10
WS SERVICE AREA|80010698|Hc Factor X Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|85260||WS HB DEFAULT|398.00
WS SERVICE AREA|271115511|Hc Circuit Anes, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|52.00
WS SERVICE AREA|80010700|Hc Clotting Factor Xi Pta|LABORATORY - GENERAL CLASSIFICATION [0300]|85270||WS HB DEFAULT|398.00
WS SERVICE AREA|80010701|Hc Factor Xii Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|85280||WS HB DEFAULT|401.00
WS SERVICE AREA|30010015|Hc Laryngoscopy Flex Fiber Foreign Body Removal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31577||WS HB DEFAULT|2,993.00
WS SERVICE AREA|90192929|Hc Robotic  Asst Stent Bms Lc/lcx Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92929|LC|WS HB DEFAULT|6,101.00
WS SERVICE AREA|272122619|Hc Kit Anes Lidocane 4% Topcl Laryng-o-jet 4ml 160mg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|109.30
WS SERVICE AREA|80010702|Hc Antithrombin Iii|LABORATORY - GENERAL CLASSIFICATION [0300]|85300||WS HB DEFAULT|381.00
WS SERVICE AREA|80010703|Hc Antithrombin Iii Antigen|LABORATORY - GENERAL CLASSIFICATION [0300]|85301||WS HB DEFAULT|434.00
WS SERVICE AREA|272113980|Hc Kit Anes Spnl Dbl 25g 3.5in Whtcr Bpvcn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|93.30
WS SERVICE AREA|80010704|Hc Protein C,antigenic|LABORATORY - GENERAL CLASSIFICATION [0300]|85302||WS HB DEFAULT|726.00
WS SERVICE AREA|80010705|Hc Protein C Activity|LABORATORY - GENERAL CLASSIFICATION [0300]|85303||WS HB DEFAULT|461.00
WS SERVICE AREA|271115519|Hc Zz Kit Circuit Anesth Pedi 108in Exp Hos Bac Vrl Fltr Use 271115511|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|26.60
WS SERVICE AREA|80010706|Hc Protein S,antigenic|LABORATORY - GENERAL CLASSIFICATION [0300]|85305||WS HB DEFAULT|637.00
WS SERVICE AREA|80010707|Hc Protein S Activity|LABORATORY - GENERAL CLASSIFICATION [0300]|85306||WS HB DEFAULT|401.00
WS SERVICE AREA|27284966|Hc Kit Sealant Evicel 5ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,303.20
WS SERVICE AREA|30010016|Hc Videostroboscopy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31579||WS HB DEFAULT|2,751.00
WS SERVICE AREA|80010708|Hc Apc Resistance Assay(q)|LABORATORY - GENERAL CLASSIFICATION [0300]|85307||WS HB DEFAULT|322.00
WS SERVICE AREA|80010709|Hc Factor Inhibitor Test|LABORATORY - GENERAL CLASSIFICATION [0300]|85335||WS HB DEFAULT|254.00
WS SERVICE AREA|271115285|Hc Line Smpl Adlt O2 Tub 6.5ft|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|75.80
WS SERVICE AREA|271116479|Hc Mask Face Child Sgl Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.40
WS SERVICE AREA|80010712|Hc Fibrin Monomer|LABORATORY - GENERAL CLASSIFICATION [0300]|85362||WS HB DEFAULT|166.00
WS SERVICE AREA|271116480|Hc Mask Face Neo Sgl Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.20
WS SERVICE AREA|80010715|Hc D Dimer|LABORATORY - GENERAL CLASSIFICATION [0300]|85379||WS HB DEFAULT|261.00
WS SERVICE AREA|271121206|Hc Mask Face Toddler Single Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.40
WS SERVICE AREA|80010718|Hc Fibrin Degradation Split Products Agglutination Slide Semiquan|LABORATORY - GENERAL CLASSIFICATION [0300]|85384||WS HB DEFAULT|214.00
WS SERVICE AREA|80010719|Hc Plasminogen Activator Inhib|LABORATORY - GENERAL CLASSIFICATION [0300]|85415||WS HB DEFAULT|254.00
WS SERVICE AREA|30010017|Hc Tracheostomy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31603||WS HB DEFAULT|4,928.00
WS SERVICE AREA|272118200|Hc Sensor Entropy Wo Sensor Cable Sgl Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|80010720|Hc Fetal Hemoglobin Stain|LABORATORY - GENERAL CLASSIFICATION [0300]|85460||WS HB DEFAULT|228.00
WS SERVICE AREA|80010727|Hc Lysozyme|LABORATORY - GENERAL CLASSIFICATION [0300]|85549||WS HB DEFAULT|266.00
WS SERVICE AREA|80010729|Hc Osmotic Fragility Screen|LABORATORY - GENERAL CLASSIFICATION [0300]|85557||WS HB DEFAULT|529.00
WS SERVICE AREA|80010730|Hc Platelet Aggregation In Vitro Each Agent|LABORATORY - GENERAL CLASSIFICATION [0300]|85576||WS HB DEFAULT|274.00
WS SERVICE AREA|272123682|Hc Tube Flex 3.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|307.80
WS SERVICE AREA|80010735|Hc Phospholipid Neutralization|LABORATORY - GENERAL CLASSIFICATION [0300]|85597||WS HB DEFAULT|166.00
WS SERVICE AREA|80010736|Hc Hexagonal Phase Neutralization|LABORATORY - GENERAL CLASSIFICATION [0300]|85598||WS HB DEFAULT|347.00
WS SERVICE AREA|272123681|Hc Tube Flex 3mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|312.60
WS SERVICE AREA|80010739|Hc Prothrombin Time|LABORATORY - GENERAL CLASSIFICATION [0300]|85610||WS HB DEFAULT|125.00
WS SERVICE AREA|30010018|Hc Cricothyroidotomy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31605||WS HB DEFAULT|2,937.00
WS SERVICE AREA|27214639|Hc Tube Naso 26fr Thnwl Intrr Srr Xtrn Fnsh Arg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.80
WS SERVICE AREA|80010741|Hc 1-1 Mix Pt|LABORATORY - GENERAL CLASSIFICATION [0300]|85611||WS HB DEFAULT|127.00
WS SERVICE AREA|80010742|Hc Russell Viper Venom Time Diluted|LABORATORY - GENERAL CLASSIFICATION [0300]|85613||WS HB DEFAULT|230.00
WS SERVICE AREA|272119238|Hc Catheter Airway Exch 11f 83cm 2.3mm Id Adptr 15mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|257.70
WS SERVICE AREA|80010744|Hc Sed Rate|LABORATORY - GENERAL CLASSIFICATION [0300]|85652||WS HB DEFAULT|99.00
WS SERVICE AREA|272123003|Hc Catheter Cardiac Cont Output Svo2/edv 8f X 110cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,117.60
WS SERVICE AREA|80010748|Hc Sickle Cell Screen|LABORATORY - GENERAL CLASSIFICATION [0300]|85660||WS HB DEFAULT|121.00
WS SERVICE AREA|272118248|Hc Electrode Laryng Endotrach Sm 2 Chan 6-7.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|598.10
WS SERVICE AREA|80010749|Hc Thrombin Time|LABORATORY - GENERAL CLASSIFICATION [0300]|85670||WS HB DEFAULT|140.00
WS SERVICE AREA|272120986|Hc Kit Anes Spinal 25gx3.5in Penc Can W/bupivn W/dextrs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|62.20
WS SERVICE AREA|30010020|Hc Brnchsc Incl Fluor Gdnce Dx W/cell Washg Spx|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31622||WS HB DEFAULT|4,796.00
WS SERVICE AREA|80010751|Hc Thromboplastin Time Partial Plasma/whole Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|85730||WS HB DEFAULT|146.00
WS SERVICE AREA|272114806|Hc Kit Cath Cv 2lum 8f 16cm Chlrprp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|298.00
WS SERVICE AREA|80010753|Hc 1-1 Mix Ptt|LABORATORY - GENERAL CLASSIFICATION [0300]|85732||WS HB DEFAULT|186.00
WS SERVICE AREA|80010754|Hc Viscosity|LABORATORY - GENERAL CLASSIFICATION [0300]|85810||WS HB DEFAULT|268.00
WS SERVICE AREA|272114803|Hc Kit Cath Cv 2lum Anti Surf 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|271.20
WS SERVICE AREA|80010755|Hc Igg,allergen Specific|LABORATORY - GENERAL CLASSIFICATION [0300]|86001||WS HB DEFAULT|73.00
WS SERVICE AREA|80010756|Hc Allergen Spec Ige Crude Allergen Extract Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86003||WS HB DEFAULT|73.00
WS SERVICE AREA|271116852|Hc Kit Dressing Chg Teg Cust Adlt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|44.40
WS SERVICE AREA|272114797|Hc Kit Vsl Cath Poly Ii 20g Bsc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.90
WS SERVICE AREA|80010759|Hc Antibody Identification Leukocyte Antibodies|LABORATORY - GENERAL CLASSIFICATION [0300]|86021||WS HB DEFAULT|301.00
WS SERVICE AREA|30010021|Hc Brnchsc Brushing/protected Brushings|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31623||WS HB DEFAULT|4,796.00
WS SERVICE AREA|272114910|Hc Line Extn Hiflow 36in Strl Fld Pth|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|271115583|Hc Mask Face Adlt Ultraseal Ii Sz5 Ck Valve Bl Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|6.20
WS SERVICE AREA|272121336|Hc Obturator Sheath 8fr 105in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.60
WS SERVICE AREA|272121598|Hc Set Epid/spinal 27x4 11/16in Whtacre 18g Weis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.80
WS SERVICE AREA|272114879|Hc Set Prim Ck Ndls 13ml 60 Drop Vent/nvnt 116in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.60
WS SERVICE AREA|80010771|Hc Antibody Identification Platelet Antibodies|LABORATORY - GENERAL CLASSIFICATION [0300]|86022||WS HB DEFAULT|493.00
WS SERVICE AREA|80010772|Hc Antiplatelet Antibody, Direct|LABORATORY - GENERAL CLASSIFICATION [0300]|86023||WS HB DEFAULT|334.00
WS SERVICE AREA|272114373|Hc Tubing Art Press Mntr M-f Ll 2ft Pvc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.40
WS SERVICE AREA|80010775|Hc Antinuclear Antibodies Ana|LABORATORY - GENERAL CLASSIFICATION [0300]|86038||WS HB DEFAULT|347.00
WS SERVICE AREA|80010778|Hc Ana Abs Titer & Pattern|LABORATORY - GENERAL CLASSIFICATION [0300]|86039||WS HB DEFAULT|201.00
WS SERVICE AREA|30010024|Hc Bronchoscopy W/plmt Fiducial Markers Single/mult|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31626||WS HB DEFAULT|18,240.00
WS SERVICE AREA|80010779|Hc Aso Screen|LABORATORY - GENERAL CLASSIFICATION [0300]|86060||WS HB DEFAULT|174.00
WS SERVICE AREA|80010781|Hc C-reactive Protein|LABORATORY - GENERAL CLASSIFICATION [0300]|86140||WS HB DEFAULT|273.00
WS SERVICE AREA|80010784|Hc C-reactive Protein|LABORATORY - GENERAL CLASSIFICATION [0300]|86146||WS HB DEFAULT|196.00
WS SERVICE AREA|80010785|Hc Beta 2 Glycoprotein I Antibody Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86147||WS HB DEFAULT|388.00
WS SERVICE AREA|80181405|Hc Molecular Pathology Procedure Level 6|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81405||WS HB DEFAULT|3,203.00
WS SERVICE AREA|80010790|Hc Phosphatidyl Iga,igm,igg|LABORATORY - GENERAL CLASSIFICATION [0300]|86148||WS HB DEFAULT|167.00
WS SERVICE AREA|272122414|Hc Tubing Art Press Mntr Pvc M-m Ll 6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.80
WS SERVICE AREA|80010791|Hc Cold Agglutinin|LABORATORY - GENERAL CLASSIFICATION [0300]|86156||WS HB DEFAULT|147.00
WS SERVICE AREA|70377049|Hc Sp3 Breastest Limited Mri|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|77049|52|WS HB DEFAULT|4,969.00
WS SERVICE AREA|270118284|Hc Liner Water Birth|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|161.70
WS SERVICE AREA|30010025|Hc Bronchoscopy W/cptr-asst Image-guided Navigation|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31627||WS HB DEFAULT|423.00
WS SERVICE AREA|80010798|Hc Complement Antigen Each Component|LABORATORY - GENERAL CLASSIFICATION [0300]|86160||WS HB DEFAULT|310.00
WS SERVICE AREA|272114470|Hc Cover Transdcr Lf 4x91cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.80
WS SERVICE AREA|95010053|Hc Motor/sens Nrve Conduct Test|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95905||WS HB DEFAULT|504.00
WS SERVICE AREA|97010313|Hc Zz Ipr Pt Cpm Init Appl Ea 15 Min - Use Eap 97065040|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97039|GP|WS HB DEFAULT|445.00
WS SERVICE AREA|97010316|Hc Ipr Ot Prosth Fit/trn Ea 15|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97761|GO|WS HB DEFAULT|243.00
WS SERVICE AREA|36052322|Hc Intraop Neuro Mon 15 Min|OTHER DIAGNOSTIC SERVICES - ELECTROMYELGRAM [0922]|95940||WS HB DEFAULT|427.00
WS SERVICE AREA|80085074|Hc Antidepressants Class 6/more|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|132.00
WS SERVICE AREA|80085075|Hc Antiepileptics Nos 7/more|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|132.00
WS SERVICE AREA|80085076|Hc Antipsychotics Nos 7/more|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|132.00
WS SERVICE AREA|80085077|Hc Stimulants Synthetic|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|132.00
WS SERVICE AREA|30010026|Hc Bronchoscopy W/transbronchial Lung Bx 1 Lobe|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31628||WS HB DEFAULT|9,847.00
WS SERVICE AREA|80085078|Hc Chloramphenicol|LABORATORY - GENERAL CLASSIFICATION [0300]|82415||WS HB DEFAULT|134.00
WS SERVICE AREA|80085079|Hc Quinine|LABORATORY - GENERAL CLASSIFICATION [0300]|84228||WS HB DEFAULT|134.00
WS SERVICE AREA|80010854|Hc Microsomal Antibodies Each|LABORATORY - GENERAL CLASSIFICATION [0300]|86376||WS HB DEFAULT|351.00
WS SERVICE AREA|97065100|Hc Removal Impacted Cerumen Irrigation/lvg Unilat|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|69209||WS HB DEFAULT|263.00
WS SERVICE AREA|70077373|Hc Sbrt 1st Fx/trmt|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77373||WS HB DEFAULT|30,980.00
WS SERVICE AREA|10010227|Hc Lc Apply Skn Sub Grft Trunk/arm/leg <100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C5271||WS HB DEFAULT|2,346.00
WS SERVICE AREA|10010229|Hc Lc Apply Chld Skn Sub Grft Trunk/arm/leg <100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C5273||WS HB DEFAULT|2,346.00
WS SERVICE AREA|10010222|Hc Lc Apply Chld Skn Sub Grft Trunk/arm/leg Ea Add <100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C5274||WS HB DEFAULT|999.00
WS SERVICE AREA|10010223|Hc Lc Apply Skn Sub Grft Face/nk/h-f/g <100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C5275||WS HB DEFAULT|2,346.00
WS SERVICE AREA|10010224|Hc Lc Apply Skn Sub Grft Face/nk/h-f/g Ea Add <100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C5276||WS HB DEFAULT|1,074.00
WS SERVICE AREA|30010027|Hc Bronchoscopy Needle Bx Trachea Main Stem&/bron|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31629||WS HB DEFAULT|9,847.00
WS SERVICE AREA|10010225|Hc Lc Apply Chld Skn Sub Grft Face/nk/h-f/g <100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C5277||WS HB DEFAULT|2,346.00
WS SERVICE AREA|10010226|Hc Lc Apply Chld Skn Sub Grft Face/nk/h-f/g Ea Add <100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C5278||WS HB DEFAULT|999.00
WS SERVICE AREA|10010228|Hc Lc Apply Skin Sub Grft Trunk/arm/leg Ea Add <100 Sqcm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|C5272||WS HB DEFAULT|999.00
WS SERVICE AREA|80010963|Hc Parvovirus Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86747||WS HB DEFAULT|243.00
WS SERVICE AREA|94010040|Hc Bariatric Consult-new Visit Self Pay|PATIENT CONVENIENCE ITEMS - OTHER PATIENT CONVENIENCE ITEMS [0999]|||WS HB DEFAULT|63.00
WS SERVICE AREA|80010964|Hc E.histolytica Ab,igg|LABORATORY - GENERAL CLASSIFICATION [0300]|86753||WS HB DEFAULT|367.00
WS SERVICE AREA|94010041|Hc Bariatric Consult-follow-up Visit Self Pay|PATIENT CONVENIENCE ITEMS - OTHER PATIENT CONVENIENCE ITEMS [0999]|||WS HB DEFAULT|31.00
WS SERVICE AREA|80010966|Hc Rickettsia Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86757||WS HB DEFAULT|241.00
WS SERVICE AREA|80010970|Hc Rubella Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86762||WS HB DEFAULT|142.00
WS SERVICE AREA|80010976|Hc Toxoplasma Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86777||WS HB DEFAULT|213.00
WS SERVICE AREA|30010028|Hc Brnchsc W/tracheal/bronchial Dilat/clsd Rdctj Fx|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31630||WS HB DEFAULT|9,847.00
WS SERVICE AREA|90292929|Hc Robitic Asst Stent Bms Rc/rca Additional Branch|CARDIOLOGY - CARDIAC CATH LAB [0481]|92929|RC|WS HB DEFAULT|6,101.00
WS SERVICE AREA|80010977|Hc Toxoplasma Ab,igm|LABORATORY - GENERAL CLASSIFICATION [0300]|86778||WS HB DEFAULT|243.00
WS SERVICE AREA|80010984|Hc West Nile Virus,igm|LABORATORY - GENERAL CLASSIFICATION [0300]|86788||WS HB DEFAULT|299.00
WS SERVICE AREA|80010985|Hc West Nile Virus|LABORATORY - GENERAL CLASSIFICATION [0300]|86789||WS HB DEFAULT|299.00
WS SERVICE AREA|80010987|Hc Antibody Virus Not Elsewhere Specififed|LABORATORY - GENERAL CLASSIFICATION [0300]|86790||WS HB DEFAULT|299.00
WS SERVICE AREA|80010988|Hc Yersinia Entero Ab Profile|LABORATORY - GENERAL CLASSIFICATION [0300]|86793||WS HB DEFAULT|400.00
WS SERVICE AREA|80010989|Hc Thyroglobulin Antibody|LABORATORY - GENERAL CLASSIFICATION [0300]|86800||WS HB DEFAULT|153.00
WS SERVICE AREA|80010992|Hc Hla-b27|LABORATORY - GENERAL CLASSIFICATION [0300]|86812||WS HB DEFAULT|225.00
WS SERVICE AREA|80010993|Hc Hla Tissue Type (a,b,c)|LABORATORY - GENERAL CLASSIFICATION [0300]|86813||WS HB DEFAULT|994.00
WS SERVICE AREA|80010994|Hc Dr/dq|LABORATORY - GENERAL CLASSIFICATION [0300]|86817||WS HB DEFAULT|1,404.00
WS SERVICE AREA|80010998|Hc Antibody Screen Rbc Each Serum Technique|LABORATORY - GENERAL CLASSIFICATION [0300]|86850||WS HB DEFAULT|368.00
WS SERVICE AREA|30010029|Hc Bronchoscopy W/placement Tracheal Stent|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31631||WS HB DEFAULT|18,240.00
WS SERVICE AREA|80011001|Hc Antibody Id Rbc Antibodies Ea Panel Ea Serum Tq|LABORATORY - GENERAL CLASSIFICATION [0300]|86870||WS HB DEFAULT|687.00
WS SERVICE AREA|80011019|Hc Abo Group (quest)|LABORATORY - GENERAL CLASSIFICATION [0300]|86900||WS HB DEFAULT|147.00
WS SERVICE AREA|80011047|Hc Sugar Water Test|LABORATORY - GENERAL CLASSIFICATION [0300]|86941||WS HB DEFAULT|578.00
WS SERVICE AREA|80011048|Hc Irradiation Charge|LABORATORY - GENERAL CLASSIFICATION [0300]|86945||WS HB DEFAULT|359.00
WS SERVICE AREA|80011057|Hc Concentration, Any Type (q)|LABORATORY - GENERAL CLASSIFICATION [0300]|87015||WS HB DEFAULT|196.00
WS SERVICE AREA|80011165|Hc Culture Presumptive Pathogen Organism Screening W/colony Estimated|LABORATORY - GENERAL CLASSIFICATION [0300]|87081||WS HB DEFAULT|390.00
WS SERVICE AREA|80011203|Hc Culture,fungus|LABORATORY - GENERAL CLASSIFICATION [0300]|87102||WS HB DEFAULT|663.00
WS SERVICE AREA|80011235|Hc Culture,m Hominis/ureaplasma|LABORATORY - GENERAL CLASSIFICATION [0300]|87109||WS HB DEFAULT|536.00
WS SERVICE AREA|80011236|Hc Culture,chlamydia|LABORATORY - GENERAL CLASSIFICATION [0300]|87110||WS HB DEFAULT|526.00
WS SERVICE AREA|80011239|Hc Culture,afb,blood|LABORATORY - GENERAL CLASSIFICATION [0300]|87116||WS HB DEFAULT|356.00
WS SERVICE AREA|30010030|Hc Bronchoscopy W/removal Foreign Body|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31635||WS HB DEFAULT|4,796.00
WS SERVICE AREA|80011252|Hc Culture,typing,immunofluor|LABORATORY - GENERAL CLASSIFICATION [0300]|87140||WS HB DEFAULT|584.00
WS SERVICE AREA|80011271|Hc O & P,smear,conc,id|LABORATORY - GENERAL CLASSIFICATION [0300]|87177||WS HB DEFAULT|373.00
WS SERVICE AREA|80011291|Hc Minimum Bacteriocidal Conc (mbc)|LABORATORY - GENERAL CLASSIFICATION [0300]|87187||WS HB DEFAULT|421.00
WS SERVICE AREA|80011295|Hc Smear,fluores,afb Or Fungus|LABORATORY - GENERAL CLASSIFICATION [0300]|87206||WS HB DEFAULT|294.00
WS SERVICE AREA|80011302|Hc O & P,special Stain|LABORATORY - GENERAL CLASSIFICATION [0300]|87209||WS HB DEFAULT|228.00
WS SERVICE AREA|80011309|Hc Koh Smear|LABORATORY - GENERAL CLASSIFICATION [0300]|87220||WS HB DEFAULT|198.00
WS SERVICE AREA|80011312|Hc Virus Tissue Culture Inoculation Cytopathic Effect|LABORATORY - GENERAL CLASSIFICATION [0300]|87252||WS HB DEFAULT|647.00
WS SERVICE AREA|80011314|Hc Virus Centrifuge Enhanced Id Im Stain Ea|LABORATORY - GENERAL CLASSIFICATION [0300]|87254||WS HB DEFAULT|250.00
WS SERVICE AREA|80011316|Hc Virus Id Non-immunologic Other/than Cytopathic|LABORATORY - GENERAL CLASSIFICATION [0300]|87255||WS HB DEFAULT|766.00
WS SERVICE AREA|80011317|Hc Pertussis,direct Fa|LABORATORY - GENERAL CLASSIFICATION [0300]|87265||WS HB DEFAULT|540.00
WS SERVICE AREA|30010031|Hc Brnchsc W/dstrj Tum Relief Stenosis Oth/thn Exc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31641||WS HB DEFAULT|9,847.00
WS SERVICE AREA|80011318|Hc Chlamydia Trachomatis Ag,dfa|LABORATORY - GENERAL CLASSIFICATION [0300]|87270||WS HB DEFAULT|196.00
WS SERVICE AREA|80011319|Hc Cryptosporidium W/immunofluor(q)|LABORATORY - GENERAL CLASSIFICATION [0300]|87272||WS HB DEFAULT|249.00
WS SERVICE AREA|80011321|Hc Influenza Virus B,ag|LABORATORY - GENERAL CLASSIFICATION [0300]|87275||WS HB DEFAULT|153.00
WS SERVICE AREA|80011323|Hc Influenza Virus A,ag|LABORATORY - GENERAL CLASSIFICATION [0300]|87276||WS HB DEFAULT|153.00
WS SERVICE AREA|80011324|Hc Legionella,direct Fa|LABORATORY - GENERAL CLASSIFICATION [0300]|87278||WS HB DEFAULT|315.00
WS SERVICE AREA|80011326|Hc Varicella,direct Fa|LABORATORY - GENERAL CLASSIFICATION [0300]|87290||WS HB DEFAULT|670.00
WS SERVICE AREA|80011330|Hc Giardia Antigen(q)|LABORATORY - GENERAL CLASSIFICATION [0300]|87329||WS HB DEFAULT|837.00
WS SERVICE AREA|80011333|Hc Helicobacter Pylori Ag,stool|LABORATORY - GENERAL CLASSIFICATION [0300]|87338||WS HB DEFAULT|1,043.00
WS SERVICE AREA|96010058|Hc Immunization Admin Sarscov2 5 Mcg/0.5 Ml 1st Dose|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|0041A||WS HB DEFAULT|40.00
WS SERVICE AREA|80011337|Hc Hepatitis Be Antigen|LABORATORY - GENERAL CLASSIFICATION [0300]|87350||WS HB DEFAULT|215.00
WS SERVICE AREA|30010032|Hc Bronchoscopy W/ther Aspir Trachbrncl Tree 1st|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31645||WS HB DEFAULT|4,796.00
WS SERVICE AREA|80011339|Hc Histoplasma Antigen,urine|LABORATORY - GENERAL CLASSIFICATION [0300]|87385||WS HB DEFAULT|907.00
WS SERVICE AREA|80011348|Hc Poc Strep Test|LABORATORY - GENERAL CLASSIFICATION [0300]|87430||WS HB DEFAULT|199.00
WS SERVICE AREA|80011352|Hc Legionella Antigen,urine|LABORATORY - GENERAL CLASSIFICATION [0300]|87449||WS HB DEFAULT|324.00
WS SERVICE AREA|80011354|Hc Candida Sp,direct Probe Tech|LABORATORY - GENERAL CLASSIFICATION [0300]|87480||WS HB DEFAULT|231.00
WS SERVICE AREA|96010062|Hc Immunization Admn Sarscov2 5 Mcg/0.5 Ml 2nd Dose|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|0042A||WS HB DEFAULT|40.00
WS SERVICE AREA|80011355|Hc Iadna Chlamydia Trachomatis Amplified Probe Tq|LABORATORY - GENERAL CLASSIFICATION [0300]|87491||WS HB DEFAULT|336.00
WS SERVICE AREA|80011359|Hc C Diff Toxin Detect Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87493||WS HB DEFAULT|564.00
WS SERVICE AREA|80011362|Hc Cmv Dna Pcr|LABORATORY - GENERAL CLASSIFICATION [0300]|87496||WS HB DEFAULT|1,792.00
WS SERVICE AREA|80011363|Hc Cytomegalovirus Dna,qn|LABORATORY - GENERAL CLASSIFICATION [0300]|87497||WS HB DEFAULT|972.00
WS SERVICE AREA|80011365|Hc Infectious Agent Dna/rna Influenza 1st 2 Types|LABORATORY - GENERAL CLASSIFICATION [0300]|87502||WS HB DEFAULT|692.00
WS SERVICE AREA|30010034|HC TUBE THORACOSTOMY INCLUDES WATER SEAL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32551||WS HB DEFAULT|4,881.00
WS SERVICE AREA|80011366|Hc Gard Vag Direct Probe Tech|LABORATORY - GENERAL CLASSIFICATION [0300]|87510||WS HB DEFAULT|211.00
WS SERVICE AREA|80011367|Hc Hepatitis B,dna,pcr,quant|LABORATORY - GENERAL CLASSIFICATION [0300]|87517||WS HB DEFAULT|854.00
WS SERVICE AREA|80011368|Hc Hepatitis C,rna,pcr,qual|LABORATORY - GENERAL CLASSIFICATION [0300]|87521||WS HB DEFAULT|1,659.00
WS SERVICE AREA|80011370|Hc Iadna Hepatitis C Quant & Reverse Transcription|LABORATORY - GENERAL CLASSIFICATION [0300]|87522||WS HB DEFAULT|1,541.00
WS SERVICE AREA|80011371|Hc Hsv 1/2 By Pcr|LABORATORY - GENERAL CLASSIFICATION [0300]|87529||WS HB DEFAULT|977.00
WS SERVICE AREA|80011374|Hc Iadna Hiv-1 Quant & Reverse Transcription|LABORATORY - GENERAL CLASSIFICATION [0300]|87536||WS HB DEFAULT|1,252.00
WS SERVICE AREA|80011376|Hc Iadna Mycobacteria Tuberculosis Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87556||WS HB DEFAULT|1,020.00
WS SERVICE AREA|80011377|Hc Iadna Neisseria Gonorrhoeae Amplified Probe Tq|LABORATORY - GENERAL CLASSIFICATION [0300]|87591||WS HB DEFAULT|336.00
WS SERVICE AREA|80011383|Hc Group A Strep,dna Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87650||WS HB DEFAULT|236.00
WS SERVICE AREA|80011384|Hc Trich Vag,direct Probe Tech|LABORATORY - GENERAL CLASSIFICATION [0300]|87660||WS HB DEFAULT|187.00
WS SERVICE AREA|30010035|Hc Thoracentesis Ndl/cath Asp Pleura Space W/o Imaging|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32554||WS HB DEFAULT|3,844.00
WS SERVICE AREA|80011388|Hc Hiv1 Genotyping (drug Resistance)|LABORATORY - GENERAL CLASSIFICATION [0300]|87901||WS HB DEFAULT|1,938.00
WS SERVICE AREA|80011389|Hc Hepatitis C,genotype|LABORATORY - GENERAL CLASSIFICATION [0300]|87902||WS HB DEFAULT|1,553.00
WS SERVICE AREA|80011408|Hc Dna Paternity Testing|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88182||WS HB DEFAULT|847.00
WS SERVICE AREA|80011411|Hc Flowcytometry/ Tc 1 Marker|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88184||WS HB DEFAULT|271.00
WS SERVICE AREA|80011414|Hc Flowcytometry/tc Add-on|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88185||WS HB DEFAULT|183.00
WS SERVICE AREA|80011419|Hc Chrom Anal,lymph Culture|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88230||WS HB DEFAULT|1,186.00
WS SERVICE AREA|80011420|Hc Chrom Anal,tissue Biopsy|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88233||WS HB DEFAULT|1,102.00
WS SERVICE AREA|80011421|Hc Chrom Anal,amniotic Fluid|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88235||WS HB DEFAULT|1,059.00
WS SERVICE AREA|80011422|Hc Tissue Culture Neoplastic Disorders Bone Marrow Blood Cells|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88237||WS HB DEFAULT|660.00
WS SERVICE AREA|272140245|Hc Dressing Polymem Ag, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|68.00
WS SERVICE AREA|30010037|Hc Insert Pleural Indwlng Tunnel Cath W-cuff|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32550||WS HB DEFAULT|11,314.00
WS SERVICE AREA|80011429|Hc Chrom Anal,6-12 Colonies|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88269||WS HB DEFAULT|1,425.00
WS SERVICE AREA|90090870|Hc Electroconvulsive Therapy|BEHAVIORAL HEALTH TREATMENTS/SERVICES - ELECTROSHOCK TREATMENT [0901]|90870||WS HB DEFAULT|6,737.00
WS SERVICE AREA|80011430|Hc Chrom Anal,add Cells Counted|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88285||WS HB DEFAULT|856.00
WS SERVICE AREA|90093243|Hc External Ecg Rec>48hr<7d Scanning Alys W/report|EKG/ECG (ELECTROCARDIOGRAM) - HOLTER MONITOR [0731]|93243||WS HB DEFAULT|192.00
WS SERVICE AREA|80011440|Hc Zz Special Stain,organism Interp - Use Eap 80020132|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88312||WS HB DEFAULT|394.00
WS SERVICE AREA|80011472|Hc Cell Count Misc Body Fluids W/differential Count|LABORATORY - GENERAL CLASSIFICATION [0300]|89051||WS HB DEFAULT|240.00
WS SERVICE AREA|80011481|Hc Crystal Id Light Microscopy Analysis Tissue/any Fluid|LABORATORY - GENERAL CLASSIFICATION [0300]|89060||WS HB DEFAULT|209.00
WS SERVICE AREA|80011482|Hc Fat Stain Feces Urine/respiratory Secretions|LABORATORY - GENERAL CLASSIFICATION [0300]|89125||WS HB DEFAULT|203.00
WS SERVICE AREA|80011484|Hc Eosinophil Smear,nasal|LABORATORY - GENERAL CLASSIFICATION [0300]|89190||WS HB DEFAULT|187.00
WS SERVICE AREA|80011485|Hc Sweat Chloride|LABORATORY - GENERAL CLASSIFICATION [0300]|89230||WS HB DEFAULT|574.00
WS SERVICE AREA|30010040|Hc Fiducial Marker Placement Intra Thoracic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32553||WS HB DEFAULT|4,332.00
WS SERVICE AREA|80011487|Hc Wet Prep For Sperm|LABORATORY - GENERAL CLASSIFICATION [0300]|89321||WS HB DEFAULT|66.00
WS SERVICE AREA|80011489|Hc Seminal Fluid Analysis|LABORATORY - GENERAL CLASSIFICATION [0300]|89322||WS HB DEFAULT|284.00
WS SERVICE AREA|25010051|Hc Inj Sulfur Hexafluoride Lipid Microspheres Per Ml|PHARMACY - DRUGS INCIDENT TO RADIOLOGY [0255]|Q9950||WS HB DEFAULT|59.44
WS SERVICE AREA|80011492|Hc Psa (screening)|LABORATORY - GENERAL CLASSIFICATION [0300]|G0103||WS HB DEFAULT|279.00
WS SERVICE AREA|80011545|Hc Newborn Metabolic Screen|LABORATORY - GENERAL CLASSIFICATION [0300]|S3620||WS HB DEFAULT|156.00
WS SERVICE AREA|80011626|Hc Legal Blood Alcohol|LABORATORY - GENERAL CLASSIFICATION [0300]|||WS HB DEFAULT|36.00
WS SERVICE AREA|80011627|Hc Legal Blood Alcohol Draw - Use Eap 30010185|LABORATORY - GENERAL CLASSIFICATION [0300]|36415||WS HB DEFAULT|38.00
WS SERVICE AREA|80020001|Hc Bone Marrow Biopsy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|38221||WS HB DEFAULT|3,943.00
WS SERVICE AREA|80020003|Hc Bcr/abl T9,22 Pcr Mjr(io)|LABORATORY - GENERAL CLASSIFICATION [0300]|81206||WS HB DEFAULT|614.00
WS SERVICE AREA|80020005|Hc Bcr/abl T9,22 Pcr Mnr(io)|LABORATORY - GENERAL CLASSIFICATION [0300]|81207||WS HB DEFAULT|2,665.00
WS SERVICE AREA|30010042|Hc Pcmkr Insert Generator And Atrial Lead|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33206||WS HB DEFAULT|12,117.00
WS SERVICE AREA|80020007|Hc Braf Gene Analysis V600 Variant(s)|LABORATORY - GENERAL CLASSIFICATION [0300]|81210||WS HB DEFAULT|1,867.00
WS SERVICE AREA|80020009|Hc Zz Braf Gene Mute Detect(io) - Use Eap 80020007|LABORATORY - GENERAL CLASSIFICATION [0300]|81210||WS HB DEFAULT|1,867.00
WS SERVICE AREA|80020011|Hc Egfr Mutation(io)|LABORATORY - GENERAL CLASSIFICATION [0300]|81235||WS HB DEFAULT|6,502.00
WS SERVICE AREA|80020013|Hc Bcell Gene Rearrange,pcr(io)|LABORATORY - GENERAL CLASSIFICATION [0300]|81261||WS HB DEFAULT|2,189.00
WS SERVICE AREA|80020015|Hc Igvh Mutation Analysis(io)|LABORATORY - GENERAL CLASSIFICATION [0300]|81263||WS HB DEFAULT|7,498.00
WS SERVICE AREA|80020017|Hc Jak2 V617f Mutate Detect(io)|LABORATORY - GENERAL CLASSIFICATION [0300]|81270||WS HB DEFAULT|908.00
WS SERVICE AREA|80020020|Hc Kras Mutation Analysis(io)|LABORATORY - GENERAL CLASSIFICATION [0300]|81275||WS HB DEFAULT|1,271.00
WS SERVICE AREA|80020022|Hc Microsatellite Instable(io)|LABORATORY - GENERAL CLASSIFICATION [0300]|81301||WS HB DEFAULT|1,973.00
WS SERVICE AREA|80081279|Hc Jak2 Targeted Sequence Analysis|LABORATORY - GENERAL CLASSIFICATION [0300]|81279||WS HB DEFAULT|648.00
WS SERVICE AREA|80020026|Hc Pml/rar Translocation(io)|LABORATORY - GENERAL CLASSIFICATION [0300]|81315||WS HB DEFAULT|2,205.00
WS SERVICE AREA|30010043|Hc Pcmkr Insert Gen And Ventricular Lead|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33207||WS HB DEFAULT|12,117.00
WS SERVICE AREA|90092934|Hc Robotic Asst Atherectomy Bms Stent Additional Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|92934|LD|WS HB DEFAULT|17,512.00
WS SERVICE AREA|80020028|Hc Tcell Gene Rearrange,pcr(io)|LABORATORY - GENERAL CLASSIFICATION [0300]|81340||WS HB DEFAULT|1,429.00
WS SERVICE AREA|80020030|Hc Ugt1a1 Gene Analysis Common Variants|LABORATORY - GENERAL CLASSIFICATION [0300]|81350||WS HB DEFAULT|863.00
WS SERVICE AREA|80020032|Hc Mpl Mutation Analysis(io)|LABORATORY - GENERAL CLASSIFICATION [0300]|81402||WS HB DEFAULT|1,242.00
WS SERVICE AREA|80020036|HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 4|LABORATORY - GENERAL CLASSIFICATION [0300]|81403||WS HB DEFAULT|3,927.00
WS SERVICE AREA|80020040|Hc Molecular Pathology Procedure Level 5|LABORATORY - GENERAL CLASSIFICATION [0300]|81404||WS HB DEFAULT|3,553.00
WS SERVICE AREA|92092652|Hc Aep Threshold Estimation Mlt Frequencies I&r|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|92652||WS HB DEFAULT|925.60
WS SERVICE AREA|80020042|Hc Zz P53 Mutation Analysis(io) - Use Eap 80020040|LABORATORY - GENERAL CLASSIFICATION [0300]|81404||WS HB DEFAULT|3,553.00
WS SERVICE AREA|92092653|Hc Aep Neurodiagnostic Interpretation And Report|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|92653||WS HB DEFAULT|925.60
WS SERVICE AREA|80020044|Hc Reveal(sm) Snp Cma-oncol(io)|LABORATORY - GENERAL CLASSIFICATION [0300]|81406||WS HB DEFAULT|4,160.00
WS SERVICE AREA|272142256|Hc Dressing Burn/wound Plurogel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|425.70
WS SERVICE AREA|30010045|HC INSERT/REPLACE TEMP PACER/SINGLE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33210||WS HB DEFAULT|7,300.00
WS SERVICE AREA|80085530|Hc Heparin-protamine Tolerance Tst|LABORATORY - GENERAL CLASSIFICATION [0300]|85530||WS HB DEFAULT|46.00
WS SERVICE AREA|96000249|Hc Ivf Tocilizumab Incl Post Admin Monitoring 1st Dose|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|M0249||WS HB DEFAULT|1,352.00
WS SERVICE AREA|96000250|Hc Ivf Tocilizumab Incl Post Admin Monitoring 2nd Dose|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|M0250||WS HB DEFAULT|1,352.00
WS SERVICE AREA|90002900|Hc Robotic Procedure|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|1,500.00
WS SERVICE AREA|80020080|Hc Bone Marrow Smear Interp|LABORATORY - GENERAL CLASSIFICATION [0300]|85097||WS HB DEFAULT|691.00
WS SERVICE AREA|80020083|Hc Cytology,smears|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88104||WS HB DEFAULT|540.00
WS SERVICE AREA|80020085|Hc Cytology,concentration|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88108||WS HB DEFAULT|308.00
WS SERVICE AREA|80020086|Hc Cytology Thin Prep|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88112||WS HB DEFAULT|375.00
WS SERVICE AREA|80020088|Hc Cytology Gyn Path Review|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88141||WS HB DEFAULT|308.00
WS SERVICE AREA|80020089|Hc Zz Thin Prep Pap - Use Eap 80080196|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88142||WS HB DEFAULT|412.00
WS SERVICE AREA|30010046|Hc Insert/replace Temp Pacer/dual|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33211||WS HB DEFAULT|7,300.00
WS SERVICE AREA|80020092|Hc Cytopathology,other Source|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88160||WS HB DEFAULT|191.00
WS SERVICE AREA|80020099|Hc Cytology Fna Immed Eval|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88172||WS HB DEFAULT|412.00
WS SERVICE AREA|80020100|Hc Cytology,fna, Interp/report|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88173||WS HB DEFAULT|1,131.00
WS SERVICE AREA|80020101|Hc Surepath-focal Point|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88174||WS HB DEFAULT|260.00
WS SERVICE AREA|80020102|Hc Automated Pap Smear Screening|LABORATORY - GENERAL CLASSIFICATION [0300]|88175||WS HB DEFAULT|286.00
WS SERVICE AREA|80020103|Hc Dna Histogram|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88182||WS HB DEFAULT|847.00
WS SERVICE AREA|80020108|Hc Chrom Anal,tissue Biopsy Ap|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88233||WS HB DEFAULT|1,102.00
WS SERVICE AREA|80020109|Hc Chrom Anal,count 5 Cells|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88261||WS HB DEFAULT|1,733.00
WS SERVICE AREA|80020110|Hc Chromosome Count 15-20 Cell 2 Karyotypes Banding|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88262||WS HB DEFAULT|2,103.00
WS SERVICE AREA|80020111|Hc Molecular Cytogenetics Dna Probe Each|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88271||WS HB DEFAULT|585.00
WS SERVICE AREA|30010047|Hc Pcmkr Insert Single Generator Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33212||WS HB DEFAULT|9,224.00
WS SERVICE AREA|80020112|HC DNA FISH PROBE,EA|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88271||WS HB DEFAULT|584.00
WS SERVICE AREA|80020113|Hc Molecular Cytogenetics Interphase Ish 25-99 Cell|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88274||WS HB DEFAULT|428.00
WS SERVICE AREA|80020116|Hc Analyze 100-300 Cell|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88275||WS HB DEFAULT|631.00
WS SERVICE AREA|96010003|Hc Immunization Admin Sarscov2 30mcg/0.3ml Diluent Reconstituted 3rd Dose|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|0003A||WS HB DEFAULT|40.00
WS SERVICE AREA|80020117|Hc Chrom Anal,add Karyotypes|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88280||WS HB DEFAULT|856.00
WS SERVICE AREA|80020118|Hc Cytogenetics Interp & Report|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88291||WS HB DEFAULT|181.00
WS SERVICE AREA|96010013|Hc Immunization Admin Sarscov2 100 Mcg/0.5 Ml 3rd Dose|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|0013A||WS HB DEFAULT|40.00
WS SERVICE AREA|80020119|Hc Surg Path,gross,tech/adm|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88300||WS HB DEFAULT|330.00
WS SERVICE AREA|80020120|Hc Surg Path,ltd,tech/adm|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88302||WS HB DEFAULT|428.00
WS SERVICE AREA|80089257|Hc Sperm Id From Aspiration Other Than Seminal Fluid|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|89257||WS HB DEFAULT|174.00
WS SERVICE AREA|30010048|Hc Pcmkr Insert Dual Generator Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33213||WS HB DEFAULT|11,469.00
WS SERVICE AREA|80020121|Hc Surg Path Inter Tech/adm|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88304||WS HB DEFAULT|660.00
WS SERVICE AREA|80020122|Hc Zz Muscle Biopsy W/enzyme Stain - Use Eap 80020128|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88305||WS HB DEFAULT|802.00
WS SERVICE AREA|80020123|Hc Zz Renal Biopsy,light Microscopy  - Use Eap 80020128|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88305||WS HB DEFAULT|802.00
WS SERVICE AREA|80020124|Hc Zz Nerve Biopsy  - Use Eap 80020128|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88305||WS HB DEFAULT|802.00
WS SERVICE AREA|80020125|Hc Zz Surgical Pathology,level Iv  - Use Eap 80020128|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88305||WS HB DEFAULT|802.00
WS SERVICE AREA|80020128|Hc Level Iv Surgical Pathology Gross&microscopic Exam|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88305||WS HB DEFAULT|802.00
WS SERVICE AREA|80020129|Hc Zz Cytology,cell Block  - Use Eap 80020128|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88305||WS HB DEFAULT|802.00
WS SERVICE AREA|80020131|Hc Bone Decal,tech/adm|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88311||WS HB DEFAULT|205.00
WS SERVICE AREA|80020132|Hc Special Stain Group 1 Microorganisms I&r|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88312||WS HB DEFAULT|394.00
WS SERVICE AREA|80020133|Hc Zz Routine Histochemistry - Use Eap 80020136|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88313||WS HB DEFAULT|487.00
WS SERVICE AREA|30010049|Hc Pcmkr Upgrade Sgl To Dual Leads And Gen|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33214||WS HB DEFAULT|12,403.00
WS SERVICE AREA|80020134|Hc Zz Stains - Use Eap 80020136|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88313||WS HB DEFAULT|487.00
WS SERVICE AREA|80020136|Hc Special Stain 2 I&r Except Microorganisms/enzyme/immunocytochemistry&immunohistochemistry|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88313||WS HB DEFAULT|487.00
WS SERVICE AREA|80020137|Hc Histochemistry,frozen Tissue|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88314||WS HB DEFAULT|569.00
WS SERVICE AREA|80020138|Hc Zz Enzyme Constituents - Use Eap 80020139|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88319||WS HB DEFAULT|1,113.00
WS SERVICE AREA|80020139|Hc Special Stain I&r Group Iii Enzyme Consituents|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88319||WS HB DEFAULT|1,113.00
WS SERVICE AREA|80020140|Hc Zz Surgical Path,enzymatic Chem  - Use Eap 80020139|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88319||WS HB DEFAULT|1,113.00
WS SERVICE AREA|80020142|Hc Consult,slides,tech/adm|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88321||WS HB DEFAULT|298.00
WS SERVICE AREA|80020143|Hc Consult,sendout,tech/adm|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88323||WS HB DEFAULT|295.00
WS SERVICE AREA|80020145|Hc Surgical Pathology Consult|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88325||WS HB DEFAULT|2,275.00
WS SERVICE AREA|80020149|Hc Intra-op Examination|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88329||WS HB DEFAULT|724.00
WS SERVICE AREA|30010050|HC REPOSITION PACING-DEFIB LEAD|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33215||WS HB DEFAULT|4,959.00
WS SERVICE AREA|80020150|Hc Path Consultation Surgery 1st Block Frozen Section 1 Spec|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88331||WS HB DEFAULT|547.00
WS SERVICE AREA|80020151|Hc Zz First Tissue Block, Fs - Use Eap 80020150|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88331||WS HB DEFAULT|547.00
WS SERVICE AREA|80020152|Hc Frozen Section,addl,tech/adm|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88332||WS HB DEFAULT|389.00
WS SERVICE AREA|80020153|Hc Prof Interp, Intra-op Cyto Prep|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88333||WS HB DEFAULT|1,092.00
WS SERVICE AREA|80020154|Hc Prof Interp, Each Add Site|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88334||WS HB DEFAULT|974.00
WS SERVICE AREA|80020155|Hc Zz Ihc Stain,ea (impath) - Use Eap 80020157|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88342||WS HB DEFAULT|1,176.00
WS SERVICE AREA|80020156|Hc Zz Ihc Stain (clarient) - Use Eap 80020157|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88342||WS HB DEFAULT|1,176.00
WS SERVICE AREA|80020157|Hc Immunohistochemistry/immunocytochemistry 1st Antibody Stain Procedure|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88342||WS HB DEFAULT|1,176.00
WS SERVICE AREA|80020158|Hc Zz Immunofluorescence,skin Bx - Use Eap 80020160|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88346||WS HB DEFAULT|785.00
WS SERVICE AREA|80020159|Hc Zz Renal Biopsy,immunohistology  - Use Eap 80020160|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88346||WS HB DEFAULT|785.00
WS SERVICE AREA|30010051|Hc Insertion 1 Transvenous Electrode Perm Pcmkr/implantable Dfb|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33216||WS HB DEFAULT|7,300.00
WS SERVICE AREA|80020160|Hc Immunofluorescence Per Specimen 1st Single Antibody Stain|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88346||WS HB DEFAULT|785.00
WS SERVICE AREA|80020161|Hc Zz Electron Microscopy - Use Eap 80020162|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88348||WS HB DEFAULT|3,814.00
WS SERVICE AREA|80020162|Hc Electron Microscopy Diagnostic|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88348||WS HB DEFAULT|3,814.00
WS SERVICE AREA|80020163|Hc Zz Renal Biopsy,em - Use Eap 80020162|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88348||WS HB DEFAULT|3,814.00
WS SERVICE AREA|80020166|Hc Zz Estrogen Receptor,paraffin - Use Eap 80020168|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88360||WS HB DEFAULT|1,139.00
WS SERVICE AREA|80020167|Hc Zz Morphometric Analysis,tumor Ihc - Use Eap 80020168|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88360||WS HB DEFAULT|1,139.00
WS SERVICE AREA|80020168|Hc Morphometric Analysis Tumor Immunohistochemistry Ea Antibody Manual|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88360||WS HB DEFAULT|1,139.00
WS SERVICE AREA|80020169|Hc Zz Progesterone Receptor - Use Eap 80020168|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88360||WS HB DEFAULT|1,139.00
WS SERVICE AREA|80020170|Hc Zz Her-2/neu Immuno Stain By Impath - Use Eap 80020168|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88360||WS HB DEFAULT|1,139.00
WS SERVICE AREA|80020173|Hc Zz Ki-67 - Use Eap 80020168|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88360||WS HB DEFAULT|1,139.00
WS SERVICE AREA|30010052|Hc Insertion 2 Transvenous Electrodes Perm Pcmkr/implantable Dfb|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33217||WS HB DEFAULT|7,500.00
WS SERVICE AREA|80020174|Hc Morphometric Analysis Tumor Immunohistochemistry Ea Antibody Computer Asst|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88361||WS HB DEFAULT|760.00
WS SERVICE AREA|80020175|Hc Zz Her-2/neu By Ihc (clarient) - Use Eap 80020174|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88361||WS HB DEFAULT|760.00
WS SERVICE AREA|80020180|Hc Morphometric Analysis In Situ Hybridization Ea Probe Mnl|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88368||WS HB DEFAULT|1,789.00
WS SERVICE AREA|80020182|Hc Zz Microdissection,manual(io) - Use Eap 80020183|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88381||WS HB DEFAULT|1,297.00
WS SERVICE AREA|80020183|Hc Microdissection Prep Identified Target Manual|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88381||WS HB DEFAULT|1,297.00
WS SERVICE AREA|80010148|Hc Blood Occult Peroxidase Actv Qual Feces 1 Deter|LABORATORY - GENERAL CLASSIFICATION [0300]|82270||WS HB DEFAULT|64.00
WS SERVICE AREA|80010155|Hc Blood Occult Peroxidase Actv Qual Feces 1-3 Spec|LABORATORY - GENERAL CLASSIFICATION [0300]|82272||WS HB DEFAULT|83.00
WS SERVICE AREA|80011058|Hc Culture Bacterial Blood Aerobic W/id Isolates|LABORATORY - GENERAL CLASSIFICATION [0300]|87040||WS HB DEFAULT|420.00
WS SERVICE AREA|80011063|Hc Culture,salmonella/shigella|LABORATORY - GENERAL CLASSIFICATION [0300]|87045||WS HB DEFAULT|328.00
WS SERVICE AREA|80011116|Hc Culture Bacterial Quan Aerobic Isolation Except Urine Blood/stool|LABORATORY - GENERAL CLASSIFICATION [0300]|87071||WS HB DEFAULT|390.00
WS SERVICE AREA|30010053|Hc Repair 1 Transvenous Electrode Perm Pcmkr/pacing Implantable Dfb|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33218||WS HB DEFAULT|9,224.00
WS SERVICE AREA|80011202|Hc Culture,fungus|LABORATORY - GENERAL CLASSIFICATION [0300]|87102||WS HB DEFAULT|663.00
WS SERVICE AREA|80011294|Hc Smear Primary Source Gram/giemsa Stain Bacteria Fungi/cell|LABORATORY - GENERAL CLASSIFICATION [0300]|87205||WS HB DEFAULT|196.00
WS SERVICE AREA|80011308|Hc Smear Primary Source Wet Mount Infectious Agent|LABORATORY - GENERAL CLASSIFICATION [0300]|87210||WS HB DEFAULT|172.00
WS SERVICE AREA|80011310|Hc Koh Prep|LABORATORY - GENERAL CLASSIFICATION [0300]|87220||WS HB DEFAULT|198.00
WS SERVICE AREA|80011329|Hc Iaad Ia Clostridium Difficile Toxin|LABORATORY - GENERAL CLASSIFICATION [0300]|87324||WS HB DEFAULT|340.00
WS SERVICE AREA|80011341|Hc Influenza A And B,ag|LABORATORY - GENERAL CLASSIFICATION [0300]|87400||WS HB DEFAULT|260.00
WS SERVICE AREA|80011342|Hc Poc Rsv Antigen,eia|LABORATORY - GENERAL CLASSIFICATION [0300]|87420||WS HB DEFAULT|425.00
WS SERVICE AREA|80011344|Hc Rsv Antigen,eia|LABORATORY - GENERAL CLASSIFICATION [0300]|87420||WS HB DEFAULT|425.00
WS SERVICE AREA|80011350|Hc Strep Screen,rapid,throat|LABORATORY - GENERAL CLASSIFICATION [0300]|87430||WS HB DEFAULT|199.00
WS SERVICE AREA|80011361|Hc Cdiff,pcr,qual|LABORATORY - GENERAL CLASSIFICATION [0300]|87493||WS HB DEFAULT|564.00
WS SERVICE AREA|30010054|Hc Repair 2 Transvenous Electrodes Perm Pcmrk/implantable Dfb|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33220||WS HB DEFAULT|9,224.00
WS SERVICE AREA|90192934|Hc Robotic Asst Atherectomy Bms Stent Additional Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|92934|LC|WS HB DEFAULT|17,512.00
WS SERVICE AREA|80011442|Hc Special Stain,organism Interp..|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88312||WS HB DEFAULT|394.00
WS SERVICE AREA|80011475|Hc Leukocyte,feces|LABORATORY - GENERAL CLASSIFICATION [0300]|89055||WS HB DEFAULT|161.00
WS SERVICE AREA|80010722|Hc Fetal Screen|LABORATORY - GENERAL CLASSIFICATION [0300]|85461||WS HB DEFAULT|159.00
WS SERVICE AREA|80010746|Hc Bb Sickle Cell Screen - Donor|LABORATORY - GENERAL CLASSIFICATION [0300]|85660||WS HB DEFAULT|121.00
WS SERVICE AREA|80010995|Hc Antibody Screen|LABORATORY - GENERAL CLASSIFICATION [0300]|86850||WS HB DEFAULT|368.00
WS SERVICE AREA|80011000|Hc Antibody Id Rbc Antibodies Each Panel Each Serum Tq|LABORATORY - GENERAL CLASSIFICATION [0300]|86870||WS HB DEFAULT|687.00
WS SERVICE AREA|80011008|Hc Antihuman Globulin Direct Each Antiserum|LABORATORY - GENERAL CLASSIFICATION [0300]|86880||WS HB DEFAULT|262.00
WS SERVICE AREA|80011012|Hc Arc Antibody Id,ea Selected Cell|LABORATORY - GENERAL CLASSIFICATION [0300]|86885||WS HB DEFAULT|223.00
WS SERVICE AREA|80011014|Hc Autologous Packed Red Cells|LABORATORY - GENERAL CLASSIFICATION [0300]|86890||WS HB DEFAULT|1,672.00
WS SERVICE AREA|80011018|Hc Blood Group|LABORATORY - GENERAL CLASSIFICATION [0300]|86900||WS HB DEFAULT|147.00
WS SERVICE AREA|30010055|Hc Pcmkr Insert Multi Lead Generator Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33221||WS HB DEFAULT|17,493.00
WS SERVICE AREA|80011021|Hc Rh Type|LABORATORY - GENERAL CLASSIFICATION [0300]|86901||WS HB DEFAULT|117.00
WS SERVICE AREA|80011024|Hc Donor- Ag Typing Ea Ag Ea Unit|LABORATORY - GENERAL CLASSIFICATION [0300]|86902||WS HB DEFAULT|457.00
WS SERVICE AREA|80011026|Hc Arc Rbc Ag Compat Scr,pt Serum|LABORATORY - GENERAL CLASSIFICATION [0300]|86904||WS HB DEFAULT|258.00
WS SERVICE AREA|80011028|Hc Arc Rbc Ag,not Abo Or D,ea|LABORATORY - GENERAL CLASSIFICATION [0300]|86905||WS HB DEFAULT|271.00
WS SERVICE AREA|80011030|Hc Rh Phenotype|LABORATORY - GENERAL CLASSIFICATION [0300]|86906||WS HB DEFAULT|624.00
WS SERVICE AREA|80011036|Hc Compatibility Each Unit Immediate Spin Technique|LABORATORY - GENERAL CLASSIFICATION [0300]|86920||WS HB DEFAULT|324.00
WS SERVICE AREA|80011038|Hc Compatibility,incubation|LABORATORY - GENERAL CLASSIFICATION [0300]|86921||WS HB DEFAULT|256.00
WS SERVICE AREA|80011042|Hc Compatibility Each Unit Antiglobulin|LABORATORY - GENERAL CLASSIFICATION [0300]|86922||WS HB DEFAULT|461.00
WS SERVICE AREA|80011044|Hc Thawing Fee|LABORATORY - GENERAL CLASSIFICATION [0300]|86927||WS HB DEFAULT|247.00
WS SERVICE AREA|80011049|Hc Irradiation Charge|LABORATORY - GENERAL CLASSIFICATION [0300]|86945||WS HB DEFAULT|359.00
WS SERVICE AREA|30010056|Hc Relocation Pocket Pacemaker|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33222||WS HB DEFAULT|5,353.00
WS SERVICE AREA|80011051|Hc Pooling Fee|LABORATORY - GENERAL CLASSIFICATION [0300]|86965||WS HB DEFAULT|404.00
WS SERVICE AREA|80011053|Hc Splittng Blood Or Blood Products Each Units|LABORATORY - GENERAL CLASSIFICATION [0300]|86985||WS HB DEFAULT|235.00
WS SERVICE AREA|80011491|Hc Phlebotomy Therapeutic|OTHER THERAPEUTIC SERVICES - GENERAL CLASSIFICATION [0940]|99195||WS HB DEFAULT|1,064.00
WS SERVICE AREA|80011505|Hc Product,whole Blood|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9010||WS HB DEFAULT|1,135.00
WS SERVICE AREA|80011506|Hc Zz Product,plate,aliq,lr,ir,cmv Neg - Use Eap 80011508|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9011||WS HB DEFAULT|514.00
WS SERVICE AREA|80011507|Hc Zz Product,platelet,aliq,lr,ir - Use Eap 80011508|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9011||WS HB DEFAULT|514.00
WS SERVICE AREA|80011508|Hc Blood, Split Unit|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9011||WS HB DEFAULT|514.00
WS SERVICE AREA|80011509|Hc Zz Product,cryoprecipitate - Use Eap 80011578|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9012||WS HB DEFAULT|340.00
WS SERVICE AREA|80011510|Hc Zz Product,ped Quad Leuko Reduced - Use Eap 80011511|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9016||WS HB DEFAULT|1,458.00
WS SERVICE AREA|80011511|Hc Rbc Leukocytes Reduced|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9016||WS HB DEFAULT|1,559.00
WS SERVICE AREA|30010057|Hc Relocate Pocket For Defib|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33223||WS HB DEFAULT|6,697.00
WS SERVICE AREA|80011512|Hc Zz Product,ff 24 Hrs Plasmapheresis - Use Eap 80011515|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9017||WS HB DEFAULT|457.00
WS SERVICE AREA|80011514|Hc Zz Product,ffp Quad Pack - Use Eap 80011515|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9017||WS HB DEFAULT|457.00
WS SERVICE AREA|80011515|Hc Fresh Frozen Plasma 1 Donor Frozen Within 8 Hours|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9017||WS HB DEFAULT|457.00
WS SERVICE AREA|80011516|Hc Zz Product,fresh Frozen Plasmapheres - Use Eap 80011515|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9017||WS HB DEFAULT|457.00
WS SERVICE AREA|80011519|Hc Red Blood Cells Each Unit|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9021||WS HB DEFAULT|953.00
WS SERVICE AREA|80011521|Hc Product,red Cells,washed|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9022||WS HB DEFAULT|1,990.00
WS SERVICE AREA|80011524|Hc Product,platelet Irradiated|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9032||WS HB DEFAULT|730.00
WS SERVICE AREA|80011525|Hc Product,platelet Conc,lr,irrad|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9033||WS HB DEFAULT|785.00
WS SERVICE AREA|80011526|Hc Product,platelet Pheresis|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9034||WS HB DEFAULT|2,753.00
WS SERVICE AREA|80011527|Hc Zz Product,platelet Pheresis,filter - Use Eap 80011528|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9035||WS HB DEFAULT|2,753.00
WS SERVICE AREA|30010058|Hc Insertion Electrode Cardiac Venous Sys Attach Prev Pm/dfb Pulse Gen|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33224||WS HB DEFAULT|9,793.00
WS SERVICE AREA|80011528|Hc Platelet Pheresis Leukocytes Reduced Each Unit|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9035||WS HB DEFAULT|3,977.00
WS SERVICE AREA|80011530|Hc Product,platelet Pheresis,lr,irr|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9037||WS HB DEFAULT|4,866.00
WS SERVICE AREA|80011531|Hc Product,packed Red Cells,irradiat|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9038||WS HB DEFAULT|1,262.00
WS SERVICE AREA|80011532|Hc Product,red Cells,deglycerolized|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9039||WS HB DEFAULT|1,601.00
WS SERVICE AREA|80011533|Hc Product,red Blood Cells,lr,irrad|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9040||WS HB DEFAULT|1,561.00
WS SERVICE AREA|80011534|Hc Product,ffp Cryo-poor|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9044||WS HB DEFAULT|636.00
WS SERVICE AREA|80011536|Hc Product,blood,lr,cmv Neg|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9051||WS HB DEFAULT|1,624.00
WS SERVICE AREA|80011537|Hc Product,platelet Pheresis,lr,hla|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9052||WS HB DEFAULT|4,077.00
WS SERVICE AREA|80011538|Hc Product,plate Pher,lr,cmv Neg,ir|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9053||WS HB DEFAULT|4,715.00
WS SERVICE AREA|80011539|Hc Product,blood,lr,froz/degly/wash|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9054||WS HB DEFAULT|2,320.00
WS SERVICE AREA|30010059|Hc Inserton Electrode Cardiac Venous Sys Tm Insj Dfb/pm Pulse Gen|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33225||WS HB DEFAULT|5,774.00
WS SERVICE AREA|80011540|Hc Product,platelet Pheresis,lr,cmv|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9055||WS HB DEFAULT|4,874.00
WS SERVICE AREA|80011541|Hc Product,rbc,fr,degly Wash,lr,irr|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9057||WS HB DEFAULT|2,697.00
WS SERVICE AREA|80011542|Hc Product,rbc,lr,cmv Neg,irr|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9058||WS HB DEFAULT|1,858.00
WS SERVICE AREA|80011543|Hc Fresh Frozen Plasma Between 8-24 Hours|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9059||WS HB DEFAULT|636.00
WS SERVICE AREA|80011544|Hc Zz Product,ffp 8-24 Hours - Use Eap 80011543|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9059||WS HB DEFAULT|636.00
WS SERVICE AREA|80011578|Hc Arc Cryoprecipitate Each Unit|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9012||WS HB DEFAULT|562.00
WS SERVICE AREA|80011580|Hc Arc,crossmatch Platelets|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|86022||WS HB DEFAULT|493.00
WS SERVICE AREA|80011584|Hc Arc,processing Fee|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|||WS HB DEFAULT|82.00
WS SERVICE AREA|80011586|Hc Arc,therapeutic Cytopheresis|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|||WS HB DEFAULT|2,098.00
WS SERVICE AREA|80011588|Hc Arc,therapeutic Plasma Pheresis|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36514||WS HB DEFAULT|2,098.00
WS SERVICE AREA|30010060|Hc Reposition Prev Implanted Cardiac Venous Sys L Ventr Eltrd|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33226||WS HB DEFAULT|5,579.00
WS SERVICE AREA|80011592|Hc Arc,typing Incidence|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|||WS HB DEFAULT|477.00
WS SERVICE AREA|80011601|Hc Candida Species, Amplified Probe Technique|LABORATORY - GENERAL CLASSIFICATION [0300]|87481||WS HB DEFAULT|407.00
WS SERVICE AREA|80011603|Hc Gardnerella Vaginalis, Quantification|LABORATORY - GENERAL CLASSIFICATION [0300]|87512||WS HB DEFAULT|368.00
WS SERVICE AREA|80011609|Hc Infectious Agent Drug Susceptibility Phenotype Prediction By Updated Genotypic Bioinformatics|LABORATORY - GENERAL CLASSIFICATION [0300]|87900||WS HB DEFAULT|1,066.00
WS SERVICE AREA|80011611|Hc Hiv-1 Antigens, With Hiv-1 And Hiv-2 Antibodies, Single Result|LABORATORY - GENERAL CLASSIFICATION [0300]|87389||WS HB DEFAULT|276.00
WS SERVICE AREA|80011405|Hc Cytology Fna Immed Eval|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88172||WS HB DEFAULT|412.00
WS SERVICE AREA|80011433|Hc Surg Path,inter,tech/adm|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88304||WS HB DEFAULT|660.00
WS SERVICE AREA|80011437|Hc Surg Path,complex,tech/adm|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88307||WS HB DEFAULT|760.00
WS SERVICE AREA|80011438|Hc Surg Path,compre,tech/adm|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88309||WS HB DEFAULT|861.00
WS SERVICE AREA|80011452|Hc First Tissue Block, Fs|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88331||WS HB DEFAULT|547.00
WS SERVICE AREA|30010061|Hc Pcmkr Remove Or Replace Sng Generator|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33227||WS HB DEFAULT|11,762.00
WS SERVICE AREA|80011453|Hc Prof Interp, Intra-op Cyto Prep|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88333||WS HB DEFAULT|1,092.00
WS SERVICE AREA|80011455|Hc Immunohistochem, Each Antibody|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88342||WS HB DEFAULT|1,176.00
WS SERVICE AREA|80011459|Hc Estrogen Receptor|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88360||WS HB DEFAULT|1,139.00
WS SERVICE AREA|27209603|Hc Curette Vac 9mm Plastic Rnd Cann Strt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.20
WS SERVICE AREA|27209604|Hc Curette Vac 10mm Plastic Cann Crv Round|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.20
WS SERVICE AREA|27209605|Hc Curette Vac 11mm Plastic Cann Crv Round|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.20
WS SERVICE AREA|27209606|Hc Curette Vac 12mm Plastic Cann Crv Round|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.20
WS SERVICE AREA|27229391|Hc Curette Vac 14mm Plastic Cann Crv Round|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|27165201|Hc Blanket 64x25in Adlt Polymer Mdthr Nonwvn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|56.80
WS SERVICE AREA|27285461|Hc Curette 6.5mm Kph Lt Wedge Tip Surg Strl Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|794.60
WS SERVICE AREA|30010062|HC PCMKR REMOVE/REPLACE DUAL GENERATOR|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33228||WS HB DEFAULT|14,008.00
WS SERVICE AREA|27096956|Hc Ring Skin Barrier 4in Adapt Flat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|8.30
WS SERVICE AREA|270113625|Hc Foma Cast Elevr Std|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|121.90
WS SERVICE AREA|271113649|Hc Cover Warm Body Lwr 58x34in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.40
WS SERVICE AREA|271113921|Hc Canister Suct Lnr Thnwl 3ltr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|6.30
WS SERVICE AREA|272114027|Hc Kit Port Acc 20g 1in Wo Y Site|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.40
WS SERVICE AREA|272114028|Hc Kit Port Acc 20g .75in Wo Y Site|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.00
WS SERVICE AREA|272114029|Hc Kit Port Acc Pwrlk 20g .75in Wo Y Site|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|56.90
WS SERVICE AREA|270114101|Hc Bag Urin Drain Anrflx 2000ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|22.70
WS SERVICE AREA|270114102|Hc Bag Urin Drain Anrflx 4l Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|16.70
WS SERVICE AREA|272114122|Hc Kit Ureth Rd Rub Cath 15f Wo Drape|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.30
WS SERVICE AREA|30010063|Hc Pcmkr Remove/replace Multi Lead Gen|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33229||WS HB DEFAULT|17,493.00
WS SERVICE AREA|270114132|Hc Garment Comp Lwr Leg Cir 17in Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|39.20
WS SERVICE AREA|270114133|Hc Garment Comp Thigh Cir 28in Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|65.90
WS SERVICE AREA|270114134|Hc Garment Comp Thigh Cir 33in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|67.90
WS SERVICE AREA|270114185|Hc Bag Collect Privacy W Fltr 1l|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|16.70
WS SERVICE AREA|271114187|Hc Collector Fecal Incnt Drn Flx Flextend Barr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.60
WS SERVICE AREA|272114198|Hc Clamp Otlt Port Prtnl Dia|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.40
WS SERVICE AREA|271114346|Hc Sensor Spo2 Finger Adlt Lncsadtx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|34.10
WS SERVICE AREA|271114347|Hc Sensor Finger Lng Low Nse Cable Neonat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|44.60
WS SERVICE AREA|270114366|Hc Kit Mntr Iv Pole Mnt 72in Tub 6in Micro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|74.50
WS SERVICE AREA|272114918|Hc Set Iv Tubing Pcs 70in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|30010064|Hc Icd Insertion Of Dual Gen Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33230||WS HB DEFAULT|21,695.00
WS SERVICE AREA|90292934|Hc Robotic Asst Atherectomy Bms Stent Additional Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|92934|RC|WS HB DEFAULT|17,512.00
WS SERVICE AREA|272114946|Hc Sys Cnct Entrlt Inf Spikert +|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.30
WS SERVICE AREA|272114947|Hc Set Admin Tpfl Vnyl Bag 1200ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.40
WS SERVICE AREA|272114950|Hc Device Suct Tube Attach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.40
WS SERVICE AREA|272114952|Hc Valve Lopez Entrl Inj Site|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|271115156|Hc Sling Arm Cloth Buckle Clsr Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|6.20
WS SERVICE AREA|271115157|Hc Sling Arm Cloth Buckle Clsr Md|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|6.30
WS SERVICE AREA|271115158|Hc Sling Arm Cloth Buckle Clsr Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|6.20
WS SERVICE AREA|270115163|Hc Sling Arm Cmft Blu Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|9.60
WS SERVICE AREA|272116108|Hc Curette Vac Crv Rgd Strl 8mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.20
WS SERVICE AREA|272116113|Hc Set Cysto Irr Dist Cnct 79in Rl Clamp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.60
WS SERVICE AREA|30010065|Hc Icd Insertion Of Multi/biv Gen Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33231||WS HB DEFAULT|30,836.00
WS SERVICE AREA|272116171|Hc Kit Incs Drain Blnt Tis Scsr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|272116618|Hc Kit Ansep App 2% Hcg 70% Ipa 1.5ml Wng 20/bx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|56.30
WS SERVICE AREA|272116848|Hc Kit Dressing Chg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|67.90
WS SERVICE AREA|272116893|Hc Dressing Wound Nadh 5.5x5.5in Foam Abs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.60
WS SERVICE AREA|272116924|Hc Dressing Soloste Gel Cnfrm 4x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|272116926|Hc Dressing Interdry 10x36in Anmc Ag Slvr Cmplx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.80
WS SERVICE AREA|272116949|Hc Dressing Gauze Petro Xr 5x9in Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.30
WS SERVICE AREA|272116955|Hc Dressing Abs Oval Clr 4.4x5in Acrylic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|272116956|Hc Dressing Abs Sq Clr 5.6x6in Acrylic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.60
WS SERVICE AREA|272116967|Hc Hmst Abs Strl 1/2x2in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|73.10
WS SERVICE AREA|30010066|Hc Pcmkr Remove Generator Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33233||WS HB DEFAULT|7,300.00
WS SERVICE AREA|270117127|Hc Kit Lac Dlct Instr Ndl Syr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|15.50
WS SERVICE AREA|271117160|Hc Support Abd Elc 10in W 26-50in Latex Safe|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|26.80
WS SERVICE AREA|271117164|Hc Support Abd Elc 10in W 45-62in Latex Safe|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|33.00
WS SERVICE AREA|271118038|Hc Garment Comp Calf Cir 32in Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|39.10
WS SERVICE AREA|272118188|Hc Set Prim Ck Ndls 21ml 20 Drop Vent/nvnt 116in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|272118316|Hc Canister Suct Lnr 6x6 1500cs W Tube|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.30
WS SERVICE AREA|272118322|Hc Kit Pnmthrx 10.2f 29cm 18g Troc Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|844.50
WS SERVICE AREA|271118437|Hc Support Wrst Iv Adlt 9in 3 Straps|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.60
WS SERVICE AREA|272118601|Hc Kit Dressing 18x12.5x3.3cm Wound Foam Drape|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|205.80
WS SERVICE AREA|272118615|Hc Dressing Wound Seaweed 2gm Pk Kaltostat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10.50
WS SERVICE AREA|30010067|Hc Pcmkr Remove Sng Lead Electrode Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33234||WS HB DEFAULT|3,625.00
WS SERVICE AREA|272119635|Hc Catheter Trocar X-ray Opaque 20fr 16in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|59.40
WS SERVICE AREA|272119637|Hc Catheter Trocar X-ray Opaque 24fr 16in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.70
WS SERVICE AREA|272119871|Hc Curette Rigid Curved W/reg Tip 7mm Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.10
WS SERVICE AREA|272119874|Hc Vacurette F Tip Round Dual Port 5mm Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.00
WS SERVICE AREA|272119883|Hc Curette Vacuum Tip Flexible 5mm Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.20
WS SERVICE AREA|272119928|Hc Device Securement Statlock Picc + W/sliding Post|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.60
WS SERVICE AREA|272120006|Hc Dressing Ulcer Replicare 4in X 4in Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.30
WS SERVICE AREA|272120018|Hc Dressing Transprnt Wound W/absrb Pad 3.5" X 10"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|272120173|Hc Gauze Packing Iodoform 1/2" X 5yd Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|272120174|Hc Gauze Packing Iodoform 1/4" X 5yd Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|30010068|Hc Pcmkr Remove Dual Lead Electrodes Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33235||WS HB DEFAULT|3,767.00
WS SERVICE AREA|272120175|Hc Gauze Packing Plain 1/4' X 5yd Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.30
WS SERVICE AREA|270120182|Hc Gel Carrington Dermal Wound 3oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|21.80
WS SERVICE AREA|272121059|Hc Kit Intro Perc Sheath 8.5fr W/hemo Vlv Sd Prt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|113.30
WS SERVICE AREA|272121377|Hc Packing Nasal Posterior Dbl Compres W/string 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|119.90
WS SERVICE AREA|272121626|Hc Set Y Disconnect For Ultra Set|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.90
WS SERVICE AREA|270122240|Hc Sys Fecal Mgmnt Flexi-seal W/ Odor Cntrl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|508.40
WS SERVICE AREA|272122442|Hc Valve Anti-reflux Keith Nasogastric|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.80
WS SERVICE AREA|272126101|Hc Bag Press Infus 500ml Hook Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.00
WS SERVICE AREA|270131531|Hc Blanket 85.8"x50" Wrmng Adlt+|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27227234|Hc Kit Cricothyrotomy Emergency|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,097.30
WS SERVICE AREA|30010069|Hc Icd Insertion Single Generator Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33240||WS HB DEFAULT|21,695.00
WS SERVICE AREA|27192062|Hc Paste Skin Calazime Zno Mnth Prctnt 4oz Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.60
WS SERVICE AREA|27292504|Hc Electrode Defib Adlt 5.95 X 5.24" Conduct Gel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|141.10
WS SERVICE AREA|272114823|Hc Kit Cath Picc 2lum 5f 70cm Tray W/micro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|566.60
WS SERVICE AREA|271115300|Hc Kit Trtn Cpap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|6.40
WS SERVICE AREA|272118598|Hc Dressing Wound Foam 26x 15x 3.3 Pad Cnct|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|258.30
WS SERVICE AREA|272119369|Hc Cath Coude Tieman Rd Ltx Ctd 2-wy 18f 5cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.80
WS SERVICE AREA|272119577|Hc Zz Cath Iv Periphrl 2 Lum 18gx1.75" W/23g Ndl- Use 27200690|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.00
WS SERVICE AREA|272123479|Hc Pad Hypo/hyperthermia Adult/or Table 25x64 Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.50
WS SERVICE AREA|272128114|Hc Dressing Adaptic Touch 3x2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.30
WS SERVICE AREA|272128900|Hc Skin Staple Remover|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|30010070|Hc Icd Generator Removal Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33241||WS HB DEFAULT|3,236.00
WS SERVICE AREA|272129575|Hc Surgicel Nu-knit Hemo 3 X 4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|182.30
WS SERVICE AREA|271129577|Hc Filter Line Co2 7ft|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|54.50
WS SERVICE AREA|272129870|Hc Tray C Section Latex Free   Dy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|335.30
WS SERVICE AREA|272130574|Hc Pack Cust Csect West Georgia|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|117.70
WS SERVICE AREA|272000925|Hc Remover Staple Alcohol Prep Pad Gauze Kit Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|75.30
WS SERVICE AREA|272001022|Hc Trocar Optc Bladeless 12mm Lng Cann|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|119.90
WS SERVICE AREA|272001556|Hc Peg 14" Foam Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.20
WS SERVICE AREA|272002750|Hc Blade 180d Strt Sharp All Arnd 2 Bvl Opth|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.60
WS SERVICE AREA|272003362|Hc Needle Bx 14ga 6" Trct Ndl Std Hndl Sft|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|80.60
WS SERVICE AREA|272003394|Hc Blade Opth 1.102 X 4.134 X 1.417" Mnbld Strt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.40
WS SERVICE AREA|30010071|Hc Icd Removal Of Icd Lead Or Leads|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33244||WS HB DEFAULT|10,378.00
WS SERVICE AREA|272003865|Hc Cap Protect .035 In Stein Pin Strl Guard Blu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.40
WS SERVICE AREA|272006667|Hc Needle Port Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.90
WS SERVICE AREA|272006980|Hc Carrier Graft 8x3"  1.5:1 Drmcr 2 Skin Pltu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|165.50
WS SERVICE AREA|272006981|Hc Carrier Graft 8x3"  3:1 Drmcr 2 Skin Mesher|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|172.90
WS SERVICE AREA|272007373|Hc Reload Stapler 80x 3.8mm Gia Ti Lin Cutter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|287.50
WS SERVICE AREA|272007440|Hc Reload Stapler 60x 3.8mm Gia Ti Lin Cutter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|218.60
WS SERVICE AREA|272007625|Hc Circ Clamp Plastibell, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.90
WS SERVICE AREA|272008228|Hc Filiform Ureth Pvc Strt Tip, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.60
WS SERVICE AREA|272008702|Hc Adhesive Lq Lf Nirr Ocl Wtprf Amp Mstsl Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.40
WS SERVICE AREA|272010786|Hc Blade Wrsw 51cm Ss Gigli Ns|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|112.50
WS SERVICE AREA|30010072|Hc Icd Insertion Of Sng Or Dual System|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33249||WS HB DEFAULT|61,671.00
WS SERVICE AREA|272011147|Hc Stapler Intnl 65mm Ss Endo Lin Cutter Strl Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|316.10
WS SERVICE AREA|272012424|Hc Cath Pez Mshrm 28fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.80
WS SERVICE AREA|272012645|Hc Valve Suct Bscp Strl Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.00
WS SERVICE AREA|272014525|Hc Blade Shaver Lime Grn 17mm 4.5mm Incsr Dync|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|260.00
WS SERVICE AREA|272014788|Hc Blade Shaver Nvy Blu 4.5mm Turbowhisker Dync|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|191.00
WS SERVICE AREA|272018160|Hc Blade Shaver Lime Grn 4.5mm Incsr Dync Strt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|191.00
WS SERVICE AREA|272020032|Hc Scissors Endo 5mm Monopol Caut|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|239.80
WS SERVICE AREA|272020066|Hc Blade Drmtm 1.25-4.25in Ss Abs Plstc Handle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|108.30
WS SERVICE AREA|272022319|Hc Cath Suct 8fr 12in Cls Sys Adapt Y|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.20
WS SERVICE AREA|272022378|Hc Blade Saw 11.5x5.5x.38mm Prcs Micro Thin Ss|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|130.00
WS SERVICE AREA|30010073|Hc Icd Remove Replace Single Gen Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33262||WS HB DEFAULT|42,277.00
WS SERVICE AREA|272027031|Hc Aspirator Resp 3mm K Msd Mcnm Wr Trch Tube|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.40
WS SERVICE AREA|272027560|Hc Cannister Mamtm Vac 1200cc Repl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.10
WS SERVICE AREA|272031523|Hc Catheter Angio .038" 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|254.60
WS SERVICE AREA|272037051|Hc Reload Stapler Intnl 30mm Med Artc Crv Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|638.60
WS SERVICE AREA|272037167|Hc Unit Electrosurg Lgsr 5mm Md|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,379.60
WS SERVICE AREA|272037391|Hc Valve Chst Drain Hmlch|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|132.70
WS SERVICE AREA|272038189|Hc Stapler Reload Endo 60mm Tri Xtra Thck Blade 4mm 4.5mm 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,096.40
WS SERVICE AREA|272038190|Hc Stapler Reload Endo 45mm Tri Xtra Thck Blade 4mm 4.5mm 5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,771.70
WS SERVICE AREA|272038192|Hc Stapler Reload Endo 45mm Med Blade 3.5mm 4mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,620.00
WS SERVICE AREA|272038195|Hc Stapler Reload Endo 60mm Med Blade 3.5mm 4mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,747.30
WS SERVICE AREA|30010079|Hc Inpt Endovasc Taa Rpr 2 Celiac Arty; W/o Lft-subclv Org|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33881||WS HB DEFAULT|12,101.00
WS SERVICE AREA|90092937|Hc Robotic Asst Graft Ptca And/or Bms Stent To Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|92937|LD|WS HB DEFAULT|24,518.00
WS SERVICE AREA|27053262|Hc Trap H2o Set Lf Bllw Ped Adlt Oscillary 3100b|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|389.30
WS SERVICE AREA|272053973|Hc Plug Dcan Univ Cap Tracheo Tube Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.60
WS SERVICE AREA|272054882|Hc Blade Saw 105x18x1.2mm Xlng Ss Sag Dual Cut|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|76.40
WS SERVICE AREA|272055599|Hc Valve Bx Brnchl Ventri Bscp Nomenclature Evis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|272056231|Hc Blade Saw 70x12.5x.64mm Ss Recip 2 Sided Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|130.50
WS SERVICE AREA|272060450|Hc Holder Tube Neonate/ped, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.60
WS SERVICE AREA|272075534|Hc Retractor Ir Grsh Flx Opth Surg Strl Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.50
WS SERVICE AREA|272077270|Hc Cuff Tourniquet 18in 2 Port 1 Bladr Pump Line|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|96.50
WS SERVICE AREA|272077273|Hc Cuff Tourniquet 34in 2 Port 1 Bladr Pump Line|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|123.10
WS SERVICE AREA|272082270|Hc Catheter Angio 65cm 4fr Rylfl Btp 5/bx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.50
WS SERVICE AREA|30010083|Hc Ip Only- Iabp, Insertion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|8,146.00
WS SERVICE AREA|272082332|Hc Kit Hemodia 23cm 16fr Carbothane Hmsplt Xk 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,507.30
WS SERVICE AREA|272082427|Hc Stapler Intnl 60x3.5mm Ti Reg Thktis Endo Lin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|187.80
WS SERVICE AREA|272082430|Hc Stapler Intnl 60x3.5mm Ti Thktis Endo Lin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|380.90
WS SERVICE AREA|272083631|Hc Stapler Intnl 60x4.8mm Ti Thktis Endo Lin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|187.80
WS SERVICE AREA|272086031|Hc Pouch 34.5cm 10mm E-ctch Gld Spec Ret Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|168.70
WS SERVICE AREA|272087418|Hc Stapler Intnl 33mm Ti Endo Lin Cutter Strl Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,246.60
WS SERVICE AREA|272088740|Hc Stapler 30x3.5mm Ti Reg Reload Thktis Endo Lin Intnl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|167.60
WS SERVICE AREA|272088741|Hc Stapler Intnl 30x4.8mm Ti Reg Thktis Endo Lin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|167.60
WS SERVICE AREA|272089690|Hc Stapler Intnl 30x3.5mm Ti Vasc Endo Lin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|185.70
WS SERVICE AREA|272090843|Hc Saw Prcs Osc 25x1.33x105mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,464.00
WS SERVICE AREA|30010084|Hc Ip Only - Rem Iabp Assist Device Percutaneous|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|14,272.00
WS SERVICE AREA|272092148|Hc Knife Opth 2.4mm Clrct Hp2 2.4mm Ang Dual|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|115.70
WS SERVICE AREA|272092604|Hc Catheter Drain 32fr 6 Eylt Strt Tpr Connect|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|272093480|Hc Tunneler Surg Sheath 12in 11ga Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|132.70
WS SERVICE AREA|272094337|Hc Unit Electrosurg 37cm 5mm Blnt Lgsr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,163.20
WS SERVICE AREA|272095694|Hc Ring Malyugin 7.0mm Mst Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|598.30
WS SERVICE AREA|272096259|Hc Reload Stapler Med 45mm Egia Vasc Artc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|720.40
WS SERVICE AREA|272096260|Hc Reload Stapler Tri 45mm Egia Xthk Artc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|884.80
WS SERVICE AREA|272096261|Hc Stapler Intnl 45mm Med Artc Crv Tip Reload|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|756.40
WS SERVICE AREA|272096324|Hc Pad Sensatrac W Tub Clamp Connect|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|83.90
WS SERVICE AREA|272096951|Hc Unit Electrosurg 18.8cm Sm Jaw Lgsr Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,997.70
WS SERVICE AREA|30010085|HC IP ONLY INJ VENTRIC ASSIST DEV EXTRACOPOREAL SINGLE VENTRICLE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|10,730.00
WS SERVICE AREA|272097069|Hc Reload Stplr Med 60 Egia Vasc Artc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|896.50
WS SERVICE AREA|272097071|Hc Reload Stplr Med 60mm Egia Crv Thktis Artc Crv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|896.50
WS SERVICE AREA|272097080|Hc Device Thrmb Cleaner 65cmx9mm 6fr Rot|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|526.20
WS SERVICE AREA|272097131|Hc Needle Insfl 120mm 14ga Pnmprtn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.50
WS SERVICE AREA|272097132|Hc Trocar Vrsprt + Rpf 5-12mm Cnvtrls Visiport|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|215.40
WS SERVICE AREA|272097188|Hc Reload Stplr Med 60mm Xthktis Artc Crv Egia|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,246.60
WS SERVICE AREA|272097220|Hc Trocar Vrsprt Bladelss 5mm Optc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|80.60
WS SERVICE AREA|272097264|Hc Reload Stapler 45mm Egiz Vasc Endo Gry|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|720.40
WS SERVICE AREA|272097767|Hc Catheter Baln Dil 3.25mm Otw 15mm Rx Spntr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|527.30
WS SERVICE AREA|272097860|Hc Needle Bx 11ga 6in Traplok Bn Mrw|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|152.70
WS SERVICE AREA|30010087|Hc Cardiac Pocket Revision|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33999||WS HB DEFAULT|2,849.00
WS SERVICE AREA|272098974|Hc Trocar Vrsprt V2t Bladeless 5mm Optc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|80.60
WS SERVICE AREA|272098975|Hc Trocar Vrsprt Cannula Bladeless 5mm Optc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|37.20
WS SERVICE AREA|27099739|Hc Kit Pstn 7in Jcksn Pat Care Spnl W/prnview|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|194.20
WS SERVICE AREA|27099854|Hc Set Spk Screw Sf Epump 1000ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|19.50
WS SERVICE AREA|272099855|Hc Set Pump Feed Flush Epump 1000ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|270101418|Hc Drape Vac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|31.20
WS SERVICE AREA|271101877|Hc Applicator Chlrprp 2% Chg 70%|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|15.60
WS SERVICE AREA|272103044|Hc Scalpel Bp Ss Lck Rtrct Shld Prct Surg 15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.40
WS SERVICE AREA|272103238|Hc Dressing 4x4in Mepilex Abs Adh Sftc Tech Brdr Sil|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.40
WS SERVICE AREA|272106369|Hc Tray Cath Ureth 16fr Insert Pvp Ltx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.40
WS SERVICE AREA|30010088|Hc Embo Thrombectomy Fem-pop|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|34201||WS HB DEFAULT|11,654.00
WS SERVICE AREA|271107813|Hc Cover Probe Temp Disp Alaris Rb Box/200|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|18.00
WS SERVICE AREA|271108955|Hc Zz Circuit Ventiltr Bipap Visn 72" Disp Use 27200812|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.00
WS SERVICE AREA|272109193|Hc Suture Acs 10-0 Au-1 Nylon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|158.10
WS SERVICE AREA|272109953|Hc Dilator Serial Sgle 24fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|452.00
WS SERVICE AREA|272110470|Hc Stapler Intnl 30mm Med Artc Crv Tip Reload|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|634.40
WS SERVICE AREA|270110504|Hc Kit Wedge Positioner, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|220.00
WS SERVICE AREA|272110614|Hc Dissector 13cm Sonicision Crdless Ultra|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,513.10
WS SERVICE AREA|272110615|Hc Dissector 48cm Sonicision Crdless Ultra|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,630.60
WS SERVICE AREA|272110971|Hc Trocar Blnt 12mm Std Thrd Anchor Smth Cann|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|111.40
WS SERVICE AREA|272112471|Hc Applier Clip Sm 9in Prm Sgclp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|229.60
WS SERVICE AREA|30010090|Hc Embo Thrombectomy Pop-tib-per|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|34203||WS HB DEFAULT|10,488.00
WS SERVICE AREA|272112479|HC SET ADMIN IV/INF|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.80
WS SERVICE AREA|270112666|Hc Cable High Freq W/8mm Plug Str|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|123.10
WS SERVICE AREA|272113449|Hc Stockinette Imprv Interm 9x44n|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.60
WS SERVICE AREA|272113648|Hc Hmst Kelly Crv Disp 5 1/2in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.30
WS SERVICE AREA|271113650|Hc Blanket Br Hgr Wrm 36x54in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|20.90
WS SERVICE AREA|271113651|Hc Cover Warm Body Upr 78x21in Multi Direction|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|30.80
WS SERVICE AREA|271113652|Hc Cover Warm Body Upr 78x21in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|24.40
WS SERVICE AREA|272113915|Hc Aspirator Nslorl Sflxtp Premie W Cvr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.30
WS SERVICE AREA|272113923|Hc Kit Cannister Rgd 1000cc Elb Tub Tonnect|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.20
WS SERVICE AREA|272113924|Hc Canister Smrg 1 Elb 3000cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.30
WS SERVICE AREA|30010098|Hc Inpt Endovasc Iliac Arty  Occl Dev Plcmnt|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|34808||WS HB DEFAULT|3,747.00
WS SERVICE AREA|272113928|Hc Canister Npt Abthera 1000ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.50
WS SERVICE AREA|272113933|Hc Needle Bx Bn Mrw Asp 11gax4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|115.40
WS SERVICE AREA|272113936|Hc Needle Bx Temno Orng 18gx15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|164.00
WS SERVICE AREA|272113949|Hc Needle Spcl Troc Strt 18g 15in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|57.70
WS SERVICE AREA|272113954|Hc Needle Bx Disp 25g 15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|76.40
WS SERVICE AREA|272113958|Hc Gun Bx Bpnc 18gx100mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|245.30
WS SERVICE AREA|272113960|Hc Intro Ndl Coax 17gx6.8cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|83.90
WS SERVICE AREA|272113977|Hc Needle Spnl Whtcr 22g 3.5in Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.20
WS SERVICE AREA|272113978|Hc Needle Spnl 25gx4-11/16 Disp Whitacre Pencl Pt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.80
WS SERVICE AREA|272113979|Hc Needle Spnl Whtcr 25g 3.5" Hi Flo Pncl Blu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.10
WS SERVICE AREA|30010099|Hc Inpt Open Fem Art Xpose For Endoprsth  Unilat|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|34812||WS HB DEFAULT|4,965.00
WS SERVICE AREA|272113984|Hc Needle Bx Full Core Bpnc 16gax10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|239.80
WS SERVICE AREA|272113987|Hc Pin Dispensing Std W/valve|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|272114021|Hc Ndl Sf Infus Polyfin Set 20x1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.90
WS SERVICE AREA|272114025|Hc Set Infus Pwrlk Sfty 20g 1in Wo Y Site|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.70
WS SERVICE AREA|272114026|Hc Set Infus Pwrlk Sfty 20g .75in Wo Y Site|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.60
WS SERVICE AREA|272114030|Hc Kit Port Acc Pwrlk 20g 1in Wo Y Site|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|56.70
WS SERVICE AREA|272114032|Hc Set Ndl Huber 22ga .75in 7in Tub|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.20
WS SERVICE AREA|272114099|Hc Kit Urin Mtr Drain Strl 350ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.00
WS SERVICE AREA|272114121|Hc Kit Ureth Cath 14f Preatch Bag|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|278114212|Hc Catheter Dia Ngr 2lum Strt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|604.60
WS SERVICE AREA|30010111|Hc Direct Blood Vessel Repair Lower Extremity|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|35226||WS HB DEFAULT|9,961.00
WS SERVICE AREA|278114213|Hc Catheter Dia Ngr 2lum 20cm Stlk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|604.60
WS SERVICE AREA|278114215|Hc Catheter Dia Hmsplt 16f 19cm Strt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,604.30
WS SERVICE AREA|272114226|Hc Kit Cath Dia Palindrome Sprt Pk 23x40cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|978.20
WS SERVICE AREA|272114232|Hc Catheter Duo Splt 13f 24cm Short Term|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|335.10
WS SERVICE AREA|272114241|Hc Catheter Duo Splt 13f 30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|329.60
WS SERVICE AREA|272114244|Hc Electrode Dfbr Radiotransparnt Pro-padz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|82.70
WS SERVICE AREA|272114252|Hc Electrode Rsc Cmplt 1stp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|401.00
WS SERVICE AREA|271114296|Hc Leadwire Univ Din To Pinch Disp 5lead 50"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|60.90
WS SERVICE AREA|271114312|Hc Set Leadwire 5 Snap Mtlnk Mx Aha|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|322.20
WS SERVICE AREA|270114333|Hc Pouch Telem Clr Poly Zplk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|6.20
WS SERVICE AREA|30010113|Hc Non-vein Graft Repair Lower Ext|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|35286||WS HB DEFAULT|13,525.00
WS SERVICE AREA|90192937|Hc Robotic Asst Graft Ptca And/or Bms Stent To Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|92937|LC|WS HB DEFAULT|24,518.00
WS SERVICE AREA|271110053|Hc Dressing Lg Picc Cvc Chg+ Scr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|43.50
WS SERVICE AREA|270114334|Hc Pouch Telem Foam 5.5x10" Vlcr Hook|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|6.40
WS SERVICE AREA|271114350|Hc Sensor Po Ns Adlt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|667.60
WS SERVICE AREA|272114367|Hc Tube Art Press Mntr M-f Ll 3ft Pvc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.40
WS SERVICE AREA|272114372|Hc Sensor Art Contin Co 84" L|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,563.70
WS SERVICE AREA|272114380|Hc Catheter Iu Press 3.5mm 82cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|106.60
WS SERVICE AREA|272114490|Hc Kit Syr Loprs Tub Spk Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|34.00
WS SERVICE AREA|272114547|Hc Catheter Angio 5f 100cm .038 Sim1 W/o Side H|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|232.80
WS SERVICE AREA|272114551|Hc Catheter Vscr 5f .038 65cm Hnbr 503865 P Ns Rlg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|315.20
WS SERVICE AREA|272114577|Hc Kit Sheath Perc Intro Integr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|149.70
WS SERVICE AREA|272114578|Hc Kit Sheath Perc Intro Hemosta|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|372.70
WS SERVICE AREA|30010114|Hc Inpatient Thrombo Carotid Vertebral Subclavian|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|35301||WS HB DEFAULT|13,639.00
WS SERVICE AREA|272114581|Hc Intro Sheath 6f W Gwire J 3mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.50
WS SERVICE AREA|272114586|Hc Dilator Vsl Wire .035 15cm 4fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.40
WS SERVICE AREA|272114587|Hc Intro Ckfl Lng 0.038 10fx30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|184.60
WS SERVICE AREA|272114597|Hc Intro Set Mpnch Sst 4fr 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|158.10
WS SERVICE AREA|272114638|Hc Guidewire Vasc 300cm .035 Flex Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|137.90
WS SERVICE AREA|272114639|Hc Wireg Cope Mdrl 0.018in 60cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|175.10
WS SERVICE AREA|272114641|Hc Wireg Aus Hep Strt .035x260cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|136.90
WS SERVICE AREA|272114645|Hc Wireg Aes Pftfe Ss .035 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|123.10
WS SERVICE AREA|272114655|Hc Wireg Stiff Shaft .035inx150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|210.00
WS SERVICE AREA|272114677|Hc Catheter Balln Dilatn 5.5f 5mm 4cm 50cml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,270.90
WS SERVICE AREA|30010133|Hc Inpt Art Bypass Grft Carotid-subclv|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|35606||WS HB DEFAULT|12,616.00
WS SERVICE AREA|272114744|Hc Catheter Infus Mc+ 3-2.8f .028" 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,442.80
WS SERVICE AREA|272114808|Hc Kit Centrl Vn Cath Trpl Lum 7f 16cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|479.00
WS SERVICE AREA|272114809|Hc Kit Centrl Vn Cath Trpl Lum 7f 20cm Press Inj|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|491.60
WS SERVICE AREA|272114813|Hc Tray Cath 2lum 11.5f 19.5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|313.00
WS SERVICE AREA|272114822|Hc Tray Picc 2lum Pwr Nurs 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|552.10
WS SERVICE AREA|272114845|Hc Kit Art Ln Indwl Cath Ldcn 20g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|100.60
WS SERVICE AREA|272114846|Hc Kit Picc Line Cust Atlanta Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|590.30
WS SERVICE AREA|272114876|Hc Set Cust Grvty Anes Iv 60 Drop|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.10
WS SERVICE AREA|272114880|Hc Set Brtt Ll M 150ml 6in 129in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.30
WS SERVICE AREA|272114890|Hc Set Ultrasite Bifur|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.40
WS SERVICE AREA|30010135|Hc Ip Only Art Bypass Grft Fem-fem Non-vein|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|35661||WS HB DEFAULT|16,116.00
WS SERVICE AREA|271114912|Hc Support Iv Alum Neo 3.5x1.5" Pad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|13.50
WS SERVICE AREA|271114933|Hc Device Aspt Dcntr Bg Strl Clr Plycrb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|7.40
WS SERVICE AREA|272114939|Hc Set Blood Warm 3 Spk Tub 3/16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|357.90
WS SERVICE AREA|272114967|Hc Kt Intro Feed Jjn 18fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,004.70
WS SERVICE AREA|272114969|Hc Set Gastro Perc W-o 12f 35cm 12h|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,023.20
WS SERVICE AREA|272114970|Hc Catheter Gastro 16fr 25cm Side Port|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|482.40
WS SERVICE AREA|272115047|Hc Pad Undcst Crmpd Fnsh 4inx4yds Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.30
WS SERVICE AREA|272115051|Hc Pd Cast Synthetic 6inx4yd Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.80
WS SERVICE AREA|272115063|Hc Stockinette Orth Acrylic 4x25y|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|98.70
WS SERVICE AREA|270115134|Hc Pillow Abd Foam Cncv Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|104.00
WS SERVICE AREA|30010136|Hc Inpatient Bypass Compo-prosth-vein|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|35681||WS HB DEFAULT|2,691.00
WS SERVICE AREA|271115155|Hc Sling Arm Cmft Blu Lg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|10.40
WS SERVICE AREA|271115165|Hc Sling Arm Strap Pad Vlfm Med 7x16" Blu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|11.40
WS SERVICE AREA|271115166|Hc Sling Arm Strap Pad Vlfm Lg 8x19" Blu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|11.40
WS SERVICE AREA|274115188|Hc Collar Repl Pad Adlt Miami Jr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|72.10
WS SERVICE AREA|270115190|Hc Collar  Cerv Polyeth Lf 2.25in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|126.70
WS SERVICE AREA|270115191|Hc Collar  Cerv Polyeth Lf 3in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|126.00
WS SERVICE AREA|270115192|Hc Collar  Cerv Polyeth Lf 3.75in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|125.60
WS SERVICE AREA|270115196|Hc Foam Pd Tempurpedic Supn Back Miami J|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|418.20
WS SERVICE AREA|271115215|Hc Splint Wrist Supp Cont Rt Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|26.60
WS SERVICE AREA|270115265|Hc Splint Buck Trac Univ 20in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|43.50
WS SERVICE AREA|30010138|Hc Introduction Needle Or Intracath Vein|SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761]|36000||WS HB DEFAULT|384.00
WS SERVICE AREA|272115297|Hc Flwmtr Air Peak Scale 70-880 Ring|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.30
WS SERVICE AREA|272115355|Hc Tube Aers/ippb 100ft Seg Every 6" Lt Blu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|57.30
WS SERVICE AREA|272115359|Hc Humidifier Prfl Strl H20 500ml W Adapt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.20
WS SERVICE AREA|272115434|Hc Kit Perc Dil Trach 8x10.9x86mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|567.60
WS SERVICE AREA|272115452|Hc Intro Set Trach Perc Ciaglia 8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,022.90
WS SERVICE AREA|272115495|Hc Cath Arwyex 19f 83cm 3mm Id Adapt 15mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|278.00
WS SERVICE AREA|270115502|Hc Device Suct Mcnm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|42.20
WS SERVICE AREA|271115505|Hc Zz Circuit Vent Port Plug 72in Hanger Connect Use 27200812|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|11.60
WS SERVICE AREA|272115525|Hc Valve Peep, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|271115529|Hc Bonnet Infant, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|51.10
WS SERVICE AREA|30010139|Hc Inj Trreatment Pseudoaneurysm Extremity|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36002||WS HB DEFAULT|1,131.00
WS SERVICE AREA|272115531|Hc Prong Nasal Neonat Bbl 5x4mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.00
WS SERVICE AREA|272115532|Hc Prong Nasal Neonat Bbl 5.5x6mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.00
WS SERVICE AREA|272115533|Hc Tube Nasal Flexitrunk Univ 70mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.70
WS SERVICE AREA|271115538|Hc Zz Mask Full Face Elb Prfmx Xl Entrainment Disp- Use 272115552|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|221.30
WS SERVICE AREA|272115552|Hc Mask Bipap/cpap, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|105.60
WS SERVICE AREA|272115574|Hc Filter Avea Expir H2o Trap Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.00
WS SERVICE AREA|272115936|Hc Blade Saw Sgtl Dp Ct Wd Tk 4.72cm 25.40mm 1.27mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|170.80
WS SERVICE AREA|272116028|Hc Dil Stoma Eternal Feed Tb 22fr Acc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|461.50
WS SERVICE AREA|272116110|Hc Cannula Irr Ant Cham 27g 7/8in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.00
WS SERVICE AREA|272116112|Hc Set Tur Y Type Irr Nvnt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.40
WS SERVICE AREA|30010140|Hc Inj Venography Ext Contrast|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36005||WS HB DEFAULT|837.00
WS SERVICE AREA|272116181|Hc Probe Bx Mamtm Elite 10ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,279.80
WS SERVICE AREA|272116184|Hc Needle Loc Spr Hk 20g 5cm A Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|91.70
WS SERVICE AREA|272116185|Hc Zz Needle Loc Spr Hk 20g 9cm A Tip- Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|91.30
WS SERVICE AREA|272116186|Hc Needle Loc Spr Hk 20g 7cm A Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|94.50
WS SERVICE AREA|272116192|Hc Cannula Irr Ant Cham 30g 7/8in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.00
WS SERVICE AREA|272116196|Hc Knife Slt Clrct Ang Stn 2.75mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|116.70
WS SERVICE AREA|272116197|Hc Knife Opth Sdprt 1.2mm Dual Bvl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|59.40
WS SERVICE AREA|272116246|Hc Syringe Infl Basix Compak 20cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|155.20
WS SERVICE AREA|272116298|Hc Estch Ld Unit Vloc 180abs 2/0 8" 20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|460.40
WS SERVICE AREA|272116313|Hc Drain Abscess Sys Cls Circuit 1000ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.10
WS SERVICE AREA|30010143|Hc Intro Cath Supperior/inferior Vena Cava|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36010||WS HB DEFAULT|1,973.00
WS SERVICE AREA|272116331|Hc Blade Ent Agrs Serr 4.0mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|692.80
WS SERVICE AREA|272116374|Hc Mnfld Drip Reduct 4port Nptn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|162.30
WS SERVICE AREA|272116390|Hc Cautery Pncl Rckr Switch 10' Cord|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|272116391|Hc Cautery Pncl Pshbtn Sf Hlstr 10' Cord|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|272116395|Hc Electrode Dspr Dual Foil 10ft Cable Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.80
WS SERVICE AREA|272116404|Hc Electrode Blade Ext 6.5in Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.00
WS SERVICE AREA|272116405|Hc Electrode Blade Ez Cln 2.5in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|271116481|Hc Mask Face Cushion Flx Neonat 20/cs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|7.40
WS SERVICE AREA|272116490|Hc Swab Proctosigmoidoscopic 16in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.20
WS SERVICE AREA|272116525|Hc Pack Cust Artgr Amc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|112.50
WS SERVICE AREA|30010145|Hc Selective Cath Placement Venous 1st Order|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36011||WS HB DEFAULT|2,428.00
WS SERVICE AREA|272116528|Hc Pack Cust Basic Eye S Fulton Med Ctr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|98.70
WS SERVICE AREA|272116536|Hc Pack Cust Cysto Amc S|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|133.70
WS SERVICE AREA|272116544|Hc Pack Cust Ft/ankl Lwr Xtrm S Fulton|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|176.10
WS SERVICE AREA|272116546|Hc Pack Cust Gen Lapscp S Fulton|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|154.90
WS SERVICE AREA|272116548|Hc Pack Cust Gyn Min Trans/maj Atl S Campus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|149.60
WS SERVICE AREA|272116549|Hc Pack Cust Hand & Arm S Fulton Med Ctr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|424.40
WS SERVICE AREA|272116552|Hc Pack Cust Lith Lapscp S Fulton Med Ctr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|145.30
WS SERVICE AREA|272116553|Hc Pack Cust Lith Amc S|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|118.90
WS SERVICE AREA|272116557|Hc Pack Cust Mylgr Amc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.70
WS SERVICE AREA|272116565|Hc Pack Cust T/k S Fulton Med Ctr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|230.20
WS SERVICE AREA|30010146|Hc Sel Cath Placement Venous 2nd Order|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36012||WS HB DEFAULT|2,866.00
WS SERVICE AREA|90292937|Hc Robotic Asst Graft Ptca And/or Bms Stent To Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|92937|RC|WS HB DEFAULT|24,518.00
WS SERVICE AREA|272116566|Hc Pack Cust Trma Amc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|578.20
WS SERVICE AREA|272116567|Hc Pack Cust Vasc Amc S|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|208.00
WS SERVICE AREA|272116629|Hc Kit Skin Scrub Vag Prep Pvp1 5 Cmprt Bsin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.00
WS SERVICE AREA|272116894|Hc Dressing Wound Adh 5.5x6.75in Foam Abs Tegaderm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.30
WS SERVICE AREA|272116919|Hc Dressing Wound Multidx 6gms Powder Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.10
WS SERVICE AREA|272116927|Hc Dressing Anmc Adh 4"x10" Silverlon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|188.80
WS SERVICE AREA|272116934|Hc Dressing Wound Cgf Duoderm 4x4 Sgnl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.50
WS SERVICE AREA|272116936|Hc Dressing Wound Cgf Xthin 4x6 Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.50
WS SERVICE AREA|272116945|Hc Dressing Wound Mesh Flx 4x5 Comf Nadh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.70
WS SERVICE AREA|272116968|Hc Hmst Abs Strl 2x14"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|248.10
WS SERVICE AREA|30010147|Hc Intro Cath R Heart/main Pulmonary Artery|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36013||WS HB DEFAULT|2,189.00
WS SERVICE AREA|272116969|Hc Pad Hemostatic 2" X 2"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|78.40
WS SERVICE AREA|271117034|Hc Paste Ostomy 2oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|10.60
WS SERVICE AREA|270117035|Hc Ring Skin Barrier Sflx 20mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|7.40
WS SERVICE AREA|272117036|Hc Dressing Wound Slvr Cntct 4x5 Lyr Dress|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|34.30
WS SERVICE AREA|272117037|Hc Dressing Wound Cntct Lyr 6x8 Slvr Nadh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|272117128|Hc Tray Lac Cust Amc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.60
WS SERVICE AREA|272117136|Hc Irr Suct W Splsh Tp Tub 1.75" Spk Adp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|160.20
WS SERVICE AREA|271117145|Hc Splint Nasal Intnl Sil Spt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|101.90
WS SERVICE AREA|272117154|Hc Gauze Pk Ifrm Strl 1inx5yd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10.60
WS SERVICE AREA|272117155|Hc Gauze Pk Plain Strl 1/2inx5yd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10.50
WS SERVICE AREA|30010149|Hc Selective Cath Placement Pulmonary Artery|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36014||WS HB DEFAULT|2,722.00
WS SERVICE AREA|272117156|Hc Gauze Pk Plain Strl 1inx5yd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.30
WS SERVICE AREA|271117161|Hc Support Abd Elc 12in W 26-50" Univ|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|40.30
WS SERVICE AREA|271117759|Hc Mask Phthrp Med Head Cir >34cm Weespees|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|15.70
WS SERVICE AREA|270117897|Hc Cream Atrac-tain 2 Oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.80
WS SERVICE AREA|270117916|Hc Cream Skin Moist Tube 2.8oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|16.50
WS SERVICE AREA|270118115|Hc Humidifier Hiflo 350cc 6-15lpm Bbl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|25.20
WS SERVICE AREA|272118182|Hc Kit Full Barrier Prcaut|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|136.20
WS SERVICE AREA|272118195|Hc Catheter Cerv Ripening 2x80ml 18f 40cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|192.90
WS SERVICE AREA|270118205|Hc Dressing Wound With App 1.5oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|54.30
WS SERVICE AREA|271118208|Hc Sensor Skin Temp Hydratemp Neonat Yllw|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|48.30
WS SERVICE AREA|30010150|Hc Selective Cath Placement Seg/sub Pulmonary Artery|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36015||WS HB DEFAULT|3,186.00
WS SERVICE AREA|271118214|Hc Tube Fastner Oral Endotrach Anchorfast Guard|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|45.50
WS SERVICE AREA|270118216|Hc Pad Bladr Control Ob 9.25x22" Mod Absorb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|6.40
WS SERVICE AREA|270118310|Hc Pad Dcub Care Shpskn 30x40in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|105.10
WS SERVICE AREA|270118313|Hc Kit Wrap Vest/leg Sm/md Chst 32"-46"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|125.10
WS SERVICE AREA|272118317|Hc Kit Suct Port Filter 1200cc 8" Tub|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|84.90
WS SERVICE AREA|271118337|Hc Set Tur Irr W/rl Clamp 2000ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|53.00
WS SERVICE AREA|272118358|Hc Kit Drain Pneumpricrd 8.5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|598.30
WS SERVICE AREA|272118366|Hc Filter Cartridge Car155 W Preatch Hemofltr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,310.50
WS SERVICE AREA|272118433|Hc Set Fld Warm Htln 3 Tub|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.60
WS SERVICE AREA|271118488|Hc Detector Co2 End Tidal 15x15 2hr Easy Cap Ii Sngl Pt Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|23.70
WS SERVICE AREA|30010152|Hc Extremity Artery Ndl Intro Direct/retrograde|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36140||WS HB DEFAULT|1,198.00
WS SERVICE AREA|271118492|Hc Zz Circuit Breathing Hiflow Inf 2 Evaqua- Use 270115516|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|175.10
WS SERVICE AREA|272118595|Hc Kit Dressing 26x15x1.6cm Thin Trac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|282.20
WS SERVICE AREA|272118596|Hc Dressing Wound Foam 10x7.5x3.3 Pad Cnct|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|170.00
WS SERVICE AREA|272118597|Hc Dressing 18x12.5x3.3 Wound Foam Pad Cnct|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|213.30
WS SERVICE AREA|272118599|Hc Dressing Wound Slvr 26x15x3.3 Granuform|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|323.70
WS SERVICE AREA|272118600|Hc Dressing Wound Slvr 10x7.5x3.3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|218.40
WS SERVICE AREA|272118602|Hc Kit Dressing Abd Open Npt Abtherademo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,669.60
WS SERVICE AREA|272118616|Hc Dressing Hdrfb Aqcl Ag Ext 8x12in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|155.00
WS SERVICE AREA|272118618|Hc Dressing Wound Hdrfb 4x5 Aqcl Extra|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.80
WS SERVICE AREA|272118638|Hc Kit Dbrd Strl Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|30010156|Hc Intro Cath Aorta|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36200||WS HB DEFAULT|2,182.00
WS SERVICE AREA|272118640|Hc Kit Cannister Vac Gel 500ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|167.10
WS SERVICE AREA|272118641|Hc Kit Incs Mgmt Un Dressing 45ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,145.60
WS SERVICE AREA|272118683|Hc Cannula Verteport Coax 11g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|349.10
WS SERVICE AREA|271118966|Hc Barrier Skin Convex W/floating Flng 2 Pce 2.25"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|6.40
WS SERVICE AREA|270118968|Hc Barrier Skin Incontinenc Film Sting-free 1oz Spry|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|29.90
WS SERVICE AREA|270118975|Hc Belt Ostomy Large 29-49in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|7.40
WS SERVICE AREA|272119049|Hc Blade Ent Aggressive Non-serrated 40d Angle 4.0mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|876.30
WS SERVICE AREA|272119091|Hc Blade Surgical Micro Sharp 15d 5.0mm Grn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.70
WS SERVICE AREA|272119256|Hc Catheter Angio Nonbraided Kumpe 5f .035 25cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|598.80
WS SERVICE AREA|272119316|Hc Catheter Balln Dilatn 5.5f 75cml 8mm X 2cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|553.10
WS SERVICE AREA|30010158|Hc Selective Cath 1st Ord Thor/brach Br|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36215||WS HB DEFAULT|1,930.00
WS SERVICE AREA|272119429|Hc Catheter Drain Malecot 34fr Ster|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.40
WS SERVICE AREA|272119436|Hc Catheter Drain Pezzer 32fr Ster|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|385.10
WS SERVICE AREA|272119446|Hc Catheter Drainage Centesis 5f 10cml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.00
WS SERVICE AREA|272119576|Hc Zz Catheter Iv Periphrl 2 Lumen 16gx1 3/4" W/20g Ndle- Use 27200690|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.60
WS SERVICE AREA|272119600|Hc Catheter Pta Opta Pro Bln Low Profl 4mmx4cm 80cml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|180.40
WS SERVICE AREA|271119666|Hc Zz Circuit Vent W/2 Flex Corrg Tb Wye Elbw Conn Clip Use 27200812|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|78.40
WS SERVICE AREA|272119796|Hc Connector Inyin 6-in-1 Sterile|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.20
WS SERVICE AREA|272119802|Hc Connector 'y' Trac For  Vac Thrpy, Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|272119807|Hc Connector Univrsl Safe-lck, Sngl Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.30
WS SERVICE AREA|271119825|Hc Cover Dressing Tape Precut Pad 20cm X 28cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|7.30
WS SERVICE AREA|30010160|Hc Selective Cath 2nd Ord Thor/brach Br|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36216||WS HB DEFAULT|4,102.00
WS SERVICE AREA|272119892|Hc Cystotome Irrigating Formed 25g X5/8"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.80
WS SERVICE AREA|271119895|Hc Detector Co2 Mini Static End-tidal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|61.50
WS SERVICE AREA|271119897|Hc Detector Co2 Pediatric|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|34.00
WS SERVICE AREA|272119899|Hc Device Anchoring Swivel Statlocl Foley Fits 24f+|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.50
WS SERVICE AREA|272119910|Hc Device Galactography Infusion 30g Cann Ster Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|80.60
WS SERVICE AREA|272119914|Hc Device Inter Abdominal Pres Montr Edward Life Sci|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.40
WS SERVICE AREA|270119915|Hc Device Iv Bag W/check Valve|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|6.20
WS SERVICE AREA|272119920|Hc Device Optichamber Valved Silicone 140ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.40
WS SERVICE AREA|272119955|Hc Drain Silicone Round 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.60
WS SERVICE AREA|271119998|Hc Dressing Abs Acrylc Clr 6.625x7.5in Tegaderm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|9.50
WS SERVICE AREA|30010162|Hc Selective Cath 3rd Ord Thor/brach Br|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36217||WS HB DEFAULT|4,915.00
WS SERVICE AREA|278120001|Hc Dressing Collagen Bovine Puracol Plus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.90
WS SERVICE AREA|272120009|Hc Dressing Non-adherent Island Melolin 13"x 4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|272120027|Hc Dressing Wound Adhesive Foam Absorb 2 1/2"x3"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.50
WS SERVICE AREA|272120028|Hc Dressing Wound Adhesive Foam Absorb 2 3/4" X 3"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.40
WS SERVICE AREA|272120030|Hc Dressing Wound Closure Laparoscopic 2 3/8" X 1 7/8"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|272120032|Hc Dressing Wound Foam Soft Silicone Mepilex 6x6"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.70
WS SERVICE AREA|272120033|Hc Dressing Wound Hydrofiber 2cm X 45cm Rope Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.70
WS SERVICE AREA|272120039|Hc Dressing Wound Silver Med 18x12.5x3.3cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|302.80
WS SERVICE AREA|272120041|Hc Dressing Wound Mesalt Nacl 3/4" X 39" Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.30
WS SERVICE AREA|272120102|Hc Catheter Urethral Filiform 3f Spiral Tip 12.5"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|133.70
WS SERVICE AREA|30010164|Hc Selective Cath Ea Addl 2nd/3rd Th/br|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36218||WS HB DEFAULT|2,015.00
WS SERVICE AREA|272120114|Hc Filter Bacterial/viral Str Compact 35ml Dead Spac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.30
WS SERVICE AREA|272120140|Hc Follower Catheter Urethral, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|261.60
WS SERVICE AREA|272120176|Hc Gauze Packing Plain 2in X 5 Yd Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|272120256|Hc Guide Probe 8ga For Mammotome Multi-probe Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.80
WS SERVICE AREA|272120257|Hc Guide Probe Biopsys 11ga For Lorad Table Ltx Free|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|34.00
WS SERVICE AREA|270120277|Hc Holder Yankauer Los Oral Suction Tip W Rmvbl Adhs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|11.50
WS SERVICE AREA|270120280|Hc Humidifier Chamber Auto Waterfeed Flw 1.5-80l/min|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|55.10
WS SERVICE AREA|272120991|Hc Kit Biopsy Max-core 16gx10cm Ndl Penetration 22mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|161.30
WS SERVICE AREA|272112468|Hc Ligasure Maryland Device 44cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,277.70
WS SERVICE AREA|27210436|Hc Kit Catheter Pleurx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,425.30
WS SERVICE AREA|30010166|Hc Selective 1st Ord Abd/pel/lower Ext Artery Branch|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36245||WS HB DEFAULT|1,760.00
WS SERVICE AREA|90692937|Hc Robotic Asst Graft Ptca And/or Bms Stent Ramus Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|92937|RI|WS HB DEFAULT|24,518.00
WS SERVICE AREA|272086672|Hc Unit Electrosurg 36x3.3-4.7mm 18cm Instr Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,663.90
WS SERVICE AREA|272120987|Hc Kit Autoplex System W/verteplex Ndl 11g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,193.30
WS SERVICE AREA|272114532|Hc Microcatheter Embol 20x115cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,549.30
WS SERVICE AREA|272120086|Hc Electrode Ndle Radiofreqncy 3.0cm 15g 15cml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,602.00
WS SERVICE AREA|272116244|Hc Kit Dil Multi Sin Lt Fbr 6mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1726||WS HB DEFAULT|6,877.80
WS SERVICE AREA|272114636|Hc Wireg Aes Tfln Strt .035x260cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,679.00
WS SERVICE AREA|272002413|Hc Laveen Needle Electrode 3.5/15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7,545.20
WS SERVICE AREA|272118155|Hc Kit Press Mntr Microvent Bolt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7,686.40
WS SERVICE AREA|27103119|Hc Electrode Defib 6x4.5in Pad|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.60
WS SERVICE AREA|27205917|Hc Catheter Ureth Scth 14fr 16in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.40
WS SERVICE AREA|30010168|Hc Selective 2nd Ord Abd/pel/lower Ext Artery Branch|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36246||WS HB DEFAULT|3,952.00
WS SERVICE AREA|27209438|Hc Tubing Dia 12ft Extn Set Apd D|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.00
WS SERVICE AREA|27109622|Hc Clipper Umb Cord Clamp Ns Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.30
WS SERVICE AREA|27213828|Hc Tube Ng 16in 8fr Sntnl Line|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.30
WS SERVICE AREA|27015450|Hc Detector Co2 Etco2 Clip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.90
WS SERVICE AREA|27217421|Hc Sponge Gauze Vrsln 4x4in 4ply Strl Per Tray|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|7.30
WS SERVICE AREA|27218058|Hc Diluter O2 Cnch 26-96% Fio2 O2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|10.60
WS SERVICE AREA|27119720|Hc Adapter Nebuilizer 22mm 22mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.20
WS SERVICE AREA|27220846|Hc Filter Bctr/vir 22mm 1.5mm D/x|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|55.20
WS SERVICE AREA|27226814|Hc Tube Trach 2 Pc Adlt Tie|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.30
WS SERVICE AREA|27131459|Hc Belt Mtrn Monitor Blu Pink|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|6.30
WS SERVICE AREA|30010170|Hc Selective 3rd Ord Abd/pel/lower Ext Artery Branch|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36247||WS HB DEFAULT|4,550.00
WS SERVICE AREA|27235392|Hc Tube Ng 48in 16fr 4 Eye|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.30
WS SERVICE AREA|27141969|Hc Adapter Circuit 22mm 22mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27247537|Hc Device 5-40fr Drain Slfadh Vrt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|24.40
WS SERVICE AREA|27247820|Hc Tape Umb Cttn 30x1/8in Lgt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|7.40
WS SERVICE AREA|27059406|Hc Pack Floor Baby L|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27062451|Hc Aid 30in Foam Pstn Inf B Bnd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|51.50
WS SERVICE AREA|27165345|Hc Pouch Telem Aproto Cus Lf Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.30
WS SERVICE AREA|27195111|Hc Clamp Dia Ultraclamp Prtnl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.00
WS SERVICE AREA|27096333|Hc Splint Orth 3inx12in Precut|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.20
WS SERVICE AREA|27096334|Hc Splint Orth 4inx15in Precut|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.60
WS SERVICE AREA|30010172|Hc Selective Ea Addl 2-3rd+ Ord Abd/pel/lower Ext Artery Branch|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36248||WS HB DEFAULT|1,739.00
WS SERVICE AREA|27096428|Hc Sleeve Skin Arm Lycra Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.30
WS SERVICE AREA|271100431|Hc Bag Ost N Img 2.75in 12in 2 Pc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.40
WS SERVICE AREA|272101182|Hc Kit Gyn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|34.00
WS SERVICE AREA|272101391|Hc Handle Clipper Surg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.10
WS SERVICE AREA|271109839|Hc Paste  Zguard  Remedy 2oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.30
WS SERVICE AREA|272110001|HC DRESSING FOAM HYDROFERA BLU 2.5X2.5IN NONBR|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.60
WS SERVICE AREA|270110484|Hc Blanket  78.7x29.9in Upr Frc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.90
WS SERVICE AREA|270110485|Hc Blanket 55.9x40.2in Upr Frc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.90
WS SERVICE AREA|271110792|Hc Mask Panda Infant|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|27.60
WS SERVICE AREA|272112481|Hc Set Syr Press Sns Disc 60in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.30
WS SERVICE AREA|30010174|Hc Selective 1st Ord Renal Artery Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36251||WS HB DEFAULT|6,750.00
WS SERVICE AREA|272112655|Hc Catheter Trbo Cln Cls Suct|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|54.70
WS SERVICE AREA|270114171|Hc Holder Limb Qrlse Xln Cuff Inf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.40
WS SERVICE AREA|270114172|Hc Holder Limb Qrlse Qltd Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|270114173|Hc Holder Limb Qrkse Qltd Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.90
WS SERVICE AREA|271114371|Hc Kit Mntr Ped Press Tub 24in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|36.10
WS SERVICE AREA|271115522|Hc Bag Hpinfl Elb Mask Inf .5l|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|34.00
WS SERVICE AREA|271115564|Hc Connector Isothrmal Y Cnct Inf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.60
WS SERVICE AREA|271115567|Hc Connector Strt Id Ns+ 22mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|272116636|Hc Blade Surg Clipper Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.30
WS SERVICE AREA|272116656|Hc Tube Cnct Suct 9/32in Id 12ft|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.20
WS SERVICE AREA|30010176|Hc Selective 1st Ord Renal Artery Bilat|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36252||WS HB DEFAULT|5,992.00
WS SERVICE AREA|271118256|Hc Tip Calibrator Blchk Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|23.70
WS SERVICE AREA|272118345|Hc Catheter Urin Self Adh Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|6.40
WS SERVICE AREA|272118473|Hc Zz Kit Trachcr 14f 4.6mm 30.5cm- Use 27000149|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.60
WS SERVICE AREA|271118485|Hc Connector Dbl Swvl Strl 15mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|272118546|Hc Intro Endotrach Cde 15fr 70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.10
WS SERVICE AREA|272118926|Hc Bag Flatus W/24fr Rectal Tube|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|6.30
WS SERVICE AREA|272119604|Hc Catheter Rob-nel Sterile 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.40
WS SERVICE AREA|272119664|Hc Zz Circuit Non-invasive Vision B Use 27200812|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.80
WS SERVICE AREA|270121698|Hc Sling Arm Comfort Blue Sm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10.60
WS SERVICE AREA|272122554|Hc Bag Urine Leg Large 32oz W/tu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.50
WS SERVICE AREA|30010178|Hc Selective 2nd+ Ord Renal Artery Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36253||WS HB DEFAULT|6,750.00
WS SERVICE AREA|271123886|Hc Mask Bilirubin W/stockinette|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.30
WS SERVICE AREA|272124945|Hc Adapter Vial Ndehp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.40
WS SERVICE AREA|270127565|Hc Aligner Body Wedge 30d 22x12x9in Pink Devon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.70
WS SERVICE AREA|272128115|Hc Dressing Al Maxorb 10/bx 4x|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.80
WS SERVICE AREA|270128660|Hc Percussor Chest Neonate|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|13.80
WS SERVICE AREA|271129299|Hc Wrist Support Arterial Kc29|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.90
WS SERVICE AREA|272129559|Hc Ubag Newborn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|272129569|Hc Polymem Optifoam 6x6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|29.10
WS SERVICE AREA|272129639|Hc Applicator Vaginal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.70
WS SERVICE AREA|271129781|Hc Blanket Prm Reflc Full Body|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.40
WS SERVICE AREA|30010180|Hc Selective 2nd+ Ord Renal Artery Bilat|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36254||WS HB DEFAULT|7,127.00
WS SERVICE AREA|271130570|Hc Holder Cath Foley|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|15.90
WS SERVICE AREA|270130573|Hc Ointment Barrier Remedy 2oz Petro Skin Protect|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|6.30
WS SERVICE AREA|97065055|Hc Evoked Auditory Test Complete|AUDIOLOGY - DIAGNOSTIC [0471]|92588||WS HB DEFAULT|768.00
WS SERVICE AREA|94010042|Hc Nutrition Counseling 30 Min|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|||WS HB DEFAULT|33.00
WS SERVICE AREA|94010043|Hc Nutrition Counseling 60 Min|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|||WS HB DEFAULT|67.00
WS SERVICE AREA|97062034|Hc Low Frequency Non-thermal Ultrasound|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97610||WS HB DEFAULT|406.00
WS SERVICE AREA|50010083|Hc External Cephalic Version|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|59412||WS HB DEFAULT|3,875.00
WS SERVICE AREA|80084973|Hc Pathogen Test For Platelets|LABORATORY - GENERAL CLASSIFICATION [0300]|P9100||WS HB DEFAULT|89.00
WS SERVICE AREA|80084972|Hc Platelets, Pathogen Reduced|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - GENERAL CLASSIFICATION [0390]|P9073||WS HB DEFAULT|4,715.00
WS SERVICE AREA|30010364|Hc Bronchoscopy W/transbronchial Lung Bx Each Lobe|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31632||WS HB DEFAULT|3,336.00
WS SERVICE AREA|30010182|Hc Venipuncture <3yr By Md Jug/fem|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36400||WS HB DEFAULT|193.00
WS SERVICE AREA|30010365|Hc Bronchoscopy W/transbroncl Ndl Aspir Bx Ea Lobe|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31633||WS HB DEFAULT|3,667.00
WS SERVICE AREA|30010366|Hc Brnchsc Ebus Guided Sampl 1/2 Node Station/strux|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31652||WS HB DEFAULT|9,847.00
WS SERVICE AREA|30010367|Hc Brnchsc Ebus Guided Sampl 3/> Node Station/strux|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|31653||WS HB DEFAULT|9,847.00
WS SERVICE AREA|80084974|Hc Specimen Handling|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|99001||WS HB DEFAULT|17.00
WS SERVICE AREA|80084976|HC CRYSTALS EXAM. FLUID|LABORATORY - GENERAL CLASSIFICATION [0300]|89060||WS HB DEFAULT|209.00
WS SERVICE AREA|94020054|Hc Cardiopulmonary Exercise Testing|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|94621||WS HB DEFAULT|974.00
WS SERVICE AREA|272122825|Hc Kit Catheter Pleural With 1000ml Bottles Pleurx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,219.90
WS SERVICE AREA|272122624|Hc Kit Expansion On-q W/10in Slivr Soaker Cath 7.5in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,243.90
WS SERVICE AREA|270112872|Hc Kit Bg Sensor|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|2,110.50
WS SERVICE AREA|270121090|Hc Kit Sampling Site And Arm Mount Reservoir 20in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|1,002.60
WS SERVICE AREA|30010183|Hc Venipuncture <3yr By Md Other|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36406||WS HB DEFAULT|174.00
WS SERVICE AREA|272129183|Hc Tray Quad Lumen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|644.90
WS SERVICE AREA|272122332|Hc Tube Capillary Blood Gas 1.3mmx2.1mmx110mm 150ul|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|641.90
WS SERVICE AREA|27295215|Hc Set Ndl Ezio 40+kg Pat 25mmstrl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|611.80
WS SERVICE AREA|272114229|Hc Kit Cath Ins Sut Wng 15cm11.5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|608.90
WS SERVICE AREA|272122994|Hc Dressing Wound Granuform X-large 160 X 30 X 1.5cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|520.20
WS SERVICE AREA|272127902|Hc Catheter 5fr Single Lumen Solo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|476.20
WS SERVICE AREA|27285073|Hc Kit Drain 14fr 9in Cvty Sidearm Spring|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|466.80
WS SERVICE AREA|272122990|Hc Tray Chest Tube Insertion Cust F/amc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|426.00
WS SERVICE AREA|272122243|Hc System Infant Delivery Cpap Bubble Smns|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|305.50
WS SERVICE AREA|272129178|Hc Tray Paracentesis  Quick Ta|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|291.80
WS SERVICE AREA|30010184|Hc Venipuncture =>3yr By Md|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36410||WS HB DEFAULT|146.00
WS SERVICE AREA|90092938|Hc  Robotic Asst Graft Ptca And/or Bms Stent Addtl Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|92938|LD|WS HB DEFAULT|18,425.00
WS SERVICE AREA|271128615|Hc Pad Seizure Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|230.30
WS SERVICE AREA|272121134|Hc Kit Venous Arterial Blood Pole Mt On Line 60in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|226.00
WS SERVICE AREA|272127508|Hc Mepilex Border Post-op Ag 4x6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|131.40
WS SERVICE AREA|27249464|Hc Forceps Rad Jaw 4 100cm 2.0mm Pulm Surg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.40
WS SERVICE AREA|271110491|Hc Blanket 64.2in 40.2in Neonat Air Warm Ltx Free Frc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|182.70
WS SERVICE AREA|272122997|Hc Kit Dressing Wound Foam 10 X7.5 X 3.3cm W/drape|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|176.10
WS SERVICE AREA|272112871|Hc Kit Bg Calibration|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|170.10
WS SERVICE AREA|27257977|Hc Diaphragm Ventilator Viasys Set Cap 3100a|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|168.70
WS SERVICE AREA|272129638|Hc Clamp Circ 1.4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|153.60
WS SERVICE AREA|272127511|Hc Mepilex Border Post-op Ag 4x12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|148.70
WS SERVICE AREA|30010185|Hc Collection Blood Venipuncture|LABORATORY - GENERAL CLASSIFICATION [0300]|36415||WS HB DEFAULT|49.00
WS SERVICE AREA|27278281|Hc Catheter Umb 3.5fr 15in 2 Lum Ll Hub Arg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|142.80
WS SERVICE AREA|272127510|Hc Mepilex Border Post-op Ag 4x10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|131.10
WS SERVICE AREA|272127509|Hc Mepilex Border Post-op Ag 4x8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|120.90
WS SERVICE AREA|271122432|Hc Tubing Nasal Flexitrunk Univ 50mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|121.30
WS SERVICE AREA|271121578|Hc Sensor Eeg Bis Extend Forehead Lf Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|118.80
WS SERVICE AREA|27014486|Hc Bag Drain 600ml Oas Inln Slf Fl Atr Ats|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|116.40
WS SERVICE AREA|272121003|Hc Kit Cath Urinary Drainage W/s Silastic Cath 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|107.10
WS SERVICE AREA|270118622|Hc Pouch Wound Fstl 6x9x4x3in Drain Attach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|94.80
WS SERVICE AREA|27096332|Hc Splint Orth 5inx45in Precut Orth Gls|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|85.90
WS SERVICE AREA|272121011|Hc Kit Chemo Admin Standard|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|78.00
WS SERVICE AREA|30010186|Hc Collect Capillary Finger/heel/ear Stick|LABORATORY - GENERAL CLASSIFICATION [0300]|36416||WS HB DEFAULT|40.00
WS SERVICE AREA|272130127|Hc Tube Ng Corflo-ultra 12fr/43in 3g Stylt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.20
WS SERVICE AREA|272128371|Hc Hyperinflation Sys. W/ Mano|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|66.80
WS SERVICE AREA|272130568|Hc Catheter Nutri Oral Hub 5.0x40|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|66.10
WS SERVICE AREA|272129173|Hc Tray Circ W/ Straps|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|56.40
WS SERVICE AREA|272112656|Hc Catheter Trbo Cln Cls 72 Hr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|54.20
WS SERVICE AREA|27092712|Hc Adhesive Ost Med Sil Spray3.2oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|49.70
WS SERVICE AREA|272118477|Hc Zz Kit Trachcr Dblswvl 4.6mm 54cm Clys Sys Wtpk 14f- Use 27000149|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.50
WS SERVICE AREA|270115171|Hc Pad Cerv Collar Repl Adlt Univ|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|49.50
WS SERVICE AREA|272121217|Hc Zz Mask Nasal Bubble Cpap Infant Large- Use 272115552|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.70
WS SERVICE AREA|272127895|Hc Catheter  Coude Tip 16fr 30cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.70
WS SERVICE AREA|70020721|Hc Transfusion Intrauterine Fetal|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - ADMINISTRATION (E.G., TRANS [0391]|36460||WS HB DEFAULT|5,467.00
WS SERVICE AREA|272116931|Hc Dressing Prsm Matrix 4.34sq Acelity|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.50
WS SERVICE AREA|272129607|Hc Tielle Silicone Bord 8x8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.70
WS SERVICE AREA|270119896|Hc Detector Co2 Neo-stat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|40.50
WS SERVICE AREA|271129548|Hc Infusor Pressure 500ml Pib500|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|36.40
WS SERVICE AREA|271121464|Hc Zz Prong Nasal Neonatal Cpap Disp 4.0mm X 3.0mm- Use 271121465|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.00
WS SERVICE AREA|271121465|Hc Prong Nasal Cpap Neo/infant Disp Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|35.30
WS SERVICE AREA|271121463|Hc Zz Prong Nasal Neonatal Cpap Disp 3.5mm X 2.0mm- Use 271121465|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|35.00
WS SERVICE AREA|271121447|Hc Pouch Wound Fistula W/drainage Attach 1.8x1.2in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|34.00
WS SERVICE AREA|272128428|Hc Kit Tongue And Groove|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.00
WS SERVICE AREA|271121228|Hc Mask Phototherapy Small Weespees Head Cir 26-34cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|33.00
WS SERVICE AREA|30010188|Hc Sclerotherapy Leg Single Vein|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36470||WS HB DEFAULT|1,064.00
WS SERVICE AREA|270114130|Hc Garment Comp Foot Std Sz 9-11 Std W Strap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|29.90
WS SERVICE AREA|271123007|Hc Set Tubing Low Sorbing Vnt/unvnt .2 Mic Fltr 103"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.80
WS SERVICE AREA|272128126|Hc Dressing Iodoflex 1.5x2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.90
WS SERVICE AREA|272124557|Hc Dressing Adaptic 3x8in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.90
WS SERVICE AREA|272128410|Hc Kit Debridement Dynj08831|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.20
WS SERVICE AREA|272129553|Hc Valve Anti Reflux Salem Sump 8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.70
WS SERVICE AREA|272129608|Hc Tielle Silicone Bord 5x5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.30
WS SERVICE AREA|272117001|Hc Dressing Skin Clsr 1/8x3in Steri-strip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.50
WS SERVICE AREA|270129564|Hc Iv Support Infant|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|20.20
WS SERVICE AREA|272127929|Hc Catheter Kit Ped Sft Catheter W Lub|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.30
WS SERVICE AREA|30010189|Hc Sclerotherapy Leg Multiple Veins Same Leg|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36471||WS HB DEFAULT|2,056.00
WS SERVICE AREA|272127539|Hc Adaptic Touch 5 X 6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.60
WS SERVICE AREA|270121379|Hc Pad Defibrillation Inlittmannin 4 1/2in X 4 1/2in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|19.10
WS SERVICE AREA|27235123|Hc Kit Nebuilizer Strl H2o Cap Prefill 500ml Usp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.70
WS SERVICE AREA|270123016|Hc Cap Tube Closure Trac Yellow For Vac Ats Syst|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|16.00
WS SERVICE AREA|270115331|Hc Mask Ox Air-entrain 6jets 7ft Tub O2 Hood|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.60
WS SERVICE AREA|270128189|Hc Flexiflo Feeding Bag Gravit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.50
WS SERVICE AREA|271122439|Hc Tubing Y-set Microbore Anti-reflux|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|13.60
WS SERVICE AREA|270121226|Hc Mask Phototherapy Premie Wees Pees Head Cir <26cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|13.60
WS SERVICE AREA|272129453|Hc Dressing Bioclusive 5 X 7|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.50
WS SERVICE AREA|272129572|Hc Spand Gel Sheets 4x4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.40
WS SERVICE AREA|30010190|Hc Portal Vein Cath Procedure Percutaneous|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36481||WS HB DEFAULT|5,658.00
WS SERVICE AREA|271126616|Hc Wafer Ostomy Red Flex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|10.50
WS SERVICE AREA|27073968|Hc Ointment Antifngl Aloe Vesta 2oz 2% Mcnzl Nitr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|10.40
WS SERVICE AREA|272124418|Hc Tray Tracheo Care Saline Peroxide|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|270121208|Hc Mask Face Cushion Flexible Preemie|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|7.40
WS SERVICE AREA|272112809|Hc Kit Cath Glv Wipe F|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.30
WS SERVICE AREA|272112810|Hc Kit Cath Glv Wipe Lub F 8f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.30
WS SERVICE AREA|271001129|Hc Bag Drain 17oz Crty Med Anrflxtwst Valve Leg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|5.20
WS SERVICE AREA|27110451|Hc Sensor Adlt Drsnsr 24in Finger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|349.20
WS SERVICE AREA|27226125|Hc Syringe Inj Medrad Injector W/ Tube|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.60
WS SERVICE AREA|27272923|Hc Kit Syr 2 Syr 2 Spk Dual Loprs Tube T Connect|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.00
WS SERVICE AREA|30010191|Hc Venous Cath Select Organ Blood Sample|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36500||WS HB DEFAULT|1,821.00
WS SERVICE AREA|27296291|Hc Pack Special Procedure Cobb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|571.90
WS SERVICE AREA|27296960|Hc Syringe Dual Lng Spike Loprs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.00
WS SERVICE AREA|272113967|Hc Kit Anes Epidural 17g 3.5" Tuo Sty Cath 19g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|83.80
WS SERVICE AREA|272113968|Hc Kit Anes Epidural 18g 3.5"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|93.60
WS SERVICE AREA|272113982|Hc Needle Spnl Sb 22g 6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.40
WS SERVICE AREA|272114024|Hc Set Infus Pwrlk Sfty 19g 1in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30.20
WS SERVICE AREA|272114225|Hc Tray Cath Trpl Lum 12f 20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|484.00
WS SERVICE AREA|271114245|Hc Electrode Defib 4.5x6.25in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|81.30
WS SERVICE AREA|272114249|Hc Electrode Ext Pacing Ped 1set|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|570.70
WS SERVICE AREA|272114489|Hc Kit Syr Dual Head Qk-fl Tube|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|53.00
WS SERVICE AREA|30010192|Hc Hemapheresis White|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36511||WS HB DEFAULT|11,430.00
WS SERVICE AREA|272114708|Hc Fld Set Transf Swb Valve Spike Contrast|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.60
WS SERVICE AREA|272114826|Hc Catheter 2lum Max Barrier 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,052.50
WS SERVICE AREA|272114873|Hc Zz Set Iv Admin Nvnt Ndls 106in- Use 272112479|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.60
WS SERVICE AREA|272114921|Hc Tubing Iv Ndls 114in 20 Drop|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.70
WS SERVICE AREA|272115365|Hc Kit Nebulizer Inhl 1000ml Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.50
WS SERVICE AREA|272115379|Hc Catheter Intub 19f 56cm 4.7mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|290.00
WS SERVICE AREA|272115577|Hc Tube Flx Humid Vent 6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.40
WS SERVICE AREA|270115582|Hc Rsc Mth To Mask Ox Rsvr Bag, Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|35.00
WS SERVICE AREA|272116213|Hc Sys Drain Ext Csf Mntr 30ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,430.10
WS SERVICE AREA|270116478|Hc Mask Face Air Cushn Prm Wo Hook Rng Adlt, Spu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|8.40
WS SERVICE AREA|30010193|HC HEMAPHERESIS RED|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36512||WS HB DEFAULT|11,430.00
WS SERVICE AREA|272116522|Hc Pack Cust Angio N Fulton|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|231.90
WS SERVICE AREA|272116526|Hc Pack Cust Artgr S Fulton Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|178.20
WS SERVICE AREA|272116577|Hc Kit Infl Cust Nfrh|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|240.80
WS SERVICE AREA|271116648|Hc Tubing Ph Ncdtve 7mm 100ft, Nstrl,su|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|36.10
WS SERVICE AREA|272116790|Hc Set Cath Bctsl 1.9mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,373.20
WS SERVICE AREA|272116794|Hc Sys Drain Ext Csf Mntr 20ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,430.10
WS SERVICE AREA|272116803|Hc Kit Drain Ext Anrflx Vlv 30ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|338.80
WS SERVICE AREA|270118112|Hc Fmwrp Nadh For Y-sensor, Large|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|6.40
WS SERVICE AREA|272118335|Hc Set Cysto Irr 75in 8 Drop/ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.60
WS SERVICE AREA|272118361|Hc Kit Drain 25g Ldcn 24f 41cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|704.40
WS SERVICE AREA|30010194|Hc Hemapheresis Platelets|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36513||WS HB DEFAULT|11,529.00
WS SERVICE AREA|90192938|Hc  Robotic Asst Graft Ptca And/or Bms Stent Addtl Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|92938|LC|WS HB DEFAULT|18,425.00
WS SERVICE AREA|272118419|Hc Kit Dressing Picc Cust Adlt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|90.40
WS SERVICE AREA|271118557|Hc Mouthpc Lf W Strap Strl Adlt Su Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|11.60
WS SERVICE AREA|270118738|Hc Protector Nerve Uln Foam Bei|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|6.40
WS SERVICE AREA|272119662|Hc Zz Circuit Anes Peds 2 Liner Ltx Fr Bg 26-72in Use 271115511|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|272120014|Hc Dressing Tegaderm Trnsprnt Brdr Lg 4 X 4 3/4 Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.30
WS SERVICE AREA|272120992|Hc Kit Biopsy Soft Tissue 17g 70mm X 1.4mm Jamsh, Syr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|255.60
WS SERVICE AREA|272121026|Hc Kit Drainage Chest Tube W/25g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|773.80
WS SERVICE AREA|272121029|Hc Kit Edms Lumbar 80cm W/tip &|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,052.60
WS SERVICE AREA|272121119|Hc Kit Thoracentesis W/catheter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|140.10
WS SERVICE AREA|270121211|Hc Mask Face Inflatable Child Sz-4 Bubble Gum Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|9.60
WS SERVICE AREA|30010195|Hc Hemapheresis Plasma|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36514||WS HB DEFAULT|13,146.00
WS SERVICE AREA|272121347|Hc Pack Custom Biopsy North Fult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.00
WS SERVICE AREA|272121353|Hc Pack Custom Lumbar Puncture N|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|94.20
WS SERVICE AREA|272121354|Hc Pack Custom Myelogram North F|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.10
WS SERVICE AREA|272121422|Hc Pin Dispensing Mini Spike W/valve|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.40
WS SERVICE AREA|270124159|Hc Electrode 1stp Ped Rsc Cpr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|331.00
WS SERVICE AREA|270125902|Hc Pack Hot Inst 6inx9in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|8.30
WS SERVICE AREA|272126196|Hc Blade Lo Pro S3 Sz 3 Ti|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|183.00
WS SERVICE AREA|272126197|Hc Blade Lo Pro S4 Sz 4 Ti|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|185.40
WS SERVICE AREA|272127245|Hc Scalpel Safety 11 Penblade|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.30
WS SERVICE AREA|271127540|Hc Adaptor Co2 Non-intubated Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|43.50
WS SERVICE AREA|30010196|Hc Central Line Non Tunneled < 5yr|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36555||WS HB DEFAULT|9,481.00
WS SERVICE AREA|272127751|Hc Baxter Continu Flo Minidrip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|19.10
WS SERVICE AREA|70010038|Hc Ct Perfusion W/contrast Cbf|CT SCAN - GENERAL CLASSIFICATION [0350]|0042T||WS HB DEFAULT|3,945.00
WS SERVICE AREA|270127799|Hc Blanket Bair Hugger Lower B|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|32.10
WS SERVICE AREA|270127803|Hc Blanket Warmer Upper Body|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|32.10
WS SERVICE AREA|272127954|Hc Catheter Schon Xl Temp Cathete|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|570.60
WS SERVICE AREA|272127995|Hc Chamber Humidifier Adult F/|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.60
WS SERVICE AREA|272128201|Hc Forcep Kelly Straight Dispo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.00
WS SERVICE AREA|272128206|Hc Forceps Mosquito Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.80
WS SERVICE AREA|272128398|Hc Kit Anesthesia Adult|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.90
WS SERVICE AREA|272128415|Hc Kit Inflation|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|185.40
WS SERVICE AREA|30010198|Hc Central Line Non Tunneled => 5yr|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36556||WS HB DEFAULT|9,481.00
WS SERVICE AREA|272128421|Hc Kit Micropuncture 4fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|130.70
WS SERVICE AREA|270128486|Hc Mask Face Strawberry Tod Si|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|7.30
WS SERVICE AREA|272128697|Hc Primary Iv Baxter Gravity|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.70
WS SERVICE AREA|272128758|Hc Scalpel Disp #11  Safty Bd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.30
WS SERVICE AREA|272128764|Hc Scissor Iris Str Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.40
WS SERVICE AREA|90010013|Hc Pap Therapy|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94640||WS HB DEFAULT|580.00
WS SERVICE AREA|272129182|Hc Tray Port Access 20x3/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|61.50
WS SERVICE AREA|272129190|Hc Triple Lumen 16cm Xray|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|452.30
WS SERVICE AREA|94020050|Hc Rehab|ROOM & BOARD - SEMI-PRIVATE TWO BED (MEDICAL OR GENERAL) - REHABILITATION [0128]|||WS HB DEFAULT|2,725.00
WS SERVICE AREA|94020051|Hc Heart Fit Wellness Group|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|||WS HB DEFAULT|72.00
WS SERVICE AREA|30010199|Hc Tunneled Cvc W/o-port =>5yr|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36558||WS HB DEFAULT|12,423.00
WS SERVICE AREA|270129434|Hc Bag Drainage|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|48.60
WS SERVICE AREA|272129439|Hc Baxter Secondary  Iv  2c746|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.30
WS SERVICE AREA|272129515|Hc Gelfoam Surgifoam Size 12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.80
WS SERVICE AREA|272114878|Hc Set Iv Admin Mini 3 Sst 104in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|272129554|Hc Adhesive Topical Skin Derma+flex Dermaflex  Su|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|68.50
WS SERVICE AREA|270129673|Hc Mask Pediatric Respiratory 00 W/ Bag And Tubing|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|68.00
WS SERVICE AREA|272130441|HC SET EXTENSION IV/INF|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.20
WS SERVICE AREA|272130456|Hc Kit Anesthesia Pediatric 100in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.50
WS SERVICE AREA|272131504|Hc Catheter Nutri Oral Hub 8.0x40|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|67.10
WS SERVICE AREA|272118234|Hc Patch Cath Polysaccharide 3cmx3cm Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|219.60
WS SERVICE AREA|30010200|Hc Tunneled Access Ctr Port =>5yr|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36561||WS HB DEFAULT|14,342.00
WS SERVICE AREA|272113970|Hc Tray Cust Epidural Anes|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|107.80
WS SERVICE AREA|272126102|Hc Bag Press Infus 1000ml Hook Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.80
WS SERVICE AREA|272129278|Hc Wire Bentson Iq35f150b|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.20
WS SERVICE AREA|94020055|Hc Exhaled Air Analysis O2/co2|PULMONARY FUNCTION - GENERAL CLASSIFICATION [0460]|94681||WS HB DEFAULT|974.00
WS SERVICE AREA|80084979|Hc Rt- Basic Metabolic Panel (calcium, Ionized)|LABORATORY - GENERAL CLASSIFICATION [0300]|80047||WS HB DEFAULT|418.00
WS SERVICE AREA|80084983|Hc Rt- Coagulation Time; Activated|LABORATORY - GENERAL CLASSIFICATION [0300]|85347||WS HB DEFAULT|68.00
WS SERVICE AREA|80084980|Hc Rt- Electrolyte Panel|LABORATORY - GENERAL CLASSIFICATION [0300]|80051||WS HB DEFAULT|343.00
WS SERVICE AREA|80084981|Hc Rt- Creatinine; Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|82565||WS HB DEFAULT|68.00
WS SERVICE AREA|80084982|Hc Rt- Glucose; Quantitative, Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|82947||WS HB DEFAULT|144.00
WS SERVICE AREA|80084978|Hc Chromosome Analysis, 20-25 Cells|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|88264||WS HB DEFAULT|1,053.00
WS SERVICE AREA|30010201|Hc Tunneled Cvc W-port|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36563||WS HB DEFAULT|24,896.00
WS SERVICE AREA|272132447|Hc Applicator  Single Use For Us Mist|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|233.80
WS SERVICE AREA|27226432|Hc Introducer Frova Intubati 70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|363.90
WS SERVICE AREA|27227233|Hc Introducer Frove Intubati C-cae-8.0-35-fii|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|388.30
WS SERVICE AREA|27069381|Hc Atomizer Lt Mucosal .19ml 21.6cm Wo 3ml Syr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|42.50
WS SERVICE AREA|27070663|Hc Sensor Monitor 6050 004 110 O2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|498.30
WS SERVICE AREA|27295530|Hc Tube Naso 105mm 18fr Bvl Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|27295531|Hc Tube Naso 115mm 20fr Bvl Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.20
WS SERVICE AREA|270110872|Hc Sensor Temp Skin Series 400|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|6.30
WS SERVICE AREA|272112394|Hc Laser Flex Ett-  6.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|161.30
WS SERVICE AREA|272112467|Hc Tube Flx Scope Prot|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|37.20
WS SERVICE AREA|30010202|Hc Tunneled Cvc 2 Cath & 2 Site W/o Port|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36565||WS HB DEFAULT|14,002.00
WS SERVICE AREA|272112629|Hc Laser Flex Ett- 4.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|259.50
WS SERVICE AREA|272112630|Hc Laser Flex Ett- 4.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|293.60
WS SERVICE AREA|272112631|Hc Laser Flex Ett- 5.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|310.00
WS SERVICE AREA|272112632|Hc Laser Flex Ett- 5.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|316.10
WS SERVICE AREA|272112633|Hc Laser Flex Ett- 6.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|126.30
WS SERVICE AREA|272113969|Hc Kit Anes Epidural 18g 3.5in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|72.20
WS SERVICE AREA|272114002|Hc Set Ndl Cath Echo Tuo Bvl 18ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|160.20
WS SERVICE AREA|272114242|Hc Kit Crico Er Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|672.60
WS SERVICE AREA|272114369|Hc Kit Mntr Iv Pole Mnt Trpl 72in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|115.80
WS SERVICE AREA|272114798|Hc Kit Jug Cath 2lum 7f 6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|144.30
WS SERVICE AREA|30010203|Hc Tunneled Cvc 2 Cath & 2 Site With Port|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36566||WS HB DEFAULT|18,668.00
WS SERVICE AREA|272114807|Hc Kit Centrl Vn Cath Trpl Lum|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|387.90
WS SERVICE AREA|272114810|Hc Kit Centrl Vn Cath Mtlum 7f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|537.10
WS SERVICE AREA|270115366|Hc Adapter Tee Valved 22x22mm Od|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|6.40
WS SERVICE AREA|272115470|Hc Hndl Laryngsco Britepro Solo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.40
WS SERVICE AREA|272115496|Hc Airway Exchg. Catheter|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|230.20
WS SERVICE AREA|272115580|Hc Bag Rsc Peep Valve Ped|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.90
WS SERVICE AREA|270116168|Hc Set Tub Pat Control Analgesia|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|17.00
WS SERVICE AREA|270116477|Hc Mask Face Inf Sgl Use|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|11.50
WS SERVICE AREA|270118078|Hc Sensor Pulse Lncs|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|49.90
WS SERVICE AREA|272118446|Hc Tube S Smp Preatch 16f 48in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.80
WS SERVICE AREA|30010205|Hc Pic Vad Insertion With Port =>5yr|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36571||WS HB DEFAULT|20,364.00
WS SERVICE AREA|272118447|Hc Tube S Smp Preatch 18f 48in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|16.70
WS SERVICE AREA|270118487|Hc Co2 Detector 2k8085|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|32.30
WS SERVICE AREA|270118491|Hc Teeth Gard|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|25.40
WS SERVICE AREA|272118917|Hc Bag Breathing Anesthesia Late|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.40
WS SERVICE AREA|270120281|Hc Humidifier Hygroscopic Conden|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|72.10
WS SERVICE AREA|272120985|Hc Kit Anes Spinal 25gx3.5in Penc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.90
WS SERVICE AREA|272122395|Hc Laser Flex Ett- 7.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|125.00
WS SERVICE AREA|272122397|Hc Laser Flex Ett- 8.0mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|124.80
WS SERVICE AREA|270124139|Hc Lower Bair Hugger Blanket|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|29.90
WS SERVICE AREA|272124930|Hc Set Pca Mcbr 92in 2.1ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|30010206|Hc Repair Cv Cath W/o-port|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36575||WS HB DEFAULT|2,439.00
WS SERVICE AREA|90292938|Hc  Robotic Asst Graft Ptca And/or Bms Stent Addtl Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|92938|RC|WS HB DEFAULT|18,425.00
WS SERVICE AREA|270127574|Hc Applicator 10.5 Chloraprep|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|21.70
WS SERVICE AREA|272127831|Hc Laryngscpe Bld, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.80
WS SERVICE AREA|272127943|Hc Catheter Radial Artery 22x 1 3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.30
WS SERVICE AREA|272127983|Hc Zz Catheter Jelco Iv 20 X1- Use 27200575|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.20
WS SERVICE AREA|270127997|Hc Chloraprep Tint 10.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|16.80
WS SERVICE AREA|272128054|Hc Cover Ultrasound Probe|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|51.70
WS SERVICE AREA|270128089|Hc Device Nasal Drug Delivery|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|25.50
WS SERVICE AREA|272128575|Hc Needle Spinal 24ga 4in Penc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.50
WS SERVICE AREA|272128576|Hc Needles Spinal Sprotte 25ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.70
WS SERVICE AREA|272128846|Hc Set Combined Epidural/ Spin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|63.70
WS SERVICE AREA|30010207|Hc Repair Cv Cath With Port|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36576||WS HB DEFAULT|7,659.00
WS SERVICE AREA|272129208|Hc Tube Rusch Nasopharyn 30fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.00
WS SERVICE AREA|272129209|Hc Tube Rusch Nasopharyn 24fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.90
WS SERVICE AREA|272129210|Hc Tube Rusch Nasopharyn 26fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.00
WS SERVICE AREA|272129332|Hc Tube Rusch Nasopharyn 32fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.00
WS SERVICE AREA|272129520|Hc Salem Sump 16|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|220.10
WS SERVICE AREA|271129755|Hc Contour Cuff Bariatric|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|19.10
WS SERVICE AREA|272130616|Hc Set Combined Epidural/ Spinal|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|65.80
WS SERVICE AREA|272130747|Hc Catheter Suction  10f T61c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.30
WS SERVICE AREA|272131357|Hc Glidescope Lopro S3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|182.30
WS SERVICE AREA|272131358|Hc Glidescope Lopro S4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.70
WS SERVICE AREA|30010208|Hc Replace Cv Cath With Port|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36578||WS HB DEFAULT|9,080.00
WS SERVICE AREA|272131494|Hc Needle Stplx Ultra 20ga 4in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|56.20
WS SERVICE AREA|272131890|Hc Needle Stplx Ultra 20ga 2in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.50
WS SERVICE AREA|272131892|Hc Needle Stplx Ultra 20ga 6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|61.50
WS SERVICE AREA|50054450|Hc Foreskin Manipulation W/lysis|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54450||WS HB DEFAULT|1,065.00
WS SERVICE AREA|97010320|Hc Wound Care Non Selective Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97602||WS HB DEFAULT|305.00
WS SERVICE AREA|97010321|Hc Wound Care Non Selective Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97602||WS HB DEFAULT|305.00
WS SERVICE AREA|93071430|Hc Ip Only-tmvi Percutaneous Approach|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|30,053.00
WS SERVICE AREA|93071431|Hc Ip Only-tmvi Transthoracic Exposure|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|30,053.00
WS SERVICE AREA|272116542|Hc Tray / Pack Cust Epidural 1sht|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|93.30
WS SERVICE AREA|271122271|Hc Tape Znc Oxd Base Wtrprf 2inx5yd Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|34.00
WS SERVICE AREA|30010209|Hc Replace Non-tunneled Cvad Cath W/o Pump|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36580||WS HB DEFAULT|6,054.00
WS SERVICE AREA|271116858|Hc Kit Comp Bandage 2 Lyr  Btn Coban|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|51.00
WS SERVICE AREA|270125768|Hc Kit Valve Suctn Air Wtr  2 Pc Bioguard|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|25.40
WS SERVICE AREA|272118613|Hc Dressing Wound Biatain Alginate Ag 4inx4in Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.10
WS SERVICE AREA|271116944|Hc Kit Venous Ulcr Plus Elc Unna Boot Bandage|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|47.90
WS SERVICE AREA|272116835|Hc Dressing Wound Nadh Pad 6x9 Strl Xtrasorb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|272113643|Hc Cannula Rf 100mm 18g Venom|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|139.00
WS SERVICE AREA|272120042|Hc Dressing Wound W/nanocrystaline Ag 4x4in Actict Flx 3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.30
WS SERVICE AREA|272128132|Hc Dressing Wound Promogran 4.34sq In Mtrx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|34.40
WS SERVICE AREA|272130231|Hc Tray Vaginal Cds L&d|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|210.40
WS SERVICE AREA|272130233|Hc Tray Standard Vag Delivery|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|92.10
WS SERVICE AREA|30010211|Hc Replace Tunneled Cv Cath W/o Pump|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36581||WS HB DEFAULT|9,392.00
WS SERVICE AREA|270114131|Hc Garment Comp Calf Cir 23in  Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|39.30
WS SERVICE AREA|272116971|Hc Bandage Hemo Qck Clt .5x1.5x.5 Wo Slit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|151.40
WS SERVICE AREA|272114082|Hc Kit Blood Gas Syr 1cc 25ga 8in Gel Sheath Hep|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.40
WS SERVICE AREA|272127566|Hc Perforator Ob Plastic Strl Sngl Use Amnihk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.30
WS SERVICE AREA|272129172|Hc Tray Catheterization 16fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.60
WS SERVICE AREA|272114358|Hc Electrode Sprl Fetal Strl Spu            |MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.50
WS SERVICE AREA|270115029|Hc Device Brstfd Nipple Everter Latch Assist   |MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|34.40
WS SERVICE AREA|27217481|Hc Spray Wound Cleanser Derm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.10
WS SERVICE AREA|27295647|Hc Dilator Mech Cath Ball .035in 14fr 40mm 140cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|1,876.80
WS SERVICE AREA|272113917|Hc Canister Suct Guardian Lg Vol 12l|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|101.90
WS SERVICE AREA|30010212|Hc Replace Tunneled Cv Cath With Port|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36582||WS HB DEFAULT|7,441.00
WS SERVICE AREA|270116654|Hc Tube Suct Prem M Cnctrd 1/4in Id 12 Strl Ncndctv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|11.60
WS SERVICE AREA|270127061|Hc Kit Valve Suctn Air Wtr 4pc W Scope Torrent  Bioguard|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|35.50
WS SERVICE AREA|270125744|Hc Kit Valve Suctn Air Wtr 3pc Bioguard|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|28.60
WS SERVICE AREA|27076933|Hc Thermalheat Infant Transport Spu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|22.70
WS SERVICE AREA|272118682|Hc Cath Ball 10g X2-15mm Access Cann Dmnd Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|5,265.30
WS SERVICE AREA|27165760|Hc Sensor Neonat Lncs 36in Finger Oxm Adh Low|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|44.80
WS SERVICE AREA|272121537|Hc Scissors Wire Cutg Angled 4.75in Strl Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.20
WS SERVICE AREA|270128603|Hc Pack Cool Perineal W Ultrasorb Peripad Centurion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|7.40
WS SERVICE AREA|27149923|Hc Spray Skin Barrier Alc Free 1.7oz Brava Coloplast|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.50
WS SERVICE AREA|272128174|Hc Wand Film Barrier 3ml Cavilon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.30
WS SERVICE AREA|30010214|Hc Complete Replacement Picc Rs&i|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36584||WS HB DEFAULT|9,481.00
WS SERVICE AREA|272129771|Hc Dressing Allevyn Lf Foam Heel 9.85x1in Silcn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|34.20
WS SERVICE AREA|272118619|Hc Dressing Wound Seaweed 3x4.75in Kaltostat Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|15.70
WS SERVICE AREA|272116370|Hc Bag Wst Angio W Vent Spike/dual Valve              |MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|34.00
WS SERVICE AREA|272122419|Hc Tubing Cntrst 20in Injectn Hi Pres Fix Male Luer          |MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.20
WS SERVICE AREA|272123061|Hc Needle Perc Entry 18g 7cm Thinwall Echotp              |MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.80
WS SERVICE AREA|272118474|Hc Zz Kit Trachcr Clr 4.6mm 56cm Clys Sys W Tpk- Use 27000149|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|35.50
WS SERVICE AREA|270119100|Hc Blanket Hypothermia Adlt 25in X 63in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|103.00
WS SERVICE AREA|272122589|Hc Dressing Hemo Quickclot 4x4in- Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|84.50
WS SERVICE AREA|272122604|Hc Gel Wound Dressing Antibacterial Silvrstat 1 Oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.40
WS SERVICE AREA|271123517|Hc Boot Buck Tract Univ W Med/lat Stay Sprdr Bar|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|50.80
WS SERVICE AREA|77077425|Hc Io Radiation Tx Delivery By Electrons|RADIOLOGY - THERAPEUTIC AND/OR CHEMOTHERAPY ADMINISTRATION - RADIATION THERAPY [0333]|77425||WS HB DEFAULT|19,817.00
WS SERVICE AREA|272124540|Hc Dressing Antmc Slvr 10x25cm Acticoat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|143.90
WS SERVICE AREA|271127604|Hc Bag Leg Large 25oz (730ml) Urine Drainage|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|13.50
WS SERVICE AREA|271127605|Hc Bag Leg Med 17oz (500ml) Urine Drainage|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|13.50
WS SERVICE AREA|271127802|Hc Blanket Bili Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.50
WS SERVICE AREA|272123703|Hc Kit Central Line Drsng Ltx Free Medegen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.70
WS SERVICE AREA|272128131|Hc Dressing Tray Cvp Tri-state|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|34.80
WS SERVICE AREA|270117753|Hc Mask Phototherapy Inf 30-38cm Eyemax2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|28.90
WS SERVICE AREA|272131406|Hc Sys Pannus Retention Strl Adhes|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|314.30
WS SERVICE AREA|272128122|Hc Dressing Drawtex 3/8 X 18in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.10
WS SERVICE AREA|271129563|Hc Zz Armboard Iv Foot Neo 1.5x3.5in Flex Disp Nstr - Use Eap 27100022|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|19.60
WS SERVICE AREA|30010216|Hc Replace Pic Vad With Port|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36585||WS HB DEFAULT|5,756.00
WS SERVICE AREA|272129589|Hc Canister Kci Wound Vac 500ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|156.40
WS SERVICE AREA|272130837|Hc Zz Tray Cath 14fr Closed Suct Ballard- Use 27000149|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.90
WS SERVICE AREA|271131910|Hc Sys Pannus Retention Nstrl Adhes|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|228.80
WS SERVICE AREA|27126428|Hc Pouch Wound Eakin Fstl 4.3x3in Cohesive|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|44.60
WS SERVICE AREA|272108207|Hc Endokit Cust Comp Dbl 2oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.80
WS SERVICE AREA|80085085|Hc Nfct Agent Genotype Hepatitis B Virus|LABORATORY - GENERAL CLASSIFICATION [0300]|87912||WS HB DEFAULT|1,304.00
WS SERVICE AREA|80085087|Hc Hbb; Full Gene Sequience|LABORATORY - GENERAL CLASSIFICATION [0300]|81364||WS HB DEFAULT|975.00
WS SERVICE AREA|80085088|Hc Hba1/hba2 Gene Analysis Full Gene Sequence|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81259||WS HB DEFAULT|1,800.00
WS SERVICE AREA|80085089|Hc Hemoglobin Unstable Screen|LABORATORY - GENERAL CLASSIFICATION [0300]|83068||WS HB DEFAULT|273.00
WS SERVICE AREA|80085090|Hc Assay Of Nickel|LABORATORY - GENERAL CLASSIFICATION [0300]|83885||WS HB DEFAULT|234.00
WS SERVICE AREA|30010218|Hc Removal Tunneled Cath W/o Port/pump|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36589||WS HB DEFAULT|5,756.00
WS SERVICE AREA|80085091|Hc Molecular Pathology Procedure Level 3|LABORATORY - GENERAL CLASSIFICATION [0300]|81402||WS HB DEFAULT|1,242.00
WS SERVICE AREA|80085092|Hc Iaadi Not Otherwise Specified Each Organism|LABORATORY - GENERAL CLASSIFICATION [0300]|87299||WS HB DEFAULT|190.00
WS SERVICE AREA|80085093|Hc Hhv-6 Dna Quant|LABORATORY - GENERAL CLASSIFICATION [0300]|87533||WS HB DEFAULT|781.00
WS SERVICE AREA|80085094|Hc Ashkenazi Jewish Assoc Dsrdrs Gen Seq Anal 9 Gen|LABORATORY PATHOLOGICAL - GENERAL CLASSIFICATION [0310]|81412||WS HB DEFAULT|7,346.00
WS SERVICE AREA|80085095|Hc Allergen Spec Ige Recombinant/purified Compnt Ea|LABORATORY - GENERAL CLASSIFICATION [0300]|86008||WS HB DEFAULT|67.00
WS SERVICE AREA|80085096|Hc Drug Screen Quant Dipropylacetic Acid Free|LABORATORY - GENERAL CLASSIFICATION [0300]|80165||WS HB DEFAULT|207.00
WS SERVICE AREA|80085097|Hc Drug Screening Pregabalin|LABORATORY - GENERAL CLASSIFICATION [0300]|80366||WS HB DEFAULT|140.00
WS SERVICE AREA|80085099|Hc Jak2 Gene Analysis P.val617phe Variant|LABORATORY - GENERAL CLASSIFICATION [0300]|81270||WS HB DEFAULT|908.00
WS SERVICE AREA|77010120|HC PLCMNT OF NDLS/CATH PELVIC ORGANS EXCPT PROST|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|55920||WS HB DEFAULT|12,656.00
WS SERVICE AREA|274131768|Hc Hvad Kit Controller|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0481||WS HB DEFAULT|33,858.70
WS SERVICE AREA|30010219|Hc Removal Tunneled Cvad With Port/pump|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36590||WS HB DEFAULT|5,174.00
WS SERVICE AREA|90092941|Hc Ip Only-robotic Asst Prq Card Bms Revasc Mi 1vsl Ld|CARDIOLOGY - CARDIAC CATH LAB [0481]|92941|LD|WS HB DEFAULT|34,452.00
WS SERVICE AREA|274131770|Hc Hvad Controller Ac Adaptor Power|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|4,696.40
WS SERVICE AREA|274131771|Hc Hvad Controller Dc Adaptor|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|9,470.60
WS SERVICE AREA|274131772|Hc Hvad Pack Shoulder|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0498||WS HB DEFAULT|2,341.40
WS SERVICE AREA|274131773|Hc Hvad Battery Charger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0495||WS HB DEFAULT|28,716.90
WS SERVICE AREA|274131774|Hc Hvad Battery|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0506||WS HB DEFAULT|3,531.20
WS SERVICE AREA|274131775|Hc Hvad Bag Shower|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0501||WS HB DEFAULT|1,483.00
WS SERVICE AREA|274131762|Hc Hvad Driveline Extension Cable|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|12,311.80
WS SERVICE AREA|274131946|Hc Hvad Kit Controller Ac Adapt Power|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|4,735.80
WS SERVICE AREA|274131769|Hc Hvad Adaptor Alarm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0508||WS HB DEFAULT|1,447.00
WS SERVICE AREA|274132843|Hc Hvad Convertible Pt Pack|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|Q0498||WS HB DEFAULT|2,237.50
WS SERVICE AREA|30010221|Hc Collect Blood From Implant Venous Access Device  |LABORATORY - GENERAL CLASSIFICATION [0300]|36591||WS HB DEFAULT|527.00
WS SERVICE AREA|272116228|Hc Brush Cyto Bscp 1.73x140cm Lng|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|50.90
WS SERVICE AREA|272116229|Hc Brush Cyto Bscp 1.0x120cm Lng|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|52.00
WS SERVICE AREA|27287970|Hc Needle Bx 15mm 19ga Wang Trn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|201.10
WS SERVICE AREA|272127746|Hc Basket Gastro 4-wire Str|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|966.40
WS SERVICE AREA|272128199|Hc Forcep Gastro Retrieval|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,015.30
WS SERVICE AREA|272127687|Hc Catheter Balloon Retrieval 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1726||WS HB DEFAULT|537.90
WS SERVICE AREA|272131351|Hc Vpad 2 Patient Tracker|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,596.80
WS SERVICE AREA|272131352|Hc Brush Always On Tip Tracked|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,155.70
WS SERVICE AREA|272131353|Hc Forcep Serrated Cup Always On|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,153.70
WS SERVICE AREA|272131354|Hc Needle 21 Ga Always-on Top|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,201.40
WS SERVICE AREA|30010222|Hc Collect Blood From Central Or Peripheral Venous Cath Or Picc|IV THERAPY - GENERAL CLASSIFICATION [0260]|36592||WS HB DEFAULT|275.00
WS SERVICE AREA|272131355|Hc Needle Nitinol 22ga Spinflex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,047.10
WS SERVICE AREA|36010061|Hc Sg Or Cosmetic-dental Self-pay|OPERATING ROOM SERVICES - OTHER OR SERVICES [0369]|||WS HB DEFAULT|0.00
WS SERVICE AREA|27800036|Hc Skin Sub Epifix Per Sq Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4186||WS HB DEFAULT|856.90
WS SERVICE AREA|27800033|Hc Dressing Theraskin Wound Mtrx Per Sq Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4121||WS HB DEFAULT|378.80
WS SERVICE AREA|27800034|Hc Dressing Puraply Wound Mtrx Per Sq Cm|PHARMACY - EXTENSION OF 025X - DRUGS REQUIRING DETAILED CODING (A) [0636]|Q4196||WS HB DEFAULT|520.80
WS SERVICE AREA|27800038|Hc Dressing Oasis Wound Mtrx Per Sq Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4102||WS HB DEFAULT|122.40
WS SERVICE AREA|272121025|Hc Kit Drainage Chest Tube W/25g|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|728.10
WS SERVICE AREA|272121084|Hc Quick Pressure|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|272121084||WS HB DEFAULT|500.60
WS SERVICE AREA|272122238|Hc System Drain Ext Csf Wo Vent Cath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|272122238||WS HB DEFAULT|199.40
WS SERVICE AREA|272122369|Hc Tube Laryngectomy Cufflss Sin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|272122369||WS HB DEFAULT|294.90
WS SERVICE AREA|30010225|Hc Mechanical Removal Tunneled Cv Cath|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36595||WS HB DEFAULT|8,765.00
WS SERVICE AREA|271126344|Hc Catheter Ext Female Purewick|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|31.20
WS SERVICE AREA|272128424|Hc Kit Pleurex Peritoneal Comb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|719.10
WS SERVICE AREA|272129882|Hc Pouch Drainable Ceraplus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|272129882||WS HB DEFAULT|52.00
WS SERVICE AREA|270130566|Hc Wafer Durahesive Convex 57mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|270130566||WS HB DEFAULT|7.20
WS SERVICE AREA|272122315|Hc Transducer Disp Px600|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|272122315||WS HB DEFAULT|70.60
WS SERVICE AREA|272121364|Hc Pack Nasal Ant/post 4.5cm No Airway|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|272121364||WS HB DEFAULT|182.50
WS SERVICE AREA|271117038|Hc Wafer Skin Barrier Flange 4in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|271117038||WS HB DEFAULT|6.40
WS SERVICE AREA|272126213|Hc Dressing Allevyn Foam Sacral Sm 17.2x17.5cm 6.75x7in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.80
WS SERVICE AREA|272132295|Hc Cannula Cement 10g Ivas Verteport|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|258.80
WS SERVICE AREA|272127310|Hc Kit Intro Er Reboa Resus Balloon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|720.40
WS SERVICE AREA|30010226|Hc Mechanical Removal Intralumenal Tunneled Cv Cath|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36596||WS HB DEFAULT|7,125.00
WS SERVICE AREA|272127311|Hc Balloon Occl Resus Er Reboa 7fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|8,610.30
WS SERVICE AREA|272127253|Hc Kit Biopsy Bone Ivas 11ga 5in Stry 0306-116-000|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|272127253||WS HB DEFAULT|473.20
WS SERVICE AREA|272115839|Hc Drill Hand 10ga Ivas Stryker|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|343.00
WS SERVICE AREA|60061210|Hc Inpt Burr Hole Implant Ventricular Cath/othr Device|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61210||WS HB DEFAULT|9,718.00
WS SERVICE AREA|70000442|Hc Abltj Perc Cryoabltj Img Gdn Nrv Plex/trncl Nrv|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|0442T||WS HB DEFAULT|10,956.00
WS SERVICE AREA|30034703|Hc Inpt Evasc Rpr Dplmnt Aorto Iliac Ndgft Uni|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|34703||WS HB DEFAULT|5,334.00
WS SERVICE AREA|30034705|Hc Inpt Evasc Rpr Dplmnt Aorto Iliac Ndgft Bilat|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|34705||WS HB DEFAULT|7,848.00
WS SERVICE AREA|30034709|Hc Inpt Placement Xtn Prosth For Endovascular Rpr|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|34709||WS HB DEFAULT|4,720.00
WS SERVICE AREA|30034713|Hc Perq Access & Closure Fem Art For Delivery Ndgft|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|34713||WS HB DEFAULT|5,916.00
WS SERVICE AREA|70020729|Hc Vascular Surgical Procedure|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|12,317.00
WS SERVICE AREA|30010227|Hc Reposition Venous Cath Previous Placed|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36597||WS HB DEFAULT|3,823.00
WS SERVICE AREA|97010198|Hc Ahp Static Elbow Splint-incl Wrist|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|||WS HB DEFAULT|1,944.60
WS SERVICE AREA|97010199|Hc Ahp Dyn/stat Prog Elb Splnt Nt Prefb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|||WS HB DEFAULT|1,939.30
WS SERVICE AREA|97010201|Hc Ahp Dbs,rhs,wrst,ulnar Gtr,thumb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|||WS HB DEFAULT|819.10
WS SERVICE AREA|97010202|Hc Ahp Wrist Cock-up|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|||WS HB DEFAULT|1,033.30
WS SERVICE AREA|97010203|Hc Ahp Hand Based Cmc Figure 8 Splnt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|||WS HB DEFAULT|664.10
WS SERVICE AREA|97010206|Hc Ahp Prefab Dynamic Pipj Splint|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|130.50
WS SERVICE AREA|97010207|Hc Ahp Prefab Resting Hand Splint|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|||WS HB DEFAULT|499.70
WS SERVICE AREA|95010009|Hc Infant Sleep Study 4 Channel|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95806||WS HB DEFAULT|1,002.00
WS SERVICE AREA|70400069|Hc Us Doppler Transcranial/extracranial Arteries Complete|OTHER DIAGNOSTIC SERVICES - PERIPHERAL VASCULAR LAB [0921]|93886||WS HB DEFAULT|3,342.00
WS SERVICE AREA|93010363|Hc Graft Ptca And/or Bms Stent Ramus Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|92937|RI|WS HB DEFAULT|22,289.00
WS SERVICE AREA|30010228|Hc Inj Cvad Existing Contrast Evaluation|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36598||WS HB DEFAULT|630.00
WS SERVICE AREA|93010364|Hc Graft Ptca And/or Des Stent Ramus Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|C9604|RI|WS HB DEFAULT|22,289.00
WS SERVICE AREA|27800276|Hc Nm Sir-spheres Y-90 Brachy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C2616||WS HB DEFAULT|80,830.60
WS SERVICE AREA|30045744|Hc Gi Level 5 Proc|GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750]|||WS HB DEFAULT|0.00
WS SERVICE AREA|30045750|Hc Gi Level 1 Proc|GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750]|||WS HB DEFAULT|0.00
WS SERVICE AREA|30045751|Hc Gi Level 2 Proc|GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750]|||WS HB DEFAULT|0.00
WS SERVICE AREA|30045752|Hc Gi Level 3 Proc|GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750]|||WS HB DEFAULT|0.00
WS SERVICE AREA|30045753|Hc Gi Level 4 Proc|GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750]|||WS HB DEFAULT|0.00
WS SERVICE AREA|30045755|Hc Gi Level 6 Proc|GASTRO-INTESTINAL (GI) - GENERAL CLASSIFICATION [0750]|||WS HB DEFAULT|0.00
WS SERVICE AREA|36010088|Hc Tubal Ligation|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|3,235.00
WS SERVICE AREA|36052308|Hc Regional Anesthesia Time|ANESTHESIA - GENERAL CLASSIFICATION [0370]|||WS HB DEFAULT|0.00
WS SERVICE AREA|30010229|Hc Declotting Thrombolytic Agent Implant Access Device|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36593||WS HB DEFAULT|1,985.00
WS SERVICE AREA|80037216|Hc Legal Ba/ua|LABORATORY - GENERAL CLASSIFICATION [0300]|||WS HB DEFAULT|459.00
WS SERVICE AREA|30046173|Hc Pulm Pleural Drainage Percutaneous Ic W/o Imaging|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32556||WS HB DEFAULT|5,174.00
WS SERVICE AREA|90040404|Hc Pulm Neb Initial Daily Tx|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94640||WS HB DEFAULT|504.00
WS SERVICE AREA|91043606|Hc Group Therapy|BEHAVIORAL HEALTH TREATMENTS/SERVICES - GROUP THERAPY [0915]|90853||WS HB DEFAULT|547.00
WS SERVICE AREA|27000488|Hc Belt Rb Univ 40x6in Foam Prm 2panel Elc Hook|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|22.20
WS SERVICE AREA|27001620|Hc Applicator Pvp Iod Isoprpnl 1step 6ml Drprp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|9.60
WS SERVICE AREA|27003325|Hc Wiper Foam Device Med 3x3x.025|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|2,373.20
WS SERVICE AREA|27036165|Hc Manifold Ultra Evac|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|76.40
WS SERVICE AREA|27054529|Hc Manifold Angio Med Prson|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|110.30
WS SERVICE AREA|27064358|Hc Fiber Laser Ho|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|2,397.60
WS SERVICE AREA|30010230|Hc Arterial Puncture|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|36600||WS HB DEFAULT|121.00
WS SERVICE AREA|27097717|Hc Wrench Tub Angulated 10mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|1,083.10
WS SERVICE AREA|27099861|Hc Sensor Neuro Bis Bilat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|152.70
WS SERVICE AREA|27101765|Hc Wafer Ost 3/8in-2 1/8in3/8-2 1/8in Asr Blu 2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|22.20
WS SERVICE AREA|27105552|Hc Retainer Lg Tube Dressing Cttnadlt Finger|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27111936|Hc System Sm Srglv+ Sft Conesplshld Pls Lav|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|28.60
WS SERVICE AREA|27114162|Hc Splint Orth Med 6.75-7.5in Rtwrst Thumb Spca|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|116.50
WS SERVICE AREA|27120510|Hc Device Srgct Atrtrc Bt 5mm 1mmadlt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27157464|Hc Brace Walk Sm 4 Lplk Strap Lowprof Fx Ankle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|135.80
WS SERVICE AREA|27181417|Hc Bottle Collection St/seal Cap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|39.20
WS SERVICE AREA|27204697|Hc Needle Spnl 3.5in 20ga Bd Qnckanes Strl Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|30010231|Hc Artline Insertion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36620||WS HB DEFAULT|955.00
WS SERVICE AREA|27206318|Hc Drain Incs 18fr 11in Cattellrub Bil 12in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.20
WS SERVICE AREA|27208079|Hc Pediatric Trach 5.0|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|140.10
WS SERVICE AREA|27208464|Hc Electrode Electrosurg Blk24-26fr Elt Rl Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|521.20
WS SERVICE AREA|27209023|Hc Loop Vsl Maxi 16.5x1/8in Lf Rdnonpor Radiopq|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27209028|Hc Ligator Hlk Fllpn Tube Strldisp Endo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|191.00
WS SERVICE AREA|27209931|Hc Splint Nasal Al Foam Med Ext Ktpad 2.38x1.53|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|148.50
WS SERVICE AREA|27212354|Hc Cap Sealing Grey Large 5-6mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.00
WS SERVICE AREA|27212363|Hc Cap Sealing Blue 3-4mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.20
WS SERVICE AREA|27213613|Hc Template Bend Lcp 9 Hl 4.5 Mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|157.00
WS SERVICE AREA|27215143|Hc Lid Suct Cannister Dsatp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|30010232|Hc Placement Needle Intraosseous Infusion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36680||WS HB DEFAULT|1,234.00
WS SERVICE AREA|90292941|Hc Ip Only-robotic Asst Prq Card Bms Revasc Mi 1 Vsl Lc|CARDIOLOGY - CARDIAC CATH LAB [0481]|92941|LC|WS HB DEFAULT|34,452.00
WS SERVICE AREA|27215774|Hc System Syringe Inflator Allian|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|140.10
WS SERVICE AREA|27217037|Hc Zz Forceps Endo Tnclm 8mmda Vinci S Endowst  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9,492.90
WS SERVICE AREA|27217392|Hc Zz Stapler Skin Reg 15 Cntarcuate Style-  Use 27201997|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.70
WS SERVICE AREA|27222323|Hc Catheter Suct 5fr 3.5cm Clssys Mlacc Cap Y|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|62.60
WS SERVICE AREA|27223514|Hc Drain Incs 18fr 12in Dvr Rubbil 5in T-tb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.60
WS SERVICE AREA|27224794|Hc Curved Guide 1.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,713.20
WS SERVICE AREA|27225690|Hc Needle 3.5in 27ga Ext Shaftreinf Std Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|43.50
WS SERVICE AREA|27229048|Hc Tube Corflo Feed 109cm 12fr Non W|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|196.30
WS SERVICE AREA|27229511|Hc Device Trq Fluor Pink|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.20
WS SERVICE AREA|27232159|Hc Electrode Bugbee Lf 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|148.50
WS SERVICE AREA|30010233|Hc Open Thrombectomy W/o Rev Av Graft|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36831||WS HB DEFAULT|7,892.00
WS SERVICE AREA|27233359|Hc Pin Guide Pat Spc Cap|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|958.00
WS SERVICE AREA|27238820|Hc Cap End 0mm Fem Ext Stardrrecess Cannula Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|863.60
WS SERVICE AREA|27239711|Hc Kit Cup Shell Stem Navitracker|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,257.20
WS SERVICE AREA|27241901|Hc Bar Jet-x Bar Clamp Mr Sf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,391.20
WS SERVICE AREA|27245843|Hc Bit Drill 4.3mm 145mm Ncb Qc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|624.90
WS SERVICE AREA|27247933|Hc Cutter Sut Knt Pshr Slotcannula Set|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|694.90
WS SERVICE AREA|27248707|Hc Dressing Cnfrm 2 12x24in Transnadh Sheet Wound|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.20
WS SERVICE AREA|27248846|Hc Reamer Asls4 145mm F/ Nearcortex Qc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,139.80
WS SERVICE AREA|27248857|Hc Drill Trapezium Cannula 4.8mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,795.10
WS SERVICE AREA|27249044|Hc Pump Max Asp Acc F/ Canister|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32,359.60
WS SERVICE AREA|30033274|Hc Tcat Insj/rpl Perm Leadless Pacemaker Rv W/img|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33274||WS HB DEFAULT|51,251.00
WS SERVICE AREA|27249045|Hc Tube Asp Max F/ Reperfusion Cath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,596.70
WS SERVICE AREA|27249051|Hc Applicator 5g Surg Hmst Aristaah|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,069.30
WS SERVICE AREA|27249052|Hc Applicator Flextip Surg Hmstarist Ah|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|119.90
WS SERVICE AREA|27249053|Hc Applicator Xl Flextip Surghmst Arist Ah|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|72.10
WS SERVICE AREA|27249927|Hc Extender Lead Bldg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,102.30
WS SERVICE AREA|27250078|Hc Loop Cutting Rt Angle 24-015|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|339.50
WS SERVICE AREA|27250162|Hc Retractor Thruport Sys M|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,207.30
WS SERVICE AREA|27250172|Hc Applicator 3g Surg Hmst Aristaah|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|786.90
WS SERVICE AREA|27250173|Hc Agent Hemost 1g Flexitip Xlsurg Hmst Arista Ah|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|396.10
WS SERVICE AREA|27251240|Hc Suture Caprosyn 4-0 Dx-19 18inud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.20
WS SERVICE AREA|30010234|Hc Open Revision Av Graft W/o Thrombectomy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36832||WS HB DEFAULT|8,388.00
WS SERVICE AREA|27251241|Hc Suture Carposyn 3-0 P-12 30inud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.80
WS SERVICE AREA|27251242|Hc Suture Caprosyn 4-0 P-13 18inud|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.80
WS SERVICE AREA|27251243|Hc Suture Sslk 8-0 12in Se-140-8d/a Blk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|72.10
WS SERVICE AREA|27251244|Hc Needle Centeze Cnts|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|74.70
WS SERVICE AREA|27251487|Hc Suture 4-0 P-12 30in Udvelosorb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.40
WS SERVICE AREA|27252949|Hc Needle Sut Ferg Disp Sz 12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.20
WS SERVICE AREA|27252950|Hc Needle Sut Ferg Disp Sz 4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27252951|Hc Needle Sut Fstl 1/2 Circ Sz 6strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.40
WS SERVICE AREA|27252952|Hc Needle Sut Fstl 1/2 Circ Sz 6strl Cutt Edge|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.20
WS SERVICE AREA|27254307|Hc Cannister Max Pump Asp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,550.00
WS SERVICE AREA|30033275|Hc Tcat Rem Perm Leadless Pm Rt Ventr Wimg Guidance|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33275||WS HB DEFAULT|10,140.00
WS SERVICE AREA|27254429|Hc Set Tub Vac Veratrac Duoveraflo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|349.10
WS SERVICE AREA|27254430|Hc Dressing Vac Med Veraflo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|521.30
WS SERVICE AREA|27254431|Hc Cassette Vac Veralink|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|257.30
WS SERVICE AREA|27254496|Hc Ndl Chiba 21ga-20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27257513|Hc Needle Bx 18ga 25cm Mag|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.60
WS SERVICE AREA|27257700|Hc Clip Lapro Abs 8mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.60
WS SERVICE AREA|27257701|Hc Clip Lapro Abs 12mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.60
WS SERVICE AREA|27260298|Hc Set Bx 15cm 16ga Geremia Bncoax Tpr Intro|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|701.20
WS SERVICE AREA|27261856|Hc Curette 3mm 23.97cm Ut Ppt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.20
WS SERVICE AREA|27266916|Hc Marker Rad India Ink Spot Syr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|110.30
WS SERVICE AREA|30010236|Hc Open Revision Av Graft With Thrombectomy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36833||WS HB DEFAULT|9,508.00
WS SERVICE AREA|27272950|Hc Bit Drill Stryker 3.5x130mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,089.70
WS SERVICE AREA|27279171|Hc Pledget Teflon Soft Lg L|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.80
WS SERVICE AREA|27286785|Hc Filter Hepa Micron Absolute0.3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|834.30
WS SERVICE AREA|27289220|Hc Zz Spatula Caut Endowst Monopolperm Da Vinci  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8,629.30
WS SERVICE AREA|27289221|Hc Zz Driver Ndl 8mm 0-30d 54.7cmmega Endowst 1.3  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9,216.40
WS SERVICE AREA|27289222|Hc Zz Driver Ndl 8mm 0-30d Lg 54.4cmholder Jaw Da  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9,492.90
WS SERVICE AREA|27289225|Hc Zz Forceps Endo Low 8mm Da Vinciendowst Cadiere  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8,629.30
WS SERVICE AREA|27289226|Hc Zz Forceps Bipolar 55.9cm 8mmendowst Da Vinci S  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11,649.70
WS SERVICE AREA|27289227|Hc Zz Forceps Bipolar 55.8cm 8mm Mdendowst Da  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11,649.70
WS SERVICE AREA|27289228|Hc Zz Forceps Endo Trn Instr Dissect8mm Endowst Pk  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|12,513.40
WS SERVICE AREA|30033285|Hc Insertion Subq Cardiac Rhythm Monitor W/prgrmg|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33285||WS HB DEFAULT|24,713.00
WS SERVICE AREA|27289229|Hc Zz Forceps Electrosurg 56.2cm 8mmda Vinci  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9,492.90
WS SERVICE AREA|27289230|Hc Zz Hook Electrosurg 55.2cm 8mmda Vinci Caut  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8,629.30
WS SERVICE AREA|27289231|Hc Zz Shears Electrosurg Hrmnda Vinci 8mm Crv  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|4,745.40
WS SERVICE AREA|27289232|Hc Zz Scissors Monopol 55.9cm 8mmdavvinci S Hot  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13,806.50
WS SERVICE AREA|27289281|Hc Zz Forceps Bipolar 8mm Da Vinciendowst Rbtc  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11,649.70
WS SERVICE AREA|27290460|Hc Zz Scissors Laparos Rbtc Da Vincis Endowst Ptts  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8,414.00
WS SERVICE AREA|27290462|Hc Zz Applier Int Clip Sm Davinci  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9,061.10
WS SERVICE AREA|27290465|Hc Zz Forceps Endo Rbtc Lngtpgrasper 8mm Da Vinci  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,570.80
WS SERVICE AREA|27292208|Hc Device Anastomic Pasprt Prox|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,211.30
WS SERVICE AREA|27295102|Hc Zz Grasper Cobra Davinci 8mm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9,492.90
WS SERVICE AREA|30010238|Hc Inpatient Insert Hepatic Shunt/tips|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37182||WS HB DEFAULT|46,890.00
WS SERVICE AREA|27297532|Hc Zz Scissors Rnd Tip Da Vinci  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8,414.00
WS SERVICE AREA|27297722|Hc Spirometer Mclp+ W Sp Cs Sfwr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|6,947.90
WS SERVICE AREA|27299448|Hc Cap Pleurx Valve|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.40
WS SERVICE AREA|27299544|Hc Set Tube Irr Spyglass|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27299563|Hc Sealer Vsl Endo Wrst 1da Vinci|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,851.70
WS SERVICE AREA|27299822|Hc Zz Irrigator Suction 5mm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,437.60
WS SERVICE AREA|27299843|Hc Blade Osc Sm 5.8x18.5x.6mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|23.70
WS SERVICE AREA|27299845|Hc Catheter Drain W Ck Spctrmanbtc Impreg Troc 15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,111.30
WS SERVICE AREA|27299851|Hc Suture Mxn 2-0 V-20 18in Grndt Multi Pack|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.70
WS SERVICE AREA|27299852|Hc Suture Mxn 3-0 V-20 18in Grndt Multi Pack|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.30
WS SERVICE AREA|30033286|Hc Removal Subcutaneous Cardiac Rhythm Monitor|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|33286||WS HB DEFAULT|3,177.00
WS SERVICE AREA|27299863|Hc Zz Suture Vloc 90 Gs-23 17mm 6inabs 1/2 Circ  -  Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|140.10
WS SERVICE AREA|27299867|Hc Hook Rake 16mm 6.5mm Sld Blade|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|57.30
WS SERVICE AREA|27253285|Hc Trocar Optc Bladeless 12mm Stdw/fx Cannula|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|134.70
WS SERVICE AREA|27253286|Hc Trocar Optc Std 12mm Fxcannula|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|72.10
WS SERVICE AREA|27274614|Hc Dressing Afm Alvn 24x36in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.00
WS SERVICE AREA|27231546|Hc Dressing Cnfrm 2 24x36in Trans|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|37.20
WS SERVICE AREA|27288788|Hc Dressing Cnfrm 2 36x36in Trans|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.60
WS SERVICE AREA|27292065|Hc Dressing Neg Press Open Abd, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,543.60
WS SERVICE AREA|96010072|Hc Push Transf < 2 Yrs|ADMINISTRATION, PROCESSING, AND STORAGE FOR BLOOD AND BLOOD COMPONENTS - ADMINISTRATION (E.G., TRANS [0391]|36440||WS HB DEFAULT|2,727.00
WS SERVICE AREA|27873736|Hc Brachytherapy Seed Stranded Palladium-103|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C2640||WS HB DEFAULT|426.50
WS SERVICE AREA|30010239|Hc Revsn Trnsvens Intrahepatic Portosys Shunt (tips)|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37183||WS HB DEFAULT|29,807.00
WS SERVICE AREA|70878300|Hc Nm Bone/joint Imaging Limited|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78300||WS HB DEFAULT|1,788.00
WS SERVICE AREA|97060132|Hc Zz Ipr Whirlpool 2 Physical Therapy  - Use Eap 97010092|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97022|GP|WS HB DEFAULT|227.00
WS SERVICE AREA|97060032|Hc Ipr Iontophoresis Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97033|GP|WS HB DEFAULT|191.00
WS SERVICE AREA|97060431|Hc Ipr Iontophoresis Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97033|GO|WS HB DEFAULT|191.00
WS SERVICE AREA|97060011|Hc Ipr Therapeutic Exercise Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97110|GP|WS HB DEFAULT|215.00
WS SERVICE AREA|97060410|Hc Ipr Therapeutic Exercise Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97110|GO|WS HB DEFAULT|215.00
WS SERVICE AREA|97060012|Hc Ipr Neuromuscular Reeducation Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97112|GP|WS HB DEFAULT|215.00
WS SERVICE AREA|97060411|Hc Ipr Neuromuscular Reeducation Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97112|GO|WS HB DEFAULT|215.00
WS SERVICE AREA|97060015|Hc Ipr Gait Training Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97116|GP|WS HB DEFAULT|203.00
WS SERVICE AREA|97060120|Hc Ipr Gait Training/bilat Asst Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97116|GP|WS HB DEFAULT|203.00
WS SERVICE AREA|10011102|Hc Tangntl Bx Skin Single Les|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11102||WS HB DEFAULT|857.00
WS SERVICE AREA|90492941|Hc Ip Only-robotic Asst  Prq Card Bms Revasc Mi 1 Vsl Rc|CARDIOLOGY - CARDIAC CATH LAB [0481]|92941|RC|WS HB DEFAULT|34,452.00
WS SERVICE AREA|97060035|Hc Ipr Massage Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97124|GP|WS HB DEFAULT|203.00
WS SERVICE AREA|97060434|Hc Ipr Massage Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97124|GO|WS HB DEFAULT|203.00
WS SERVICE AREA|97061818|Hc Ipr Manual Therapy Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97140|GP|WS HB DEFAULT|238.00
WS SERVICE AREA|97061817|Hc Ipr Manual Therapy Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97140|GO|WS HB DEFAULT|238.00
WS SERVICE AREA|97060415|Hc Ipr Therapeutic Activities Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97530|GO|WS HB DEFAULT|191.00
WS SERVICE AREA|97060134|Hc Ipr Sensory Integration Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97533|GP|WS HB DEFAULT|119.00
WS SERVICE AREA|97060524|Hc Ipr Sensory Integration Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97533|GO|WS HB DEFAULT|119.00
WS SERVICE AREA|97060019|Hc Ipr Selfcare/home Mgmt Trng Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97535|GP|WS HB DEFAULT|204.00
WS SERVICE AREA|97060418|Hc Ipr Selfcare/home Mgmt Trng Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97535|GO|WS HB DEFAULT|204.00
WS SERVICE AREA|97060119|Hc Ipr Community Reintegration Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97537|GP|WS HB DEFAULT|145.00
WS SERVICE AREA|30010240|Hc Primary Ptm Thrombectomy Initial|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37184||WS HB DEFAULT|10,001.00
WS SERVICE AREA|97060518|Hc Ipr Community Reintegration Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97537|GO|WS HB DEFAULT|145.00
WS SERVICE AREA|97060111|Hc Ipr Wheelchair Mgmt Training Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97542|GP|WS HB DEFAULT|288.00
WS SERVICE AREA|97060516|Hc Ipr Wheelchair Mgmt Training Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97542|GO|WS HB DEFAULT|288.00
WS SERVICE AREA|97060104|Hc Ipr Ortho Fitting/training Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97760|GP|WS HB DEFAULT|147.00
WS SERVICE AREA|97060509|Hc Ipr Ortho Fitting/training Ea 15 Min Occupational Therapy|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97760|GO|WS HB DEFAULT|147.00
WS SERVICE AREA|97060021|Hc Ipr Prosthetic Training/ Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97761|GP|WS HB DEFAULT|243.00
WS SERVICE AREA|97060016|Hc Ipr Therapeutic Activities Ea 15 Min Physical Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|97530|GP|WS HB DEFAULT|191.00
WS SERVICE AREA|30065456|Hc Biopsy Pleura Ndl Percutaneous|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32400||WS HB DEFAULT|5,341.00
WS SERVICE AREA|90082952|Hc Proc Abg Arterial|LABORATORY - GENERAL CLASSIFICATION [0300]|82803||WS HB DEFAULT|454.00
WS SERVICE AREA|90040175|Hc Proc Ionized Calcium|LABORATORY - GENERAL CLASSIFICATION [0300]|82330||WS HB DEFAULT|357.00
WS SERVICE AREA|10011104|Hc Punch Bx Skin Single Les|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11104||WS HB DEFAULT|857.00
WS SERVICE AREA|93091398|HC SVT/VT ABLATION ADDITIONAL|CARDIOLOGY - CARDIAC CATH LAB [0481]|93655||WS HB DEFAULT|14,500.00
WS SERVICE AREA|97060718|HC IPR TREATMENT OF SPEECH|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92507|GN|WS HB DEFAULT|422.00
WS SERVICE AREA|97060747|HC IPR TREATMENT OF SPEECH|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92507|GN|WS HB DEFAULT|422.00
WS SERVICE AREA|97060748|HC IPR TREATMENT OF SPEECH|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92507|GN|WS HB DEFAULT|422.00
WS SERVICE AREA|97060749|HC IPR TREATMENT OF SPEECH|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92507|GN|WS HB DEFAULT|422.00
WS SERVICE AREA|97060716|HC IPR TREATMENT OF SWALLOWING|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92526|GN|WS HB DEFAULT|317.00
WS SERVICE AREA|97060750|HC IPR TREATMENT OF SWALLOWING|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92526|GN|WS HB DEFAULT|317.00
WS SERVICE AREA|97060751|HC IPR TREATMENT OF SWALLOWING|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92526|GN|WS HB DEFAULT|317.00
WS SERVICE AREA|97060752|HC IPR TREATMENT OF SWALLOWING|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92526|GN|WS HB DEFAULT|317.00
WS SERVICE AREA|97062005|Hc Ipr Evaluation Of Swallowing 15 Min Speech Therapy|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92610|GN|WS HB DEFAULT|596.00
WS SERVICE AREA|10011105|Hc Punch Bx Skin Les Ea Addl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11105||WS HB DEFAULT|289.00
WS SERVICE AREA|97062006|Hc Ipr Evaluation Of Swallowing 30 Min Speech Therapy|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92610|GN|WS HB DEFAULT|596.00
WS SERVICE AREA|97062007|Hc Ipr Evaluation Of Swallowing 45 Min Speech Therapy|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92610|GN|WS HB DEFAULT|596.00
WS SERVICE AREA|97062008|Hc Ipr Evaluation Of Swallowing 60 Min Speech Therapy|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92610|GN|WS HB DEFAULT|596.00
WS SERVICE AREA|93010365|Hc Echo 2d Fetal Complete|CARDIOLOGY - ECHOCARDIOLOGY [0483]|76825||WS HB DEFAULT|904.00
WS SERVICE AREA|93010366|Hc Echo Fetal Doppler Complete|CARDIOLOGY - ECHOCARDIOLOGY [0483]|76827||WS HB DEFAULT|504.00
WS SERVICE AREA|93010367|Hc Echo 3d Rendering|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76376||WS HB DEFAULT|150.00
WS SERVICE AREA|27297052|Hc Needle Centeze Cnts 5fr 7cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|74.70
WS SERVICE AREA|27290461|Hc Needle Centeze Cnts 5fr 15cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|78.90
WS SERVICE AREA|27882142|Hc Tissue Flex Hd 8x16cm 128sqcm*|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|14,495.20
WS SERVICE AREA|27232202|Hc Suture Nylon Cappai 9-0 Hrm-4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|191.00
WS SERVICE AREA|10011106|Hc Incsl Bx Of Skin Singl Les|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11106||WS HB DEFAULT|1,523.00
WS SERVICE AREA|27283955|Hc Retractor Alexis Lg 9cm 14cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|275.90
WS SERVICE AREA|80081123|Hc Thyroid Horm Uptk/thyroid Hormone Binding Ratio|LABORATORY - GENERAL CLASSIFICATION [0300]|84479||WS HB DEFAULT|183.00
WS SERVICE AREA|80081128|Hc Cryocrit Immunodiffusion|LABORATORY - GENERAL CLASSIFICATION [0300]|86329||WS HB DEFAULT|125.00
WS SERVICE AREA|80081145|Hc Cobalt (q)|LABORATORY - GENERAL CLASSIFICATION [0300]|83018||WS HB DEFAULT|305.00
WS SERVICE AREA|80081147|Hc Quantiferon Tb Gold,client Inc(q)|LABORATORY - GENERAL CLASSIFICATION [0300]|86480||WS HB DEFAULT|243.00
WS SERVICE AREA|80081148|Hc Spectrophotometry Analyt Not Elsewhere Specified|LABORATORY - GENERAL CLASSIFICATION [0300]|84311||WS HB DEFAULT|162.00
WS SERVICE AREA|80081150|Hc Rflxd Western Blot (q)|LABORATORY - GENERAL CLASSIFICATION [0300]|84181||WS HB DEFAULT|319.00
WS SERVICE AREA|80081151|Hc Susceptibility- Kb Method #1|LABORATORY - GENERAL CLASSIFICATION [0300]|87184||WS HB DEFAULT|204.00
WS SERVICE AREA|80081153|Hc Susceptibility- Etest Method|LABORATORY - GENERAL CLASSIFICATION [0300]|87181||WS HB DEFAULT|97.00
WS SERVICE AREA|80084145|Hc Procalcitonin (pct)|LABORATORY - GENERAL CLASSIFICATION [0300]|84145||WS HB DEFAULT|410.00
WS SERVICE AREA|20027369|Hc Inj Knee Arthro Ct/mri W Contrast|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|27369||WS HB DEFAULT|626.00
WS SERVICE AREA|80081400|Hc Plasminogen Act Inhib-1 4g/5g(q)|LABORATORY - GENERAL CLASSIFICATION [0300]|81400||WS HB DEFAULT|692.00
WS SERVICE AREA|80081117|Hc Chromium ,blood (q)|LABORATORY - GENERAL CLASSIFICATION [0300]|82495||WS HB DEFAULT|226.00
WS SERVICE AREA|80084295|Hc Sodium Serum Plasma Or Whole Blood|LABORATORY - GENERAL CLASSIFICATION [0300]|84295||WS HB DEFAULT|116.00
WS SERVICE AREA|30010344|HC INSJ PERQ VAD W/RS&I L HRT ARTERIAL ACCESS ONLY|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|20,346.00
WS SERVICE AREA|30010345|HC INSJ PERQ VAD W/RS&I L HRT ARTERIAL&VEN ACCESS|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|21,346.00
WS SERVICE AREA|30010346|HC REMOVAL PERQ LEFT HRT VAD ARTL/ARTL&VEN SEP INSJ|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|8,736.00
WS SERVICE AREA|30010347|Hc Inpt Intracranial Prct Trnlum Angioplsty|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61630||WS HB DEFAULT|13,685.00
WS SERVICE AREA|27046161|Hc Oxygen Per Day|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|372.00
WS SERVICE AREA|30010348|Hc Inpt Intracranial Prct Trnlum Angioplsty W Stent Plcmnt|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61635||WS HB DEFAULT|17,394.00
WS SERVICE AREA|30010349|Hc Vl  Intracranial Balloon Dilatation Vasospasm Percu; Initial Vessel|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61640||WS HB DEFAULT|9,367.00
WS SERVICE AREA|70510009|Hc Ct Fine Needle Bx/asp Ct Guidance 1st Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10009||WS HB DEFAULT|2,807.00
WS SERVICE AREA|30010350|Hc Intracranial Balloon Dilatation Vasospasm Percu + Same Territory|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61641||WS HB DEFAULT|5,353.00
WS SERVICE AREA|30010351|Hc Intracranial Balloon Dilatation Vasoispasm Percu + Diff Territory|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61642||WS HB DEFAULT|8,028.00
WS SERVICE AREA|30010352|Hc Carotid Or Vertebral Artery Intro Needle Or Cath|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36100||WS HB DEFAULT|4,736.00
WS SERVICE AREA|30010353|Hc Cerebral Thrombolysis Cerebral By Iv, Stroke Therapy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37195||WS HB DEFAULT|1,408.00
WS SERVICE AREA|27874419|Hc Brachytherapy Seed Stranded Iodine-125|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C2638||WS HB DEFAULT|86.40
WS SERVICE AREA|27874420|Hc Brachy, Ns, C-131|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C2643||WS HB DEFAULT|187.80
WS SERVICE AREA|27874421|Hc Brachythy Source N-high Iridium 192|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1717||WS HB DEFAULT|315.40
WS SERVICE AREA|27874422|Hc Brachytherapy Seed Non-stranded Iodine-125|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C2639||WS HB DEFAULT|102.90
WS SERVICE AREA|27874423|Hc Brachytherapy Seed Non-stranded Palladium-103|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C2641||WS HB DEFAULT|146.40
WS SERVICE AREA|27460939|Hc Ath Dbs,rhs,wrst,ulnar Gtr,thumb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3808||WS HB DEFAULT|819.10
WS SERVICE AREA|70510010|Hc Ct Fine Needle Bx/asp Ct Guidance Ea Addl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10010||WS HB DEFAULT|937.00
WS SERVICE AREA|27460940|Hc Ath Wrist Cock-up|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3906||WS HB DEFAULT|1,033.30
WS SERVICE AREA|27460941|Hc Ath Hand Based Cmc Figure 8splnt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3913||WS HB DEFAULT|664.10
WS SERVICE AREA|27460945|Hc Ath Prefab Resting Hand Splint|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3931||WS HB DEFAULT|499.70
WS SERVICE AREA|97062699|Hc Videostroboscopy|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|31579|GN|WS HB DEFAULT|2,751.00
WS SERVICE AREA|27237649|Hc Sheath Banana Peel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|194.20
WS SERVICE AREA|27072109|Hc Unit Trerotola Drive|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|480.10
WS SERVICE AREA|27273148|Hc Zz Set Introducer Plvw-20.0  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|170.00
WS SERVICE AREA|27273305|Hc Dilator Angiographic 12f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|232.40
WS SERVICE AREA|27211444|Hc Protector Nerve Ulna (m)|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|9.60
WS SERVICE AREA|27280793|Hc Sensor Bis Quatro Lf Adu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|91.00
WS SERVICE AREA|70310011|Hc Mr Fine Needle Bx/asp Mri Guidance 1st Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10011||WS HB DEFAULT|2,807.00
WS SERVICE AREA|27287200|Hc Set Del Fluid Macro Nv W|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.80
WS SERVICE AREA|27261026|Hc Cath Balloon Ultrathin 8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|769.20
WS SERVICE AREA|27273323|Hc Cath Balloon Talon 4mmx2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,302.70
WS SERVICE AREA|27271175|Hc Cath Micromewi Infusion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|756.40
WS SERVICE AREA|27279050|Hc Zz Balloon Conquest Impra 1  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|797.80
WS SERVICE AREA|27279051|Hc Zz Balloon Atlas 14x4x75  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,254.50
WS SERVICE AREA|27279052|Hc Zz Balloon Atlas 16x4x75  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,403.10
WS SERVICE AREA|27279053|Hc Zz Balloon Atlas 18x4x75  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,523.80
WS SERVICE AREA|27279453|Hc Zz Balloon Powerflex P3 4x6  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|540.00
WS SERVICE AREA|27280151|Hc Cath Balloon Mono 15mmx1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|582.50
WS SERVICE AREA|70310012|Hc Mr Fine Needle Bx/asp Mri Guidance Ea Addl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10012||WS HB DEFAULT|937.00
WS SERVICE AREA|27281336|Hc Zz Balloon Conquest Impra 5  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|786.10
WS SERVICE AREA|27281337|Hc Zz Balloon Conquest Impra 6  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|774.50
WS SERVICE AREA|27281338|Hc Zz Balloon Conquest Impra 6  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|774.50
WS SERVICE AREA|27285052|Hc Zz Balloon Viatrac 4x20x135  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,047.10
WS SERVICE AREA|27288997|Hc Zz Balloon Occlusion 10-35-  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|1,733.50
WS SERVICE AREA|27289875|Hc Cath Ball Angiosculpt Pe|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|3,776.80
WS SERVICE AREA|27289876|Hc Cath Ball Angiosculpt Pe|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|3,776.80
WS SERVICE AREA|27291104|Hc Zz Balloon Savvy Lng 5x220m  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,166.00
WS SERVICE AREA|27211575|Hc Dilator Renal Dk10.0 105|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1726||WS HB DEFAULT|261.60
WS SERVICE AREA|27225277|Hc Set Dilator Amplantz Ren|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1726||WS HB DEFAULT|810.60
WS SERVICE AREA|93095977|Hc Analysis Cranial Neurostim Complex|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95977||WS HB DEFAULT|508.00
WS SERVICE AREA|90692941|Hc Ip Only-robotic Asst Prq Card Bms Revasc Mi 1 Vsl Lm|CARDIOLOGY - CARDIAC CATH LAB [0481]|92941|LM|WS HB DEFAULT|34,452.00
WS SERVICE AREA|27249001|Hc Tube Gastro Button 24fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|715.30
WS SERVICE AREA|27275104|Hc Cath Supreme Quad Crd 5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1730||WS HB DEFAULT|540.00
WS SERVICE AREA|27282879|Hc Cath Ep Torqr Cs Deca 5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1730||WS HB DEFAULT|992.00
WS SERVICE AREA|27284755|Hc Ndl Transeptal Brk 98cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,034.40
WS SERVICE AREA|27275115|Hc Livewire Duodec Spr Lrg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1731||WS HB DEFAULT|4,961.80
WS SERVICE AREA|27289831|Hc Cath Reflexion Spiral 40|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1731||WS HB DEFAULT|7,335.00
WS SERVICE AREA|27282110|Hc Cath Ensite Array|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1732||WS HB DEFAULT|15,102.00
WS SERVICE AREA|27275723|Hc Cath Blazer Htd Lg Curve|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1733||WS HB DEFAULT|3,066.00
WS SERVICE AREA|27275732|Hc Cath Blazer Xp Strt 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1733||WS HB DEFAULT|5,902.80
WS SERVICE AREA|27218737|Hc Kit Sheath Perc Full Bar|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|261.70
WS SERVICE AREA|10010006|Hc Fine Needle Bx W/us Ea Addl Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10006||WS HB DEFAULT|937.00
WS SERVICE AREA|27284605|Hc Cath Ivus Eagle Gold 5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1753||WS HB DEFAULT|2,764.70
WS SERVICE AREA|27208152|Hc Zz Cath Fogarty Baxter 3f L  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|171.90
WS SERVICE AREA|27208154|Hc Zz Cath Fogarty Baxter 4f L  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|171.90
WS SERVICE AREA|27208155|Hc Zz Cath Fogarty Baxter 4f S  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|171.90
WS SERVICE AREA|27208156|Hc Zz Cath Fogarty Baxter 5f  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|171.90
WS SERVICE AREA|27221318|Hc Zz Cath Fogarty Embol 3fr  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|166.90
WS SERVICE AREA|27236862|Hc Zz Cath Fogarty Baxter 2fr  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|326.70
WS SERVICE AREA|27274447|Hc Zz Cath Embolectomy 3fr 40c  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|208.00
WS SERVICE AREA|27274449|Hc Zz Cath Embolectomy 4fr 40c  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|208.00
WS SERVICE AREA|27277049|Hc Zz Cath Thrmb Om Angiojet S  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|6,791.20
WS SERVICE AREA|10010007|HC FINE NEEDLE BX/ASP FL GUIDANCE 1ST LESION|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10007||WS HB DEFAULT|2,807.00
WS SERVICE AREA|27280801|Hc Zz Cath Fogarty Otw 4fr 80c  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|346.90
WS SERVICE AREA|27280803|Hc Zz Cath Fogarty Otw 5.5fr 8  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|338.10
WS SERVICE AREA|27280804|Hc Zz Cath Fogarty Otw Embel 6  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|346.90
WS SERVICE AREA|27282880|Hc Zz Cath Dvx Angiojet 3000  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|5,306.70
WS SERVICE AREA|27287102|Hc Zz Cath Infusion Uni 5fr 03  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|540.00
WS SERVICE AREA|27287364|Hc Zz Cath Unifuse 5f 035inx13  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|540.00
WS SERVICE AREA|27287365|Hc Zz Cath Unifuse 5f 035inx13  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|524.10
WS SERVICE AREA|27282836|Hc Introducer Steer Agilis|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1766||WS HB DEFAULT|4,309.40
WS SERVICE AREA|27278253|Hc Ensnare 9-15|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1773||WS HB DEFAULT|1,488.50
WS SERVICE AREA|27278254|Hc Ensnare 12-20|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1773||WS HB DEFAULT|1,488.50
WS SERVICE AREA|10010008|Hc Fl Fine Needle Bx/asp Fl Guidance Ea Addl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10008||WS HB DEFAULT|937.00
WS SERVICE AREA|27278255|Hc Ensnare 18-30|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1773||WS HB DEFAULT|1,471.00
WS SERVICE AREA|27279421|Hc Sheath Peel Away Cook 24|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|175.10
WS SERVICE AREA|27279422|Hc Sheath Peel Away Cook 26|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|175.10
WS SERVICE AREA|27214574|Hc Sheath Introducer 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|38.20
WS SERVICE AREA|27220673|Hc Pinnacle Sheath Ps/6/10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|41.20
WS SERVICE AREA|27220674|Hc Pinnacle Sheath Ps/7/10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|41.20
WS SERVICE AREA|27222106|Hc Set Introducer Coaxial M|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|103.20
WS SERVICE AREA|27222138|Hc Sheath Introducer 5/10/.|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|41.20
WS SERVICE AREA|27225695|Hc Sheath 7frx24cm Flex|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|205.80
WS SERVICE AREA|27232967|Hc Sheath Pinnacle 6fr 25cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|96.50
WS SERVICE AREA|30036572|Hc Picc Line Insertion Wo Port/pump W Guidance <5yrs||36572||WS HB DEFAULT|2,271.00
WS SERVICE AREA|27267197|Hc Sheath Ultimum 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|43.50
WS SERVICE AREA|27267199|Hc Sheath Ultimum 7fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|43.50
WS SERVICE AREA|27267200|Hc Sheath Ultimum 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|43.50
WS SERVICE AREA|27272957|Hc Kit Sheath Safe Long 9fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|229.20
WS SERVICE AREA|27273220|Hc Set Kcfw-6.0-38-30-rb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|202.80
WS SERVICE AREA|27273221|Hc Set Kcfw-7.0-38-30-rb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|202.80
WS SERVICE AREA|27273232|Hc Introducer Kcfw-8.0-3840|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|228.70
WS SERVICE AREA|27273235|Hc Introducer Kcfw-6.0-3845|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|235.60
WS SERVICE AREA|27273236|Hc Introducer Kcfw-7.0-3845|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|235.60
WS SERVICE AREA|27273239|Hc Set Introducer Mpis-405|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|103.50
WS SERVICE AREA|50050437|HC PERQ DILATION XST TRC NEW ACCESS RENAL COLL SYS|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50437||WS HB DEFAULT|12,096.00
WS SERVICE AREA|27275386|Hc Sheath Brite Tip 6fr 5.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|55.90
WS SERVICE AREA|27275388|Hc Sheath Brite Tip 4fr 11c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|57.30
WS SERVICE AREA|27275389|Hc Introducer Sheath 5fr 11cm Intvn Brtp Sil|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|55.80
WS SERVICE AREA|27275390|Hc Sheath Brite Tip 6fr 11c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|56.00
WS SERVICE AREA|27275391|Hc Sheath Brite Tip 7fr 11c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|55.50
WS SERVICE AREA|27275392|Hc Sheath Brite Tip 8fr 11c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|55.90
WS SERVICE AREA|27275396|Hc Sheath Brite Tip 7fr 23c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|99.90
WS SERVICE AREA|27275596|Hc Sheath Ansel Anl-1 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|230.50
WS SERVICE AREA|27275597|Hc Sheath Ansel Anl-2 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|228.70
WS SERVICE AREA|27276029|Hc Cath Shuttle Flexguide-h|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|518.10
WS SERVICE AREA|40043762|Hc Gtube Perq Replcmt Not Req Revj Gstrst Trc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|43762||WS HB DEFAULT|1,119.00
WS SERVICE AREA|27276740|Hc Introducer Flexor Chkflo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|351.20
WS SERVICE AREA|27276742|Hc Introducer Flexor Chkflo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|448.80
WS SERVICE AREA|27277170|Hc Introducer Raabe Checkfl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|201.60
WS SERVICE AREA|27277173|Hc Introducer Flow Guard Va|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|211.20
WS SERVICE AREA|27279910|Hc Micropuncture Stiff 4fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|107.80
WS SERVICE AREA|27281705|Hc *intro Sheath Non Guid-e|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|188.80
WS SERVICE AREA|27282264|Hc Sheath Introducer 10f 12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|125.10
WS SERVICE AREA|27282449|Hc Sheath Flex Arrow 6fr 45|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|318.30
WS SERVICE AREA|27283116|Hc Set Intro Checkflo 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|253.60
WS SERVICE AREA|27284063|Hc Kit Sheath Safe Long 7fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|229.20
WS SERVICE AREA|30010241|Hc Primary Ptm Thrombectomy Subsequent Vessel(s)|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37185||WS HB DEFAULT|3,224.00
WS SERVICE AREA|27285360|Hc Device Embolic Protect 5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1884||WS HB DEFAULT|6,493.10
WS SERVICE AREA|27287367|Hc Introducer Ck W/ogw 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|107.70
WS SERVICE AREA|27287591|Hc Sheath Brite Tip 9fr 11c|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|55.20
WS SERVICE AREA|27288282|Hc Zz Introducer Pressure Medt  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1892||WS HB DEFAULT|194.20
WS SERVICE AREA|27288439|Hc Kit Micro Introducer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|210.90
WS SERVICE AREA|27289968|Hc Sheath Brite Tip 10fr 11|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|57.30
WS SERVICE AREA|27289971|Hc Sheath Brite Tip 11fr 11|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|57.30
WS SERVICE AREA|27205468|Hc Cath Occl Pruitt Ideas 4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|927.20
WS SERVICE AREA|27214030|Hc Cath Occlusion Irrig Ide|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|1,203.00
WS SERVICE AREA|27214032|Hc Cath Occl Pruitt Ideas 5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|841.30
WS SERVICE AREA|93095976|Hc Analysis Cranial Neurostim Simple|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|95976||WS HB DEFAULT|161.00
WS SERVICE AREA|27239903|Hc Ligaclip Ex Ti Endo Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|48.80
WS SERVICE AREA|27239902|Hc Ligaclip Ex Ti Endo Lg 6|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|74.30
WS SERVICE AREA|27229046|Hc Tunneler Sheaths|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|193.10
WS SERVICE AREA|27204256|Hc Blade Beaver Blue Lf 15d|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
WS SERVICE AREA|27207317|Hc Babcock Disp Ethicon Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|351.10
WS SERVICE AREA|27207959|Hc Blade Sag Stryker Short/|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|130.50
WS SERVICE AREA|27210784|Hc Blade Saw Gigli 300mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|109.30
WS SERVICE AREA|27213702|Hc Zz Guidewire Amplatz Exstif - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|90.90
WS SERVICE AREA|27220675|Hc Guidewire 180-angled .03|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|167.70
WS SERVICE AREA|27221007|HC AIRWAY MASK LARYNGEAL|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.50
WS SERVICE AREA|30010242|Hc Secondary Ptm Thrombectomy Add On|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37186||WS HB DEFAULT|4,160.00
WS SERVICE AREA|27225345|Hc Zz Guidewire Roadruner .035 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|130.60
WS SERVICE AREA|27225357|Hc Zz Guidewire Rosen Tfe-ctd - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|47.80
WS SERVICE AREA|27226275|Hc Cath Amplatz Anc Sys Aa/|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|303.90
WS SERVICE AREA|27230783|Hc Ndl Arterial 18g X 2-3/4|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.60
WS SERVICE AREA|27231595|Hc Zz Guidewire S/s Amplatz 6c - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|182.30
WS SERVICE AREA|27233312|Hc Zz Guidewire .035 260-angle - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|187.40
WS SERVICE AREA|27235613|Hc Zz Guidewire Std Cvd Fixed - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|55.20
WS SERVICE AREA|27235623|Hc Zz Guidewire Str Bentson 99 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|67.20
WS SERVICE AREA|27235795|Hc Guidewire Stabilizer + 3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|317.20
WS SERVICE AREA|27258460|Hc Valvulotome Eze-sit Clmi|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,584.40
WS SERVICE AREA|30010243|Hc Ptm Thrombectomy Vein(s)|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37187||WS HB DEFAULT|5,602.00
WS SERVICE AREA|90892941|Hc  Ip Only-robotic Asst Prq Card Bms Revasc Mi 1 Vsl Ri|CARDIOLOGY - CARDIAC CATH LAB [0481]|92941|RI|WS HB DEFAULT|34,452.00
WS SERVICE AREA|27237433|Hc Cath Swan Ganz Vip Oxy 7.5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,220.10
WS SERVICE AREA|27259003|Hc Cath Billary 14fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|377.70
WS SERVICE AREA|27260531|Hc Tunneler 5 Pack 13"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|177.20
WS SERVICE AREA|27263121|Hc Cath Biliary Drainage 10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|328.40
WS SERVICE AREA|27263400|Hc Zz Guidewire Ht Sparta Disp - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|333.70
WS SERVICE AREA|27263401|Hc Zz Guidewire Ht Sparta Disp - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|379.50
WS SERVICE AREA|27264558|Hc Zz Guidewire Straight .035x - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|171.90
WS SERVICE AREA|27265466|Hc Cath Biliary Drainage 8.|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|331.80
WS SERVICE AREA|27266392|Hc Zz Guidewire J-wire .035/15 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|93.30
WS SERVICE AREA|27266393|Hc Guidewire Rosen 156 .035|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|45.70
WS SERVICE AREA|27267229|Hc Obturator Daig 406310 5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.20
WS SERVICE AREA|40043763|Hc Gtube Perq Replcmt Req Revj Gstrst Trc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|43763||WS HB DEFAULT|973.00
WS SERVICE AREA|27267239|Hc Zz Guidewire Strt Daig .035 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|52.00
WS SERVICE AREA|27272833|Hc Guidewire Cope Mandril .|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|145.10
WS SERVICE AREA|27273131|Hc Zz Guidewire Whisper Eds Cs - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|388.30
WS SERVICE AREA|27273244|Hc Zz Guidewire Thsf-35-180-ae - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|98.00
WS SERVICE AREA|27273308|Hc Guidewire Rosen .035/260|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|62.00
WS SERVICE AREA|27273309|Hc Zz Guidewire Jcur Fxcor .03 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|59.40
WS SERVICE AREA|27273334|Hc Cath Scbr 5.0-38-100-p-n|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|177.20
WS SERVICE AREA|27273351|Hc Zz Guidewire Ss .035 260 An - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|209.60
WS SERVICE AREA|27273353|Hc Guidewire Bentson .035x1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|46.70
WS SERVICE AREA|27273928|Hc Guidewire Thscf35-180-1.|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|47.40
WS SERVICE AREA|30010245|Hc Insert Endovascular Vena Cava Filter|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37191||WS HB DEFAULT|14,358.00
WS SERVICE AREA|27273934|Hc Zz Guidewire Pmg-18sp-125-c - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|118.50
WS SERVICE AREA|27274186|Hc Zz Guidewire Wholey 0.35 26 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|1,282.70
WS SERVICE AREA|27277046|Hc Cath Sizing Omni Flush|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|108.80
WS SERVICE AREA|27277168|Hc Zz Guidewire Cope Mandril . - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|119.40
WS SERVICE AREA|27277169|Hc Zz Guidewire Lunderquist 18 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|404.80
WS SERVICE AREA|27278402|Hc Sealant Coseal Surgical|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,671.70
WS SERVICE AREA|27278467|Hc Reservoir Brat|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.40
WS SERVICE AREA|27279423|Hc Dilator Cook 18fr 20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.90
WS SERVICE AREA|27281433|Hc Cath Sim 1 5fr 38x100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.00
WS SERVICE AREA|27281778|Hc Pump Pain 5 Day On-q|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,112.90
WS SERVICE AREA|30010246|Hc Redo Endovascular Vena Cava Filter|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37192||WS HB DEFAULT|14,382.00
WS SERVICE AREA|27282152|Hc Set Haskal Transjugular|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,409.20
WS SERVICE AREA|27282196|Hc Tubing Sterile Perfusion|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|177.20
WS SERVICE AREA|27282341|Hc Zz Guidewire J Stiff 3mm .0 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|97.60
WS SERVICE AREA|27282342|Hc Zz Guidewire J Stiff 3mm .0 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|128.30
WS SERVICE AREA|27282403|Hc Zz Guidewire Steerable 16 1 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|1,221.00
WS SERVICE AREA|27282444|Hc Zz Guidewire Asahi Pro .014 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|343.70
WS SERVICE AREA|27282446|Hc Zz Guidewire Asahi Mb .14x3 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|604.70
WS SERVICE AREA|27283086|Hc Guidewire Asahi Mir .014|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|586.70
WS SERVICE AREA|27283098|Hc Pack Access Vns Therapy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,450.70
WS SERVICE AREA|27283498|Hc Cath Angio Sim2 5.5fr 12|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|230.70
WS SERVICE AREA|30010247|Hc Remove Endovas Vena Cava Filter|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37193||WS HB DEFAULT|9,369.00
WS SERVICE AREA|27283702|Hc Cath Biliary Drain Medtc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|384.10
WS SERVICE AREA|27283703|Hc Cath Biliary Drainage 10|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|363.90
WS SERVICE AREA|27283773|Hc Tunneler Sheath St Orang|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|193.10
WS SERVICE AREA|27284156|Hc Pack Kypho First Fractur|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|12,556.30
WS SERVICE AREA|27284227|Hc Ndl Diamond W/thrd Cann|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|292.80
WS SERVICE AREA|27286248|Hc Bit Qr Drill 3.2x89mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|410.60
WS SERVICE AREA|27287123|Hc Zz Guidewire Peri Rr Xs 014 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|355.50
WS SERVICE AREA|27287124|Hc Zz Guidewire Rr Ang 035x260 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|155.90
WS SERVICE AREA|27287276|Hc Guidewire Mendrel Fc Jti|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|266.30
WS SERVICE AREA|30010356|Hc Picc Line Insertion W/o Imaging =>5 Yrs|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36569||WS HB DEFAULT|9,481.00
WS SERVICE AREA|30010248|Hc Transcath Biopsy Procedure|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37200||WS HB DEFAULT|4,639.00
WS SERVICE AREA|96010048|Hc Immunization Admin Sarscov2 30mcg/0.3ml Diluent Reconstituted 1st Dose|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|0001A||WS HB DEFAULT|40.00
WS SERVICE AREA|96010049|Hc Immunization Admin Sarscov2 30mcg/0.3ml Diluent Reconstituted 2nd Dose|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|0002A||WS HB DEFAULT|40.00
WS SERVICE AREA|96010052|Hc Zz Infusion Iv Bamlanivimab Including Post Admin Monitoring - No Replacement|PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION [0771]|M0239||WS HB DEFAULT|1,037.00
WS SERVICE AREA|27251482|Hc Catheter Ivus 90cm .035i|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1753||WS HB DEFAULT|4,139.40
WS SERVICE AREA|27226306|Hc Zz Wire Inf Katzen .035-145 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|775.50
WS SERVICE AREA|27248721|Hc Catheter Lum .088in 90cm Neuron Max|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,668.10
WS SERVICE AREA|27248724|Hc Catheter Lum .088in 80cm Neuron Max|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,704.90
WS SERVICE AREA|27203943|Hc Cannula Shoulder|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|27204244|Hc Sheath Dryseal 12fr Hydr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|1,100.10
WS SERVICE AREA|27204247|Hc Sheath Dryseal 18fr Hydr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|1,295.30
WS SERVICE AREA|30010251|Hc Transcath Iv Retreive Fb+guide Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37197||WS HB DEFAULT|8,285.00
WS SERVICE AREA|27205395|Hc System Surfire Infus St|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|12,727.60
WS SERVICE AREA|27205396|Hc System Surfire Infus Lt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|12,727.60
WS SERVICE AREA|27205397|Hc Catheter Surefire Spcl A|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,187.20
WS SERVICE AREA|27277309|Hc Zz Guidewire Nitinol .015x8 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|172.90
WS SERVICE AREA|27279914|Hc Mixer Kyphon Lf A07a|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|595.60
WS SERVICE AREA|27281699|Hc *guidewire|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|50.80
WS SERVICE AREA|27286945|Hc Wire Guide Curv Xstf .35|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|415.10
WS SERVICE AREA|27288436|Hc Wire Nitrex St .018 80cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|267.90
WS SERVICE AREA|27289856|Hc Zz Wire Coronary Asahi Gs 3 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|384.10
WS SERVICE AREA|27291595|Hc Clamp Multi Pin 4pos Med|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,860.20
WS SERVICE AREA|10011107|Hc Incisional Biopsy Skin Ea Sep/additional Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11107||WS HB DEFAULT|509.00
WS SERVICE AREA|27879915|Hc Cement Khphx Radiopaque|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1713||WS HB DEFAULT|402.10
WS SERVICE AREA|27261250|Hc Ligaclip Horizon 24 Clip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|218.60
WS SERVICE AREA|27287108|Hc Ndl Bio Temno Adj Throw|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|149.20
WS SERVICE AREA|27882462|Hc Adapter Temp Pacer|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|74.30
WS SERVICE AREA|27017291|Hc Inflation Device Presto|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|188.80
WS SERVICE AREA|27226075|Hc Cath Stealth 2.5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,801.80
WS SERVICE AREA|27226268|Hc Accustick W/o .038 Guide|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|257.30
WS SERVICE AREA|27235536|Hc Device Torque Olcott Otd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31.00
WS SERVICE AREA|27271171|Hc Introducer Fast Cath Hem|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|237.60
WS SERVICE AREA|90010027|Hc Dialysis Other Daily Crrt Capd Ccpd|PERITONEAL DIALYSIS - OUTPATIENT OR HOME - GENERAL CLASSIFICATION [0830]|90945||WS HB DEFAULT|1,267.00
WS SERVICE AREA|30036573|Hc Picc Line Insertion Wo Port/pump W Guidance =>5yrs|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36573||WS HB DEFAULT|5,298.00
WS SERVICE AREA|27184625|Hc Cannula Lng Softip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|1,437.60
WS SERVICE AREA|27121619|Hc Splint Orth 30x5in Precut Padfbgls Foam Scst|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|72.10
WS SERVICE AREA|27092293|Hc Adapter Light Source Acmistryker Relieva Luma|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|168.70
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|27288148|Hc Catheter Balloon Dil Us Bscp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|99.70
WS SERVICE AREA|90010310|Hc Trauma No Field Act Criti Care Initial Full Team|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99291||WS HB DEFAULT|12,825.00
WS SERVICE AREA|90010311|Hc Trauma No Field Act Criti Care Initial Partial Team|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99291||WS HB DEFAULT|11,837.00
WS SERVICE AREA|90010312|Hc Trauma No Field Act Criti Care Initial Small Team|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99291||WS HB DEFAULT|12,825.00
WS SERVICE AREA|90010313|Hc Trauma No Field Act Criti Care Ea Add 30 Min|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99292||WS HB DEFAULT|2,821.00
WS SERVICE AREA|90010314|Hc Trauma No Field Act Class V Full Team|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99285||WS HB DEFAULT|10,400.00
WS SERVICE AREA|50050436|Hc Perq Dilation Xst Trc Endourologic Px W/imaging|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50436||WS HB DEFAULT|7,189.00
WS SERVICE AREA|90010315|Hc Trauma No Field Act Class V Partial Team|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99285||WS HB DEFAULT|9,000.00
WS SERVICE AREA|90010316|Hc Trauma No Field Act Class V Small Team|EMERGENCY ROOM - GENERAL CLASSIFICATION [0450]|99285||WS HB DEFAULT|7,604.00
WS SERVICE AREA|70073101|Hc Vl Endovenous Rf 1st Vein|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36475||WS HB DEFAULT|11,653.00
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|1,295.30
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|1,295.30
WS SERVICE AREA|27207696|Hc Catheter Angio .035in Ruc Crv 5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|80.60
WS SERVICE AREA|27814031|Hc Catheter Occlusion Pruitt 3f 7mmx27cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|927.20
WS SERVICE AREA|27214573|Hc Zz Guidewire Std Taper Flex Tip Ang 3cm 018inx180cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|227.70
WS SERVICE AREA|27215816|Hc Guidewire Newt Llt Tsfnb 35-145|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|42.40
WS SERVICE AREA|27215934|Hc Fastener Tube Endo 5-10m|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.10
WS SERVICE AREA|30010263|Hc Thoracentesis Ndl/cath Asp Pleura Space W/ Imaging|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32555||WS HB DEFAULT|4,497.00
WS SERVICE AREA|90092943|Hc Robotic Asst Cto Bms Stent Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|92943|LD|WS HB DEFAULT|34,452.00
WS SERVICE AREA|27215941|Hc Cath Femoral Cordis 6f A|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.60
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 Zz Guidewire Ss 035 180 Angled - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|196.80
WS SERVICE AREA|27221723|Hc Zz Cath Fogarty Clot Adherent 10m  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|835.90
WS SERVICE AREA|27225092|Hc Catheter Peripheral Support Straight Usher 130cm 7f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,725.00
WS SERVICE AREA|27226165|Hc Kit Snare Amplatz Goose Neck 6f 25mmx120cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1773||WS HB DEFAULT|1,217.50
WS SERVICE AREA|27226314|Hc Introducer Sheath Pinnacle 6fr 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|41.60
WS SERVICE AREA|27230679|Hc Cath Guiding Xl Br/tp Al1|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|219.60
WS SERVICE AREA|27231523|Hc Catheter Angio Hydrophilic Glide Sim2 5f 038inx100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|204.70
WS SERVICE AREA|30010265|Hc Inpt Transcath Placemnt Intravasclr Stent Cervical Carotid Arty W/ Distl Eps W S&i|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37215||WS HB DEFAULT|12,657.00
WS SERVICE AREA|27233076|Hc Sheath Pinnacle 7fr 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|42.40
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|3,235.70
WS SERVICE AREA|27248709|Hc Zz Guidewire Micro Synch-2 Nitinol 014inx10cm 200cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|2,117.70
WS SERVICE AREA|27248710|Hc Zz Guidewire Transend 300 Es 014in 300cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|2,213.40
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|3,504.10
WS SERVICE AREA|27274272|Hc Catheter Guiding Envoy Mpc Angled 5f 056inx90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,462.70
WS SERVICE AREA|27248717|Hc Catheter Mic .027in 150mmmarksman|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|31,475.90
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|3,420.30
WS SERVICE AREA|27248720|Hc Catheter Marksman 10cm 30cm 150cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|4,474.30
WS SERVICE AREA|30010266|Hc Pta Stent Carotid W/o-distal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37216||WS HB DEFAULT|11,627.00
WS SERVICE AREA|27249038|Hc Catheter Micro Reperfusion 5f 054inx132cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|5,997.30
WS SERVICE AREA|27249039|Hc Catheter Reperfusion 4.3fr .041in 143cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|5,997.30
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|12,900.50
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|12,900.50
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|695.70
WS SERVICE AREA|27251067|Hc Introducer Sheath Pinnacle 8fr 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|41.20
WS SERVICE AREA|27258704|Hc Blade Saw Long Wide 34.5mmx16.5mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|72.10
WS SERVICE AREA|27259548|Hc Blade Sag 25.4x90mm .035"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|76.40
WS SERVICE AREA|30010267|Hc Pta Iliac 1st Vessel|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37220||WS HB DEFAULT|24,471.00
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|42.40
WS SERVICE AREA|27260742|Hc Introducer Sheath Pinnacle 5fr 10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|229.80
WS SERVICE AREA|27260788|Hc Device Inflation Encore|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|172.90
WS SERVICE AREA|27263108|Hc Cath Berenstein 5fr 65cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|66.80
WS SERVICE AREA|27265571|Hc Sheath Introducer Balkin Kcf 7|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|232.40
WS SERVICE AREA|27270791|Hc Cath Dawson Mueller 8.5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1729||WS HB DEFAULT|308.30
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|202.70
WS SERVICE AREA|27273245|Hc Zz Guidewire Amplatz Deflecting Reuter Tip 10mmx035inx145cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|174.00
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|41.20
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|41.50
WS SERVICE AREA|30010269|Hc Pta Iliac 1st Vessell With Stent|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37221||WS HB DEFAULT|26,319.00
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|346.10
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|349.10
WS SERVICE AREA|27273396|Hc Zz Catheter Thrombectomy Graft Fogarty 5f 5mm/16mmx50cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|1,472.50
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|253.60
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|436.00
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|231.00
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|235.60
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|203.10
WS SERVICE AREA|27278455|Hc Introducer W/rb 6fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|109.30
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|185.10
WS SERVICE AREA|30010271|Hc Iliac Add Vessell +|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37222||WS HB DEFAULT|11,405.00
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|208.00
WS SERVICE AREA|27280236|Hc Zz Guidewire Exchange Amplatz Ultra Stff Tfe Coated Flex Tip 035inx260cmx7cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|171.50
WS SERVICE AREA|27280796|Hc Zz Catheter Adherent Clot Fogarty 4f 6mmx80cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|861.50
WS SERVICE AREA|27280915|Hc Zz Guidewire Peripheral Thruway Short Taper Str Tip 014inx190cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|512.40
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|171.90
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|25.80
WS SERVICE AREA|27283434|Hc Expandable Lemaitre Valvulotome 1.8mmx110cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,251.90
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|388.30
WS SERVICE AREA|27285056|Hc Zz Balloon Viatrac 5x30x135  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,047.10
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|112.80
WS SERVICE AREA|30010273|Hc Pta Iliac Add Vesell With Stent +|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37223||WS HB DEFAULT|11,584.00
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|113.50
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|114.00
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|208.00
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|208.00
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|397.90
WS SERVICE AREA|27186571|Hc Adapter Feeding Enteral Red|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|26.60
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|462.60
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|27286624|Hc Introducer Sheath Peel-away 6.5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|376.70
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|207.20
WS SERVICE AREA|30010275|Hc Pta Fem Pop Angio Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37224|RT|WS HB DEFAULT|17,017.00
WS SERVICE AREA|27287151|Hc Zz Guidewire Flexible Roadrunner Nimble Ang 035inx180cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|128.80
WS SERVICE AREA|27287485|Hc Zz Guidewire Exchange Roadrunner Nimble Ang 035inx260cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|151.90
WS SERVICE AREA|27287725|Hc Kit Repair Catheter Groshong Cv 8f Single Lumen|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|513.50
WS SERVICE AREA|27288080|Hc Valve Hemostasis Guardian Ii|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|172.90
WS SERVICE AREA|27289769|Hc Guidewire Nitrex Intermediate 5cm Str Tip 018inx60cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|266.10
WS SERVICE AREA|27289770|Hc Zz Guidewire Nitrex Std 2cm Str Tip 018inx80cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|268.20
WS SERVICE AREA|27291935|Hc Zz Catheter Aspiration Export Ap 6f 140cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1757||WS HB DEFAULT|1,922.60
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|204.80
WS SERVICE AREA|27293289|Hc Wand Spine Cavity 8ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,355.40
WS SERVICE AREA|27293291|Hc Wand Spine Cavity 11ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,355.40
WS SERVICE AREA|30010277|Hc Pta Fem Pop Atherectomy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37225||WS HB DEFAULT|26,875.00
WS SERVICE AREA|27293294|Hc Kit Biopsy Bone & Vertebral Body Core-assure|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|293.90
WS SERVICE AREA|27293790|Hc Zz Balloon Dil Nanocross 014in 2.0mmx40mm 150cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,311.30
WS SERVICE AREA|27293792|Hc Zz Balloon Dilatation Nanocross 014in 2.0mmx120mm 150cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,311.30
WS SERVICE AREA|27293793|Hc Zz Balloon Dilatation Nanocross 014in 2.0mmx150mm 150cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,591.40
WS SERVICE AREA|27293810|Hc Zz Balloon Dilatation Nanocross 014in 2.0mmx210mm 150cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,591.40
WS SERVICE AREA|27294068|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 6mmx200mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|655.60
WS SERVICE AREA|27294070|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 7mmx20mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27294071|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 4mmx20mm 80cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27294072|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 4mmx20mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|518.80
WS SERVICE AREA|27294073|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 7mmx20mm 80cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|30010279|Hc Pta Fem Pop Angio With Stent|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37226||WS HB DEFAULT|26,875.00
WS SERVICE AREA|27294074|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 4mmx40mm 80cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27294075|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 4mmx40mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27294076|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 7mmx40mm 80cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27294079|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 7mmx40mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|519.10
WS SERVICE AREA|27294080|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 4mmx200mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|655.60
WS SERVICE AREA|27294082|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx20mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27294085|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx40mm 80cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27294086|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx40mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27294087|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx100mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|518.80
WS SERVICE AREA|27294089|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx150mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|655.60
WS SERVICE AREA|30010281|Hc Pta Fem Pop With Stent + Atherectomy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37227||WS HB DEFAULT|37,370.00
WS SERVICE AREA|99301003|Hc Telehealth Facility Fee|TELEMEDICINE - GENERAL CLASSIFICATION [0780]|Q3014||WS HB DEFAULT|122.00
WS SERVICE AREA|27294091|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 8mmx20mm 80cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27294096|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 6mmx100mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27294097|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 8mmx40mm 80cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27294104|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 9mmx40mm 80cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|518.80
WS SERVICE AREA|27294107|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 10mmx40mm 80cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|518.80
WS SERVICE AREA|27294113|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 12mmx40mm 80cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|526.70
WS SERVICE AREA|27294114|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 4mmx80mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27294190|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx200mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|655.60
WS SERVICE AREA|27294466|Hc Zz Balloon Catheter Occlusion Coda 10fr 14fr 035in 32mmx120cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2628||WS HB DEFAULT|1,772.20
WS SERVICE AREA|27294999|Hc Zz Balloon Tri-lobe 26mm-42mm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|2,523.90
WS SERVICE AREA|30010283|Hc Pta 1st Tib/peroneal Vessell|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37228||WS HB DEFAULT|21,731.00
WS SERVICE AREA|27295437|Hc Osteotome Contour Curved Enhanced 11.6cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6,472.50
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|1,403.60
WS SERVICE AREA|27297050|Hc Microcatheter Renegade Stc-18 Straight 3frx.018inx130cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|1,701.60
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|70.00
WS SERVICE AREA|27297402|Hc Zz Balloon Catheter Powercross Pta Otw 5f 018in 6mmx40mm 150cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|944.20
WS SERVICE AREA|27297406|Hc Zz Balloon Catheter Powercross Pta Otw 5f 018in 6mmx40mm 90cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|944.20
WS SERVICE AREA|27297409|Hc Zz Balloon Catheter Powercross Pta Otw 4f 018in 4mmx40mm 90cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|944.20
WS SERVICE AREA|27297486|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx60mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27297487|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 4mmx60mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27297488|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 6mmx80mm 80cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|272114576|Hc Kit Micro Intro 5f|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|81.90
WS SERVICE AREA|27297491|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 6mmx120mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27297492|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 8mmx60mm 80cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27297493|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 5mmx80mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27297502|Hc Zz Balloon Catheter Powercross Pta Otw 4f 018in 3mmx80mm 150cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|944.20
WS SERVICE AREA|27297508|Hc Zz Balloon Catheter Powercross Pta Otw 4f 018in 4mmx200mm 150cm  -use Sup|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|331.10
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|531.50
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|531.50
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|515.60
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|531.50
WS SERVICE AREA|30010285|Hc Pta 1st Tib/peroneal + Atherectomy/angioplasty|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37229||WS HB DEFAULT|26,167.00
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|531.50
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|531.50
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|670.50
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|683.90
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|516.00
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|648.90
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|690.60
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|521.20
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|517.90
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|531.50
WS SERVICE AREA|272131951|Hc Set Needle Huber Safety 20g X 0.75in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.80
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|27297747|Hc Zz Balloon Dilatation Evercross Pta Otw 5f 035in 4mmx120mm 135cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|534.70
WS SERVICE AREA|27297782|Hc Catheter Support Trailblazer 035inx90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|544.30
WS SERVICE AREA|27297786|Hc Zz Balloon Dilatation Nanocross 014in 1.5mmx20mm 150cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,311.30
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|258.80
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|258.80
WS SERVICE AREA|27298334|Hc Zz Guidewire Lunderquist Dc Double Curved 035inx300cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|405.30
WS SERVICE AREA|27298366|Hc Syringe Mdln Ylw Plunger 10ml Plycrb Sword Handle|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|8.40
WS SERVICE AREA|27298911|Hc Zz Balloon Dilatation Coyote Es Otw 4f 2.0mmx20mm 142cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,078.90
WS SERVICE AREA|27298912|Hc Zz Balloon Dilatation Coyote Es Otw 4f 2.0mmx40mm 144cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,078.90
WS SERVICE AREA|30010287|Hc Pta 1st Tib/peroneal  With Stent|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37230||WS HB DEFAULT|23,349.00
WS SERVICE AREA|27298915|Hc Zz Balloon Dilatation Coyote Es Otw 4f 3.0mmx20mm 143cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,047.10
WS SERVICE AREA|27298916|Hc Zz Balloon Dilatation Coyote Es Otw 4f 3.0mmx40mm 145cm  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,047.10
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|1,346.30
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|1,346.30
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|1,307.10
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|1,346.30
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|1,346.30
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|1,346.30
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|1,346.30
WS SERVICE AREA|272131952|Hc Set Needle Huber Safety 20g X 1.0in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|18.80
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|1,346.30
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|1,307.10
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|1,346.30
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|1,656.00
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|1,656.00
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|1,656.00
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|1,633.80
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|1,682.60
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|353.30
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|358.50
WS SERVICE AREA|30010289|Hc Pta 1st Tib/peroneal With Stent + Atherectomy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37231|RT|WS HB DEFAULT|41,208.00
WS SERVICE AREA|27299869|Hc Introducer Peel Away 9f 038inx30cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|890.10
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|2,898.00
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||WS HB DEFAULT|596.00
WS SERVICE AREA|97010210|Hc Evaluation Of Speech Fluency- 15 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92521||WS HB DEFAULT|596.00
WS SERVICE AREA|97010211|Hc Evaluation Of Speech Fluency- 30 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92521||WS HB DEFAULT|596.00
WS SERVICE AREA|97010212|Hc Evaluation Of Speech Fluency- 60 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92521||WS HB DEFAULT|596.00
WS SERVICE AREA|97010213|Hc Evaluate Speech Production- 45 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92522||WS HB DEFAULT|596.00
WS SERVICE AREA|97010214|Hc Evaluate Speech Production- 15 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92522||WS HB DEFAULT|596.00
WS SERVICE AREA|97010215|Hc Evaluate Speech Production- 30 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92522||WS HB DEFAULT|596.00
WS SERVICE AREA|30010291|Hc Pta Tib/peroneal Ea Add Addtl +|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37232||WS HB DEFAULT|11,405.00
WS SERVICE AREA|97010216|Hc Evaluate Speech Production- 60 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92522||WS HB DEFAULT|596.00
WS SERVICE AREA|97010217|Hc Eval Speech Sound Lang Compreh- 45 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92523||WS HB DEFAULT|596.00
WS SERVICE AREA|97010218|Hc Eval Speech Sound Lang Compreh- 15 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92523||WS HB DEFAULT|596.00
WS SERVICE AREA|97010219|Hc Eval Speech Sound Lang Compreh- 30 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92523||WS HB DEFAULT|596.00
WS SERVICE AREA|97010220|Hc Eval Speech Sound Lang Compreh- 60 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92523||WS HB DEFAULT|596.00
WS SERVICE AREA|97010221|HC EVAL BEHAVIORAL QUALITY ANALYSIS VOICE-45 MIN|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92524||WS HB DEFAULT|596.00
WS SERVICE AREA|97010222|HC EVAL BEHAVIORAL QUALITY ANALYSIS VOICE-15 MIN|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92524||WS HB DEFAULT|596.00
WS SERVICE AREA|97010223|HC EVAL BEHAVIORAL QUALITY ANALYSIS VOICE-30 MIN|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92524||WS HB DEFAULT|596.00
WS SERVICE AREA|97010224|HC EVAL BEHAVIORAL QUALITY ANALYSIS VOICE-60 MIN|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92524||WS HB DEFAULT|596.00
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|272117129|Hc Tray Sut Cust Nf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|28.80
WS SERVICE AREA|27287941|Hc 'sut Gut Chromic 0 Ur6 27in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.80
WS SERVICE AREA|27221685|Hc Catheter Uret 4fr 70cm Olv Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|32.90
WS SERVICE AREA|27829397|Hc Epifix Graft Amnio Membr 14mm Disk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4186||WS HB DEFAULT|1,573.30
WS SERVICE AREA|27292589|Hc Cannula Arthro Clr 75mm Thrd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|138.90
WS SERVICE AREA|27099544|Hc Set Tube Irr Spyglass|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|80.60
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|116.60
WS SERVICE AREA|93010180|Hc Nm Cv Stress Test|CARDIOLOGY - STRESS TEST [0482]|93017||WS HB DEFAULT|2,528.00
WS SERVICE AREA|27279064|Hc Tubing Press M To M Connect|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.30
WS SERVICE AREA|27235958|Hc Device Stopcock 3 Way 1050 Psi Bl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|30010293|Hc Pta Tib/peroneal With Atherectomy Ea Add|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37233||WS HB DEFAULT|13,423.00
WS SERVICE AREA|90292943|Hc Robotic Asst Cto Bms Stent Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|92943|LC|WS HB DEFAULT|34,452.00
WS SERVICE AREA|27282460|Hc Syringe Adenosine Yellow 10cc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|9.40
WS SERVICE AREA|27298508|Hc Catheter Excel Xt-27 1 Tip Straight 150cmx6cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,798.90
WS SERVICE AREA|27205328|Hc Zz Guidewire Vasc Std .035in 180cm 3 - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|333.90
WS SERVICE AREA|27205589|Hc System Inj Syr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.20
WS SERVICE AREA|27893780|Hc Cath Hemodial/peritoneal Short Term, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1752||WS HB DEFAULT|677.40
WS SERVICE AREA|27284753|Hc Needle 2.75in 18ga 1 Part Wing|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.60
WS SERVICE AREA|27270802|Hc Tubing Disp W Filter F|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|78.80
WS SERVICE AREA|27205433|Hc Needle 21ga 2 75in 7cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.00
WS SERVICE AREA|27254436|Hc Line Filter Nasal 02 Adlt Lng|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|74.50
WS SERVICE AREA|27276806|Hc Probe 10ga Strtc Tube Encor|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|965.00
WS SERVICE AREA|30010295|Hc Pta Tib/peroneal With Stent Ea Addtl +|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37234||WS HB DEFAULT|13,426.00
WS SERVICE AREA|27247334|Hc Ndl Coaxial 13x7.8|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|56.00
WS SERVICE AREA|27276807|Hc Probe Stero Us 7ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|971.80
WS SERVICE AREA|27296855|Hc Probe Mri 10gu Encor Blnt Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|408.40
WS SERVICE AREA|27299186|Hc Introducer Set Mri Ultracor|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|313.50
WS SERVICE AREA|27299192|Hc Ndl Loc 9cm 20ga 20cm Ghiatas Brb Wire|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|363.40
WS SERVICE AREA|27299193|Hc Ndl Loc 14cm 20ga Ghiatas Beaded Wire|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|354.30
WS SERVICE AREA|27232162|Hc  Ndl Hawkins Iii Local 5.0cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|123.40
WS SERVICE AREA|27235837|Hc Ndl Hawkins 20gx10cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|131.10
WS SERVICE AREA|27291295|Hc Dressing Cls Pad Adh Nonwvn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|17.00
WS SERVICE AREA|27259104|Hc Tray Nosebleed Ent Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|93.30
WS SERVICE AREA|272119912|Hc Device Hemo Pressure Assisted|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|259.60
WS SERVICE AREA|27286759|Hc System Inj 96in Spct Mr 2 Syr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|62.60
WS SERVICE AREA|27289702|Hc Tip Suct Frzr 12fr Control|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.40
WS SERVICE AREA|27289703|Hc Tip Suct Frzr 10fr Control|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.40
WS SERVICE AREA|27260639|Hc Device Stopcock 3 Way 1050 Psi|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|11.50
WS SERVICE AREA|27291266|HC NEEDLE BX 13GA 13.8CM TRGD|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|58.40
WS SERVICE AREA|27226267|Hc Accustick Ii .038in J Tip Wire|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|371.90
WS SERVICE AREA|27276803|Hc Ndl Temno 20x6 Biopsy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|76.60
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|9,967.20
WS SERVICE AREA|27193408|Hc Feeder Inf Hbrmn Mini Hbrmn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|49.90
WS SERVICE AREA|30010297|Hc Pta Tib/peroneal With Stent + Atherctomy Ea Addtl +|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37235|RT|WS HB DEFAULT|23,616.00
WS SERVICE AREA|27162782|Hc Kit Feed Sns Supp Nurs Sys|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|41.10
WS SERVICE AREA|27120037|Hc Breastshield For Pump, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|7.30
WS SERVICE AREA|27206827|Hc Catheter Edi Nava 6fr 49cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|27206827||WS HB DEFAULT|998.50
WS SERVICE AREA|27294822|Hc Manipulator Laparos Injection|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|79.60
WS SERVICE AREA|27299549|Hc Dressing Ca Alg Medihoney 2x2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|165.60
WS SERVICE AREA|27299550|Hc Dressing Ca Alg Medihoney 4x5|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|186.70
WS SERVICE AREA|27299552|Hc Gel Medihoney 1.5fl Oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.90
WS SERVICE AREA|27274420|Hc Gel Medihoney .5oz Twistoff|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27205333|Hc Catheter Dx Tempo 5fr .038in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,474.70
WS SERVICE AREA|27298520|Hc System Inzone 2mm Detach|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|738.20
WS SERVICE AREA|272119202|Hc Cannula Ventricular Scott 8f Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|493.40
WS SERVICE AREA|27266536|Hc Device Closure Angioseal Sts 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1760||WS HB DEFAULT|796.70
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|5,690.60
WS SERVICE AREA|27203980|Hc Catheter Env Da 6f 95cm Mpd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,565.20
WS SERVICE AREA|27205588|Hc System Detachment Inzone|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|798.90
WS SERVICE AREA|27226429|Hc Pouch Wound Eakin Fistula 9.7x6.3 Window|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|556.20
WS SERVICE AREA|27205594|Hc Guidewire Vasc Std .038in 260cm 3cm Ang|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|27205594||WS HB DEFAULT|183.40
WS SERVICE AREA|27281131|Hc Dressing Profore Lite Multlayr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.30
WS SERVICE AREA|30037243|Hc Vasc Embolize/occlude Organ|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37243||WS HB DEFAULT|42,667.00
WS SERVICE AREA|27296865|Hc Zz Tray Tracheo Perc 6fr Cgl Brhn- Use 27201875|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,563.70
WS SERVICE AREA|271133643|Hc Boot Cast Tcc Ez Reg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|317.20
WS SERVICE AREA|27296290|Hc Tray Trach Perc 6 Dolphin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,562.10
WS SERVICE AREA|50020010|Hc Lithotripsy Eswl Extracorp Shock Wave|EXTRA-CORPOREAL SHOCK WAVE THERAPY (FORMERLY LITHOTRIPSY) - GENERAL CLASSIFICATION [0790]|50590||WS HB DEFAULT|11,605.00
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|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|30010303|Hc Ligation/banding Av Fistula|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37607||WS HB DEFAULT|4,770.00
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|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|271133644|Hc Casting Tcc 10 4in W No Boot|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|477.40
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|11,605.00
WS SERVICE AREA|50020046|HC  CYSTOURETHROSCOPY W TUR BLADDER NECK|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52500||WS HB DEFAULT|11,605.00
WS SERVICE AREA|50020047|HC  CYSTOURETHROSCOPY W TUR BLADDER NECT CONTRACTURE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|52640||WS HB DEFAULT|10,662.00
WS SERVICE AREA|50020055|Hc  Dilation Urethral Stricture W Sound Male Initial|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|53600||WS HB DEFAULT|2,301.00
WS SERVICE AREA|50020060|Hc  Dialtion Urethra Female Initial|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|53660||WS HB DEFAULT|1,094.00
WS SERVICE AREA|50020063|HC  SLITTING PREPUCE > NEWBORN|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54001||WS HB DEFAULT|6,810.00
WS SERVICE AREA|50020066|Hc  Destruction Penis Lesion Simple Surgical|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54060||WS HB DEFAULT|4,411.00
WS SERVICE AREA|50020068|Hc  Bx Penis|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54100||WS HB DEFAULT|2,456.00
WS SERVICE AREA|50020069|Hc Circumcision Age > 28 Days|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54161||WS HB DEFAULT|7,832.00
WS SERVICE AREA|30010304|Hc Ligate/bx Artery Temporal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37609||WS HB DEFAULT|8,731.00
WS SERVICE AREA|50020070|Hc  Circumcision Post Adhesion Lysis|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54162||WS HB DEFAULT|7,151.00
WS SERVICE AREA|50020071|HC  CIRCUMCISION INCOMPLETE REPAIR|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54163||WS HB DEFAULT|6,810.00
WS SERVICE AREA|50020072|HC  PENIS FRENULOTOMY|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54164||WS HB DEFAULT|6,810.00
WS SERVICE AREA|50020073|HC  ASPIRATION HYDROCELE TUNICA VAGINALIS W/WO INJ|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|55000||WS HB DEFAULT|2,807.00
WS SERVICE AREA|50020078|Hc  Exploration Scrotum|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|55110||WS HB DEFAULT|3,365.00
WS SERVICE AREA|50020080|Hc  Vasectomy Uni/bilateral|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|55250||WS HB DEFAULT|3,365.00
WS SERVICE AREA|50020082|Hc Prostate Needle Biopsy Any Approach|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|55700||WS HB DEFAULT|4,304.00
WS SERVICE AREA|50020083|Hc  Male Genital System Unlisted|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|55899||WS HB DEFAULT|2,871.00
WS SERVICE AREA|50020087|HC  CMG W VOIDING PRESSURE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51728||WS HB DEFAULT|2,141.00
WS SERVICE AREA|50020088|HC  CMG W VOIDING PRESSURE/URETHRAL STUDIES|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51729||WS HB DEFAULT|2,141.00
WS SERVICE AREA|90010405|Hc Reh Resp Fcn/strength 2/> Indiv|RESPIRATORY SERVICES - OTHER RESPIRATORY SERVICES [0419]|G0238||WS HB DEFAULT|213.00
WS SERVICE AREA|50020089|HC  UROFLOW COMPLEX CALIBRATED ELECTRONIC EQUIP|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51741||WS HB DEFAULT|531.00
WS SERVICE AREA|50020102|Hc  Emg Surface|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51784||WS HB DEFAULT|706.00
WS SERVICE AREA|50020103|HC  INTRA ABDOMINAL VOIDING PRESSURE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51797||WS HB DEFAULT|1,055.00
WS SERVICE AREA|60020011|Hc  Implant Neurostim Electrode Sacral Nerve W Image|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64561||WS HB DEFAULT|6,739.00
WS SERVICE AREA|90010012|HC  MANOMETRY ANORECTAL PRESSURE RECORD|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|91122||WS HB DEFAULT|1,687.00
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 TREATMENT STEREO GUIDED FULL BODY OR CRANIAL 2-5|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|30010311|Hc Bone Marrow Aspiration|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|38220||WS HB DEFAULT|3,286.00
WS SERVICE AREA|90492943|Hc Robotic Asst Cto Bms Stent Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|92943|RC|WS HB DEFAULT|34,452.00
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|22,769.00
WS SERVICE AREA|40049405|Hc Image Cath Fluid Visc Collection Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49405||WS HB DEFAULT|5,616.00
WS SERVICE AREA|40049406|Hc Image Cath Fluid Peri/retro Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49406||WS HB DEFAULT|5,482.00
WS SERVICE AREA|10010164|HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10030||WS HB DEFAULT|10,864.00
WS SERVICE AREA|70600030|Hc Mammogram Bx Breast 1st Lesion Stereotactic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19081||WS HB DEFAULT|5,571.00
WS SERVICE AREA|70600031|Hc Mammogram Bx Breast Additional Lesion Stereotactic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19082||WS HB DEFAULT|746.00
WS SERVICE AREA|70600032|Hc Mammogram Perc Device Breast 1st Stereotactic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19283||WS HB DEFAULT|2,716.00
WS SERVICE AREA|70600033|Hc Mammogram Perc Device Breast Additional Stereotactic|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19284||WS HB DEFAULT|992.00
WS SERVICE AREA|70600034|Hc Mammogram Perc Device Breast 1st  Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19281||WS HB DEFAULT|1,602.00
WS SERVICE AREA|30010312|Hc Bone Marrow Biopsy, Needle Or Trocar|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|38221||WS HB DEFAULT|3,943.00
WS SERVICE AREA|70600035|Hc Mammogram Perc Device Breast Additional|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19282||WS HB DEFAULT|922.00
WS SERVICE AREA|70400070|Hc Us Bx Breast 1st Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19083||WS HB DEFAULT|5,507.00
WS SERVICE AREA|70400071|Hc Us Bx Breast Additional Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19084||WS HB DEFAULT|1,256.00
WS SERVICE AREA|70400072|Hc Us Perc Device Breast 1st Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19285||WS HB DEFAULT|2,464.00
WS SERVICE AREA|70400073|Hc Us Perc Device Breast Additional Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19286||WS HB DEFAULT|992.00
WS SERVICE AREA|70300077|Hc Mr Bx Breast 1st Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19085||WS HB DEFAULT|7,718.00
WS SERVICE AREA|70300078|Hc Mr Bx Breast Additional Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19086||WS HB DEFAULT|1,256.00
WS SERVICE AREA|70370079|Hc Mr Perc Device Breast 1st Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19287||WS HB DEFAULT|4,524.00
WS SERVICE AREA|70300080|Hc Mr Perc Device Breast Add Lesion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|19288||WS HB DEFAULT|6,932.00
WS SERVICE AREA|80083972|Hc Iadna Trichomonas Vaginalis Amplified Probe Tech|LABORATORY - GENERAL CLASSIFICATION [0300]|87661||WS HB DEFAULT|578.00
WS SERVICE AREA|70002083|Hc Adjustment Gastric Band|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|S2083||WS HB DEFAULT|860.00
WS SERVICE AREA|70800085|Hc Nm Iv Inj Radiopharm Drug Dx Study|NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES [0341]|78808||WS HB DEFAULT|687.00
WS SERVICE AREA|27876910|Hc Lead Neuro Test Intstm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1897||WS HB DEFAULT|1,604.10
WS SERVICE AREA|27886415|Hc Lead Neuro Test Spnl Cord|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1897||WS HB DEFAULT|605.70
WS SERVICE AREA|27186413|Hc Programmer Neuro Interstim|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1787||WS HB DEFAULT|5,134.80
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|27801743|Hc Lead Tined 28cm Kit|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1778||WS HB DEFAULT|13,760.90
WS SERVICE AREA|27205000|Hc Zz Upc Misc Supply- Use 27202042|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.50
WS SERVICE AREA|27111444|Hc Protector Univ Foam Xtrmt Elb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.60
WS SERVICE AREA|27230695|Hc Catheter Ureth Coude, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|42.30
WS SERVICE AREA|27266739|Hc Guidewire Endo .035in150cm Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|308.40
WS SERVICE AREA|30010314|Hc Biopsy Lymph Node|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|38505||WS HB DEFAULT|3,363.00
WS SERVICE AREA|27291358|Hc Extractor Stone 115cm 3.2fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|758.60
WS SERVICE AREA|27291427|Hc Guidewire Vasc Std .035in145cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|62.60
WS SERVICE AREA|27292665|Hc Extractor Stone 115cm 2.8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|758.60
WS SERVICE AREA|27230109|Hc System Bx Tray 152mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|546.50
WS SERVICE AREA|27279166|Hc Set Crdplg 4 To 1 Lf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|237.60
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|52.00
WS SERVICE AREA|27233800|Hc Kit Art Line 2in 20ga .018in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.20
WS SERVICE AREA|30010315|Hc Inj Lymphangio|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|38790||WS HB DEFAULT|2,563.00
WS SERVICE AREA|27298550|Hc Cath Micro 150cm 18cm Fle Pshp 1tip Marker|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|3,893.50
WS SERVICE AREA|30010360|Hc Chest Wall Osc/vest Tx Per Session|RESPIRATORY SERVICES - GENERAL CLASSIFICATION [0410]|94669||WS HB DEFAULT|867.00
WS SERVICE AREA|27261440|Hc Tube Feeding Mic Or Jejunal, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|697.20
WS SERVICE AREA|27130822|Hc Cassette Purge Impella|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|839.90
WS SERVICE AREA|27228889|Hc Dermabond Mini Topical Skin|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.70
WS SERVICE AREA|30037212|HC VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37242||WS HB DEFAULT|23,910.00
WS SERVICE AREA|30037211|Hc Vasc Embolize/occlude Venous|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|37241||WS HB DEFAULT|22,769.00
WS SERVICE AREA|97010227|Hc Static Elbow Splnt-not Incl Wrst|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3702||WS HB DEFAULT|677.00
WS SERVICE AREA|97010228|Hc Static Elbow Splnt-incl Wrst|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3763||WS HB DEFAULT|1,836.40
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|1,939.30
WS SERVICE AREA|70276496|Hc Fl Fluoroscopic Procedure Unlisted|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|76496||WS HB DEFAULT|208.00
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|1,073.20
WS SERVICE AREA|97010231|Hc Dbs,rhs,wrst,ulnar Gtr,thumb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3808||WS HB DEFAULT|783.50
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|985.50
WS SERVICE AREA|90710233|Hc Hand Based Cmc Figure 8 Splnt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3913||WS HB DEFAULT|635.60
WS SERVICE AREA|90710234|Hc Metacrpl Fx Brc Web Spcr Splnt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3919||WS HB DEFAULT|637.30
WS SERVICE AREA|90710235|Hc Dyn/stc Progr Thumb Splnt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3921||WS HB DEFAULT|757.70
WS SERVICE AREA|90710236|Hc Prefab Dynamic Pipj Splint|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|120.60
WS SERVICE AREA|90710237|Hc Prefab Resting Hand Splint|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3931||WS HB DEFAULT|499.70
WS SERVICE AREA|90710238|Hc Fngr Gutr Splnts,cust Ring Splnt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - PROSTHETIC/ORTHOTIC DEVICES [0274]|L3933||WS HB DEFAULT|503.30
WS SERVICE AREA|93091400|Hc Closure Transcath Pda Congential|CARDIOLOGY - CARDIAC CATH LAB [0481]|93582||WS HB DEFAULT|27,840.00
WS SERVICE AREA|70376391|Hc Mri Elastography Eg Vibration|MAGNETIC RESONANCE TECHNOLOGY (MRT) - GENERAL CLASSIFICATION [0610]|76391||WS HB DEFAULT|1,670.00
WS SERVICE AREA|27164417|Hc Zz Kit Circuit Anesthesia Lf K/c Use 271115511|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|23.70
WS SERVICE AREA|90010051|Hc Interrogation Vad In Person|CARDIOLOGY - GENERAL CLASSIFICATION [0480]|93750||WS HB DEFAULT|644.00
WS SERVICE AREA|97062700|HC EVAL AUGMENTATIVE/COMMUNICATION DEVICE-1 HR|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|||WS HB DEFAULT|599.00
WS SERVICE AREA|50020108|HC  UROFLOW SIMPLE STOP WATCH/MECH METER|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51736||WS HB DEFAULT|419.00
WS SERVICE AREA|27295214|Hc Set Ndl Ezio 3-39kg Pat 15mm Strl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|465.80
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|2,956.10
WS SERVICE AREA|27204184|Hc Zz Dilator Ball 3mm 75mm 10mm Cre Pulm- Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1726||WS HB DEFAULT|1,423.50
WS SERVICE AREA|27204185|Hc Zz Dilator Ball 3mm 75mm 12mm Cre Pulm- Use Sup|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|1,068.30
WS SERVICE AREA|27204046|HC NEEDLE BLOCK US W EXT SET|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|44.70
WS SERVICE AREA|80085161|Hc Iadna Respiratry Probe & Rev Trnscr 3-5 Targets|LABORATORY - GENERAL CLASSIFICATION [0300]|87631||WS HB DEFAULT|650.00
WS SERVICE AREA|27291294|Hc Set Conitplex Nerve Block|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|86.70
WS SERVICE AREA|27284064|Hc Set Contiplex Nerve Block 2"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|101.60
WS SERVICE AREA|27284065|Hc Set Contiplex Nerve Block 4"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|125.40
WS SERVICE AREA|27284066|Hc Set Contiplex Nerve Block 6"|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|136.60
WS SERVICE AREA|27283938|Hc Pump Onq Pain C-bloc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,158.70
WS SERVICE AREA|27291726|Hc Pump Pain Onq Cbloc Dual 600ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,076.70
WS SERVICE AREA|27284049|Hc Pump Onq C-bloc W/ondemand|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,362.70
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||WS HB DEFAULT|281.00
WS SERVICE AREA|97062721|Hc Therapeutic Services Non Speech Generating Device|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92606||WS HB DEFAULT|259.00
WS SERVICE AREA|30010316|Hc Inj Sentinel Node Id Only|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|38792||WS HB DEFAULT|1,737.00
WS SERVICE AREA|27237174|Hc Zz Guidewire Nitinol .018in 80cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|293.90
WS SERVICE AREA|27237175|Hc Zz Guidewire Ptfe .035in 150cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|60.50
WS SERVICE AREA|27237176|Hc Dilator 8fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.90
WS SERVICE AREA|27237177|Hc Dilator 5fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.60
WS SERVICE AREA|27237178|Hc Dilator 6fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.60
WS SERVICE AREA|27237180|Hc Dilator 7fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.70
WS SERVICE AREA|27237181|Hc Dilator 9fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|27237182|Hc Dilator 10fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.80
WS SERVICE AREA|27237184|Hc Dilator 11fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.60
WS SERVICE AREA|27237185|Hc Dilator 12fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.90
WS SERVICE AREA|30010318|Hc Blood/lymph System Procedure Unlisted|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|38999||WS HB DEFAULT|2,906.00
WS SERVICE AREA|27237186|Hc Dilator 13fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.60
WS SERVICE AREA|27237188|Hc Dilator 14fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.00
WS SERVICE AREA|27237189|Hc Dilator 15fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.60
WS SERVICE AREA|27237190|Hc Dilator 16fr 18cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.00
WS SERVICE AREA|27293919|Hc Needle 1.5in Drsphr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.90
WS SERVICE AREA|27800028|Hc Skin Sub Apligraf Per Sq Cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|Q4101||WS HB DEFAULT|151.70
WS SERVICE AREA|27205368|Hc Needle Touhy Epidural|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|98.20
WS SERVICE AREA|27237125|Hc Catheter Fs-pc Fus Push 5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|255.60
WS SERVICE AREA|27237081|Hc Tray Spinal/lp Puncture, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|78.20
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|102.90
WS SERVICE AREA|30010319|Hc Picc Line Insertion W/o Imaging < 5 Yr|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|36568||WS HB DEFAULT|9,481.00
WS SERVICE AREA|90692943|Hc Robotic Asst Cto Bms Stent Lm Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|92943|LM|WS HB DEFAULT|34,452.00
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|42.50
WS SERVICE AREA|27237137|Hc Remover Staple Skin Premium|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.40
WS SERVICE AREA|27237147|Hc Zz Guidewire Vasc .014in 185cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|2,805.00
WS SERVICE AREA|27237154|Hc Guide Sut Crv 4/pk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|288.60
WS SERVICE AREA|27231026|Hc System Retrival 180cm 1.018cm Provue Trevo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|31,475.90
WS SERVICE AREA|27253708|Hc System Retrival 180cm 3x20cm Provue Trevo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|30,809.30
WS SERVICE AREA|27236949|Hc Needle Intro Conf 11ga 6in Dia|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|647.10
WS SERVICE AREA|27236950|Hc Syringe Inj Medrad 150ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.20
WS SERVICE AREA|27254514|Hc Tube Gastric Lavage 36fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.60
WS SERVICE AREA|27237050|Hc Tube 3cm 20fr Sil Low Prof|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|397.60
WS SERVICE AREA|34010010|Hc Tc 99m Sestamibi Dx Study Dose|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9500||WS HB DEFAULT|241.08
WS SERVICE AREA|27230143|Hc Collar Button Pacific|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|38.70
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|72.10
WS SERVICE AREA|27230705|Hc Kit Intro G-18 Mic Key Laparos|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|970.80
WS SERVICE AREA|27230683|Hc Cath Ureth Bx Rf 5cc 20fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|41.40
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, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|55.10
WS SERVICE AREA|27284686|Hc Tube Jjnstm 60cm 12fr .035in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|226.00
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|34010011|Hc Tc 99m Tetrofosmin Dx Study Dose|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9502||WS HB DEFAULT|150.47
WS SERVICE AREA|27230707|Hc Dressing Mplx 8x20in 20x50cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|94.50
WS SERVICE AREA|27230708|Hc Dressing Mplx 6x8in 15x20cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|113.80
WS SERVICE AREA|27258964|Hc Needle Intro Conf 15ga 4in Dia|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|475.20
WS SERVICE AREA|27275219|Hc Needle Intro Conf 13ga 6in Side|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|475.20
WS SERVICE AREA|27030963|Hc Protector Heel Boot, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|166.60
WS SERVICE AREA|27030967|Hc Protector Heel Boot Wedge|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|35.40
WS SERVICE AREA|27230814|Hc Needle Tip 1-pas 3|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,777.10
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|230.20
WS SERVICE AREA|27114731|Hc Valve Passy-muir Pmv2001 15mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|281.70
WS SERVICE AREA|34010012|Hc Tc 99m Medronate Dx Study Dose Up To 30mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9503||WS HB DEFAULT|99.86
WS SERVICE AREA|27237264|Hc Introducer Cath 30cm 10fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|278.10
WS SERVICE AREA|27209208|Hc Bottle Vacuum Pleurx 1000ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|248.30
WS SERVICE AREA|27830139|Hc Kit Licox Bolt 4fr Tranducer Cath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|3,625.60
WS SERVICE AREA|27830140|Hc Kit Licox Pmodbl Lum Bolt O2 Temp Cath|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|||WS HB DEFAULT|6,140.40
WS SERVICE AREA|27237272|Hc Splint Intranasal 0.6inx2in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|496.50
WS SERVICE AREA|27207164|Hc Kit Icp Arterial|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|29.70
WS SERVICE AREA|27237287|Hc Powder Hemo Topic Ent Nexsta|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|360.70
WS SERVICE AREA|27237716|Hc Tube Gastro Mic-key 20fr Sil 7-10ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|142.70
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|516.50
WS SERVICE AREA|34010013|Hc Tl 201 Thallos Chloride Dx Per Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9505||WS HB DEFAULT|117.60
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|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 Laryngscpe Bld Video Or Glidescpe Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|60.00
WS SERVICE AREA|27219735|HC TUBE ENDOTRACH LASER/REINFORCED|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|406.20
WS SERVICE AREA|27287519|Hc Valve Suct Flx Endoscp Intbt Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|67.90
WS SERVICE AREA|27293330|Hc Kit Spnl Nerve Blk Pbn Support Cust|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.90
WS SERVICE AREA|27224527|Hc Needle Epdrl 18ga 6in Prfx Tuohy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.20
WS SERVICE AREA|27290553|Hc Pump Pain 400cc Ll Tub Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,014.20
WS SERVICE AREA|27205472|Hc Kit Adm 170-260um 57in Dist Ll|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|22.70
WS SERVICE AREA|34010014|Hc In-111 Capromab Pendetied Dx Study Dose Up To 10 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9507||WS HB DEFAULT|9,624.30
WS SERVICE AREA|97062725|Hc Standardized Cognitive Performance Testing - St|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|96125||WS HB DEFAULT|342.00
WS SERVICE AREA|97062727|Hc Cognitive Perf Test Ot Per Hr|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|96125||WS HB DEFAULT|342.00
WS SERVICE AREA|27257526|Hc Cover Graft Afm Ag Ast 8 X 20in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|302.40
WS SERVICE AREA|27207668|Hc Set Cntiplx 18gx2in Stim Cnt Nv Block|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|213.20
WS SERVICE AREA|27207669|Hc Set Cntiplx 18gx4in Stim Cnt Nv Block|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|213.20
WS SERVICE AREA|27207670|Hc Syringe Resistance Plast Perifix 8ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|339.50
WS SERVICE AREA|27237248|Hc Catheter Opticross 5fr Ivus|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1753||WS HB DEFAULT|2,913.30
WS SERVICE AREA|27203643|Hc Sheath Endo Eshth Sldon 11101|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|71.10
WS SERVICE AREA|27237161|Hc Catheter Closurefast 7f 100cm 7cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1888||WS HB DEFAULT|4,530.00
WS SERVICE AREA|27237162|Hc Set Introducer 21gx2.75in 7f 7cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|132.70
WS SERVICE AREA|34010015|Hc I-131 Iobenquane Sulfate Dx Per 0.5 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9508||WS HB DEFAULT|1,743.95
WS SERVICE AREA|27237451|Hc Set Bx Needle 152mm Ib Control|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|507.10
WS SERVICE AREA|27237452|Hc Tray Proc Syst Oncontrol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|215.40
WS SERVICE AREA|27237453|Hc Set Bx Needle 102mm Oncontrol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|494.10
WS SERVICE AREA|27237454|Hc Tray Bx Syst 102mm Oncontrol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|547.60
WS SERVICE AREA|27237455|Hc Set Needle Bn Access Syst 152mm Oncontrol|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|398.50
WS SERVICE AREA|27228613|Hc Cath Drain 10-12f 60mm Word Barth, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|61.50
WS SERVICE AREA|27205367|Hc Dressing Endoform 2x2in Collage Fenestrated|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|45.60
WS SERVICE AREA|27218500|Hc Dressing Afm Alvn Ag 24x36in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|334.90
WS SERVICE AREA|27295433|Hc Cover Graft Afm Ag Ast 6x6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|113.40
WS SERVICE AREA|27229031|Hc Cath Intrauterine Access|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|243.00
WS SERVICE AREA|34010016|Hc Tc 99m Pertechnetate Dx Per Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9512||WS HB DEFAULT|7.67
WS SERVICE AREA|27235577|Hc Kit Jjnstm 10.2fr 16fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,057.70
WS SERVICE AREA|27235578|Hc Kit Jjnstm 80cm 16.5fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,413.20
WS SERVICE AREA|27223140|Hc Tray Drainage|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|883.70
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|60.50
WS SERVICE AREA|27237626|Hc Passer Surg 31cm Ss Polypro Cath Remove|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|424.40
WS SERVICE AREA|27237146|Hc Zz Wire Intuition Sil 180 Cm - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|306.60
WS SERVICE AREA|27291365|Hc Cannula Inr Shly 10 15mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|27291365||WS HB DEFAULT|13.80
WS SERVICE AREA|94010011|Hc Diabetes Education-no Show Fee|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|||WS HB DEFAULT|30.00
WS SERVICE AREA|27135112|Hc Device Biliband Prmie 24-34cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|13.60
WS SERVICE AREA|34010017|Hc I-123 Sodium Iodide Dx Per 100 To 999uci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9516||WS HB DEFAULT|117.39
WS SERVICE AREA|27135113|Hc Device Biliband Reg 30-38cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|14.60
WS SERVICE AREA|27248022|Hc Layer Wcl Cutimed Sorbact4x8in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.50
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|1,820.50
WS SERVICE AREA|27297197|Hc Pen Adh Skin Closure Drmbnd Adv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|84.10
WS SERVICE AREA|27230119|Hc Stylet Rdg Glidescope|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|141.70
WS SERVICE AREA|27237622|Hc Sealant Pleural Air Leak Progel|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2615||WS HB DEFAULT|3,602.80
WS SERVICE AREA|27236979|Hc Evacuator M Connect Tub Ellik|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|728.80
WS SERVICE AREA|27837831|Hc Cath Dialysis Longterm, Any|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1750||WS HB DEFAULT|1,135.10
WS SERVICE AREA|27237791|Hc Zz Guidewire .018in 150cm J Tip Ptfe - Use Sup|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|409.50
WS SERVICE AREA|34010018|Hc I-131 Sodium Iodide Capsule(s) Thx Per Mci|NUCLEAR MEDICINE - THERAPEUTIC RADIOPHARMACEUTICALS [0344]|A9517||WS HB DEFAULT|91.04
WS SERVICE AREA|27237412|Hc Cath Support Trlblzr .035inx90cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|944.20
WS SERVICE AREA|27237401|Hc Introducer Dv Adv Osteo|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|778.20
WS SERVICE AREA|27237986|Hc Catheter Cone Tip 8fr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|42.40
WS SERVICE AREA|27237985|Hc Catheter Whistle Tip 5fr X70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|42.40
WS SERVICE AREA|27237983|Hc Catheter Whistle Tip 4frx70cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|42.40
WS SERVICE AREA|27237835|Hc Zz Cautery Hook/monopolar Cautery  -use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|613.20
WS SERVICE AREA|27237951|Hc Cath Guide Env Da 6f 95cm Strt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,746.70
WS SERVICE AREA|27237954|Hc Cath Guide Env Da 6f 105cm Strt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,746.70
WS SERVICE AREA|27237964|Hc Cath Guide Env Da 6f 95cm Mpc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|2,667.10
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|34010020|Hc Tc 99m Mebrofenin Dx Per Dose To 15 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9537||WS HB DEFAULT|176.61
WS SERVICE AREA|90892943|Hc Robotic Asst Cto Bms Stent Ramus Artery|CARDIOLOGY - CARDIAC CATH LAB [0481]|92943|RI|WS HB DEFAULT|34,452.00
WS SERVICE AREA|27237946|Hc Needle Slimiline Eus Hndl 25ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|797.80
WS SERVICE AREA|27237949|Hc Needle Slimiline Eus Hndl 19ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|774.50
WS SERVICE AREA|27137888|Hc Set Start Pump Breast Pmp Adv|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|E0603||WS HB DEFAULT|496.50
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 Cervical/vaginal Auto Thin Layer Prep Manual Screen|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|596.00
WS SERVICE AREA|97062018|Hc Ipr Evaluation Of Speech Fluency- 15 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92521|GN|WS HB DEFAULT|596.00
WS SERVICE AREA|34010021|Hc Tc 99m Pentetrate Dx Study Dose  To 25 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9539||WS HB DEFAULT|164.54
WS SERVICE AREA|97062019|Hc Ipr Evaluation Of Speech Fluency- 30 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92521|GN|WS HB DEFAULT|596.00
WS SERVICE AREA|97062020|Hc Ipr Evaluation Of Speech Fluency- 60 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92521|GN|WS HB DEFAULT|596.00
WS SERVICE AREA|97062021|HC ipr EVALUATE SPEECH PRODUCTION-45 MIN|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92522|GN|WS HB DEFAULT|596.00
WS SERVICE AREA|97062022|Hc Ipr Evaluate Speech Production-15 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92522|GN|WS HB DEFAULT|596.00
WS SERVICE AREA|97062023|Hc Ipr Evaluate Speech Production-30 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92522|GN|WS HB DEFAULT|596.00
WS SERVICE AREA|97062024|Hc Ipr Evaluate Speech Production-60 Min|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92522|GN|WS HB DEFAULT|596.00
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|596.00
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|596.00
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|1,121.00
WS SERVICE AREA|34010022|Hc Tc 99m Albumin Mag Dx Study Dose  To 10 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9540||WS HB DEFAULT|307.13
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|596.00
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|596.00
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|596.00
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|596.00
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|596.00
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|596.00
WS SERVICE AREA|99010024|Hc Burn Icu|INTENSIVE CARE - BURN CARE [0207]|||WS HB DEFAULT|8,254.00
WS SERVICE AREA|27237973|Hc Sheath Acc Nav 11/13x28cm Uret|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|593.10
WS SERVICE AREA|27237972|Hc Sheath Acc Nav 11/13x36cm Uret|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|593.10
WS SERVICE AREA|27237974|Hc Sheath Acc Nav 11/13x46cm Uret|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|593.10
WS SERVICE AREA|34010023|Hc Tc 99m Sulffur Colloid Dx Study Dose  To 20 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9541||WS HB DEFAULT|263.24
WS SERVICE AREA|27238025|Hc Catheter 5fr Angled Tip U.c.|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1758||WS HB DEFAULT|137.90
WS SERVICE AREA|27230826|Hc Sheath Acc Nav 12/14x28cm Uret|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|593.10
WS SERVICE AREA|27230827|Hc Sheath Acc Nav 12/14x36cm Uret|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|593.10
WS SERVICE AREA|27238043|Hc Sheath Acc Nav 12/14x46cm Uret|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1894||WS HB DEFAULT|593.10
WS SERVICE AREA|27238060|Hc Dressing Biopad Collagen 2x2|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|36.30
WS SERVICE AREA|27238071|Hc Catheter 5f X 130cm .058in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|4,187.90
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|72.10
WS SERVICE AREA|27288165|Hc Needle Plex Stim 18g 5.6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|70.00
WS SERVICE AREA|27284682|Hc Needle Endo 0-8cm Us Ball Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,088.50
WS SERVICE AREA|34010027|Hc In-111 Pentetate Dx Per 0.5 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9548||WS HB DEFAULT|1,082.55
WS SERVICE AREA|27238084|Hc Catheter 6f X 105cm .072in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|4,250.00
WS SERVICE AREA|27238088|Hc Catheter 6f X 115cm .072in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1887||WS HB DEFAULT|4,250.00
WS SERVICE AREA|272108352|Hc Dressing Cuticerin 8x16in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|6.30
WS SERVICE AREA|27238182|Hc Catheter Epdrl 40in 20ga Prfx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.60
WS SERVICE AREA|27237995|Hc Tube 30fr Feed Gast Mic 7-10ml|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|145.30
WS SERVICE AREA|27237609|Hc Needle Spnl 4-11 25ga Bd Qnck|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.40
WS SERVICE AREA|27237445|Hc Dressing Picc Cvc Scr+|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|20.60
WS SERVICE AREA|27284965|Hc Catheter Ablt 160cm 4mm Halo90|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1886||WS HB DEFAULT|4,401.70
WS SERVICE AREA|27225094|Hc Catheter Ablt 4cm 18mm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1886||WS HB DEFAULT|6,493.70
WS SERVICE AREA|27225096|Hc Catheter Ablt Halo60 Esoph|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1886||WS HB DEFAULT|4,233.00
WS SERVICE AREA|34010028|Hc Tc 99m Succimer Dx Study Dose To 10 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9551||WS HB DEFAULT|657.51
WS SERVICE AREA|27225095|Hc Catheter Ablt Halo90 Esoph|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1886||WS HB DEFAULT|6,062.00
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|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|60064483|HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64483||WS HB DEFAULT|6,389.00
WS SERVICE AREA|60064484|HC INJ TRANSFORAMIAL EPIDURAL LUMBAR/SAC EA ADDL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|64484||WS HB DEFAULT|3,100.00
WS SERVICE AREA|95020012|Hc Elec Alys Implt Npgt Phys/qhp W/o Programming|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95970||WS HB DEFAULT|845.00
WS SERVICE AREA|27236992|Hc Suture Drmbnd 3-0 Prineo Sys|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|582.50
WS SERVICE AREA|27262890|HC DRESSING ACTICOAT SILVER 4X8IN|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|54.40
WS SERVICE AREA|34010029|Hc F-18 Fluorodeoxyglucose Fdg Dx Study Dose To 45 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9552||WS HB DEFAULT|552.83
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|2,001.90
WS SERVICE AREA|272108385|Hc Kit Proc Edge Firm Tip 45d|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,414.20
WS SERVICE AREA|272108386|Hc Kit Proc Edge Firm Tip 180d|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|1,414.20
WS SERVICE AREA|27060270|Hc Kit Adapt Dbl Pump Adv Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|36.10
WS SERVICE AREA|27228242|Hc Tube 18fr Mic Peg|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|138.70
WS SERVICE AREA|270108608|Hc Pouch Fecal Ostomy|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|50.80
WS SERVICE AREA|272108501|Hc Filter Intraven Flow .2 Micron|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|13.60
WS SERVICE AREA|272108451|Hc Dressing Exsalt 4x5in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|26.60
WS SERVICE AREA|272108452|Hc Dressing Exsalt 6x6in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|39.20
WS SERVICE AREA|34010030|Hc Ga-67 Gallium Citrate Dx Per Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9556||WS HB DEFAULT|289.80
WS SERVICE AREA|272108453|Hc Dressing Exsalt 8x16in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|112.50
WS SERVICE AREA|272108454|Hc Dressing Exsalt 16x16in|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|223.80
WS SERVICE AREA|272108448|Hc Catheter Simmons 2 100cm|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|49.60
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|1,691.10
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|1,691.10
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|3,932.70
WS SERVICE AREA|27209384|Hc Tube Naso 28fr Thnwl Intrr Srr|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|14.60
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|27232018|Hc Stylet 6054-52 Glbl Strght|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|191.00
WS SERVICE AREA|34010031|Hc Tc 99m Labeled Red Blood Cells Per Study Dose To 30 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9560||WS HB DEFAULT|375.17
WS SERVICE AREA|27211471|Hc Tip Suct Frzr 10fr Flx Stylet|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|7.40
WS SERVICE AREA|27205413|Hc Cath Drain 20fr 16in Arg Strt Troc Tip|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|57.30
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|23.40
WS SERVICE AREA|27223524|Hc Catheter Drain 28fr 2 Eylt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|46.70
WS SERVICE AREA|27223525|Hc Catheter Drain 32fr 2 Eylt|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|47.80
WS SERVICE AREA|27135258|Hc Post Op Shoe Female Xl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|38.30
WS SERVICE AREA|27237290|Hc Needle Io 3cm 18ga Ped Std|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|181.40
WS SERVICE AREA|27283788|Hc Valve Drain 30mm Collect Chst|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|148.50
WS SERVICE AREA|27096871|Hc Device Pelvic Trma Orthotic|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|512.40
WS SERVICE AREA|27096955|Hc Splint Tract Fem Spd Splint|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|359.70
WS SERVICE AREA|34010032|Hc Tc 99m Mertiatide Dx Study Dose To 15 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9562||WS HB DEFAULT|885.15
WS SERVICE AREA|97062706|HC-APPLICATION SHORT LEG CAST-BELOW KNEE TO TOES-PT|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29405||WS HB DEFAULT|1,366.00
WS SERVICE AREA|97062707|HC APPLY MULTLAY COMPRESSION LOWER LEG|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29581||WS HB DEFAULT|705.00
WS SERVICE AREA|97062704|HC-APPLY MULTLAY COMPRES ARM/HAND-PT|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29584||WS HB DEFAULT|519.00
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|246.00
WS SERVICE AREA|80081156|Hc Protoporphyrin,rbc;quantitative|LABORATORY - GENERAL CLASSIFICATION [0300]|84202||WS HB DEFAULT|294.00
WS SERVICE AREA|80081157|Hc Herpes Simplex Virus, Direct Probe Technique|LABORATORY - GENERAL CLASSIFICATION [0300]|87530||WS HB DEFAULT|643.00
WS SERVICE AREA|272108607|Hc Introducer Ped 10fr 70cm Coude|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|27.70
WS SERVICE AREA|270108659|Hc Tape 3in X4yds Dark Blu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|9.60
WS SERVICE AREA|270108660|Hc Tape 4in X4yds Dark Blu|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.80
WS SERVICE AREA|270108661|Hc Tape 3in X4yds Grn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|9.60
WS SERVICE AREA|34010033|Hc In-111 Pentetreotide Study Dose To 6 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9572||WS HB DEFAULT|10,243.80
WS SERVICE AREA|90092944|Hc Robotic Asst Cto Bms Stent Addl Brch Ld/lad|CARDIOLOGY - CARDIAC CATH LAB [0481]|92944|LD|WS HB DEFAULT|28,359.00
WS SERVICE AREA|270108662|Hc Tape 4in X4yds Grn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|14.80
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|14.80
WS SERVICE AREA|272108730|Hc Zz Guidewire Wholey .035in 300 J - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|395.50
WS SERVICE AREA|27296894|Hc Catheter Jetstream 1.6mm G3 Sf|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1724||WS HB DEFAULT|13,404.50
WS SERVICE AREA|27292610|Hc Needle 18ga 1.0x3.0mm W Gld Mk|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|167.90
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|27105915|Hc System Ost Mini 1 Drain Port|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|186.70
WS SERVICE AREA|27105916|Hc System 8 7/8inx6 1/3in Ost|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|198.40
WS SERVICE AREA|27115548|Hc System Ost Max 1 Drain Port|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|209.00
WS SERVICE AREA|34010036|Hc F-18 Sodium Fluoride Study Does To 30 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9580||WS HB DEFAULT|552.83
WS SERVICE AREA|27192290|Hc Bag Ost Prmr 2in 12in 1 Pc|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|67.50
WS SERVICE AREA|27290516|Hc Zz Cannula Inr Trchsf Xlt 5 Twl Use Eap 27100079|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|24.10
WS SERVICE AREA|27238177|Hc Probe Ablation 15cm 17ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C2618||WS HB DEFAULT|7,793.70
WS SERVICE AREA|272109217|Hc Guidewire Gldwire Shape Tip 3cm 035inx|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|199.80
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|1,198.80
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|1,198.80
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|1,198.80
WS SERVICE AREA|80081136|Hc Natural Killer (nk) Cells, Total Count|LABORATORY - GENERAL CLASSIFICATION [0300]|86357||WS HB DEFAULT|220.00
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|207.90
WS SERVICE AREA|34010038|Hc I-123 Iobenquane/andreview Dx Study Dose To 15 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9582||WS HB DEFAULT|8,361.15
WS SERVICE AREA|272109333|Hc Guidewire 2.5/3.0 Smooth|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|76.40
WS SERVICE AREA|272109332|Hc Guidewire 3.0/4.0 Thrd|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|85.90
WS SERVICE AREA|272109327|Hc Dressing Aquacel 3.2x3.2  Foam|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|69.30
WS SERVICE AREA|272109539|Hc Kit Xpansion Microautograft|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|2,325.50
WS SERVICE AREA|27221607|Hc Catheter Epidural Thera 19ga|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|85.90
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|24.40
WS SERVICE AREA|27269238|Hc Needle Spnl 3.5in 22ga Sb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|143.60
WS SERVICE AREA|27273707|Hc Needle Spnl 6in 20ga Chba|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|25.00
WS SERVICE AREA|27264864|Hc Set Spnl 6in 22ga Chba 2 Ndl|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|40.40
WS SERVICE AREA|34010040|Hc I-123 Ioflupan Dx Study Dose To 5 Mci|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9584||WS HB DEFAULT|6,515.25
WS SERVICE AREA|27262920|Hc Needle Spnl 3.5in 25ga Sb|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|21.70
WS SERVICE AREA|27402187|Hc Immobilizer Shoulder W Abd, Any|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|28.90
WS SERVICE AREA|70476818|Hc Us Fetal Biophysical Profile Non-stress Testing|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76818||WS HB DEFAULT|1,283.00
WS SERVICE AREA|270109534|Hc Cast Total Contact Bsn|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|359.70
WS SERVICE AREA|272109791|Hc Wash Wound Vashe 118ml/4oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|33.20
WS SERVICE AREA|270109792|Hc Sealant Glucan 3000 3.5oz|MEDICAL/SURGICAL SUPPLIES AND DEVICES - GENERAL CLASSIFICATION [0270]|||WS HB DEFAULT|131.70
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|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|34010043|Hc Radio Isotope Admin Inpatient|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|C9898||WS HB DEFAULT|1.00
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|1,064.00
WS SERVICE AREA|90010321|Hc Neg Press Wound Tx Using Disposable Equipment >50 Scm|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|97608||WS HB DEFAULT|1,055.00
WS SERVICE AREA|93010036|Hc Interventional Tee|CARDIOLOGY - ECHOCARDIOLOGY [0483]|93355||WS HB DEFAULT|4,282.00
WS SERVICE AREA|70400389|Hc Us Aaa Screening|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76706||WS HB DEFAULT|655.00
WS SERVICE AREA|70476641|Hc Us Breast Unilateral Complete|OTHER IMAGING SERVICES - ULTRASOUND [0402]|76641||WS HB DEFAULT|933.00
WS SERVICE AREA|20020606|HC ARTHROCENTESIS ASPIR&/INJ INTERM JOINT/BURSA W/US|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20606||WS HB DEFAULT|2,136.00
WS SERVICE AREA|70420611|HC ARTHROCENTESIS ASPIR&/INJ MAJOR JOINT/BURSA W/US|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20611||WS HB DEFAULT|3,146.00
WS SERVICE AREA|60062302|Hc Myelography Injection Cervical|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62302||WS HB DEFAULT|4,762.00
WS SERVICE AREA|36010010|Hc Anesthesia Time|ANESTHESIA - GENERAL CLASSIFICATION [0370]|||WS HB DEFAULT|0.00
WS SERVICE AREA|60062303|HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I THORACIC|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62303||WS HB DEFAULT|4,762.00
WS SERVICE AREA|60062304|Hc Myelography Injection Lumbosacral|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62304||WS HB DEFAULT|4,762.00
WS SERVICE AREA|60062305|Hc Myelography Injection 2 Or More Regions|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|62305||WS HB DEFAULT|6,117.00
WS SERVICE AREA|20022510|Hc Vertebroplasty Cervicothoracic Inj Percutaneous|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|22510||WS HB DEFAULT|18,142.00
WS SERVICE AREA|20022511|Hc Vertebroplacty Lumbosacral Inj Percutaneous|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|22511||WS HB DEFAULT|16,309.00
WS SERVICE AREA|20022512|Hc Vertebroplasty Inj Each Additional|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|22512||WS HB DEFAULT|4,812.00
WS SERVICE AREA|20022513|HC VERTEBRAL AUGMENTATION/KYPHOPLASTY THORACIC|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|22513||WS HB DEFAULT|15,777.00
WS SERVICE AREA|20022514|HC VERTEBRAL AUGMENTATION/KYPHOPLASTY LUMBAR|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|22514||WS HB DEFAULT|14,762.00
WS SERVICE AREA|20022515|HC VERTEBRAL AUGMENTATION/KYPHOPLASTY EACH ADDITIONAL|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|22515||WS HB DEFAULT|2,669.00
WS SERVICE AREA|70520983|Hc Ct Cryoblation Bone Tumor Percutaneous W-guid|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|20983||WS HB DEFAULT|9,798.00
WS SERVICE AREA|36010012|Hc Cvor Level Iv|OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360]|||WS HB DEFAULT|0.00
WS SERVICE AREA|70508032|HC CT THORAX LW DOSE LNG CA SCR NO CONTRAST|CT SCAN - GENERAL CLASSIFICATION [0350]|71271||WS HB DEFAULT|2,400.00
WS SERVICE AREA|70508033|HC CT THORAX LW DOSE LNG CA SCR NO CONTRAST|CT SCAN - GENERAL CLASSIFICATION [0350]|71271||WS HB DEFAULT|2,400.00
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|4,879.00
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|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]|G0480||WS HB DEFAULT|317.00
WS SERVICE AREA|80084638|Hc Benzodiazepines 1-12|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|281.00
WS SERVICE AREA|36010015|Hc Ld Or Time Minor|OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360]|||WS HB DEFAULT|0.00
WS SERVICE AREA|80084639|Hc Analgesics Non-opioid 3-5|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|248.00
WS SERVICE AREA|80084641|Hc Drug Screen Quantalcohols|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|313.00
WS SERVICE AREA|80084642|Hc Opiates 1 Or More|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|414.00
WS SERVICE AREA|80084644|Hc Alkaloids Nos|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|312.00
WS SERVICE AREA|80084645|Hc Hpv Low-risk Types|LABORATORY - GENERAL CLASSIFICATION [0300]|87623||WS HB DEFAULT|364.00
WS SERVICE AREA|80084647|Hc Hpv High-risk Types|LABORATORY - GENERAL CLASSIFICATION [0300]|87624||WS HB DEFAULT|459.00
WS SERVICE AREA|272095216|Hc Set Ndl Ezio 45mm Str|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|538.30
WS SERVICE AREA|97062715|Hc Strapping Of Toes Phyiscal Therapy|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29550||WS HB DEFAULT|281.00
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|36010017|Hc Bariatric Surgery|OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360]|||WS HB DEFAULT|0.00
WS SERVICE AREA|80020302|Hc Iaad Ia Not Otherwise Specified Each Organism|LABORATORY - GENERAL CLASSIFICATION [0300]|87449||WS HB DEFAULT|324.00
WS SERVICE AREA|80020303|Hc Leishmania Antibody, Igg|LABORATORY - GENERAL CLASSIFICATION [0300]|86717||WS HB DEFAULT|115.00
WS SERVICE AREA|80020304|Hc Aspergillus Ag, Eia|LABORATORY - GENERAL CLASSIFICATION [0300]|87305||WS HB DEFAULT|407.00
WS SERVICE AREA|80020307|Hc Dna/rna Amplified Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87150||WS HB DEFAULT|389.00
WS SERVICE AREA|80020308|Hc Blood Lipoprotein, Nmr|LABORATORY - GENERAL CLASSIFICATION [0300]|83704||WS HB DEFAULT|341.00
WS SERVICE AREA|80020309|Hc Apolipoprotein Assay|LABORATORY - GENERAL CLASSIFICATION [0300]|82172||WS HB DEFAULT|189.00
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 Iadna Nos Amplified Probe Technique Each Organism|LABORATORY - GENERAL CLASSIFICATION [0300]|87798||WS HB DEFAULT|632.00
WS SERVICE AREA|80080433|Hc Chylmd Pneum Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87486||WS HB DEFAULT|568.00
WS SERVICE AREA|80080434|Hc Legion Pneumo Dna Amp Prob|LABORATORY - GENERAL CLASSIFICATION [0300]|87541||WS HB DEFAULT|595.00
WS SERVICE AREA|36010021|Hc Cvor Level I|OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360]|||WS HB DEFAULT|0.00
WS SERVICE AREA|80080435|Hc Strep A Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87651||WS HB DEFAULT|595.00
WS SERVICE AREA|80080436|Hc M.pneumon Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87581||WS HB DEFAULT|288.00
WS SERVICE AREA|80080437|Hc Staph A Dna Amp Probe|LABORATORY - GENERAL CLASSIFICATION [0300]|87640||WS HB DEFAULT|424.00
WS SERVICE AREA|80080438|Hc Resp Virus 12-25 Targets|LABORATORY - GENERAL CLASSIFICATION [0300]|87633||WS HB DEFAULT|2,641.00
WS SERVICE AREA|80080439|Hc Enterovirus Probe&revrs Trns|LABORATORY - GENERAL CLASSIFICATION [0300]|87498||WS HB DEFAULT|613.00
WS SERVICE AREA|97062033|HC LOW FREQUENCY NON-THERMAL ULTRASOUND|OCCUPATIONAL THERAPY - GENERAL CLASSIFICATION [0430]|97610||WS HB DEFAULT|406.00
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|36010022|Hc Cvor Level Ii|OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360]|||WS HB DEFAULT|0.00
WS SERVICE AREA|95010049|Hc Eeg 41 - 60 Minutes|EEG (ELECTROENCEPHALOGRAM) - GENERAL CLASSIFICATION [0740]|95812||WS HB DEFAULT|1,851.00
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|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|36010023|Hc Cvor Level Iii|OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360]|||WS HB DEFAULT|0.00
WS SERVICE AREA|80020312|Hc Analgesics Non-opioid 1 Or 2|LABORATORY - GENERAL CLASSIFICATION [0300]|G0480||WS HB DEFAULT|313.00
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||WS HB DEFAULT|472.00
WS SERVICE AREA|97065006|Hc Oral Speech Device Eval-lvl 2|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92597||WS HB DEFAULT|472.00
WS SERVICE AREA|97065007|Hc Oral Speech Device Eval-lvl 3|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92597||WS HB DEFAULT|472.00
WS SERVICE AREA|97065008|Hc Oral Speech Device Eval-lvl 4|SPEECH THERAPY - LANGUAGE PATHOLOGY - GENERAL CLASSIFICATION [0440]|92597||WS HB DEFAULT|472.00
WS SERVICE AREA|97065004|HC CAST/STRAP PROCEDURE UNLISTED|PHYSICAL THERAPY - GENERAL CLASSIFICATION [0420]|29799||WS HB DEFAULT|898.00
WS SERVICE AREA|91501288|HC OP LACT CONS LEVEL 1|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|S9443||WS HB DEFAULT|254.00
WS SERVICE AREA|91501289|Hc Lact Cons Level 2|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|S9443||WS HB DEFAULT|300.00
WS SERVICE AREA|91501290|Hc Lact Cons Level 3|OTHER THERAPEUTIC SERVICES - EDUCATION/TRAINING [0942]|S9443||WS HB DEFAULT|376.00
WS SERVICE AREA|36010024|Hc Delivery C-section Infant|LABOR ROOM/DELIVERY - LABOR [0721]|||WS HB DEFAULT|870.00
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|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|285.00
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|2,727.00
WS SERVICE AREA|99010045|Hc Intermediate Care/high Risk|INTENSIVE CARE - INTERMEDIATE ICU [0206]|||WS HB DEFAULT|5,440.00
WS SERVICE AREA|99010046|Hc Surgical Critical Care|INTENSIVE CARE - SURGICAL [0201]|||WS HB DEFAULT|6,877.00
WS SERVICE AREA|99010047|Hc Trauma Critical Care|INTENSIVE CARE - TRAUMA [0208]|||WS HB DEFAULT|8,254.00
WS SERVICE AREA|36010030|HC LABOR ROOM|LABOR ROOM/DELIVERY - LABOR [0721]|||WS HB DEFAULT|0.00
WS SERVICE AREA|36010031|Hc Ld Or|OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360]|||WS HB DEFAULT|0.00
WS SERVICE AREA|36010032|Hc Ld Or Complex|OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360]|||WS HB DEFAULT|0.00
WS SERVICE AREA|36010037|Hc Corneal Tissue Acquisition|ACQUISITION OF BODY COMPONENTS - GENERAL CLASSIFICATION [0810]|V2785||WS HB DEFAULT|3,690.00
WS SERVICE AREA|36010041|Hc Sg Or|OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360]|||WS HB DEFAULT|0.00
WS SERVICE AREA|36010042|Hc Sg Or Complex|OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360]|||WS HB DEFAULT|0.00
WS SERVICE AREA|36010043|HC SG OR ROBOTIC|OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360]|||WS HB DEFAULT|0.00
WS SERVICE AREA|36010044|Hc Sg Vior|OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360]|||WS HB DEFAULT|0.00
WS SERVICE AREA|70075870|Hc Venography Skull Superior Sagittal Sinus|RADIOLOGY - DIAGNOSTIC - ARTERIOGRAPHY [0323]|75870||WS HB DEFAULT|3,640.00
WS SERVICE AREA|36010045|Hc Sg Vior Complex|OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360]|||WS HB DEFAULT|0.00
WS SERVICE AREA|36010046|Hc Tavr Procedure|OPERATING ROOM SERVICES - GENERAL CLASSIFICATION [0360]|||WS HB DEFAULT|0.00
WS SERVICE AREA|36010054|HC PACU CLASS I|RECOVERY ROOM - GENERAL CLASSIFICATION [0710]|||WS HB DEFAULT|0.00
WS SERVICE AREA|36010055|HC PACU CLASS II|RECOVERY ROOM - GENERAL CLASSIFICATION [0710]|||WS HB DEFAULT|0.00
WS SERVICE AREA|36010056|HC PACU CLASS III|RECOVERY ROOM - GENERAL CLASSIFICATION [0710]|||WS HB DEFAULT|0.00
WS SERVICE AREA|36010057|HC PACU CLASS IV|RECOVERY ROOM - GENERAL CLASSIFICATION [0710]|||WS HB DEFAULT|0.00
WS SERVICE AREA|36010058|HC PACU SECONDARY|RECOVERY ROOM - GENERAL CLASSIFICATION [0710]|||WS HB DEFAULT|0.00
WS SERVICE AREA|36010059|Hc Sds Pacu Class Ii|RECOVERY ROOM - GENERAL CLASSIFICATION [0710]|||WS HB DEFAULT|0.00
WS SERVICE AREA|36010063|Hc Pacu Minor Procedure|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|1,343.00
WS SERVICE AREA|36010066|Hc Perfusion Service|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|7,208.00
WS SERVICE AREA|90292944|Hc Robotic Asst Cto Bms Stent Addl Brch Lc/lcx|CARDIOLOGY - CARDIAC CATH LAB [0481]|92944|LC|WS HB DEFAULT|28,359.00
WS SERVICE AREA|27112722|Hc Transducer Pressure Disp|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|32.10
WS SERVICE AREA|36010067|Hc Sg Or Minor Bedside|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|1,356.00
WS SERVICE AREA|36010069|Hc Vasovasostomy Vasovasorrhaphy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|55400||WS HB DEFAULT|11,605.00
WS SERVICE AREA|36010079|Hc Invasive Line Procedure|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|||WS HB DEFAULT|1,056.00
WS SERVICE AREA|36010082|Hc Ld Mag Sulfate Per Hour|LABOR ROOM/DELIVERY - GENERAL CLASSIFICATION [0720]|||WS HB DEFAULT|99.00
WS SERVICE AREA|36010083|Hc Level I Delivery & Recovery|LABOR ROOM/DELIVERY - DELIVERY ROOM [0722]|||WS HB DEFAULT|9,372.00
WS SERVICE AREA|36010084|Hc Level Ii Delivery & Recovery|LABOR ROOM/DELIVERY - DELIVERY ROOM [0722]|||WS HB DEFAULT|11,747.00
WS SERVICE AREA|36010085|Hc Level Iii Delivery & Recovery|LABOR ROOM/DELIVERY - DELIVERY ROOM [0722]|||WS HB DEFAULT|13,572.00
WS SERVICE AREA|40010010|Hc Repair Lip Full Thick|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|40650||WS HB DEFAULT|6,454.00
WS SERVICE AREA|40010011|Hc Drain Abscess Mouth Simple|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|40800||WS HB DEFAULT|1,216.00
WS SERVICE AREA|40010012|Hc Drain Abscess Mouth Vestibule|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|40801||WS HB DEFAULT|5,772.00
WS SERVICE AREA|90492944|Hc Robotic Asst Cto Bms Stent Addl Brch Rc/rca|CARDIOLOGY - CARDIAC CATH LAB [0481]|92944|RC|WS HB DEFAULT|28,359.00
WS SERVICE AREA|40010013|Hc Fb Remove Mouth Simp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|40804||WS HB DEFAULT|864.00
WS SERVICE AREA|40010014|Hc Fb Remove Mouth Comp|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|40805||WS HB DEFAULT|6,454.00
WS SERVICE AREA|40010015|Hc Lac Fl Mouth/tongue <2.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|41250||WS HB DEFAULT|958.00
WS SERVICE AREA|40010016|Hc Lac Post Mouth/tongue <2.5|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|41251||WS HB DEFAULT|2,542.00
WS SERVICE AREA|40010017|Hc Lac Comp Fl Mouth/tongue > 2.6|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|41252||WS HB DEFAULT|2,937.00
WS SERVICE AREA|40010018|Hc Tongue/mouth Surgery Unlisted|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|41599||WS HB DEFAULT|2,317.00
WS SERVICE AREA|40010019|Hc I&d Dental|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|41800||WS HB DEFAULT|1,216.00
WS SERVICE AREA|40010020|Hc I&d Palate/uvula|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|42000||WS HB DEFAULT|2,542.00
WS SERVICE AREA|40010022|Hc Biopsy Salivary Gland|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|42400||WS HB DEFAULT|4,309.00
WS SERVICE AREA|40010023|Hc Sialogram Inj|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|42550||WS HB DEFAULT|627.00
WS SERVICE AREA|60061107|Hc Drill Insert Cerebral Monitor Device|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|61107||WS HB DEFAULT|2,591.00
WS SERVICE AREA|40010024|Hc I&d Peritonsilar|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|42700||WS HB DEFAULT|2,842.00
WS SERVICE AREA|40010025|Hc Fb Remove Pharynx|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|42809||WS HB DEFAULT|504.00
WS SERVICE AREA|40010027|Hc Dr Naso/oro Tube Placement Fl Guided|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|43752||WS HB DEFAULT|1,809.00
WS SERVICE AREA|40010028|Hc Gastro Intubation With Aspiration|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|43753||WS HB DEFAULT|1,166.00
WS SERVICE AREA|40010031|Hc Reposition Gastrostomy Tube|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|43761||WS HB DEFAULT|6,632.00
WS SERVICE AREA|40010033|HC RF ABLATE TX PULMONARY TUMOR PERC W IMAGING|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|32998||WS HB DEFAULT|16,056.00
WS SERVICE AREA|40010035|Hc I&d Rectum|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|45005||WS HB DEFAULT|10,464.00
WS SERVICE AREA|40010036|Hc Sigmoid Fb Removal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|45307||WS HB DEFAULT|9,946.00
WS SERVICE AREA|40010038|Hc I&d Abscess Perirectal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|46040||WS HB DEFAULT|17,759.00
WS SERVICE AREA|40010039|Hc I&d Abscess Perianal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|46050||WS HB DEFAULT|10,464.00
WS SERVICE AREA|90010341|Hc Lesion Excision Marg 0.5/<|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11420||WS HB DEFAULT|3,352.00
WS SERVICE AREA|40010040|Hc I&d Hemorrhoid|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|46083||WS HB DEFAULT|1,612.00
WS SERVICE AREA|40010042|Hc Liver Needle Biopsy Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47000||WS HB DEFAULT|5,415.00
WS SERVICE AREA|40010047|Hc Percutaneous Cholecystostomy W S&i|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47490||WS HB DEFAULT|6,012.00
WS SERVICE AREA|40010055|Hc Biliary Endoscopy Wash Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47552||WS HB DEFAULT|6,287.00
WS SERVICE AREA|40010056|Hc Biliary Endoscopy Biopsy Single/multi|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47553||WS HB DEFAULT|6,402.00
WS SERVICE AREA|40010058|Hc Biliary Endoscopy Dilitation W/o Stent|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47555||WS HB DEFAULT|5,036.00
WS SERVICE AREA|40010059|Hc Biliary Endoscopy Dilitation With Stent|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47556||WS HB DEFAULT|5,339.00
WS SERVICE AREA|40010061|Hc Inpatient Pancreatitis Drain|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|48000||WS HB DEFAULT|9,060.00
WS SERVICE AREA|40010062|Hc Pancreas Needle Biopsy Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|48102||WS HB DEFAULT|3,152.00
WS SERVICE AREA|40010065|Hc Rf Liver Ablation Perc 1+ Tumor(s)|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|47382||WS HB DEFAULT|4,879.00
WS SERVICE AREA|90010342|Hc Shave Skin Lesion 0.5 Cm/<|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|11300||WS HB DEFAULT|266.00
WS SERVICE AREA|40010070|Hc Paracentesis Abdominal W/o Image Guidance|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49082||WS HB DEFAULT|1,706.00
WS SERVICE AREA|40010072|Hc Paracentesis Abdominal With Image Guidance|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49083||WS HB DEFAULT|3,616.00
WS SERVICE AREA|40010075|Hc Abdominal/retroperitoneal Biopsy Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49180||WS HB DEFAULT|5,463.00
WS SERVICE AREA|40010077|Hc Inj Air/cst Peritoneal Cavity|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49400||WS HB DEFAULT|3,756.00
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|40010079|Hc Tunnel Ip Cath Insert Complete|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49418||WS HB DEFAULT|23,703.00
WS SERVICE AREA|40010080|Hc Tunnel Ip Cath Insert W/port Implant|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49419||WS HB DEFAULT|9,935.00
WS SERVICE AREA|40010081|Hc Tunnel Ip Cath Insert Dialysis Open|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49421||WS HB DEFAULT|3,989.00
WS SERVICE AREA|40010082|Hc Tunnel Ip Cath Removal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49422||WS HB DEFAULT|6,570.00
WS SERVICE AREA|40010083|Hc Exchange Drainage Cath|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49423||WS HB DEFAULT|1,977.00
WS SERVICE AREA|90010343|Hc Drainage Of Skin Abscess|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|10061||WS HB DEFAULT|1,216.00
WS SERVICE AREA|40010085|Hc Assess Cyst Contrast Inj|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49424||WS HB DEFAULT|840.00
WS SERVICE AREA|40010087|Hc Inj Abdominal Shunt|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49427||WS HB DEFAULT|808.00
WS SERVICE AREA|40010088|Hc Gastric Tube Placement W Guidance Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49440||WS HB DEFAULT|17,627.00
WS SERVICE AREA|40010089|Hc Duoden/jejun Tube Placement W Guidance Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49441||WS HB DEFAULT|17,627.00
WS SERVICE AREA|40010090|Hc Gastro Conversion To G-j Tube Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49446||WS HB DEFAULT|17,210.00
WS SERVICE AREA|40010091|Hc Gastro/cecostomy Tube Replacement Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49450||WS HB DEFAULT|7,004.00
WS SERVICE AREA|40010092|Hc Duodenos/jejunos Tube Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49451||WS HB DEFAULT|11,791.00
WS SERVICE AREA|40010093|Hc Gastro/jejunostomy Tube Replacement|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49452||WS HB DEFAULT|16,352.00
WS SERVICE AREA|40010094|Hc G Colon Tube Fix W Device Fl Guide|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49460||WS HB DEFAULT|2,565.00
WS SERVICE AREA|40010095|Hc G Colon Tube Cst Inj Eval Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|49465||WS HB DEFAULT|3,697.00
WS SERVICE AREA|90010345|Hc Biopsy Of Uterus Lining|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|58100||WS HB DEFAULT|652.00
WS SERVICE AREA|40010100|Hc Esophagogastoduodenoscopy|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|43235||WS HB DEFAULT|3,198.00
WS SERVICE AREA|40010104|Hc Gastro/feeding Tube Insertion|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|43241||WS HB DEFAULT|3,611.00
WS SERVICE AREA|40010109|HC GASTROSTOMY TUBE PLACEMENT PERC|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|43246||WS HB DEFAULT|6,924.00
WS SERVICE AREA|40010118|Hc Ercp Procedure|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|43260||WS HB DEFAULT|7,616.00
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|34010046|Hc Tc 99m Exametazime Auto Wbc Study Dose|NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS [0343]|A9569||WS HB DEFAULT|3,185.18
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|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|50010011|Hc Nephrostolithotomy Up To 2cm Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50080||WS HB DEFAULT|13,048.00
WS SERVICE AREA|50010012|Hc Renal Needle Biopsy Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50200||WS HB DEFAULT|6,578.00
WS SERVICE AREA|27296426|Hc Catheter Thrmb 132cm 5max Ace|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|||WS HB DEFAULT|10,743.70
WS SERVICE AREA|50010015|Hc Ureteral Stent Exchange Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50382||WS HB DEFAULT|26,466.00
WS SERVICE AREA|50010016|Hc Ureteral Stent Internal Removal Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50384||WS HB DEFAULT|28,634.00
WS SERVICE AREA|50010017|Hc Transnephric Ureteral Stent Int/ext Change W Fl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50387||WS HB DEFAULT|14,328.00
WS SERVICE AREA|50010018|Hc Nephrostomy Tube Removal W Fl|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50389||WS HB DEFAULT|5,232.00
WS SERVICE AREA|50010019|Hc Renal/pelvis Cyst Needle Inj/asp Perc|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50390||WS HB DEFAULT|5,942.00
WS SERVICE AREA|50010031|Hc Renal Ablation Unilateral|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50592||WS HB DEFAULT|9,205.00
WS SERVICE AREA|50010032|Hc Ureterography/pyelography Inj|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50684||WS HB DEFAULT|327.00
WS SERVICE AREA|50010033|Hc Ureterostomy Tube/stent Change|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|50688||WS HB DEFAULT|1,947.00
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|50010036|Hc Bladder Aspiration W-supracath|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51102||WS HB DEFAULT|4,839.00
WS SERVICE AREA|27298771|Hc Zz Guidewire Snchr2 300cm Std - Use Sup|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1769||WS HB DEFAULT|2,605.70
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|50010043|Hc Bladder Irrigation Simple|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51700||WS HB DEFAULT|1,442.00
WS SERVICE AREA|50010044|Hc Insertion Straight Cath Bladder|SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761]|51701||WS HB DEFAULT|564.00
WS SERVICE AREA|50010045|Hc Insertion Foley Cath Bladder|SPECIALTY ROOM - TREATMENT/OBSERVATION ROOM - TREATMENT ROOM [0761]|51702||WS HB DEFAULT|564.00
WS SERVICE AREA|50010046|Hc Catheterization Urethra Complex|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|51703||WS HB DEFAULT|899.00
WS SERVICE AREA|50010048|Hc Circumcision W/clamp/oth Dev W/block|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54150||WS HB DEFAULT|2,681.00
WS SERVICE AREA|50010049|Hc Irrigation Corp Cavern Priapism|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|54220||WS HB DEFAULT|1,009.00
WS SERVICE AREA|50010050|Hc I&d Scrotum|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|55100||WS HB DEFAULT|10,792.00
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|50010053|Hc Fiducial Mrkr Placement Prostate|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|55876||WS HB DEFAULT|1,945.00
WS SERVICE AREA|27205346|Hc Catheter Ball Dil .014in/4/135|MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY [0272]|C1725||WS HB DEFAULT|1,175.40
WS SERVICE AREA|50010054|Hc I&d Vulva/perineal Abcess|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|56405||WS HB DEFAULT|2,302.00
WS SERVICE AREA|50010055|Hc I&d Bartholin Cyst|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|56420||WS HB DEFAULT|1,224.00
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|50010058|Hc Intrauterine Device Removal|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|58301||WS HB DEFAULT|1,279.00
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|50010061|Hc Transcervical Intro Ft Cath W/wo Hysterosalpingogram|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|58345||WS HB DEFAULT|8,665.00
WS SERVICE AREA|50010069|Hc Amniocentesis Diagnostic Any Method|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|59000||WS HB DEFAULT|2,652.00
WS SERVICE AREA|50010071|Hc Ld Oxytocin Stress|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|59020||WS HB DEFAULT|1,579.00
WS SERVICE AREA|50010072|Hc Ld Non-stress Test|OTHER DIAGNOSTIC SERVICES - GENERAL CLASSIFICATION [0920]|59025||WS HB DEFAULT|2,161.00
WS SERVICE AREA|50010074|Hc Vaginal Delivery Er|OPERATING ROOM SERVICES - MINOR SURGERY [0361]|59409||WS HB DEFAULT|7,712.00
WS SERVICE AREA|27823031|Hc Cement Bn Cds Kyp Balloon|MEDICAL/SURGICAL SUPPLIES AND DEVICES - OTHER IMPLANT [0278]|C1713||WS HB DEFAULT|422.20
WS SERVICE AREA|271108957|Hc Zz Mask Af421 Ee Leak- Use 272115552|MEDICAL/SURGICAL SUPPLIES AND DEVICES - NON STERILE SUPPLY [0271]|||WS HB DEFAULT|86.10